Client Supply Order Form

Phone: 877.820.8047 / Email:

Special Note: Diatherix Eurofins will continue to furnish the Genital Health Collection Tubes (orange top tube) until all existing supplies are depleted. At that time, the Puritan® Opti-Swab® will be supplied for all specimen collection requirements excluding the gastric biopsy specimen collection for the Helicobacter pylori Panel.

Your CLIENT ID is required to use this form. Your CLIENT ID can be located on your Diatherix Eurofins Laboratory Request form next to your company name.
– All supply orders are shipped via FedEx® Ground.
– Orders received after 3:00 PM CST may be shipped the following business day

Client Information

Contact Information

Specimen Collection Supplies and Shipping Supplies

Puritan Opti-swab
Transfer Pipet
Gastric Biopsy Tube
Tissue Transfer Tool
Nasopharyngeal Swab
Biohazard Bag
Patient Stool Collection Kit
Patient Stool Collection Device
Preprinted Requisition Form
Specimen Shipping Box
FedEx® Clinical Pack
FedEx® Shipping Label
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Submit the Order Form