Reporting Notifiable Conditions

As of January 1, 2024, clinical specimens (excluding environmental samples) shipped to Washington State Public Health Laboratories must be ordered through the Lab Test Menu per WAC 246-101-215. If you have any questions, please e-mail

In Washington, health care providers, health care facilities, clinical laboratories, veterinarians, and others have responsibilities for reporting suspected or confirmed cases of certain conditions under public health surveillance. Included are specific acute and chronic communicable diseases, occupational asthma, birth defects, blood lead levels, and pesticide poisoning.

Most communicable notifiable conditions are reported to the local health jurisdiction. HIV infection and CD4 counts (except King county) are reported to the Washington State Infectious Disease office. For a complete list of notifiable conditions, see WAC 246-101.

Local health jurisdictions report notifiable conditions to Washington State Department of Health.

Notifiable Conditions Reporting Posters By Reporter

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