51 
Gentamicin, Serum, Peak/Trough 
Giardia/Cryptosporidium EIA 
Glucose, Plasma 
Glucose, Serum 
10 
Gram Stain 
Gram Stain w/Sputum Cult Rflx 
Haptoglobin 
HAV/HBV Immune Status (Pro 
IV) 
HBsAg Screen 
HCV Ab w/Rflx to Verification 
HCV Antibody 
HCV FibroSURE 
HCV Real-Time, PCR, Quant 
HCV RNA, PCR, Ql (Quant Rflx) 
HCV RT-PCR, Quant (Graph) 
HCV RT-PCR, Quant (Non-
Graph) 
Helper T-Lymph-CD4 
10 
Hematocrit 
54 
Hemoglobin 
58 
Hemoglobin A1c 
315 
Hep B Core Ab, IgM 
Hep B Core Ab, Tot 
Hep B Surface Ab 
Hepatic Function Panel (6) 
Hepatic Function Panel (7) 
38 
Hepatitis Panel (4) 
HHV 6 IgG Antibodies 
HIV-2 QPCR 
IFE, PE and FLC, Serum 
Immature Cells 
Immunofixation, Serum 
Immunoglobulin A, Qn, Serum 
Influenza A+B Ag, EIA 
Iron and TIBC 
57 
Iron, Serum 
JAK2 Mutation Analysis, Qual 
LDH 
LDL Cholesterol (Direct) 
Levetiracetam (Keppra), S 
15 
Lipase, Serum 
Lipid Cascade 
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52 
Lipid Panel 
429 
Lipid Panel w/ Chol/HDL Ratio 
Lipid Panel With LDL/HDL Ratio 
Lipoprotein Analysis, by NMR 
Lithium (Eskalith(R)), Serum 
Litholink Renal Pnl+PTH Intact 
Lupus Anticoagulant Comp 
Luteinizing Hormone(LH), S 
Lyme Ab/Western Blot Reflex 
Lyme, Western Blot, Serum 
Magnesium, Serum 
35 
Methylmalonic Acid, Serum 
MIC Organism #1 
21 
MIC Organism #3 
Microalb/Creat Ratio, Randm Ur 
Microalbumin, Random Urine 
34 
Mononucleosis Test, Qual 
Occult Blood, Fecal, IA 
104 
Osmolality 
Osmolality, Urine 
Ova + Parasite Exam 
Panel 083824 
PE and FLC, Serum 
Phenobarbital, Serum 
25 
Phenobarbital, Unbound 
Phenytoin (Dilantin), Serum 
74 
Phosphorus, Serum 
Platelet Count 
17 
Potassium, Serum 
18 
Prealbumin 
180 
Primidone (Mysoline(R)), Serum 
Prostate-Specific Ag, Serum 
72 
Prot+CreatU (Random) 
13 
Protein C-Functional 
Protein Electro, Random Urine 
Protein Electro.,S 
Protein S-Functional 
Protein Total, Qn, 24-Hr Urine 
Protein, Total, Serum 
13 
Protein,Total,Urine 
Prothrombin Time (PT) 
308 
PSA Total (Reflex To Free) 
PSA Total+% Free (Serial) 
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53 
PSA, Complexed 
PSA, Serum (Serial Monitor) 
PT and PTT 
12 
PTH, Intact 
16 
QuantiFERON Client Incubated 
QuantiFERON In Tube 
QuantiFERON TB Gold (In Tube) 
Renal Panel (10) 
42 
Reticulocyte Count 
Rheumatoid Arthritis Factor 
RNA, Real Time PCR (Graph) 
RNA, Real Time PCR (Non-
Graph) 
Rocky Mtn Spotted Fev, IgG, Qn 
Rocky Mtn Spotted Fever, IgM 
RPR 
11 
RPR, Rfx Qn RPR/Confirm TP 
Sedimentation Rate-Westergren 
42 
Sensitivity Organism #1 
159 
Sensitivity Organism #2 
18 
Sensitivity Organism #3 
Sensitivity Organism #4 
Sodium and Potassium (Urine) 
Sodium, Urine 
Stool Culture 
T pallidum Ab (FTA-Ab) 
T3 Uptake 
T4 and TSH 
Testosterone, Free+Total LC/MS 
Testosterone, Serum 
Thyroid Antibodies 
Thyroid Cascade Profile 
Thyroid Panel 
75 
Thyroid Panel With TSH 
81 
Thyroxine (T4) 
39 
Thyroxine (T4) Free, Direct, S 
22 
Transferrin 
Transferrin Saturation 
Triiodothyronine (T3) 
Triiodothyronine,Free,Serum 
Troponin I 
TSH 
277 
TSH+Free T4 
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54 
t-Transglutaminase (tTG) IgA 
UA/M w/rflx Culture, Routine 
Upper Respiratory Culture 
Uric A+ANA+RA Qn+CRP+ASO 
Uric A+RA Qn+CRP+ASO 
Uric Acid, Serum 
Urinalysis, Complete 
Urinalysis, Routine 
265 
Urine Culture, Routine 
252 
Urine Culture,Comprehensive 
22 
Urine Cytology 
Valproic Acid (Depakote),S 
130 
Vancomycin Trough, Serum 
24 
VAP Cholesterol Profile 
Venipuncture 
794 
Viral Culture,Rapid,Influenza 
Vitamin B12 
Vitamin B12 and Folate 
52 
Vitamin D, 25-Hydroxy 
65 
WBC 
17 
White Blood Cells (WBC), Stool 
* Total number of tests (test codes = 224 tests / Total volume (sum of all) = 7,254 tests 
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55 
ATTACHMENT C 
Northern Health Services Clinic Addresses 
PORTER PUBLIC HEALTH UNIT 
Porter State Service Center 
509 West 8th Street 
Wilmington, DE  19801 
HUDSON PUBLIC HEALTH UNIT 
Hudson State Service Center 
501 Ogletown Road 
Newark, DE  19711 
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56 
ATTACHMENT D 
Southern Health Services Clinic Addresses 
KENT PUBLIC HEALTH UNIT  
MILFORD PUBLIC HEALTH UNIT 
Williams State Service Center   
Riverwalk Shopping Center
805 River Road
253 NE Front ST.  
Dover, DE  19901                                             Milford DE 19963 
SEAFORD PUBLIC HEALTH UNIT   
PYLE HEALTH UNIT 
Shipley State Service Center   
Pyle State Service Center 
350 Virginia Avenue 
Rt. 2 Box 281-1 
Seaford, DE  19973  
Omar-Roxana Road 
Frankford, DE 19945 
SUSSEX COUNTY HEALTH UNIT   
Georgetown State Service Center   
544 S. Bedford Street  
Georgetown, DE  19947 
And  
One Non-Public Health Site Address
DELAWARE STATE UNIVERSITY 
1200 N. DuPont Highway 
Dover, DE  19901 
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57 
ATTACHMENT E 
Christiana Care Community Program Addresses 
(HIV/AIDS Medical Services)  
Christiana Care HIV Community Program (Georgetown Wellness Clinic) 
Stockley Campus 
26351 Patriots Way 
102 Lloyd Lane 
Georgetown, DE  19947 
Christiana Care HIV Community Program (Kent Wellness Clinic) 
Delaware Hospital for the Chronically Ill (DHCI) Campus 
100 Sunnyside Road   
Smyrna, De 19977 
58 
ATTACHMENT F 
Delaware Public Health Laboratory Address  
Delaware Public Health Laboratory (DPHL) 
30 Sunnyside Road 
Smyrna, DE 19977 
NOTE: 
DPHL should receive the Monthly and Annual reports for All Clinics Combined 
only. 
59 
ATTACHMENT G 
Long Term Care Facility Addresses 
EMILY P. BISSELL HOSPITAL   
75 Operating Beds 
3000 Newport Gap Pike 
Licensed as both Skilled 
Wilmington, DE  19808-2300 
Nursing Facility &  
Phone (302) 995-8400 
Intermediate Care Facility 
GOVERNOR BACON HEALTH CENTER 
86 Operating Beds 
P.O. Box 559   
Intermediate Care Facility 
Delaware City, DE  19706 
Phone (302) 836-2580 
DELAWARE HOSPITAL FOR THE CHRONICALLY ILL 
30 Sunnyside Road   
175 Operating Beds 
Smyrna, DE  19977   
Skilled Nursing Facility &  
Phone (302) 223-1000 
Intermediate Care Facility 
60 
ATTACHMENT H 
DIVISION OF PUBLIC HEALTH (DPH) 
PROGRAM 
REPORTING REQUIREMENTS 
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