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Athens Veterinary Diagnostic Laboratory

Athens Veterinary Diagnostic Laboratory College of Veterinary Medicine University of Georgia 501 Brooks Dr. Athens , Georgia 30602-7383 Veterinary License Number Required Tel: (706) 542-5568; Fax: (706) 583-0654. Website: Check one: Pick up Fax E-mail Report to: _____. Veterinarian Animal's ID Date Clinic Name Owner Address Address City, State, Zip City, State, Zip Telephone County Specimen _____Species_____Breed_____ Sex _____ Age _____. PLEASE FILL OUT THIS FORM COMPLETELY INCLUDING HISTORY ON REVERSE SIDE: By submitting Diagnostic specimens to the AVDL, clients are considered to have agreed to AVDL testing procedures and policies, including billing.

Form: Acc010.13 Rev. 4/8/2013 Athens Veterinary Diagnostic Laboratory College of Veterinary Medicine University of Georgia 501 D.W. Brooks Dr. Athens, Georgia 30602-7383

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  Laboratory, Veterinary, Thane, Diagnostics, Athens veterinary diagnostic laboratory

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