Please complete the following CCMS Comparative Pathology Lab - Request for Clinical Pathology Service Form. The items marked with asterisk (*) are required. Comparative Pathology Lab hours are 9am to 5 pm Mondays through Fridays. We are located in Annenberg 26-92. Samples must be submitted before 2 pm. Impact tests should be submitted Monday to Thursday (no Friday shipments). Please contact Dr. Virginia Gillespie (4-1696) or Ying Dai, lab manager, (4-1498) with questions.


Investigator Info

*PI Name *Fund #
*GCO # *Dept
Phone Fax
*Contact person * Email
*Veterinarian (Diagnostic only)

Animal Information

*Species/ID *Breed/Strain
Sex
Age Age Units
*Location (Building & Room #) *Surveillance / Research / Diagnostic
*Specimen(s)

Sample Info

*Tube 1 / Animal ID Tube 21 / Animal ID
Tube 2 / Animal ID Tube 22 / Animal ID
Tube 3 / Animal ID Tube 23 / Animal ID
Tube 4 / Animal ID Tube 24 / Animal ID
Tube 5 / Animal ID Tube 25 / Animal ID
Tube 6 / Animal ID Tube 26 / Animal ID
Tube 7 / Animal ID Tube 27 / Animal ID
Tube 8 / Animal ID Tube 28 / Animal ID
Tube 9 / Animal ID Tube 29 / Animal ID
Tube 10 / Animal ID Tube 30 / Animal ID
Tube 11 / Animal ID Tube 31 / Animal ID
Tube 12 / Animal ID Tube 32 / Animal ID
Tube 13 / Animal ID Tube 33 / Animal ID
Tube 14 / Animal ID Tube 34 / Animal ID
Tube 15 / Animal ID Tube 35 / Animal ID
Tube 16 / Animal ID Tube 36 / Animal ID
Tube 17 / Animal ID Tube 37 / Animal ID
Tube 18 / Animal ID Tube 38 / Animal ID
Tube 19 / Animal ID Tube 39 / Animal ID
Tube 20 / Animal ID Tube 40 / Animal ID

Profiles

Serology



Biochemistry Panels



Specific / Individual Assays Tests





 
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