Lab Supply Order Form
Requesting Party:
*
These items noted with the
*
must be filled out to process this request.
*
Company Name
:
Location Number:
(LHC Accounts)
*
E-mail Address:
Street Address:
City:
State:
Zip:
Phone Number:
Contact Name:
Please provide the following information:
Quantity:
Description:
DOT Chain of Custody Forms
DOT Split Specimen Collection Kits
NONDOT Chain of Custody Forms
NONDOT Single Specimen Collection Kits
UPS Lab Packs w/ Airbills
Fed-Ex Lab Packs w/ Airbills
Specimen Shipping Boxes
To look at our all new instant testing devices, check out our
All New iCup!
To order QED Saliva Alcohol Testing devices, click on
Order Devices
*
These items noted with the
*
must be filled out to process this request.
! CHECK IT OUT !
New DOT Regulations
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