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Client Services Manual Public Health Laboratory CLIENT SERVICES MANUAL PUBLIC HEALTH LABORATORY COUNTY OF SANTA CLARA 2220 MOORPARK AVE, 2ND FLOOR SAN JOSE, CA 95128 (P) 408.885.4272 | (F) 408.885.4275 http://www.sccgov.org/sites /sccphd/en-us/HealthProviders/Lab Patricia Dadone, Public Health Laboratory Director Sara H. Cody, MD, Health Officer and Public Health Director Table of Contents 1 GENERAL INFORMATION ............................................................................................... 1.1 ROLE .............................................................................................................................................................. 1.1 MISSION STATEMENT ..................................................................................................................................... 1.1 ABBREVIATIONS.............................................................................................................................................. 1.2 LABORATORY CERTIFICATIONS ........................................................................................................................ 1.4 CLIENT SERVICES ............................................................................................................................................ 1.5 Hours of Operation: .............................................................................................................................. 1.5 Supplies ................................................................................................................................................... 1.5 Test Reporting ........................................................................................................................................ 1.9 TESTING POLICIES .......................................................................................................................................... 1.9 Cancellations and Additions ................................................................................................................. 1.9 STAT Requests ........................................................................................................................................ 1.9 Repeat Testing ........................................................................................................................................ 1.9 Specimen Returns and Forwards .......................................................................................................... 1.9 Referral Testing ................................................................................................................................... 1.10 Test Changes ....................................................................................................................................... 1.10 MANDATED REPORTING .............................................................................................................................. 1.10 For Laboratories ................................................................................................................................. 1.10 For Physicians ...................................................................................................................................... 1.10 PRIVACY PRACTICES .................................................................................................................................... 1.31 2 SPECIMEN SUBMISSION .................................................................................................. 2.1 GENERAL SUBMISSION INSTRUCTIONS ............................................................................................................ 2.1 SELECT AGENTS/BIOTERRORISM GUIDE ......................................................................................................... 2.3 TEST REQUISITION FORMS .............................................................................................................................. 2.9 COLLECTION & TRANSPORT GUIDES ........................................................................................................... 2.21 For Select Tests ................................................................................................................................... 2.21 By Specialty ......................................................................................................................................... 2.21 PACKAGING AND SHIPPING ........................................................................................................................ 2.53 3 TESTING SERVICES .......................................................................................................... 3.1 ALTERNATIVE NAMES FOR TESTING SERVICES ................................................................................................. 3.1 BACTERIOLOGY .............................................................................................................................................. 3.3 CHEMISTRY ................................................................................................................................................. 3.23 ENVIRONMENTAL ........................................................................................................................................ 3.25 MYCOBACTERIOLOGY ................................................................................................................................. 3.29 MYCOLOGY ............................................................................................................................................... 3.33 PARASITOLOGY .......................................................................................................................................... 3.35 SELECT AGENTS / BIOTERRORISM ............................................................................................................... 3.47 SEROLOGY ................................................................................................................................................. 3.51 VETERINARY ................................................................................................................................................ 3.65 9/18/2014 Santa Clara County Public Health Department i Table of Contents VIROLOGY .................................................................................................................................................. 3.67 TESTS AVAILABLE AT CDC ........................................................................................................................... 3.95 4 OTHER SERVICES ............................................................................................................ 4.1 PHLEBOTOMY SERVICES ................................................................................................................................. 4.1 COURIER SERVICES ......................................................................................................................................... 4.1 NGHA (NON-DIAGNOSTIC GENERAL HEALTH ASSESSMENT) ........................................................................ 4.1 General Information .............................................................................................................................. 4.1 NGHA Frequently Asked Questions .................................................................................................... 4.2 NGHA Application ................................................................................................................................. 4.4 NGHA Checklist ..................................................................................................................................... 4.4 NGHA Legal Statute ............................................................................................................................. 4.4 5 APPENDIX ....................................................................................................................... 5.1 INDEX ............................................................................................................................................................. 5.1 ACKNOWLEDGEMENTS .................................................................................................................................. 5.7 9/19/2014 Santa Clara County Public Health Department ii General Information 1 1 General Information Role Public health laboratories serve a key role in our health system. While clinical laboratories cater to the health of the individual, public health laboratories address the health needs of the community as a whole. As a result, public health laboratories focus on disease prevention and control, epidemiological investigations, and environmental health risks. Public health microbiologists specialize in infectious diseases, serving as a valuable resource for local laboratories and physicians in the identification of certain microbes. In addition, public health laboratories are critical in detecting and responding to health emergencies, including, novel strains of disease, natural disasters, chemical spills, food-borne outbreaks, and bioterrorism. Santa Clara County Public Health Laboratory (SCCPHL) works in collaboration with the California State Public Health Department (CPHD), Centers for Disease Control and Prevention (CDC) and other federal agencies including the Environmental Protection Agency, the Food and Drug Administration, the Federal Bureau of Investigation
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