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UNIVERSITY OF CALIFORNIA, SAN DIEGO BERKELEY DAVIS IRVINE LOS ANGELES RIVERSIDE SAN DIEGO SAN FRANCISCO SANTA BARBARA SANTA CRUZ
 

Summary: UNIVERSITY OF CALIFORNIA, SAN DIEGO
BERKELEY DAVIS IRVINE LOS ANGELES RIVERSIDE SAN DIEGO SAN FRANCISCO SANTA BARBARA SANTA CRUZ
HISTOLOGY RESOURCE REQUEST FORM
Cancer Center lab: (858) 822-1011 or CMME lab: (858) 534-2544 (Mary Ann Lawrence)
http://cancer.ucsd.edu/histology http://mousepheno.ucsd.edu/
Please complete the areas underneath the yellow bars. Thank you!
Date: Customer: Principal Investigator: PI initial to OK work to be done
Phone: Email:
Index/PO #: Cancer Center member? Y N
Species:_______________ Type of Samples: Fixed Tissue Fixative used: ___________ Time in fixative:________
Frozen Tissue Blocks Slides Tissue currently in:________
Total # of Samples submitted: _______
... continue on back if needed...
Blocks only Embedding diagram (optional)
Or
No. of sections per slide:__________
No. of slides unstained per block: ___________
No. of slides H&E per block: ___________
No. of slides for special stain per block: __________ specify stain: _____________
No. of slides for IHC per block: ___________ specify primary: ______________

  

Source: Abagyan, Ruben - School of Pharmacy and Pharmaceutical Sciences, University of California at San Diego

 

Collections: Biology and Medicine