This government document is issued by Department of Health for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:-o2sxg2obgu&q=https://www.health.pa.gov/topics/Documents/HAN/2020-PAHAN-543-12-28%2520-%2520UPD%2520-%2520LAB%2520DEM.pdf&sa=U&ved=2ahUKEwiWhfjNsND8AhV4TKQEHX8rDjg4HhAWegQIABAC&usg=AOvVaw20NrFt-DQXCmKqH2F3y7ef