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Clinical Specimen Collection and Shipping Containers
To Order:
email completed DCH-0568 to mdhhslab@michigan.gov or
create an account in the online request portal at https://milkots.michigan.gov/login
Problems - Phone : (517) 335-8074
Click here to download a DCH-0568 Requisition for Clinical Specimen Containers.
Kit # 1 Enteric Bacteria: Culture
1 - Category B Shipper
1 - Medium, Cary Blair Fecal Transport
1 - Bag, Plastic, 4" x 8", Ziploc
1 - Strip, Absorbent
1 - Label, Shipping, Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0596
Refer to: Requisition, DCH-0583
Kit # 2 Chlamydia/Gonorrhea - Swab other than Vaginal for Amplified Test
1 - Category B Shipper
1 - Bio Bag
5 - Swab, APTIMA Unisex Collection Kit
5 - Bag, Plastic - 3" x 5", Ziploc
1 - Strip, Absorbent
1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)
Refer to: Directions, DCH-0973
Test Requisitions Only on Request
Kit # 2-U Chlamydia/Gonorrhea Urine Specimens for Amplified Test
1 - Category B Shipper
1 - Bio Bag
5 - Tube, APTIMA Urine Collection Kit
5 - Bag, Plastic, 3" x 5" Ziploc
1 - Strip, Absorbent
1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)
Refer to: Directions, DCH-0975
Kit # 2-V Chlamydia/Gonorrhea- Vaginal Swab for Amplified Test
1- Category B Shipper
1 - Bio Bag
5 - Tube, APTIMA Vaginal Swab Collection Kit
5 - Bag, Plastic, 3" x 5" Ziploc
1 - Strip, Absorbent
1 - Label, Return Mailing, Biological Substance - Lansing (DCH-0800)
Refer to: Directions DCH-0972
Kit # 3 Viral Load Testing - HIV-1
Replaced with Unit #13
Kit # 4 OraSure: Mailing Components Only - Oral Fluid for HIV-1
1 - Category B Shipper
1 - Strip, Absorbent
1 - Label, Return Mailing Biological Substance, Lansing Address (DCH-0800)
Refer to: Directions, DCH-1178
Refer to: Requisition, DCH-0583
Kit # 5 Gastroenteritis Viruses:
Note: This kit includes enough supplies for 4 specimens
1 - Box, Corrugated, 9" x 8" x 5"
1 - Mailer, Styrofoam - Virology
4 - Mailer, Dual, 2" x 3 3/4"
4 - Centrifuge tube w/cap, 50 mL
4 - Bag, Plastic - 4" x 8", Ziploc
1 - Ice pack
1 - Label, Return Mailing, Biological Substance - Lansing - ( DCH-0800)
1 - Label, Refrigerate on arrival
Refer to: Requisition, DCH-0583 (Lansing)
Refer to: Directions, DCH-0723
Kit # 6 Parasitology: Fecal transport media for detection of ova and cysts
1 - Category B Shipper
1 - Medium, Transport - Formalin & ZPVA
2 - Bag, Plastic, 3" x 5", Ziploc
1 - Strip, Absorbent
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
Refer to: Requisition, DCH-0583
Kit # 7 Blood Lead:
Capillary and Venous Blood Samples:
1- Category B Shipper
Tube, Capillary Blood Sampling- Bags of 50
or
Tube, Venous Blood Sampling, 2.0ml
1 - Strip, Absorbent
1 - Label, Return Mailing, DCH-0711V
1- Collection Procedures- Capillary Blood- New Submitter's Only- One per order
Refer to: Requisition, DCH-0696
Refer to: Directions, DCH-0575
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
Refer to: Requisition, DCH-0696
Refer to Directions, Filter Paper DCH-1296
Kit # 8 Bacterial, Fungal & Viral Serology
1 - Category B Shipper
1 - Bio Bag
2 - Tube w/cap, polypropylene, 5.0 mL (cannot be styrene)
1 - Strip, Absorbent
1 - Label, Shipping-Biological Substance, Lansing Address, DCH-0800
Refer to: Requisition, DCH-0583
Refer to Directions, DCH-0811
Kit # 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, polypropylene, 5.0 mL (cannot be styrene)
2 - Ice Pack
1 - Wadding
2 - Absorbent Strip
1 - Zipper bag, 4" x 8"
1 - Label, Pre-paid UPS Return Label
1 - Label, Refrigerate on arrival
Refer to: Directions, DCH-0811A
Refer to: Test Requisition, Microbiology/Virology, DCH-0583
Kit # 10 Syphilis: Darkfield
1 - Dual Mailer, 2" x 3 3/4"
1 - Slide, 1" x 3" - 2 circles
1 - Holder, Slide, 2 place
1 - Tube w/cap, styrene, 3.0 mL
1 - Label, Shipping-Biological Substance, Lansing Address, DCH-0800
Refer to: Requisition, DCH-0583
Refer to: Directions, DCH-0880
Kit # 12 Specimens for Tuberculosis & Fungal Diagnosis:
1 - Mailer, Dual - 2" x 3 3/4"
1 - Tube, Centrifuge, 50 mL
1 - Bag, Plastic - 4" x 8", Ziploc
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Directions, DCH-0721
Refer to: Requisition, DCH-0583
Kit # 13 CD4-CD8/HIV-1 Viral Load
1 - Box, Over-pack, 14 X 8 X 9
2 - Infectious Substance Category A Shipper
2 - Tube w/cap, polypropylene, 5.0 mL
2 - Tube, Venus Blood Sampling, EDTA - 5.0 mL draw
2 - Bag, Plastic - 4" x 8", Ziploc
1 - Ice pack
2 - Wadding
1 - Strip, Adsorbent
1 - Label, Combination - Biological Substance
1 - Label, Pre-paid UPS Return
Kit # 15 Bordetella pertussis: PCR
1 - Category B Shipper
1 - Bio Bag
1 - Swab, Aluminum shaft, Dacron
1 - Bag, Plastic, 4" x 8"
1 - Strip, Adsorbent
1 - Label, Biological Substance, Lansing Address, DCH-0800
Refer to: Directions, DCH-0881
Refer to: Requisition, DCH-0583
Kit # 19 HIV- 1 Genotyping
1 - Box, Over pack w/Styrofoam
1 - Category B Shipper
1 - Bio Bag
2 - Tube, venous blood sampling, EDTA - 5 mL
1 - Bag, Plastic - 4" x 8", Ziploc
1 - Wadding
1 - Strip, Adsorbent
1 - Label, Combination - CO2/Biological Substance
1 - Label, Refrigerate on Receipt, DO NOT FREEZE
1 - Label, Pre-paid UPS Return
Refer to: Requisition/Directions, DCH-1187
Kit #20 - Vaccina/Variola/Pox Virus Unit
1 - Box, Over Pack w/Styrofoam
1 - Infectious Substance Category A Shipper
1 - Wadding
1 - Tube, vacuum, 10 mL, plastic, marbled stopper, serum separation gel
10 - Swab
10 - Vial, 5 mL, Sterile
5 - Strip, Adsorbent
3 - Ice pack
1 - Label, Combination - CO2/Biological Substance
1 - Label, Refrigerate upon Receipt, DO NOT FREEZE
1 - Requisition, DCH-1396
Kit #22 Chemical Terrorism Specimen Packaging and Shipping Kit
1 - Box, Corrugated Overpack, with polystyrene foam liner
8 - Ice pack
2 - Packaging, Secondary (Biohazard Bag & Tyvek Bag)
1 - Tape, Forensic Evidence, roll
1 - Tape, packaging strapping/filament roll
1 - Label for outside container
Kit #23 Chemical Terrorism Specimen Collection Kit
1 - File Tote
1 - Letter size hanging file pocket
1 - Manual, Training
2 - Bag, Plastic
1 - Directions, Chemical Terrorism (DCH-1334)
1- Kit order form- DCH-0568
1 - Label, Biological Substance Category B, UN 3373 - Combo
1 - Label, Biological Substance Category B, UN 3373 - Dry Ice - Combo
1 - Paper File Jacket
20 – Form, Chain of Custody (DCH-1264)
1 - Sharpie
1- BIC Round Stic Medium Point Ballpoint Pen
1- Urine Box with 6 Grids
8- Strip, absorbent 50ml
6- Strip, absorbent 100ml
2- Bag, Plastic, 4" X 8", Ziploc
2- Label, Absorbents for Urine, Blood
1 - Kit, foam rack, place
2 - Labels for file tote
Kit # 42A Bacterial & Fungal Cultures - Infectious Substance - Category A
1 - Infectious Substance Category A Shipper
1 - Form, Dangerous Goods
1 - Envelope, Dangerous Goods
1 - Bag, Plastic, 4" x 8", Ziploc
1 - Strip, Adsorbent
1 - Label, Infectious Substance
1 - Label, Class 6
1 - Wadding
1 - Bubble Bag
Refer to: Directions, DCH-0597
Refer to: Requisition, DCH-0583
Kit # 42B Bacterial & Fungal Cultures - Infectious Substance - Category B
1 - Category B Shipper
1 - Bio Bag
5 - Bag, Plastic, 4" x 8", Ziploc
1 - Strip, Absorbent
1 - Wadding
1 - Label, Return
Refer to: Directions, DCH-0597-B
Kit # 45 Viral Infections & PCR:
1 - Box, Corrugated, 9" x 8" x 5"
1 - Mailer, Styrofoam - Virology
2 - Mailer, Dual - 2" x 3 3/4"
1 - Mailer, Dual, 1 1/4" x 5 5/8" - 1 can holds 2 tubes
1 - Tubes w/cap, 5.0 mL
1 - Transport Medium, Viral & Chlamydia
1 - Swab, Nasopharyngeal (NP) minitip plastic applicator, nylon fiber tip, sterile in peel pouch
1 - Swab
1 - Tube w/cap, Centrifuge, 50 mL
2 - Bag, Plastic - 4" x 8", Ziploc
2 - Absorbent
1 - Ice pack
1 - Label, Refrigerate on Receipt, DO NOT FREEZE
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
Refer to: Directions, DCH-0772
Refer to: Requisition, DCH-0583
Kit # 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 3 3/4"
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 - Ice pack
1 - Label, Biological Substance
1 - Label, Pre-paid UPS Return
1 - Label, Refrigerate upon Receipt, DO NOT FREEZE
1 - Directions, DCH-0773
1 - Requisition, DCH-1583
Or for Flu kits - Not Sentinel Physicians
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Requisition, DCH-0583
1 - Directions, DCH-0773
Kit # 46 Food Poisoning or Norovirus
5 - Mailer, Styrofoam
5 - Ice pack
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"
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Label, Refrigerate on Receipt, DO NOT FREEZE
Refer to: Requisition, DCH-0583
Refer to: Requisition, DCH-1052, Multiple Sample Form
Refer to: Directions, DCH-0596
Refer to: Directions, DCH-0883
Refer to: Directions, DCH-0723
Kit # 47 Rabies Infections - For Routine (small) Specimens
1 - Box, Corrugated, 8" x 8" x 8"
1 - Pail, Plastic, 1 Gallon with lid
1 - Ice pack
1 - Bag, Plastic - 4" x 8", Ziploc
1 - Bag, Plastic - Ziploc, 10" x 12"
2 - Strip, Adsorbent
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Label, Refrigerate on Receipt, DO NOT FREEZE
1 - Requisition/Directions, rabies, DCH-1053
Kit # 47 Rabies Infections - For Large Specimens
1 - Box, Corrugated, 12" x 12" x 12"
1 - Pail, Plastic, 3.5 Gallons with lid
1 - Bag, Plastic - 4" x 8", Ziploc
4 - Strip, Adsorbent
1 - Bag, Biohazard
4 - Ice pack
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Label, Refrigerate on Receipt, DO NOT FREEZE
1 - Requisition/Directions, Rabies, DCH-1053
Kit # 50 HIV Blood Spot Serology
1 - Filter paper
1 - Envelope, Mailing, DCH-0669, Lansing Address
1 - Requisition/Directions, DCH-0689
Immune Status *
1 - Category B Shipper
1 - Bio Bag
1 - Tube w/cap, styrene, 5.0 mL
1 - Label, Shipping - Biological Substance, Lansing Address, DCH-0800
1 - Test Requisition - Antibody Test DCH-0459
* Fee for service. Call (517) 284-9370.
Rev. 11/13/2023