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NiAD and/or ADDS Site
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024 University of Pittsburgh 027 Washington University 127 University of Wisconsin, Madison 301 Barrow Neurological Institute N04 University of Cambridge S01 Columbia University S02 Massachusetts General Hospital S03 University of California, Irvine
024 - USA: University of Pittsburgh
ATTN: Cathy Wolfe
Franklin Building Mezzanine
1011 Bingham Street
Pittsburgh, PA 15203
Phone: 412-235-5412
Email: wolfec@upmc.edu
027 - USA: Washington University - St. Louis
ATTN: Brittany Nelson
620 South Taylor Ave.
Suite 228A
St. Louis, MO 63110
Phone number: 314-286-0068
Email address: bmnelson@wustl.edu
961 - United Kingdom: University of Cambridge
Jessica Beresford-Webb
University of Cambridge
Department of Psychiatry
Addenbrookes Hospital
21 Fellows House,
Lilywhite Drive,
Cambridge,
CB4 1GP
UK
jb2192@medschl.cam.ac.uk
301 - USA: Barrow Neurological Institute
ATTN: Sandy Quintanilla
240 W. Thomas Road, Suite 301
Phoenix, AZ 85013
Phone: 602-406-7054
Email: Sandy.Quintanilla@DignityHealth.org
127 - USA: University of Wisconsin, Madison
ATTN: Renee Makuch
University of Wisconsin-Madison
Waisman Center
1500 Higland Ave. Room 550
Madison WI 53705
Phone: 608-262-4717
Email: makuch@wisc.edu
S01 - USA: Columbia University
ATTN: Deborah Pang
Columbia University Medical Center
G.H. Sergievsky Center
630 W. 168th St., Room PH 19-321
P&S Box 16
New York, NY 10032
Email: dip2104@cumc.columbia.edu
Phone: 212-342-1575
S02 - USA: Massachusetts General Hospital
ATTN: Dr. Diana Rosas
Department of Neurology
149 13th Street, Suite 10126
Charlestown, MA 02130
Phone: 617-726-0658
Email: rosas@helix.mgh.harvard.edu
S03 - USA: University of California, Irvine
ATTN: Kelley Kilday
UC Irvine
333 City Blvd. West, Suite 800
Orange, CA 92868
Phone: 949-824-8443
Email: kkilday@uci.edu
Email: kkilday@hs.uci.edu
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NiAD Sibling Control Blood Kit Qty
NiAD DS Participant Blood Kit Qty
NiAD Frozen Blood Shipping Kit Qty
ADDS Frozen Blood Shipping Kit Qty
Blood Supplemental Supply Kit Qty
22G CSF Supplemental Supply Kit Qty
** Please specify which supplies needed from supplemental kit
***P1000 PIPETMAN Classic™ Pipet needs to be approved for request before sending
24G CSF Supplemental Supply Kit Qty
** Please specify which supplies needed from supplemental kit
***P1000 PIPETMAN Classic™ Pipet needs to be approved for request before sending
22G Lumbar Puncture Tray Kit Qty
24G Lumbar Puncture Tray Kit Qty
Frozen CSF Shipping Supply Kit Qty
5
10
15
Please indicate the soonest date you will need supplies from this request:
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Today M-D-Y
Each DS Study NiAD Sibling Control Blood Kit (118.1) Contains: 1: EDTA (Lavender-Top) Blood Collection Tube (10 ml) - CT001 21: Siliconized Cryovial tube (0.5 ml) with Lavender Sticker - CV020 1: Cryovial tube (2.0 ml) with Blue cap - CV034 1: Disposable graduated Transfer Pipette (3ml) - CV015 23: Pre-printed Collection and Aliquot Tube Label - LB003 3: Pre-printed Kit Number Label - LB003 3: Labels for Handwritten Site and NIAD ID - LB003 1: Cryovial Tube Box (25-Slot) - CV005 1: Resealable Tube Pouches (on roll) - SH032
Each DS Study NiAD DS Participant Blood Kit (103.1) Contains: 1: EDTA (Lavender-Top) Blood Collection Tube (10 mL) - CT001 2: Serum Separator (Gold-Top) Blood Collection Tube (5 mL) - CT007 21: Siliconized Cryovial tube (0.5 mL) with Lavender Sticker (Box 1) - CV020 21: Siliconized Cryovial tube (0.5 mL) with Red Sticker (Box 2) - CV020 1: 15 mL Conical tube 1: Cryovial tube (2.0 mL) with Blue cap - CV034 1: Disposable graduated Transfer Pipette (1 mL) - CV002 46: Pre-printed Collection and Aliquot Tube Label - LB003 4: Pre-printed Kit Number Label - LB003 4: Labels for handwritten Site and NIAD ID - LB003 2: Cryovial Tube box (25-Slot) - CV005 1: Resealable Bag - ST002 1: Resealable Small Poly Bag (4x6") - ST010
Each DS Study ADDS Blood Kit (106.1)Contains: 1: EDTA (Lavender-Top) Blood Collection Tube (10 mL) - CT001 2: Serum Separator (Gold-Top) Blood Collection Tube (5 mL) - CT007 21: Siliconized cryovial tube (0.5 mL) with Lavender sticker - CV020 21: Siliconized cryovial tube (0.5 mL) with Red sticker - CV020 1: 15 mL Conical - CV004 1: Cryovial tube (2.0 mL) with Blue cap - CV034 1: Disposable graduated Transfer Pipette (3 mL) - CV015 46: Pre-printed Collection and Aliquot Tube Label - LB003 4: Pre-printed Kit Number Label - LB003 4: Labels for handwritten Site and Subject ID - LB003 2: Cryovial Tube box (25-Slot) - CV005 1: Resealable Small Poly Bag (4x6") - ST010
Each NiAD Frozen Blood Shipping Supply Kit (104) Contains: 5: Large Plastic Biohazard bag with Absorbent Sheet (250ml) - SH025 + SH028 1: FedEx Return Airbill (UPS airbill sleeve for U of Wisconsin) w/Waybill - SH002 1: Shipping box/Styrofoam container (Large) - SH003 1: Warning Label Packet with dry ice sticker (Dry Ice, UN3373, Fragile) - LB005, LB008, SH048 1: Resealable Bag - ST002
Each ADDS Frozen Blood Shipping Supply Kit (107) Contains: 5: Large Plastic Biohazard bag with Absorbent Sheet (250ml) - SH025 + SH028 1: FedEx Return Airbill w/Waybill Sleeve - SH002 1: Shipping box/Styrofoam container (Large) - SH003 1: Warning Label Packet with Dry Ice sticker (Dry Ice, UN3373, Fragile) - LB005, LB008, SH048 1: Resealable Bag - ST002
Each DS Study NiAD/ADDS Blood Supplemental Kit (105.2) Contains: 10: Siliconized Cyovial tube (0.5 ml) with Clear cap with Lavender Sticker - CV020 10: Siliconized Cryovial tube (0.5 ml) with Clear cap with Red Sticker - CV020 5: 15 mL Conical - CV004 5: Cryovial tube (2.0 ml) with Blue cap - CV034 5: Cryovial Tube box (25-Slot) - CV005 5: Disposable graduated Transfer Pipette (1ml) - CV002 5: EDTA (lavender top) blood collection tube (10 ml) - CT001 10: Serum Separator Tube (Gold Top) blood collection tube (5 ml) - CT007 10: Labels for handwritten Site and Subject ID - LB003 20: Sodium Heparin (Green-Top) Blood Collection Tube (10 ml) - NIAD ONLY - CT008
Each DS Study NIAD/ADDS 22G CSF Supplemental Kit (101.1 OR 101 w/Pipetman) Contains: 10: 50ml Conical individually wrapped-Sterile - CV056 20: 15ml Conical individually wrapped-Sterile - CV029 3: Shipping box/Styrofoam container (Small) - SH005 3: Pre-printed airbills/shipping labels w/Waybill - SH002 3: Dry Ice Shipping Label - LB005 3: Exempt Human Specimen Label - LB007 3: Resealable Plastic Bag - ST002 3: Sealable Bubble Wrap Bag - ST019 3: Absorbent Tube Sleeve - SH018 10: LP Requisition forms 100: Pre-printed Universal blank labels for 50 ml conical tubes and 500 ul aliquot tubes - LB003 4: Sharpie Marker Pens 5: Extra Sprotte 22G X 3.5" (90mm) needle with Introducer (Pajunk #021151-30C) - LP006 3: Extra Sprotte 4 3/4" 22G needles - LP011 1 set: Sterile gloves (5 pair Medium and 5 pair Large) - BP025 + BP026 10: Adhesive Spot Bandage - BP022 100: Alcohol prep pad - BP015BY REQUEST ONLY: 1: Bel-Art™ SP Scienceware™ No-Wire™ Multi-Size Centrifuge Tube Racks - CV033 1 Tray of 96: 500-µl aliquot tubes (Thermo Scientific #3743) 1 Rack (96) AVANT® 1250-µL Low Binding, Sterile Pipette Tips (Midest Scientific AVR1250SH) - CV031 1: P1000 PIPETMAN Classic™ Pipet (Gilson F123602) - APPROVAL NEEDED BEFORE SENDING - CV032
Each DS Study NIAD/ADDS 24G CSF Supplemental Kit Contains: 10: 50ml Conical individually wrapped-Sterile - CV056 20: 15ml Conical individually wrapped-Sterile - CV029 3: Shipping box/Styrofoam container (Small) - SH005 3: Pre-printed airbills/shipping labels w/Waybill - SH002 3: Dry Ice Shipping Label - LB005 3: Exempt Human Specimen Label - LB007 3: Resealable Plastic Bag - ST002 3: Sealable Bubble Wrap Bag - ST019 3: Absorbent Tube Sleeve - SH018 10: LP Requisition forms 100: Pre-printed Universal blank labels for 50 ml conical tubes and 500 ul aliquot tubes - LB003 4: Sharpie Marker Pens 5: Extra Sprotte 24G X 3.5" (90mm) needle with Introducer (Pajunk #021151-30C) - LP010 3: Sprotte 4 3/4" 24G needles - LP012 1 Set: Sterile gloves (5 pair Medium and 5 pair Large) - BP025 + BP026 10: Adhesive Spot Bandage - BP022 100: Alcohol prep pad - BP015 BY REQUEST ONLY: 1: Bel-Art™ SP Scienceware™ No-Wire™ Multi-Size Centrifuge Tube Racks - CV033 1 Tray of 96: 500-µl aliquot tubes (Thermo Scientific #3743) 1 Rack (96) AVANT® 1250-µL Low Binding, Sterile Pipette Tips (Midest Scientific AVR1250SH) - CV031 1: P1000 PIPETMAN Classic™ Pipet (Gilson F123602) - APPROVAL NEEDED BEFORE SENDING - CV032
Each 22G Lumbar Puncture Tray Kit (LP005) Contains: 1: Sprotte needle, 22G X 3.5" (90mm) 1: Introducer needle, 1 mm x 30 mm 1: Hypodermic needle, 22G x 1.5" 1: Plastic syringe, (3 ml, luer lock) with 25G x 5/8" needle attached 4: Polypropylene syringe (6 ml, Luer lock) 1: Needle stick pad 1: Adhesive bandage 1: Drape, fenestrated, 2 tabs, paper, 18" x 26" 2: Towel, 13.5" x 18" 6: Gauze pad, 2" x 2" 3: Sponge stick applicator 2: Lidocaine 1%, 5 ml 1: Povidone-Iodine Topical Solution, 0.75 oz
Each 24G Lumbar Puncture Tray Kit (LP002) Contains: 1: Sprotte needle, 24G X 3.5" (90mm) 1: Introducer needle, 1 mm x 30 mm 1: Hypodermic needle, 22G x 1.5" 1: Plastic syringe, (3 ml, luer lock) with 25G x 5/8" needle attached 4: Polypropylene syringe (5 ml, Luer lock) 1: Needle stick pad 1: Adhesive bandage 1: Drape, fenestrated, 2 tabs, paper, 18" x 26" 2: Towel, 13.5" x 18" 6: Gauze pad, 2" x 2" 3: Sponge stick applicator 2: Lidocaine 1%, 5 ml 1: Povidone-Iodine Topical Solution, 0.75 oz
Each DS Study NIAD/ADDS Frozen CSF Shipping Supply Kit (102) Contains: 1: Shipping box/Styrofoam container (Small Frozen Shipper) - SH005 1: Pre-printed airbills/shipping labels w/Waybill - SH002 1: Dry Ice Shipping Label - LB005 1: Exempt Human Specimen Label - LB007 1: Resealable Plastic Bag - ST002 1: Single Use - Sealable Bubble Wrap Bag - ST019 1: Absorbent Pad - SH018