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    Specimen Collection and Shipping Containers

    CLINICAL SPECIMEN COLLECTION AND SHIPPING CONTAINERS 

    To Order 

    Fax: (517) 335-9039
    Phone: (517) 335-9040
    Problems - Phone : (517) 335-8074
     

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

    Components for kits as of November 1, 2013. 


    Unit # 1 Enteric Bacteria: Culture

    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 


    Unit # 2 Chlamydia/Gonorrhea - Swab other than Vaginal for Amplified Test 

    1 - Mailer, Styrofoam, 7 7/8 x 2 1/8 x 1 1/2
    1 - Sleeve, Mailing
    5 - Swab, APTIMA Unisex Collection Kit
    1 - Bag, Plastic - 4 x 8", Ziploc
    1 - Strip, Absorbent
    1 - Directions, DCH-0974 
    1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)

    Test Requisitions Only on Request 


    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, APTIMA Urine Collection Kit
    1 - Bag, Plastic, 4 x 8"
    1 - Directions (DCH-0975) - One per order
    1 - Strip, Adsorbent
    1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)


    Unit # 2-V Chlamydia/Gonorrhea - Vaginal Swab for Amplified Test


    1 - Sleeve, Mailing
    1 - Mailer, Styprofoam, 7 7/8 x 2 1/8 x 1 1/2 "
    5 - Swab, APTIMA Vaginal SwabCollection Kit
    1 - Bag, Plastic, 4 x 8"
    1 - Directions DCH-0972
    1 - Strip, Adsorbent
    1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)



    Unit # 3 Viral Load Testing - HIV 1 

     Replaced with Unit #13.


    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, DCH-1178
    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: Lansing/Kalamazoo/Kent/Saginaw 

     
    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 # 8A Hepatitis C Antibody

    1 - 9 x 8 x 5 box
    1 - Styrobox
    1 - Dual Mailing Container - 1 can holds 2 tubes
    2 - Tube w/cap, 12 x 55 mm, polypropylene, 12 x 55 mm, 3.0 mL (cannot be styrene)
    2 - Blue Ice
    1 - Directions, DCH-0811 - One per order
    2 - Test Requisition, Microbiology/Virology, DCH-0583
    1 - Wadding, 6 x 12
    1 - Absorbent Strip
    1 - Zipper bag, 4 x 8
    1 - Label, Shipping-Biological Substance, MDCH Lansing Address, DCH-0800 
    1 - Label, Refrigerate on arrival


    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
    2 - Tube, Venus Blood Sampling, EDTA - 5.0 mL 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)

    *Please contact the division office for ordering details, 517-335-9490


    Unit # 15 Bordetella pertussis: PCR 

    1 - Mailer, Dual
    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 # 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 - Label, Refrigerate on Receipt, DO NOT FREEZE
     
    1 - Express Mail Label 
    1 - Express Mail Stamp 
    1 - Wadding, 6 x 12" 
    1 - Strip, Adsorbent 
    1 - Requisition/Directions, DCH-1187 


    Unit #20 - Vaccina/Variola/Pox Virus Unit 

    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 
    1 - Label, Refrigerate upon Receipt, DO NOT FREEZE


    Unit #22 Chemical Terrorism Specimen Packaging and Shipping Kit 

    1 - Box, Corrugated Overpack w/Styrofoam
    1 - Bag, Plastic, Ziploc, 13 x 15"
    1 - Label, Biological Substance Category B, UN 3373 - Combo
    1 - Label, Biological Substance Category B, UN 3373 - Dry Ice - Combo
      
    1 - Tape, packaging strapping, roll 
    2 - Rack, Foam
    2 - Packaging, Secondary (Biohazard Bag & Tyvek Bag)
    8 - 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 # 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 
    1 - Label, Refrigerate on Receipt, DO NOT FREEZE 


    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-0583Sent 

    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 
    1 - Label, Refrigerate on Receipt, DO NOT FREEZE 


    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 
    1 - Label, Refrigerate on Receipt, DO NOT FREEZE 


    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 
    1 - Label, Refrigerate on Receipt, DO NOT FREEZE 


    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, polypropylene, 5.0 mL
    1 - Directions, DCH-0811 - one per order
    1 - Requisition, Microbiology/Virology Requisition, DCH-0583 
    1 - Label, Shipping, Biological Substance, DCH-0800 MDCH - Lansing


    Unit # 50 HIV Blood Spot Serology

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


    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

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


    Rev. 2/11/2014 

    Related Content
     •  A-Z Test Listing
     •  Bureau of Laboratories - Laboratory Services Guide
     •  Reportable Diseases
     •  Test Request Forms
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