Newborn Screening Testing - Supplies Order Form

Shipping Contact Information

Large hospitals: Designate the FLOOR,
or LABORATORY here, so the order is not lost internally when delivered.

Practitioners who use the Colorado Department of Public Health and Environment
Newborn Screening Laboratory services are not charged for supplies.

Orders are limited to three months supply of materials.

The Laboratory Services Division reserves the right to change
the requested amounts on the order, due to availability of supplies.


Supply Item                                     Quantity      Description                         

PLEASE NOTE:
 
1 CASE/BOX of first screen (double) cards 
now contains 
800 newborn screening cards.
 
If you order by the case or box, please indicate the words "case" or "box" with your order number and adjust your ordering number accordingly to eliminate the risk of having expired cards at your facility due to overstock.

Note: If you order smaller quantities of cards, you may still designate the smaller number in the entry field below, be sure to not use the words "case" or "box" with your smaller order.
 



DO NOT ORDER by CASE or BOX for BROCHURES!

Order exact number of brochures needed in the quantity box.


Request a FedEx Tracking Number by checking below
(Valid E-mail address is required)

Contact the Newborn Screening Laboratory

For any additional requests of the Newborn Screening laboratory,
please contact the lab via e-mail at: cdphe.lab@state.co.us

or by phone at: 303-692-3670

Click the submit button below to complete your order.
If you do not click the submit button, your order will not be received or fulfilled.

* Indicates Response Required