NEW YORK STATE DEPARTMENT OF HEALTH
(CLIA # Permanent Facility Identifier _____ I. LABORATORY TESTS ORDERED COLLECTEDDDD PERFORMED NYSDOH VALIDATION Hemoglobin/Hematocrit Sickle Cell Test Lead Screening Urinalysis – Microscopic (ppmp only) Stool Examination/Culture Throat Culture Wound Culture G.C. Culture Syphilis Serology Chlamydia Testing Pregnancy Test (serum) HIV Testing Other ................
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