Blood and CSF collection supplies have expiration dates determined by the manufacturer. Please limit requests to kits you will use within 2-3 months. Please provide your preferred email address to receive notifications about this request
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000 - PCM 701- Massachusetts General Hospital 702- Houston Methodist 706- Henry Ford Health 708- Columbia University 709- Dartmouth Hitchcock 710- Duke University Medical Center 711- Emory University 713- Johns Hopkins University 718- Mayo Clinic, Jacksonville 723- University of California, San Francisco 741- Washington University in St. Louis 744- Indiana University ALS Center at IU Health 753- Georgetown University 754- University of California, San Diego 762- Ohio State University 763- Providence Brain and Spine Center 765- Pennsylvania State Medical Center 769- Texas Neurology 777- University of California, Irvine 779- University of Colorado Denver 784- University of Michigan 796- University of Utah 798- University of Washington 812- Northwestern University 816- Universidad de Puerto Rico 833- Hospital for Special Care 839- Nebraska Medicine ALS Treatment Center 844- Barrow Neurological Institute 892- Virginia Commonwealth University 907- Temple University 929- Saint Alphonsus 936 - Our Lady of the Lake Regional Medical Center 946- University of Minnesota 959- University of Alabama, Birmingham
PCM
[site contact]
[shipping address]
[phone number]
[email]
844- Barrow Neurological Institute
Kathleen Nagaran Hildebrand
240 W Thomas Rd
Ste 400
Phoenix, AZ 85013
602-406-7031
kathleen.nagaranhildebrand@dignityhealth.org
nicole.turcotte@dignityhealth.org
708- Columbia University
Benn Hoover
710 W 168TH ST
NI-11-1112
New York, NY 10032
646-574-7399
bnh2119@cumc.columbia.edu
709- Dartmouth Hitchcock
Kevin A. Cornell
Borwell 550W, 1 Medical Center Drive
Lebanon, NH 03756
603-650-6496
Kevin.A.Cornell@hitchcock.org
710- Duke University Medical Center
Emma Ward
932 Morreene Rd
Durham, NC 27705
919-600-3626
emma.ward@duke.edu
711- Emory University
Jen Taylor
101 Woodruff Cir.
Suite 6000
Atlanta, GA 30322
404-251-5365
jennifer.aran.taylor@emory.edu
753- Georgetown University
Brent Harris
Pasquerilla Healthcare Center, 7th Floor
3800 Reservoir Road, NW
Washington, DC 20007
202-687-5345
bth@georgetown.edu
706- Henry Ford Health
Beverley Duthie
[shipping address]
[phone number]
[email]
833- Hospital for Special Care
Sabine Lebel-Hardenack
2150 Corbin Avenue
New Britain, CT 06053
(860)827-1958
SHardenack@HFSC.org
702- Houston Methodist
Delrose Vernon
[shipping address]
[phone number]
[email]
744- Indiana University ALS Center at IU Health
Angela Micheels
355 West 16th Street
Suite 3222
Indianapolis, IN 46202
317-963-7385
amicheel@iu.edu
713- Johns Hopkins University
Betsy Mosmiller
855 N. Wolfe St.
Rm 248
Baltimore, MD 21205
410-502-0495
emosmil1@jhmi.edu
701- Massachusetts General Hospital
Rachel Freedman/Courtney Uek
165 Cambridge Street, Floor 6
Boston, MA 02114
617-724-3268
rfreedman3@mgh.harvard.edu
cuek@mgb.org
718- Mayo Clinic, Jacksonville
Megan Donahue
4500 San Pablo Rd
Jacksonville, FL 32224
904-953-3647
donahue.megan@mayo.edu
839- Nebraska Medicine ALS Treatment Center
Katelyn Hilz
988840 Nebraska Medical Center
Oma, NE 68198
405-559-4504
[email]
812- Northwestern University
Arleen Matos
710 N. Lake Shore Dr.
Chicago, IL 60611
312-503-0748
arleen.matos@northwestern.edu
762- Ohio State University
Carly Failor
2006 Kenny Rd.
Columbus, OH 43221
614-293-4973
Carly.Failor@osumc.edu
936 - Our Lady of the Lake Regional Medical Center
Micah L Klumpp, PhD
[shipping address]
[phone number]
[email]
765- Pennsylvania State Medical Center
Michele Hare
30 Hope Drive
Building B, Suite 1300
Hershey, PA 17033
717-531-0003 (x282351)
mhare@pennstatehealth.psu.edu
763- Providence Brain and Spine Center
Ashley Adamo
5050 NE Hoyt Street
Suite 315
Portland , OR 97213
503-962-1171
ashley.adamo@providence.org
929- Saint Alphonsus
Stacy Smith
1055 North Curtis Road
Boise, ID 83706
208-367-2233
Stacy.Smith@saintalphonsus.org
907- Temple University
John Furey
3401 N Broad St
Philadelphia, PA 19140
267-694-0573
tuf40109@temple.edu
769- Texas Neurology
Haley Rucker
6080 North Central Expressway
Suite 100
Dallas, TX 75206
214-827-3610
hrucker@texasneurology.com
816- Universidad de Puerto Rico Frances Aponte Caraballo CHALS-CCT, Biomedical Studies Building II/ACTU Suite 100, PR Medical Center grounds San Juan, PR 00935 787-507-0609 frances.aponte2@upr.edu
Internal Note: Please include pre-filled FedEx airwaybills in kits for this site.
959- University of Alabama, Birmingham
Melanie Benge
1720 7th Avenue South
SC 420B
Birmingham, AL 35233
205-975-0445
melaniebenge@uabmc.edu
777- University of California, Irvine
Veronica Martin
3800 W. Chapman Ave
Ste 7400
Orange, CA 92868
714-456-7760
vero@hs.uci.edu
754- University of California, San Diego
Thaine Ross
9452 Medical Center Drive
Suite 2W-108, MC0886
La Jolla, CA 92037
858-534-2555
thross@health.ucsd.edu
723- University of California, San Francisco
Bradley Bedell
400 Parnassus Ave
San Francisco, CA 94143
415-501-0671
Bradley.Bedell@ucsf.edu
779- University of Colorado Denver
Alexis Shepardson
12631 E 17th Ave. B185
Rm 5510
Aurora, CO 80045
303-724-7248
Alexis.Shepardson@cuanschutz.edu
784- University of Michigan
Jayna Duell
300 N. Ingalls St.
Room NI 3D02
Ann Arbor, MI 48109
734-936-8776
jkballar@med.umich.edu
946- University of Minnesota
Valerie Ferment
420 Delaware St SE, MMC295
Minneapolis, MN 55455
612-301-1535
ferm0016@umn.edu
796- University of Utah
Scott Redlin
20 South 2030 East
Room 580
Biopolymer Medical Research Bldg
Salt Lake City, UT 84132
801-581-7437
scott.redlin@utah.edu
798- University of Washington
Kinsey Chapman
1959 NE Pacific St
Seattle, WA 98195
206-543-0081
kinseyc@uw.edu
892- Virginia Commonwealth University
Brianna Schibley-Laird
11958 W Broad Street 4th Floor
Henrico, VA 23233
315-651-9378
brianna.schibleylaird@vcuhealth.org
741- Washington University in St. Louis
Bethany Gannon
660 S. Euclid Ave
MSC 8111-0181-301
St. Louis, MO 63110
314-362-7735
bgannon@wustl.edu
Is the contact information above all correct?
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No
Which information needs to be corrected?
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Which kits or supplies are you requesting?This request will be delivered to your site by ______ . Please note in Comments if you need this order to arrive sooner. Include date of visit.
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How many Baseline/Screening Blood Collection Kit (s) do you need?
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How many Longitudinal Blood Collection Kit (s) do you need?
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How many CSF Collection Kit (s) do you need?
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Preferred Sprotte® Needle Gauge (in LP trays)
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22G
24G
IMPORTANT REMINDER: USE THE YELLOW KIT BAGS FOR PREVENT ALL ALS KITS!
Printed labels should say PREVENT. Include expiration date label on kit bags (blood and CSF).
Baseline/Screening Blood Collection Kit
Blood Collection Kit Contents: 2 - EDTA tube (10ml), plastic 1 - RNA Paxgene tube (10ml) 1 - NaHep PBMC tube (10ml) 2 - Red-top Serum tube (10ml) plastic 2 - EDTA tube for whole blood (3ml) 20 - Purple-capped cryovial (Sarstedt), 2ml 2 - Clear-capped cryovial (Sarstedt), 2ml 20 - Red-capped cryovial (Sarstedt), 2ml 3 - Disposable transfer pipette (3ml)
1 - 81-cell Cryobox
1- Ambient Mailer Kit
1- ClinPak
2 - Biohazard bag w/ absorbent sheet (1 large, 1 small) 2 - UPS Airbill Sleeve 1 - Shipping box/Styrofoam container 1 - UN3373 label 1 - Fragile label 1 - Dry ice label 3 - Bubble sleeves for tubes 50 - Cryohold specimen labels- Kit numbers
Each CSF Collection Kit
30 - Clear-capped cryovial, 2ml (Sarstedt) 2 - 15ml Centrifuge tube, individually wrapped 2 - 50ml Centrifuge tube, individually wrapped 1 - Medication Transfer Filter Straw 1 - LP tray with ______ gauge Sprotte® needle
Annual Blood Collection Kit Blood Collection Kit Contents: 2 - EDTA tube (10ml), plastic 2 - Red-top Serum tube (10ml) plastic 2 - EDTA tube for whole blood (3ml) 20 - Purple-capped cryovial (Sarstedt), 2ml 2 - Clear-capped cryovial (Sarstedt), 2ml 20 - Red-capped cryovial (Sarstedt), 2ml 3 - Disposable transfer pipette (3ml) 1 - 81-Slot Cryobox 2 - Biohazard bag w/ absorbent sheet (1 large, 1 small) 1 - UPS Airbill Sleeve 1 - Shipping box/Styrofoam container 1 - UN3373 label 1 - Fragile label 1 - Dry ice label 2 - Bubble sleeves for tubes 50 - Cryohold specimen labels- Kit numbers