Order Supplies - Cleveland HeartLab, Inc.

To order testing supplies from Cleveland HeartLab, please complete the form below and click submit. If you have special instructions, please enter them in the box at the end of the form. Please be sure to include your email address and an email confirming your order will be sent to you. Orders may be received within 4 to 7 business days for most US locations. For other locations, including Alaska and Hawaii, please allow 7+ business days for shipments to arrive. If you have any questions, please reference the CHL Client Supply FAQ or contact the Client Supply Team by phone 1.949.728.4561 or email chlclientsupply@QuestDiagnostics.com.

Physician & Practice Information (* required info)

Order Placed By *
Physician's Name *
Client ID *Client ID can be found at the top of a Cleveland HeartLab requisition form.
Practice Name *
Address of Practice *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Email *
Phone *
Fax

Specimen Return Shipping Supplies

FedEx® is the preferred courier of Quest Diagnostics/Cleveland HeartLab. FedEx labels and other shipping supplies will be provided as a default when return shipping supplies are requested.
IMPORTANT NOTE: Please keep tracking numbers for reference when shipping specimen to Quest Diagnostics/Cleveland HeartLab.

Pre-Packaged Return Shipping Kits

Small Kit

1 Small Styrofoam Box
1 Small Ice Pack
1 Lab Pack Bag
1 Shipping Label

Medium Kit

1 Medium Styrofoam Box
2 Medium Ice Packs
1 Outer Return Box
1 Shipping Label

A la Carte Return Shipping Supplies

Small Styrofoam Box (SP101)

Small Ice Pack (SP113)

FedEx Laboratory Pak (SP34)

Medium Styrofoam Box + Outer Shipping Carton (SP100 + ST82)

Medium Ice Pack (SP102)

FedEx Shipping Labels (SP105)

Patient Biohazard Bag w/Absorbent Pad (B135) 50/pk

Tube Foam Sleeve for CBC Testing (SP21) 25/pk

Specimen Collection Supplies

Collection Container, transport tube, and label requirements will vary by test. Please reference the CHL Test Menu, Tube Optimization page, or CHL Specimen Handling Sheet for guidance on test-specific collection and transport requirements.

Collection Tubes and Containers

Lavender Top – EDTA Plasma/Whole Blood Tube 4mL (T59) 50/pk

Tiger Top – Serum Separator Tube (SST) (T33) 100/pk

Red Top - Serum Tube 6mL (T64) 20/pk

Red Top - Serum Tube 10mL (T05) 20/pk

Cherry Red/Yellow Top – Urine Tube with Preservative (U37) 100/pk

Yellow Top – Urine Tube without Preservative (U79) 20/pk

Urine Cups (U36) 20/pk

Light Blue Top - Buffered Sodium Citrate Tube 2.7mL (T04) 20/pk

Royal Blue Top – EDTA Plasma/Whole Blood Tube (ie, heavy metal tests) (T08) 20/pk

Green Top - Lithium Heparin Tube (T27) 20/pk

Gray Top - Plasma Tube (ie, OGTT tests) (T57) 20/pk

Transport Tubes

Disposable Transfer Pipettes (ST02) 50/box

Clear Transport Tube/Cap (for Plasma or Serum pour-off tests) (ST32 + ST29) 100/pk

Blood, Trace Element Transport Tube with Lavender Label (for Royal Blue Plasma pour-off tests) (ST07) 25/pk

Urine, Trace Element 50mL Tube with Yellow Label (for Heavy Metal Urine tests) (ST08) 20/pk

Tube Labels

Red Serum (No Gel) Labels (L08) 250/pk

Blue NA Citrate Plasma Labels (L181) 250/pk

Green Heparin Plasma Labels (L38) Roll of 100

Lavender Top EDTA Labels (for plasma specimen) (L182) 250/pk

White Patient Identification Tube Labels (includes field for sample type) (L250) 20 individual labels/sheet

Laboratory Forms

Please select the Reference Lab Form (RLF) # and quantity of requisition forms needed (1 pack = 25 printed requisition forms). Refer to the bottom left corner of requisition forms for the RLF #. If the desired RLF # is not listed below, please specify in the “Special Instructions” section.
NOTE: Forms are shipped separately from all other supplies. They will come in a separate FedEx package. Lead time is 7 to 10 business days. Please order accordingly.

Requisition Forms

CHL Client Bill Requisitions

Quantity (25 Reqs/Pack)

CHL Insurance Bill Requisitions

Quantity (25 Reqs/Pack)

COVID-19 Requisitions

Quantity (25 Reqs/Pack)

MDVIP Annual Wellness Panel Requisitions

Quantity (25 Reqs/Pack)

MDVIP Insurance Bill Requisitions

Quantity (25 Reqs/Pack)

Special Instructions

Current Order Acknowledgement

For the CHL Client Supply team to best fulfill your supply order, please review and select one of the following options if supplies are unavailable at the time the order is placed: *
I acknowledge that supplies ordered through Cleveland HeartLab should only be used for collection of Cleveland HeartLab testing. In the event that any supplies requested are unavailable, substitutions may be available when applicable.YES, I agree to have supply substitutions sent when applicable and available. I also understand that I may not be contacted if/when these substitutions are made.NO, I do not agree to have supply substitutions sent when applicable and available. By selecting this option I understand that I may not receive all supplies requested within my order and may not be contacted if/when this occurs.

Verification

Please enter any 2 digits with no spaces (Example: 12) *
This box is for spam protection - <strong>please leave it blank</strong>: