State Health Departments and other Federal Agencies may submit specimens for reference testing to CDC. All specimen submissions to CDC require first approval by the individual state health department.

Private citizens, health practitioners and hospitals must contact their local (city or country) health department about how to submit specimens. If the local health department is unable to make a determination, they will forward the specimen to their state health department.

A list of State and Local Health Departments can be found here.

The State list of the Association of State and Territorial Public Health Officials.

The State list of the Association of Public Health Laboratories.

Special arrangements will be made for specimens collected for studies/projects by collaborators of CDC investigators. Contact the Principle Investigator for specific instructions.