Form CDC 0920- CDC 0920- GFATv4.7
Enterprise Laboratory Information Management System
Att 3b GFAT_v4.7.xlsx
Att 3b_GFAT_v4.7
OMB: 0920-1309
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1309 can be found here:
Document [xlsx]
Download: xlsx | pdf
Introduction
Human FA Template
Animal FA Template
FEMB FA Template
Global Submitters
FastLookup
Overview
DisclaimerIntroduction
Human FA Template
Animal FA Template
FEMB FA Template
Global Submitters
FastLookup
Sheet 1: Disclaimer
| Disclaimer: The Centers for Disease Control and Prevention (CDC), an agency of the Department of Health and Human Services, is authorized to collect this information, including the Social Security number (if applicable), under provisions of the Public Health Service Act, Section 301 (42 U.S.C. 241). Supplying the information is voluntary and there is no penalty for not providing it. The data will be used to increase understanding of disease patterns, develop prevention and control programs, and communicate new knowledge to the health community. Data will become part of CDC Privacy Act system 09-20-0106, "Specimen Handling for Testing and Related Data" and may be disclosed: to appropriate State or local public health departments and cooperating medical authorities to deal with conditions of public health significance; to private contractors assisting CDC in analyzing and refining records; to researchers under certain limited circumstances to conduct further investigations; to organizations to carry out audits and reviews on behalf of HHS; to the Department of Justice in the event of litigation, and to a congressional office assisting individuals in obtaining their records. An accounting of the disclosures that have been made by CDC will be made available to the subject individual upon request. Except for permissible disclosures expressly authorized by the Privacy Act, no other disclosure may be made without the subject individual's written consent. Please refer to the CDC Infectious Diseases Laboratories Test Directory for information on specimen requirements. CDC must maintain and document specific acceptance criteria to perform laboratory tests on samples obtained from humans pursuant to the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and accompanying regulations. 42 U.S.C. § 263a; 42 C.F.R. § 493.1241. Samples transferred to the CDC for testing or any other purpose will become the legal property of the agency unless otherwise agreed upon in writing. Samples will not be returned to the submitting entity. |
| Paperwork Reduction Act Information: Form Approved OMB Control No.: 0920-XXXX Expiration date: XX/XX/XXXX Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-XXXX |
Sheet 2: Introduction
| Introduction: File Accessioning is a feature of ELIMS which allows the User to accession one or more specimens into ELIMS as a single operation using the "File Accessioning" interface. The User simply creates a "File Accessioning" import file from the Global File Accessioning Template (GFAT) and uses the "File Accessioning" function to load the specimen data from the import file into ELIMS. The "File Accessioning" import file contains the same data that may be entered manually or through barcode accessioning by the User using the CDC Specimen Submission Form (Form 50.34). The "File Accessioning" function runs in the background, and an email is sent to the User when the import is completed. |
| Production Version: 4.7 |
| What is a template/import file? The File Accessioning process extracts specimen data from an import file and loads the data into ELIMS. The User creates the import file by, first, entering the specimen data into the "File Accessioning" template (Excel worksheet), which contains the same data the User enters when accessioning specimens one at a time (using the ELIMS Login/Sample Login interfaces or the CDC Specimen Submission Form [Form 50.34]). After the User enters the specimen data into the "File Accessioning" template, the Excel worksheet (.xlsx) can be imported into ELIMS. |
| Using this template: 1. This file contains three "File Accessioning" templates (Excel worksheets): Human, Animal, and FEMB (Food, Environmental, Medical Devices, and Biologics). Select the appropriate accessioning template based on the origin of each specimen. The file can contain specimens in each "Origin" tab if you are accessioning multiple origins, and it is saved and imported as an Excel file. 2. Row #1 contains the data captions on the CDC Specimen Submission Form (Form 50.34). This row should not be altered by the User for any reason. Row #2 contains the database field names that correspond to the data captions in Row #1. This row is hidden and must not be altered by the User for any reason. Editing values in this row will corrupt the import file. Row #3 (and each row following) is used to enter data for specimens. Each row of information represents a new specimen or aliquot record for a specimen that is being imported. The following fields are required; however, these fields are auto-populated if left blank: • Package ID – Blank, if not specified • CSID – Auto-populated, if not specified • CUID – Auto-populated, if not specified • Origin – Valid values are: "Human," "Animal," "Food," "Environmental," "Medical Device," or "Biologic." Origin is required and a value must be entered. • Test order name - Blank, if not specified 3. Picklists are used for many of the cells within each template (Excel worksheet). These lists contain the same values in the CDC Specimen Submission Form (Form 50.34). 4. After the User enters all of the specimen data into the "File Accessioning" template (.xlsx), the Excel worksheet is saved and ready for ELIMS import. The import is only compatible with Excel files, and a single import file can have specimen data in each of the worksheet tabs (Human, Animal, and FEMB). |
| 5. Specifying specimens, aliquots, and subsamples: • Each row containing a blank or unique CSID value will be a new specimen. • Aliquots will be created for each row with an existing CSID in the current GFAT and a unique or blank CUID. • The GFAT cannot create subsamples (derivites). To batch create subsamples in ELIMS, use the SAIT file found in ELIMS àFile Bulk Processing à"Add Subsample/Aliquot" tab. NOTE: If creating a child aliquot in the GFAT, the parent will be the first instance of the specimen's CSID in the file. ELIMS will not let you create a GFAT containing a CSID that already exists in the system. To batch create aliquots for specimens already in the system, use the SAIT file. |
| 6. "FastLookup" tab and "Short List" checkboxes - The "Short List" checkboxes are a way to tailor the "File Accessioning" template to ensure the available picklist fields only list the subset of values the laboratory most frequently uses. To set up this feature, perform the following steps: • Go to the "FastLookup" tab within the spreadsheet. • Locate the desired picklist name for customization. The field title will show the correct name. • Select the desired picklist values from the drop-down menu for the specific field. Do not leave any blank columns between the picklist rows. • To see the full list of values for a picklist, leave the "Short List" checkbox in the "Title" row blank when entering the data. To view the sublist, check the box. |
| 7. Some of the "Storage Location" fields (Room, Freezer, Shelf, Rack, and Box) have drop-down menus with no picklist values. Storage Locations can be manually typed into these fields. Alternatively, "Storage Location" information can be added by laboratories into the "Storage Location" section of FastLookup. This allows the User to choose the storage location within the associated fields of the "Origin" tabs, using the drop-down menus. This will decrease the number of data entry errors when importing into storage locations. To add a laboratory's storage location information into ELIMS, perform the following steps: • Go to QBE Query in ELIMS. • Choose the QBE template "Storage Locations Metadata." • Choose the filter set "General." • Query all storage locations. • Use the list from QBE to populate the storage locations in FastLookup. Make sure the "Storage Location" types from the QBE match the locations in FastLookup (boxes appearing within the box section, shelves in the shelf section, etc.). • Once the Storage Locations are added to the GFAT, save it as a template to ensure easy access to location information when creating an import file. |
| 8. Copying and pasting values - It is possible to copy and paste values into the GFAT spreadsheet. If a value pasted into the picklist doesn't match one of the existing picklist records, that field will appear in red. Users need to change the field value to a valid ELIMS format or the file will fail during accessioning. When copying and pasting into the GFAT from an Excel file that has existing formatting or calculations in it, try to paste values only (or this may overwrite the existing GFAT formatting rules). Please contact the ELIMS Support Services Team if you have any questions at [email protected]. |
| 9. To assign a specimen to an SPHL, the SPHL ID must be specified. To determine the SPHL ID value, the "SPHL Institution Name" field has been added to the top of the GFAT file in the "SPHL" section. When the SPHL name is chosen, the corresponding SPHL ID will appear next to it. This field is for informational use, and the SPHL ID will still need to be populated in the specimen row in order to be imported into the specimen record. |
| 10. To simplify assigning the SPHL ID to a specimen, an "SPHL Institution Name" field is included in the GFAT file next to the "SPHL ID" field. This field contains a list of all SPHLs in ELIMS. To use, perform the following steps: • Select the SPHL name from the "SPHL Institution Name" field in a row within the GFAT. • Select the drop-down menu next to the "SPHL ID" field—the corresponding SPHL ID for the selected institution will appear. • Select the SPHL ID. NOTE: Even though the SPHL name is selected, the User MUST still select a SPHL ID for it to be populated for the specimen during import. |
| 11. The "Event ID" drop-down menu is used to simplify the Event ID selection process using the laboratory's ELIMS list of events. This will only work if the laboratory is assigning the specimen to a single event. Perform the following steps: • Go to Events Management in ELIMS. • Right click on the "Events Management" screen and select "Copy to Excel." • Select the "Event ID" and "Event Name" fields and copy them. If you use a different field (such as "Local Event ID") to identify events, it can be used instead of "Event Name." • Go to the "FastLookup" tab in the GFAT file and paste these values in the "Event ID"/"Event Name" fields. • To assign an event to the GFAT file, go to the appropriate row and select the event name. This will filter the record to the correct Event ID. NOTE: You must still select the Event ID for the record to be assigned to the event. |
| Importing a GFAT file into ELIMS: 1. Navigate to the "File Accessioning" interface by selecting the "File Accessioning" link in the "Login Options" section of ELIMS. 2. Prepare the GFAT import file. Ensure the file is the most current version (to check the version, select the "Download Global File Accessioning Template" link found in the "File Accessioning" interface). 3. Select the "Import" button on the "File Accessioning" screen. 4. Select the GFAT file for import. 5. Select “Current User” in field titled “When import completes send email to." Next, select the "Import" button. This will cause the "Batch Import" message to appear. 6. Select "OK" on the "Batch Import" message. The User will receive a notification email indicating the import is complete. This process usually occurs quickly, but timing is dictated by the number of specimens being imported. 7. Review the email for the imported batch. 8. Return to the "File Accessioning" interface and select the "Filter By Status" picklist. Select "Passed" from the filter. The User will see the batch of the file that was imported. 9. Go to the "Sample Login" screen. Specimens imported through File Accessioning will appear in the Specimen List. |
| References: |
| Submitting Specimens to the CDC - CDC Specimen Submission Form (Form 50.34) |
| ELIMS v10 Training Scripts |
Sheet 3: Human FA Template
| Package ID | CSID | CUID | Origin (This field is required) |
Test Order Name
|
Suspected Agent
|
Date Sent to CDC | At CDC, bring to the attention of: | CDC Patient ID | CDC Local Patient ID | Patient name, Last | Patient name, First | Patient name, Middle Initial | Patient name, Suffix | Patient Birthdate | Patient Age | Age units | Patient Sex | Pregnant | Clinical Diagnosis
|
Date of onset | Fatal | Date of Death | Specimen collected date | Specimen collected time | Material submitted
|
Specimen source (Type)
|
Specimen source modifier
|
Specimen source site
|
Specimen source site modifier
|
Collection method
|
Treatment of specimen
|
Transport medium/Specimen preservative
|
Specimen handling | SPHL Submitter ID
|
SPHL Submitter Institution Name
|
SPHL Submitter Point of Contact Name, Prefix | SPHL Submitter Point of Contact Name, Last | SPHL Submitter Point of Contact Name, First | SPHL Submitter Point of Contact Name, Middle Initial | SPHL Submitter Point of Contact Name, Suffix | SPHL Submitter Point of Contact Name, Degree | SPHL Submitter Point of Contact Phone, Country Code | SPHL Submitter Point of Contact Phone, Area Code | SPHL Submitter Point of Contact Phone, Local Number | SPHL Submitter Point of Contact Phone, Extension | SPHL Submitter Point of Contact Email | SPHL Submitter Patient ID | SPHL Submitter Alternative Patient ID | SPHL Submitter Specimen ID | SPHL Submitter Alternative Specimen ID | Original Submitter ID
|
Original Submitter Lab Director or Designee Name, Prefix | Original Submitter Lab Director or Designee Name, Last | Original Submitter Lab Director or Designee Name, First | Original Submitter Lab Director or Designee Name, Middle Initial | Original Submitter Lab Director or Designee Name, Suffix | Original Submitter Lab Director or Designee Name, Degree | Original Submitter Institution Name | Original Submitter Address, Street Address Line 1 | Original Submitter Address, Street Address Line 2 | Original Submitter Address, City | Original Submitter Address, Zip/Postal Code | Original Submitter Address, State | Original Submitter Address, Country | Original Submitter Fax, Country Code | Original Submitter Fax, Area Code | Original Submitter Fax, Local Number | Original Submitter Email | Original Submitter Contact ID | Original Submitter Point of Contact Name, Prefix | Original Submitter Point of Contact Name, Last | Original Submitter Point of Contact Name, First | Original Submitter Point of Contact Name, Middle Initial | Original Submitter Point of Contact Name, Suffix | Original Submitter Point of Contact Name, Degree | Original Submitter Point of Contact Phone, Country Code | Original Submitter Point of Contact Phone, Area Code | Original Submitter Point of Contact Phone, Local Number | Original Submitter Point of Contact Phone, Extension | Original Submitter Point of Contact Email | Original Submitter Patient ID | Original Submitter Alternative Patient ID | Original Submitter Specimen ID | Original Submitter Alternative Specimen ID | Intermediate Submitter ID
|
Intermediate Submitter Lab Director or Designee Name, Prefix | Intermediate Submitter Lab Director or Designee Name, Last | Intermediate Submitter Lab Director or Designee Name, First | Intermediate Submitter Lab Director or Designee Name, Middle Initial | Intermediate Submitter Lab Director or Designee Name, Suffix | Intermediate Submitter Lab Director or Designee Name, Degree | Intermediate Submitter Institution Name | Intermediate Submitter Address, Street Address Line 1 | Intermediate Submitter Address, Street Address Line 2 | Intermediate Submitter Address, City | Intermediate Submitter Address, Zip/Postal Code | Intermediate Submitter Address, State | Intermediate Submitter Address, Country | Intermediate Submitter Fax, Country Code | Intermediate Submitter Fax, Area Code | Intermediate Submitter Fax, Local Number | Intermediate Submitter Email | Intermediate Submitter Contact ID | Intermediate Submitter Point of Contact Name, Prefix | Intermediate Submitter Point of Contact Name, Last | Intermediate Submitter Point of Contact Name, First | Intermediate Submitter Point of Contact Name, Middle Initial | Intermediate Submitter Point of Contact Name, Suffix | Intermediate Submitter Point of Contact Name, Degree | Intermediate Submitter Point of Contact Phone, Country Code | Intermediate Submitter Point of Contact Phone, Area Code | Intermediate Submitter Point of Contact Phone, Local Number | Intermediate Submitter Point of Contact Phone, Extension | Intermediate Submitter Point of Contact Email | Intermediate Submitter Patient ID | Intermediate Submitter Alternative Patient ID | Intermediate Submitter Specimen ID | Intermediate Submitter Alternative Specimen ID | Brief Clinical Summary | State of Illness, Symptomatic | State of Illness, Asymptomatic | State of Illness, Acute | State of Illness, Chronic | State of Illness, Convalescent | State of Illness, Recovered | Type of Infection, Upper respiratory | Type of Infection, Lower respiratory | Type of Infection, Cardiovascular | Type of Infection, Gastrointestinal | Type of Infection, Genital | Type of Infection, Urinary tract | Type of Infection, Sepsis | Type of Infection, Central nervous system | Type of Infection, Skin/soft tissue | Type of Infection, Ocular | Type of Infection, Joint/bone | Type of Infection, Disseminated | Type of Infection, Other | Type of Infection, Other (specify) | Therapeutic Agent(s) During Illness, Agent 1
|
Therapeutic Agent(s) During Illness, Agent 1 Start Date | Therapeutic Agent(s) During Illness, Agent 1 End Date | Therapeutic Agent(s) During Illness, Agent 2
|
Therapeutic Agent(s) During Illness, Agent 2 Start Date | Therapeutic Agent(s) During Illness, Agent 2 End Date | Therapeutic Agent(s) During Illness, Agent 3
|
Therapeutic Agent(s) During Illness, Agent 3 Start Date | Therapeutic Agent(s) During Illness, Agent 3 End Date | Extent, Isolated Case | Extent, Carrier | Extent, Contact | Extent, Outbreak | Extent, Outbreak Text | Extent, Family | Extent, Community | Extent, Healthcare-associated | Extent, Epidemic | Travel | Travel, Start Date | Travel, End Date | Travel: Foreign (Countries) 1 | Travel: Foreign (Countries) 2 | Travel: Foreign (Countries) 3 | Foreign Residence (Country) | Travel: United States (States) 1 | Travel: United States (States) 2 | Travel: United States (States) 3 | United States Residence (State) | Exposure | Date of Exposure | Animal Exposure | Animal Type of Exposure | Animal Common Name
|
Animal Scientific Name
|
Arthropod Exposure | Arthropod Type of Exposure | Arthropod Common Name
|
Arthropod Scientific Name
|
Immunization 1
|
Immunization 1, Date Received | Immunization 2
|
Immunization 2, Date Received | Immunization 3
|
Immunization 3, Date Received | Immunization 4
|
Immunization 4, Date Received | Previous Laboratory Results | Comments | Delivered to Unit # | Date received at CDC | Specimen Received at STAT Date (STAT only) | Condition, Outer Package, STAT Laboratory (STAT only) | Condition, Specimen container, STAT Laboratory (STAT only) | Condition, Specimen, STAT Laboratory (STAT only) | CDC Local Aliquot ID | Specimen Received in Lab Date (Unit only) | Condition, Outer Package, Testing Laboratory (Unit only) | Condition, Specimen container, Testing Laboratory (Unit only) | Condition, Specimen, Testing Laboratory (Unit only) | Additional ID 1 | Additional Type 1
|
Additional ID 2 | Additional Type 2
|
Suspected Agent Category | Case Id | Date 01 | Date 02 | Numeric 01 | Numeric 02 | Decimal 01 | Alpha Numeric 01 | Alpha Numeric 02 | Alpha Numeric 03 | Alpha Numeric 04 | Alpha Numeric 05 | Volume | Unit of Measure | Container Type | Storage Locations - Location 
|
Storage Locations - Building | Storage Locations - Room | Storage Locations - Storage Unit | Storage Locations - Shelf | Storage Locations - Rack | Storage Locations - Box | Storage Locations - Absolute Position | Storage Locations - Custodian (User ID) |
Storage Locations - Comment | CDC EVENT ID
|
CDC CASE ID | Date Subsample Received in Lab | Subsample Comment | Date Aliquot Received in Lab | Aliquot Comment | ||
Sheet 4: Animal FA Template
| Package ID | CSID | CUID | Origin (This field is required) |
Test Order Name
|
Suspected Agent
|
Date Sent to CDC | At CDC, bring to the attention of: | CDC Patient ID | CDC Local Patient ID | Animal | Arthropod | Common Name
|
Scientific Name
|
Animal Name | Animal Category | Sex | Birthdate | Age | Age units | Clinical Diagnosis
|
Date of onset | Fatal | Date of Death | Specimen collected date | Specimen collected time | Material submitted
|
Specimen source (Type)
|
Specimen source modifier
|
Specimen source site
|
Specimen source site modifier
|
Collection method
|
Treatment of specimen
|
Transport medium/Specimen preservative
|
Specimen handling | SPHL Submitter ID
|
SPHL Submitter Institution Name
|
SPHL Submitter Point of Contact Name, Prefix | SPHL Submitter Point of Contact Name, Last | SPHL Submitter Point of Contact Name, First | SPHL Submitter Point of Contact Name, Middle Initial | SPHL Submitter Point of Contact Name, Suffix | SPHL Submitter Point of Contact Name, Degree | SPHL Submitter Point of Contact Phone, Country Code | SPHL Submitter Point of Contact Phone, Area Code | SPHL Submitter Point of Contact Phone, Local Number | SPHL Submitter Point of Contact Phone, Extension | SPHL Submitter Point of Contact Email | SPHL Submitter Animal ID | SPHL Submitter Alternative Animal ID | SPHL Submitter Specimen ID | SPHL Submitter Alternative Specimen ID | Original Submitter ID
|
Original Submitter Lab Director or Designee Name, Prefix | Original Submitter Lab Director or Designee Name, Last | Original Submitter Lab Director or Designee Name, First | Original Submitter Lab Director or Designee Name, Middle Initial | Original Submitter Lab Director or Designee Name, Suffix | Original Submitter Lab Director or Designee Name, Degree | Original Submitter Institution Name | Original Submitter Address, Street Address Line 1 | Original Submitter Address, Street Address Line 2 | Original Submitter Address, City | Original Submitter Address, Zip/Postal Code | Original Submitter Address, State | Original Submitter Address, Country | Original Submitter Fax, Country Code | Original Submitter Fax, Area Code | Original Submitter Fax, Local Number | Original Submitter Email | Original Submitter Contact ID | Original Submitter Point of Contact Name, Prefix | Original Submitter Point of Contact Name, Last | Original Submitter Point of Contact Name, First | Original Submitter Point of Contact Name, Middle Initial | Original Submitter Point of Contact Name, Suffix | Original Submitter Point of Contact Name, Degree | Original Submitter Point of Contact Phone, Country Code | Original Submitter Point of Contact Phone, Area Code | Original Submitter Point of Contact Phone, Local Number | Original Submitter Point of Contact Phone, Extension | Original Submitter Point of Contact Email | Original Submitter Animal ID | Original Submitter Alternative Animal ID | Original Submitter Specimen ID | Original Submitter Alternative Specimen ID | Intermediate Submitter ID
|
Intermediate Submitter Lab Director or Designee Name, Prefix | Intermediate Submitter Lab Director or Designee Name, Last | Intermediate Submitter Lab Director or Designee Name, First | Intermediate Submitter Lab Director or Designee Name, Middle Initial | Intermediate Submitter Lab Director or Designee Name, Suffix | Intermediate Submitter Lab Director or Designee Name, Degree | Intermediate Submitter Institution Name | Intermediate Submitter Address, Street Address Line 1 | Intermediate Submitter Address, Street Address Line 2 | Intermediate Submitter Address, City | Intermediate Submitter Address, Zip/Postal Code | Intermediate Submitter Address, State | Intermediate Submitter Address, Country | Intermediate Submitter Fax, Country Code | Intermediate Submitter Fax, Area Code | Intermediate Submitter Fax, Local Number | Intermediate Submitter Email | Intermediate Submitter Contact ID | Intermediate Submitter Point of Contact Name, Prefix | Intermediate Submitter Point of Contact Name, Last | Intermediate Submitter Point of Contact Name, First | Intermediate Submitter Point of Contact Name, Middle Initial | Intermediate Submitter Point of Contact Name, Suffix | Intermediate Submitter Point of Contact Name, Degree | Intermediate Submitter Point of Contact Phone, Country Code | Intermediate Submitter Point of Contact Phone, Area Code | Intermediate Submitter Point of Contact Phone, Local Number | Intermediate Submitter Point of Contact Phone, Extension | Intermediate Submitter Point of Contact Email | Intermediate Submitter Animal ID | Intermediate Submitter Alternative Animal ID | Intermediate Submitter Specimen ID | Intermediate Submitter Alternative Specimen ID | Owner Name, Last | Owner Name, First | Owner Name, Middle Initial | Owner Name, Suffix | Owner Address, Street Address Line 1 | Owner Address, Street Address Line 2 | Owner Address, City | Owner Address, State | Owner Address, Zip/Postal Code | Owner Address, Country | Owner Phone, Country code | Owner Phone, Area code | Owner Phone, Local Number | Field Collection Address, Street Address Line 1 | Field Collection Address, Street Address Line 2 | Field Collection Address, City | Field Collection Address, State | Field Collection Address, Zip/Postal Code | Field Collection Address, Country | Field Collection, Latitude | Field Collection, Longitude | Field Collection UTM Coordinates, Grid zone designator | Field Collection UTM Coordinates, Easting | Field Collection UTM Coordinates, Northing | Brief Clinical Summary | State of Illness, Symptomatic | State of Illness, Asymptomatic | State of Illness, Acute | State of Illness, Chronic | State of Illness, Convalescent | State of Illness, Recovered | Type of Infection, Upper respiratory | Type of Infection, Lower respiratory | Type of Infection, Cardiovascular | Type of Infection, Gastrointestinal | Type of Infection, Genital | Type of Infection, Urinary tract | Type of Infection, Sepsis | Type of Infection, Central nervous system | Type of Infection, Skin/soft tissue | Type of Infection, Ocular | Type of Infection, Joint/bone | Type of Infection, Disseminated | Type of Infection, Other | Type of Infection, Other (specify) | Therapeutic Agent(s) During Illness, Agent 1
|
Therapeutic Agent(s) During Illness, Agent 1 Start Date | Therapeutic Agent(s) During Illness, Agent 1 End Date | Therapeutic Agent(s) During Illness, Agent 2
|
Therapeutic Agent(s) During Illness, Agent 2 Start Date | Therapeutic Agent(s) During Illness, Agent 2 End Date | Therapeutic Agent(s) During Illness, Agent 3
|
Therapeutic Agent(s) During Illness, Agent 3 Start Date | Therapeutic Agent(s) During Illness, Agent 3 End Date | Extent, Isolated Case | Extent, Carrier | Extent, Contact | Extent, Outbreak | Extent, Epizootic | Extent, Other | Extent, Other (specify) | Herd Size | No. in herd affected | No. in herd dead | Exposure | Animal Exposure | Animal Type of Exposure | Animal Common Name
|
Animal Scientific Name
|
Arthropod Exposure | Arthropod Type of Exposure | Arthropod Common Name
|
Arthropod Scientific Name
|
Human Exposure | Human Type of Exposure | Travel | Travel, Start Date | Travel, End Date | Travel: Foreign (Countries) 1 | Travel: Foreign (Countries) 2 | Travel: Foreign (Countries) 3 | Foreign Residence (Country) | Travel: United States (States) 1 | Travel: United States (States) 2 | Travel: United States (States) 3 | United States Residence (State) | Immunization 1
|
Immunization 1, Date Received | Immunization 2
|
Immunization 2, Date Received | Immunization 3
|
Immunization 3, Date Received | Immunization 4
|
Immunization 4, Date Received | Previous Laboratory Results | Comments | Delivered to Unit # | Date received at CDC | Specimen Received at STAT Date (STAT only) | Condition, Outer Package, STAT Laboratory (STAT only) | Condition, Specimen container, STAT Laboratory (STAT only) | Condition, Specimen, STAT Laboratory (STAT only) | CDC Local Aliquot ID | Specimen Received in Lab Date (Unit only) | Condition, Outer Package, Testing Laboratory (Unit only) | Condition, Specimen container, Testing Laboratory (Unit only) | Condition, Specimen, Testing Laboratory (Unit only) | Additional ID 1 | Additional Type 1
|
Additional ID 2 | Additional Type 2
|
Suspected Agent Category | Case Id | Date 01 | Date 02 | Numeric 01 | Numeric 02 | Decimal 01 | Alpha Numeric 01 | Alpha Numeric 02 | Alpha Numeric 03 | Alpha Numeric 04 | Alpha Numeric 05 | Volume | Unit of Measure | Container Type | Storage Locations - Location
|
Storage Locations - Building | Storage Locations - Room | Storage Locations - Storage Unit | Storage Locations - Shelf | Storage Locations - Rack | Storage Locations - Box | Storage Locations - Absolute Position | Storage Locations - Custodian (User ID) |
Storage Locations - Comment | CDC EVENT ID
|
CDC CASE ID | Date Subsample Received in Lab | Subsample Comment | Date Aliquot Received in Lab | Aliquot Comment | ||
Sheet 5: FEMB FA Template
| Package ID | CSID | CUID | Origin (This field is required) |
Test Order Name
|
Suspected Agent
|
Date Sent to CDC | At CDC, bring to the attention of: | Specimen collected date | Specimen collected time | Material submitted
|
Specimen source (Type)
|
Specimen source site
|
Specimen source site modifier
|
Collection method
|
Treatment of specimen
|
Transport medium/Specimen preservative
|
Specimen handling | SPHL Submitter ID
|
SPHL Submitter Institution Name
|
SPHL Submitter Point of Contact Name, Prefix | SPHL Submitter Point of Contact Name, Last | SPHL Submitter Point of Contact Name, First | SPHL Submitter Point of Contact Name, Middle Initial | SPHL Submitter Point of Contact Name, Suffix | SPHL Submitter Point of Contact Name, Degree | SPHL Submitter Point of Contact Phone, Country Code | SPHL Submitter Point of Contact Phone, Area Code | SPHL Submitter Point of Contact Phone, Local Number | SPHL Submitter Point of Contact Phone, Extension | SPHL Submitter Point of Contact Email | SPHL Submitter Sample ID | SPHL Submitter Alternative Sample ID | SPHL Submitter Specimen ID | SPHL Submitter Alternative Specimen ID | Original Submitter ID
|
Original Submitter Lab Director or Designee Name, Prefix | Original Submitter Lab Director or Designee Name, Last | Original Submitter Lab Director or Designee Name, First | Original Submitter Lab Director or Designee Name, Middle Initial | Original Submitter Lab Director or Designee Name, Suffix | Original Submitter Lab Director or Designee Name, Degree | Original Submitter Institution Name | Original Submitter Address, Street Address Line 1 | Original Submitter Address, Street Address Line 2 | Original Submitter Address, City | Original Submitter Address, Zip/Postal Code | Original Submitter Address, State | Original Submitter Address, Country | Original Submitter Fax, Country Code | Original Submitter Fax, Area Code | Original Submitter Fax, Local Number | Original Submitter Email | Original Submitter Contact ID | Original Submitter Point of Contact Name, Prefix | Original Submitter Point of Contact Name, Last | Original Submitter Point of Contact Name, First | Original Submitter Point of Contact Name, Middle Initial | Original Submitter Point of Contact Name, Suffix | Original Submitter Point of Contact Name, Degree | Original Submitter Point of Contact Phone, Country Code | Original Submitter Point of Contact Phone, Area Code | Original Submitter Point of Contact Phone, Local Number | Original Submitter Point of Contact Phone, Extension | Original Submitter Point of Contact Email | Original Submitter Sample ID | Original Submitter Alternative Sample ID | Original Submitter Specimen ID | Original Submitter Alternative Specimen ID | Intermediate Submitter ID
|
Intermediate Submitter Lab Director or Designee Name, Prefix | Intermediate Submitter Lab Director or Designee Name, Last | Intermediate Submitter Lab Director or Designee Name, First | Intermediate Submitter Lab Director or Designee Name, Middle Initial | Intermediate Submitter Lab Director or Designee Name, Suffix | Intermediate Submitter Lab Director or Designee Name, Degree | Intermediate Submitter Institution Name | Intermediate Submitter Address, Street Address Line 1 | Intermediate Submitter Address, Street Address Line 2 | Intermediate Submitter Address, City | Intermediate Submitter Address, Zip/Postal Code | Intermediate Submitter Address, State | Intermediate Submitter Address, Country | Intermediate Submitter Fax, Country Code | Intermediate Submitter Fax, Area Code | Intermediate Submitter Fax, Local Number | Intermediate Submitter Email | Intermediate Submitter Contact ID | Intermediate Submitter Point of Contact Name, Prefix | Intermediate Submitter Point of Contact Name, Last | Intermediate Submitter Point of Contact Name, First | Intermediate Submitter Point of Contact Name, Middle Initial | Intermediate Submitter Point of Contact Name, Suffix | Intermediate Submitter Point of Contact Name, Degree | Intermediate Submitter Point of Contact Phone, Country Code | Intermediate Submitter Point of Contact Phone, Area Code | Intermediate Submitter Point of Contact Phone, Local Number | Intermediate Submitter Point of Contact Phone, Extension | Intermediate Submitter Point of Contact Email | Intermediate Submitter Sample ID | Intermediate Submitter Alternative Sample ID | Intermediate Submitter Specimen ID | Intermediate Submitter Alternative Specimen ID | Brand/Manufacturer | Specific Product Name | Lot Number | Expiration Date | Quantity | Sample purchased or collected at, Business name | Sample purchased or collected at, Street Address Line 1 | Sample purchased or collected at, Street Address Line 2 | Sample purchased or collected at, City | Sample purchased or collected at, Zip/Postal Code | Sample purchased or collected at, State | Sample purchased or collected at, Country | Sample Location, Sample collected at: | Sample Location, Latitude | Sample Location, Longitude | UTM Coordinates, Grid Zone Designator | UTM Coordinates, Easting | UTM Coordinates, Northing | Environmental Temperature | Additional Sample Information | Previous Laboratory Results | Comments | Date received at CDC | Specimen Received at STAT Date (STAT only) | Condition, Outer Package, STAT Laboratory (STAT only) | Condition, Specimen container, STAT Laboratory (STAT only) | Condition, Specimen, STAT Laboratory (STAT only) | Delivered to Unit # | CDC Local Aliquot ID | Specimen Received in Lab Date (Unit only) | Condition, Outer Package, Testing Laboratory (Unit only) | Condition, Specimen container, Testing Laboratory (Unit only) | Condition, Specimen, Testing Laboratory (Unit only) | Additional ID 1 | Additional Type 1
|
Additional ID 2 | Additional Type 2
|
Suspected Agent Category | Case Id | Date 01 | Date 02 | Numeric 01 | Numeric 02 | Decimal 01 | Alpha Numeric 01 | Alpha Numeric 02 | Alpha Numeric 03 | Alpha Numeric 04 | Alpha Numeric 05 | Volume | Unit of Measure | Container Type | Storage Locations - Location
|
Storage Locations - Building | Storage Locations - Room | Storage Locations - Storage Unit | Storage Locations - Shelf | Storage Locations - Rack | Storage Locations - Box | Storage Locations - Absolute Position | Storage Locations - Custodian (User ID) |
Storage Locations - Comment | CDC EVENT ID | Event Name (Only displays for 1 event ID)
|
CDC CASE ID | Date Subsample Received in Lab | Subsample Comment | Date Aliquot Received in Lab | Aliquot Comment | |
Sheet 6: Global Submitters
| Submitter ID | Submitter Name | ADDRESS 1 | Address 2 | CITY | STATE | ZIP | COUNTRY | CONTACTID | Contact Type | FULLNAME | PHONE # | FAX | EMAIL2 | Send to email 1 | Send to email 2 | Send to email 3 | |||||||||
| SPHL-000001 | MO State Public Health Laboratory | 101 north Chestnut | P.O. Box 570 | Jefferson City | Missouri | 65101 | United States | [email protected] | 8469 | Designee | Mr Bill Whitmar M.S. | 1-573-751-3334 | 1-573-526-2754 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000002 | ID Bureau of Laboratories | 2220 Old Penitentiary Road | Boise | Idaho | 83712-8299 | United States | [email protected] | 8470 | Designee | Dr Christopher L. Ball PhD | 1-208-334-2235 | 1-208-334-4067 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000003 | MT Public Health Laboratory | 1400 Broadway | Cogswell Building | Helena | Montana | 59601 | United States | [email protected] | 8472 | Designee | Dr Ron Paul PhD | 1-406-444-3444 | 1-406-444-1802 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000004 | OK Public Health Laboratory, Oklahoma State DOH | 1000 NE 10th Street | Oklahoma City | Oklahoma | 73117 | United States | [email protected] | 8474 | Designee | Dr Samuel Terence Dunn PhD | 1-405-271-5070 | 1-405-271-4850 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000005 | TN Division of Laboratory Services | 630 Hart Lane | Nashville | Tennessee | 37216 | United States | [email protected] | 8476 | Designee | Dr Richard Steece PhD | 1-615-262-6300 | 1-615-262-6393 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000006 | MS Public Health Laboratory | 570 East Woodrow Wilson | Thompson Building | Jackson | Mississippi | 39216 | United States | [email protected] | 8478 | Designee | Dr Daphne Ware PhD | 1-601-576-7582 | 1-601-576-7037 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000007 | NM Dept. Health, Scientific Laboratory Division | 1101 Camino de Salud NE | Albuquerque | New Mexico | 87102 | United States | [email protected] | 8480 | Designee | Dr Michael Edwards PhD | 1-505-383-9001 | 1-505-383-9011 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000008 | NC State Laboratory of Public Health | 4312 District Drive | PO Box 28047 | Raleigh | North Carolina | 27611-8047 | United States | [email protected] | 8482 | Designee | Dr Scott M Shone Ph.D, HCL(ABB) | 1-919-733-7834 | 1-919-733-8695 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000009 | IL Dept. of Public Health Springfield Laboratory | 825 N. Rutledge St. | NULL | Springfield | Illinois | 62702 | United States | [email protected] | 8483 | Designee | Mr Matt Charles | 1-312-793-7213 | 1-217-524-7924 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000010 | UT-Unified State Labs: Public Health Utah DOH | 4431 South 2700 West | Taylorsville | Utah | 84129 | United States | [email protected] | 8485 | Designee | Dr Robyn M Atkinson PhD | 1-801-965-2400 | 1-801-969-3704 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000011 | IA State Hygienic Laboratory | 2490 Crosspark Road | Coralville | Iowa | 52241 | United States | [email protected] | 8487 | Designee | Dr Wade Aldous PhD. | 1-319-335-4500 | 1-319-335-4555 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000012 | AZ SPHL, Arizona Department of Health Services | 250 N. 17th Ave | Phoenix | Arizona | 85007 | United States | [email protected] | 8489 | Designee | Dr Victor G Waddell PhD | 1-602-542-1188 | 1-602-542-0760 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000013 | OH Department of Health Laboratory | 8995 East Main Street | Building 22 | Reynoldsburg | Ohio | 43068 | United States | [email protected] | 8490 | Designee | Dr Tammy Bannerman PhD | 1-614-644-4596 | 1-614-387-1505 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000014 | CO Dept. of Public Health and Environment, Lab Services Division | 8100 Lowry Blvd. | Denver | Colorado | 80230 | United States | [email protected] | 8492 | Designee | Dr Emily Travanty PhD | 1-303-692-3090 | 1-303-691-4911 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000015 | DE Public Health Laboratory | 30 Sunnyside Road | Smyrna | Delaware | 19977 | United States | [email protected] | 8493 | Designee | Mr Sergio Huerta | 1-302-223-1520 | 1-302-653-2877 | [email protected] | [email protected] | [email protected] | [email protected] | |||||||||
| SPHL-000016 | SC Dept of Health and Env. Control-Bureau of Laboratories | 8231 Parklane Rd | NULL | Columbia | South Carolina | 29223 | United States | [email protected] | 8494 | Designee | Dr Shahiedy Shahied PhD | 1-803-896-0800 | 1-803-896-0657 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000017 | WY Public Health Laboratory | 208 S. College Dr. | Cheyenne | Wyoming | 82002 | United States | [email protected] | 8496 | Designee | Dr Caitlin Murphy PhD | 1-307-777-7431 | 1-307-777-6422 | [email protected] | [email protected] | [email protected] | [email protected] | |||||||||
| SPHL-000018 | FL Bur. of Public Health Laboratories-Jacksonville | 1217 Pearl Street | Jacksonville | Florida | 32202 | United States | [email protected] | 8498 | Designee | Dr Carina Blackmore DVM, PhD | 1-904-791-1550 | 1-904-791-1567 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000019 | VA-Division of Consolidated Laboratory Services | 600 North 5th Street | NULL | Richmond | Virginia | 23219 | United States | [email protected] | 8500 | Designee | Dr Denise L Toney PhD | 1-804-648-4480 | 1-804-225-4070 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000020 | MI Dept. of Community Health-Bureau of Laboratories | 3350 N. Martin Luther King Jr. BLVD | Lansing | Michigan | 48906 | United States | [email protected] | 8502 | Designee | Dr Sandip H. Shah Ph.D., HCLD(ABB) | 1-517-335-8373 | 1-517-335-9871 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000021 | HI Dept. of Health, State Laboratories Division | 2725 Waimano Home Road | NULL | Pearl City | Hawaii | 96782 | United States | [email protected] | 8504 | Designee | Dr Edward P Desmond Ph.D, D(ABMM) | 1-808-453-6652 | 1-808-453-6662 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000022 | IN State Department of Health Laboratory Services | 550 West 16th Street | Suite B | Indianapolis | Indiana | 46202 | United States | [email protected] | 8506 | Designee | Dr Judith C Lovchik PhD | 1-317-921-5808 | 1-317-927-7801 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000023 | NYSDOH Wadsworth Center | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8508 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000024 | NYSDOH Wadsworth Center, Bacteriology Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8509 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000025 | NYSDOH Wadsworth Center, Virology Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8511 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000026 | NYSDOH Wadsworth Center, Diag. Immunology Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8513 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000027 | NYSDOH Wadsworth Center, Tuberculosis Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8515 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000028 | NYSDOH Wadsworth Center, Biodefense Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8517 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000029 | NYSDOH Wadsworth Center, Parasitology Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8519 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000030 | NYSDOH Wadsworth Center, Mycology Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8521 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000031 | NYSDOH Wadsworth Center, Bloodborne Virus Lab | Axelrod Institute | PO Box 22002 | Albany | New York | 12201 | United States | [email protected] | 8523 | Designee | Dr Jill Taylor PhD | 1-518-474-4177 | 1-518-486-7971 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000032 | KS Health and Environmental Laboratories | 6810 SE Dwight Street | NULL | Topeka | Kansas | 66620 | United States | [email protected] | 8525 | Designee | Mr N. Myron Gunsalus M.S | 1-785-296-0801 | 1-785-296-1641 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000033 | KY State Public Health Lab | 100 Sower Blvd | Suite 204 | Frankfort | Kentucky | 40601 | United States | [email protected] | 8527 | Designee | Dr Jeremy Hart MD | 1-502-564-4446 | 1-502-564-7019 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000034 | MN PHL Division, Minnesota Department of Health | 601 Robert St. N. | St. Paul | Minnesota | 55164-0899 | United States | [email protected] | 8529 | Designee | Dr Joanne Bartkus PhD | 1-651-201-5200 | 1-651-201-5070 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000035 | AR Dept. of Health-Public Health Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8530 | Designee | Dr Glen Baker MD | 1-501-661-2490 | 1-501-280-4050 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000036 | AR Dept. of Health-Pub. Health Lab, Immunology Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8531 | Designee | Dr Glen Baker MD | 1-501-661-2490 | 1-501-280-4050 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000037 | AR Dept. of Health-PHL, Clinical Micro Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8533 | Designee | Dr Eva San Juan MD | 1-501-661-2538 | 1-501-661-2863 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000038 | AR Dept. of Health-PHL, TB/Mycology Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8535 | Designee | Dr Glen Baker MD | 1-501-661-2448 | 1-501-671-1811 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000039 | AR Dept. of Health-PHL, Molecular Diagnostics | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8537 | Designee | Dr Glen Baker MD | 1-501-661-2490 | 1-501-661-2270 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000040 | AR Dept. of Health-PHL/Chemical Terrorism | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | [email protected] | 8539 | Designee | Dr Glen Baker MD | 1-501-940-3208 | 1-501-661-2972 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000041 | SD Public Health Laboratory | 615 East Fourth Street | NULL | Pierre | South Dakota | 57501 | United States | [email protected] | 8541 | Designee | Dr Tim Southern | 1-605-773-3368 | 1-605-773-8201 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000042 | NH Dept. of Health and Human Services Public Health Labs | 29 Hazen Drive | Concord | New Hampshire | 03301-6504 | United States | [email protected] | 8542 | Designee | Dr Christine Bean PhD | 1-603-271-4657 | 1-603-271-4760 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000043 | NJ Public Health and Environmental Laboratories | 3 Schwarzkopf Drive | Ewing | New Jersey | 8628 | United States | [email protected] | 8544 | Designee | Dr Thomas Kirn MD, PhD | 1-609-406-6860 | 1-609-530-8410 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000044 | NYC Department of Health and Mental Hygiene | Public Health Laboratory | 455 First Avenue | New York | New York | 10016 | United States | [email protected] | 8546 | Designee | Dr Jennifer L. Rakeman PhD | 1-212-447-2578 | 1-212-447-2587 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000045 | MA State Public Health Laboratory | 305 South Street | NULL | Jamaica Plain | Massachusetts | 2130 | United States | [email protected] | 8547 | Designee | Dr Sandra Smole PhD. | 1-617-983-6200 | 1-617-983-6211 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000046 | ME Health and Environmental Testing Laboratory | 221 State Street | House Station 12 | Augusta | Maine | 4333 | United States | [email protected] | 8548 | Designee | Dr Kenneth G. Pote PhD | 1-207-287-2727 | 1-207-287-6832 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000047 | AK State Public Health Lab, State Health Department | 5455 Dr. Martin Luther King Jr Avenue | Anchorage | Alaska | 99507 | United States | [email protected] | 8550 | Designee | Dr Bernd Jilly PhD | 1-907-334-2109 | 1-907-334-2161 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000048 | CDPH, Viral and Rickettsial Disease Laboratory | 850 Marina Bay Parkway | Rm. E-361 | Richmond | California | 94804 | United States | [email protected] | 8551 | Designee | Dr Carl Hanson PhD. | 1-510-307-8585 | 1-510-307-8599 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000049 | PR Public Health Lab | Periferal St. Bldg. A, 2nd Fl. | Call Box 70184 | San Juan | Puerto Rico | 936 | United States | [email protected] | 8552 | Designee | Lcdo Rafael L Gonzalez Pena BS, MT | 1-787-765-2929 | 1-787-274-7751 | [email protected] | rlgonzalez@ salud.pr.gov | hirivera@ salud.pr.gov | [email protected] | ||||||||
| SPHL-000050 | RI State Health Laboratories | 50 Orms Street | NULL | Providence | Rhode Island | 2904 | United States | [email protected] | 8554 | Designee | Dr Ewa King PhD | 1-401-222-5600 | 1-401-222-4572 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000051 | AL Dept. of Public Health Bureau of Clinical Laboratories | PO Box 244018 | Montgomery | Alabama | 36124 | United States | [email protected] | 8556 | Designee | Dr Sharon P. Massingale PhD | 1-334-260-3400 | 1-334-274-9800 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000052 | DC Public Health Lab/ Dept. of Forensic Sciences | 401 E Street SW | 4th Floor | Washington | District of Columbia | 20024 | United States | [email protected] | 8557 | Designee | Dr Anthony Tran DrPh/MPH | 1-202-481-3533 | 1-202-724-3927 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000053 | CDPH, Microbial Diseases Laboratory | 850 Marina Bay Parkway | MS E-164 | Richmond | California | 94804 | United States | [email protected] | 8558 | Designee | Dr Carl Hanson PhD | 1-510-412-3700 | 1-510-412-3706 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000054 | ND Dept. of Health Laboratory Services-Microbiology | 2635 East Main Ave | PO Box 5520 | Bismarck | North Dakota | 58506 | United States | [email protected] | 8559 | Designee | Dr Christie Massen PhD | 1-701-328-6288 | 1-701-328-6280 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000055 | CT-Dr. Katherine A. Kelley State Public Health Lab | 395 West Street | PO Box 1689 | Rocky Hill | Connecticut | 6067 | United States | [email protected] | 63648 | Designee | Dr Jafar L Razeq PhD | 1-860-920-6500 | 1-860-920-6718 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000056 | LA Office of Public Health Laboratories | 1209 Leesville Avenue | NULL | Baton Rouge | Louisiana | 70802 | United States | [email protected] | 8563 | Designee | Dr Richard T Tulley | 1-225-219-5235 | 1-225-219-4903 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000057 | VT Dept. of Health Laboratory | 359 South Park Drive | NULL | Colchester | Vermont | 5446 | United States | [email protected] | 8564 | Designee | Ms Helen Reid MPH | 1-802-338-4740 | 1-802-338-4706 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000058 | NE Public Health Laboratory | University of Nebraska Medical Center | 985900 Nebraska Medical Center | Omaha | Nebraska | 68198-5900 | United States | [email protected] | 8566 | Designee | Dr Peter Iwen PhD | 1-402-559-9444 | 1-402-559-7838 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000059 | WI State Laboratory of Hygiene | 2601 Agriculture Drive | Madison | Wisconsin | 53718 | United States | [email protected] | 8568 | Designee | Dr James D Schauer PhD | 1-800-862-1013 | 1-844-390-6233 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000060 | MD DOH Laboratories Administration | 1770 Ashland Avenue | NULL | Baltimore | Maryland | 21205 | United States | [email protected] | 8569 | Designee | Dr Robert A. Myers PhD | 1-443-681-3800 | 1-443-681-4501 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000061 | WVDHHR - Office of Laboratory Services | 167 11th Avenue | South Charleston | West Virginia | 25303 | United States | [email protected] | 8570 | Designee | Ms Sharon L Cibrik MT(AS CP) | 1-304-558-3530 | 1-304-558-2006 | [email protected] | [email protected] | [email protected] | [email protected] | |||||||||
| SPHL-000062 | GA Department of Public Health Laboratory | 1749 Clairmont Road | NULL | Decatur | Georgia | 30033-4050 | United States | [email protected] | 8572 | Designee | Dr Elizabeth Franco DrPH | 1-404-327-7900 | 1-404-327-7919 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000063 | OR State PHL-Virology/Immunology Section | PO Box 275 | Portland | Oregon | 97207-0275 | United States | [email protected] | 155971 | Designee | Dr Jon Fontana | 1-503-693-4100 | 1-503-693-5605 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000064 | OR State PHL-General Microbiology Section | 7202 NE Evergreen Parkway | Suite 100 | Hillsboro | Oregon | 97124 | United States | [email protected] | 155970 | Designee | Dr John Fontana | 1-503-693-4100 | 1-503-693-5604 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000065 | TX DSHS, Lab Services Section MC 1947 | 1100 W. 49th Street | P.O. Box 149347 | Austin | Texas | 78714-9347 | United States | [email protected] | 8577 | Designee | Dr Grace Kubin Ph.D. | 1-512-776-7318 | 1-512-776-7294 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000066 | PA Department of Health, Bureau of Laboratories | 110 Pickering Way | P.O. Box 500 | Exton | Pennsylvania | 19341-1310 | United States | [email protected] | 8578 | Designee | Dr Dongxiang Xia MD | 1-610-280-3464 | 1-610-450-1932 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000067 | NV State Public Health Laboratory | 1660 N. Virginia St. | MS0385 | Reno | Nevada | 89503 | United States | [email protected] | 8580 | Designee | Dr Julia Kiehlbauch MD MPH | 1-775-682-6205 | 1-775-327-2155 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000068 | WA State Department of Health | 1610 NE 150th Street | Shoreline | Washington | 98155-9701 | United States | [email protected] | 8582 | Designee | Dr Romesh Gautom PhD | 1-206-418-5458 | 1-206-364-0339 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000069 | FL Bureau of Public Health Laboratories-Tampa | 3602 Spectrum Blvd | Tampa | Florida | 33612 | United States | [email protected] | 8742 | Designee | Dr Andrew C Cannons Ph.D., HCLD(ABB) | 1-813-974-4002 | 1-813-974-9076 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000070 | FL Bureau of Public Health Laboratories-Pensacola | 50 W. Maxwell St. | Pensacola | Florida | 32501 | United States | [email protected] | 8744 | Designee | Mr William S. Nakashima MPH | 1-850-595-8895 | 1-850-595-6380 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000071 | NV-Southern Nevada Public Health Laboratory | 700 Martin Luther King Jr. Blvd. | Las Vegas | Nevada | 89106 | United States | [email protected] | 155969 | Designee | Dr Ronald Knoblock MD | 1-702-759-1020 | 1-702-759-1444 | [email protected] | [email protected] | [email protected] | NULL | |||||||||
| SPHL-000072 | NV-Southern Nevada Health Dist. Office of Epidemiology | 600 Shadow Lane | Suite 206 | Las Vegas | Nevada | 89106 | United States | [email protected] | 8766 | Designee | Dr John Middaugh PhD | 1-702-759-1300 | 1-702-759-1470 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000073 | CDC Occupational Health Clinic | 1600 Clifton Rd | Building 16, Room 1105, Mailstop A-29 | Atlanta | Georgia | 30329 | United States | [email protected] | 8768 | Designee | Dr Alcia Williams MD, MPH | 1-404-639-3385 | 1-404-639-3166 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000074 | DC -Bureau of Medical Services , US Dept. of State | 2401 E. St. NW (SA-1) | Rm L219 | Washington | District of Columbia | 20522 | United States | [email protected] | 8828 | Designee | Ms Carolyn Mermon MA,MLS(ASCP) | 1-202-663-1735 | 1-202-663-1736 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000075 | NIH Clinical Center, Dept. of Laboratory Medicine | 9000 Rockville Pike, Bldg. 10, Room 2C306 | Bldg. 10, Room 2C306 | Bethesda | Maryland | 20892 | United States | [email protected] | 8830 | Designee | Dr Karen Frank M.D., Ph.D., D(ABMM), | 1-301-402-0317 | 1-301-402-1886 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000076 | CAN-The Toronto Hospital, Tropical Disease Unit | 200 Elizabeth St. | 13NU rm. 1350 | Toronto | NULL | M5G 2C4 | Canada | [email protected] | 8832 | Designee | Dr Andrea Boggild MD | 1-416-340-3675 | 1-416-340-3260 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000077 | CAN-British Columbia PH Microbiology and Ref. Laboratory | Zoonotic Diseases & Emerging Pathogens Program | 655 West 12th Avenue | Vancouver | NULL | V5Z 4R4 | Canada | [email protected] | 8834 | Designee | Dr Muhammad Morshed PhD | 1-604-707-2628 | 1-604-707-2602 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000078 | CAN-Natl Reference Centre for Parasitology (NRCP) | 1001 Decarie Blvd. | RM EM3-3244 | Montreal | NULL | H4A 3J1 | Canada | [email protected] | 8884 | Designee | Dr Ndao Momar DVM, PhD | 1-514-934-1934 | 1-514-934-8347 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000079 | CA-Santa Clara County Public Health Laboratory | 2220 Moorpark Avenue | 2nd floor | San Jose | California | 95128 | United States | [email protected] | 8956 | Designee | Mr Brandon J Bonin MS | 1-408-885-4272 | 1-408-885-4275 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000080 | AUS-Centre for ID and Microbiology Lab Services | Level 3, ICPMR, Institute Road, Westmead Hospital | Westmead | NULL | 2145 | Australia | [email protected] | 8958 | Designee | Dr Rogan Lee | 61-2-98456255 | 61-2-98938659 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000081 | DC-The Parasitology Laboratory of Washington | 2141 K St NW | Suite 408 | Washington | District of Columbia | 20037 | United States | [email protected] | 8960 | Designee | Dr Martin S Wolfe MD. | 1-202-466-8109 | 1-202-331-0290 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000082 | OH-Cincinnati Childrens Hospital Medical Center | 3333 Burnet Ave. | 3333 Burnet Ave. | Cincinnati | Ohio | 45229 | United States | [email protected] | 9050 | Designee | Dr Paul Steele | 1-513-636-3061 | 1-513-636-8850 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000083 | MA-Tufts Medical Center, Send-out Department | 800 Washington Street | Boston | Massachusetts | 2111 | United States | [email protected] | 9052 | Designee | James Roger | 1-617-636-7205 | 1-617-636-8113 | [email protected] | NULL | NULL | NULL | |||||||||
| SPHL-000084 | FL Bureau of Public Health Laboratories-Miami | 1325 NW 14th Avenue | Miami | Florida | 33125 | United States | [email protected] | 9087 | Designee | Stephen White MS | 1-305-324-2432 | 1-305-325-2560 | [email protected] | [email protected] | [email protected] | [email protected] | |||||||||
| SPHL-000085 | CA-LAC+USC Medical Center | Department of Pathology, Microbiology Laboratory | 1200 North State Street, Clinic Tower A7A | Los Angeles | California | 90033 | United States | [email protected] | 9093 | Designee | Dr Ira Shulman MD | 1-323-409-7012 | 1-323-441-8106 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000087 | IL Department of Public Health Chicago Laboratory | 2121 West Taylor | 2nd floor | Chicago | Illinois | 60612 | United States | [email protected] | 9181 | Designee | Mr Matt Charles | 1-312-793-4760 | 1-312-793-0426 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000088 | IL Dept. of Public Health Carbondale Laboratory | 1155 S. Oakland Ave | PO Box 2797 | Carbondale | Illinois | 62902-2797 | United States | [email protected] | 9183 | Designee | Mr Matt Charles | 1-618-457-5131 | 1-618-457-6995 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000089 | CAN-British Columbia PH Micro and Ref. Lab, PHSA, Parasitology Sec | (Room 4029) 655 West 12th Avenue | Vancouver | NULL | V5Z 4R4 | Canada | [email protected] | 9185 | Designee | Dr Muhammad Morshed PhD | 1-604-707-2629 | 1-604-707-2654 | [email protected] | [email protected] | [email protected] | [email protected] | |||||||||
| SPHL-000090 | DNK-Tech. University of Denmark, Natl Food Institute | Kemitorvet | Bldg. 204ST | DK-2800 Lyngby | NULL | Denmark | [email protected] | 9216 | Designee | Dr Frank Aarestrup PhD | 45-35-88 62 88 | - - | [email protected] | NULL | NULL | NULL | |||||||||
| SPHL-000092 | NY-Jacobi Med. Ctr.-Parasitic and Trop. Disease Lab | 1400 Pelham Parkway | Bldg. # 1, 5 floor, Rm 5NW-9 | South Bronx | New York | 10461 | United States | [email protected] | 9275 | Designee | Dr Stephen Apfelroth MD, PhD. | 1-718-918-4455 | 1-718-918-7908 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000095 | TTO-The Caribbean Public Health Agency (CARPHA) | 16-18 Jamaica Blvd | NULL | St. Clair | NULL | NULL | Trinidad and Tobago | [email protected] | 9390 | Designee | Dr Gabriel M Gonzalez-Escobar MD | 1-868-622 4261 | 1-868-628 9302 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000096 | TX-Houston Health Department Laboratory | 2250 Holcombe Blvd | NULL | Houston | Texas | 77030 | United States | [email protected] | 9501 | Designee | Dr Larry Seigler Ph.D.,DABCC | 1-832-393-3975 | 1-832-393-3983 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000097 | FDA-Northeast Regional Laboratory, U.S. FDA | 158-15 Liberty Avenue | Jamaica | New York | 11433-1034 | United States | [email protected] | 9502 | Designee | Dr Michael Palmieri | 1-718-662-5450 | 1-718-662-5439 | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000098 | CA-Placer County Public Health Laboratory | 11475 C Avenue | Auburn | California | 95603 | United States | [email protected] | 9586 | Designee | Dr Musau WaKabongo | 1-530-889-7205 | 1-530-889-7209 | [email protected] | NULL | NULL | NULL | |||||||||
| SPHL-000100 | IA-Natl Ctrs. for Animal Hlth, Nat. Vet Svcs. Lab | Diagnostic Bacteriology Laboratory | 1920 Dayton Ave | Ames | Iowa | 50010 | United States | [email protected] | 9841 | Designee | Dr Matthew Erdman DVM | 1-515-337-7565 | 1-515-337-7569 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000121 | HTI-Laboratoire National de Sante Publique | Delmas 33 et Rue Charbonnier No 2 | NULL | Port au Prince | NULL | NULL | Haiti | [email protected] | 10049 | Designee | Dr Jacques Boncy MD | 509-3-701 8692 | -- | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000123 | FL Department of Health-Bureau of Epidemiology | 4052 Bald Cypress Way | Bin A-12 | Tallahassee | Florida | 32399-1720 | United States | [email protected] | 10264 | Designee | Mr Jim Matthaias MPH | 1-850-245-4444 | 1-850-414-6894 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000124 | FDA-Natl Center for Toxicological Research | 3900 NCTR Road | Jefferson | Arkansas | 72079 | United States | [email protected] | 10383 | Designee | Dr Ashraf Kahn PhD | 870- -543-7601 | 870- -543-7307 | [email protected] | [email protected] | |||||||||||
| SPHL-000126 | FRA-Institut Pasteur, Enteric Bacterial Pathogens Unit | 28 Rue du Docteur Roux | cedex 15 | Paris | NULL | 75724 | France | [email protected] | 10524 | Designee | Dr Francois-Xavier Weill MD, PhD | 33-1-45-68-80-37 | 33-1-40-61-31-37 | [email protected] | [email protected] | ||||||||||
| SPHL-000127 | CAP-College of American Pathologists | PT Survey Program | 325 Waukegan Road | Northfield | Illinois | 60093 | United States | [email protected] | 300010704 | Designee | David Lonsway | -5163 | -- | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000128 | WHO/NICD, External Quality Assessment Reference Unit | Private Bag X4 | NULL | Sandringham | NULL | 2131 | South Africa | [email protected] | 42163 | Designee | Dr Olga Perovic | 27-0-11 555 0344 | 27-0-11 555 0430 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000129 | USDA ARS WRRC, Produce Safety and MicroBio Research | 800 Buchanan Street | NULL | Albany | California | 94710 | United States | [email protected] | 42167 | Designee | Dr Lisa Gorsky PhD | 1-510-559-5986 | 1-510-559-6162 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000130 | CDPH-Vector-Borne Disease Section | 850 Marina Bay Parkway | MS E-164 | Richmond | California | 94804 | United States | [email protected] | 42173 | Designee | Dr Kerry Padgett | 1-510-412-6252 | 1-510-412-3706 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000131 | TX DSHS, Zoonosis Control Branch | 1100 W. 49th Street | MC-1956 | Austin | Texas | 78756 | United States | [email protected] | 42177 | Designee | Ms Bonny Mayes MA, RYT | 1-512-776-6545 | 1-512-776-7454 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000132 | CDPH-Vector-Borne Disease Section - Ontario | 2151 Convention Center Way | Suite 218B | Ontario | California | 91764 | United States | [email protected] | 42187 | Designee | Dr Marco Metzger PhD | 1-909-937-3448 | 1-909-937-3456 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000133 | AR Dept. of Health-PHL, Zoonotic Disease Section | 201 S. Monroe | NULL | Little Rock | Arkansas | 72205 | United States | [email protected] | 46426 | Designee | Dr Glen Baker MD | 1-870-405-0707 | 1-870-424-6646 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000134 | USDA/FSIS/OPHS/EL/MCB | 950 College Station Rd | NULL | Athens | Georgia | 30605 | United States | [email protected] | 53611 | Designee | Dr Glenn Tillman PhD | 1-706-546-2428 | 1-706-546-3144 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000135 | ETH-Public Health Institute/Virology Research Team | Arbegnoch Street | P.O.Box 1242 | Addis Ababa | NULL | NULL | Ethiopia | [email protected] | 60916 | Designee | Ms Beyene Berhane BSc,MBA | 252-911-214969 | 251-211-754744 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000136 | CAN-PH Agency of Canada, National Microbiology Lab | 1015 Arlington St. H1590 | NULL | Winnipeg | Manitoba | R3E 3R2 | Canada | [email protected] | 75796 | Designee | Dr Celine Nadon PhD | 1-202-784-7507 | 1-202-789-5012 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000137 | VI-US Virgin Islands Department of Health | 3500 Estate Richmond | NULL | Christiansted | Virgin Islands of the U.S. | 820 | United States | [email protected] | 120036 | Designee | Dr Brett Ellis PhD | 1-340-718-1311 | 1-340-718-1508 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000138 | CO-United States Olympic Committee | 1 Olympic Plaza | NULL | Colorado Springs | Colorado | 80909 | United States | [email protected] | 145553 | Designee | William J Moreau | 719-306-5588 | 719-866-4093 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000139 | PER-NAMRU-6 | Venezuela Avenue, Bellavista Callao | NULL | Callao | NULL | 51 | Peru | [email protected] | 156981 | Designee | Dr Jimena Rivera PhD | 051--6144414 | 051--6144174 | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000140 | CA-Los Angeles County Public Health Laboratory | 12750 Erickson Ave | NULL | Downey | California | 90242 | United States | [email protected] | 196009 | Designee | Dr Nicole Green PhD | 1-562-658-1488 | -- | [email protected] | NULL | NULL | NULL | ||||||||
| SPHL-000141 | FDA-Arkansas Regional Laboratory-Denver Analyst | Denver Federal Center, Building 20 | NULL | Denver | Colorado | 80225 | United States | [email protected] | 196011 | Designee | Dr Michael Wichman PhD | 1-303-236-9675 | -- | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000142 | TX Brooke Army Medical Center | 3951 Roger Brooke Dr. | NULL | San Antonio | Texas | 78234 | United States | [email protected] | 200453 | Designee | Dr Edward Ager | 1-210-916-1817 | 1-210-916-5696 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000143 | CAN-Cadham Provincial Lab | P.O.BOX 8450 | 750 William Ave. | Winnipeg | Manitoba | R3C 3Y1 | Canada | [email protected] | 200455 | Designee | Dr Kamran Kadkhoda | 1-204-945-7545 | 1-204-786-4770 | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000146 | OH-Wright-Patterson AFB | USAFSAM/PHE Epi Lab Service, Bldg. 20840, Rm. W308E | 2510 Fifth Street | Dayton | Ohio | 45433-7913 | United States | [email protected] | 200463 | Designee | Dr Elizabeth Macias | 1-937-938-3175 | -- | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000147 | COL-Instituto Nacional de Salud | Avenida calle 26 #51-20 Zona 6 CAN | NULL | Bogotá | 111321 | Colombia | [email protected] | 201964 | Designee | Carolina Duarte Valderrama | 57-1-220 7700 | -- | [email protected] | NULL | NULL | NULL | |||||||||
| SPHL-000148 | CA-Veterans Affairs Palo Alto Healthcare System | 3801 Miranda Ave | Bldg MB4 Room 416 | Palo Alto | California | 94304 | United States | [email protected] | 300010705 | Designee | Mark Winters | 1-650-493-5000 | -- | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000149 | CAN-Public Health Agency of Canada, Zoonotic and Special Pathogens Division | 1015 Arlington St. H1590 | NULL | Winnipeg | Manitoba | R3E 3R2 | Canada | [email protected] | 203968 | Designee | Ms Dimitrova Kristina | 1-204-789-2106 | -- | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000150 | NGA-Nigeria Centre For Disease Control | Plot 801, Ebitu Ukiwe Street, Jabi | NULL | Abuja | NULL | Nigeria | [email protected] | 205916 | Designee | Dr Chikwe Ihekweazu PhD | 234-803-355-9994 | -- | [email protected] | [email protected] | NULL | NULL | |||||||||
| SPHL-000151 | CSTOR Public Health Lab | 2220 Old Penitentiary Road | NULL | Boise | Idaho | 83712-8299 | United States | [email protected] | 209187 | Designee | Vidya Ramachandra | 1-208-334-2235 | 1-208-334-4067 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000152 | DC - Peace Corps Headquarters | 1111 20th St. NW | NULL | Washington | District of Columbia | 20526 | United States | [email protected] | 212671 | Designee | Dr Kyle Petersen MD | 1-202-692-2082 | 1-202-692-1501 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000154 | OH - Wright Patterson AFB HIV CLIA Activity | USAFSAM/PHE Epi Lab Service | 2510 Fifth St. Bldg. 20840 | Dayton | Ohio | 45433-7951 | United States | [email protected] | 300000799 | Designee | Ms. Jennifer Voehringer MT(ASCP) | 1-937-938-3227 | -- | [email protected] | [email protected] | NULL | NULL | ||||||||
| SPHL-000155 | CDC Dengue Branch | 1324 Calle Cañada | NULL | San Juan | Puerto Rico | 920 | United States | [email protected] | 300000780 | Designee | Dr. Jorge Munz-Jordan PhD | 1-787-706-2399 | 1-787-706-2496 | [email protected] | [email protected] | [email protected] | [email protected] | ||||||||
| SPHL-000156 | University of Minnesota | 420 Delaware Street SE | 1260 Mayo Building | Minneapolis | Minnesota | 55454-1075 | United States | [email protected] | 300000976 | Designee | Dr Claudia Munoz-Zani PhD | 1-612-625-3182 | 1-612-624-3229 | [email protected] | [email protected] | [email protected] | NULL | ||||||||
| SPHL-000157 | PR - Biological and Chemical Emergencies Lab Office of Public Health Preparedness and Response | 1334 Calle Canada | San Juan | Puerto Rico | 920 | United States | [email protected] | 300010706 | Designee | Marangely Olivero | 1-787-765-2929 | -- | [email protected] | [email protected] | [email protected] | NULL |
Sheet 7: FastLookup
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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