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MONTANA VETERINARY DIAGNOSTIC LABORATORY
PHONE: (406) 994-4885 FAX: (406) 994-6344 WEBSITE: www.liv.mt.gov/lab WEB RESULTS: https://mvdl.mt.gov E-MAIL: mvdl@mt.gov
1911 WEST LINCOLN STREET BOZEMAN, MT 59718
MVDL SUPPLY ORDER FORM
Clear Form
Clear Form
Please see our website to access the MVDL Submission Guide & Fee Schedule for additional information Please contact MVDL to inquire about USDA-regulated program (e.g., livestock market & slaughter) supply orders Due to biosecurity best practices, MVDL will not return Styrofoam or cardboard shippers listed below to submitters for reuse
ITEMCOSTQUANTITY
The following specimen collection and mailing supplies are available; material cost + $2.00 handling + current shipping fees are applied when processed
Abortion Kit$5.00
Neonatal Diarrhea (Scours) Kit$5.00
Necropsy Kit$5.00
Biopsy Kit$5.00
Blood Tube Shipper – small Styrofoam – holds (5) 10cc tubes$2.50
Blood Tube/Slide Shipper – medium Styrofoam – holds (4) 10cc tubes + (4) slides$5.00
Blood Tube/Slide Shipper – large Styrofoam – holds (8) 10cc tubes + (4) slides$7.50
Blood Tube Shipper – cardboard – holds (100) 10cc tubes$3.00
Campylobacter tubes (10)$20.00
Tritrichomonas foetus physiological saline tubeNo cost
5.00
5.00
5.00
5.00
2.50
5.00
7.50
2.00
20.00
No cost
SUBMISSION FORMS
The following may be downloaded from our website.
Single Animal Submission Form
Multiple Animal Submission Form
Salmonella Testing Submission Form
The following may be ordered from the Montana Department of Livestock Animal Health Office: 406-444-2976
EIA, e.g., VS10-11
SHIPTO:
Veterinarian's Name:
Clinic Name:
Billing Account Number (required):
Shipping Address:
Phone:
Veterinarian’s Name
Clinic Name
Billing Account Number (required
Shipping Address
Phone
PLEASE PRINT AND EMAIL, MAIL, OR DELIVER TO MVDL
LABORATORY USE:
DATE RECEIVED/INITIALS: DATE SHIPPED/INITIALS: TOTAL MATERIALS & SHIPPING FEE/INITIALS: