Requestor information
Please provide your contact information in the fields provided below. Please review this information carefully. It will be used to print the shipping label for the supplies your request.

Question Title

* Contact name

Question Title

* Contact phone

Question Title

* Shipping information

Quantities requested
Allow 4-5 business days for supplies to arrive. Supplies ordered on-site require up to 72 hours to be filled.

Question Title

* Universal or Viral Transport Media

Question Title

* Chlamydia trachomatis/Neisseria gonorrhoeae/Trichomonas vaginalis Collection Kits (50/bag for approved providers only)

Question Title

* Mycobacterium tuberculosis (25/bag)

Question Title

* Stool Culture and Reportable Enteric Isolates

Question Title

* Intestinal Parasites

Question Title

* Shipping containers

Please contact your local EOC for UTM/VTM requests for SARS-CoV-2 ASPHL does not provide blood collection tubes No additional biohazard bags are provided.

T