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34 <br /> <br /> <br /> <br />B. Clinical Samples <br />1. Collection of diagnostic samples is normally done in clinical facilities. Confirmatory <br />testing is done by WPHL. WPHL will perform confirmatory testing for the following <br />diseases: Anthrax, Botulinum toxin, Tularemia, Plague, Brucellosis, Meliodosis, and <br />Vaccinia. <br />2. Confirmatory testing for smallpox is currently performed only by the CDC. <br />3. Currently, DOH has guidelines for clinical laboratories for the following diseases: <br />Smallpox, Anthrax, and Plague, Tularemia, and Botulinum toxin. <br /> <br />C. Questions on shipping of environmental and clinical samples should be directed to the <br />Washington State Public Health Laboratory at (206) 418-5400 during business hours or <br />(206) 418-5500, a 24-hour number. <br /> <br /> <br />