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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