clc - order form - synchron 20120227 - Carolina Liquid Chemistries

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Issued 02/27/2012
575 N. Patterson Ave., Suite 430, Winston Salem, NC 27101
www.carolinachemistries.com
To Fax Your Order: 336.722.8915
To Call us with Your Order Mon thru Fri (8am - 8pm EST): 877.722.8910
Reagent & Supplies Order Form for SYNCHRON ® Analyzers
Thank you for choosing Carolina Liquid Chemistries
PRODUCT NEEDED BY:
DROP SHIP: Y / N
CX/LX/DXC Reagents Item# Desc Qty CX/LX/DXC Reagents Cont'd Item# Desc Qty CX/LX/DXC Reagents Cont'd Item# Desc Qty
ALB (Albumin) BCG (UDR)* CC224 2x300 tests GGT (Gamma-Glutamyl Transferase) CC209 2x200 tests TRIG (Triglycerides) CC213 2x300 tests
ALB (Albumin) BCP CC214 2x300 tests GLU (Glucose) CC208 2x300 tests UIBC (Unsaturated Iron Binding Capacity) w/cal CC660 2x100 tests
ALP (Alkaline Phosphatase) CC206 2x200 tests HbA1c (Hemoglobin A1c) w/lysis buffer CC300 2x90 tests URIC (Uric Acid) CC212 2x300 tests
ALT (Alanine Aminotransferase) CC240 2x200 tests HCY (Homocysteine) w/cal CC202 2x60 tests LX20/DXC Modular Reagents Item# Desc Qty
AMM (Ammonia) w/cal CC664 2x50 tests HDLD (HDL Cholesterol Direct)** CC616 2x200 tests ALBm (Albumin) C467858 2x2000 mL
AMY (Amylase) CC227 2x200 tests HPT (Haptoglobin) CC640 2x60 tests BUNm (Blood Urea Nitrogen) C472482 2x2000 mL
APO A1 (Apolipoprotein A1) CC632 2x60 tests IgA (Immunoglobulin A) CC637 2x60 tests CO2 (Carbon Dioxide) ACID w/cal 88812 1x2000 mL
APO B (Apolipoprotein B) CC633 2x60 tests IgG (Immunoglobulin G) CC636 2x60 tests CO2 (Carbon Dioxide) ALK w/cal 88813 1x500 mL
AST (Aspartate Aminotransferase) CC241 2x200 tests IgM (Immunoglobulin M) CC638 2x60 tests CREA3 (Creatinine) 88809 3x2000 mL
BUN (Blood Urea Nitrogen) CC252 2x300 tests LAC (Lactate) w/cal CC672 2x50 tests GLUm (Glucose) C472500 2x2000 mL
C3 (Complement 3) CC634 2x60 tests LDH (Lactate Dehydrogenase) CC205 2x200 tests ISE (Electrolytes) Buffer (Cl - ,K + ,Na + ) A28945 2x2000 mL
C4 (Complement 4) CC635 2x60 tests LDLD (LDL Cholesterol Direct) w/cal CC661 2x110 tests ISE (Electrolytes) Reference (Cl - ,K + ,Na + ) A28937 2x2000 mL
CA (Calcium) CC251 2x300 tests LDLD (LDL Cholesterol Direct) w/cal CC667 2x200 tests No Foam CC469110 1x1000 mL
CHOL (Cholesterol) CC211 2x300 tests LIP (Lipase) w/cal CC621 2x50 tests PHOSm (Phosphorus) CC467868 2x2000 mL
CK (Creatine Kinase) CC207 2x200 tests Lp(a) (Lipoprotein (a)) CC204-100 2x60 tests TPm (Total Protein) C465986 2x2000 mL
CK-MB (Creatine Kinase-MB) CC692 2x60 tests Lp(a) (Lipoprotein (a)) CC204 2x250 tests CX3 Reagents Item# Desc Qty
CREA (Creatinine) CC243 2x300 tests MALB (Microalbumin) CC662 2x60 tests BUN3 (Blood Urea Nitrogen) 88806 1x500 mL
CRP (C-Reactive Protein) CC630 2x60 tests MG (Magnesium) CC220 2x200 tests CA3 (Calcium) 88815 1x1000 mL
CRPhs (C-Reactive Protein high sensitivity) CC643 2x60 tests M-TP (Micro-Total Protein) w/cal CC256 2x50 tests CO2 (Carbon Dioxide) ACID w/cal 88812 1x2000 mL
CRPhsWR(C-Reactive Protein hs Wide Range) CC645 2x100 tests PALB (Prealbumin) CC639 2x60 tests CO2 (Carbon Dioxide) ALK w/cal 88813 1x500 mL
CRPhsWR(C-Reactive Protein hs Wide Range) CC646 2x220 tests PHOS (Phosphorus) CC218 2x300 tests CREA3 (Creatinine) 88809 3x2000 mL
CYS-C (Cystatin-C) CC691 2x100 tests RF (Rheumatoid Factor) CC629 2x60 tests GLU3 (Glucose) 88807 1x500 mL
DBIL (Direct Bilirubin) CC229 2x200 tests T4 (Thyroxine) 0454 1x100,1x34mL ISE (Electrolytes) Buffer 88810 1x2000 mL
Fe (Iron) w/cal CC618 2x200 tests TBIL (Total Bilirubin) CC228 2x300 tests ISE (Electrolytes) Reference 88811 1x2000 mL
FRUCT (Fructosamine) w/cal CC612 2x40 tests TP (Total Protein) CC217 2x300 tests TP (Total Protein) 88816 4x1000 mL
GGT (Gamma-Glutamyl Transferase) CC209 2x200 tests TRFN (Transferrin) CC641 2x60 tests Other _________________________
Other _______________________ Other _______________________ Other _________________________
* UDR (User Defined Reagent)
** UDR use of the HDLD reagent (CC616) will need to order LIPS1-3U calibrator. Non-UDR use of the HDLD reagent (CC616) requires calibrator CC650218. Both calibrators are on page 2.
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BILL TO:
SHIP TO:
PURCHASE ORDER NO:
TELEPHONE:
FAX:
Issued 02/27/2012
575 N. Patterson Ave., Suite 430, Winston Salem, NC 27101
www.carolinachemistries.com
To Fax Your Order: 336.722.8915
To Call us with Your Order Mon thru Fri (8am - 8pm EST): 877.722.8910
Reagent & Supplies Order Form for SYNCHRON ® Analyzers
Thank you for choosing Carolina Liquid Chemistries
PRODUCT NEEDED BY:
DROP SHIP: Y / N
CX/LX/DXC Calibrators Item# Desc Qty CX3 Calibrators & Standards Item# Desc Qty CX/LX/DXC Controls Cont'd Item# Desc Qty
APO A1&B (Apolipoprotein A1&B) CC008 2x2 mL Cal Level 3 (See Item #CC908) CC910 6x25 mL MASUrichemTRAK ® 1 (Urine Chem) CC23-139109 6x15 mL
BILI (DBIL&TBIL) CC465915 10x1 mL TP3 (Total Protein) Standard CCTP3-STD 2x10 mL(2 lev) MASUrichemTRAK ® 2 (Urine Chem) CC23-139110 6x15 mL
CRP (C-Reactive Protein) CC019 6x1 mL CX/LX/DXC Controls Item# Desc Qty CX/LX/DXC Linearity Standards Item# Desc Qty
CRPhs (C-Reactive Protein high sensitivity) CC061 5x2 mL ASO / CRP / RF AMM / Fe (Ammonia / Iron) Std Kit 9040 5x15 mL
CRPhsWR(C-Reactive Protein hs Wide Range) CC062 6x2 mL (C-Reactive Protein / Rheumatoid Factor) CC040 2x2mL(2 lev) AMM / Fe (Ammonia / Iron) Std, Lev F 9046 1x15 mL
CYS-C (Cystatin-C) CCDZ133C-CAL 5x1 mL Beckman Coulter ® Assayed CC657365 6x20 mL BILI (Bilirubin) Std Kit 9450 10x5 mL
HbA1c (Hemoglobin A1c) CCDZ168-CAL 4x0.5 mL CRPhs (C-Reactive Protein high sensitivity) CC080 4x1 mL BILI (Bilirubin) Tru-Zero Std 9456 2x5 mL
HDLD (HDL Direct Cholesterol)** CC650218 3x2 mL(2 lev) CRPhsWR (C-Reactive Protein hs Wide Range) CC049 2x3mL(2 lev) CO2 (Carbon Dioxide) Std Kit 9210 5x15 mL
HDLD (HDL Direct Cholesterol) UDR** LIPS1-3U 1x3 mL CYS-C (Cystatin-C) CCDZ133C-CON 2x1mL(2 lev) Enzyme ER Verifier Kit 9410 6x5 mL
Lp(a) (Lipoprotein (a)) CCDZ131A-CAL 5x1 mL ETOH / AMM (Alcohol / Ammonia) CC043 2x5 mL HCY (Homocysteine) Linearity CC200 5x1 mL
MALB (Microalbumin) CC020 6x1 mL FRUCT (Fructosamine) CC030 2x2mL(2 lev) HDL (HDLD / LDLD CHOL) Verifier Kit 9560 6x5 mL
Multi-Cal (ALB,BUN,CA,CHOL, HbA1c (Hemoglobin A1c) CCDZ168-CON 2x0.5 mL(2 lev) Matrix Plus CHOL(TOTAL) & URIC ACID 9550 5x15 mL
CREA,GLU,MG,PHOS,TRIG,TP,URIC) CC442600 6x20 mL HCY (Homocysteine) Level 1 CC051 6x5 mL Matrix Plus CHOL, Lev F 9556 1x15 mL
Multi-Protein HCY (Homocysteine) Level 2 CC052 6x5 mL Matrix Plus Multi-Analyte & 'Lytes 9500 5x15 mL
(C3,C4,IgA,IgG,IgM,HPT,TRFN) CC016 6x1 mL HCY (Homocysteine) Level 3 CC053 6x5 mL TP / ALB (Total Protein / Albumin) Std Kit 9460 5x15 mL
PALB (Prealbumin) CC044 6x1 mL Immunology TP / ALB (Total Protein / Albumin) Std,Lev F 9466 1x15 mL
RF (Rheumatoid Factor) CC032 3x2 mL (C3,C4,IgA,IgG,IgM,HPT,PALB,TRFN) CC045 2x2 mL(2 lev) Supplies Item# Desc Qty
T4 (Thyroxine) 0476 6x2 mL MA / CREA (Microalbumin / Creatinine) CC042 2x5 mL(2 lev) Cartridges, UDR* CC189 Box of 2
LX20/DXC Modular Calibrators Item# Desc Qty MASchemTRAK ® 1 (Gen Chemistries, Cartridges, UDR* CC190 Box of 40
AQUA Cal Level 1 (BUN,CA, Enzymes,Lipids,Lithium,'Lytes and T4) CC23-640065 6x5 mL Probe rinse CC735 6x15 mL
CREA,CO2,Electrolytes,GLU,PO4) CC471288 6x25 mL MASchemTRAK ® 2 (Gen Chemistries, Sample cups, 0.25 mL 18012 1000 / pack
AQUA Cal Level 2 (See Item #CC471288) CC471291 6x25 mL Enzymes,Lipids,Lithium,'Lytes and T4) CC23-640066 6x5 mL Sample cups, 0.50 mL CC182 1000 / pack
AQUA CAl Level 3 (See Item #CC471288) CC471294 6x25 mL MASchemTRAK ® 3 (Gen Chemistries, Sample cups, 2.00 mL CC183 1000 / pack
Protein Cal (ALBm,TPm) CC450202 4x5 mL Enzymes,Lipids,Lithium,'Lytes and T4) CC23-640067 6x5 mL Wash concentrate - CX3 88805 6x250 mL
CX3 Calibrators & Standards Item# Desc Qty MASLiquimmune ® 1 (CK-MB,HCY) CCLIG-101 6x5 mL Wash concentrate - CX4 CC160 2000 mL
Cal Level 1 (BUN,CA, MASLiquimmune ® 2 (CK-MB,HCY) CCLIG-202 6x5 mL Other ________________________
CREA,CO2,Electrolytes,GLU,PHOS) CC908 6x25 mL MASLiquimmune ® 3 (CK-MB,HCY) CCLIG-303 6x5 mL Other ________________________
Cal Level 2 (See Item #CC908) CC909 6x25 mL MA / CREA (Microalbumin / Creatinine) CC042 2x5 mL(2 lev) Other ________________________
Other ________________________ Other ________________________ Other ________________________
* UDR (User Defined Reagent)
** UDR use of the HDLD reagent (CC616) will need to order LIPS1-3U calibrator. Non-UDR use of the HDLD reagent (CC616) requires calibrator CC650218. Both calibrators are on page 2.
2 of 4

BILL TO:
SHIP TO:
PURCHASE ORDER NO:
TELEPHONE:
FAX:
Issued 02/27/2012
575 N. Patterson Ave., Suite 430, Winston Salem, NC 27101
www.carolinachemistries.com
To Fax Your Order: 336.722.8915
To Call us with Your Order Mon thru Fri (8am - 8pm EST): 877.722.8910
Reagent & Supplies Order Form for SYNCHRON ® Analyzers
Thank you for choosing Carolina Liquid Chemistries
PRODUCT NEEDED BY:
DROP SHIP: Y / N
CX/LX/DXC Drugs of Abuse CX/LX/DXC Drugs of Abuse Calibrators 5-point Curve CX/LX/DXC Drugs of Abuse
Reagents (Bar Coded or User Defined*) Item# Desc Qty User Defined Mode (UDR) cont'd Item# Desc Qty Controls Cont'd Item# Desc Qty
AMPH (Amphetamines) CC412 1x250 tests Multi-Drug Cutoff (See Item #1589) 1592 1x25 mL OXY (Oxycodone) 225 ng/mL 0245 1x5 mL
BARB (Barbiturates) CC417 1x250 tests Multi-Drug Mid (See Item #1589) 1595 1x25 mL OXY (Oxycodone) 375 ng/mL 0247 1x5 mL
BENZ (Benzodiazepines) CC418 1x250 tests Multi-Drug High (See Item #1589) 1598 1x25 mL THC (Cannabinoid) 20 ng/mL CC465914 1x5 mL
COCM (Cocaine) CC413 1x250 tests OP (Opiates) 150 ng/mL 0022 1x5 mL THC (Cannabinoid) 75 ng/mL CC465912 1x5 mL
ETOH (Alcohol) w/cal - UDR* CC421 2x150 tests OP (Opiates) 300 ng/mL 0023 1x5 mL XTSY (Ecstasy) 375 ng/mL 0167 1x5 mL
METD (Methadone) CC415 1x250 tests OP (Opiates) 600 ng/mL 0024 1x5 mL XTSY (Ecstasy) 625 ng/mL 0168 1x5 mL
OP (Opiates) CC411A 1x250 tests OP (Opiates) 1000 ng/mL 0025 1x5 mL CX/LX/DXC TDM Reagents Item# Desc Qty
OXY (Oxycodone) - UDR* CC419 1x250 tests OXY (Oxycodone) 75 ng/mL 0242 1x5 mL ACET (Acetaminophen) w/cal CC610 2x50 tests
PCP (Phencyclidine) CC414 1x250 tests OXY (Oxycodone) Cutoff 100 ng/mL 0243 1x5 mL CAR (Carbamazapine) CC469112 2x100 tests
PROX (Propoxyphene) CC416 1x250 tests OXY (Oxycodone) Cutoff 300 ng/mL 0246 1x5 mL DIGN (Digoxin) CC650182 2x100 tests
THC (Cannabinoid) 50 ng/mL CC410A 1x250 tests OXY (Oxycodone) 500 ng/mL 0248 1x5 mL GEN (Gentamycin) CC469137 2x100 tests
XTSY (Ecstasy) - UDR* CC423 1x250 tests OXY (Oxycodone) 800 ng/mL 0249 1x5 mL Li (Lithium) w/cal CCDZ116B-K 2x20,2x10mL
CX/LX/DXC Drugs of Abuse THC (Cannabinoid) 25 ng/mL 0073C 1x5 mL PHE (Phenobarbitol) CC469785 2x100 tests
Calibrators - Qualitative Screens Item# Desc Qty THC (Cannabinoid) 50 ng/mL 0075C 1x5 mL PHY (Phenytoin) CC469188 2x100 tests
Negative Calibrator - DAT CC445803 1x5 mL THC (Cannabinoid) 100 ng/mL 0077C 1x5 mL THE (Theophylline) CC469126 2x100 tests
Multi-Drug Low (AMPH,BARB, THC (Cannabinoid) 150 ng/mL 0078C 1x5 mL TOB (Tobramycin) CC467983 2x100 tests
BENZ,COCM,METD,PCP,PROX) CC474970 1x5 mL XTSY (Ecstasy) 100 ng/mL 0162 1x5 mL VANC (Vancomycin) CC474824 2x100 tests
Multi-Drug High (See #CC474970) CC474973 1x5 mL XTSY (Ecstasy) 500 ng/mL 0163 1x5 mL VPA (Valproic Acid) CC467995 2x100 tests
OP 300 (Opiates) Low CC474982 1x5 mL XTSY (Ecstasy) 750 ng/mL 0164 1x5 mL CX/LX/DXC TDM Calibrators Item# Desc Qty
OP 300 (Opiates) High CC474985 1x5 mL XTSY (Ecstasy) 1000 ng/mL 0165 1x5 mL TDM Calibrator 1
OXY (Oxycodone) 100 ng/mL 0243 1x5 mL CX/LX/DXC Drugs of Abuse Controls Item# Desc Qty (CAR,PHE,PHY,PRI,THE,VPA) CC469600 6x2 mL
OXY (Oxycodone) 300 ng/mL 0246 1x5 mL Drug Free Urine Control CC469945 1x5 mL TDM Calibrator 2 (DIGN) CC469630 6x2 mL
THC (Cannabinoid) 50 ng/mL CC445809 1x5 mL ETOH (Alcohol) Level 1 0224 1x5 mL Drug Calibrator 3 (GEN,TOB) CC471080 6x2 mL
THC (Cannabinoid) 100 ng/mL CC445811 1x5 mL ETOH (Alcohol) Level 2 0225 1x5 mL VANC (Vancomycin) CC378045 6x2 mL
XTSY (Ecstasy) 100 ng/mL 0162 1x5 mL Multi-Drug Low (AMPH,BARB, CX/LX/DXC TDM Controls Item# Desc Qty
XTSY (Ecstasy) 500 ng/mL 0163 1x5 mL BENZ,COCM,METD,PCP,PROX) CC474976 1x5 mL MASchemTRAK ® 1
CX/LX/DXC Drugs of Abuse Calibrators 5-point Multi-Drug High (AMPH,BARB, (CAR,DIGN,GEN,Li,NAPA,PCA,
User Defined Mode (UDR) Item# Desc Qty BENZ,COCM,METD,PCP,PROX) CC474979 1x5 mL PHE,PRI,PHY,TOB,THE,VANC,VPA) CC23-640065 6x5 mL
Negative Calibrator - DAT 1388 1x25 mL OP 300 (Opiates) Low CC474988 1x5 mL MASchemTRAK ® 2 (See CC23-640065) CC23-640066 6x5 mL
Multi-Drug Low (AMPH,BARB, OP 300 (Opiates) High CC474991 1x5 mL MASchemTRAK ® 3 (See CC23-640065) CC23-640067 6x5 mL
BENZ,COCM,METD,PCP,PROX) 1589 1x25 mL Other _______________________ Other _________________________
Other _______________________ Other _______________________ Other _________________________
3 of 4

BILL TO:
SHIP TO:
PURCHASE ORDER NO:
TELEPHONE:
FAX:
Issued 02/27/2012
575 N. Patterson Ave., Suite 430, Winston Salem, NC 27101
www.carolinachemistries.com
To Fax Your Order: 336.722.8915
To Call us with Your Order Mon thru Fri (8am - 8pm EST): 877.722.8910
Reagent & Supplies Order Form for SYNCHRON ® Analyzers
Thank you for choosing Carolina Liquid Chemistries
PRODUCT NEEDED BY:
DROP SHIP: Y / N
Instrument Parts Instrument Parts Instrument Parts
(Alphabectical Listing) Item# Desc Qty (Alphabectical Listing) Item# Desc Qty (Alphabectical Listing) Item# Desc Qty
Antifoam, CX4+ CC445967 6 oz Gel, electrode glucose CC671488 Each Ratio pump maintenance kit CC443004 Each
Clamp, CO2 (carbon dioxide) retainer CC659894 Each Label, sector 1-10 CC455540 Each Sector, centrifugable, 10 mL tubes CC757620 5 / pack
Cuvettes, CX series CC758407 10 / pack Label, sector 11-20 CC455541 Each Sector, centrifugable, 5 mL tubes CC757621 5 / pack
Electrode tip, CA (calcium) CC467769 Each Label, sector 21-30 CC455542 Each Sensor, Accusense glucose oxygen, CX CC469499 Each
Electrode, BUN (blood urea nitrogen) CC651940 Each Lamp, source CX3 CC450661 Each Sensor, Accusense glucose oxygen, LX CC467432 Each
Electrode, Cl - (chloride) CC441930 Each Magnetic stirrer removal tool CC668279 Each Synchron flow cell cleaning kit CC443369 Each
Electrode, CO2 (carbon dioxide) CC660318 Each Maintenance strips, chloride CC440496 5 / pack Synchron flow cell scrub CC443372 10 tablets
Electrode, GLU (glucose) CC670522 Each Membrane, CO2 retainer CC659895 Each Syringe, maintenance kit 500ul CC448974 Each
Electrode, K + (potassium) tip CC669117 Each Membrane, CO2 (carbon dioxide) CC661750 5 / pack Syringe, reagent 500 µL CC447729 Each
Electrode, Na + (sodium) CC668295 Each Membrane, glucose CC670597 25 / pack Syringe, sample 50 µL CC467726 Each
Filter assay, degasser CX4/5 CC759577 Each Microtubes - pediatric CC448774 1,000 / pack Syringe, sample 50 µL CC448947 Each
Filter inline, 74 micron disk style CC946766 Each Plunger, sample syringe kit 50 µL CC448945 Each Trace Klean CC589784 Each
Filter inline, 74 micron SDS probe R1 CC448658 Each Probe assy, reagent insert coated CC464786 Each Tubing, pump - gray CC669147 12 / pack
Filter inline, fine white CC669212 10 / pack Probe assy, sample Deepwell/Long (ISE) CC756634 Each Tubing, pump - green CC442906 12 / pack
Filter, peltier air CC756961 Each Probe assy, sample insert CC464791 Each Tubing, pump - red CC651870 12 / pack
Filter, power supply air CX4CE/7/9 CC759070 Each Other _____________________________ Wipers, vacuum probe CX4CE/7/9 CC759927 12 / pack
Other _____________________________ Other _____________________________ Other _________________________
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