Material Request Form

Egelab

izmiregelab@hotmail.com
Emre Özdestan Street, No. 22, Kahramanlar / IZMIR

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Material Request Form

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Material Request Form

* THIS FORM IS VALID FOR INSTITUTIONS RECEIVING MATERIALS UNDER THE AGREEMENT.

Organization Name

Phone

Materials

Period

2-ml EDT tube (purple cap) (1 package = 100 pieces)

2-ml heparin-coated tube (green cap) (1 package = 100 pieces)

6 mL tube with a red cap and no gel

2-ml tube with oxalate (gray cap) (1 package = 100 pieces)

2-ml tube containing sodium citrate (blue cap) (1 package = 100 tubes)

5-ml gel tube (yellow cap) (1 package = 100 pieces)

21g green needle tips (1 pack = 100 pieces)

Sterile urine collection container

Non-sterile urine collection container

Gel-free swab

Gel swab

Adult blood culture bottle

Pediatric blood culture bottle

12x75 tube

12x75 tube cap

16x100 tube (tapered bottom)

Feces container

30 ml pathology vials containing 10% formaldehyde (1 package = 50 vials)

HPV Smear Collection Container (1 package = 50 units)

Smear brush (1 pack = 50 pieces)

Pack of 2 blades (1 pack = 10 pieces)

1 kg large pathology container (1 package = 40 pieces)

Formaldehyde solution (1 bottle = 5 liters)

Sample Request Form

Pathology/Smear Request Form

Courier Request Form

Sample Shipping Slip

Large bag

Small bag

Sample bag

Blank barcode

7-digit printed barcode

Ice battery

Plastic Clip

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Emre Özdestan Street, No. 22, Kahramanlar / IZMIR
0850 850 13 23
izmiregelab@hotmail.com
Mon–Thu: 8:30 a.m.–6:30 p.m.
; Sat: 8:30 a.m.–4:30 p.m.

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0850 850 13 23

Last Updated in 2026 | Egelab By

Contact Profaj: +90 232 320 00 40

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