| Zika MAC ELISA Verification Panel | 
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		| Laboratory Name: | 
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		| Primary Contact: | Name: | Phone: | Email: | 
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		| Address: | City: | State: | Zip: | 
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		| Testing Personnel Initials | Initial Here: | 
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		| Test Date: | Date Here: | 
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		| Test Method. Manual, Dynex Agility, or DSX | Enter Test Method Here: | 
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		| Reagents and Consumables | Source | Catalog # | Lot # | Working Dilution | 
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		| Goat anti-human IgM | 
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		| Zika Vero E6 Tissue Culture Antigen | CDC | 
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		| Normal Vero E6 Antigen | CDC | 
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		| Zika COS-1 Recombinant Antigen | CDC | 
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		| Normal Control COS-1 Recombinant Antigen | CDC | 
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		| Detecting antibody conjugate: Horseradish peroxidase conjugated monoclonal antibody 6B6C-1 | 
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		| Immulon II HB flat-bottomed 96 well plates | 
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		| Enhanced K-Blue TMB substrate | 
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		| Flavivirus IgM Positive Contol | CDC | 
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		| Calibration Control Serum | CDC | 
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		| Negative Control Serum | CDC | 
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		| Panel Results | 
	
		| Sample | Viral Antigen OD | Mean Viral Antigen O.D. | Normal Antigen OD | Mean Normal Antigen O.D. | P/N Values | Assay Interpretation | 
	
		| OD1 | OD2 | OD3 | OD1 | OD2 | OD3 | P/N Within Sample* | P/N  of Test Sample** | 
	
		| S1 | 
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		| S2 | 
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		| S3 | 
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		| S4 | 
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		| S5 | 
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		| S6 | 
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		| S7 | 
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		| Flavivirus IgM Positive Contol | 
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		| Calibration Control Serum | 
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		| Negative Control Serum | 
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		| * P/N Within Sample = mean OD of test sample reacted with Zika Antigen divided by the mean OD of test sample reacted with the Normal Antigen | 
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		| ** P/N of Test Sample = mean OD of test sample reacted with the Zika antigen divided by the mean OD of the Calibration Control Serum reacted with the Zika Antigen | 
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