Microbiology Unit Notices

Request for Submission of Cyclospora Specimens to Texas DSHS Austin Laboratory

Cyclosporiasis is a foodborne disease caused by the protozoan parasite Cyclospora cayetanensis. Most cyclosporiasis cases tend to occur seasonally between the months of April and August. Symptoms of cyclosporiasis include abdominal pain and severe, watery diarrhea that can last several weeks. Immunocompromised individuals are at increased risk of severe complications from the illness.

The Texas Department of State Health Services (DSHS) is collaborating with the Centers for Disease Control and Prevention (CDC) to identify and sequence Cyclospora specimens linked to cyclosporiasis outbreaks. Therefore, we request clinical laboratories send all appropriate* Cyclospora positive stool specimens to the DSHS Austin Laboratory for molecular analysis.

These specimens will help us detect disease clusters more quickly and improve the public health response to future outbreaks.

Why the Request to Submit Cyclospora Stool Specimens?

• Cyclosporiasis is a Reportable Condition in Texas. Confirmed and suspected positive cyclosporiasis cases must be reported to the health department in the patient’s county of residence. Submitting clinical specimens from these patients to the DSHS Lab is highly encouraged.

• This Test is Free! Submitting providers or laboratories will not be charged for testing and sequencing specimens submitted for this surveillance project. A final report with PCR results will be sent to submitters.

*For appropriate Cyclospora specimen type and specimen submission details, please refer to the attached flyer here.

NEW SUBMITTERS: To set up a submitter account, download a Submitter ID Number Request Form, available here. Complete all applicable fields and email to labinfo@dshs.texas.gov or fax to  512-776-7533.  A Lab Reporting team member will create a submitter account, provide a G-2B submission form, a supply order form, and Security Rights forms to request Web Portal access.

Additional guidance on obtaining a DSHS submitter ID number, labeling specimens correctly, and complete submission forms is available on the DSHS Specimen Collection webpages.

Shipping Information and Addresses

Ship specimens overnight as a Category B Biological Substance, UN3373. Information on submitter responsibilities when shipping infectious substances is available on the DSHS Specimen Shipping webpages.

Overnight/Priority Courier Service

Specimen Receiving: Walter Douglass
Laboratory Services Section
Department of State Health Services
1100 W. 49th Street
Austin, TX 78756-3199

Questions?

• Cyclospora Testing or Specimen Suitability: Contact the Medical Parasitology Team at (512) 776-7560 or email Medical.parasitology@dshs.texas.gov.

• All Other Questions: Email FoodborneTexas@dshs.texas.gov

Posted April 12, 2024

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A message from Grace Kubin, Ph.D., Associate Commissioner, DSHS Public Health Laboratory Division

It’s that time of year again! Each year, the DSHS Austin Public Health Laboratory conducts a survey, open to all our customers, to provide important feedback on laboratory services. Your feedback is used by the laboratory to better understand your needs and identify gaps in service as part of the laboratory's commitment to continuous quality improvement. If you are interested to see the results of last year’s survey, you can find them here: 2023 Annual DSHS Laboratory Customer Service Survey Results Summary.

I encourage you to take the 2024 Public Health Laboratory Customer Service Survey. It should not take more than 10 minutes to complete. For questions or concerns, please send an email to: Labinfo@dshs.texas.gov.

  2024 Public Health Laboratory Customer Service Survey.

**Feedback will be collected until April 30, 2024**

Posted April 1, 2024

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DSHS Austin Laboratory Thanksgiving Holiday Closure Reminder

With the exception of Newborn Screening and Rabies testing, the DSHS Austin Laboratory will be closed, and no testing will occur Thursday, 11/23/2023 through Saturday, 11/25/2023. The DSHS Laboratory is completely closed on Sundays. Testing services will resume as normal, Monday, 11/27/2023.
See below for more details on selected testing.

Newborn Screening (NBS)

• The Newborn Screening Laboratory will be closed Thanksgiving Day, Thursday 11/23/2023 and will resume testing on Friday, 11/24/2023.
• DO NOT DELAY collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours of collection. If mail or courier services are unavailable, ship as soon as possible. 
• DSHS recommends shipping specimens using an overnight or trackable service like USPS priority mail, FedEx, and UPS.

Clinical Chemistry

• Total hemoglobin, lead, glucose, and lipid/cholesterol specimens must be received by Wednesday, 11/22/2023 to complete testing before the holiday closure.
• DO NOT ship cholesterol, lipid profile, or glucose specimens on Fridays or on the day before a state-observed holiday.

Microbiology

Rabies Specimens:

• Rabies specimens received after 8:00 a.m. Wednesday, 11/22/2023 will be tested Friday, 11/24/2023. Submitters will be notified of positive results by 12:00 p.m. Friday. All other results will be available Monday 11/27/2023.

• Emergency testing will be available Friday, 11/24/2023 and Saturday, 11/25/2023 only by prior arrangement with Rabies testing staff. Call (512) 776-7595 before 4:00 p.m. Wednesday, 11/22/2023 to discuss. Specimen receipt must be guaranteed by 8:00 a.m. the morning of testing. Preliminary results will be called out as soon as emergency testing is completed. Final results will be available Monday 11/27/2023.
• All other specimens will be tested on Monday, 11/27/2023, and results will be available by 5:00 p.m.

Tuberculosis (TB) Specimens:

• Do not ship specimens for delivery between Wednesday, 11/22/2023 and Saturday, 11/25/2023. Refrigerate specimens collected during this period until shipping is possible.
• Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered by 8:30 a.m. Wednesday, 11/22/2023. 
• Call (512) 776-7342 before 9:00 a.m. on Wednesday, 11/22/2023 for expedited test requests.

Candida auris Swab Specimens:

• Do not ship swabs for delivery from Wednesday, 11/22/2023 to Saturday, 11/24/2023.

Swabs collected during this period must be refrigerated and shipped on cold packs for delivery when Laboratory is open.

Carbapenem Resistant Organisms Swab Specimens:

• Do not collect or ship swabs from Tuesday, 11/21/2023 to Saturday, 11/24/2023.

Neisseria gonorrhoeae Antimicrobial Susceptibility Testing Specimens:

• Do not collect or ship swabs from Tuesday, 11/21/2023 to Saturday, 11/24/2023.

Bacteriology Water Samples:

• Water samples will not be accepted at DSHS Laboratory from Wednesday, 11/22/2023 to Saturday, 11/25/2023.

All Other Microbiology Specimens or Samples:

• Do not ship specimens for delivery between Thursday, 11/23/2023 and Saturday, 11/25/2023. Store specimens collected during this time at an appropriate temperature, e.g. -70°C, or below for clinical virology samples. 
• No tests will be performed from Thursday, 11/23/2023 to Saturday, 11/25/2023.

Ordering Laboratory Supplies:

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on Wednesday 11/22/2023 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon Wednesday 11/22/2023 will be processed and shipped via FedEx Ground.
• Requests received after noon Wednesday 11/22/2023 through Saturday 11/25/2023 will be sent Monday, 11/27/2023.

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on Wednesday 11/22/2023 will be audited, issued, and shipped via FedEx Ground.
• Requests received before 9:00 a.m. on Wednesday 11/22/2023 will be audited, issued, and shipped via FedEx Ground Wednesday afternoon, 11/22/23.
• Requests received after 9:00 a.m. on Wednesday 11/22/2023 through Sunday 11/26/2023 will be audited, issued, and shipped on Monday 11/27/2023 via FedEx Ground.

***Per FedEx website, FedEx Ground will be closed Thursday 11/23/2023 but will deliver packages Friday 11/24/2023.***

Questions?

Newborn Screening General Inquiries: (512) 776-7333
Microbiology General Inquiries: (512) 776-7599
Clinical Chemistry General Inquiries: (512) 776-6236

Newborn Screening:    NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry:    ClinicalChemistry@dshs.texas.gov
Microbiology Branch:         Lab.Microbiology@dshs.texas.gov
Specimen Submission:     LabInfo@dshs.texas.gov
Container Preparation:     ContainerPrepGroup@dshs.texas.gov 
 

Posted November 9, 2023

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DSHS Laboratory – Microbiological Sciences Unit Notice

Effective November 1, 2023, the Texas DSHS Austin Laboratory will no longer provide serologic testing services for Plague (Yersinia pestis), IgG. 

If specimens for this assay are received at the Laboratory on or after November 1, 2023, Laboratory staff will contact the submitter to choose how to proceed with the specimens from the options below:

• Option 1: Cancel the test and appropriately discard the specimens.
• Option 2: Forward the specimens to Centers for Disease Control and Prevention (CDC) for testing with no shipping charges for submitter. Yersinia pestis serology testing at CDC has a projected turnaround time of two weeks.

Yersinia pestis Serology Testing Questions?

Contact the Serological Analysis Group
Phone: (512) 776-7760 or 1 (888) 963-7111 ext. 7760 (Toll Free)
Email: Lab.Microbiology@dshs.texas.gov 
 

Posted Nov 01, 2023

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Retirement of Bordetella spp. PCR and Culture Testing Services at DSHS Laboratory

DSHS Laboratory – Microbiology Unit Notice

Retirement of Bordetella spp. Real-Time Polymerase Chain Reaction and B. pertussis Culture Identification Testing Services at DSHS Laboratory

Effective October 1, 2023, the DSHS Austin Microbiology Laboratory will no longer conduct Bordetella spp. Real-Time PCR and B. pertussis culture identification testing services.

Questions?

• For questions about Bordetella spp. testing, please contact the Molecular Biology Team at (512) 776-7784 or email Lab.Microbiology@dshs.texas.gov

Posted Sep 27, 2023

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****Effective Immediately****
Measles IgM Testing Information

Due to delays in the manufacture of Measles IgM EIA kits, the DSHS Laboratory is temporarily unable to perform Measles IgM testing. During this time, all specimens received at DSHS Laboratory requesting this test will be forwarded to Quest Diagnostics laboratory for processing.

Measles IgM test results will continue to be reported from DSHS Laboratory but will include an additional attached report displaying the Quest results.

Please continue to submit specimens for Measles IgM testing to DSHS Laboratory following specimen submission requirements.

DSHS Laboratory anticipates the Measles IgM EIA kits will be available again no later than March 2024. The Laboratory will release a follow-up notification when the issue is resolved.

Questions or Comments?

Call toll-free: 1-888-963-7111 ext. 7760

Call Local: 512-776-7760

Email: Lab.Microbiology@dshs.texas.gov

Posted Sep 21, 2023

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Do Not Submit Live Animals to DSHS Laboratory for Rabies Testing

DSHS Austin Laboratory – Microbiological Sciences Unit Notice

The DSHS Austin Laboratory reminds submitters that we cannot accept live animals for rabies testing. Please refrain from delivering or shipping live bats or other live animals to the Laboratory.

Bats must be submitted

• deceased,
• in a clear, sealable bag, **New Requirement**
• triple packed, per submission guidelines.

Double bag the heads of larger animals in appropriately sized bags such as red biohazard bags or sturdy garbage bags. Securely close the bags to prevent leaks. 

NOTE: Ship all specimens with ice packs to keep them cool in the elevated temperatures encountered during transit. High temperatures accelerate tissue decomposition which can compromise rabies test results.

Refer to the attached, printable guidance  Submitting Rabies Specimens to the DSHS Laboratory for detailed packaging and shipping instructions.

Questions about Rabies Testing and Shipping?

• Rabies Team: (512) 776-7595 or rabies.team@dshs.texas.gov
• Specimen Acquisition Group: (512) 776-7598 or 1-888-963-7111 ext. 7598 (toll free) 

Overnight/Priority Shipping Address

Texas Department of State Health Services
Laboratory Services Section
1100 W. 49th Street
Austin, TX 78756-3199

Posted Aug 11, 2023

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Beat the Summer Heat: Keeping Temperature-Sensitive Norovirus Specimens Cold While in Transit

DSHS Austin Laboratory – Microbiological Sciences Unit Notice

The DSHS Austin Laboratory reminds submitters of norovirus specimens to ship them with enough refrigerant to keep them cold for up to 48 hours during the summer heat and elevated temperatures in transport vehicles.

Norovirus stool specimens require storage and shipping at 4°C, however several specimens arrive at the Laboratory at ambient temperatures. Specimens that must be shipped cold but arrive at the Laboratory at ambient temperatures are unsuitable for testing and must be rejected.

The DSHS Laboratory does not charge for testing norovirus specimens requested for outbreak investigation purposes.

View a printable one-page flyer for specimen packaging tips to keep them cold for shipping to DSHS Laboratory.

Questions about Norovirus Surveillance Specimen Shipping or Packaging?

• Molecular Biology Team: (512) 776-7784 or (512) 776-2409
• Norovirus Surveillance Program: FoodborneTexas@dshs.texas.gov
• Specimen Acquisition Group: (512) 776-7598 or 1-888-963-7111 ext. 7578 (toll free)

Overnight/Priority Shipping Address

Texas Department of State Health Services
Laboratory Services Section
1100 W. 49th Street
Austin, TX 78756-3199

Posted July 28, 2023

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DSHS Austin Laboratory Bacteriology Water Samples

Water samples will NOT be accepted for testing on Monday 7/3/2023 and Tuesday 7/4/2023.

The Laboratory will resume normal operating hours for accepting bacteriological water samples on Wednesday, July 5, 2023.

After July 5^th, water samples will be accepted Monday – Thursday 8am – 4pm (Except Federal Holidays).

For questions or comments: Call toll free: 1-888-963-7111 ext. 7598 or for local calls 512-776-7598

_{Please call 512-776-7598 with any questions.}

_{Thank you!}

Posted June 27, 2023

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Retirement of Pulse Field Gel Electrophoresis Testing Services at DSHS Laboratory

Effective June 12, 2023, the DSHS Austin Microbiology Laboratory no longer conducts Pulse Field Gel Electrophoresis (PFGE) molecular typing.

Specimens submitted for PFGE testing will instead be analyzed by Whole Genome Sequencing (WGS). The WGS technique allows for more detailed and reliable analysis of submitted isolates. Please provide any outbreak-related information when submitting samples for WGS.

Questions?

• For questions about PFGE, WGS or specimen suitability, please contact the Genetic Sequencing Group at (512) 776-4256 or email WGS.DSHS@dshs.texas.gov.
• For questions about outbreak investigations, please email MDROTexas@dshs.texas.gov.

For information on specimen packaging and shipping, please check out the shipping and submission guidance on the DSHS Laboratory’s webpage here

Posted June 22, 2023

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2023 Annual DSHS Laboratory Customer Service Survey

A message from Grace Kubin, Ph.D., Director, DSHS Laboratory Services Section.

Your feedback is very important! Each year, the DSHS Laboratory initiates a survey open to all our customers to provide important feedback on laboratory services. Your feedback is used by the laboratory to better understand your needs and identify gaps in service as part of the laboratory's commitment to continuous quality improvement. This year, we are providing a summary of last year’s (2022 survey) results and changes initiated in response to your feedback found on the Laboratory Services Section website here: Laboratory Customer Service Survey.

I encourage you to take the 2023 Laboratory Customer Service Survey. It should not take more than 10 minutes to complete. For questions or concerns, please send an email to: Labinfo@dshs.texas.gov.

 2023 Laboratory Customer Service Survey.

**Feedback will be collected until June 30, 2023**

Posted June 1, 2023

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Request for Submission of Norovirus Specimens to the Texas DSHS Austin Laboratory

Norovirus (NoV) outbreaks tend to be underreported to public health officials, so the true incidence of this foodborne illness is likely higher. Testing patients for unknown gastrointestinal illnesses is essential for clinical decision-making and for community outbreak detection and investigations.

During outbreak investigations, your local or regional health departments may request that you forward clinical specimens to DSHS Laboratory for molecular analysis. It is essential you submit requested specimens to assist DSHS epidemiologists in linking individual cases during outbreak investigations.

The DSHS Laboratory does not charge for the testing of clinical specimens requested for NoV outbreak investigation purposes.

Please refer to the attached, printable one-page flyers for more guidance on collecting and shipping norovirus specimens to DSHS laboratory. 

NEW SUBMITTERS: To set up a submitter account, download a Submitter ID Number Request Form, available at Submitter-ID-Request-Form-Sept--2017.pdf (texas.gov). Complete all applicable fields and email to labinfo@dshs.texas.gov or fax to 512-776-7533.  A Lab Reporting team member will create a submitter account, provide a G2-B submission form, a supply order form, and Security Right forms to request Web Portal access. DSHS-Specimen Collection and Shipping Guidance Norovirus CaliciNet Surveillence.pdf

Shipping Address for Overnight/Priority Courier Service

Specimen Receiving: Walter Douglass
Laboratory Services Section, Department of State Health Services
1100 W. 49th Street
Austin, TX 78756-3199
Phone: 512-776-7569

Norovirus Questions?

• For laboratory questions about NoV testing or specimen suitability, please contact the Molecular Biology Team Lead at (512) 776-6510.
• For questions related to DSHS’ NoV surveillance project (CaliciNet), please email FoodborneTexas@dshs.texas.gov.

For more information on specimen packaging and shipping, please check out the shipping and submission guidance on the DSHS Laboratory’s webpage here.

Posted May 25, 2023

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Request for Submission of Cryptosporidiosis Specimens to Texas DSHS Laboratory

Questions?

• For questions about Cryptosporidium testing or specimen suitability, please call the Parasitology Team at 512-776-7560 or email Medical.parasitology@dshs.texas.gov.
• For all other questions, please email FoodborneTexas@dshs.texas.gov.

Posted April 28, 2023

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Request for Submission of Cyclospora Specimens to Texas DSHS Austin Laboratory 

Many cyclosporiasis cases have occurred in Texas during the past ten summers. Cyclosporiasis is a foodborne disease caused by the protozoan parasite Cyclospora cayetanensis. Symptoms of cyclosporiasis include abdominal pain and severe, watery diarrhea that can last several weeks. Immunocompromised individuals are at increased risk of severe complications from the illness. Texas Department of State Health Services (DSHS) is collaborating with the Centers for Disease Control and Prevention (CDC) to identify and sequence Cyclospora specimens linked to cyclosporiasis outbreak investigations. 

Therefore, we are requesting clinical laboratories send all appropriate* Cyclospora positive stool specimens to the DSHS Laboratory in Austin for molecular analysis. These specimen submissions will help us detect disease clusters and improve the response to future outbreaks. 

Why the Request to Submit Cyclospora Stool Specimens?

• Cyclosporiasis is a Reportable Condition in Texas. Healthcare providers and laboratories are required to report confirmed cyclosporiasis cases to their local health department within one week, per 25 Texas Admin. Code §97.3. 

• This Test is Free! Submitting providers or laboratories will not be charged for testing specimens sent for this surveillance project. A test report will be issued to submitters. 

*Appropriate Cyclospora Specimens for Molecular Analysis 

• Required Media Stool specimens fixed with Zn-PVA, Cu-PVA or Ecofix (or other parasitology fixatives without formalin) are acceptable. Raw stool and unfixed specimens (e.g., collected in Cary-Blair transport media for bacteriologic testing) are also acceptable. Note: Specimens fixed in LV-PVA are not acceptable as the formalin in it interferes with the testing process. 

• Required Volume A minimum sample of 500 µl is required for testing.

• Required Shipping Temperature Fixed samples may be stored and shipped at room temperature. Unfixed and raw stool specimens should be kept at 2 °C–8 °C and shipped overnight in insulated containers with cold packs. Do not use dry ice. Ensure all specimen containers are securely tightened to avoid leakage.

Cyclospora Specimen Submission Process 

• Specimens Must be Accompanied by a G-2B Specimen Submission Form. All required fields in the submission form must be completed. 

• Submitters Must Have a DSHS Submitter ID Number. Email Labinfo@dshs.texas.gov if your facility needs to set up a submitter ID number, needs to update existing submitter account information, or needs updated submission forms. 

• All Specimens Must be Labeled Appropriately. Each specimen must have at least two unique patient identifiers that exactly match the patient identifiers provided on the G-2B submission form. 

• Identify the Correct Payor Source on G-2B Submission Form. Choose only “IDEAS (1610)” as the payor in Section 7. 

NEW SUBMITTERS: To set up a submitter account, download a Submitter ID Number Request Form, available at Submitter-ID-Request-Form-Sept--2017.pdf (texas.gov). Complete all applicable fields and email to labinfo@dshs.texas.gov or fax to 512-776-7533. A Lab Reporting team member will create a submitter account, provide a G-2B submission form, a supply order form, and Security Right forms to request Web Portal access.

Additional guidance on obtaining a DSHS submitter ID number, label specimens correctly, and complete submission forms is available online on the DSHS Specimen Collection webpages.

Shipping Information and Addresses 

Ship specimens as a Category B Biological Substance, UN3373. 
Information on submitter responsibilities when shipping Category B Biological Substances, UN3373 and additional shipping guidance is available on the DSHS Specimen Shipping webpages. 

Regular Mail Services
Specimen Receiving: Walter Douglass
Laboratory Services Section, MC 1947
Department of State Health Services 
PO Box 149347 
1100 W. 49th Street 
Austin, TX 78714-9347 
Phone: 512-776-7569

Overnight Courier Service
Specimen Receiving: Walter Douglass
Laboratory Services Section
Department of State Health Services
1100 W. 49th Street 
Austin, TX 78756-3199

Questions?

• Cyclospora Testing or Specimen Suitability: Contact the Medical Parasitology Team at (512) 776-7560 or email Medical.parasitology@dshs.texas.gov
• All Other Questions: Email FoodborneTexas@dshs.texas.gov

Posted March 30, 2023

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Culture Identification and Antimicrobial Susceptibility Testing for Neisseria Gonorrhoeae Now Available at Texas DSHS Laboratory

Texas DSHS Austin Laboratory is now accepting clinical swabs for Neisseria gonorrhoeae (GC) culture with reflex antimicrobial susceptibility testing (AST) and pure isolates for GC AST in cases of suspected gonorrhea treatment failure. Specimens from sexual contacts of patients with suspected treatment failure gonorrhea are also accepted. These tests are free to all submitters in Texas.

Susceptibility to azithromycin, cefixime, ceftriaxone, and ciprofloxacin will be determined by ETEST® gradient strip diffusion method. Results can be expected within 10 days of specimen receipt.

Acceptable specimens for GC AST are from patients who persistently test positive for gonorrhea after treatment (with or without symptoms) and for whom reinfection has been ruled out, or for disseminated gonococcal infections.

Specimen collection swabs, mailers, and shipping are provided free of charge to submitters by DSHS.

NEW SUBMITTERS: To set up a submitter account, download a Submitter ID Number Request Form. Complete all applicable fields and email to labinfo@dshs.texas.gov or fax to 512-776-7533. A Lab Reporting team member will create a submitter account, provide a G2-B submission form, a supply order form, and Security Right forms to request Web Portal access.

GC AST SPECIMEN SUBMISSION REQUIREMENTS

• Clinical swabs and pure isolates from patients with suspected gonorrhea treatment failure or disseminated gonococcal infections are accepted.
• Swab specimens must be obtained using Copan ESwab™ Nylon flocked swabs with liquid Amies or Copan Transystem collection and transport kits.
• At least one visible isolate colony on chocolate agar slant or other appropriate media such as trypticase soy broth (TSB).
• Labeled specimens must be accompanied by a completed G-2B specimen submission form and copies of any previous related lab results.
  • Submitters must request master submission forms by emailing LabInfo@dshs.texas.gov, calling (512) 776-7578 or 1-888-963-7111 ext. 7578 (toll free), or faxing (512) 776-7533.
  • Do not use sample submission forms from the DSHS website! Specimens received with sample submission forms cannot be tested.
• Specimen packaging and containers must be compliant with Category B Biological Substance, UN 3373 shipping requirements.
• All specimens may be shipped at ambient temperatures. If shipping temperatures are likely to exceed 28°C (~82°F), specimens should be packed with enough cold packs to keep them cold for up to 48 hours. Do not use dry ice.
• Ship swabs as soon as possible after collection. Specimens must be received by DSHS within one day of collection.

Requesting GC AST on G-2B Specimen Submission Form (SECTION 5)

For Swab Specimens: Check “Neisseria” under “Definitive Identification” column and write “GC AST” under “Clinical Specimen” column.

 

For Isolate Specimens: Check “Neisseria” under “Definitive Identification” column and write “GC AST” in space next to it.

ORDERING FREE SWAB COLLECTION KITS AND MAILING SUPPLIES FOR GC AST

• DSHS Lab will provide specimen collection swabs, mailing containers, and UN3373 labels to submitter upon request.
• Call (512) 776 - 7582 to request swab collection kits.
• DSHS does not provide supplies for pure isolate submissions.

TESTING AND SPECIMEN SUBMISSION QUESTIONS?

• Question about using AR Lab’s FedEx account for the GC AST may be sent to TexasARLN@dshs.texas.gov, or call (512) 776-7582.
• Additional GC AST submission guidance will be added to the Texas Antimicrobial Resistance (TX AR) Lab. An overview of the DSHS Lab specimen submission process is also available.

Posted March 9, 2023

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Antimicrobial Susceptibility Testing for Neisseria Gonorrhoeae Now Available at Texas DSHS Laboratory

Effective January 2023, Texas DSHS Austin Laboratory is accepting clinical swabs and pure isolates for Neisseria gonorrhoeae (GC) antimicrobial susceptibility testing (AST) in cases of suspected gonorrhea treatment failure.

Susceptibility to azithromycin, cefixime, ceftriaxone, and ciprofloxacin will be determined by ETEST® gradient strip diffusion method. The GC AST may also serve as an auto reflex to the Lab’s GC culture testing. Results can be expected within 10 days of specimen receipt.

Acceptable specimens for GC AST are from patients who persistently test positive for gonorrhea after treatment (with or without symptoms) and for whom reinfection has been ruled out, or for disseminated gonococcal infections.

This GC AST service is free of charge to submitters. Specimen collection swabs and mailers for GC AST are provided free of charge by DSHS.

GC AST SPECIMEN SUBMISSION REQUIREMENTS FOR PROVIDERS AND LABORATORIES

• Clinical swabs and pure isolates from patients with suspected gonorrhea treatment failure or disseminated gonococcal infections are accepted.
• Swab specimens must be obtained using Copan ESwab™ Nylon flocked swabs with liquid Amies or Copan Transystem collection and transport kits.
• At least one visible isolate colony on chocolate agar slant or other appropriate media such as trypticase soy broth (TSB).
• Labeled specimens must be accompanied by a completed G-2B specimen submission form and copies of any previous related lab results.
• Specimen packaging and containers must be compliant with Category B Biological Substance, UN 3373 shipping requirements.
• All specimens may be shipped at ambient temperatures. If shipping temperatures are likely to exceed 28°C (~82°F), specimens should be packed with enough cold packs to keep them cold for up to 48 hours. Do not use dry ice.
• Ship swabs as soon as possible after collection. Specimens must be received by DSHS within one day of collection.

ORDERING FREE SWAB COLLECTION KITS AND MAILING SUPPLIES FOR GC AST

• DSHS Lab will provide specimen collection swabs, mailing containers, and UN3373 labels to submitter upon request.
• Call (512) 776 - 7582 to request swab collection kits.
• DSHS does not provide supplies for pure isolate submissions.

Requesting GC AST on G-2B Specimen Submission Form (SECTION 5)

For Swab Specimens: Check “Neisseria” under “Definitive Identification” column and write “GC AST” under “Clinical Specimen” column.

For Isolate Specimens: Check “Neisseria” under “Definitive Identification” column and write “GC AST” in space next to it.

Testing and Specimen Submission Questions?

• Questions about AR Lab’s FedEx account and submitting GC specimens for culture and/or susceptibility testing may be sent to TexasARLN@dshs.texas.gov, or call (512) 776-7582.
• Submission guidance for GC AST at the DSHS Laboratory will be added to the Texas Antimicrobial Resistance (TX AR) Lab’s webpage soon.
• Details on how to use the AR Lab’s FedEx account to ship GC AST specimens will be added to the AR Lab’s specimen shipping webpage soon.

Posted February 15, 2023

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DSHS Laboratory Updates for February 2, 2023

The DSHS Laboratory will resume operations on February 2, 2023 at 1:00 pm.

All samples will be processed as soon as possible once operations resume. However, samples received outside of their acceptability window will be unsatisfactory for testing.

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy.

Contact DSHS Laboratory:
Email: labinfo@dshs.texas.gov 
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Posted February 1, 2023

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DSHS Laboratory Closure Due to Inclement Weather

Inclement weather in Austin and other parts of Texas may cause a delay of testing at the Department of State Health Services Laboratory.

• The DSHS Laboratory will be closed on Wednesday, February 1, 2023, due to inclement weather in the Austin area.
• Continue to ship all samples per regular guidelines.
• Courier services may experience delays due to the weather. Check your courier for local service alerts.
• All samples will be processed as soon as possible after resumption of normal operations. However, samples received outside of their acceptability window will be unsatisfactory for testing.
• The laboratory will work at maximum capacity to resolve any specimen backlog.

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy.

Contact DSHS Laboratory:
Email: labinfo@dshs.texas.gov 
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Re-Posted January 31, 2023

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DSHS Laboratory Website Upgrade

The Texas Department of State Health Services Website has changed platforms. As a result of these changes, there may be missing or broken links. As we work through the remaining issues, we appreciate your patience. 

In the meantime, if there is any information or documents needed, feel free to reach out to the appropriate department. 

Need help?
Contact DSHS Laboratory:
Newborn Screening Inquiries: (512) 776-7333
Microbiology Inquiries: (512) 776-7599
Clinical Chemistry Inquiries: (512) 776-6236
Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry: ClinicalChemistry@dshs.texas.gov
Microbiology Branch: Lab.Microbiology@dshs.texas.gov
Specimen Submission: LabInfo@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov 

Posted January 26, 2023

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****Effective Immediately****
Rocky Mountain Spotted Fever & Typhus Fever Panel, IgG Testing Information

Due to unexpected issues with instrumentation, the DSHS Laboratory is temporarily unable to perform the Rocky Mountain Spotted Fever & Typhus Fever IgG Panel test. During this time, all specimen submissions requesting this panel test will be forwarded to Quest Diagnostics Laboratory for processing. 

Test results will be reported from DSHS Laboratory but will include an additional attached report displaying the Quest testing laboratory’s results.

Continue to submit specimens for Rocky Mountain Spotted Fever & Typhus Fever IgG panel testing to DSHS Laboratory following specimen submission requirements. 

DSHS Laboratory will release a follow-up notification when this issue is resolved.

Questions or Comments? 
Call toll-free: 1-888-963-7111 ext. 7760. 
Call Local: 512-776-7760
Email: Lab.Microbiology@dshs.texas.gov

Posted January 13, 2023

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Resumption of HIV Screen Testing at DSHS Austin Laboratory

Effective Friday, December 2, 2022, the DSHS Austin Laboratory resumed regular HIV Screen testing services.

HIV screen results will be reported as usual from the DSHS Laboratory. Regular turn-around-times for reporting HIV screen results are reinstated.

Questions? 

Contact the Serology Laboratory:
Phone: 1 (888) 963-7111 ext. 7760 or Locally: (512) 776-7760
Email: Lab.Microbiology@dshs.texas.gov 

Posted December 22, 2022

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****Effective Immediately****

Gonorrhea/Chlamydia Testing Information

The DSHS Laboratory will temporarily send Gonorrhea/Chlamydia Amplified RNA probe specimens received for patients younger than 14 years-of-age to the Quest Diagnostics Laboratory for testing.

Results will be reported from the DSHS Laboratory but will include an additional attached report displaying the Quest testing laboratory’s results.

Submitters should continue following their current processes for submitting Gonorrhea/Chlamydia specimens to the DSHS Laboratory.

For more information on THSteps laboratory requirements for tests within the Texas Health Steps Periodicity Schedule, go to THSteps Medical Checkup Laboratory Requirements (texas.gov)

For questions or comments:

Call toll-free: 1-888-963-7111 ext. 6236 or for local call 512-776-6236
Email: ClinicalChemistry@dshs.texas.gov

Posted December 22, 2022

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Carbapenem Resistant Organism (CRO) Swab Specimen Colonization Screening at Texas DSHS Antimicrobial Resistance (AR) Laboratory

Effective 1/01/2023, the Texas DSHS Austin Laboratory will begin accepting rectal swabs for colonization screening of Carbapenem Resistant Organism (CROs), including Carbapenem-Resistant (CRE), Carbapenem-Resistant Pseudomonas aeruginosa (CRPA), andCarbapenem-Resistant Acinetobacter baumanii (CRAB).

CRO RECTAL SWAB SUBMISSION REQUIREMENTS

• Permission must be obtained from a DSHS healthcare-associated infections (HAI) epidemiologist before collecting any specimens. Email the HAI epidemiology team at ICAR@dshs.texas.gov.
• DSHS Lab will provide swabs, mailing boxes, and UN3373 labels to submitter upon request from an HAI epidemiologist.
• Rectal swab specimens of CROs should be collected using Copan Cepheid Sterile Transport Dual Swab collection and transport kits (Cepheid Catalog # 900-0370).
• Labeled swab specimens must be accompanied by completed G-2E specimen submission forms and copies of any previous lab results in an appropriate mailing container per Category B Biological Substance, UN 3373 requirements.
• Swabs may be shipped at ambient temperatures. If shipping temperatures are likely to exceed 28°C (~82°F), swabs should be packed with enough cold packs to keep them cold for up to 48 hours. Do not use dry ice.
• Ship swabs within one day of collection.

AR Testing and Submission Questions?

• For more details on AR testing at the DSHS Laboratory, visit DSHS’ TX AR Lab webpage.
• Details on how to use the AR Lab’s FedEx account to ship swabs to the lab are on the AR Lab’s specimen shipping webpage. When completing the shipping FedEx label, select “Tamara Baldwin” as the DSHS lab contact.
• Questions on AR Lab’s FedEx account and submitting CRO specimens for testing may be sent to TexasARLN@dshs.texas.gov.

Posted December 22, 2022

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Antimicrobial Resistant Specimens' Submission Request

As a part of the CDC’s AR Laboratory Network, the Texas Antimicrobial Resistance (AR) Laboratory works with local and regional healthcare facilities and laboratories across the state to rapidly detect antimicrobial resistant microbes and prevent their spread.

To ensure the timely detection of antimicrobial resistance trends in Texas, the Texas AR lab requests clinical and reference laboratories submit the following isolates and swabs to the Laboratory:

• Candida auris or unknown Candida spp.
• Carbapenem-Resistant Enterobacterales ^*
• Carbapenem-Resistant Pseudomonas aeruginosa^*
• Carbapenem-Resistant Acinetobacter baumanii ^*
• Antimicrobial Resistant Neisseria gonorrhoeae (AR GC)

AR Specimens to Submit

Swabs

• Candida spp. from rectum, axilla, groin, nares, oropharynx, vagina and/or external ear
• Carbapenem Resistant Organisms (CROs) from rectum^*
• AR GC from urethra, vagina, endocervix, rectum, penile meatus, nasopharynx, mouth, and conjunctiva of neonates^*

Ship swabs at ambient temperatures or at 2^°C–8^°C with cooler packs. Do not use dry ice. AR GC swabs must be received by lab within 24 hours of collection.

Isolates

• Candida spp. on Sabouraud’s Dextrose agar slant or other appropriate media. Use CHROMagar^TM Candida plates, if available
• CROs on any non-inhibitory, non-selective agar plate or slant (e.g. Sheep Blood Agar or Tryptic Soy Agar), or broth.^*
• AR GCs on Chocolate agar slants

Ship to the AR laboratory at ambient temperatures.

^*NOTE:DSHS Laboratory will begin accepting and testing CRO swabs and AR GC swabs and isolates in Jan. 2023. Do not submit CRO swabs and AR GC swabs and isolates before then. Additional notice will be provided at that time.

AR Testing and Submission Questions?

For more details on AR testing at the DSHS Laboratory and shipping instructions, visit DSHS’ TX AR Laboratory webpage.

Questions on submitting CRO specimens for identification and for antimicrobial resistant testing may be sent to TexasARLN@dshs.texas.gov.

Continue reporting notifiable conditions, including CRE and C. auris to your local health department.
Do not send these notifications to DSHS laboratory!

Posted December 22, 2022

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Potential for Delayed Laboratory Test Results 

The Department of State Health Services Laboratory is currently experiencing a mechanical failure with the reverse osmosis/deionized water purification system. This water is required for many tests in the laboratory, and therefore, some results may be delayed. 

The laboratory is currently working to resolve this issue with plans to be back to normal operation by December 13, 2022.

Once the mechanical failure is repaired, additional communications will be sent out.

Contact DSHS Laboratory:
Phone: 1-888-963-7111 ext. 7318 or Locally: 512-776-7318
Email: labinfo@dshs.texas.gov 
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Posted December 9, 2022

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Christmas and New Year Holidays Laboratory Closure Reminders

The DSHS Austin Laboratory will be closed from Saturday 12/24/2022 to Monday 12/26/2022. Testing will not be performed on these days, with limited exceptions. Exceptions include Newborn Screening and Rabies testing, which will be performed on Saturday 12/24/2022. 
Testing will not be affected by the New Year’s Day holiday 01/01/2023, as it falls on a Sunday. See below for more details.

All submitters are responsible for the timely and appropriate shipping of specimens to the DSHS Laboratory.

Newborn Screening (NBS)

Christmas Holiday Closure: Monday 12/26/2022

• NBS specimens received and accessioned on Saturday, 12/24/2022 will be tested immediately. 
• The NBS Laboratory will be closed Monday, 12/26/22 in observance of the holiday.
• NBS testing will resume on Tuesday, 12/27/22.

Reminders: 

• DO NOT delay collection or shipment of newborn screening specimens during the holiday periods.
• Ship dried specimens within 24 hours of collection. If mail or courier services are unavailable, ship as soon as possible.
  • DSHS recommends using an overnight or trackable service like USPS Priority Mail, FedEx, UPS, etc. to ship specimens to the Laboratory.

Clinical Chemistry

Christmas Holiday Closure: Saturday 12/24/2022 – Monday 12/26/2022

• Total hemoglobin, lead, glucose, lipid panel, cholesterol, and creatinine specimens must be received by Friday, 12/23/2022 to complete testing prior to the Christmas holiday
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens between Friday 12/23/22 and Sunday 12/25/22.

Reminders:

• Specimens submitted for lead and total hemoglobin testing must be received within 14 days of collection.
• Specimens submitted for glucose, lipid panel, cholesterol, and creatinine testing must be received according to the specimen submission guidelines.

Rabies Specimens:

Note: Ship chilled rabies specimens by courier, or hand deliver to the Laboratory’s specimen receiving bay. 

• Rabies specimens received before 8:00 a.m. Friday, 12/23/2022 will be tested the same day. 
  • Results will be available by 5:00 p.m.
• Rabies specimens received after 8:00 a.m. Friday, 12/23/2022 will be tested on Saturday 12/24/2022. 
  • Submitters of positive results will be notified by 12:00 p.m. Preliminary results will be available by 12:00 p.m. if requested.
  • Final results will be available to submitters on Tuesday, 12/27/2022 by 5:00 p.m.
• All other specimens will be tested on Tuesday, 12/27/2022
• Contact lab personnel at (512) 776-7595 to arrange emergency testing on Saturday, 12/24/2022 or Monday, 12/26/2022. Submitters must coordinate with laboratory personnel for approval by 4:00 p.m. the previous day. 
  Specimen receipt by 8:00 a.m. must be guaranteed to ensure same day testing and preliminary results. 

Tuberculosis (TB) Specimens: 

• Critical specimens for AFB Smear and NAA testing must be received by 8:30 a.m. on Thursday, 12/22/2022 for expedited AFB Smear and NAA test results before the Christmas holiday.
• DO NOT ship specimens for delivery on Friday, 12/23/2022 through Monday, 12/26/2022.
  • Keep specimens in refrigerated storage until shipment.

Note: Contact TB lab personnel at (512) 776-7342 before 9:00 a.m. Friday, 12/23/2022 for expedited test requests.

Bacteriology Water Samples:

• Water samples will NOT be accepted for testing on Monday 12/26/2022.

All Other Microbiology Specimens or Samples:

• Do not ship specimens for delivery or testing between Saturday, 12/24/2022 and Monday, 12/26/2022. Store specimens collected during this time at an appropriate temperature, e.g. -70°C, or below for clinical virology samples.
• No testing will be performed from Saturday, 12/24/2022 through Monday, 12/26/2022.

Ordering Laboratory Supplies:

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on 12/22/2022 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon on 12/23/2022 will be processed and shipped via FedEx Ground.
• Requests received after noon on 12/23/2022 through 12/26/2022 and will be sent on Tuesday 12/27/2022.
• No delays are anticipated over the New Years’ holiday as New Year’s Day falls on a Sunday.

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on 12/22/2022 will be audited, issued, and shipped via FedEx Ground.
• Requests received on 12/23/2022 will be audited, issued, and shipped via FedEx Ground on Tuesday 12/27/2022.
• Requests received on 12/23/2022 will be audited, issued, and shipped on Monday 12/27/2022 via FedEx Ground.

***Per FedEx website, FedEx Express will have reduced services Friday 12/23/2022 and will be closed Saturday 12/24/2022 and Sunday 12/25/2022. Reduces Express delivery services will be in effect Friday 12/30/22 and Saturday 12/31/2022. Express delivery will be closed Sunday 01/01/2023 and Monday 01/01/2023. ***

Questions? 

Newborn Screening General Inquiries: (512) 776-7333
Microbiology General Inquiries: (512) 776-7599
Clinical Chemistry General Inquiries: (512) 776-6236

Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry: ClinicalChemistry@dshs.texas.gov
Microbiology Branch: Lab.Microbiology@dshs.texas.gov
Specimen Submission: LabInfo@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov 

Posted December 7, 2022

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Potential Delays in Processing HIV Screen Tests due to Supply Chain Issues

Due to unexpected delays in the manufacture of new reagent kits for the BioPlex 2200 HIV Ag-Ab screening assay, the DSHS Austin Laboratory will temporarily modify HIV Screen testing services effective Monday, November 14th, 2022. All specimens submitted for HIV screening only will be forwarded to an external laboratory for testing. All other specimens will continue to be tested at the DSHS Austin Laboratory. HIV-1 RNA NAAT testing is unaffected by this manufacturing issue and will continue to be performed at the DSHS Austin Laboratory. 

There is no change to how specimens are submitted. Providers should continue submitting specimens to the DSHS Austin Laboratory as normal. Laboratory staff will redirect specimens submitted solely for HIV screening to the external laboratory.

HIV screening results will be reported as usual from the DSHS Laboratory but will include an additional attached report displaying the external testing laboratory’s results. Turn-around-times for reporting HIV screening results may be slightly longer than usual while the temporary process utilizing an external laboratory is in place. Additional notice will be posted when regular service is resumed.

Questions? 

Contact the Serology Laboratory:
Phone: 1 (888) 963-7111 ext. 7760 or Locally: (512) 776-7760
Email: Lab.Microbiology@dshs.texas.gov 

Posted November 15, 2022

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DSHS Austin Laboratory Thanksgiving Holiday Closure Reminder

The DSHS Austin Laboratory will be closed, and no testing will occur on Thursday, 11/24/2022 and Friday, 11/25/2022, except Newborn Screening and Rabies testing. See below for more details on selected testing. 
Note the laboratory building will be undergoing renovations during the 2022 Thanksgiving holiday period. An alternate, temporary specimen drop off point will be in operation for all specimens during this time. A map to the temporary drop off point is available. Refer to the Laboratory Renovations FAQs for more details.

Newborn Screening (NBS)

• The Newborn Screening Laboratory will be closed on Thanksgiving Day and will resume testing on Friday, 11/25/2022.
• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as soon as possible. 
• DSHS recommends shipping specimens using an overnight or trackable service like USPS priority mail, FedEx, and UPS.

Clinical Chemistry

• Total hemoglobin, lead, glucose, and lipid/cholesterol specimens must be received by Wednesday, 11/23/2022 to complete testing before the holiday
• DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.

Microbiology

• Rabies Specimens:
  • Rabies specimens may be hand delivered to the pharmacy building during renovations. Specimens received after 8:00 a.m. on Wednesday, 11/23/2022 will be tested Friday, 11/25/2022. Submitters will be notified of positive results by 12:00pm. All other results will be available Monday 11/28/2022.
  • Emergency testing will be available Friday, 11/25/2022 and Saturday, 11/26/2022 only by prior arrangement with Rabies testing staff (call: 512-776-7595). Specimen receipt must be guaranteed by 8:00 a.m. the morning of testing. Preliminary results will be called out as soon as emergency testing is completed. Final results will be available Monday 11/28/2022.
  • All other specimens will be tested on Monday, 11/28/2022, and results will be available by 5:00 p.m.
• Tuberculosis (TB) Specimens: 
  • Do not ship specimens for delivery between Wednesday, 11/23/2022 and Friday, 11/25/2022. Keep specimens in refrigerated storage until shipment
  • Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered by 8:30 a.m. on Wednesday, 11/23/2022.
  • Call 512-776-7342 before 9:00 a.m. on Wednesday, 11/23/2022 for expedited test requests.
• Candida auris Swab Specimens: 
  • Do not collect or ship swabs from Tuesday, 11/23/2022 to Thursday, 11/25/2022. Swabs collected after this date must be refrigerated and shipped on cold packs.
    • Note: Specimens must be received by the Minnesota (back up) laboratory within four days of collection.
• Bacteriology Water Samples:
  • Water samples will not be accepted at DSHS Laboratory from Wednesday, 11/23/2022 to Friday, 11/25/2022.
• All Other Microbiology Specimens or Samples:
  • Do not ship specimens for delivery between Thursday, 11/24/2022 and Saturday, 11/26/2022. Store specimens collected during this time at an appropriate temperature, e.g. -70°C, or below for clinical virology samples.
  • No tests will be performed from Thursday, 11/24/2022 to Sunday, 11/27/2022. 

Ordering Laboratory Supplies: 

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on 11/23/2022 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon on 11/24/2022 will be processed and shipped via FedEx Ground.
• Requests received after noon on 11/24/2022 through 11/28/2022 will be sent Monday, 11/29/2022.

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on 11/23/2022 will be audited, issued, and shipped via FedEx Ground.
• Requests received before 9:00 a.m. on 11/24/2022 will be audited, issued, and shipped via FedEx Ground Wednesday afternoon
• Requests received after 9:00 a.m. on 11/24/2022 through 11/28/2022 will be audited, issued, and shipped on Monday 11/29/2022 via FedEx Ground.

***Per FedEx website, FedEx Ground will be closed Thursday 11/24/2022 but will deliver packages Friday 11/25/2022.***

Questions? 
Newborn Screening General Inquiries: (512) 776-7333
Microbiology General Inquiries: (512) 776-7599
Clinical Chemistry General Inquiries: (512) 776-6236
Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry: ClinicalChemistry@dshs.texas.gov
Microbiology Branch: Lab.Microbiology@dshs.texas.gov
Specimen Submission: LabInfo@dshs.texas.gov

Container Preparation: ContainerPrepGroup@dshs.texas.gov 

Posted November 2, 2022

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Serotyping of Shigella Species by Next Generation Sequencing Now Available at DSHS Austin Laboratory

Effective 8/22/2022, the Texas Department of State Health Services (DSHS) Austin Laboratory is providing Shigella species identification and serotyping by Next-Generation Sequencing (NGS) of the organism’s whole genome (Shigella spp. Identification and Serotyping by NGS). The NGS test replaces the Laboratory’s Shigella conventional serotyping test (procedure # MAA0004A), which is no longer conducted at the Laboratory. 

Providers are encouraged to submit Shigella isolates from human and environmental/food sources to the DSHS Laboratory for sequencing. Shigellosis, a gastrointestinal infection caused by Shigella bacteria, is a reportable condition to DSHS. The introduction of NGS testing of Shigella isolates at the Laboratory will contribute to the surveillance and tracking of this reportable disease in Texas. 

For laboratory questions about Shigella NGS testing or specimen suitability, contact the Advanced Molecular Detection Group Manager, Yan Sun, at (512) 776-4256.

For other questions related to Shigella specimen submissions, call Kenneth Davis at (512) 921-5368, or email kenneth.davis@dshs.texas.gov. You may also email the Infectious Disease Control unit mailbox FoodborneTexas@dshs.texas.gov. 

For information on Shigella specimen packaging and shipping, call Specimen Receiving at (512) 776-7598.

Posted October 5, 2022

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Request for the Return of Surplus Plastic Liner Containers

DSHS Austin Laboratory – Microbiological Sciences and Clinical Chemistry Notice

Due to ongoing supply shortages, the DSHS Austin Laboratory requests submitters who receive shipping supplies from the lab to return any surplus or unused hard-sided plastic inner liner tubes. There’s no cost to you to return the liner tubes. A business reply label will be provided, so your postage is paid!

Alternatively, you may return your spare liners in your next cold box shipment to the lab.

These liner tubes are provided by the Laboratory to participants in the Texas Health Steps program, TB screening and surveillance programs, and submitters who receive cold box containers. The liners are the property of the State of Texas and should be used only for shipping specimens classified as Category B Biological Substances to the laboratory. Submitters who receive these shipping supplies are required to return any unused or extra containers.

The DSHS Laboratory appreciates the dedication and commitment of healthcare providers to ensure the best possible health outcomes for all Texans. Thank you!

Questions about Returning Shipping Containers? 

Contact:
Container Preparation Group 
Call: (512) 776-7661
Email: ContainerPrepGroup@dshs.texas.gov

Specimen Acquisition Group
Call: (512) 776-7598

Austin Laboratory Addresses:

USPS (Preprinted Business Reply Labels Only)
Texas Department of State Health Services
Laboratory Services Section 
P.O. Box 149347
Austin TX 78714-9347

For Overnight/Priority Courier Shipping (FedEx, UPS, or LSO Cold Box Specimens)

Texas Department of State Health Services
Laboratory Services Section
1100 W. 49th Street
Austin, TX 78756-3199

Posted September 27, 2022

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Upcoming Training Webinars

During September and November 2022, the Denver Prevention Training Center and Texas Department of State Health Services will host two webinars on the management of gonorrhea and syphilis in Texas. 

Managing Superbugs: Antibiotic Resistant Gonorrhea (GC) in Texas 
Topics to be discussed include: 

• Current trends in the prevalence of gonorrhea and antibiotic resistant N. gonorrhoeae in Texas. 
• The new GC test to be offered by DSHS—gonorrhea antimicrobial susceptibility testing. 

Date: Thursday, Sept. 29, 2022
Time: 12:00 p.m.–2:00 p.m. CST
Register: https://courses.nnptc.org/class_information.html?id=3422
Continuing Education Credits: 2 hours (CME/NCPD)
Cost: Free

Exploring an Epidemic: Managing Syphilis During Pregnancy in Texas 
Topics to be discussed include: 

• Current trends in the prevalence of syphilis in the general population and in pregnant women in Texas. 
• Statewide efforts to address congenital syphilis. 

Date: Wednesday, Nov. 2, 2022
Time: 12:00 p.m.–2:00 p.m. CST
Registration
Continuing Education Credits: 2 hours (CME/NCPD)
Cost: Free

Posted September 20, 2022

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Effective 8/22/2022, the Texas Department of State Health Services Laboratory is now providing initial serologic screening testing services for chronic Chagas disease (Chagas IgG).

Medical providers are encouraged to submit serologic specimens to the DSHS Laboratory for screening. Chagas disease, which is caused by infection with the protozoan parasite Trypanosoma cruzi, is a reportable condition to DSHS. The expansion of Chagas disease testing services at the Austin Laboratory will contribute to the surveillance and tracking of this reportable disease in Texas. 

View a description of the Chagas IgG tests, acceptable specimen types, and possible test results.

For questions about Chagas testing or specimen suitability, contact the Serological Analysis Team at 512-776-7657 or 512-776-7760.

For information regarding specimen packaging and shipping, call Specimen Receiving at (512) 776-7598.

Posted September 16, 2022

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Beat the Summer Heat: Tips on How to Package Temperature-Sensitive Specimens to Keep Them Cold in Transit

DSHS Austin Laboratory – Microbiological Sciences and Clinical Chemistry Branch Notice

The DSHS Austin Laboratory reminds submitters to pack temperature-sensitive specimens with enough refrigerant to keep them frozen or cold for up to 48 hours to account for the hot Texas summers and elevated temperatures in transport vehicles. 

Several specimen types, including whole blood, plasma, serum, stool, exudate, rabies, and several clinical and environmental swabs specimens require cold shipping to the laboratory. Specimens that need to be shipped cold but arrive at the lab at ambient temperature are deemed to be unacceptable and may not be testable. 

Tips on packing and shipping temperature-sensitive specimens:

• Ship temperature sensitive specimens overnight to the DSHS laboratory as soon as possible after collection. 
• Identify the appropriate refrigerant for the specimen (e.g., dry ice, frozen gel packs, ice packs, or wet ice).
• Pack specimen with enough refrigerant to keep it cold for up to 48 hours to account for the possibility of delays in delivery to the lab, particularly during the hot Texas summer temperatures
• Pack remaining gaps in the container with additional absorbent insulation (such as newspaper, paper towels, cotton wadding, etc.) to reduce the volume and movement of warm air within the container. Minimizing open space in containers will keep contents colder for longer.
• Do NOT ship for a weekend or holiday delivery; specimens are accepted during regular business hours only* (Mon. – Fri. 8:00 a.m. – 5:00 p.m.). Alternatively, keep specimen chilled until it can be delivered on a weekday.

*Saturday delivery of rabies specimens for same day testing is available in emergency situations only. Specimens must arrive at lab before 8:00 a.m. for same-day results. The rabies lab must first be notified by phone or email about a specimen submission. Call the Rabies Notification line at 1-800-252-8163 (toll free) or complete the Electronic Rabies Specimen Submission Notification Form.

The DSHS Laboratory staff thank you for your assistance with optimizing specimen submission and testing processes!

Additional Submission and Shipping Guidance Is Available

Antibiotic Resistance Lab Network Refer to specimen preparation and submission guidelines for carbapenem resistant organisms and Candida spp. 

Arbovirus Specimen Submitters: Refer to specimen packaging and shipping guidance at Arbovirus Field Surveillance Techniques.

Clinical Specimen Submitters: Refer to the appropriate test description in the LTSM’s Microbiology Test list for shipping and specimen handling requirements.

Food Sample Submitters: Refer to the food sample packaging and shipping instructions on the Consumer Microbiology Lab’s webpage. 

Rabies Specimen Submitters: Refer to specimen handling and shipping guidance on the Rabies Lab’s webpage. 

Questions about Shipping or Specimen Packaging/Container? 
Call Specimen Receiving at (512) 776-7598

Laboratory Shipping Address

For Overnight/Priority Shipping 

Texas Department of State Health Services
Laboratory Services Section
1100 W. 49th Street
Austin, TX 78756-3199

Posted August 4, 2022

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Resumption of Reporting OXA-58 Carbapenemase Results for Carbapenem Resistant Acinetobacter baumanii (CRAB) Isolates

Effective July 8, 2022, the DSHS Austin Laboratory has resumed reporting test results for the presence of bla_OXA-58 in CRAB specimens. The process control issue that led to the temporary pause in reporting has been resolved.

The DSHS Laboratory appreciates the dedication and commitment of healthcare providers to ensuring the best possible health outcomes for all Texans. 

Questions?

Contact the Molecular Biology Team 

Phone: 512-776-6510
Email: Lab.Microbiology@dshs.texas.gov

Posted July 11, 2022

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DSHS Laboratory – Microbiological Sciences Branch Notice
Discontinue Francisella IgG Testing Service

Effective June 1, 2022, the Texas DSHS Austin Laboratory is no longer providing serologic testing services for Francisella IgG.

If specimens for the above assay are received at DSHS Austin Laboratory, laboratory staff will contact the submitter to decide how the laboratory may proceed with the specimens from the options below: 

1. Option 1 ─ Ship the specimens back to the submitter with no shipping charges. The submitter may choose this option if they wish to submit the specimens to a commercial laboratory that provides testing with an expected turnaround time of 5-6 days.
2. Option 2 ─ Cancel the test and discard the specimen(s) appropriately
3. Option 3 ─ Forward the specimens to the Centers for Disease Control and Prevention (CDC),) for testing with no shipping charges. Testing at the CDC has an anticipated turnaround time of two weeks. 

Contact the DSHS Microbiology Laboratory with any questions about testing services at Lab.Microbiology@dshs.texas.gov.

Posted June 16, 2022

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Temporary Discontinue in Reporting of OXA-58 Carbapenemase Results for Carbapenem Resistant Acinetobacter baumanii (CRAB) Isolates 

Effective April 22, 2022, the DSHS Austin Laboratory has stopped reporting test results for the presence of bla_OXA-58 in CRAB specimens due to a potential process control issue with a testing reagent. All other targets are performing as expected and will continue to be reported. The DSHS Laboratory will issue a notification when this issue is resolved, and bla_OXA-58 reporting can resume. 

The DSHS Laboratory appreciates the dedication and commitment of healthcare providers to ensuring the best possible health outcomes for all Texans. 

Questions? 

Contact the Molecular Biology Team 
Phone: 512-776-6510
Email: Lab.Microbiology@dshs.texas.gov

Posted May 25, 2022

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Request for Submission of Cyclospora Specimens to the Texas DSHS Austin Laboratory 

Many cyclosporiasis cases have occurred in Texas during the past nine summers. The Texas Department of State Health Services (DSHS) is collaborating with the Centers for Disease Control and Prevention (CDC) on a project to identify and sequence Cyclospora specimens that could help connect cyclosporiasis cases in outbreak investigations. Therefore, we are requesting that clinical laboratories send all appropriate* Cyclospora positive stool specimens to the DSHS Laboratory in Austin for molecular analysis. These specimen submissions will help us detect future disease clusters and respond to them more quickly. 

Why are We Asking You? 

• Cyclosporiasis is a reportable condition in Texas. Consistency in reporting confirmed cases is an important public health goal. Healthcare providers and laboratories are required to report confirmed cyclosporiasis cases to their respective local health department within one week, per 
  25 Tex. Admin. Code §97.3. 
  
  This test is free! Submitting laboratories will not be charged for testing specimens sent for this surveillance project. A results report will be issued to the submitting laboratory. 

*Appropriate Cyclospora Specimens for Molecular Analysis 

• Required Media Stool specimens fixed with Zn-PVA, Cu-PVA or Ecofix (or other parasitology fixative without formalin) are acceptable. Raw stool and unfixed specimens (e.g., collected in Cary-Blair transport media for bacteriologic testing) are also acceptable. Note: Specimens fixed in LV-PVA are not acceptable as the formalin it contains interferes with the testing process. 
• Required Volume A minimum sample of 300 µl is required for testing.
• Required Shipping Temperature Fixed samples may be stored and shipped at room temperature. Unfixed and raw stool specimens should be kept at 2°C–8°C and be shipped overnight in tightly sealed, insulated containers with cold packs. Do not use dry ice. Ensure all specimen containers are securely tightened to avoid leakage.

Cyclospora Specimen Submission Process 

• All Submitters MUST Have a Submitter ID Number with DSHS. If you do not already have an account or submitter number or you need to update information already on file, download a Submitter ID Number Request Form. Complete all applicable fields and email the completed form to labinfo@dshs.texas.gov, or fax it to (512) 776-7533.
• Specimens Must be Labeled Appropriately. Each specimen must have at least two unique patient identifiers that match the information provided on the specimen submission form.
• Cyclospora Specimens Must be Accompanied by a G-2B Specimen Submission Form. If your facility needs an updated G-2B submission form, email LabInfo@dshs.texas.gov to request one
• All Required Fields in the G-2B Form Must be Completed. Ensure the required fields, including demographic information and the ordering physician’s NPI number (when applicable), are completed. 
  A sample G-2B form is attached to this notice. Required fields for Cyclospora stool specimens are highlighted green. Optional fields are highlighted orange
• Labeling and Shipping and Requirements Ship specimens as a Category B Biological Substance. 

Shipping Information and Addresses 

View more details on shipping information.

Regular Mail Services 

Specimen Receiving: Walter Douglass
Laboratory Services Section, MC 1947
Department of State Health Services 
PO Box 149347 
1100 W. 49th Street 
Austin, TX 78714-9347 
Phone: 512-776-7569

Overnight/Priority Courier Services
Specimen Receiving: Walter Douglass
Laboratory Services Section 
Department of State Health Services
1100 W. 49th Street 
Austin, TX 78756-3199

For laboratory questions about Cyclospora testing or specimen suitability, contact the Parasitology Team Lead, La Chae’ Butler, at 512-776-7560.

For all other questions, contact Kenneth Davis at 512-921-5368 or email FoodborneTexas@dshs.texas.gov.

Sample Submission Form (G-2B) for Cyclospora 

Posted May 11, 2022

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Closure of Austin Greyhound Bus Station: Alternative Means of Submitting Rabies and Mosquito Specimens to Texas DSHS Austin Laboratory Required 

The Department of State Health Services (DSHS) Austin Laboratory has been notified that the Greyhound Bus terminal at 916 E Koenig Ln. Austin, TX 78751 will permanently close May 31, 2022, but are ceasing freight 15, 2022. The Austin terminal closure will affect the ground transportation options available for shipping rabies and mosquito specimens to the Laboratory. From May 15 onward, rabies specimens will need to be delivered directly to the Austin Laboratory or transported by an alternative courier service of your choice. DSHS is currently investigating alternative shipping arrangements and will notify submitters of new options, if available. Should you have questions about the closure of the Greyhound station, call (512) 776-7598.

Note: Specimens sent to the Austin Greyhound terminal for pick up by laboratory staff on or after May 15 cannot not be collected and could be returned or lost! 

• Packages transported by ground and overnight courier services (USPS, FedEx, UPS, LoneStar Overnight, etc.) are not affected by the Austin Greyhound terminal closure and will be accepted at the Laboratory during regular business hours Monday–Friday (8:00 a.m.–5:00 p.m.).
   
• Hand-delivered samples are unaffected by the closure and may be delivered to Specimen Acquisition (Laboratory Specimen Receiving Dock) during regular business hours. Refer to the DSHS campus map for direction to the Specimen Receiving Dock, which is highlighted in yellow.
   
• Regulatory packaging and shipping requirements are unaffected by the closure. Per regulations 49 CFR § 171-173, all rabies specimens must be packaged and properly labeled for shipping as a Biological Substance, Category B UN3373. Mosquito specimens must be shipped using the plastic collection cartons and insulated boxes provided by the Laboratory.
   
• Submitters of rabies specimens are still required to call the toll-free Rabies Hotline at 1-800-252-8163 to alert the Laboratory of the expected arrival time and to provide any other relevant information about the shipment. 
   
• DSHS does not recommended specimens be shipped for weekend or holiday delivery, including by couriers that may offer weekend deliveries. 

In the Event of an Emergency Situation 

• Rabies Specimens: For emergency processing of a specimen on a Saturday, the submitter must first receive prior approval from the DSHS Laboratory. Contact the Rabies Identification Team before 4 p.m. on Friday at (512) 776-7595. After 4 p.m. Friday, call (512) 776-7111 and request to speak with a regional Zoonosis Control staff member. The specimen must arrive at the lab by 8 a.m. Saturday. 
   
• Mosquito Specimens: Call the DSHS Arbovirus/Entomology Laboratory Team at (512) 776-2442, or toll free at 
  (888) 963-7111 ext. 2442 to discuss special testing requests. 

Additional Shipping and Packaging Information

• Rabies Specimens
• Mosquito Specimens

Shipping Addresses

Rabies Specimens
ATTN: Rabies Team
Texas Department of State Health Services
Laboratory Services Section 
1100 W. 49th Street 
Austin, TX 78756
Be sure to label the package with BIOLOGICAL SUBSTANCE, CATEGORY B UN3373, and REFRIGERATE ON ARRIVAL

For laboratory questions about rabies testing or specimen suitability, contact the Rabies Identification Team at

(512) 776-7595, or email nachea.qualls@dshs.texas.gov.

Mosquito Specimens 

ATTN: Arbovirus/Entomology Team
Texas Department of State Health Services 
Laboratory Services Section
1100 W. 49th Street 
Austin, TX 78756

For laboratory questions about mosquito/arbovirus testing or specimen suitability, contact Bethany Bolling at (512) 776-2442, or email bethany.bolling@dshs.texas.gov.

Posted May 6, 2022

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Implementation of Viral RNA Assay for HIV-1 Detection at DSHS Austin Laboratory

Effective 4/13/2022, the DSHS Austin Laboratory expanded its Human Immunodeficiency Virus (HIV) testing capabilities by adding HIV-1 RNA testing using the Aptima^® HIV-1 Quant Dx Assay. This nucleic acid amplification test (NAAT) detects and measures HIV-1 RNA in specimens and is used to confirm infection with HIV-1. The test can also be used for disease prognosis and to monitor the effects of antiretroviral treatment in patients infected with HIV-1.

Submitters may request this test for standalone testing by completing the G2-A Specimen Submission Form and requesting HIV-1 RNA, NAAT on the form. Standalone requests for HIV-1 RNA testing will require a justification to be provided on the accompanying G-2A Specimen Submission Form. Approved justifications include

• monitoring the effects of antiretroviral treatment (plasma only),
• testing as part of the new pre-exposure prophylaxis (PrEP) testing algorithm,
• assessing for perinatal exposure, and
• resolving discordant HIV serology results.

Both serum and plasma specimens can be accepted for HIV-1 RNA testing. Quantitative results are reported for plasma specimens but only qualitative (reactive/nonreactive) results are available for serum specimens. Plasma is the only acceptable specimen source for monitoring antiretroviral treatment in patients and for use alongside clinical presentation and other laboratory markers for disease prognosis.

This HIV-1 RNA test will also be used as part of our HIV screen algorithm to aid in the diagnosis of HIV-1 infection. Specimens submitted for HIV screen testing may receive this test to confirm acute or primary HIV-1 infection.

Access the HIV-1 RNA test specimen collection and submission instruction.

• Required Forms
  • G-2A Specimen Submission Form. If you need a copy, contact us at 512-776-7578 or email
    labinfo@dshs.texas.gov
• Acceptable Specimen Criteria
  • Serum collected in red top tubes or Serum Separator tubes (SST) with clot activator
  • Plasma collected in purple top/lavender top tubes with EDTA
• Shipping Requirements
  • Ship cold at +2 to +8°C if specimens will be received within 5 days of collection
  • Ship frozen or on dry ice at -20°C or colder if specimens will be received >5 days after collection (no more than 90 days)

A description of possible test results can be found in the interpretation guide.

View additional information and ongoing updates regarding the availability of the HIV-1 RNA test.

Phone: (512) 776-7599
Email: Lab.Microbiology@dshs.texas.gov

Posted April 14, 2022

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Request for Submission of Norovirus Specimens to the Texas DSHS Austin Laboratory

Testing case patients for unknown gastrointestinal illnesses is helpful for clinical decision making and for community outbreak detection and investigation purposes. Therefore, the Department of State Health Services (DSHS) Laboratory is available to test and sequence gastrointestinal pathogens, including norovirus (NoV). So far in 2022, 12 suspected and confirmed NoV outbreaks have been reported to the DSHS Central Office. Since NoV outbreaks tend to be underreported to public health officials, the true incidence of cases is likely higher.

During outbreak investigations, local or regional health departments may request that you forward clinical specimens to the DSHS Laboratory for additional NoV testing. In such situations, it is essential you submit the requested specimens to the Laboratory to assist epidemiology teams across the state in linking individual cases during outbreak investigations.
The DSHS Laboratory does not charge for the testing of clinical specimens that are requested for NoV outbreak investigation purposes.

Appropriate Specimen Type, Packaging, and Shipping

• Required specimens for NoV testing are fresh stool specimens in sterile containers.
• A minimum sample of 200 µl is required for RT-PCR testing.
• Raw stool specimens should be stored cold at 4 °C and shipped overnight in insulated containers with cold packs or wet ice. Do not freeze the specimens.
• Ensure at least two unique patient identifiers are on the specimen container and its accompanying submission form. Both sets of unique identifiers must be identical. 

Norovirus Sample Submission Process

• Norovirus specimens must be accompanied by a G-2B Specimen Submission Form. A sample G-2B form is attached to this notice in which the fields required for norovirus stool specimens are highlighted green. Optional fields are highlighted orange.
• All required fields in the G-2B form must be completed. Do not submit old forms with your specimens. If your facility needs an updated G-2B submission form, email LabInfo@dshs.texas.gov. 
• All submitters must have a submitter ID number with DSHS. If you do not already have an account or submitter number with the DSHS Laboratory, contact the laboratory at LabInfo@dshs.texas.gov before submitting specimens.

Shipping Information & Address:

View Shipping Information.

Shipping Addresses:

For Regular Mail Services
Specimen Receiving: Walter Douglass
Laboratory Services Section, MC 1947
Department of State Health Services
PO Box 149347
1100 W. 49th Street
Austin, TX 78714-9347

For Overnight/Priority Courier Service
Specimen Receiving: Walter Douglass
Laboratory Services Section, MC 1947
Department of State Health Services
1100 W. 49th Street
Austin, TX 78756-3199
Phone: 512-776-7569

For laboratory questions about NoV testing or specimen suitability, contact the Molecular Biology Team Lead at (512) 776-6510.

For other questions related to NoV submissions and DSHS’ NoV surveillance project, contact Kenneth Davis at (512) 921-5368 or email FoodborneTexas@dshs.texas.gov.

Posted April 6, 2022

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National Provider Identifier (NPI) Number Requirement For Specimen Submission

Submitters are required to provide the 10-digit National Provider Identifier (NPI) number for the Ordering Physician on all specimen submissions forms when including the Ordering Physician’s Name. Testing may be delayed if the required NPI numbers are not provided on the submission forms.

The Ordering Physician’s NPI number field is located in the Ordering Physician Information section. This section is found at the top right corner on all specimen submission forms as shown in the example below. Note that the Ordering Physician’s NPI number must be an Individual NPI and not an Organization NPI.

For Questions, email Lab Reporting at LabInfo@dshs.texas.gov, or call
(512) 776-7578 or 1-888-963-7111, Ext. 7578. 

Posted March 10, 2022

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Packing and Labeling of COVID NGS Specimens Shipped to the Texas DSHS Austin Laboratory 

All COVID-19 specimens for Next Generation Sequencing (NGS) MUST be packaged and labeled in the order they appear in their accompanying line list. Doing so helps minimize the likelihood of specimens being returned for label corrections or being classified as unsatisfactory for testing. 

All NGS test specimens should be clearly labeled with two patient specific identifiers, properly packed, and listed in the accompanying NGS line list. If multiple packets of specimens are submitted together, the order in which the specimens are packed MUST be clearly identified in the Comments field of the accompanying line list (highlighted in yellow in the example, below). Agreement between specimen labeling in the shipping container and specimen order in the line list improves efficiency in logging received specimens and reduces the number of unsatisfactory submissions.
For more information on the shipping and labeling requirements for Covid-19 NGS specimens, check out DSHS’ COVID-19 Next Generation Sequencing Specimen Collection and Submission Instructions.

Should you have further questions about the shipping, handling, and submission requirements for COVID-19 NGS testing, contact the Specimen Acquisition Branch at 

Phone: (512) 776-7111 ext. 2385
1 (888) 963-7111 ext. 2385 (Toll Free)
E-Mail: MicrobiologyCheck-InTechnical@dshs.texas.gov

Posted March 10, 2022

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Submitter Responsibilities Regarding Packing and Shipping of Biological Specimens to the Texas DSHS Austin Laboratory

All specimens must be packaged and shipped appropriately to avoid the specimens being classified as unsatisfactory for testing by the Laboratory. Per 25 Tex. Admin. Code §73.31 Specimen Submission, “Failure to submit a specimen as required will result in the department’s refusal to perform the requested services.”

Specimens classified as Category A or Category B Biological Substances are required to meet transportation requirements per 49 CFR §173.196 and 49 CFR §173.199 respectively, for their appropriate marking, labeling, packaging, and shipping. Staff responsible for packaging such specimens should be appropriately and currently trained on the correct specimen handling and submission protocol.

Examples of available free trainings on handling biological specimens include

• DSHS Emergency Preparedness Branch offers online and frequent in-person training on Shipping Infectious Biological Substances through NOTE: DSHS online class access requires a Media Lab account. View set-up instructions.
   
• Centers for Disease Control and Prevention (CDC) offers a Continuing Education Credit class on packing and shipping dangerous goods. View class information. NOTE: This CDC training module does not include initial certification. It is suitable only for recertification after initial certification has expired.
   
• The U.S. Pipeline and Hazardous Materials Safety Administration (PHMSA) offers free workshops on the handling of hazardous materials at Workshops | PHMSA (dot.gov)

For additional information and updates on shipping, handling, and submission requirements of biological substance submissions to the DSHS Laboratory, visit:

• U.S. Department of Transportation - Pipelines and Hazardous Materials
• 7 Tips E_resource Guide fn_0.pdf (dot.gov)
• Laboratory Testing Services Manual - Guidelines for Specimen Shipping and Mailing

NOTE: These training and literature suggestions are for instructional purposes only and are not substitutes for the requirements of the Hazardous Materials Regulations (HMR). While the training materials may be updated periodically, the HMR may change more frequently.

To ensure that you are following the current regulations, consult a current copy of the HMR and any subsequent final rules published to the Federal Register. 

Should you have questions about shipping, handling, and submission requirements, contact the Specimen Acquisition Branch at 

Phone: (512) 776-7111 ext. 2385
1 (888) 963-7111 ext. 2385 (Toll Free)
E-Mail: MicrobiologyCheck-InTechnical@dshs.texas.gov

Posted March 09, 2022

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Update- HIV and Syphilis Screen Testing Delay due to Technical Issues

Issues with the testing instrumentation have been resolved and DSHS has resumed all testing of HIV and Syphilis Screen specimens. 

• All HIV and Syphilis Screen specimens that were being stored at the DSHS Laboratory since Monday 2/28/22 will be processed.
• Test results will be reported to submitters as soon as they are available.

The DSHS Microbiology Laboratory appreciates the dedication and commitment of healthcare providers to ensuring the best possible health outcomes for all Texans. 

Questions? 

Contact the Serology Laboratory:
Phone: 1 (888) 963-7111 ext. 7760 or Locally: 512-776-7760
Email: Lab.Microbiology@dshs.texas.gov 

Posted March 8, 2022

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Delay in HIV and Syphilis Screen Testing due to Technical Issues

Due to unexpected issues with testing instrumentation, the DSHS Austin Laboratory is temporarily unable to perform HIV and Syphilis Screen testing. The instrumentation is currently being repaired, and we anticipate resuming the tests soon.

• All HIV and Syphilis Screen specimens received at the DSHS Laboratory since Monday 2/28/22 have not been processed.
• All specimens received since Monday 2/28/22 are being stored appropriately until testing can resume.
• DSHS will follow up with additional communications on this issue and notify submitters once regular testing and reporting of HIV and Syphilis Screen tests are reinstated.

The DSHS Microbiology Laboratory appreciates the dedication and commitment of healthcare providers to ensuring the best possible health outcomes for all Texans. 

Questions? 

Contact the Serology Laboratory:
Phone: 1 (888) 963-7111 ext. 7760 or Locally: 512-776-7760
Email: Lab.Microbiology@dshs.texas.gov 

Posted March 04, 2022

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DSHS Laboratory Closure Due to Inclement Weather

Inclement weather in Austin and other parts of Texas may cause a delay of testing at the Department of State Health Services Laboratory.

• The DSHS Laboratory will be closed on Friday February 4, 2022, due to inclement weather and hazardous road conditions in the Austin area.
• Continue to ship all samples per regular guidelines.
• Courier services are running as road conditions allow; however, expect delays due to the weather. Check your courier for local service alerts.
• All samples will be processed as soon as possible after resumption of normal operations. However, samples received outside of their acceptability window will be unsatisfactory for testing.
• The laboratory will work at maximum capacity to resolve any specimen backlog.

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy.

Contact DSHS Laboratory:

Email: labinfo@dshs.texas.gov
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Posted February 4, 2022

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*****Effective Immediately*****
New Level-of-Care Reporting Requirement for Influenza Surveillance Specimens Submitted to the Texas DSHS Austin Laboratory

Identification of patient level-of-care is now required for specimens submitted for Influenza Surveillance. Submitters must now specify whether the patient is an Inpatient or an Outpatient on the G-2V Virology Specimen Submission form.

The Inpatient/Outpatient level-of-care status field is found in the bottom left of Section 2 of the G-2V form, which is highlighted in the example below. 

The Inpatient/Outpatient level-of-care status information will contribute to the U.S. influenza surveillance system; a collaboration between CDC and its public health partners to track influenza activity across the country. Identification of level of care status at the time of specimen collection can be used to assess and evaluate the effect of virus characteristics on influenza diseases severity.

Should you have questions about this new requirement, email

Lab.Microbiology@dshs.texas.gov, or call 512-776-7599. 

Posted February 2, 2022

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DSHS Laboratory Closure Due to Inclement Weather

Inclement weather in Austin and other parts of Texas may cause a delay of testing at the Department of State Health Services Laboratory.

• The DSHS Laboratory will be closed on Thursday February 3, 2022, due to inclement weather in the Austin area.
• Continue to ship all samples per regular guidelines.
• Courier services are expected to run as usual; however, they may experience delays due to the weather. Check your courier for local service alerts.
• All samples will be processed as soon as possible after resumption of normal operations. However, samples received outside of their acceptability window will be unsatisfactory for testing.
• The laboratory will work at maximum capacity to resolve any specimen backlog.

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy.

Contact DSHS Laboratory:

Email: labinfo@dshs.texas.gov
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov
Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Posted February 2, 2022

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Possible DSHS Laboratory Closure Due to Inclement Weather

Inclement weather in Austin and other parts of Texas may cause a delay of testing at the Department of State Health Services Laboratory.

• Due to expected inclement weather in the Austin area, the DSHS Laboratory may be closed on Thursday February 3, 2022.
• Consider delaying collection of samples with short acceptance windows (e.g. must be tested within 24-48 hours). This does NOT apply to newborn screening samples or most tests at the DSHS Laboratory.
• Continue to ship all samples per regular guidelines. 
• Courier services are expected to run as usual; however, they may experience delays due to the weather. Check your courier for local service alerts
• All samples will be processed as soon as possible after resumption of normal operations. However, samples received outside of their acceptability window will be unsatisfactory for testing.
• The laboratory will work at maximum capacity to resolve any specimen backlog.
• Samples received before or during the laboratory closure may not be reported within the expected turnaround time.

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy. 

Contact DSHS Laboratory:
Phone: 1 (888) 963-7111 ext. 7318 or Locally: 512-776-7318
Email: labinfo@dshs.texas.gov 
Email Microbiology: Lab.Microbiology@dshs.texas.gov
Email Newborn Screening: NewbornScreeningLab@dshs.texas.gov

Email Clinical Chemistry: ClinicalChemistry@dshs.texas.gov

Posted February 2, 2022

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*****Effective February 1, 2022*****
Isolate Testing to be Performed at Texas DSHS Austin Laboratory for Carbapenem-Resistant Acinetobacter baumannii (CRAB)

DSHS Laboratory – Microbiological Sciences Branch Notice

Starting February 1, 2022, the DSHS Laboratory in Austin will begin conducting Identification (ID), Antibiotic Susceptibility Testing (AST), and Mechanism PCR testing on submitted Carbapenem-Resistant Acinetobacter baumannii (CRAB) isolates. Prior to February 1, these tests were performed by the Utah Public Health Laboratory. 

Note, submitters should continue shipping CRAB isolates to the DSHS Laboratory as previously required. There are no related changes to DSHS’ current isolates submission or reporting processes. 

Should you have questions about this change, email TexasARLN@dshs.texas.gov. 

For additional information, check out the Texas AR Lab Network webpage.

Posted February 01, 2022

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*****Effective Immediately*****
Product Substitution for Serum Separator Tube (SST) for Lipid, Glucose, HIV, Syphilis, and Diagnostic Serology Testing 

Due to the nationwide demand and unavailability of gold top serum separator tubes (SST) from the manufacturers, there will be a delay in the availability of this product that is normally available to our submitters for lipid, glucose, HIV, and syphilis, and other diagnostic serology testing.

At this time, orders received for gold top SSTs will be substituted with the red top tubes with clot activation until further notice. To ensure adequate supply, requests will be reviewed and adjusted, based on specimen submission. Adjusted requests will not be back-filled; therefore, a new request will need to be submitted.

For order information call or email:

1-888-963-7111 ext. 7661 or 512-776-7661

ContainerPrepGroup@dshs.texas.gov

For questions, contact ClinicalChemistry@dshs.texas.gov

Posted December 28, 2021

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Laboratory Christmas and New Year Holiday Closure Reminders

The DSHS Austin Laboratory will be closed Friday 12/24/2021, Saturday 12/25/2021, and Saturday 01/01/2022. Testing will not be performed on these days, with limited exceptions; the exceptions being Newborn Screening, Rabies, and COVID-19 (SARS-CoV-2) PCR testing, which WILL be performed Friday 12/24/2021. The Rabies Laboratory will be open 01/01/2022 for emergency testing. 

Note: Specimen deliveries will NOT be accepted on Saturday, 12/25/2021 or Saturday, 01/01/2022. The Laboratory is not open on Sundays.

See below for specific details.

All submitters are responsible for the timely and appropriate shipping of specimens to the DSHS Laboratory.

Newborn Screening (NBS) Laboratory 

• The NBS Laboratory will be closed Saturday, 12/25/2021 and Saturday, 1/1/2022; testing will resume on the Monday after each holiday. 
• DO NOT delay collection or shipment of newborn screening specimens to the laboratory.
• Ship dried specimens within 24 hours of collection. If mail or courier services are unavailable, ship as soon as possible. 
  • DSHS recommends shipping specimens using an overnight or trackable service like USPS Priority Mail, FedEx, UPS, etc.

Clinical Chemistry (Texas Health Steps) Laboratory

• The Clinical Chemistry Laboratory will be closed Friday 12/24/2021, Saturday 12/25/2021, and Saturday 1/1/2022.
• Total hemoglobin, lead, glucose, lipid panel, cholesterol, and creatinine specimens must be received by Thursday, 12/23/2021, to complete testing prior to the Christmas holiday
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens for delivery to the laboratory on or between Thursday, 12/23/2021, and Sunday, 12/26/2021.

Microbiology Testing Notices

Before shipping, ensure your specimen will arrive on a day the Laboratory is open.

Rabies Testing:
Note: Ship rabies specimens via Greyhound Bus.

• The Rabies Laboratory will be open Friday, 12/24/2021, and Saturday, 01/01/2022 for emergency testing. 
• To arrange emergency testing, contact laboratory personnel at (512) 776-7595.
• Specimens received before 8:00 AM Thursday, 12/23/2021, will be tested the same day.
  • Results will be available by 5:00 PM the same day.
• Specimens received 8:00 AM to 3:00 PM Thursday, 12/23/2021, will be tested on Friday, 12/24/2021; 
  • Preliminary results will be available by 12:00 PM Friday, 12/24/2021, if requested. 
• All other specimens will be tested on Monday, 12/27/2021.
• Specimens received before 8:00 AM Friday, 12/31/2021, will be tested on Friday, 12/31/2021. 
  • Results will be available by 5:00 PM the same day. 
• Specimens received 8:00 AM to 3:00 PM Friday, 12/31/2021, will be tested on Saturday, 01/01/2022;
  • Preliminary results will be available by 12:00 PM Saturday, 01/01/2022, if requested. 
• All other specimens will be tested on Monday, 01/03/2022.
• Specimen receipt by 8:00 AM must be guaranteed to ensure same-day testing. 

COVID-19 Testing:

• DO NOT ship specimens for delivery between Friday, 12/24/2021 and Sunday, 12/26/2021.
• DO NOT ship specimens for delivery between Friday, 12/31/2021 and Sunday, 01/02/2022.

Note: Pending approval, priority COVID specimens delivered when the Laboratory is open can be tested. Pre-arrangement of testing is required.

All Other Microbiology/Bacteriological Testing:

• Human Bacteriology, Molecular Detection, and Whole Genome Sequencing samples will NOT be accepted or tested on: 
  • Friday, 12/24/2021
  • Friday, 12/31/2021
• Water samples will NOT be accepted for testing on:
  • Thursday, 12/23/2021
  • Friday, 12/31/2021
• Serology specimens will NOT be accepted on Friday, 12/24/2021. 
• To receive expedited Mycobacterium tuberculosis AFB Smear and NAA test results before the Christmas holiday, submitters MUST:
  • ensure specimens are delivered to the laboratory by 8:00 AM Thursday, 12/23/2021; 
  • otherwise, refrigerate collected specimens and ship for delivery on Tuesday, 12/28/2021. Note: Contact laboratory personnel at (512) 776-7342 for expedited test requests.

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received 12/22/2021 and 12/29/2021 will be processed and shipped via FedEx Priority Overnight.
  • All requests received before 12:00 PM Thursday, 12/23/2021, and Thursday, 12/30/2021, will be processed and shipped via FedEx Ground
  • Requests received between 12:00 PM Thursday, 12/23/2021, and Sunday, 12/26/2021, and Thursday, 12/30/2021, and Sunday, 01/02/2022 will be sent the Monday after each holiday.
• Beginning Saturday 01/01/2022, ALL requests need to be placed using the updated order request form, which reflects the new price for NBS 4, paid cards.

Texas Health Steps/Newborn Screening/TB/HIV/Courier Supply Order Requests

• All requests received on 12/22/2021 will be audited, issued and shipped via FedEx Ground.
  • Requests received prior to 9:00 AM on 12/23/2021 will be shipped Thursday afternoon.
  • Requests received after 9:00 AM on 12/23/2021 will be shipped on Monday, 12/27/2021.
• All requests received on 12/30/2021 will be audited, issued and shipped via FedEx Ground.
  • Requests received prior to 9:00 AM on 12/31/2021 will be shipped Friday afternoon.
  • Requests received after 9:00 AM on 12/31/2021 will be shipped on Monday 1/3/2022.

***Per FedEx website FedEx Ground will be closed 12/25/2021, 12/26/2021, 1/1/2022 and 1/2/2022***
***Per FedEx website FedEx Express will have limited deliveries per area 12/24/2021 & 12/31/2021***

Questions? Contact the Texas DSHS Laboratory:
Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318
Main Email: LabInfo@dshs.texas.gov
NBS Email: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov 
Microbiology Email: Lab.Microbiology@dshs.texas.gov

Posted December 17, 2021

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The DSHS Austin Laboratory has implemented a new viral RNA assay for Hepatitis C 

Effective 11/15/2021, the DSHS Austin Laboratory will expand its Hepatitis C testing capabilities by introducing quantitative Hepatitis C RNA testing using the Aptima® HCV Quant Dx assay. The assay detects and measures hepatitis C virus (HCV) RNA and is used to confirm active HCV infection, both acute and chronic. The test can also be used to monitor progression of HCV treatment in HCV-infected individuals.

All positive samples submitted for Hepatitis C Antibody testing will now receive this Hepatitis C RNA test to confirm active HCV infection. Submitters can also request this test for viral load assessment to monitor treatment by completing the appropriate submission form requesting Hepatitis C RNA, Quantitative NAAT testing.

• Access specimen collection and submission instruction
• Required Forms: G-2A Specimen Submission Form. If you need a copy, contact us at 512-776-7578 or email at labinfo@dshs.texas.gov
• Acceptable specimen criteria
  • Serum collected in red top tubes or Serum Separator tubes (SST)
  • Plasma collected in purple top tubes with EDTA
• Shipping requirements:
  • If DSHS receives within 5 days of collection ─ ship cold at +2 - +8°C
  • If DSHS receives > 5 days of collection (no more than 60 days) ─ frozen/dry ice at -20°C or colder
• A description of possible test results can be found in the interpretation guide.

For additional information and ongoing updates regarding the test, go to the Diagnostic Seriology Team webpage.

Phone: (512) 776-7599
Lab.Microbiology@dshs.texas.gov

Posted November 15, 2021

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DSHS Austin Laboratory Thanksgiving Holiday Closure Reminders

The DSHS Austin Laboratory will be closed and no testing will be performed on Thursday, 11/25/2021 and Friday, 11/26/2021 except Newborn Screening and Rabies testing. See below for more details on selected testing.

Newborn Screening (NBS)

• The Newborn Screening Laboratory will be closed on Thanksgiving Day and will resume testing on Friday, 11/26/2021.
• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as soon as possible. 
• DSHS recommends shipping specimens using an overnight or trackable service like USPS priority mail, FedEx, and UPS.

Clinical Chemistry

• Total hemoglobin, lead, glucose, lipid/cholesterol and creatinine specimens must be received by Wednesday, 11/24/2021 to complete testing before the holiday.
• DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.

Microbiology

• Rabies:
  • Ship rabies specimens via Greyhound Bus. Specimens received after 8:00 a.m. on Wednesday, 11/24/2021 will be tested Friday, 11/26/2021. Positive results will be called out by noon Friday. All other results will be available Monday 11/29/21.
  • Emergency testing is available on Friday, 11/26/2021 and Saturday, 11/27/2021 by arrangement with laboratory personnel (512-776-7595). Specimen receipt must be guaranteed by 8:00 a.m. the morning of testing. Preliminary results will be called out as soon as emergency testing is completed. Final results will be available Monday 11/29/21.
  • All other specimens will be tested on Monday, 11/29/2021 and results will be available by 5:00 p.m.
     
• COVID-19:
  • Upon approval, priority COVID-19 specimens will be tested on Friday, 11/26/2021 or Saturday, 11/27/2021. Contact your Regional and/or Local Health Department to initiate the testing approval process.

• Mycobacteriology/Mycology Laboratory (TB): 
  • Do not ship specimens Wednesday, 11/24/2021 to Friday, 11/26/2021. Keep specimens in refrigerated storage until shipment.
  • Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered by 8:30 a.m. on Wednesday, 11/24/2021.
  • Call 512-776-7342 for expedited test requests before 9:00 a.m. on Wednesday, 11/24/2021.

• Candida auris Swabs
  • Do not collect or ship swabs from Tuesday, 11/23/2021 to Thursday, 11/25/2021. Swabs collected after this date must be refrigerated and shipped on cold pack and received in the laboratory within 4 days after collection.

• Bacteriology Water Samples
  • No shipment will be accepted from Wednesday, 11/24/2021 to Friday, 11/26/2021.

• All Other Microbiology Samples:
  • Do not ship specimens Wednesday, 11/24/2021 to Saturday, 11/27/2021. Store specimens collected during this time at appropriate temperature, e.g. -70°C or below for clinical virology samples. 
  • No tests will be performed from Thursday, 11/25/2021 to Sunday, 11/28/2021.

Order for Laboratory Supplies

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on 11/23/2021 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon on 11/24/2021 will be processed and shipped via FedEx Ground.
• Requests received after noon on 11/24/2021 through 11/28/2021 will be sent Monday, 11/29/2021.

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on 11/23/2021 will be audited, issued and shipped via FedEx Ground.
• Requests received before 9:00 a.m. on 11/24/2021 will be audited, issued and shipped via FedEx Ground Wednesday afternoon.
• Requests received after 9:00 a.m. on 11/24/2021 through 11/28/2021 will be audited, issued and shipped on Monday 11/29/2021 via FedEx Ground.

***Per FedEx website, FedEx Ground will be closed 11/25/2021 but will deliver packages 11/26/2021.***

Questions? 
1-888-963-7111 ext. 7318 or locally 512-776-7318
Main Email: LabInfo@dshs.texas.gov
NBS Email: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov 

Posted November 1, 2021

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DSHS Laboratory – COVID-19 Next Generation Sequencing Results Reporting

The DSHS Austin Laboratory continues to accept samples from healthcare providers and COVID-19 testing laboratories statewide for Next Generation Sequencing (NGS) of SARS-CoV-2 as part of the public health response to COVID-19 in Texas.

Effective October 1, 2021, submitters will start receiving SARS-CoV-2 NGS reports in one of three ways (fax, mail, online portal) depending on the preferred method of delivery chosen by the submitter. Samples received before October 1, 2021 will not have reports generated.

View additional information and ongoing updates regarding the COVID-19 situation.

General Information and Questions Email: WGS.DSHS@dshs.texas.gov

Posted November 1, 2021

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DSHS Austin Laboratory Veterans Day Closure Reminder

The DSHS Austin Laboratory will be closed on Thursday, 11/11/2021, in observance of Veterans Day. No testing will be performed on this day. DSHS Austin Laboratory will resume normal operating hours and testing on Friday, 11/12/2021.

Questions? 
1-888-963-7111 ext. 7318 or locally 512-776-7318
Main Email: LabInfo@dshs.texas.gov
NBS Email: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov
Microbiology Email: Lab.Microbiology@dshs.texas.gov 
Container Preparation: ContainerPrepGroup@dshs.texas.gov

Posted October 11, 2021

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Changes to the Texas DSHS Laboratory Fee Schedule including a fee increase to the NBS test

The Department of State Health Services (DSHS) Laboratory Services Section (LSS) is in the process of revising laboratory testing and fees for laboratory services to meet business needs. These revisions are proposed to take effect January 1, 2022. Stakeholders can submit comments until December 30, 2021 at LabInfo@dshs.texas.gov or by mail at: Laboratory Services Section, Attn. Fee Schedule Changes, PO Box 149347, Austin, TX 78714-9347.

There will be a fee increase to the NBS test:

Effective January 1, 2022, the new cost of PAID newborn screening (NBS) kits will be raised to $63.55 due to the addition of spinal muscular atrophy (SMA) to the test panel. PAID NBS kits ordered on or after January 1, 2022 will be billed at the new price of $63.55.

Other fee schedule changes:

View all proposed fee schedule changes, including:

• fee changes to existing tests,
• changes to test names to more accurately reflect the actual test procedure,
• new tests added, and
• existing tests discontinued.

The new fee schedules will be posted to the DSHS Laboratory website by January 1, 2022. To view the current Austin and South Texas DSHS Laboratory fee schedules.

DSHS Laboratory Forms:

As with previous fee revisions, the laboratory submission forms will also be revised. Revised submission forms will be provided to you no later than December 31, 2021, and they may be used beginning January 1, 2022. 

Thank you for your continued partnership and support.

Posted October 1, 2021

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Attention Rabies Customers

It has been brought to our attention that an email was sent out to all Texas Animal Health Commission (TAHC) clients informing them that the Texas State-Federal Laboratory closed. The Texas Department of State Health Services (DSHS) Laboratory is not affiliated with the Texas Animal Health Commission or the Texas State-Federal Laboratory.

If you have specimens that require Rabies testing, continue to send them to:

Texas Department of State Health Services
Laboratory Services Section
Attention Rabies Team
1100 W. 49^th St, MC 1947
Austin, TX 78756

For questions call: 1-888-963-7111 ext. 7595

Posted September 23, 2021 

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DSHS Laboratory – Microbiological Sciences Branch Notice

The Texas Department of State Health Services (DSHS) is collaborating with the Centers for Disease Control and Prevention (CDC) on a project to identify and validate genotyping tools that could be beneficial in linking cases of cyclosporiasis in outbreak investigations. 

We are requesting that clinical laboratories send Cyclospora positive stool specimens to the DSHS Laboratory in Austin for molecular analysis. These specimen submissions will help us detect future disease clusters and respond to them more quickly.

• Required Forms: 
  LabInfo@dshs.texas.gov
  G-2B Specimen Submission Form If your facility needs an updated G-2B submission form, email:
• Acceptable specimen types:
  • Stool specimens fixed with Zn-PVA, Cu-PVA or Ecofix (or other parasitology fixative without formalin); fixed samples can be stored and shipped at room temperature. LV-PVA is not acceptable.
  • Raw stool and unfixed samples (e.g., collected in Cary-Blair medium for bacteriologic testing). Unfixed specimens and raw stool should be sent in insulated containers with cold packs (not dry ice). 

• Shipping Information & Address:https://www.dshs.texas.gov/lab/mrs_shipping.shtm#Shipping

For further details regarding Cyclospora testing or specimen suitability, contact La Chae’ Butler at 512-776-7560 or email Lab.Microbiology@dshs.texas.gov

For all other Cyclosporiasis related questions, contact Kenneth Davis at 512-921-5368 or email FoodborneTexas@dshs.texas.gov

Posted September 7, 2021 

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Attention Bacteriological Water Customers

Public Water Systems and Private

Effective June 1, 2021

Starting on June 1, 2021, the Texas Department of State Health Services Laboratory will return to their normal operating hours for accepting bacteriological water samples. 

Water samples accepted Monday – Thursday 8am – 4pm (Except Federal Holidays).

For questions or comments: Call toll free: 1-888-963-7111 ext. 7598 or for local calls 512-776-7598

Posted May 26, 2021 

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Microbiological Sciences Branch Notice
Change in test procedure for Candida colonization testing

Effective April 1, 2021, the Austin DSHS Laboratory will change the testing method for Candida colonization testing from culture to real-time polymerase chain reaction (RT-PCR). Specimen submission criteria for Candida colonization testing remains the same. Reporting time for Candida colonization tests by RT-PCR will be reduced to two to three business days.

View more information regarding Candida specimen submission.

DSHS Microbiological Sciences Branch:

Phone: 1 (888) 963-7111 ext. 7599 or Locally: 512-776-7599
Email: Lab.Microbiology@dshs.texas.gov

Posted March 31, 2021 

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Texas Department of State Health Services Laboratory - Annual Customer Satisfaction Survey, Austin TX

Complete the following survey. Your responses are very important as they help us improve our services.

The survey will take approximately 5 - 10 minutes to complete. Complete the Survey.

Complete the survey by April 15, 2021.

If you have questions, contact the DSHS Laboratory at 512-776-7578. 

Posted March 15, 2021 

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Candida auris is now a Notifiable Condition in Texas

Candida auris (C. auris) was added to the Texas Administrative Code as a notifiable condition on January 5, 2021. Per the Texas Administrative Code, C. auris isolates are now required to be submitted to the Texas DSHS Laboratory in Austin.

• C. auris is an emerging multidrug-resistant fungal pathogen that can cause invasive disease with high mortality and has been transmitted in healthcare settings. Identifying persons colonized with C. auris is a key step in containing the spread.
• To aid in our surveillance of this deadly agent, ship all C. auris isolates and any Candida isolates that your laboratory cannot identify to the Texas DSHS laboratory.
• View specific shipping instructions for C. auris isolates.

Visit the Texas ARLN website for more information

• Antibiotic Resistance Testing
• C. auris Colonization Screening Sample Collection
• Texas Administrative Code

Questions? 

Contact DSHS Microbiology Laboratory:
Phone: 1 (888) 963-7111 ext. 7599
Email: TexasARLN@dshs.texas.gov

Posted March 3, 2021

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DSHS Austin Laboratory Notice

2021 Winter Storm Delays and Resumption of Laboratory Testing

The recent winter storms led to delays in transit of samples to the Texas DSHS Austin Laboratory as well as laboratory closure and interruptions to testing services.

• All normal operations resumed at the Texas DSHS Austin Laboratory starting Saturday, February 20, 2021.
• DSHS courier pickups and deliveries have resumed.
• Samples received before or during the laboratory closure may not be reported within the expected turnaround time.
• The laboratory received a higher than usual number of specimens that arrived too late to be tested or did not meet required storage conditions upon arrival.
• The laboratory will continue at maximum capacity to resolve any specimen backlog.
• Notices for Newborn Screening specific information were sent out earlier to providers. (View previous notices.)

The DSHS Austin Laboratory appreciates the dedication and commitment of healthcare providers to keep Texans healthy.

Contact DSHS Laboratory:
Phone: 1 (888) 963-7111 ext. 7318 or Locally: 512-776-7318
Email: labinfo@dshs.texas.gov

Posted March 02, 2021

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DSHS Laboratory – Microbiological Sciences Branch Notice

The DSHS Austin Laboratory has implemented the use of whole genome sequencing for the identification and serotyping of Escherichia coli (E. coli) from clinical isolates and specimens. Organism ID and serotype information will be included in the reports for isolates and specimens received at the DSHS Austin Laboratory on or after February 4, 2021 for the following categories:

• Shiga-toxin producing E. coli (STEC)
• Other E. coli that have been selected and sequenced for surveillance purposes 

This additional information cannot be provided for samples submitted before February 4, 2021.

There will be no changes to the specimen submission or reporting process.

Contact the DSHS Microbiology laboratory with any questions you have at Lab.Microbiology@dshs.texas.gov.

Posted February 22, 2021

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Notice: COVID-19 Next Generation Sequencing is available at the DSHS Austin Laboratory

The DSHS Austin Laboratory has been funded by the Centers for Disease Control and Prevention (CDC) to perform Next Generation Sequencing of SARS-CoV-2 as part of the public health response to COVID-19 in Texas. The data we gather from sequencing can inform us about how the virus is spreading in our communities, where it originated, how it may be changing over time in different geographical locations, and whether these changes may affect diagnostic testing, public health response measures, or vaccine development.

The DSHS Laboratory is now accepting specimens from healthcare providers and COVID-19 testing laboratories statewide to increase its sequencing efforts as new genetic variants of SARS-CoV-2 have been reported within the State of Texas. DSHS is very interested in receiving specimens from patients who have been re-infected with COVID-19 and those suspected of having a genetic variant of concern.

• Specimens will NOT be tested without prior approval from the Texas DSHS EAIDU COVID-19 Epidemiology Team or DSHS Laboratory.
• Providers interested in submitting samples for SARS-CoV-2 Sequencing must coordinate with Texas DSHS EAIDU COVID-19 Epidemiology Team for sequencing approval prior to submitting samples for sequencing. Send an email to EAIDU-Coronavirus@dshs.texas.gov to initiate the submission process.
• Specimens must have already been tested and confirmed to be positive for COVID-19 and a PCR positive sample must be available for sequencing.
• Specimen Types: RNA extracts (preferred) or clinical specimens (e.g., nasopharyngeal swab in viral transport media)
• Access further detailed information on criteria for priority specimens, acceptance criteria, and specimen collection and submission instructions.

View additional information and ongoing updates regarding the COVID-19 situation.

General Information and Questions Email: coronavirus@dshs.texas.gov

DSHS COVID 19 Call Center: 2-1-1 Option 6

Hours: 7:00 a.m. – 8:00 p.m., Monday – Friday 

Posted January 13, 2021

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DSHS Laboratory – Microbiological Sciences Branch Notice

The following microbiological testing areas that were affected by the DSHS Laboratory

COVID-19 response efforts have now resumed regular operations:

• Fungal isolate identification
• Parasitology identification
• Influenza surveillance testing
• Mosquito surveillance testing
• Gonorrhea/Chlamydia/Hepatitis C specimen testing
• Foodborne outbreak investigations (Listeria, Salmonella, Escherichia coli., etc.)

We do not expect any further delays in testing or laboratory results reporting due to the ongoing DSHS COVID-19 response efforts. A notification will be issued if any new delays are expected.

Contact the DSHS Microbiology laboratory with any questions at Lab.Microbiology@dshs.texas.gov.

Posted January 5, 2021 

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DSHS Laboratory – Microbiological Sciences Branch Notice

Starting January 1, 2021, the Texas DSHS Austin Laboratory will no longer be providing 

the following testing services:

• Rubella Virus, IgM
• Ehrlichia IFA
• Q-Fever, IgG

If specimens for the above assays are received at the DSHS Austin Laboratory on or after January 1, 2021, laboratory staff will contact the submitter to decide how the laboratory may proceed with the specimens from the options below:

1. Option 1 ─ Ship the specimens back to the submitter; no shipping charges; the submitter may choose this option if they wish to submit the specimens to a commercial laboratory that provides testing with an expected turnaround time of 5-6 days.
2. Option 2 ─ Cancel the test and appropriately discard the specimens.
3. Option 3 ─ Forward the specimens to the CDC (Centers for Disease Control and Prevention) for testing; no shipping charges; testing at the CDC has a projected turnaround time of 10 days for Rubella IgM and 6 weeks for Ehrlichia IgG and Q-Fever IgG.

Contact the DSHS Microbiology laboratory with any questions at Lab.Microbiology@dshs.texas.gov.

Posted December 29, 2020 

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Laboratory Christmas and New Year Holiday Closure Reminders

Newborn Screening Laboratory

Christmas Holiday Closed Date: 12/25/2020

• The Newborn Screening Lab will be closed on Christmas Day and will resume testing on Saturday, 12/26/2020.

New Year’s Holiday Closed Date: 1/1/2021

• The Newborn Screening Lab will be closed on New Year’s Day and will resume testing on Saturday, 1/2/2021.

Reminders:

• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as soon as possible.

Clinical Chemistry Laboratory

Christmas Holiday Closed Dates: 12/24/2020 – 12/25/2020

• Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Wednesday, 12/23/2020 to complete testing prior to the Christmas holiday.
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens between the dates of 12/23/2020 - 12/27/2020.

New Year’s Holiday Closed Date: 1/1/2021

• Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Thursday, 12/31/2020 to complete testing prior to the New Year’s holiday.
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens on Thursday, 12/31/2020.

Reminders:

• Specimens submitted for lead and total hemoglobin testing must be received within 14 days of collection.
• Specimens submitted for glucose, lipid, cholesterol, and creatinine testing must be received according to specimen submission guidelines.

Microbiology Testing Notices

• Christmas Holiday Closed Dates: 12/24/2020 – 12/25/2020
• New Year’s Holiday Closed Date: 1/1/2021

Rabies Laboratory:

Note: Ship specimens for Rabies testing via Greyhound Bus. 

• Specimens for Rabies testing received before 8:00 AM on Wednesday, 12/23/2020 will be tested on Wednesday, 12/23/2020.
  • Results will be available before 5:00 PM. 
• Specimens received between 8:00 AM and 3:00 PM on Wednesday, 12/23/2020 will be tested on Thursday, 12/24/2020 and preliminary results will be available by noon if requested.
• All other specimens will be tested on Monday, 12/28/2020.
• Specimens for Rabies testing received before 8:00 AM on Thursday, 12/31/2020 will be tested on Thursday, 12/31/2020.
  • Results will be available before 5:00 PM.
• Specimens received between 8:00 AM and 3:00 PM on Thursday, 12/31/2020 will be tested on Friday, 01/01/2021, and preliminary results will be available by noon if requested.
• All other specimens will be tested on Monday, 01/04/2021.
• Emergency testing is available on 12/24/2020, 12/26/2020, 01/01/2021 and 01/02/2021. Contact lab personnel to arrange emergency testing (512-776-7595). Specimen receipt must be guaranteed by 8:00 AM the day of testing. 

Viral Isolation Laboratory: 

• DO NOT ship specimens between Wednesday, 12/23/2020 through Sunday, 12/27/2020. 
  • Store collected specimens at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
  • Ship specimens on dry ice for delivery on 12/29/2020.
• DO NOT ship specimens on Thursday, 12/31/2020 through Sunday, 1/3/2021.
  • Store collected specimens at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
  • Ship specimens on dry ice for delivery on Tuesday, 1/5/2021.

Mycobacteriology/Mycology Laboratory:

Note: Contact lab personnel for expedited test requests (512-776-7342).

• To receive expedited AFB Smear and NAA for M. tuberculosis test results before the Christmas holiday:
  • Ensure specimens are delivered to the laboratory by 8:00 AM on Wednesday, 12/23/2020.
• DO NOT ship specimens on Wednesday, 12/23/2020 through Friday, 12/25/2020.
  • Store collected specimens in the refrigerator, and ship for delivery on Monday, 12/28/2020. 
• DO NOT ship specimens to be delivered on Thursday, 12/31/2020 or Friday, 1/1/2021. 
  • Store collected specimens in refrigerator and ship for delivery on Monday, 1/4/2021.

Bacteriology Laboratory (Human Samples)

• Bacteriology samples will not be accepted or tested on following dates:
  • 12/24/2020 – 12/27/2020
  • 1/1/2021 – 1/3/2021

AMD/WGS Samples

• Whole genome sequencing samples will not be accepted or tested on following dates:
  • 12/24/2020 – 12/27/2020
  • 1/1/2021 – 1/3/2021

Serology Laboratory

• DO NOT ship specimens to be delivered on Wednesday, 12/23/2020 through Friday, 12/25/2020. 
• DO NOT ship specimens to be delivered on Thursday, 12/31/2020 or Friday, 1/1/2021.

Bacteriology Water Samples

• Water samples will NOT be accepted on the following dates:
  • 12/23/2020 – 12/27/2020
  • 12/31/2020
  • 1/1/2021 – 1/3/2021 

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on 12/22/2020 will be processed and shipped via FedEx Priority Overnight.
• Priority overnight shipping requests received on 12/29/2020 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon on 12/23/2020 will be processed and shipped via FedEx Ground.
• All requests received before noon on 12/30/2020 will be processed and shipped via FedEx Ground.
• Requests received after noon on 12/23/2020 through 12/27/2020 will be sent Monday, 12/28/2020.
• Requests received after noon on 12/30/2020 through 1/3/2021 will be sent Monday, 1/4/2021. 

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on 12/22/2020 will be audited, issued and shipped via FedEx Ground.
• Requests received prior to 9:00 AM on 12/23/2020 will be audited, issued and shipped via FedEx Ground for pick up Wednesday afternoon.
• Requests received after 9:00 AM on 12/23/2020 through 12/27/2020 will be audited, issued and shipped on Monday 12/28/2020 via FedEx Ground.
• All requests received on 12/30/2020 will be audited, issued and shipped via FedEx Ground.
• Requests received prior to 9:00 AM on 12/31/2020 will be audited, issued and shipped via FedEx Ground for pick up Thursday afternoon.
• Requests received after 9:00 AM on 12/31/2020 through 1/3/2021 will be audited, issued and shipped on Monday 1/4/2021 via FedEx Ground.

***Per FedEx website FedEx Ground will be closed 12/25/2020 through 12/27/2020. & 1/1/2021 through 1/3/2021***

***Per FedEx website FedEx Express will have limited deliveries per area 12/24/2020 & 12/31/2020***

Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov 
NewbornScreeningLab@dshs.texas.gov
Or: ClinicalChemistry@dshs.texas.gov
Or: Lab.Microbiology@dshs.texas.gov
Or: ContainerPrepGroup@dshs.state.tx.us

Posted December 16, 2020 

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Holiday Notice

Bacteriological Water Samples will not be accepted at DSHS Laboratory on the following dates: 

• December 23 - December 27, 2020 
• December 31, 2020 
• January 1 - January 3, 2021

Reminder: Due to ongoing COVID-19 response efforts, bacteriology water samples are accepted Monday - Thursday 8am - 2pm (Except Federal Holidays).

Posted November 03, 2020

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DSHS Austin Laboratory Thanksgiving Holiday Closure Reminders

Newborn Screening (NBS)

Healthcare Provider Reminders:

• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as soon as possible.
• The Newborn Screening Lab will be closed on Thanksgiving Day and will resume testing on Friday, 11/27/2020.

Newborn Screening Medicaid/Paid Card Order Requests

• Priority overnight shipping requests received on 11/24/2020 will be processed and shipped via FedEx Priority Overnight.
• All requests received before noon on 11/25/2020 will be processed and shipped via FedEx Ground.
• Requests received after noon on 11/25/2020 through 11/29/2020 will be sent Monday, 11/30/2020.

Clinical Chemistry

Testing Notices:

• Total hemoglobin, lead, glucose, lipid/cholesterol and creatinine specimens must be received by Wednesday, 11/25/2020 to complete testing before the holiday.
• DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.
• The Clinical Chemistry Laboratory will be closed on 11/26/2020 and 11/27/2020.

Healthcare Provider Reminders:

• Lead and total hemoglobin specimens must be received within 14 days of collection.
• Glucose, lipid/cholesterol and creatinine specimens must be received according to specimen submission guidelines available at http://www.dshs.state.tx.us/lab/mrs_labtests_toc.shtm

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

• All requests received on 11/24/2020 will be audited, issued and shipped via FedEx Ground.
• Requests received before 9:00 a.m. on 11/25/2020 will be audited, issued and shipped via FedEx Ground for pick up Wednesday afternoon.
• Requests received after 9:00 a.m. on 11/25/2020 through 11/29/2020 will be audited, issued and shipped on Monday 11/30/2020 via FedEx Ground.

***Per FedEx website, FedEx Ground will be closed 11/26/2020 but will deliver packages 11/27/2020.*** 

Microbiology

• Rabies:
  • Ship rabies specimens via Greyhound Bus. Specimens received after 8:00 a.m. on Wednesday, 11/25/2020 will be tested Friday, 11/27/2020.
  • Positive results will be called out before noon Friday, 11/27/2020. 
  • Emergency testing is available on Friday, 11/27/2020 and Saturday, 11/28/2020 by arrangement with laboratory personnel (512-776-7595). Specimen receipt must be guaranteed.
  • All other specimens will be tested on Monday, 11/30/2020 and reported before 5:00 p.m.
• Viral Isolation Laboratory:
  • Do not ship specimens Wednesday, 11/25/2020 – Sunday, 11/29/2020. Store specimens collected during this time at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
  • Ship specimens on dry ice the week of 11/30/2020.
• Mycobacteriology/Mycology Laboratory (TB):
  • Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered to the laboratory by 8:30 a.m. on Wednesday, 11/25/2020 
  • Call 512-776-7342 for expedited test requests before 9:00 a.m. on Wednesday, 11/25/2020.
  • Do not ship specimens Wednesday, 11/25/2020 to Friday, 11/27/2020. Keep specimens in refrigerated storage until shipment.
  • No specimens will be tested from Thursday, 11/26/2019 to Sunday, 11/29/2020.
• Bacteriology Human Samples:
  • Bacteriology samples will not be accepted nor tested the following dates:
    • 11/26/2020 – 11/29/2020

Bacteriology Water Samples

• Bacteriology samples will not be accepted the following dates:
  • 11/25/2020 – 11/29/2020

Questions?

1-888-963-7111 ext. 7318 or locally 512-776-7318

Main Email: LabInfo@dshs.texas.gov
NBS Email: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov

Posted November 3, 2020

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Alternative Options for Female Endocervical and Male Urethral Swabs

Due to the Pandemic and heavy constraints upon the Manufacturer’s inventory through the end of the year, DSHS will be sending alternative options for Female Endocervical and Male Urethral Swabs. 

****NOTE****

The Unisex Collection Kit can be used to collect Female Endocervical and Male Urethral Swabs only. 

Do not use to collect urine. 

We apologize for any inconvenience this may cause.

Contact us at (512) 776-7661 or email at ContainerPrepGroup@dshs.texas.gov

if you have questions or concerns. 

Posted October 30, 2020

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The DSHS Austin Laboratory has implemented a new multiplex assay for Flu Surveillance specimens

Starting October 5, 2020, the DSHS Austin Laboratory will be performing the CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay for Flu surveillance specimens. The CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay is a real-time reverse-transcriptase polymerase chain reaction (RT-PCR) test that detects and differentiates RNA from SARS-CoV-2, influenza A virus, and influenza B virus in upper or lower respiratory specimens. More information on the assay can be found at the CDC website.

At this time, this assay will only be provided to established submitters enrolled in the Flu Surveillance Program. Positive influenza A and B specimens will continue to be subtyped using the CDC Human Influenza Virus Real-Time RT-PCR Diagnostic Panel as resources allow. All current COVID-19 testing activities will continue and will not be affected by the addition of the new assay.

• Visit the FDA In Vitro Diagnostics EUAs for SARS-CoV-2 page for more information.
• Access the FDA Letter for Emergency Use Authorization of the CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay.
• Fact Sheet for Patients
• Fact Sheet for Healthcare Providers

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 2-1-1 Option 6 
Hours: 7:00 a.m. – 8:00 p.m., Monday – Friday

Posted October 06, 2020

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Changes to the Texas DSHS Laboratory Fee Schedule 

The Department of State Health Services (DSHS) Laboratory Services Section (LSS) is in the process of revising laboratory testing and fees for laboratory services to meet business needs. These revisions are proposed to take effect January 1, 2021. Stakeholders can submit comments until December 30, 2020 at LabInfo@dshs.texas.gov or by mail at: Laboratory Services Section, Attn. Fee Schedule Changes, PO Box 149347, Austin, TX 78714-9347. 

Fee schedule changes:

Visit https://www.dshs.texas.gov/laboratory-services/laboratory-fee-schedule to view all proposed fee schedule changes, including:

• fee changes to existing tests,
• new tests added, and
• existing tests discontinued.

The new fee schedules will be posted to the DSHS Laboratory website by January 1, 2021. View the current Austin and South Texas DSHS Laboratory fee schedules.

DSHS Laboratory Forms:

As with previous fee revisions, the laboratory submission forms may also be revised. Revised submission forms would be provided to you no later than December 31, 2020 for use beginning January 1, 2021.

Thank you for your continued partnership and support.

Posted October 01, 2020

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DSHS Austin Laboratory Expands COVID-19 Testing Capabilities With The Aptima® SARS-CoV-2 Assay

Starting October 1, 2020, the DSHS Austin Laboratory will expand its COVID-19 testing capabilities by introducing the Aptima® SARS-CoV-2 Assay (Hologic Panther® system). This test is designed to detect the nucleic acid from SARS-CoV-2, the virus that causes COVID-19, in respiratory specimens. All current COVID-19 testing activities will continue and will not be affected by the addition of the new assay.

Specimens will not be tested without prior Epidemiologist (Epi) approval. Contact your Regional and/or Local Health Department and obtain Epi approval to test.

• Access specimen collection and submission instructions
• Required Forms: G-2V Specimen Submission Form
• Acceptable specimen criteria:
  • NP, nasal and OP swab specimens in Viral Transport Medium (VTM), Universal Transport Medium (UTM), Liquid Amies, or 0.85% Saline.
  • Shipping Requirements 
    • if DSHS receives within 3 days of collection ─ ship cold at +2-8°C
    • if DSHS receives > 3 days of collection ─ frozen/dry ice at -20°C or colder

• For further details regarding the Hologic, Inc. Aptima® SARS-CoV-2 assay, visit the FDA In Vitro Diagnostics EUAs for SARS-CoV-2 page,
• Fact Sheet for Healthcare Providers

View additional information and ongoing updates regarding the COVID-19 situation.

DSHS COVID‑19 Call Center: 2-1-1 Option 6 
Hours: 7:00 a.m. – 8:00 p.m., Monday – Friday

Posted October 1, 2020

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DSHS Laboratory – Microbiological Sciences Branch Notice

Starting October 1, 2020, the Texas DSHS Laboratory will be changing the testing criteria for Carbapenem-Resistant Pseudomonas aeruginosa (CRPA) isolates following guidance from the Centers for Disease Control and Prevention (CDC).

Submit P. aeruginosa isolates for testing if they meet both criteria below:

1. Resistant (MIC ≥ 8 μg/ml) to at least one of the following antibiotics ─ imipenem, meropenem, doripenem
2. Non-susceptible (intermediate or resistant, MIC ≥ 16 μg/ml) to cefepime or ceftazidime

If your facility does not test for cefepime and/or ceftazidime resistance, you are encouraged to continue sending all P. aeruginosa isolates that meet the first criteria for further testing. For questions, email TexasARLN@dshs.texas.gov. 

Posted September 22, 2020

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DSHS TB/HIV/STD Section to Move Starting May 18

The DSHS TB/HIV/STD Section will move to a new physical location between May 18 and May 29, 2020. Due to COVID-19 precautions, the physical work location of most staff will not change until those precautions are modified. However, phone numbers, fax numbers, and the delivery address will change in stages:

May 18: The main section phone number will change to 737-255-4300. Some section fax machines and staff phone numbers will change. The physical delivery address will change to 201 West Howard Lane, Austin, Texas 78753. The mailing address will not change (DSHS TB/HIV/STD Section, Post Office Box 149347, MC 1873, Austin, Texas 78714). Do not send deliveries to the new physical address until the location is staffed.

May 22: Fax and phone numbers for the HIV/STD Epidemiology and Surveillance Branch will change.

May 29: Fax and phone numbers for the Texas HIV Medication Program and Tuberculosis and Hansen's Disease Branch will change.

Unchanged by the move: Section staff email addresses. Section web addresses. The Texas HIV Medication Program 1-800 number.

Stakeholders will be informed of the changed phone and fax information directly by DSHS staff. To learn more, contact Section staff, call the current Section phone number 512-533-3000, or email the section.

Posted May 06, 2020

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Notice regarding COVID-19 testing at the DSHS Austin Laboratory

As of Monday, April 13, 2020, the Texas DSHS Austin Laboratory will begin utilizing the PerkinElmer New Coronavirus Nucleic Acid Detection Kit and chemagic extraction platform to expand capacity for COVID-19 testing. The CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel will continue to be available until current supply resources are exhausted.

• Acceptable specimens include:
  • Nasopharyngeal (NP) or oropharyngeal (OP) swabs, combined NP/OP swabs, and nasal swabs in Viral Transport Media (VTM), Universal Transport Media (UTM), liquid Amies media, and sterile saline.
• For further details regarding the “PerkinElmer New Coronavirus Nucleic Acid Detection Kit”, view the FDA EUA website: in the table titled “Test Kit Manufacturers and Commercial Laboratories” 
• Fact Sheets for Patients
• Fact Sheets for Healthcare Providers

****Continue to use the COVID-19 Specimen Collection and Submission Instructions for specimen collection, handling, and shipping guidance.****

ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 2-1-1 Option 6 
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted April 6, 2020

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Notice regarding testing and submission of specimens for COVID-19 testing to the DSHS Austin Laboratory

As of April 6, 2020, the Texas DSHS Laboratory has made the following changes regarding acceptable specimens for COVID-19 testing. 

The DSHS Interim COVID-19 Case Report Form is no longer required with sample submission.

For further details, view the COVID-19 Specimen Collection and Submission Instructions located on the DSHS Laboratory website

PUI ID is no longer required. However, ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 2-1-1 Option 6 
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week 

Posted April 6, 2020

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Notice regarding the impacts of COVID-19 response to the DSHS Austin Laboratory

Due to ongoing DSHS Laboratory COVID-19 response efforts, the following microbiological testing areas may experience delays in laboratory results reporting, effective April 1, 2020:

• Fungal isolate identification*
• Parasitology identification*
• Influenza surveillance testing
• Mosquito surveillance testing
• Gonorrhea/Chlamydia/Hepatitis C specimen testing

*Specimens for Candida auris testing and for malaria testing will not be affected and will follow regular testing schedules. 

In addition, testing for foodborne outbreak investigations, including whole genome sequencing, for Listeria will continue but testing for Salmonella, Escherichia coli and other foodborne bacteria will be upon epidemiologist request only. 

An updated notification will be issued when routine laboratory testing resumes.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov 

DSHS COVID‑19 Call Center: 1-877-570-9779 
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week 

Posted April 2, 2020

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Notice regarding testing and submission of specimens for COVID-19 testing to the DSHS Austin Laboratory

As of April 1, 2020, the Texas DSHS Laboratory has made the following changes regarding acceptable specimens for COVID-19 testing. 

1. The recommended specimen type is still a Nasopharyngeal (NP) swab (Dacron-tipped with a plastic or aluminum shaft) in viral transport media (VTM). If VTM is unavailable Universal Transport Media (UTM), Amies, or 0.85% Saline may be substituted.
2. Nasal swabs and nasal mid-turbinate (NMT) swabs are now acceptable. Oropharyngeal (OP) swabs are still an acceptable specimen type. **Continue to send a single specimen. If multiple specimens are received, only 1 swab will be tested in an effort to maximize resources.**
3. The DSHS Interim COVID-19 Case Report Form must be included with each sample submission.

For further details, view the “Specimen Types” and “Specimen Collection and Handling” Sections of the COVID-19 Specimen Collection and Submission Instructions located on the DSHS Laboratory website

PUI ID is no longer required. However, ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 2-1-1 Option 6 
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week 

Posted April 1, 2020

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Attention Bacteriological Water Customers: Public Water Systems and Private

Effective March 30, 2020

Due to the ongoing COVID-19 response efforts, the hours and times for bacteriological water receipt will change to the following starting on March, 30, 2020.

Water samples accepted Monday – Thursday 8am – 2pm (Except Federal Holidays).

An updated notification will be sent when we resume to our regular schedule of Monday – Thursday 8am – 4pm (Except Federal Holidays).

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7598 or for local calls 512-776-7598

Posted March 26, 2020

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Notice regarding testing and submission of specimens for COVID-19 testing to the DSHS Austin Laboratory

As of March 20, 2020, the Texas DSHS Laboratory has made the following changes to the COVID-19 Specimen Collection and Submission Instructions located on the DSHS Laboratory website. 

1. This document applies only to the DSHS Austin Laboratory. For information regarding submission to other Public Health Laboratories in Texas, contact your local health department.
2. We recommend sending only a single Nasopharyngeal swab in VTM. View additional language under the section, “Specimen Types”.
3. A sample G-2V submission has been added to clarify instructions to fill out the form. Sample G-2V.pdf

ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria and have a state specific PUI identification number for testing prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 1-877-570-9779
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week 

Posted March 20, 2020

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Notice regarding testing and submission of specimens for COVID-19 testing

As of March 5, 2020, the Texas DSHS Laboratory is accepting specimens per the criteria outlined in the COVID-19 Specimen Collection and Submission Instructions document found at COVID-19 Specimen Collection and Submission Instructions

ALL specimens for 2019 nCoV testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Person Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet PUI criteria and have a state specific PUI identification number for testing prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

View additional information and ongoing updates regarding the COVID-19 situation.

Email: coronavirus@dshs.texas.gov

DSHS COVID‑19 Call Center: 1-877-570-9779

Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted March 5, 2020

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Notice regarding testing and submission of specimens for 2019 Novel Coronavirus (nCoV) testing

ALL specimens for 2019 nCoV testing require preapproval. Contact your Local Health Department or DSHS Public Health Region to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet PUI criteria for testing prior to shipping and WILL NOT be tested without prior approval. DO NOT ship specimens prior to receiving this approval.

Posted February 10, 2020

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Additional drug susceptibility test result on Mycobacterium tuberculosis complex reports

In January 2020, the Austin DSHS Laboratory will report ofloxacin drug susceptibility results on M. tuberculosis complex reports in addition to the primary drug panel that consists of Rifampin, Isoniazid @ 0.2 µg/ml, Isoniazid @ 1.0 µg/ml, Pyrazinamide, and Ethambutol.

Ofloxacin is an antibiotic in the fluoroquinolones drug class that, in the treatment for tuberculosis (TB), is considered a second-line medication. While not first-line therapy, fluoroquinolones are often recommended for complicated tuberculosis, including drug resistant TB, which is the reason for adding this drug susceptibility results to the report. For guidance regarding the use of fluoroquinolones or other second-line treatment drugs, consult with a DSHS-Recognized Medical TB Consultant, or contact the TB and Hansen’s Disease Branch at 512-533-3000.

For pricing, refer to the Laboratory Fee Schedule.

Posted December 27, 2019

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Serological Screening for Syphilis is expanding to Include Detection of Treponemal-Specific IgM

Effective December 11, 2019, the DSHS Serology Laboratory changed the Syphilis Enzyme Immunoassay (EIA) method from a test that can only detect IgG to a test that detects both IgG and IgM. The additional capability of IgM detection can potentially lead to earlier detection of primary syphilis. Results, as before, are qualitative, and will be reported as:

• Nonreactive,
• Equivocal, or
• Reactive.

This assay does not distinguish between detection of IgM and/or IgG.

Syphilis screening at DSHS follows the reverse algorithm in which serum specimens are screened using a treponemal-specific EIA. Specimens with a positive Syphilis EIA will be confirmed using the non-treponemal Rapid Plasma Reagin (RPR) test.

Questions should be directed to the Serology Team at 512-776-7657 or the Serology Manager at 512-776-7760.

Posted December 16, 2019

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Sending Duplicate Patient Samples to Texas DSHS Antibiotic Resistance Laboratory

Due to laboratory capacity and resources, Texas DSHS Antibiotic Resistance (AR) Laboratory recommends only sending one sample of the same organism per patient.

Additional patient samples may be sent if:

1. A different carbapenem resistant organism is isolated from the same patient.
2. The initial carbapenem resistant organism susceptibility results have changed.
3. Six months has lapsed since the initial sample was tested at the Texas DSHS AR Laboratory.

For any questions about Texas DSHS AR Laboratory email TexasARLN@dshs.texas.gov

Posted December 16, 2019

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Laboratory Christmas and New Year Holiday Closure Reminders

Newborn Screening Laboratory (NBS)

Christmas Holiday Closed Dates: Dec. 25 – Dec. 26

• The NBS Laboratory will test specimens received and accessioned on Dec. 24.
• Healthcare providers may be notified of critical level preliminary presumptive positive results on Dec. 25.
• NBS testing will resume on Dec. 27.

New Year’s Holiday Closed Date: Jan. 1

• The NBS Laboratory will test specimens received and accessioned on Dec. 31.
• NBS testing will resume on Jan. 2.

Reminders:

• DO NOT delay collection or shipment of NBS specimens.
• Specimens must be dried prior to shipment and should arrive at the DSHS Laboratory within 24 hours after collection or as soon as possible. If mail or courier services are unavailable, ship as quickly as possible.

Clinical Chemistry Laboratory

Christmas Holiday Closed Dates: Dec. 24 – Dec. 26

• Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Dec. 23 to complete testing before the Christmas holiday.
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens Dec. 23 – Dec. 27.

New Year’s Holiday Closed Date: Jan. 1

• Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Dec. 31 to complete testing before the New Year’s holiday.
• DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens on Dec. 31.

Reminders:

• Lead and total hemoglobin specimens must be received within 14 days of collection

Microbiology Testing Notices

Christmas Holiday Closed Dates: Dec. 24 – Dec. 26

New Year’s Holiday Closed Date: Jan. 1

Rabies Laboratory

• Shipping by Greyhound Bus is highly recommended during weekends and holidays.

Christmas

• Rabies specimens received by 8 a.m. on Dec. 23 will be tested.
  • Positive results will be called out before 5 p.m.
• Specimens received between 8 a.m. and 3 p.m. Dec. 23, will be tested on Dec. 24.
  •  Positive results will be called out by noon.
  •  Negative results will be available on Dec. 27.
• Specimens received after 3 p.m. on Dec. 23 through 8 a.m. Dec. 27 will be tested Dec. 27.
  • Results will be called out before 5 p.m.
• Specimens received after 8 a.m. Dec. 27, and all specimens that arrive over the weekend will be tested Dec. 30.
  • Results will be called out before 5 p.m.

New Years

• Specimens received between 8 a.m. and 3 p.m. on Dec. 31 will be tested on Jan. 1.
  • Positive results will be called out by noon.
  • Negative results will be available on Jan. 2.
• Specimens received after 3 p.m. on Dec. 31 and before 8 a.m. on Jan. 2 will be tested on Jan. 2.
  • Results will be called out before 5 p.m.
• Emergency testing is available on Dec. 24, Dec. 26, Dec. 28 and Jan. 2 by arrangement with laboratory personnel (512-776-7595).
  • Specimen receipt must be guaranteed by 8 a.m. on the day of testing.

Viral Isolation Laboratory 

• DO NOT ship specimens for delivery Dec. 24 through Dec. 26. 
  • Store specimens collected during this time at -70°C or below.
  • Ship specimens on dry ice for delivery on Dec. 27.
• DO NOT ship specimens for delivery Dec. 31 through Jan. 1. 
  • Store specimens collected during this time at -70°C or below.
  • Ship specimens on dry ice for delivery on Jan. 2.

Mycobacteriology/Mycology Laboratory

• To receive expedited AFB Smear and NAA for M. tuberculosis test results before the Christmas holiday:
  • Ensure specimens are delivered to the laboratory by 8 a.m. on Dec. 23.
  • For expedited test requests call 512-776-7342.
• DO NOT ship specimens Dec. 23 through Dec. 25.
  • Store collected specimens in the refrigerator and ship for delivery on Dec. 27. 
• DO NOT ship specimens to be delivered on Dec. 31 or Jan. 1. 
  • Store collected specimens in refrigerator and ship for delivery on Jan. 2.

Serology Laboratory

• DO NOT ship specimens Dec. 23 through Dec. 25.
  • Serum should be separated from the clot and frozen.
  • Ship with sufficient dry ice to keep serum frozen for delivery on Dec. 27. 
• DO NOT ship specimens to be delivered on Dec. 31 or Jan. 1. 
  • Serum should be separated from the clot and frozen.
  • Ship with sufficient dry ice to keep serum frozen for delivery on Jan. 2.

Advanced Molecular Microbiology Laboratory

• DO NOT ship specimens for CPO colonization testing to be received the following dates:
  • Dec. 23 through Dec. 27
  • Dec. 31 through Jan. 1
• DO NOT ship specimens for other bacteria testing to be received the following dates:
  • Dec. 24 through Dec. 26
  • Dec. 31 through Jan. 1

Bacteriology Water Samples

• Water samples will not be accepted the following dates:
  • Dec. 23 through Dec. 27
  • Dec. 31 through Jan. 1

Supply Order Requests

• Priority overnight shipping requests received on or before Dec. 20 will be processed as normal.
• Requests received by noon on Dec. 23 will be sent FedEx Ground.
• Requests received after noon on Dec. 23 through Dec. 26 will be processed on Dec. 27.
• Requests received on Dec. 27 will be processed Dec. 30. 

Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov

Posted November 1, 2019

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Result Report Delay Notice

Beginning November 12, 2019, the DSHS Laboratory has delayed reporting of results for a small subset of newborn screening specimens due to testing instrument issues.

All previously reported results are considered accurate and not affected by this issue.

Mitigating steps have been completed and all delayed results are expected by November 22.

What specimens are affected?

Specimens received at the laboratory on or after November 8, 2019, which required additional second tier testing for X-ALD only. This was approximately three percent of specimens received or ~ 600 blood spots.

How does this impact newborn screening test results?

• Testing for all other newborn screening disorders has not been delayed.
• Clinical Care Coordination staff have continued to contact providers for all out of range results as soon as testing has been completed.
• Clinical Care Coordination staff will contact providers about out of range X-ALD results upon completion of testing.

What action should healthcare submitters take?

• Ensure receipt of a final report for all results.
• Read all screening result notes and follow recommendations.
• Follow instructions from clinical care coordination nurses on ALL abnormal newborn screening results.

Questions?

1-888-963-7111 ext. 7333 or for local calls 512-776-7333

NewbornScreeningLab@dshs.state.tx.us

Posted December 12, 2019
 

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DSHS Austin Laboratory Thanksgiving Holiday Closure Reminders

Newborn Screening (NBS)

Testing Notices:

• NBS specimens received and accessioned on Wednesday, 11/27/2019 will be tested immediately by the NBS laboratory.
• Healthcare providers may be notified of critical level preliminary presumptive positive results on Thursday, 11/28/2019 (Thanksgiving Day).
• NBS testing will resume on Saturday, 11/30/2019.
• Healthcare providers may be notified of critical level preliminary presumptive positive results on Sunday, 12/1/2019.

Healthcare Provider Reminders:

• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as soon as possible.

Clinical Chemistry

Testing Notices:

• Total hemoglobin, lead, glucose, lipid/cholesterol and creatinine specimens must be received by Wednesday, 11/27/2019 to complete testing before the holiday.
• DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.

Healthcare Provider Reminders:

• Lead and total hemoglobin specimens must be received within 14 days of collection.
• Glucose, lipid/cholesterol and creatinine specimens must be received according to specimen submission guidelines.

Microbiology

• Rabies:
  • Ship rabies specimens via Greyhound Bus. Specimens received between 8 AM and noon on Wednesday, 11/27/2019 will be tested Friday, 11/29/2019.
  • Positive results will be called out before noon Friday, 11/29/2019. 
  • Emergency testing is available on Friday, 11/29/2019 and Saturday, 11/30/2019 by arrangement with laboratory personnel (512-776-7595). Specimen receipt must be guaranteed.
  • All other specimens will be tested on Monday, 12/2/2019 and reported before 5 PM.
• Viral Isolation Laboratory:
  • Do not ship specimens Wednesday, 11/27/2019 – Sunday, 12/1/2019. Store specimens collected during this time at -70°C or below.
  • Ship specimens on dry ice the week of 12/2/2019.
• Mycobacteriology/Mycology Laboratory (TB):
  • Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered to the laboratory by 8:30 AM on Wednesday, 11/27/2019.
  • Call 512-776-7342 for expedited test requests before 9 AM on Wednesday, 11/27/2019.
  • Do not ship specimens Wednesday, 11/27/2019 to Friday, 11/29/2019. Keep specimens in refrigerated storage until shipment.
  • Specimens will not be tested from Thursday, 11/28/2019 to Sunday, 12/1/2019.

Bacteriology Water Samples

• Water samples will not be accepted the following dates:
  • November 27, 2019 - December 1, 2019
  • December 23, 2019 - December 27, 2019
  • December 31, 2019 - January 1, 2020

Supply Order Requests

• Priority overnight shipping requests received on 11/26/2019 will be issued and sent as normal.
• All other requests received by noon on 11/26/2019 will be sent FedEx Ground.
• Requests received after noon on 11/26/2019 through 12/1 will be sent Monday, 12/2/2019.

Questions?

1-888-963-7111 ext. 7318 or locally 512-776-7318

Main Email: LabInfo@dshs.texas.gov
NBS Email: NewbornScreeningLab@dshs.texas.gov
Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov
Container Preparation: ContainerPrepGroup@dshs.texas.gov

Posted November 4, 2019

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Urgent Notice - Results-Web Portal is Not Available

DSHS Laboratory Results - Web Portal application for Public Health Microbiology and Clinical Chemistry results is currently unavailable due to unexpected technical difficulties. 

Starting 10/24/19, all submitters receiving results by Results Web Portal only, will have reports sent by US Mail to the address on record. 

To expedite receipt of laboratory reports via fax:

• Complete a Submitter Identification Request Form 
• Email completed form to LabInfo@dshs.texas.gov or fax to 512-776-7533

The DSHS Laboratory apologizes for any inconvenience this shutdown may have caused. We are actively working on finding a solution or a replacement web application.

For questions or missing reports:

Email: LabInfo@dshs.texas.gov

Call 512-776-7578

Posted Oct 29, 2019

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Changes to the Texas DSHS Laboratory Fee Schedule

Including a fee increase to the NBS test

The Department of State Health Services (DSHS) Laboratory Services Section (LSS) is in the process of revising laboratory testing and fees for laboratory services to meet business needs. These revisions are proposed to take effect January 1, 2020. Stakeholders can submit comments until December 30, 2019 at LabInfo@dshs.texas.gov or by mail at: Laboratory Services Section, Attn. Fee Schedule Changes, PO Box 149347, Austin, TX 78714-9347.

Increase of Fees Due to Inflation:

The broadest change to the Austin and South Texas DHS Laboratory fee schedules would include the addition of 3% inflation to testing fees that have not been updated in the past year. DSHS’ inflation-related increases would mirror medical inflation which is calculated by the Federal Bureau of Labor Statistics. Laboratory Services Section would adopt inflation-related increases to offset increased testing costs, such as laboratory supplies and various procedural/ technological changes that allow Texas to keep pace with public health lab testing standards.

There will be a fee increase to the NBS test:

Effective January 1, 2020, the new cost of PAID newborn screening (NBS) kits will be raised to $60.58 due to the addition of X-linked adrenoleukodystrophy (X-ALD) to the test panel. PAID NBS kits ordered on or after January 1, 2020 will be billed at the new price of $60.58.

Other fee schedule changes:

View all proposed fee schedule changes, including:

• fee changes to existing tests,
• changes to test names to more accurately reflect the actual test procedure,
• new tests added, and
• existing tests discontinued.

The new fee schedules will be posted to the DSHS Laboratory website by January 1, 2020. View the current Austin and South Texas DSHS Laboratory fee schedules.

DSHS Laboratory Forms:

As with previous fee revisions, the laboratory submission forms will also be revised. Revised submission forms will be provided to you no later than December 31, 2019, and they may be used beginning January 1, 2020. 

Thank you for your continued partnership and support.

Posted October 1, 2019

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DSHS Laboratory Now Accepting Pharyngeal and Rectal Swabs for Chlamydia trachomatis and Neisseria gonorrheae testing by RNA probe

Effective September 9, 2019, the DSHS Serology Laboratory will start accepting pharyngeal and rectal swabs, in addition to urine, vaginal, and endocervical samples, for Chlamydia trachomatis and Neisseria gonorrheae testing by RNA probe. The FDA recently cleared Hologic^® Aptima Combo 2 to detect these organisms in throat and rectal samples using the Panther system, which has been successfully validated by the DSHS Laboratory.

Rectal and pharyngeal swabs should be collected using the Hologic Aptima Multitest Swab Specimen Collection Kit. Texas IPP, Texas Health Steps, and DSHS Regional Field Office clinical submitters can request collection kits from the laboratory by submitting a completed G-6C form to the laboratory Container Prep Group per the form’s instructions.

View guidance on acceptable specimen types and collection of specimens for Chlamydia trachomatis and Neisseria gonorrheae testing by RNA probe.

Contact the DSHS Microbiology Laboratory with any questions you have regarding Chlamydia or Gonorrhea testing at Lab.Microbiology@dshs.texas.gov.

Posted Sept 4, 2019

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DSHS Laboratory – Microbiological Sciences Branch Notice

Dear DSHS Laboratory Submitter,

In accordance with the Centers for Disease Control and Prevention (CDC) guidance, be advised that effective 7/1/2019 the Texas Department of State Health Services Laboratory no longer performs pulsed-field gel electrophoresis (PFGE) on the following organisms from clinical specimens or isolates collected from patients:

• Campylobacter spp.
• Shiga toxin-producing Escherichia coli
• Listeria monocytogenes
• Shigella spp.
• Salmonella spp.
• Vibrio spp.

Serotyping tests for Salmonella and Shigella species have also been discontinued. This change is being made to address the national shift in molecular subtyping methods of enteric pathogens from PFGE to whole genome sequencing (WGS), as recommended by the CDC. WGS has been shown to provide more reliable cluster analysis for bacteria associated with foodborne disease outbreaks.

Submitters of these specimens will receive a report with organism’s identity or a note thanking them for their submission. Reports may not contain details on the organisms’ serotype or other characteristics.

This change does not affect required isolate submission for diseases specified in the Texas Administrative Code (TAC). If you have any questions regarding which organisms are required for submissions, contact the DSHS foodborne team at FOODBORNETEXAS@dshs.texas.gov or refer to the Texas Notifiable Conditions list.

Contact the DSHS Microbiology laboratory with any questions you have regarding submission of organisms or reports at Lab.Microbiology@dshs.texas.gov. 

Posted July 22, 2019

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Texas Department of State Health Services Laboratory - Annual Customer Satisfaction Survey, Austin TX

Complete the following survey. Your responses are very important as they help us improve our services.

The survey will take approximately 5 minutes to complete. Begin the survey.

Complete the survey by March 25, 2019.

If you have questions, contact the DSHS Laboratory at 512-776-7598.

Posted July 19, 2019

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Attention Submitters: Check Expiration Dates and Label Placement

When submitting bacterial isolates on media, make sure that the expiration date of the media is visible on the plate/slant and expired media is not used.

Specimens plated on expired media will be REJECTED.

Questions / Comments

Call toll free: 1-888-963-7111 ext. 7599 or for local calls 512-776-7599

Email: DSHSLabMicrobiology@dshs.texas.gov

 Posted January 31, 2019

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Texas Department of State Health Services Laboratory Services Section is proposing changes to the Texas Administrative Code.

The purpose of the changes is to repeal rules §73.54 and §73.55 related to the Fee Schedule for Clinical Testing and Newborn Screening, as well as Chemical Analyses, from TAC. Additionally, rule §73.41 will be amended to direct stakeholders to the LSS website to view the most current laboratory fee schedule.

The public comment period ends January 27, 2019. View additional details, including a full draft of the proposed rule changes.

Posted January 10, 2019 

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Notice - Rickettsial Serology Testing Available

On December 19, 2018, the DSHS Laboratory will resume serological analysis of serum for IgG antibodies against Rickettsia rickettsia and Rickettsia typhi.

The most convincing evidence of recent rickettsiae infection of a four-fold rise in titer between the acute serum and the convalescent serum. Serum can be shipped cold (2-8^◦C) on ice packs if it will be received within 48 hours from time of collection. Ship frozen (-20°) on dry ice if it will be received more than 48 hours from time of collection. A completed G2-A form should accompany the specimen.

Direct comments or questions regarding this assay to LabInfo@dshs.texas.gov.

 Posted December 18, 2018

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Notice - Testing Service Interruption for Rickettsial Serology

In order to perform methodological improvements, the DSHS Laboratory will not be performing serological analysis of serum for IgG antibodies against Rickettsia rickettsia and Rickettsia typhi between Friday, December 7, 2018 and January 4, 2018. Direct comments or questions regarding this interruption of testing services to LabInfo@dshs.texas.gov.

Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318
Email: LabInfo@dshs.texas.gov

Posted December 6, 2018

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Austin Laboratory Christmas and New Year: Holiday Closure Reminders

Microbiology Testing Notices:

Christmas Holiday Closed Dates:

12/24/2018 – 12/26/2018

New Year’s Holiday Closed Date:

1/1/2019

Rabies Laboratory: 

Note: Specimens for Rabies testing should be shipped via Greyhound Bus. 

• Specimens for Rabies testing received before 3:00 PM on Friday, 12/21/2018 will be tested Saturday, 12/22/2018.
  • Positive results will be called out Saturday, 12/22/2018.
  • Negative specimen results will be available Thursday, 12/27/2018.
• Emergency testing will be available on Saturday, 12/22/2018 and Wednesday, 12/26/2018, by arrangement with laboratory personnel (512-776-7595), if specimen receipt can be guaranteed.
• All other specimens will be tested on Thursday, 12/27/2018 and reported the same day.
• Specimens for Rabies testing received before 3:00 PM on Friday, 12/28/2018 will be tested on Saturday, 12/29/2018.
  • Positive results will be called out Saturday, 12/29/2018. 
  • Negative results will be available on Wednesday, 1/2/2019. 
• Emergency testing will be available on Saturday, 12/29/2018 and Monday, 12/31/2018 by arrangement with laboratory personnel (512-776-7595), if specimen receipt can be guaranteed. 
• Specimens received after 3:00 PM on Friday, 12/28/2018 and before 8:00 AM on Wednesday, 1/2/2019 will be tested on 1/2/2019 and positive results will be called out before 5:00 PM.

Viral Isolation Laboratory: 

• DO NOT ship specimens for delivery Saturday, 12/22/2018 through Wednesday, 12/26/2018. 
  • Store specimens collected during this time period at -70°C or below and ship specimens on dry ice for delivery on 12/27/2018.
• DO NOT ship specimens for receipt on Monday, 12/31/2018. 
  • Store specimens at -70°C or below and ship for delivery on Wednesday, 1/2/2019.

Mycobacteriology/Mycology Laboratory:

• To receive expedited AFB Smear and/or NAA for M. tuberculosis test results before the Christmas holiday:
  • Ensure specimens are delivered to the laboratory by 8:00 AM on Friday, 12/21/2018.
  • Telephone expedited test requests to 512-776-7342.
• DO NOT ship specimens on Friday, 12/21/2018 through Tuesday, 12/25/2018.
  • Store collected specimens in the refrigerator and ship on Wednesday, 12/26/2018. 
• DO NOT ship specimens to be delivered on Monday, 12/31/2018 or Tuesday, 1/1/2019. 
  • Store collected specimens in refrigerator and ship for delivery on Wednesday, 1/2/2019.

Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov

NewbornScreeningLab@dshs.texas.gov

Or: ClinicalChemistry@dshs.texas.gov

Posted December 6, 2018

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Notice – Testing Delayed for Chlamydia and Gonorrhea

Since November 7, 2018, the DSHS Laboratory has experienced technical issues with the instruments used for testing for Chlamydia and Gonorrhea by genetic probe. While specimens are still being accepted for Chlamydia and Gonorrhea testing, results will be delayed until technical issues can be resolved. Direct questions or comments to LabInfo@dshs.texas.gov.

Posted November 15, 2018

RESULTS ARE JUST A CLICK AWAY…

Sign up for a free online account today!

Available remote data systems:

• Newborn Screening (NBS) Results via Neometrics
• Clinical Chemistry (THSTEPS) Results via Results-Web Portal
• Public Health Microbiology (PH) Results via Results-Web Portal 
• Public Health Microbiology (PHLIMS for Epidemiologists) Results via Results-Web Portal (LabWare)

Signing up is easy!

To use the above remote data system(s), complete these forms:

• One Facility Security Agreement per facility (or per Submitter ID) (PDF)
• One Web User Access Agreement per user (PDF)

Once forms are completed email to: Remotelabsupport@dshs.texas.gov

More information about the web applications can be found on the DSHS Laboratory Services Section website.

Posted October 30, 2018

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Notice – QuantiFERON Testing Not Available After October 2018

Effective Monday, November 1, 2018, the DSHS Laboratory will no longer offer testing services for QuantiFERON (Tuberculosis serology). For questions related to the QuantiFERON test or testing laboratories, contact Cari Sloma, Serological Analysis Group Manager at 512-776-7760. For questions related to Tuberculosis Program Services, contact the DSHS TB Program via email at: TB.Feedback@dshs.texas.gov.

Posted October 22, 2018

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Texas Department of State Health Services - Laboratory Thanksgiving Holiday Closure Reminders

The Texas DSHS Laboratory in Austin will be closed:

11/22/2018 - Thursday
11/23/2018 – Friday

Newborn Screening (NBS)

Testing Notices:

• NBS specimens received and accessioned on Wednesday, 11/21/2018 will be tested immediately by the NBS laboratory.
• Healthcare providers may be notified of critical level preliminary presumptive positive results on Thursday, 11/22/2018 (Thanksgiving Day).
• NBS testing will resume on Saturday, 11/24/2018.
• Healthcare providers may be notified of critical level preliminary presumptive positive results on Sunday, 11/25/2018.

Healthcare Provider Reminders: 

• DO NOT delay collection or shipment of newborn screening specimens.
• Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as quickly as possible.

Clinical Chemistry

Testing Notices:

• The Clinical Chemistry laboratory must receive specimen submissions for total hemoglobin, lead, glucose, lipid/cholesterol and creatinine testing by Wednesday, 11/21/2018 to complete testing prior to the holiday.
• DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.

Healthcare Provider Reminders:

• Specimens submitted for lead and total hemoglobin testing must be received within 14 days of collection.
• Specimens submitted for glucose, lipid/cholesterol and creatinine testing must be received according to specimen submission guidelines.

Microbiology

Testing Notices:

• Specimens for rabies testing should be shipped via Greyhound Bus. Specimens received between 8 AM and noon on Wednesday, 11/21/2018 will be tested Friday, 11/23/2018 and positive results will be called out before noon. 
• Emergency testing will be available on Friday, 11/23/2018 and Saturday, 11/24/2018 by arrangement with laboratory personnel (512-776-7595) if specimen receipt can be guaranteed. Negative specimen results will be available Monday, 11/26/2018. All other specimens will be tested on Monday, 11/26/2018 and reported before 5 PM.

Healthcare Provider Reminders:

• Viral Isolation Laboratory: Do not ship specimens Wednesday, 11/21/2018 – Sunday, 11/25/2018. If specimens are collected during this time period, store at -70°C or below and ship specimens the following week, beginning Monday, 11/26/2018 on dry ice.
• Mycobacteriology/Mycology Laboratory (TB): To receive expedited AFB Smear and/or NAA for M. tuberculosis test results before the holiday, ensure that specimens are delivered to the laboratory by 8:30 AM on Wednesday, 11/21/2018. Telephone expedited test requests to 512-776-7342.

Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov

NewbornScreeningLab@dshs.texas.gov

Or: mailto:ClinicalChemistry@dshs.texas.gov

Posted October 2, 2018

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Texas Department of State Health Services Laboratory Services Section is proposing changes to the Texas Administrative Code

The purpose of the changes is to repeal rules §73.54 and §73.55 related to the Fee Schedule for Clinical Testing and Newborn Screening, as well as Chemical Analyses, from TAC. Additionally, rule §73.41 will be amended to direct stakeholders to the LSS website to view the most current laboratory fee schedule.

Changes to the Laboratory’s Public Fee Schedule will be made based on the business needs of the LSS and the public health needs of the department and posted on the Laboratory’s website for stakeholder review. Changes to available laboratory testing and related pricing may include implementing new testing methodologies, updating fees to reflect the cost of testing, and eliminating certain low volume tests to make more efficient use of staff time and to reduce costs. Any increase in fees may include processes for stakeholder input as well as customer communication regarding all changes to the fee schedule.

A full draft of the proposed rule changes may be found in the draft rules section.

For questions or comments, contact Martha Thompson at martha.thompson@dshs.texas.gov or 

(512) 776-6191 by August 31, 2018.

Posted August 20, 2018 

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Register now for our FREE webinar “The Antibiotic Resistance Laboratory Network (ARLN) In Texas” - July 17

Date: July 17, 2018
Time: 2-3:30pm CST

This intermediate-level course describes the CDC’s ARLN activities in Texas. It provides an overview of important pathogens, antibiotic resistance mechanisms, laboratory testing capabilities, and isolate submission criteria. Case studies are used to describe the epidemiological investigation processes and the application of CDC antimicrobial resistance containment strategies in healthcare facilities.

Course Objectives:

• Identify the goals of the CDC’s Antibiotic Resistance Laboratory Network (ARLN)
• Describe the significance of detecting mechanisms of resistance
• Explain the investigation process once an ARLN alert is received
• Define the ARLN isolate submission criteria
• List the pathogens and resistance characterized by ARLN testing

Speakers:
Annie Nutt, MPH, CIC
Thi Dang, MPH, CHES, CIC
Gillian Blackwell, BSN, RN, CIC
Alesha Stewart, PhD

Register online.

Continuing Education:

Continuing education credit/contact hours for this event are provided by The Texas Department of State Health Services, Continuing Education Service and include the following:

Continuing Nursing Education:
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 1.5 contact hour(s) of Continuing Nursing Education.

Social Workers:
The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners (https://dshs.texas.gov/socialwork) to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded 1.5 contact hour(s) of Continuing Social Work Education.

Certified Health Education Specialists:
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.5 total entry-level Category I contact education contact hours.

Certified in Public Health
On 10/18/2017 the Texas Department of State Health Services, Continuing Education Service was awarded multi-event provider status (ID #1360) by the National Board of Public Health Examiners to award CPH continuing education credits. This activity has been awarded 1.5 credits.

Certificate of Attendance:
The Texas Department of State Health Services, Continuing Education Service has designated 1.5 hour(s) for attendance.

P.A.C.E.
Texas Department of State Health Services (DSHS) is approved as a provider of continuing education programs in the clinical laboratory sciences by the ASCLS P.A.C.E. ® Program. This program is approved for 1.5 contact hours.

Posted July 2 2018

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DSHS Requests for Clinical Laboratories to Ship All Cyclospora Positive Stool Specimens to DSHS Lab - Austin

The Texas Department of State Health Services (DSHS) is collaborating with the Centers for Disease Control and Prevention (CDC) on a project to identify and validate genotyping tools that could be beneficial in linking cases of cyclosporiasis in outbreak investigations. DSHS is requesting that clinical laboratories send all appropriate Cyclospora positive stool specimens to the DSHS Laboratory in Austin for molecular analysis. Review the DSHS letter for more information about this project and how to submit specimens.

Posted June 27, 2018

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Clinical and Public Health Laboratory Partnership to Stop the Spread of CRE and Drug-Resistant Candida Webinar - April 25

On Wednesday, April 25, experts from CDC’s Antibiotic Resistance Laboratory Network (ARLN) will host a webinar to discuss the new nationwide testing available to clinical and public health laboratorians to rapid detect antibiotic resistant threats like carbapenem-resistant Enterobacteriaceae (CRE) and Candida auris.

The ARLN provides every state with advanced testing—such as susceptibility, molecular detection of resistance genes, and sequencing—for healthcare, community, and food isolates.

Join the webinar to hear more about the available testing and what isolates your lab can submit for further characterization. Panelists will also share how the ARLN successfully identified, for example, CRE infections and helped contain spread in a clinical facility.

REGISTER TODAY!

Clinical and Public Health Laboratory Partnership to Stop the Spread of CRE and Drug-Resistant Candida

Wednesday, April 25 at 2 p.m. EDT

Attend and earn 1.0 P.A.C.E.® credit!

Panelists include:

• Maroya Walters, PhD, Epidemiologist at the Centers for Disease Control and Prevention
• David Warshauer, PhD, D(ABMM), Deputy Director Communicable Diseases at the Wisconsin State Lab of Hygiene
• Massimo Pacilli, MS, MPH, C(ASCP), Manager of Quality Assurance, Laboratory Liaison at the West Side Center for Disease Control; City of Chicago 

The conversation will be moderated by Carey-Ann Burnham, PhD, D(ABMM),Associate Professor, Pathology & Immunology at Washington University School of Medicine.

Send any questions about submitting CRE and Candida auris samples in Texas to TexasARLN@dshs.texas.gov.

Posted April 24, 2018