0920-1309 GFAT v5.2
Enterprise Laboratory Information Management System
Global File Accessioning Template (GFAT) Version 5.2.xlsx
OMB: 0920-1309
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1309 can be found here:
Document [xlsx]
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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.: 0920-1309 Expiration date: 11/30/2023 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 0920-1309 |
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: 5.2 |
| 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 STARLIMS@cdc.gov. |
| 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 | White | Black or African American | Asian | American Indian and Alaska Native | Native Hawaiian and Other Pacific Islander | 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 | labweb1@health.mo.gov | 8469 | Designee | Mr Bill Whitmar M.S. | 1-573-751-3334 | 1-573-526-2754 | labweb1@health.mo.gov | labweb1@health.mo.gov | NULL | NULL | ||||||||
| SPHL-000002 | ID Bureau of Laboratories | 2220 Old Penitentiary Road | Boise | Idaho | 83712-8299 | United States | statelab@dhw.idaho.gov | 8470 | Designee | Dr Christopher L. Ball PhD | 1-208-334-2235 | 1-208-334-4067 | statelab@dhw.idaho.gov | statelab@dhw.idaho.gov | NULL | NULL | |||||||||
| SPHL-000003 | MT Public Health Laboratory | 1400 Broadway | Cogswell Building | Helena | Montana | 59601 | United States | mtphl@mt.gov | 8472 | Designee | Dr Ron Paul PhD | 1-406-444-3444 | 1-406-444-1802 | mtphl@mt.gov | mtphl@mt.gov | HHSPublicHealthLaboratory@mt.gov | NULL | ||||||||
| SPHL-000004 | OK Public Health Laboratory, Oklahoma State DOH | 1000 NE 10th Street | Oklahoma City | Oklahoma | 73117 | United States | PHLCDCReports@health.ok.gov | 8474 | Designee | Dr Samuel Terence Dunn PhD | 1-405-271-5070 | 1-405-271-4850 | PHLCDCReports@health.ok.gov | PHLCDCReports@health.ok.gov | NULL | NULL | |||||||||
| SPHL-000005 | TN Division of Laboratory Services | 630 Hart Lane | Nashville | Tennessee | 37216 | United States | DASH.CDC@tn.gov | 8476 | Designee | Dr Richard Steece PhD | 1-615-262-6300 | 1-615-262-6393 | DASH.CDC@tn.gov | DASH.CDC@tn.gov | NULL | NULL | |||||||||
| SPHL-000006 | MS Public Health Laboratory | 570 East Woodrow Wilson | Thompson Building | Jackson | Mississippi | 39216 | United States | CDCreports@msdh.state.ms.us | 8478 | Designee | Dr Daphne Ware PhD | 1-601-576-7582 | 1-601-576-7037 | CDCreports@msdh.state.ms.us | CDCreports@msdh.state.ms.us | NULL | NULL | ||||||||
| SPHL-000007 | NM Dept. Health, Scientific Laboratory Division | 1101 Camino de Salud NE | Albuquerque | New Mexico | 87102 | United States | SLD.BSB@state.nm.us | 8480 | Designee | Dr Michael Edwards PhD | 1-505-383-9001 | 1-505-383-9011 | SLD.BSB@state.nm.us | SLD.BSB@state.nm.us | NULL | NULL | |||||||||
| SPHL-000008 | NC State Laboratory of Public Health | 4312 District Drive | PO Box 28047 | Raleigh | North Carolina | 27611-8047 | United States | SLPH.CDCREPORTS@dhhs.nc.gov | 8482 | Designee | Dr Scott M Shone Ph.D, HCL(ABB) | 1-919-733-7834 | 1-919-733-8695 | SLPH.CDCREPORTS@dhhs.nc.gov | SLPH.CDCREPORTS@dhhs.nc.gov | NULL | NULL | ||||||||
| SPHL-000009 | IL Dept. of Public Health Springfield Laboratory | 825 N. Rutledge St. | NULL | Springfield | Illinois | 62702 | United States | DPH.Lab.Springfield@illinois.gov | 8483 | Designee | Mr Matt Charles | 1-312-793-7213 | 1-217-524-7924 | DPH.Lab.Springfield@illinois.gov | DPH.Lab.Springfield@illinois.gov | NULL | NULL | ||||||||
| SPHL-000010 | UT-Unified State Labs: Public Health Utah DOH | 4431 South 2700 West | Taylorsville | Utah | 84129 | United States | uphl@utah.gov | 8485 | Designee | DR Eric D Christensen MD | 1-801-965-2400 | 1-801-969-3704 | uphl@utah.gov | uphl@utah.gov | NULL | NULL | |||||||||
| SPHL-000011 | IA State Hygienic Laboratory | 2490 Crosspark Road | Coralville | Iowa | 52241 | United States | SHL-ReferenceTest@uiowa.edu | 8487 | Designee | Dr Wade Aldous PhD. | 1-319-335-4500 | 1-319-335-4555 | SHL-ReferenceTest@uiowa.edu | SHL-ReferenceTest@uiowa.edu | NULL | NULL | |||||||||
| SPHL-000012 | AZ SPHL, Arizona Department of Health Services | 250 N. 17th Ave | Phoenix | Arizona | 85007 | United States | CDC-ASPHL.Lab.Reports@azdhs.gov | 8489 | Designee | Dr Victor G Waddell PhD | 1-602-542-1188 | 1-602-542-0760 | CDC-ASPHL.Lab.Reports@azdhs.gov | CDC-ASPHL.Lab.Reports@azdhs.gov | NULL | NULL | |||||||||
| SPHL-000013 | OH Department of Health Laboratory | 8995 East Main Street | Building 22 | Reynoldsburg | Ohio | 43068 | United States | ODHLABS@odh.ohio.gov | 8490 | Designee | Dr Tammy Bannerman PhD | 1-614-644-4596 | 1-614-387-1505 | ODHLABS@odh.ohio.gov | ODHLABS@odh.ohio.gov | NULL | NULL | ||||||||
| SPHL-000014 | CO Dept. of Public Health and Environment, Lab Services Division | 8100 Lowry Blvd. | Denver | Colorado | 80230 | United States | CDPHE.LSD_CDCReports@state.co.us | 8492 | Designee | Dr Emily Travanty PhD | 1-303-692-3090 | 1-303-691-4911 | CDPHE.LSD_CDCReports@state.co.us | CDPHE.LSD_CDCReports@state.co.us | NULL | NULL | |||||||||
| SPHL-000015 | DE Public Health Laboratory | 30 Sunnyside Road | Smyrna | Delaware | 19977 | United States | DHSS_DPHL_CDC_Reports@delaware.gov | 8493 | Designee | Mr Sergio Huerta | 1-302-223-1520 | 1-302-653-2877 | DHSS_DPHL_CDC_Reports@delaware.gov | DHSS_DPHL_CDC_Reports@delaware.gov | Karen.pollard@delaware.gov | Ria.Allman@delaware.gov | |||||||||
| SPHL-000016 | SC Dept of Health and Env. Control-Bureau of Laboratories | 8231 Parklane Rd | NULL | Columbia | South Carolina | 29223 | United States | SC_LAB_RESULTS@dhec.sc.gov | 8494 | Designee | Dr Shahiedy Shahied PhD | 1-803-896-0800 | 1-803-896-0657 | SC_LAB_RESULTS@dhec.sc.gov | SC_LAB_RESULTS@dhec.sc.gov | NULL | NULL | ||||||||
| SPHL-000017 | WY Public Health Laboratory | 208 S. College Dr. | Cheyenne | Wyoming | 82002 | United States | wphl@wyo.gov | 8496 | Designee | Dr Cari Sloma PhD | 1-307-777-7431 | 1-307-777-6422 | wphl@wyo.gov | wphl@wyo.gov | noah.hull@wyo.gov | danielle.stafford@wyo.gov | |||||||||
| SPHL-000018 | FL Bur. of Public Health Laboratories-Jacksonville | 1217 Pearl Street | Jacksonville | Florida | 32202 | United States | DLBPHL_CDCReports@flhealth.gov | 8498 | Designee | Dr Carina Blackmore DVM, PhD | 1-904-791-1550 | 1-904-791-1567 | DLBPHL_CDCReports@flhealth.gov | DLBPHL_CDCReports@flhealth.gov | marie-claire.rowlinson@flhealth.gov | NULL | |||||||||
| SPHL-000019 | VA-Division of Consolidated Laboratory Services | 600 North 5th Street | NULL | Richmond | Virginia | 23219 | United States | CDCLabReports@dgs.virginia.gov | 8500 | Designee | Dr Denise L Toney PhD | 1-804-648-4480 | 1-804-225-4070 | CDCLabReports@dgs.virginia.gov | CDCLabReports@dgs.virginia.gov | NULL | NULL | ||||||||
| SPHL-000020 | MI - Michigan Department of Health and Human Services - Bureau of Laboratories | 3350 N. Martin Luther King Jr. BLVD | Lansing | Michigan | 48906 | United States | CDCReports@michigan.gov | 8502 | Designee | Dr Sandip H. Shah Ph.D., HCLD(ABB) | 1-517-335-8373 | 1-517-335-9871 | CDCReports@michigan.gov | CDCReports@michigan.gov | shahs@michigan.gov | NULL | |||||||||
| SPHL-000021 | HI Dept. of Health, State Laboratories Division | 2725 Waimano Home Road | NULL | Pearl City | Hawaii | 96782 | United States | Cdc.results@doh.hawaii.gov | 8504 | Designee | Dr Edward P Desmond Ph.D, D(ABMM) | 1-808-453-6652 | 1-808-453-6662 | Cdc.results@doh.hawaii.gov | Cdc.results@doh.hawaii.gov | edward.desmond@doh.hawaii.gov | remedios.gose@doh.hawaii.gov | ||||||||
| SPHL-000022 | IN State Department of Health Laboratory Services | 550 West 16th Street | Suite B | Indianapolis | Indiana | 46202 | United States | ISDHCDCLabReports@isdh.IN.gov | 8506 | Designee | Dr Lixia Liu PhD | 1-317-921-5808 | 1-317-927-7801 | ISDHCDCLabReports@isdh.IN.gov | ISDHCDCLabReports@isdh.IN.gov | lliu@isdh.in.gov | mglazier@isdh.IN.gov | ||||||||
| SPHL-000023 | NYSDOH Wadsworth Center | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | wcid@health.ny.gov | 8508 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | wcid@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000024 | NYSDOH Wadsworth Center, Bacteriology Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | bactilab@health.ny.gov | 8509 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | bactilab@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000025 | NYSDOH Wadsworth Center, Virology Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | virology@health.ny.gov | 8511 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | virology@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000026 | NYSDOH Wadsworth Center, Diag. Immunology Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | dilab@health.ny.gov | 8513 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | dilab@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000027 | NYSDOH Wadsworth Center, Tuberculosis Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | tblab@health.ny.gov | 8515 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | tblab@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000028 | NYSDOH Wadsworth Center, Biodefense Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | btrlab@health.ny.gov | 8517 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | btrlab@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000029 | NYSDOH Wadsworth Center, Parasitology Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | wcfpd@health.ny.gov | 8519 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | wcfpd@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000030 | NYSDOH Wadsworth Center, Mycology Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | mycology@health.ny.gov | 8521 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | mycology@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000031 | NYSDOH Wadsworth Center, Bloodborne Virus Lab | Axelrod Institute | 120 New Scotland Avenue | Albany | New York | 12208 | United States | bbv@health.ny.gov | 8523 | Designee | Dr Kimberlee A Musser PhD | 1-518-474-4177 | 1-518-486-7971 | bbv@health.ny.gov | wcid@health.ny.gov | NULL | NULL | ||||||||
| SPHL-000032 | KS Health and Environmental Laboratories | 6810 SE Dwight Street | NULL | Topeka | Kansas | 66620 | United States | Khelinfo@kdheks.gov | 8525 | Designee | Mr N. Myron Gunsalus M.S | 1-785-296-0801 | 1-785-296-1641 | Khelinfo@kdheks.gov | Khelinfo@kdheks.gov | epihotline@kdheks.gov | NULL | ||||||||
| SPHL-000033 | KY State Public Health Lab | 100 Sower Blvd | Suite 204 | Frankfort | Kentucky | 40601 | United States | chfs.dls@ky.gov | 8527 | Designee | Dr Jeremy Hart MD | 1-502-564-4446 | 1-502-564-7019 | chfs.dls@ky.gov | chfs.dls@ky.gov | Matthew.Johnson@ky.gov | NULL | ||||||||
| SPHL-000034 | MN PHL Division, Minnesota Department of Health | 601 Robert St. N. | St. Paul | Minnesota | 55164-0899 | United States | Health.idlabreports@state.mn.us | 8529 | Designee | Dr Sarah Vetter PhD | 1-651-201-5200 | 1-651-201-5070 | Health.idlabreports@state.mn.us | Health.idlabreports@state.mn.us | NULL | NULL | |||||||||
| SPHL-000035 | AR Dept. of Health-Public Health Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | ADH.lab@arkansas.gov | 8530 | Designee | Dr Katie Seely PhD | 1-501-661-2490 | 1-501-280-4050 | ADH.lab@arkansas.gov | ADH.lab@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000036 | AR Dept. of Health-Pub. Health Lab, Immunology Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | Linda.Henson@arkansas.gov | 8531 | Designee | Dr Katie Seely PhD | 1-501-661-2490 | 1-501-280-4050 | Linda.Henson@arkansas.gov | Linda.Henson@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000037 | AR Dept. of Health-PHL, Clinical Micro Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | Jennifer.shray@arkansas.gov | 8533 | Designee | Dr Katie Seely PhD | 1-501-661-2538 | 1-501-661-2863 | Jennifer.shray@arkansas.gov | Jennifer.shray@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000038 | AR Dept. of Health-PHL, TB/Mycology Lab | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | jane.voyles@arkansas.gov | 8535 | Designee | Dr Katie Seely PhD | 1-501-661-2448 | 1-501-671-1811 | jane.voyles@arkansas.gov | jane.voyles@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000039 | AR Dept. of Health-PHL, Molecular Diagnostics | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | hui.deng@arkansas.gov | 8537 | Designee | Dr Katie Seely PhD | 1-501-661-2490 | 1-501-661-2270 | hui.deng@arkansas.gov | hui.deng@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000040 | AR Dept. of Health-PHL/Chemical Terrorism | 201 S. Monroe | Little Rock | Arkansas | 72205 | United States | jeffery.moran@arkansas.gov | 8539 | Designee | Dr Katie Seely PhD | 1-501-940-3208 | 1-501-661-2972 | jeffery.moran@arkansas.gov | jeffery.moran@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | |||||||||
| SPHL-000041 | SD Public Health Laboratory | 615 East Fourth Street | NULL | Pierre | South Dakota | 57501 | United States | SDPHL@state.sd.us | 8541 | Designee | Dr Tim Southern | 1-605-773-3368 | 1-605-773-8201 | SDPHL@state.sd.us | SDPHL@state.sd.us | NULL | NULL | ||||||||
| SPHL-000042 | NH Dept. of Health and Human Services Public Health Labs | 29 Hazen Drive | Concord | New Hampshire | 03301-6504 | United States | PHL_LIMS_GROUP@dhhs.nh.gov | 8542 | Designee | Dr Christine Bean PhD | 1-603-271-4657 | 1-603-271-4760 | PHL_LIMS_GROUP@dhhs.nh.gov | PHL_LIMS_GROUP@dhhs.nh.gov | NULL | NULL | |||||||||
| SPHL-000043 | NJ Public Health and Environmental Laboratories | 3 Schwarzkopf Drive | Ewing | New Jersey | 08628 | United States | NJPHEL.reports@doh.nj.gov | 8544 | Designee | Dr Thomas Kirn MD, PhD | 1-609-406-6860 | 1-609-530-8410 | NJPHEL.reports@doh.nj.gov | NJPHEL.reports@doh.nj.gov | NULL | NULL | |||||||||
| SPHL-000044 | NYC Department of Health and Mental Hygiene | Public Health Laboratory | 455 First Avenue | New York | New York | 10016 | United States | PHLCDCLabReports@health.nyc.gov | 8546 | Designee | Dr Jennifer L. Rakeman PhD | 1-212-447-2578 | 1-212-447-2587 | PHLCDCLabReports@health.nyc.gov | PHLCDCLabReports@health.nyc.gov | NULL | NULL | ||||||||
| SPHL-000045 | MA State Public Health Laboratory | 305 South Street | NULL | Jamaica Plain | Massachusetts | 02130 | United States | cdc.ereports.dph@state.ma.us | 8547 | Designee | Dr Sandra Smole PhD. | 1-617-983-6200 | 1-617-983-6211 | cdc.ereports.dph@state.ma.us | cdc.ereports.dph@state.ma.us | tracy.stiles@state.ma.us | cdcereports@massmail.state.ma.us | ||||||||
| SPHL-000046 | ME Health and Environmental Testing Laboratory | 221 State Street | House Station 12 | Augusta | Maine | 04333 | United States | Ken.Pote@maine.gov | 8548 | Designee | Dr Kenneth G. Pote PhD | 1-207-287-2727 | 1-207-287-6832 | Ken.Pote@maine.gov | lori.webber@maine.gov | heather.grieser@maine.gov | Nicholas.Matluk@maine.gov | ||||||||
| SPHL-000047 | AK State Public Health Lab, State Health Department | 5455 Dr. Martin Luther King Jr Avenue | Anchorage | Alaska | 99507 | United States | jayme.Parker@alaska.gov | 8550 | Designee | Jayme Parker PhD | 1-907-334-2109 | 1-907-334-2161 | jayme.Parker@alaska.gov | jayme.Parker@alaska.gov | jennifer.eastman@alaska.gov | NULL | |||||||||
| SPHL-000048 | CDPH, Viral and Rickettsial Disease Laboratory | 850 Marina Bay Parkway | Rm. E-361 | Richmond | California | 94804 | United States | VRDL.Mail@cdph.ca.gov | 8551 | Designee | Dr Carl Hanson PhD. | 1-510-307-8585 | 1-510-307-8599 | VRDL.Mail@cdph.ca.gov | VRDL.Mail@cdph.ca.gov | NULL | NULL | ||||||||
| SPHL-000049 | PR Public Health Lab | Periferal St. Bldg. A, 2nd Fl. | Call Box 70184 | San Juan | Puerto Rico | 00936 | United States | rlgonzalez@salud.gov.pr | 8552 | Designee | Lcdo Rafael L Gonzalez Pena BS, MT | 1-787-765-2929 | 1-787-274-7751 | rlgonzalez@salud.gov.pr | rlgonzalez@salud.pr.gov | hirivera@salud.pr.gov | ricuevas@salud.pr.gov | ||||||||
| SPHL-000050 | RI State Health Laboratories | 50 Orms Street | NULL | Providence | Rhode Island | 02904 | United States | DOH.RILabreports@health.ri.gov | 8554 | Designee | Dr Ewa King PhD | 1-401-222-5600 | 1-401-222-4572 | DOH.RILabreports@health.ri.gov | DOH.RILabreports@health.ri.gov | ewa.king@health.ri.gov | cindy.vanner@health.ri.gov | ||||||||
| SPHL-000051 | AL Dept. of Public Health Bureau of Clinical Laboratories | P. O. Box 1000 | 204 Legends Court | Prattville | Alabama | 36067-9901 | United States | clab@adph.state.al.us | 8556 | Designee | Dr Sharon P. Massingale PhD | 1-334-260-3400 | 1-334-285-6642 | clab@adph.state.al.us | clab@adph.state.al.us | 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 | DFS.CDCReports@dc.gov | 8557 | Designee | Dr Luke Short PhD | 1-202-727-6929 | 1-202-724-3927 | DFS.CDCReports@dc.gov | luke.short@dc.gov | matthew.mccarroll@dc.gov | ZikaLab@dc.gov | ||||||||
| SPHL-000053 | CDPH, Microbial Diseases Laboratory | 850 Marina Bay Parkway | MS E-164 | Richmond | California | 94804 | United States | CDPHMDLCDCReports@cdph.ca.gov | 8558 | Designee | Dr Carl Hanson PhD | 1-510-412-3700 | 1-510-412-3706 | CDPHMDLCDCReports@cdph.ca.gov | CDPHMDLCDCReports@cdph.ca.gov | NULL | NULL | ||||||||
| SPHL-000054 | ND Dept. of Health Laboratory Services-Microbiology | 2635 East Main Ave | PO Box 5520 | Bismarck | North Dakota | 58506 | United States | laboratory@nd.gov | 8559 | Designee | Dr Christie Massen PhD | 1-701-328-6288 | 1-701-328-6280 | laboratory@nd.gov | laboratory@nd.gov | NULL | NULL | ||||||||
| SPHL-000055 | CT-Dr. Katherine A. Kelley State Public Health Lab | 395 West Street | PO Box 1689 | Rocky Hill | Connecticut | 06067 | United States | KatherineAKelleyPHL@ct.gov | 63648 | Designee | Dr Jafar L Razeq PhD | 1-860-920-6500 | 1-860-920-6718 | KatherineAKelleyPHL@ct.gov | KatherineAKelleyPHL@ct.gov | DPH.LabResults@ct.gov | NULL | ||||||||
| SPHL-000056 | LA Office of Public Health Laboratories | 1209 Leesville Avenue | NULL | Baton Rouge | Louisiana | 70802 | United States | oph.publichealthlab@la.gov | 8563 | Designee | Dr Beverly Ogden MD | 1-225-219-5235 | 1-225-219-4903 | oph.publichealthlab@la.gov | Richard.Tulley@LA.GOV | danielle.haydel@la.gov | oph.publichealthlab@la.gov | ||||||||
| SPHL-000057 | VT Dept. of Health Laboratory | 359 South Park Drive | NULL | Colchester | Vermont | 05446 | United States | AHS.VDHLabCDCMailbox@vermont.gov | 8564 | Designee | Ms Helen Reid MPH | 1-802-338-4740 | 1-802-338-4706 | AHS.VDHLabCDCMailbox@vermont.gov | AHS.VDHLabCDCMailbox@vermont.gov | NULL | NULL | ||||||||
| SPHL-000058 | NE Public Health Laboratory | University of Nebraska Medical Center | 985900 Nebraska Medical Center | Omaha | Nebraska | 68198-5900 | United States | nphl.pfge@unmc.edu | 8566 | Designee | Dr Peter Iwen PhD | 1-402-559-9444 | 1-402-559-7838 | nphl.pfge@unmc.edu | emily.mccutchen@unmc.edu | NULL | NULL | ||||||||
| SPHL-000059 | WI State Laboratory of Hygiene | 2601 Agriculture Drive | Madison | Wisconsin | 53718 | United States | HMCustomerServiceStaff@mail.slh.wisc.edu | 8568 | Designee | Dr James D Schauer PhD | 1-800-862-1013 | 1-844-390-6233 | HMCustomerServiceStaff@mail.slh.wisc.edu | HMCustomerServiceStaff@mail.slh.wisc.edu | NULL | NULL | |||||||||
| SPHL-000060 | MD DOH Laboratories Administration | 1770 Ashland Avenue | NULL | Baltimore | Maryland | 21205 | United States | maryland.cdc@maryland.gov | 8569 | Designee | Dr Robert A. Myers PhD | 1-443-681-3800 | 1-443-681-4501 | maryland.cdc@maryland.gov | maryland.cdc@maryland.gov | robert.myers-phd@maryland.gov | NULL | ||||||||
| SPHL-000061 | WVDHHR - Office of Laboratory Services | 167 11th Avenue | South Charleston | West Virginia | 25303 | United States | DHHROLS@wv.gov | 8570 | Designee | Ms Sharon L Cibrik MT(AS CP) | 1-304-558-3530 | 1-304-558-2006 | DHHROLS@wv.gov | Christi.D.Clark@wv.gov | Sharon.L.Cibrik@wv.gov | lindsay.r.barr@wv.gov | |||||||||
| SPHL-000062 | GA Department of Public Health Laboratory | 1749 Clairmont Road | NULL | Decatur | Georgia | 30033-4050 | United States | Arthur.Hagar@dph.ga.gov | 8572 | Designee | Dr Arthur F Hagar PhD, HCLD | 1-404-327-7900 | 1-404-327-7919 | Arthur.Hagar@dph.ga.gov | Arthur.Hagar@dph.ga.gov | NULL | NULL | ||||||||
| SPHL-000063 | OR State PHL-Virology/Immunology Section | PO Box 275 | Portland | Oregon | 97207-0275 | United States | CDCreports.Virology@dhsoha.state.or.us | 155971 | Designee | Dr Jon Fontana | 1-503-693-4100 | 1-503-693-5604 | CDCreports.Virology@dhsoha.state.or.us | CDCreports.Virology@dhsoha.state.or.us | NULL | NULL | |||||||||
| SPHL-000064 | OR State PHL-General Microbiology Section | 7202 NE Evergreen Parkway | Suite 100 | Hillsboro | Oregon | 97124 | United States | CDCreports.Micro@dhsoha.state.or.us | 155970 | Designee | Dr John Fontana | 1-503-693-4100 | 1-503-693-5604 | CDCreports.Micro@dhsoha.state.or.us | CDCreports.Micro@dhsoha.state.or.us | 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 | Lab.Microbiology@dshs.texas.gov | 8577 | Designee | Dr Grace Kubin Ph.D. | 1-512-776-7318 | 1-512-776-7294 | Lab.Microbiology@dshs.texas.gov | Lab.Microbiology@dshs.texas.gov | Tammy.Campos@dshs.texas.gov | LaToya.Pittman@dshs.texas.gov | ||||||||
| SPHL-000066 | PA Department of Health, Bureau of Laboratories | 110 Pickering Way | P.O. Box 500 | Exton | Pennsylvania | 19341-1310 | United States | ra-dhpareports@pa.gov | 8578 | Designee | Dr Dongxiang Xia MD | 1-610-280-3464 | 1-610-450-1932 | ra-dhpareports@pa.gov | ra-dhpareports@pa.gov | NULL | NULL | ||||||||
| SPHL-000067 | NV State Public Health Laboratory | 1660 N. Virginia St. | MS0385 | Reno | Nevada | 89503 | United States | NSPHLFLU@medicine.nevada.edu | 8580 | Designee | Dr Mark W Pandori PhD, HCLD(ABB) | 1-775-682-6205 | 1-775-327-2155 | NSPHLFLU@medicine.nevada.edu | svanhooser@medicine.nevada.edu | smorzunov@medicine.nevada.edu | NULL | ||||||||
| SPHL-000068 | WA State Department of Health | 1610 NE 150th Street | Shoreline | Washington | 98155-9701 | United States | PHL.Microbiology@DOH.WA.GOV | 8582 | Designee | Dr Romesh Gautom PhD | 1-206-418-5458 | 1-206-364-0339 | PHL.Microbiology@DOH.WA.GOV | PHL.Microbiology@DOH.WA.GOV | NULL | NULL | |||||||||
| SPHL-000069 | FL Bureau of Public Health Laboratories-Tampa | 3602 Spectrum Blvd | Tampa | Florida | 33612 | United States | BPHL29FL@flhealth.gov | 8742 | Designee | Dr Andrew C Cannons Ph.D., HCLD(ABB) | 1-813-974-4002 | 1-813-974-9076 | BPHL29FL@flhealth.gov | BPHL29FL@flhealth.gov | NULL | NULL | |||||||||
| SPHL-000070 | FL Bureau of Public Health Laboratories-Pensacola | 50 W. Maxwell St. | Pensacola | Florida | 32501 | United States | BPHL17FL@flhealth.gov | 8744 | Designee | Mr William S. Nakashima MPH | 1-850-595-8895 | 1-850-595-6380 | BPHL17FL@flhealth.gov | BPHL17FL@flhealth.gov | NULL | NULL | |||||||||
| SPHL-000071 | NV-Southern Nevada Public Health Laboratory | 700 Martin Luther King Jr. Blvd. | Las Vegas | Nevada | 89106 | United States | SNPHL@snhd.org | 155969 | Designee | Dr Joseph Benson MD | 1-702-759-1020 | 1-702-759-1444 | SNPHL@snhd.org | SNPHL@snhd.org | carifo@snhdmail.org | NULL | |||||||||
| SPHL-000072 | NV-Southern Nevada Health Dist. Office of Epidemiology | 600 Shadow Lane | Suite 206 | Las Vegas | Nevada | 89106 | United States | rowley@snhdmail.org | 8766 | Designee | Dr John Middaugh PhD | 1-702-759-1300 | 1-702-759-1470 | rowley@snhdmail.org | NULL | NULL | NULL | ||||||||
| SPHL-000073 | CDC Occupational Health Clinic | 1600 Clifton Rd | Building 16, Room 1105, Mailstop A-29 | Atlanta | Georgia | 30329 | United States | DutyNurse@cdc.gov | 8768 | Designee | Dr Leah Gilbert MD | 1-404-639-3385 | 1-404-639-3166 | DutyNurse@cdc.gov | DutyNurse@cdc.gov | wji4@cdc.gov | hbw2@cdc.gov | ||||||||
| 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 | medlabresults@state.gov | 8828 | Designee | Ms Carolyn Mermon MA,MLS(ASCP) | 1-202-663-1735 | 1-202-663-1736 | medlabresults@state.gov | medlabresults@state.gov | wattswl@state.gov | 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 | CC-DLMMICROCDCEREPORT@mail.NIH.gov | 8830 | Designee | Dr Karen Frank M.D., Ph.D., D(ABMM), | 1-301-402-0317 | 1-301-402-1886 | CC-DLMMICROCDCEREPORT@mail.NIH.gov | CC-DLMMICROCDCEREPORT@mail.NIH.gov | karen.frank@NIH.gov | NULL | ||||||||
| SPHL-000076 | CAN-The Toronto Hospital, Tropical Disease Unit | 200 Elizabeth St. | 13NU rm. 1350 | Toronto | NULL | M5G 2C4 | Canada | andrea.boggild@uhn.ca | 8832 | Designee | Dr Andrea Boggild MD | 1-416-340-3675 | 1-416-340-3260 | andrea.boggild@uhn.ca | 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 | _BCCDC_Nvserol@phsa.ca | 8834 | Designee | Dr Muhammad Morshed PhD | 1-604-707-2628 | 1-604-707-2602 | _BCCDC_Nvserol@phsa.ca | _BCCDC_Nvserol@phsa.ca | Navdeep.chahil@bccdc.ca | Jonathan.Laley@bccdc.ca | ||||||||
| SPHL-000078 | CAN-Natl Reference Centre for Parasitology (NRCP) | 1001 Decarie Blvd. | RM EM3-3244 | Montreal | NULL | H4A 3J1 | Canada | momar.ndao@mcgill.ca | 8884 | Designee | Dr Ndao Momar DVM, PhD | 1-514-934-1934 | 1-514-934-8347 | momar.ndao@mcgill.ca | NULL | NULL | NULL | ||||||||
| SPHL-000079 | CA-Santa Clara County Public Health Laboratory | 2220 Moorpark Avenue | 2nd floor | San Jose | California | 95128 | United States | phlab@phd.sccgov.org | 8956 | Designee | Mr Brandon J Bonin MS | 1-408-885-4272 | 1-408-885-4275 | phlab@phd.sccgov.org | brandon.bonin@phd.sccgov.org | laura.galli@phd.sccgov.org | NULL | ||||||||
| SPHL-000080 | AUS-Centre for ID and Microbiology Lab Services | Level 3, ICPMR, Institute Road, Westmead Hospital | Westmead | NULL | 2145 | Australia | rogan.lee@health.nsw.gov.au | 8958 | Designee | Dr Rogan Lee | 61-2-98456255 | 61-2-98938659 | rogan.lee@health.nsw.gov.au | rogan.lee@health.nsw.gov.au | NULL | NULL | |||||||||
| SPHL-000081 | DC-The Parasitology Laboratory of Washington | 2141 K St NW | Suite 408 | Washington | District of Columbia | 20037 | United States | tmsdc@verizon.net | 8960 | Designee | Dr Martin S Wolfe MD. | 1-202-466-8109 | 1-202-331-0290 | tmsdc@verizon.net | NULL | NULL | NULL | ||||||||
| SPHL-000082 | OH-Cincinnati Childrens Hospital Medical Center | 3333 Burnet Ave. | 3333 Burnet Ave. | Cincinnati | Ohio | 45229 | United States | Deborah.Malott@cchmc.org | 9050 | Designee | Dr Paul Steele | 1-513-636-3061 | 1-513-636-8850 | Deborah.Malott@cchmc.org | Deborah.Malott@cchmc.org | NULL | NULL | ||||||||
| SPHL-000083 | MA-Tufts Medical Center, Send-out Department | 800 Washington Street | Boston | Massachusetts | 02111 | United States | wedwards@tuftsmedicalcenter.org | 9052 | Designee | James Roger | 1-617-636-7205 | 1-617-636-8113 | wedwards@tuftsmedicalcenter.org | NULL | NULL | NULL | |||||||||
| SPHL-000084 | FL Bureau of Public Health Laboratories-Miami | 1325 NW 14th Avenue | Miami | Florida | 33125 | United States | BPHL13FL@flhealth.gov | 9087 | Designee | Dr Stephen White PhD | 1-305-324-2432 | 1-305-325-2560 | BPHL13FL@flhealth.gov | stephen.white@flhealth.gov | elesi.quaye@flhealth.gov | mary.cook@flhealth.gov | |||||||||
| 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 | jsimley@dhs.lacounty.gov | 9093 | Designee | Dr Ira Shulman MD | 1-323-409-7012 | 1-323-441-8106 | jsimley@dhs.lacounty.gov | jsimley@dhs.lacounty.gov | rdelosangeles@dhs.lacounty.gov | rkunishima@dhs.lacounty.gov | ||||||||
| SPHL-000087 | IL Department of Public Health Chicago Laboratory | 2121 West Taylor | 2nd floor | Chicago | Illinois | 60612 | United States | DPH.Lab.Chicago@illinois.gov | 9181 | Designee | Mr Leslie Chapman | 1-312-793-4760 | 1-312-793-0426 | DPH.Lab.Chicago@illinois.gov | DPH.Lab.Chicago@illinois.gov | Judy.Kauerauf@Illinois.gov | Connie.Austin@Illinois.gov | ||||||||
| SPHL-000088 | IL Dept. of Public Health Carbondale Laboratory | 1155 S. Oakland Ave | PO Box 2797 | Carbondale | Illinois | 62902-2797 | United States | DPH.Lab.Carbondale@illinois.gov | 9183 | Designee | Mr Matt Charles | 1-618-457-5131 | 1-618-457-6995 | DPH.Lab.Carbondale@illinois.gov | DPH.Lab.Carbondale@illinois.gov | 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 | _BCCDC_Para@phsa.ca | 9185 | Designee | Dr Muhammad Morshed PhD | 1-604-707-2629 | 1-604-707-2654 | _BCCDC_Para@phsa.ca | _BCCDC_Para@phsa.ca | quantine.wong@bccdc.ca | teresa.lo@bccdc.ca | |||||||||
| SPHL-000090 | DNK-Tech. University of Denmark, Natl Food Institute | Kemitorvet | Bldg. 204ST | DK-2800 Lyngby | NULL | Denmark | fmaa@food.dtu.dk | 9216 | Designee | Dr Frank Aarestrup PhD | 45-35-88 62 88 | - - | fmaa@food.dtu.dk | 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 | Carmen.heredia@nychhc.org | 9275 | Designee | Dr Stephen Apfelroth MD, PhD. | 1-718-918-4455 | 1-718-918-7908 | Carmen.heredia@nychhc.org | NULL | NULL | NULL | ||||||||
| SPHL-000095 | TTO-The Caribbean Public Health Agency (CARPHA) | 16-18 Jamaica Blvd | NULL | St. Clair | NULL | NULL | Trinidad and Tobago | escobaga@carpha.org | 9390 | Designee | Dr Gabriel M Gonzalez-Escobar MD | 1-868-622 4261 | 1-868-628 9302 | escobaga@carpha.org | escobaga@carpha.org | nathansu@carpha.org | peterske@carpha.org | ||||||||
| SPHL-000096 | TX-Houston Health Department Laboratory | 2250 Holcombe Blvd | NULL | Houston | Texas | 77030 | United States | Meilan.Bielby@houstontx.gov | 9501 | Designee | Dr Larry Seigler Ph.D.,DABCC | 1-832-393-3975 | 1-832-393-3983 | Meilan.Bielby@houstontx.gov | NULL | meilan.bielby@houstontx.gov | larry.seigler@houstontx.gov | ||||||||
| SPHL-000097 | FDA-Northeast Regional Laboratory, U.S. FDA | 158-15 Liberty Avenue | Jamaica | New York | 11433-1034 | United States | michael.palmieri@fda.hhs.gov | 9502 | Designee | Dr Michael Palmieri | 1-718-662-5450 | 1-718-662-5439 | michael.palmieri@fda.hhs.gov | michael.palmieri@fda.hhs.gov | NULL | NULL | |||||||||
| SPHL-000098 | CA-Placer County Public Health Laboratory | 11475 C Avenue | Auburn | California | 95603 | United States | MWaKabon@placer.ca.gov | 9586 | Designee | Dr Musau WaKabongo | 1-530-889-7205 | 1-530-889-7209 | MWaKabon@placer.ca.gov | 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 | Matthew.M..Erdman@aphis.usda.gov | 9841 | Designee | Dr Matthew Erdman DVM | 1-515-337-7565 | 1-515-337-7569 | Matthew.M..Erdman@aphis.usda.gov | 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 | jboncy2001@yahoo.fr | 10049 | Designee | Dr Jacques Boncy MD | 509-3-701 8692 | -- | jboncy2001@yahoo.fr | jboncy2001@yahoo.fr | mousson18@yahoo.fr | NULL | ||||||||
| SPHL-000123 | FL Department of Health-Bureau of Epidemiology | 4052 Bald Cypress Way | Bin A-12 | Tallahassee | Florida | 32399-1720 | United States | james.matthias@flhealth.gov | 10264 | Designee | Mr Jim Matthaias MPH | 1-850-245-4444 | 1-850-414-6894 | james.matthias@flhealth.gov | james.matthias@flhealth.gov | scott.pritchard@flhealth.gov | NULL | ||||||||
| SPHL-000124 | FDA-Natl Center for Toxicological Research | 3900 NCTR Road | Jefferson | Arkansas | 72079 | United States | ashraf.khan@fda.hhs.gov | 10383 | Designee | Dr Ashraf Kahn PhD | 870- -543-7601 | 870- -543-7307 | ashraf.khan@fda.hhs.gov | ashraf.khan@fda.hhs.gov | |||||||||||
| SPHL-000126 | FRA-Institut Pasteur, Enteric Bacterial Pathogens Unit | 28 Rue du Docteur Roux | cedex 15 | Paris | NULL | 75724 | France | bpe@pasteur.fr | 10524 | Designee | Dr Francois-Xavier Weill MD, PhD | 33-1-45-68-80-37 | 33-1-40-61-31-37 | bpe@pasteur.fr | fxweill@pasteur.fr | ||||||||||
| SPHL-000127 | CAP-College of American Pathologists | PT Survey Program | 325 Waukegan Road | Northfield | Illinois | 60093 | United States | dul7@cdc.gov | 300010704 | Designee | David Lonsway | -5163 | -- | dul7@cdc.gov | NULL | NULL | NULL | ||||||||
| SPHL-000128 | WHO/NICD, External Quality Assessment Reference Unit | Private Bag X4 | NULL | Sandringham | NULL | 2131 | South Africa | nicdwhoqa@nicd.ac.za | 42163 | Designee | Dr Olga Perovic | 27-0-11 555 0344 | 27-0-11 555 0430 | nicdwhoqa@nicd.ac.za | nicdwhoqa@nicd.ac.za | crystalv@nicd.ac.za | NULL | ||||||||
| SPHL-000129 | USDA ARS WRRC, Produce Safety and MicroBio Research | 800 Buchanan Street | NULL | Albany | California | 94710 | United States | michael.cooley@ars.usda.gov | 42167 | Designee | Dr Lisa Gorsky PhD | 1-510-559-5986 | 1-510-559-6162 | michael.cooley@ars.usda.gov | michael.cooley@ars.usda.gov | lisa.gorski@ars.usda.gov | NULL | ||||||||
| SPHL-000130 | CDPH-Vector-Borne Disease Section | 850 Marina Bay Parkway | MS E-164 | Richmond | California | 94804 | United States | VBDS@CDPH.CA.GOV | 42173 | Designee | Dr Kerry Padgett | 1-510-412-6252 | 1-510-412-3706 | VBDS@CDPH.CA.GOV | CDPHMDLCDCReports@cdph.ca.gov | NULL | NULL | ||||||||
| SPHL-000131 | TX DSHS, Zoonosis Control Branch | 1100 W. 49th Street | MC-1956 | Austin | Texas | 78756 | United States | feedback.IDCU@dshs.texas.gov | 42177 | Designee | Ms Bonny Mayes MA, RYT | 1-512-776-6545 | 1-512-776-7454 | feedback.IDCU@dshs.texas.gov | bonny.mayes@dshs.texas.gov | Kathy.Parker@dshs.texas.gov | NULL | ||||||||
| SPHL-000132 | CDPH-Vector-Borne Disease Section - Ontario | 2151 Convention Center Way | Suite 218B | Ontario | California | 91764 | United States | marco.metzger@cdph.ca.gov | 42187 | Designee | Dr Marco Metzger PhD | 1-909-937-3448 | 1-909-937-3456 | marco.metzger@cdph.ca.gov | marco.metzger@cdph.ca.gov | renjie.hu@cdph.ca.gov | NULL | ||||||||
| SPHL-000133 | AR Dept. of Health-PHL, Zoonotic Disease Section | 201 S. Monroe | NULL | Little Rock | Arkansas | 72205 | United States | adh.zoonotic@arkansas.gov | 46426 | Designee | Dr Katie Seely PhD | 1-870-405-0707 | 1-870-424-6646 | adh.zoonotic@arkansas.gov | adh.zoonotic@arkansas.gov | KATIE.SEELY@ARKANSAS.GOV | NULL | ||||||||
| SPHL-000134 | USDA/FSIS/OPHS/EL/MCB | 950 College Station Rd | NULL | Athens | Georgia | 30605 | United States | outbreakspfge@fsis.usda.gov | 53611 | Designee | Dr Glenn Tillman PhD | 1-706-546-2428 | 1-706-546-3144 | outbreakspfge@fsis.usda.gov | outbreakspfge@fsis.usda.gov | NULL | NULL | ||||||||
| SPHL-000135 | ETH-Public Health Institute/Virology Research Team | Arbegnoch Street | P.O.Box 1242 | Addis Ababa | NULL | NULL | Ethiopia | Berhane12@yahoo.com | 60916 | Designee | Ms Beyene Berhane BSc,MBA | 252-911-214969 | 251-211-754744 | Berhane12@yahoo.com | Berhane12@yahoo.com | lkb8@cdc.gov | daddi_jima@yahoo.com | ||||||||
| SPHL-000136 | CAN-PH Agency of Canada, National Microbiology Lab | 1015 Arlington St. H1590 | NULL | Winnipeg | Manitoba | R3E 3R2 | Canada | NML.Enterics@phac-aspc.gc.ca | 75796 | Designee | Dr Celine Nadon PhD | 1-202-784-7507 | 1-202-789-5012 | NML.Enterics@phac-aspc.gc.ca | NML.Enterics@phac-aspc.gc.ca | Kristina.dimitrova@canada.ca | NULL | ||||||||
| SPHL-000137 | VI-US Virgin Islands Department of Health | 3500 Estate Richmond | NULL | Christiansted | Virgin Islands of the U.S. | 00820 | United States | esther.ellis@doh.vi.gov | 120036 | Designee | Dr Brett Ellis PhD | 1-340-718-1311 | 1-340-718-1508 | esther.ellis@doh.vi.gov | brett.ellis@doh.vi.gov | Esther.ellis@doh.vi.gov | joy.joseph@doh.vi.gov | ||||||||
| SPHL-000138 | CO-United States Olympic Committee | 1 Olympic Plaza | NULL | Colorado Springs | Colorado | 80909 | United States | bill.moreau@usoc.org | 145553 | Designee | William J Moreau | 719-306-5588 | 719-866-4093 | bill.moreau@usoc.org | bill.moreau@usoc.org | Brett.guimard@usoc.org | duf8@cdc.gov | ||||||||
| SPHL-000139 | PER-NAMRU-6 | Venezuela Avenue, Bellavista Callao | NULL | Callao | NULL | 051 | Peru | guillermo.pimentel.mil@mail.mil | 156981 | Designee | Dr Jimena Rivera PhD | 051--6144414 | 051--6144174 | guillermo.pimentel.mil@mail.mil | NULL | NULL | NULL | ||||||||
| SPHL-000140 | CA-Los Angeles County Public Health Laboratory | 12750 Erickson Ave | NULL | Downey | California | 90242 | United States | nicgreen@ph.lacounty.gov | 196009 | Designee | Dr Nicole Green PhD | 1-562-658-1488 | -- | nicgreen@ph.lacounty.gov | NULL | NULL | NULL | ||||||||
| SPHL-000141 | FDA-Arkansas Regional Laboratory-Denver Analyst | Denver Federal Center, Building 20 | NULL | Denver | Colorado | 80225 | United States | michael.wichman@fda.hhs.gov | 196011 | Designee | Dr Michael Wichman PhD | 1-303-236-9675 | -- | michael.wichman@fda.hhs.gov | shauna.madson@fda.hhs.gov | NULL | NULL | ||||||||
| SPHL-000142 | TX Brooke Army Medical Center | 3951 Roger Brooke Dr. | NULL | San Antonio | Texas | 78234 | United States | edward.p.ager.mil@mail.mil | 200453 | Designee | Dr Edward Ager | 1-210-916-1817 | 1-210-916-5696 | edward.p.ager.mil@mail.mil | edward.p.ager.mil@mail.mil | NULL | NULL | ||||||||
| SPHL-000143 | CAN-Cadham Provincial Lab | P.O.BOX 8450 | 750 William Ave. | Winnipeg | Manitoba | R3C 3Y1 | Canada | kamran.kadkhoda@gov.mb.ca | 200455 | Designee | Dr Kamran Kadkhoda | 1-204-945-7545 | 1-204-786-4770 | kamran.kadkhoda@gov.mb.ca | kamran.kadkhoda@gov.mb.ca | 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 | elizabeth.macias@us.af.mil | 200463 | Designee | Dr Elizabeth Macias | 1-937-938-3175 | -- | elizabeth.macias@us.af.mil | elizabeth.macias@us.af.mil | NULL | NULL | ||||||||
| SPHL-000147 | COL-Instituto Nacional de Salud | Avenida calle 26 #51-20 Zona 6 CAN | NULL | Bogotá | 111321 | Colombia | cduarte@ins.gov.co | 201964 | Designee | Carolina Duarte Valderrama | 57-1-220 7700 | -- | cduarte@ins.gov.co | 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 | mark.winters@va.gov | 300010705 | Designee | Mark Winters | 1-650-493-5000 | -- | mark.winters@va.gov | mark.winters@va.gov | 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 | Kristina.dimitrova@canada.ca | 203968 | Designee | Ms Dimitrova Kristina | 1-204-789-2106 | -- | Kristina.dimitrova@canada.ca | Kristina.dimitrova@canada.ca | NULL | NULL | ||||||||
| SPHL-000150 | NGA-Nigeria Centre For Disease Control | Plot 801, Ebitu Ukiwe Street, Jabi | NULL | Abuja | NULL | Nigeria | info@ncdc.gov.ng | 205916 | Designee | Dr Chikwe Ihekweazu PhD | 234-803-355-9994 | -- | info@ncdc.gov.ng | oyeladun.okunromade@ncdc.gov.ng | NULL | NULL | |||||||||
| SPHL-000151 | CSTOR Public Health Lab | 2220 Old Penitentiary Road | NULL | Boise | Idaho | 83712-8299 | United States | yqk1@cdc.gov | 209187 | Designee | Vidya Ramachandra | 1-208-334-2235 | 1-208-334-4067 | yqk1@cdc.gov | yqk1@cdc.gov | ock8@cdc.gov | NULL | ||||||||
| SPHL-000152 | DC - Peace Corps Headquarters | 1111 20th St. NW | NULL | Washington | District of Columbia | 20526 | United States | kpetersen@peacecorps.gov | 212671 | Designee | Dr Kyle Petersen MD | 1-202-692-2082 | 1-202-692-1501 | kpetersen@peacecorps.gov | kpetersen@peacecorps.gov | lstonehill@peacecorps.gov | 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 | jennifer.voehringer.ctr@us.af.mil | 300000799 | Designee | Ms. Jennifer Voehringer MT(ASCP) | 1-937-938-3227 | -- | jennifer.voehringer.ctr@us.af.mil | jennifer.voehringer.ctr@us.af.mil | NULL | NULL | ||||||||
| SPHL-000156 | University of Minnesota | 420 Delaware Street SE | 1260 Mayo Building | Minneapolis | Minnesota | 55454-1075 | United States | CDCReportsPR@umn.edu | 300000976 | Designee | Dr Claudia Munoz-Zani PhD | 1-612-625-3182 | 1-612-624-3229 | CDCReportsPR@umn.edu | CDCReportsPR@umn.edu | munozzan@umn.edu | NULL | ||||||||
| SPHL-000157 | PR - Biological and Chemical Emergencies Lab Office of Public Health Preparedness and Response | 1334 Calle Canada | San Juan | Puerto Rico | 00920 | United States | jfalcon@salud.pr.gov | 300010706 | Designee | Marangely Olivero | 1-787-765-2929 | -- | jfalcon@salud.pr.gov | jfalcon@salud.pr.gov | jomil.torres@salud.pr.gov | NULL | |||||||||
| SPHL-000159 | GU - Guam Public Health Laboratory | 761 S. Marine Corps Drive | RanCare Bldg.,3rd floor, West Wing | Tamuning | Guam | 96913 | United States | annemarie.santos@dphss.guam.gov | 240098 | Designee | Mrs Anne Marie G Santos BS. MT | 1-671-300-9085 | 1-671-300-9989 | annemarie.santos@dphss.guam.gov | annemarie.santos@dphss.guam.gov | alan.mallari@dphss.guam.gov | lea.nisay@dphss.guam.gov | ||||||||
| SPHL-000160 | MP - Commonwealth Health Center | 1 Lower Navy Hill Road | P.O. Box 500409 | Saipan | Northern Mariana Islands | 96950 | United States | lab@chcc.health | 240100 | Designee | Dr Philip A Dauternan MD | 1-670-236-8395 | 1-670-236-8612 | lab@chcc.health | lab@chcc.health | alan.mallari@dphss.guam.gov | 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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