Lakeland Health Care
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**Note:  Ferderal regulations enable us to supply only those materials necessary to submit specimens to our facility for testing.**
* Indicates required information
Date *   Calendar (mm/dd/yyyy)
Client Name * 
Client Address * 
Cytology/Histology Supplies 
CytoLyt Solution-Fluid Transport Media 
Formalin Biopsy Vial, 8 mL 
Formalin Biopsy Vial, 15 mL 
Formalin Biopsy Vial, 30 mL 
Thin Prep Brooms (25 per bag) 
Thin Prep Brushes/Spatulas (25 each per bag) 
Thin Prep Pap Vials (25 per tray) 
Authentication * 

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