South Texas Laboratory Forms

Forms

F14-13277

Submitter Identification (ID) Number Request Form – MASTER

F-14

Order Form for General Laboratory Supplies – MASTER  

F40-A

Chemistry Specimen Submission Form – Sample  

F40-B

F40-B

Microbiology Specimen Submission Form – Sample

Spanish Version: Microbiology Specimen Submission Form – Sample, revised 02/01/2020

F40-C

Biothreat Specimen Submission Form – MASTER

F40-D

Emergency Preparedness Specimen Submission Form – MASTER

F40-TB 

F40-TB Elimination Specimen Submission- NEW MASTER, revised 01/01/2022 

Contact Us

DSHS/South Texas Laboratory
1301 S. Rangerville Road
Harlingen, TX 78552
(956) 364-8748
(956) 412-8794

Aurora Martinez, MT (ASCP), BS
South Texas Laboratory Branch Manager
(956) 364-8748
aurora.martinez@dshs.texas.gov

Susan Adams, MT (ASCP), BS
Clinical Chemistry Team Lead 
(956) 364-8752
susan.adams@dshs.texas.gov

Corrine Gonzales, BS, MT (ASCP)
Hematology Team Lead
Clinical Supplies, Shipping, Transport Information
(956) 364-8751
corrine.trevino-gonzales@dshs.texas.gov

Joe Aguilera, RMT
Mycobacteriology Team Lead
(956) 364-8753
joe.aguilera@dshs.texas.gov

Deborah Serrato, MLT
Serology Team Lead
(956) 364-8750

deborah.serrato@dshs.texas.gov

Kristina Zamora, BS, MT (ASCP)
Emergency Preparedness Team Lead
(956) 364-8369
kristina.zamora@dshs.texas.gov

Elva P. Munoz, Lab Tech III.
TB Supplies, Shipping, Transport Information
(956) 364-8747
elva.munoz@dshs.texas.gov

Billing
DSHS - MC1917
PO Box 149347
Austin, TX 78714-9347
Phone 512-458-7317
FAX 512-458-7588

LabAR@dshs.state.tx.us