Request Access to CDC Laboratory Support for Influenza Surveillance Site

For general assistance with CLSIS and questions regarding registration, please contact clsis@cdc.gov. This form is also available in Spanish.

Note: All fields are required unless otherwise indicated.

Prefix:

Title / Rank:

First Name:

Last Name:

E-mail Address:

Facility Name:

Facility Phone Number:

Laboratory Director Name:

Street Address:

Street Address (continued, optional):

City:

State: (For international locations, please use the text box below to complete.)

International State (not required for U.S. locations):

Country:

Postal Code:

The CDC Laboratory Support for Influenza Surveillance (CLSIS) SharePoint Site is intended to facilitate technical support for domestic U.S. and international public health and research institutions performing influenza laboratory surveillance and/or research. CDC does not support the use of the protocols or reagents derived thereof for commercial purposes. Non-exclusive license agreements for their use in commercial product development can be obtained from the US government. Approval authority retains full control in granting appropriate level of access to the information on the CLSIS SharePoint Site is based on the laboratory operations/requirements.

For general assistance with CLSIS and questions regarding registration, please contact clsis@cdc.gov.

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Page last reviewed: February 4, 2015
Page last updated: June 29, 2015
Content source: Error processing SSI file