Responsible Official (RO):

            Michael Charlton, PhD
            Director, Environmental Health and Safety
            University of Texas Health Science Center
            7703 Floyd Curl Drive
            San Antonio, TX 78229

The Fungus Testing Laboratory has been inspected and assigned a registration number by the CDC to handle Coccidioides immitis and Coccidioides posadasii.  Handling of select agents is governed by federal regulations outlined in 42 CFR € 73 Possession, Use, and Transfer of Select Agents and Toxins; Interim Final Rule.  By assigning this registration number, the CDC has confirmed that the FTL meets the requirements specified in 43 CFR, Part 73, and is equipped and capable of safely handling the agents listed above.

Submission of Select Agents for Diagnostic Testing:

• Contact the FTL @ 210-567-0406 to request EA101 signed and dated by the FTL Recipient, PI, and RO.  This will be sent to you via FAX

• Upon receipt of EA101 with completed Section 1 (Recipient Information) & 2 (Select Agent Description), you must fill in information requested in section 3 (Transferor Information), section 4 (Shipping Information - do not complete the Date agent received box), and List of Select Biological Agents and Toxins Shipped section.

• Ensure your RO signs the block under the List of Select Biological Agents and Toxins Shipped section.

• FAX completed document to CDC @ 404-498-2265

• The CDC will assign this document a CEA number.  Write this CEA number above Section 4 on the completed EA101.

• Submit the completed EA101 including the CEA number and your RO Signature with the specimen.  Also submit a completed FTL Requisition for testing with the specimen.

• The FTL will complete the Date Agent Received block in section 4 and send notification of receipt to you and to the CDC.