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PAN AMERICAN VET LABS 166 Brushy Creek Trail Hutto, TX 78634 TELE: 800-856-9655 CULTURE SUBMISSION www.pavlab.com LAB USE ONLY Submission #: Date Received: Owners Name: Veterinarians Name: Herd/Flock Identification: Submitter name and address above. Email address: To be completed by submitter Lab Use Only Animal ID: _______________________ Culture Findings: Blood Agar______________________________________________ COMPLETE IF SAMPLE IS: MacConkey Agar________________________________________+ Nasal Exudate (snot) CIRCLE ONE White Clear CNA Agar_______________________________________________ None Urease Positive Negative Not done Catalase Positive Negative Not done COMPLETE IF SAMPLE IS: Skin abscess (Pus) CIRCLE ONE/LINE Gram Stain COLOR: White Tan Green Baccilus TEXTURE Cheesy Semi liquid Positive Negative Bloody Cocci Chains Cocci clusters Cocci-Baccilus Watery Bacteria Identified ODOR Foul/Rotten Dirty Socks None Pasteurella sp. Samples must be collected in sterile culturette with transport culture media Contact Pan American Vet Labs to order Bordetella sp. Staphylococcus aureus Other Gram positive Pseudomonas sp Staphyloccus species Strepotococus sp. Other Gram negative