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Announcement

Clinical specimens submitted on paper forms after January 1^st, 2024 will be subject to rejection per WAC 246-101-215 without prior approval. Clinical specimens shipped to the WAPHL must be ordered through WAPHL LWP Portal. *Environmental samples will still be accepted via paper requisition form.

Pass Through Request

Specimen Pass Through Form

Please review all CDC submission requirements, including proper patient identifiers before shipping specimens to PHL.

How to Order a Lab Test

Use our online system to order your lab test.

First time users can enroll through email using the Sign Up button below.
If you already enrolled, use the Order a Lab Test button below.

Order a Lab Test

Use the menu below for:

Specimen collection and shipping instructions
Specimen submission forms
Pre-approval requirements
Testing methodologies and frequencies
Turnaround times and contact information

To ensure that specimens meet laboratory acceptance criteria, please review all appropriate content prior to specimen submission.

Name	Updated Sort descending	Required form	Specimen Collection and Submission Instructions	Pre-approval Requirement Procedure, if applicable	Methodology	Testing Frequency	Turnaround Time (business days)	Comments	Contact	Footnotes	Notifiable Conditions Info
West Nile Virus / St. Louis encephalitis WN, WNV, St. Louis, SLE	04/15/2024	Requisition Form - Virology (webform)	West Nile Virus / St. Louis Encephalitis, MIA	Pre-approval required. Healthcare providers (HCP) and laboratories must obtain pre-approval by contacting the Local Health Jurisdiction (LHJ) of the patient's county of residence. LHJ staff must then notify Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500.	Microsphere Immunoassay (MIA)	As needed*	2-5 days**		Virology Lab (206) 418-5458	* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (for results on next business day). ** Results for additional testing have an extended turnaround time.	Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
West Nile Virus in Mosquitoes Mosquito, WNV, Vector-borne Diseases, Flavivirus, RNA virus, Viral Hemorrhagic Fevers, Arbovirus, Arboviral	07/06/2022		Contact the Zoonotic and Vector-borne Disease Program in Communicable Disease Epidemiology (CDE) to schedule testing - zd@doh.wa.gov Collection and Submission Instructions for West Nile Virus in Mosquitos Testing (PDF) Protocol for Transporting, Packaging and Shipping Mosquitos (PDF) WNV Resources: Forms and Video - How to set up an EVS trap	Pre-approval by the ZD/VBD Program in CDE required zd@doh.wa.gov	Reverse Transcription Polymerase Chain Reaction (RT-PCR)	Variable	48 hours		ZD/VBD Program in Communicable Disease Epidemiology (206) 418-5500	WNV in the US: Guidelines for Surveillance, Prevention, and Control (CDC)(PDF)	Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
White Powder, Unknown Unknown white powder	06/30/2022	Biothreat Environmental Sample Submission and Chain-of-Custody Form (file)	White Powder Unknown	Pre-approval required. Contact the FBI (First responders), the Local Health Jurisdiction (LHJ) of the patient's county of residence, and Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500.	Real-Time Polymerase Chain Reaction (RT-PCR), Time resolved flourescence (TRF), standard reference procedures for biochemical identification	Stat processing 24/7 for critical situations	8 hours*		Bioterrorism (206) 418-5562	* Results for confirmation have an extended turnaround time (15 days). Some confirmation processes are performed at CDC.	Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
Yersinia pestis Y. pestis, pestis, plague, bubonic plague, black death	06/30/2022	Requisition Form - Bioterrorism (webform)	Yersinia pestis	Pre-approval required. Contact the Local Health Jurisdiction (LHJ) of the patient's county of residence and Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500.	Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR); multiplexed nucleic acid based in vitro diagnostic test	Daily, on regular business days*	8 hours**		Bioterrorism (206) 418-5562	* Stat testing is available 24/7 for critical situations ** Results for confirmation have a an extended turnaround time (5 days)	Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
Yersinia species Identification	06/01/2022	Requisition Form - Microbiology (webform)	Yersinia species Identification	Pre-approval not required.	Isolates are identified and biotypes (if applicable) using biochemicals.	Daily, on regular business days	3-7 days	Yerisinia pestis has special requirements and approvals. Please refer to the Yersinia pestis BT test.	Special Bacteriology (206) 418-5452		Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
Zika Virus, rRT-PCR Zika, Flavivirus, Arbovirus	06/30/2022	Requisition Form - Zika (file)	Zika, rRT-PCR	Pre-approval required. Healthcare providers (HCP) and laboratories must obtain pre-approval by contacting the Local Health Jurisdiction (LHJ) of the patient's county of residence. Please complete and fax the Zika Virus Intake Form to the LHJ. LHJ staff must then notify Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500.	Reverse Transcriptase Real-Time Polymerase Chain Reaction (rRT-PCR)	Once per week on Wednesdays.	14 business days*	Additional testing methodologies performed for Zika: IgM Antibody Detection	Bioterrorism (206) 418-5562	*Additional testing may be performed at Centers for Disease and Control (CDC)	Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)