ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Clinical Laboratory
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ECVCP
Winterthurerstrasse 260 / 8057 Zurich
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accredited
✆ +41 44 635 83 40
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info@vetlabor.ch
www.vetlabor.ch
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Submission Form Lab Animals
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Formularversion: 2025-02-10
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Sample admission after prior agreementFill in yellow fields
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Animal informationAnimal keeperBilling address
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Species
Institute
Institute
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Breed
Name
Name*
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Sex
First name
First name*
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Street
Street
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PLZ City
PLZ City
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Phone
Phone
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E-mail
E-mail*
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Cost center
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SamplingNo. of samples/animals (details below)Reference
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Date & time
Project no.
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Specimen
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* for UZH: person responsible for formal exam in KWF (john.doe@uzh.ch)
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Legende
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1 K-EDTA whole blood5 Serum
9 Frozen
12 Send currenty haematology results and blood smears
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2 Li-Heparin whole blood
6 Sodium citrate (3.8%) plasma (1:9)
10 Send unstained blood smears
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4 Li-Heparin plasma
7 Fluorid plasma
11 Send unstained bone marrow smears
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Haematology and Cytology
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Small haematology (WBC, RBC, Hct, Hb, RBC indices, PLT)
1KLHA
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Large haematology (Small hematology + WBC differential)
1GRHA
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Reticulocytes
1RETIS
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Morphological blood smear evaluation
10DIF
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Morphological bone marrow smear evaluation
11,12PKM
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Clinical chemistry (please check with us upfront for the necessary blood volume)
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Coagulation
Electrolytes
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Prothrombinzeit
6,9QUICK
Sodium
4,5,9CNA
Various
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PTT6,9PTT
Potassium
4,5,9K
Bile acid
4,5,9GS2
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Fibrinogen (Clauss)
6,9FIBR
Chloride
4,5,9CCL
Osmolality
4,5,9OSMO
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Metabolites
Magnesium
4,5,9MG
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Total bilirubin
4,5,9BILT2
Phosphor
4,5,9P
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Glucose
4,5,7,9
GLUS
Calcium
4,5,9CA
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Fructoasmine
4,5,9FRUC
Enzymes
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BUN4,5,9UREAAP4,5,9AP
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Creatinine
4,5,9KREA
Lipase
4,5,9CLIP
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Protein
4,5,9PROT
ASAT (GOT)
4,5,9ASAT
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Albumin
4,5,9CALB
ALAT (GPT)
4,5,9ALAT
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Uric acid
4,5,9UAGGT4,5,9GGT
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Cholesterol
4,5,9CHOL
GLDH
4,5,9GLDH
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Triglycerides
4,5,9TRIGSDH4,5,9SDH
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Iron4,5,9FECK4,5,9CK
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LDH4,5,9LDHI2
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Profile mouse/rat
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Chemistry mouse/rat
Metabolites: bilirubin, glucose, BUN, creatinine, protein, albumin (only for mouse) , globulin, cholesterol, triglycerides; Enzymes: AP, ASAT, ALAT, CK; Electrolytes: Na, K, Cl, Ca, P, Mg4,5,9CRAMA
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Additional Information
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Other information important for the analyzes (e.g. experimental setup, expected changes)
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Please note the information in our leaflet, available at https://www.vetlabor.ch/dokumente/dokumente
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Prices available upon request. A processing fee is charged per sample
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Place/Date
Accept terms
Privacy information
Signature
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Remaining material will be picked up
or stamp
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(if not, it will be discarded after 1 month)
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Information on the animals (please indicate, which ones are control animals)
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#Animal IDExp. group / controls
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