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Mycobacterium tuberculosis Drug Susceptibility and NTM Testing Performance Evaluation Enrollment Form
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Open to all U.S Laboratories only.
 
At the present time, this program does not accept enrollment laboratories outside of the U.S.

Please provide the following contact information:
( * indicates required information)
 
 
 
 
 
 
 
 
 
 
Please provide the following shipping information (overnight courier),  if different from the contact information specified above or if the address specified above is a post office box (PO Box) - isolates cannot be shipped to a PO box


Does your laboratory conduct diagnostic testing for Mycobacterium tuberculosis? *
 
Does your laboratory perform Mycobacterium tuberculosis drug susceptibility testing? *
 
If YES, does your laboratory follow Biosafety Level III practices in performing Mycobacterium tuberculosis susceptibility testing? *
 
Does your laboratory conduct in-house susceptibility testing of non-tuberculous mycobacteria (NTM)? *
 
Which of the following performance evaluation samples would your laboratory like to receive? *
 
Select the primary classification of your laboratory:*
 
If you have any questions please contact us.

This page last reviewed: 11/04/2009

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