Request for CDC Influenza Virus Panel

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CDC Influenza Virus Panels are intended to provide in vitro diagnostic test manufacturers with characterized Influenza viruses to be used for internal evaluation testing for the purpose of generation of analytical performance data. These materials are the property of the Centers for Disease Control and are made available in cooperation with the Food and Drug Administration( FDA). Materials should not be reused for evaluation or development of other testing methods. Do not redistribute. These virus materials are not intended for any animal or human therapeutic or diagnostic use, and may not be used for research activities or development of commercial products.

For general assistance and questions regarding requests for virus panels, please contact dxfluviruspanel@cdc.gov.

Note: All fields are required unless otherwise indicated.

Please provide a regulatory submission number assigned by FDA: "K" number for your FDA-cleared device detecting influenza for which analytical reactivity will be tested or "Q" number for your pre-submission pertaining to an influenza detecting device undergoing analytical reactivity performance evaluation in preparation for premarket notification submission to the FDA

Manufacturer Name:

Test Name:

Panel type:

Manufacturer Point of Contact:

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Last Name:

First Name:

Phone Number:

Email Address:

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)

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