Bureau of Public Health Laboratories Forms

Application for Certification of Environmental Testing Laboratories

Clinical Lab Submission Form DH1847

Domestic Security Environmental Sample Submission Form - Biological

Order form for newborn specimen collection cards (DH 677)

  
 
NOTICE To All Users of Newborn Screening Specimen Collection Cards (DH677):
If you have any expired specimen cards, please DISCARD them. Specimens collected on expired cards will be REJECTED.

ACCEPTABLE cards have the following lot numbers and expiration dates:

Lot W102 Exp Date: 2014-02
Lot W111 Exp Date: 2014-07
Lot W111 Exp Date: 2015-01
Lot W112 Exp Date: SEP-2015
Lot W113 Exp Date: FEB-2016
Cards with lot numbers higher than W113

Fax a request to Newborn Screening Laboratory if more cards are needed.

Attention to: Nita, Joan or Danielle
Fax: 904-791-1637
Phone: 904-791-1572