Fillable Zika Virus Testing And Report Form (Page 4 of 6) in pdf

Zika Virus Testing And Report Form Page 4

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conditions must be followed or sample will be rejected. Proper storage and transport conditions preserve

analyte integrity within the sample. Samples submitted with incomplete intake information, incomplete

patient history, incomplete or discrepant patient sample identifiers and labelling information, or incomplete

test request form will not be tested.

7. For consultation regarding appropriate testing, provider should contact the Los Angeles County

Department of Public Health Acute Communicable Disease Control (ACDC). ACDC can be contacted by

calling 213-240-7941 during business hours. After hours, weekends, or holidays contact the County

Operator (option 8) and ask for the Public Health Physician on call at 213-974-1234.

8. For questions regarding specimen collection or laboratory interpretation, provider should contact the Los

Angeles County Public Health Laboratories. The laboratory can be contacted at 562-658-1330 during

business hours. After hours, weekends, or holidays contact the County Operator (option 8) and ask for the

Public Health Laboratories Director at 213-974-1234.

9. Laboratory samples should be sent to:

Los Angeles County Public Health Laboratories

12750 Erickson Avenue

Downey, CA 90242

Phone 562-658-1330

Fax 562-401-5999

At this time, laboratory samples for Zika testing should not be sent directly to the California State

Department of Public Health or Centers for Disease Control.

If provider does not have access to courier services, the Public Health Laboratories will assist to arrange

for sample pick up. Courier arrangements are made by calling Public Health Laboratories Central

Accessioning Unit at 562-658-1460.

10. Provider may be required to complete additional forms for receiving results by fax if not currently a client of

the Los Angeles County Public Health Laboratories. Note, convalescent serum or an additional serum

sample may be requested depending on laboratory results.

ZIKA VIRUS TESTING AND REPORT FORM AND INSTRUCTIONS - ZikaInfoTestReq (6/23/16)

Page 4 of 6

CONFIDENTIAL – This material is subject to the Official Information Privilege Act

Zika Virus Testing And Report Form Page 4

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