Order Supplies – CirrusDx In-Office

Date of request

Name of person requesting supplies

Phone number

Contact email

Practice/facility name

If shipping on a Friday, can packages be received on a Saturday?

Address to ship to (if not going directly to the practice)

Shipping labels (UPS not available in all geographies)

Clinical paks for shipping

Sample biohazard bags (all tests)

Sample labels (all tests)

Test requisition forms

Urine cups (UTIP, UA, STIP)

Vacutainer cups and vacutainer tubes - cups are used to transfer into the tubes) (UTIP, UA, STIP)

Urine hats for collection (UTIP, UA, STIP)

Ice packs (UA)

Vaginal swabs (STIP, AVIP, BV/CV)

Urethral swabs (STIP, UTIP)

Rectal swabs (STIP)

Oropharyngeal swabs (STIP, RESP)

Nasopharyngeal swabs (RESP)

Dry lesion swabs (STI lesions)

ESwabs (WIP)

Supplies Request Form

Shipping requests made after 3 PM EST will be processed the next business day. An email will be sent to the requester with tracking information once supplies are shipped.

NOTE: Each FedEx waybill is SINGLE USE only and should NOT be copied and reused. One FedEx waybill is needed per Clinical Pak but each Clinical Pak can hold as many samples as you can fit in it.

NOTE: All supplies come in sets of 25, except Wound, which comes in sets of 10.

You may request supplies for the following test types:

Urinary Tract Infection Panel (UTIP™ + polyMIC™)
UA/Microscopy (add on option for UTIP™)
Sexually Transmitted Infection Panel (STIP™)
Aerobic Vaginitis (AVIP™ + polyMIC™)
Bacterial Vaginosis/Candida Vaginitis
Sexually Transmitted Infection Lesions
Wound Infection Panel (WIP™ + polyMIC™)
Respiratory Infection (Flu, COVID-19, RSV)