National Respiratory and Enteric Virus Surveillance System (NREVSS)

Online Data Submission System (ODSS)

To register, please fill out the information below. All requests are subject to an approval process. Once approved, a NREVSS official will send a welcome letter to the primary contact specified below. Included in the welcome letter will be instructions for logging into NREVSS ODSS. If you have any questions or comments, please visit the Contact NREVSS page.

*  The red asterisk indicates a required field
*  The pink asterisk indicates that either a street address or a P.O. Box is required

Department Information
Institution Name *
Department
Section
CLIA Number (Clinical Laboratory Improvement Amendments)
P.O. Box * (If n/a, then Street is required)
Street * (If n/a, then P.O. Box is required)
City *Territory *Postal *
County *
Your Contact Information
Salutation
Name *
Phone
   
 
 
Title *
Email * (Required for Registration Verification)
Primary Laboratory Contact
Are You The Primary Contact?
Salutation
Name *
Phone - 1st *Phone - 2ndFax
 
 
Title *
Email *
 
 
Alternative Laboratory Contact
Salutation
Name
Phone - 1stPhone - 2ndFax
 
 
Title
Email