To Order

Fax: (517) 335-9039
Phone: (517) 335-9867
Problems - Phone : (517) 335-8074

All orders filled include a   DCH-0568  Requisition for Clinical Specimen Containers.

Components for kits as of August 1, 2008.

1 - Mailer, Dual - 2 x 3 3/4"
1 - Medium, Cary Blair Fecal Transport
1 - Bag, Plastic, 3 x 5", Ziploc
1 - Requisition, DCH-0583
1 - Directions, DCH-0596
1 - Label, Shipping, Biological Substance, Lansing Address, DCH-0800

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Unit # 2 Chlamydia/Gonorrhea - Amplified Test

1 - Mailer, Styrofoam, 7 7/8 x 2 1/8 x 1 1/2
1 - Sleeve, Mailing
5 - Swab, Amplified - Female/Male
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Strip, Absorbent

And depending on testing laboratory: Lansing/Kalamazoo/Kent/Saginaw

1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)
1 - Label, Return Mailing, Biological Substance - Kalamazoo (DCH-0983)
1 - Label, Return Mailing, Biological Substance - Kent (DCH-0673)
1 - Label, Return Mailing, Biological Substance - Saginaw (DCH-0982)
1 - Label, Return Mailing, Biological Substance - Houghton (DCH-0985)

Test Requisitions Only on Request

1 - Directions, DCH-0974

Unit # 2-U Chlamydia/Gonorrhea Urine Specimens for Amplified Test

1 - Sleeve, Mailing
1 - Mailer, Styprofoam, 7 7/8 x 2 1/8 x 1 1/2 "
5 - Tube, Urine Collection
1 - Bag, Plastic, 4 x 8
1 - Directions (DCH-0975) - One per order
1 - Strip, Adsorbent

And depending on testing laboratory: Lansing/Kalamazoo/Kent/Saginaw

1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)
1 - Label, Return Mailing, Biological Substance - Kalamazoo (DCH-0983)
1 - Label, Return Mailing, Biological Substance - Kent (DCH-0673)
1 - Label, Return Mailing, Biological Substance - Saginaw (DCH-0982)
1 - Label, Return Mailing, Biological Substance - Houghton (DCH-0985)

1 - Form, Dangerous Goods
1 - Envelope, for Dangerous Goods Form
1 - Infectious Substance Shipper
1 - Label, Biological Substance
1 - Bag, Plastic - 4 x 8", Ziploc
2 - Tube w/cap, Polypropylene, 12 x 55 mm, 3.0 mL
2 - Tube, venous blood sampling, EDTA - 2.5 mL draw
1 - Ice, Blue
1 - Strip, Adsorbent
1 - Wadding, 6 x 12"
1 - Requisition/Directions, DCH-0562
1 - Label, Express Mail
1 - Stamp, Express Mail

Unit # 4 OraSure: Mailing Components Only - Oral Fluid for HIV-1

1 - Mailer, Dual
1 - Strip, Absorbent
1 - Label, Biological Substance, Lansing Address
1 - Directions - One per order
2 - Requisition, DCH-0583

Unit # 5 Enteric Viruses: Culture - By special request ONLY!

1 - Mailer, Styrofoam - Virology
4 - Mailer, Dual, 2 x 5"
4 - Tube w/cap, Centrifuge, Sterile - 50 mL
4 - Spatula, Sterile
4 - Bag, Plastic - 4 x 8", Ziploc
1 - Ice, Blue - 8 ounce
1 - Box, Corrugated, 9 x 8 x 5"

And depending on testing laboratory (Lansing/Regional Lab)

4 - Requisition, Lansing, DCH-0583
4 - Requisition, Regional Laboratories, DCH-0567

And depending on testing laboratory: Detroit/Lansing/Kalamazoo/Kent/Saginaw

1 - Label, Shipping - Biological Substance, DCH-0886-Detroit Regional Laboratory
1 - Label, Return Mailing, Biological Substance - Lansing - (DCH-0800)
1 - Label, Return Mailing - Biological Substance - (DCH-0983)
1 - Label, Return Mailing - Biological Substance - (DCH-0673)
1 - Label, Return Mailing - Biological Substance - (DCH-0982)
1 - Directions, DCH-0723, Revised 7/06 - One per order

Unit # 6 Parasitology: Fecal transport media for detection of ova and cysts

1 - Mailer, Dual - 2 x 7 ½"
1 - Medium, Transport - Formalin & ZPVA
2 - Bag, Plastic, 3 x 5", Ziploc
1 - Requisition, DCH-0583
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0596 - One per order

Unit # 7 Blood Lead:

Capillary and Venous Blood Samples
1- Mailer, Dual 1 ¼ x 5 5/8"
Tube, Capillary Blood Sampling- Bags of 50
or
Tube, Venous Blood Sampling, 2.0ml
1 - Label, Return Mailing, DCH-0711V - Exempt Human Specimen
1- Requisition, DCH-0696
1- Directions, DCH-0575- One per order
1- Collection Procedures- Capillary Blood- New Submitter's Only- One per order

Specimen on Filter Paper
1- Envelope, Mailing, #10
1- Label, Return Mailing, DCH-0711
1- Card, Sample Collection
1- Lancet
1 - Gauze, package of two
1 - Wipe, Alcohol
1- Requisition, DCH-0696
1- Directions, Filter Paper DCH-1296- One per order

Unit # 8 Bacterial, Fungal & Viral Serology

1 - Dual Mailing Container - 1 can holds 2 tubes
2 - Tube w/cap, 12 x 55 mm, styrene, 3.0 mL
1 - Label, Shipping-Biological Substance, Lansing Address, DCH-0800
2 - Requisition, DCH-0583
1 - Directions, DCH-0811 - One per order

Unit # 10 Syphilis: Darkfield

1 - Dual Mailer, 3 1/8" x 5 3/4"
1 - Slide, 1 x 3" - 2 circles
1 - Holder, Slide, 2 place
1 - Tube w/cap, 12 x 55 mm, styrene, 3.0 mL
1 - Requisition, DCH-0583
1 - Directions, DCH-0880 - One per order
1 - Label, Shipping-Biological Substance, Lansing Address, DCH-0800

Unit # 12 Specimens for Tuberculosis & Fungal Diagnosis:

1 - Mailer, Dual - 2 x 5"
1 - Tube, Centrifuge, Sterile, 50 mL
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0721 - One per order
1 - Requisition, DCH-0583

Unit # 13 CD4-CD8/HIV-1 Viral Load

1 - Envelope, Dangerous Goods
1 - Form, Dangerous Goods
1 - Box, Over pack
2 - Infectious Substance Shipper
1 - Label, Combination - Biological Substance
2 - Labels, This Side Up
2 - Tube w/cap, polyporpylene, 12 x 55 cm, 3.0 mL
3 - Tube, Venus Blood Sampling, EDTA - 2.5mL draw
2 - Bag, Plastic - 4 x 8", Ziploc
1 - Ice, Blue
1 - Requisition/Directions, DCH-0562
1 - Express Mail Label
1 - Express Mail Stamp
2 - Wadding, 6 x 12"
1 - Strip, Adsorbent

Unit # 14 PBB, PCB, PDDE, and Pesticides

Vials w/cap - Hexane Rinsed
Tube, vacuum, 10.0 mL, no gel
Requisition, PBB/PCB (DCH-0571)

Unit # 15 Bordetella pertussis: Culture, Isolation & PCR

1 - Mailer, Dual
1 - Medium, Regan-Lowe
1 - Swab, Aluminum shaft, dacron
1 - Strip, Adsorbent
1 - Label, Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0881 - One per order
1 - Requisition, DCH-0583
1 - Bag, Plastic, 4x8

Unit # 17 Mercury Testing

1 - Box, Corrugated, 9 x 8 x 5"
2 - Mailer, Dual, 2 x 5"
1 - Tube, Venus Blood Sampling, EDTA, 7.0 mL
1 - Cup, Urine - pretested Hg Free
1 - Tube w/cap, Centrifuge, 15 mL - pretested Hg Free
1 - Tube w/cap, Centrifuge, 2 mL.
2 - Bag, Plastic, 4 x 8", Ziploc
2 - Strip, Adsorbent
1 - Mailer, Styrofoam - Virology
1 - Ice, Blue - 8 ounce
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Requisition & Directions, DCH-0976

Unit # 19 HIV- 1 Genotyping

1 - Box, Over pack w/Styrofoam

1 - Form, Dangerous Goods

1 - Envelope, Dangerous Goods

1 - Infectious Substance Shipper

2 - Tube, venous blood sampling, EDTA - 2.5 mL

1 - Bag, Plastic - 4 x 8", Ziploc

1 - Label, Combination - CO2/Biological Substance

1 - Express Mail Label

1 - Express Mail Stamp

1 - Wadding, 6 x 12"

1 - Strip, Adsorbent

1 - Requisition/Directions, DCH-1187

1 - Box, Over Pack w/Styrofoam

1 - Infectious Substance Shipper

1 - Blank, Dangerous Goods

1 - Envelope, Dangerous Goods

1 - Wadding, 6 x 12"

1 - Strip, Adsorbent

1 - Tube, vacuum, 10 mL, plastic, marbled stopper, serum separation gel

10 - Swab, Dacron

10 - Vial, 2 mL, Sterile

1 - Requisition, DCH- 1396, Vaccina/Variola/Pox Virus Test Requisition

3 - Refrigerant (Blue Ice)

1 - Label, Combination, Infectious Substance

Unit #22 Chemical Terrorism Specimen Packaging and Shipping Kit

1 - Letter, Explains purpose of kit

1 - Box, Corrugated Overpack w/Styrofoam

1 - Bag, Plastic, Ziploc, 13 x 15"

1 - Label, Biological Substance Category B, UN 3373

1 - Label, Miscellaneous Dangerous Goods, Class 9

1 - Label, To:

1 - Label, From:

1 - Tape, packaging strapping, roll

3 - Rack, Foam

2 - Packaging, Secondary

4 - Refrigerant, a.k.a. blue ice

10 - Strip, Absorbent

1 - Directions, Chemical Terrorism (DCH-1334)
1 - Form, Chain of Custody (DCH-1264)

Unit #23 Chemical Terrorism Specimen Collection Kit

1 - Container, Storage

1 - Sharpie

1 - Paper File Jacket

1 - Tape, Forensic Evidence, roll

1 - Manual, Training, CTPG - 7/06 (DCH-1335)

1 - Directions, Chemical Terrorism (DCH-1334)

20 - Blank, Testing & Chain of Custody (DCH-1264)

100 - Bag, Biohazard, 6 x 12"

Unit # 42A  Bacterial & Fungal Cultures - Infectious Substance - Category A

1 - Infectious Substance Shipper
1 - Form, Dangerous Goods
1 - Envelope, Dangerous Goods
1 - Directions, DCH-0597
1 - Bag, Plastic, 4 x 8", Ziploc
5 - Requisition, DCH-0583
1 - Strip, Adsorbent
1 - Label, Infectious Substance
1 - Wadding, 6 x 12"

Unit # 42B  Bacterial & Fungal Cultures - Infectious Substance - Category B

1 - Infectious Substance Shipper
1 - Directions, DCH-0597
1 - Bag, Plastic, 4 x 8", Ziploc
5 - Requisition, DCH-0583
1 - Strip, Adsorbent
1 - Label, Biological Substance
1 - Wadding, 6 x 12"
1 - Express Mail Label
1 - Express Mail Stamp

Unit # 44 Chlamydia: Culture & Isolation

1 - Box, Corrugated, 9 x 8 x 5"
1 - Mailer, Styrofoam - Virology
1 - Mailer, Dual - 2 x 5"
1 - Swab, Dacron
1 - Medium, Transport, Viral & Chalmydia
1 - Ice, Blue - 8 ounce
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Requisition, DCH-0583
1 - Directions, DCH-0882 - One per order

Unit # 45 Viral Infections & PCR on CSF:

1 - Box, Corrugated, 9 x 8 x 5"
1 - Mailer, Styrofoam - Virology
2 - Mailer, Dual - 2 x 5"
1 - Mailer, Dual, 1 1/4 x 5 5/8 - 1 can holds 2 tubes
1 - Tubes w/cap, 12 x 55 mm, styrene, 3.0 mL
1 - Transport Medium, Viral & Chlamydia
1 - Swab, Nasopharyngeal (NP) minitip plastic applicator, nylon fiber tip, sterile in peel pouch
1 - Swab, Dacron
1 - Tube w/cap, Centrifuge, Sterile - 50 mL
1 - Ice, Blue - 8 ounce
2 - Bag, Plastic - 4 x 8", Ziploc
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0772 - One per order
2 - Requisition, DCH-0583

Unit # 45SP Sentinel Physicians - a.k.a. Flu Kit

1 - Box, Corrugated, 9 x 8 x 5"
1 - Mailer, Styrofoam - Virology
1 - Mailer, Dual - 2 x 5"
1 - Ice, Blue - 8 ounce
1 - Transport Medium, Viral & Chlamydia
1 - Swab, Nasopharyngeal (NP) minitip plastic applicator, nylon fiber tip, sterile in peel pouch
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Label, Express Mail
1 - Stamp, Express Mail
1 - Directions, DCH-0772SP - One per order
1 - Label, Biological Substance
1 - Requisition, DCH-0583 - w/ Sentinel Physician Information Noted

Or for Flu kits - Not Sentinel Physicians

1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Requisition, DCH-0583
1 - Directions, DCH-0772 - One per order

Unit # 46 Food Poisoning or Norovirus

5 - Mailer, Styrofoam
5 - Ice, Blue - 8 ounce
5 - Mailer, Dual - 2 x 3 3/4"
5 - Mailer, Dual - 2 x 5"
5 - Cup, Urine, 120 mL - pre-tested Hg free
5 - Medium, Cary Blair Fecal Transport
5 - Tube w/cap, Centrifuge, Sterile - 50 mL
5 - Bag, Plastic, Sterile, 18 ounce, 4 x 9"
5 - Pipette, Transfer, Sterile, 7.0mL
5 - Spatula, Sterile
10 - Bag, Plastic - 4 x 8", Ziploc
1 - Box, Corrugated, 16 x 12 x 13"
15 - Requisition, DCH-0583
15 - Requisition, DCH-0567
2 - Requisition, DCH-1052, Multiple Sample Form
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0596
1 - Directions, DCH-0883
1 - Directions, DCH-0723

Unit # 47 Rabies Infections - For Routine (small) Specimens

1 - Box, Corrugated, 8 x 8 x 8"
1 - Pail, paint - Plastic, 1 Gallon
1 - Lid, for pail
1 - Ice, Blue - 8 ounce
1 - Bag, Plastic - Ziploc, 10 x 12"
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
2 - Label, This Side Up
2 - Strip, Adsorbent
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Requisition/Directions, rabies, DCH-1053

Unit # 47 Rabies Infections - For Large Specimens

1 - Box, Corrugated, 12 x 13 x 13"
1 - Pail, paint - plastic, 3.5 Gallons
1 - Lid, for pail
1 - Bag, Biohazard
4 - Ice, Blue - 8 ounce
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
2 - Label, This Side Up
4 - Strip, Adsorbent
1 - Bag, Plastic - 4 x 8", Ziploc
1 - Requisition/Directions, Rabies, DCH-1053

Unit # 49 HIV Serum Serology

1 - Mailer, Dual - 1 1/4 x 6 3/4" NOTE: 1 CAN HOLDS TWO Tubes
1 - Tube w/cap, 12 x 75 mm, styrene, 5.0 mL
1 - Directions, DCH-0811 - one per order
1 - Requisition, Regional Laboratories, DCH-0567
1 - Label, Shipping, Biological Substance, DCH-0886 -Detroit Regional Laboratory

OR

1 - Label, Shipping, Biological Substance, DCH-0673 -Kent County Health Dept.

Unit # 50 HIV Blood Spot Serology

1 - Envelope, Mailing, DCH-0669, Lansing Address
1 - Requisition/Directions, DCH-0689

Unit # 51 HIV Direct Detection (PCR - SPECIAL REQUEST ONLY)

1 - Mailer, Dual - 1 1/4 x 6 3/4"
2 - Tube, Capillary Blood Sampling
1 - Tube, Venus Blood Sampling, EDTA, 2.0 mL
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Requisition, DCH-0583
1 - Directions, DCH-0884 - One per order

Immune Status *

1 - Mailer, Dual - 1 1/4 x 6 3/4"
1 - Tube w/cap, 12 x 55 mm, styrene, 3.0 mL
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0811 - One per order
1 - Test Requisition - Immune Status DCH-0460/Antibody Test DCH-0459

Hepatitis C - Antibody Screen*

1 - Mailer, Dual - 1 1/4 x 6 3/4"
1 - Tube w/cap, 12 x 55 mm, styrene, 3.0 mL
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0811 - One per order
1 - Test Requisition, FB-202

* Fee for service. Call (517) 241-5583.

Hepatitis C - Confirmation*

1 - Infectious Substance Shipper
1 - Tube, Polypropylene w/cap, 12 x 55 mm, 3.0 mL
1 - Ice, Blue
1 - Directions, DCH-0731 - One per order
1 - Test Requisition, FB-203
1 - Wadding, 6 x 12"
1 - Strip, Adsorbent
1 - Label, Biological Substance

* Fee for service. Call (517) 241-5583.

Rev. 8/1/2008