To ensure that specimens meet laboratory acceptance criteria, please review all appropriate content prior to specimen submission.
| Name Sort descending | Updated | 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 | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aerobic Bacterial Culture | 06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Bacteria of interest will be isolated using selective and enrichment media and characterized using Gram staining and biochemical workup. |
Daily, on regular business days |
7-14 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Aerobic Bacterial Identification Aerobes |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
All clinical isolates will be identified by using biochemical and available molecular methods. |
Daily, on regular business days |
3-10 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Amnesic Shellfish Poisoning ASP, Domoic acid, Biotoxin, Marine Toxin |
03/30/2021 | Contact the Shellfish Program to schedule testing and to obtain required form Collection and Submission Instructions Shellfish Toxin Testing (PDF) |
Contact the Shellfish Program for required prior approval for testing |
Quilliam Method, HPLC Diode Array Detection |
Test is performed as needed |
Within 24 hours of sample collection |
Shellfish Related Illness: Questions concerning illness associated with eating shellfish should be directed either to the Local Health Jurisdiction or to the Office of Shellfish Program. |
Marine Biotoxins Lab (206) 418-5441
|
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Anaerobic Bacterial Culture Anaerobic isolation. Anaerobes |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Isolation and identification of pathogenic anaerobic organisms by selective plating and biochemicals. |
Daily, on regular business days |
10-20 days |
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) |
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| Anaerobic Bacterial Identification Anaerobes |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
All clinical isolates will be identified by using biochemical and available molecular methods. |
Daily, on regular business days |
10-20 days |
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) |
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| Antimicrobial Susceptibility Testing Sensitivity, MRSA, VRSA, VISA, Multidrug resistant, Minimal inhibition testing |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates are tested using Kirby-Bauer and/or E-test for epidemiological purpose or upon request. |
Monday-Thursday, excluding holidays |
4-7 days |
See CRE Screening Surveillance for CRE sensitivity testing. Sensitivities are performed on organisms that have CLSI guidelines for interpretation. Sensitivity is performed on N. meningitidis from sterile sites only. |
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) |
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| Archival Isolate Epidemiology, Archive, State Request |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Frozen for archive for epidemiological purposes |
Not applicable |
Not applicable |
Isolate will not be tested. |
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) |
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| Arsenic in Geoduck Testing | 03/30/2021 | Contact the Shellfish Program to schedule testing Three geoduck samples per sampling site are required for testing Collection and Submission Instructions Arsenic in Geoduck Testing (PDF) |
Inquire with the laboratory for the required chain of custody form |
Washington State Laboratories protocol (HPLC-ICP-MS) |
Test is performed as needed (for international export of geoducks) |
Turn around times may vary. Generally within 3 weeks of sample collection. |
For geoduck inspection and export certification information, contact your local seafood inspection office at the National Oceanic and Atmospheric Administration (NOAA) |
Shellfish Program (360) 236-3328 |
Shellfish Chemistry Lab (206) 418-5441 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Bacillus anthracis (Anthrax) Bacillus anthracis, B. anthracis, anthrax, Rule out Bacillus anthracis, R/O Bacillus anthracis, Rule out B. anthracis, R/O B. anthracis |
06/30/2022 | Requisition Form - Bioterrorism (file) | Pre-approval required.
Contact the Local Health Jurisdiction (LHJ) of the patient's county of residence and the 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 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Bacillus cereus (Environmental) foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Enumeration method based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with DOH CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Bordetella pertussis Confirmation Whooping cough, Pertussis |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates will be confirmed by Direct Fluorescent Antibody (DFA). |
Daily, on regular business days |
2-5 days |
Please do not send mixed culture or media contaminated with fungus. |
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) |
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| Bordetella pertussis Culture Whooping cough, Pertussis |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Swab will be plated on selective media, and suspicious growth tested with Direct Fluorescent Antibody (DFA) and biochemicals. |
Daily, on regular business days |
7-10 days |
Please use Dacron or rayon swabs for collection. Cotton swabs are toxic to B. pertussis.
Additional testing methodologies are performed for B. pertussis: RT-PCR. |
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) |
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| Bordetella pertussis, Bortadella parapertussis Real-Time PCR. Pertussis, B. pertussis, B. parapertussis, Whooping cough |
09/07/2018 | Requisition Form - Microbiology (webform) | Bordetella pertussis, Bortadella parapertussis, Real-Time 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. LHJ staff must then notify Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Real-Time Polymerase Chain Reaction (RT-PCR) |
Once a week (Thursdays)* |
5 days* |
Additional testing methodology performed for B. pertussis: Culture. |
Molecular Laboratory (206) 418-5563 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (for results on next business day). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Brucella spp. Brucella suis, Brucella canis, Brucella abortus, Brucella melitensis, Brucellosis, undulant fever, Malta fever, Gibralter fever, Mediterranean fever. |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), standard reference procedures for biochemical identification |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Burkholderia mallei B. mallei, Glanders |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), standard reference procedures for biochemical identification |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Burkholderia pseudomallei B. pseudomallei, Whitmores Disease, melioidosis |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), standard reference procedures for biochemical identification, susceptibility |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Campylobacter Identification Campylobacter confirmation, Confirm Campylobacter jejuni or coli |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates confirmed using biochemicals. Specimens may be forwarded to the CDC for speciation. |
Daily, on regular business days. |
2-7 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Carbapenem-resistant Enterobacteriaceae (CRE) Carbapenemase PCR E.coli, Klebsiella, Enterobacter, CRE, Multi-drug resistant organism, MDRO |
05/11/2017 | Requisition Form - Microbiology (webform) | Carbapenem-resistant Enterobacteriaceae (CRE) carbapenemase PCR |
Pre-approval only required for submission from non-Washington states. If submitting specimens for ARLN testing, please refer to ARLN Test Menu. |
Molecular testing for presence of select carbapenemase genes (KPC, NDM-1, VIM, IMP and OXA-48). This test is for epidemiological purposes only. |
Twice weekly (batched) |
2-5 days |
Only pure isolates will be tested. |
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) |
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| Carbapenem-resistant Enterobacteriaceae (CRE) Screening Surveillance Culture CRE, Multi-drug Resistant Enterobacteriaceae, CRE culture |
03/26/2015 | Requisition Form - Microbiology (webform) | Carbapenem-resistant Enterobacteriaceae (CRE) Screening Surveillance Culture | 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. |
Selective broth enrichment followed by isolation with selective media. Suspicious colonies will be identified and susceptibility testing will be performed, where appropriate. | As needed | 2-10 days | 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) |
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| Chemical Incident Response (CIR) Chemical Emergency Response, Chemical Exposure, Chemical, Lead, Metals, Pesticides, Toxins, Poison, Poisons, Blood Lead, Child Lead and Chemicals. |
11/12/2021 | Biothreat Environmental Sample Submission and Chain-of-Custody Form (file) | Contact your Local Health Jurisdiction (LHJ) or your local law enforcement for their specimen submission instructions.
|
Pre-approval required |
Multiple, LRN-C Level 2 |
Tests are performed as needed |
ASAP depending on workload and the test(s) requested |
|
Chemical Incident Response Laboratory 206-418-5520 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Clostridium botulinum toxin Botulism, Bot toxin, C. botulinum |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), Mouse bioassay, ELISA, standard reference procedures for biochemical identification |
Daily, on regular business days* |
4-14 days |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Clostridium perfringens (Environmental) Enteritis necroticans, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Enumeration method based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with DOH CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Coccidioides AB EIA | 06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed |
1-3 days |
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) |
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| Total and Fecal Coliform in Shellfish Wet Storage Testing Fecal, Coliform, E. coli, contamination, Recirculating Water, Shellfish Growing Tank, Wet Storage |
04/07/2021 | Shellfish Bacteriology Water Quality - Recirculating (file) | Fecal Coliform Shellfish Wet Storage (PDF) https://www.fda.gov/food/federalstate-food-programs/national-shellfish-sanitation-program-nssp |
Contact the Shellfish Program for approval of testing |
Multiple Tube Fermentation using Lauryl Tryptose Broth. |
Monday- Wednesday 8AM-4PM and Thursday 8AM-1PM |
3-7 business days after receipt of sample |
Enteric Pathogen Related Illness:
|
Water Bacteriology Lab (206) 418-5441 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Fecal Coliform in Marine Water Fecal, Coliform, E. coli, Marine Water Testing, Shellfish Growing Areas |
04/07/2021 | Collection and Submission Instructions Fecal Coliform Marine Water (PDF) |
Contact the Shellfish Program for approval of testing |
Multiple Tube Fermentation using MA-1 Medium. |
Monday - Friday 8AM - 1PM |
Within 48 hours of sample receipt |
Enteric Pathogen Related Illness: Questions concerning illness associated with enteric pathogens should be directed to the Local Health Jurisdiction |
Water Bacteriology Lab (206) 418-5441 |
Test cost: Inquire with the Water Bacteriology Lab |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Coliform Testing (Environmental) Total and Fecal coliforms |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required.
Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Enumeration method based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with DOH CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Corynebacterium diphtheriae Culture Corynediptheriae, Diptheria |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Selective media will be used to isolate and identify C. diphtheriae from clinical specimens. |
Daily, on regular business days |
5-7 days |
If Corynebacterium diphtheriae is isolated, the isolate will be forwarded to CDC for toxigenicity testing. |
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) |
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| Corynebacterium diphtheriae Identification Corynediptheriae, Diptheria, C. diphtheriae confirmation |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Corynebacterium diptheriae will be confirmed using traditional biochemicals and forwarded to CDC for toxigenicity testing. |
Daily, on regular business days |
3-5 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| COVID-19 2019 Novel Coronavirus |
05/06/2022 | 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. |
Real-time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
6 days per week |
48 hours after approval and receipt of specimen |
COVID-19 is an emerging condition. For details visit https://www.doh.wa.gov/Emergencies/Coronavirus
|
Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE): 206-418-5500.
https://www.doh.wa.gov/AboutUs/PublicHealthSystem/LocalHealthJurisdictions |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Coxiella burnetii, RT-PCR Coxiella, Q fever |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Cryptosporidium/Giardia Confirmation Cryptosporidium species, Giardia lamblia, Cryptosporidiosis, Giardiasis |
11/23/2022 | Requisition Form - Microbiology (webform) | Pre-approval required. Diagnostic Parasitology Services is provided only to the Local Health Jurisdictions (LHJ) and State Agencies. All other laboratories must obtain pre-approval from the Parasitology Laboratory before shipping (206) 418-5469. |
Formalin Ethyl Acetate Concentration procedure followed by Direct Fluorescent Antibody (DFA). |
Weekly (testing days may vary depending on specimen submission) |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Cyclospora/Cystoisospora belli Coccidia, Cyclospora, Cystoisospora belli |
11/23/2022 | Requisition Form - Microbiology (webform) | Formalin Ethyl Acetate Concentration procedure followed by Modified Acid Fast staining. |
Weekly (testing days may vary depending on specimen submission) |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Diarrhetic Shellfish Poisoning DSP, Dinophysis toxins, Lipophilic shellfish toxins, Biotoxin, Marine Toxin |
03/30/2021 | Contact the Shellfish Program to schedule testing and to obtain required form Collection and Submission Instructions Shellfish Toxin Testing (PDF) |
Contact the Shellfish Program to schedule testing and to obtain required form |
LC-MS/MS |
Test is performed as needed |
Within 24 hours of sample collection |
Shellfish Related Illness: Questions concerning illness associated with eating shellfish should be directed either to the Local Health Jurisdiction or to the Office of Shellfish Program. |
Marine Biotoxins Lab (206) 418-5441 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Ebola Virus | 11/22/2022 | Requisition Form - Bioterrorism (file) | 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 |
As needed* |
8-10 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations **Confirmation is performed at the Centers for Disease Control and Prevention (CDC) |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Enteric Pathogen Screen Diagnostic stool culture, Salmonella culture, Shigella culture, STEC culture, STX, Campylobacter culture, Vibrio culture, enterics |
01/15/2015 | Requisition Form - Microbiology (webform) | Enteric Pathogen Screen | 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. |
All specimens will have selective plating, biochemical identification and appropiate typing performed on any suspicious colonies that grow on the selective media. Organisms screened for will include Shiga-toxin producing E. coli (STEC), Salmonella, Shigella, Campylobacter, and Vibro (June-September). Shiga toxin testing for StX1 and STX 2 will be performed by ImmunoCard Stat. | Daily, on regular business days | 7-14 days | Screening for Vibrio outside of (June-Sept) as well as Yersina must be requested. Individual organisms can be requested. | Enteric Bacteriology (206) 418-5456 | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Escherichia coli O157:H7 (Environmental) E. coli O157:H7, EHEC, STEC, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required.
Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Isolation and confirmation methods based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with DOH CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Fastidious Bacterial Culture Fastidious, Slow growing bacteria |
06/01/2022 | Requisition Form - Microbiology (webform) | 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. |
Fastidious bacteria will be isolated using selective and enrichment media and characterized using Gram staining and biochemical workup. |
Daily, on regular business days |
5-14 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Fastidious Bacterial Identification Fastidious bacteria ID, Slow growing bacteria identification |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Fastidious bacteria identified using traditional biochemicals. |
Daily, on regular business days |
5-14 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Food Safety Screen (pH and Water Activity) pH & Aw |
10/14/2022 | Requisition Form - Food Lab (file) | 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 and the laboratory 206-418-5442 before shipment of specimens. |
Food is tested directly by pH meter and water activity meter. |
As needed upon request. |
4-14 days |
Please notify laboratory (206) 418-5442 before shipment of specimens. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Francisella tularensis Tularemia, rabbit fever, deerfly fever |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Haemophilus influenzae Identification Haemophilus serotyping |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates are identified and biotyped using biochemicals and growth requirements. Isolates are serotyped. |
Daily, on regular business days |
3-7 days |
Identification performed on Isolates from patients under 5 years old or invasive isolates only. |
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) |
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| Hantavirus Hantavirus IgM/IgG Serology Test, SNV IgM, SNV IgG |
02/16/2023 | Requisition Form - Virology (webform) | 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 |
Enzyme-Linked Immunoabsorbent Assay |
As needed* |
3 days** |
Virology (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) |
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| HIV 1/ HIV 2 Differentiation Assay Geenius |
08/23/2022 | Requisition Form - Sexually Transmitted Infections (webform) | Bio-Rad Geenius HIV-1/HIV-2 Supplemental Assay |
Monday-Friday, excluding holidays |
1 day |
If the HIV CMIA is positive on a serum, HIV-1/HIV-2 differentiation supplemental assay is performed. |
(206) 418-5622 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| HIV, CMIA HIV |
08/23/2022 | Requisition Form - Sexually Transmitted Infections (webform) | Chemiluminescent Immunoassay (CMIA): Detection of HIV-I p24 antigen, antibody for HIV-I (group m and group o), and antibody for HIV-2 by Abbott Alinity |
Monday-Friday, excluding holidays |
2 business days |
If the HIV CMIA is positive on a serum, HIV-1/HIV-2 differentiation assay is performed.
|
(206) 418-5622 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Influenza, RT-PCR Diagnostic Flu A PCR, Flu B PCR, Influenza PCR, H5, H1N1, Pandemic swine flu, H7, Avian influenza, novel influenza, influenza subtyping, influenza genotyping |
09/07/2018 | Requisition Form - Virology (webform) | Pre-approval required under certain criteria. 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. |
Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
Three times per week (Monday, Wednesday, Friday)* |
3 days** |
Additional testing methodologies performed for influenza: culture and oseltamivir resistance. |
Virology (206) 418-5458 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (turnaround time of 24 hours). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Influenza, RT-PCR Surveillance Flu A PCR, Flu B PCR, Influenza PCR, H5, H1N1, Pandemic swine flu, H7, Avian influenza, novel influenza, influenza subtyping, influenza genotyping, Surveillance, Sentinel |
09/07/2018 | Requisition Form - Influenza Surveillance (webform) | Specimens are only accepted from surveillance laboratories (Sentinel Laboratories in WA)*. |
Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
Once every two weeks |
Reports will be generated once a month in aggregate. |
Additional testing methodologies are performed for influenza: culture and oseltamivir resistance. |
Virology (206) 418-5458 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Lead and Copper Testing in School Drinking Water | 04/01/2021 | Lead/Copper Chain-of-Custody Form (file) | Contact the "School Lead in Drinking Water Coordinator" regarding scheduling a site visit for sample collection and analysis. For sampling requirments, see the EPA Lead and Copper Rule information Collection and Submission Instructions Lead and Copper Testing (PDF) |
Contact the "School Lead in Drinking Water Coordinator" for prior-approval and scheduling. |
Test is performed as needed |
Within 10 business days of sample |
See the EPA official government website for more information. Also, you may call the "Safe Drinking Water Hotline" at: 1-800-426-4791 |
School Drinking Water Coordination, (360) 236-3248 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Legionella Environmental Testing Legionnaires' Disease, ELITE, Pontiac Fever |
02/04/2022 | Legionella Chain-of-Custody Form (file) | Legionella Environmental Sample Collection and Submission Instructions Contact the WA EPH Program (360-236-3000) regarding sample collection, submission form, and shipment. |
Pre-approval required. Must obtain pre-approval by contacting the Local Health Jurisdiction (LHJ). LHJ staff must then notify Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500
|
Culture or RT-PCR |
various |
RT-PCR within 2 business days |
Questions concerning illness associated with Legionella should be directed to the local health jurisdiction or to Communicable Disease Epidemiology, (206) 418-5500. |
Laboratory email is envmicrolab@doh.wa.gov |
ELITE Lab |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Legionella Identification Legionnaire's Disease, Pontiac Fever |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates identified using selective plating and latex agglutination or RT-PCR (Legionella species and/or Legionella pneumophila) |
Daily, on regular business days. |
3-14 days* |
Special Bacteriology (206) 418-5452 |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Legionella Species Culture (Clinical) Legionella culture, Legionnaire's Disease, Pontiac Fever |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
All specimens will be tested using Real-Time Polymerase Chain Reaction (RT-PCR). Positive RT-PCR specimens are cultured and suspicious colonies are tested by latex agglutination or RT-PCR. |
Daily, on regular business days. |
7-14 days* |
* Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization |
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) |
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| Listeria Identification Listeriosis, Listeria monocytogenes |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates are identified using biochemicals. |
Daily, on regular business days |
3-5 days |
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) |
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| Listeria monocytogenes (Environmental) Listeriosis, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Isolation and confirmation methods based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
14-30 days |
Testing performed only for outbreak investigations with CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Marburg Virus | 10/24/2022 | Requisition Form - Bioterrorism (file) | Pre-approval required. Contact the Local Health Jurisdiction (LHJ) of the patient's county of residence and Washington State Department of Health Communicable Disease Epidemiology (206) 418-4400. |
Multiplexed nucleic acid based in vitro diagnostic test |
As needed * |
8 hours ** |
Bioterrorism (206)-418-5418 |
*Stat testing available 24/7 for critical situations **Confirmation is performed at the Centers for Disease Control and Prevention (CDC) |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Measles IgG, EIA Rubeola |
05/05/2022 | Requisition Form - Virology (webform) | 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. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Additional testing methodologies performed for measles: Measles IgM EIA, Measles RT-PCR. |
Virology (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) |
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| Measles IgM, EIA Rubeola |
05/05/2022 | Requisition Form - Virology (webform) | 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. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Additional testing methodologies performed for measles: Measles IgG EIA, Measles RT-PCR. |
Virology (206) 418-5458 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (turnaround time of 24 hours). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Measles, RT-PCR Measles PCR |
05/05/2022 | Requisition Form - Virology (webform) | 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. |
Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
Within 24 hours of arrival* |
1 day** |
Additional testing methodologies performed for measles: Serology. |
Virology (206) 418-5458 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (turnaround time of 24 hours). ** 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) |
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| Monkey pox (Non-variola Orthopox PCR) | 08/11/2022 | Requisition Form - Monkey Pox (webform) | 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 Polymerase Chain Reaction (RT-PCR) |
Daily, on regular business day |
1 day from receipt |
Bioterrorism (206) 418-5481 |
Confirmation may be performed at the Centers for Disease Control and Prevention (CDC) |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Mumps IgG, EIA | 05/05/2022 | Requisition Form - Virology (webform) | Send sera for testing commercially unless otherwise instructed by Local Health Jurisdiction (LHJ) or Washington State Department of Health Communicable Disease Epidemiology (DOH CD-Epi). Pre-approval required for testing at PHL. Healthcare providers and laboratories may obtain pre-approval by contacting the LHJ for the patient's county of residence. If testing at PHL is approved, LHJ staff must then notify DOH CD-Epi at 206-418-5500. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Additional testing methodologies performed for mumps: Mumps IgM EIA, Mumps RT-PCR, Mumps culture |
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) |
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| Mumps IgM, EIA | 05/05/2022 | Requisition Form - Virology (webform) | Send sera for testing commercially unless otherwise instructed by Local Health Jurisdiction (LHJ) or Washington State Department of Health Communicable Disease Epidemiology (DOH CD-Epi). Pre-approval required for testing at PHL. Healthcare providers and laboratories may obtain pre-approval by contacting the LHJ for the patient's county of residence. If testing at PHL is approved, LHJ staff must then notify DOH CD-Epi at 206-418-5500. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Additional testing methodologies performed for mumps: Mumps IgG EIA, Mumps RT-PCR, Mumps culture |
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) |
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| Mumps, RT-PCR Mumps PCR |
09/07/2018 | Requisition Form - Virology (webform) | 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. |
Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
Within 24 hours of arrival* |
3 days** |
Additional testing methodologies performed for mumps: culture and serology. |
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). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Neisseria species Identification Neisseria ID, GNDC |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates are identified using selective plating and biochemicals. Neisseria meningitidis isolates are serotyped and receive antibiotic sensitivity testing. |
Daily, on regular business days |
4-7 days |
Neisseria meningitidis isolates should be from sterile sites only. |
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) |
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| Non-variola Orthopox Vaccinia, Monkey pox, Cow pox, Camel pox |
01/19/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), cell culture |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Norovirus, RT-PCR Norovirus PCR |
09/07/2018 | Requisition Form - Virology (webform) | 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) at 206-418-5500. |
Real-Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) |
Within 24 hours of arrival |
2-5 days* |
Individual cases are not reportable—only norovirus outbreaks suspected to be foodborne are reportable. |
Molecular Laboratory (206) 418-5563 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (for results on next business day). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Orthopox Vaccinia, Monkey pox, Cow pox, Camel pox |
01/19/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR), cell culture |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Paralytic Shellfish Poisoning PSP, Saxitoxin, Biotoxin, Marine Toxin |
03/30/2021 | Contact the Shellfish Program to schedule testing and to obtain required form. Collection and Submission Instructions Shellfish Toxin Testing (PDF) |
Contact the Shellfish Program to schedule testing and to obtain required form. |
Bioassay |
Test is performed as needed |
Within 24 hours of sample collection |
Shellfish Related Illness: |
Marine Biotoxins Lab (206) 418-5441 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Parasite - Blood Confirmation Malaria, Babesia sp., Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale, Microfilariae, Trypanosomes, parasites, blood parasite, blood parasites |
11/23/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Standard blood smear examination. Blood may be required for Malaria PCR speciation.* |
Daily, on regular business days |
2-5 days |
Suspected organism must be documented on requisition form. Travel history required. |
Parasitology (206) 418-5469 |
* Specimen submission is for reference purposes only; Diagnostic testing must be performed by submitting laboratory. Full workup of thick and thin smears may not be performed. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Parasite - Gross Specimen Identification Arthropod ID; Ascaris lumbricoides; Dermacentor species; Diphyllobothrium latum; Ixodes species; Taenia species; Tapeworm; Tick ID; Trichuris trichiura; Worm ID, parasites |
11/23/2022 | Requisition Form - Microbiology (webform) | Specimens are only accepted from Healthcare Providers (HCP). |
Macroscopic examination |
Daily, on regular business days |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Parasite - Intestinal Confirmation Amebiasis; Ascaris lumbricoides; Balantidium coli; Blastocystis hominis; Dientamoeba fragilis; Chilomastix mesnili; Diphyllobothrium latum; Endolimax nana; Entamoeba histolytica; Entamoeba species; Giardia lamblia; Hookworm; Hymenolepis species; Iodamoeba buetschlii; Paragonimus; Schistosoma mansoni; Schistosoma japonicum; Strongyloides stercoralis; Taenia species; Trichuris trichiura, parasites, intestinal parasite, intestinal parasites |
11/23/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Standard Ova & Parasite (O&P) examination procedures may include wetmount or trichrome.* |
Daily, on regular business days |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
* Specimen submission is for reference purposes only; Diagnostic testing must be performed by submitting laboratory. Full O&P workup may not be performed depending on suspected organism. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Parasite - Intestinal Screen Amebiasis; Ascaris lumbricoides; Balantidium coli; Blastocystis hominis; Dientamoeba fragilis; Chilomastix mesnili; Diphyllobothrium latum; Endolimax nana; Entamoeba histolytica; Entamoeba species; Giardia lamblia; Hookworm; Hymenolepis species; Iodamoeba buetschlii; Paragonimus; Schistosoma mansoni; Schistosoma japonicum; Strongyloides stercoralis; Taenia species; Trichuris trichiura, parasites, intestinal parasite, intestinal parasites |
11/23/2022 | Requisition Form - Microbiology (webform) | Pre-approval required. Diagnostic Parasitology Services is provided only to the Local Health Jurisdictions (LHJ) and State Agencies. All other laboratories must obtain pre-approval from the Parasitology Laboratory before shipping (206) 418-5469. |
Standard Ova & Parasite (O&P) examination procedures may include wetmount or trichrome. |
Daily, on regular business days |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Parasite - Miscellaneous Paragonimus; Paragonimiasis; Schistosoma haematobium; Schistosomiasis; Strongyloides stercoralis; Strongyloidiasis, parasites |
11/23/2022 | Requisition Form - Microbiology (webform) | Pre-approval required. Diagnostic Parasitology Services is provided only to the Local Health Jurisdictions (LHJ) and State Agencies. All other laboratories must obtain pre-approval from the Parasitology Laboratory before shipping (206) 418-5469.
|
Standard examination procedures, may include; concentration, centrifugation, wetmount, and stains as necessary. |
Daily, on regular business days |
2-5 days |
Suspected organism must be documented on requisition form. |
Parasitology (206) 418-5469 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Rabies, DFA Rabies |
09/07/2018 | Requisition Form - Rabies (webform) | Pre-approval required. All submissions must be pre-approved by and sent through the Local Health Jurisdiction (LHJ) of the patient's county of residence. LHJ staff must obtain pre-approval from Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500 before shipping. |
Direct Fluorescent Antibody (DFA) |
Daily, on regular business days* |
30 hours** |
1) Please see detailed information at: 2) Further testing to rule out non-specific fluorescence or to confirm a positive with low antigen distribution is performed by the Centers for Disease Control and Prevention (CDC). |
Virology Lab (206) 418-5458 |
* Stat testing is provided with prior approval by Department of Health Communicable Disease Epidemiology (turnaround time of 24 hours). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| BioFire Respiratory Panel 2.1 Adenovirus, Coronavirus 229E, Coronavirus HKU1, Coronavirus NL63, Coronavirus OC43, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Human Metapneumovirus, Human Rhinovirus/Enterovirus, Influenza A and Influenza B, Parainfluenza 1, 2, 3, and 4, Respiratory Synctial Virus, Bordetella parapertussis, Bordetella pertussis, Chlamydia pneumoniae, and Mycoplasma pneumoniae. |
Requisition Form - Virology (webform) | All cases from the Medical Examiner Offices will be tested without prior approval. 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. |
The BioFire Respiratory 2.1 (RP2.1) Panel is an FDA aproved platform. |
As needed |
2 business days |
Adenovirus typing is not performed at WA PHL. Testing will be forwarded to CDC upon request. |
* 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) |
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| Ricin Toxin Ricinus communis, ricin |
06/30/2022 | Biothreat Environmental Sample Submission and Chain-of-Custody Form (file) | 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. |
Time resolved fluorescence (TRF). |
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) |
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| Rubella IgG, EIA | 05/05/2022 | Requisition Form - Virology (webform) | 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. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Another rubella testing option is: Rubella IgM EIA |
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) |
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| Rubella IgM, EIA | 05/05/2022 | Requisition Form - Virology (webform) | 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. |
Enzyme-linked Immunosorbent Assay (EIA) |
As needed* |
2-5 days** |
Another rubella testing option is: Rubella IgG EIA |
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) |
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| Rule Out Campylobacter species Campylobacteriosis, Campylobacter jejuni, Campylobacter coli, R/O Campylobacter, Rule-Out Campylobacter |
01/15/2015 | Requisition Form - Microbiology (webform) | R/O Campylobacter species | 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. |
All specimens will be screened on non-selective and selective media. | Daily, on regular business days | 7-14 days* | Enteric Bacteriology (206) 418-5456 | * Turnaround times may be extended when an isolate must be submitted to another reference laboratory (e.g. CDC) for further characterization. This test is for Epi investigations only. | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Rule Out Salmonella species Salmonella, Salmonellosis, Test of Cure, R/O Salmonella, Rule-Out Salmonella |
05/31/2022 | Requisition Form - Microbiology (webform) | Positive test must be shipped, no pre-approval necessary. |
All specimens will be screened with selective plating. Suspicious isolates will have biochemical identification and serotyping performed. |
Daily, on regular business days |
7-14 days |
Enteric Bacteriology (206) 418-5456 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Rule Out Shiga Toxin-Producing E. coli (STEC) STEC, Toxin-Producing E. coli, Toxigenic E. coli, Test of cure, R/O Shiga Toxin-Producing E. coli, Rule-Out Shiga Toxin-Producing E. coli, R/O Shiga Toxigenic E. coli (STEC), Rule-Out Shiga Toxigenic E. coli (STEC), Rule Out STEC, Rule-Out STEC |
05/31/2022 | Requisition Form - Microbiology (webform) | Positive tests must be shipped. No pre-approval necessary. |
All specimens will have EIA-based shiga toxin test. Biochemical identification and serotyping will be performed on any shiga toxin positive isolates that grow on selective media. |
Daily, on regular business days |
7-14 days |
Enteric Bacteriology (206) 418-5456 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Rule Out Shigella species Shigellosis, Test of cure, R/O Shigella species, Rule-Out Shigella |
05/31/2022 | Requisition Form - Microbiology (webform) | Positive tests must be shipped. No pre-approval necessary. |
All specimens will be screened with selective plating. Suspicious isolates will have biochemical identification and serotyping performed. |
Daily, on regular business days |
7-14 days |
Enteric Bacteriology (206) 418-5456 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Rule Out Yersinia enterocolitica Yersiniosis, R/O Yersinia enterocolitica, Rule-Out Yersinia enterocolitica |
01/15/2015 | Requisition Form - Microbiology (webform) | R/O Yersinia enterocolitica | 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. |
All specimens will be screened on selective media. Suspicious isolates will have identification and biotyping performed. | Daily, on regular business days | 7-14 days | Submission from Local Health Jurisdictions (LHJ) and state Communicable Disease Epidemiology (CDE) only. This test is for test of cure or Epi investigations only. | Enteric Bacteriology (206) 418-5456 | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Salmonella confirmation Salmonella identification, Salmonella serotyping |
01/15/2015 | Requisition Form - Microbiology (webform) | Salmonella confirmation | Pre-approval not required. | All specimens with suspicious colonies growing on selective media will have serotyping performed. Biochemical speciation will be performed if necessary. | Daily, on regular business days | 4-7 days | This test is for isolates only. Please see Enteric Pathogen Screen for stool culture. | Enteric Bacteriology (206) 418-5456 | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Salmonella species (Environmental) Salmonellosis, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Isolation and confirmation methods based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Shiga Toxigenic E. coli (STEC) Confirmation EHEC (Enterohemorrhagic E. coli) confirmation, E. coli identification, E. coli O157 identification, verotoxin confirmation, STX confirmation, STEC confirmation |
01/15/2015 | Requisition Form - Microbiology (webform) | Shiga Toxigenic E. coli (STEC) Confirmation | Pre-approval not required. | All specimens will have EIA-based shiga toxin test. Biochemical identification and serotyping will be performed on any shiga toxin positive isolates that grow on selective media. | Daily, on regular business days | 4-7 days | This test is for isolates and positive MacConkey or GN broths only. Please see Enteric Pathogen Screen for stool culture. | Enteric Bacteriology (206) 418-5456 | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Shigella confirmation Shigella identification, Shigella serotyping |
01/15/2015 | Requisition Form - Microbiology (webform) | Shigella confirmation | Pre-approval not required. | All specimens with suspicious colonies growing on selective media will have biochemical identification and serotyping performed. | Daily, on regular business days | 4-7 days | This test is for isolates only. Please see Enteric Pathogen Screen for stool culture. | Enteric Bacteriology (206) 418-5456 | Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Shigella species (Environmental) Shigellosis, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Isolation and confirmation methods based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Staphylococcus aureus (Environmental) Staphylococcal intoxication, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Enumeration method based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
4-14 days |
Testing performed only for outbreak investigations with CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Syphilis, Clinical - Serum Syphilis, RPR, TP-PA |
08/23/2022 | Requisition Form - Sexually Transmitted Infections (webform) | Pre-approval not required. |
Treponemal Specific Assays Non-Treponemal Specific Assay |
Weekdays (excluding state holidays). |
CMIA and RPR test results are available 3 business days from specimen receipt. TP-PA test results are available 5 business days from specimen receipt. |
CMIA and RPR are performed on each specimen. If the results are inconclusive or discrepant between the two tests, a confirmatory TP-PA is performed. |
STI Lab (206) 418-5622 |
* For CSF specimen, RPR, and TP-PA are not performed. Testing on CSF is performed by VDRL. Please see Syphilis - VDRL. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Syphilis, Reference - Serum Syphilis, RPR, TP-PA |
08/23/2022 | Requisition Form - Sexually Transmitted Infections (webform) | Pre-approval not required. |
Treponemal Specific Assays Non-Treponemal Specific Assay |
Weekdays (excluding state holidays). |
CMIA and RPR test results are available 3 business days from specimen receipt. |
Reference specimens that test positive/reactive for syphilis are submitted to WA PHL STI laboratory for confirmation. |
STI Lab (206) 418-5622 |
* For CSF specimen, CMIA and RPR are not performed. Testing on CSF is performed by VDRL. Please see Syphilis - VDRL. |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Syphilis, VDRL - CSF Syphilis, VDRL |
11/17/2022 | Requisition Form - Sexually Transmitted Infections (webform) | Pre-approval not required. |
VDRL (Venereal Disease Research Laboratory): Qualitative and quantitative detection of non-specific antibodies. |
Once a week, usually Thursdays |
5 business days |
For CSF only VDRL testing is performed. |
STI Lab (206) 418-5622 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB AFB Culture AFB smear, Mycobacteria, TB culture, TB, AFB, TB acid-fast-bacilli, tuberculosis, consumption |
10/01/2015 | Requisition Form - Microbiology (webform) | Specimens must be submitted through the Local Health Jurisdiction (LHJ). If shipping Stool specimens, prior arrangement must be made with WAPHL TB Lab. |
AFB smear and AFB culture |
Monday-Friday, excluding holidays |
AFB smears 24 hours. Positive AFB culture results available within 21-28 days; Negative results within 8 weeks. |
All diagnostic specimens requesting isolation of TB will have an AFB smear and culture performed. To request additional testing please go to orderable tests for TB NAAT and TB Sensitivities. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB AFB ID MOTT Identification, Mycobacterium Identification, Non-TB Identification, TB, AFB, TB acid-fast-bacilli, tuberculosis, consumption |
11/19/2014 | Requisition Form - Mycobacterium (file) | Pre-approval not required. |
DNA Sequencing |
Weekly |
14 days |
Identification of AFB-positive isolates that are not MTB. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB AFB Sensitivities, First Line Drugs TB sensitivities, TB drug resistance, TB, AFB, TB acid-fast-bacilli, tuberculosis, consumption |
11/12/2014 | Requisition Form - Mycobacterium (file) | Clinical specimens must be submitted through the Local Health Jurisdiction (LHJ). MTB Sensitivities will be performed on the first TB isolate and will be repeated after 3 months of therapy if the cultures are still positive. |
BACTEC MGIT First Line Sensitivities, (Isoniazid, Rifampin, Ethambutol and Pyrazinamide) |
1-2 times per week |
Diagnostic specimen 7-14 days after TB identification; Isolates 7-14 days after receipt. |
Diagnostic specimens will have smear and culture performed. Isolates must be submitted as pure culture. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB AFB Sensitivities, Second Line Drugs TB sensitivities, TB drug resistance, TB, AFB, TB acid-fast-bacilli, tuberculosis, consumption |
11/12/2014 | Requisition Form - Mycobacterium (file) | Pre-approval not required. |
Agar proportion or disk diffusion |
Once per week on as needed basis. |
21-27 days after receipt or identification of TB culture. |
May take longer if not pure isolate, or scant growth. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB AFB Smear TB Smear, TB, AFB, TB acid-fast-bacilli, tuberculosis, consumption |
10/01/2015 | Requisition Form - Microbiology (webform) | Specimens must be submitted through the Local Health Jurisdiction (LHJ). If shipping Stool specimens, prior arrangement must be made with WAPHL TB Lab. |
AFB smear and AFB culture |
Monday-Friday, excluding holidays |
AFB smears 24 hours. |
All diagnostic specimens requesting isolation of TB will have an AFB smear and culture performed. To request additional testing please go to orderable tests for TB NAAT and TB Sensitivities. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB GeneXpert Mycobacteriology (TB) |
07/25/2022 | Requisition Form - Microbiology (webform) | Specimens must be submitted through the Local Health Jurisdiction (LHJ) or Core/Reference Laboratories. |
Real-Time Polymerase Chain Reactions (TR-PCR) |
Monday-Friday, excluding holidays |
24 hours from test |
GeneXpert is performed on all first-time AFB smear positive patients. One test per patient, additional tests available with approval through TB program. GeneXpert cannot be used to monitor treatment. GeneXpert can only be performed on sputum or treated sputum specimens. For diagnostic samples that have not been decontaminated/digested, please submit a completed Microbiology Requisition Form (Requisition Form Mycobacterium not required). |
Mycobacteriology (TB) 206-418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB NAAT / M. avium complex, NAAT TB NAAT, TB, NAAT, TB Nucleic Acid Amplification Test, Molecular test for TB, TB PCR, TB, PCR, tuberculosis, consumption |
02/15/2018 | Requisition Form - Mycobacterium (file) | Specimens must be submitted through the Local Health Jurisdiction (LHJ) or Core/Reference laboratories. |
Real-Time Polymerase Chain Reaction (RT-PCR) |
Tuesday and Thursday |
24 hours from test. |
NAAT is performed on all first-time AFB smear positive patients. Up to two (2) NAATs will be performed per patient. NAAT cannot be used to monitor treatment. NAAT can only be performed on respiratory specimens. For diagnostic samples that have not been decontaminated/digested, please submit a completed Microbiology Requisition Form (Requisition Form - Mycobacterium not required) |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| TB, Stock Stock Culture, TB Stock, tuberculosis, consumption |
12/01/2014 | Requisition Form - Mycobacterium (file) | Pre-approval not required. |
Freezing at ultra low temperatures for specimen preservation. |
As needed |
Not applicable |
According to WAC 246-101-201, laboratories in the State of Washington must send one MTB isolate per patient to the WA PHL within 2 business days of identification. |
Mycobacteriology (TB) (206) 418-5473 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Varicella zoster virus, PCR (VZV, Chickenpox) Herpes zoster, shingles, varicella-zoster |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 Polymerase Chain Reaction (RT-PCR) |
Daily, on regular business days* |
8 hours** |
Bioterrorism (206) 418-5562 |
* Stat testing is available 24/7 for critical situations |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Vibrio species (Environmental) Vibrio parahaemolyticus, Vibrio cholerae, Vibrio vulnificus, Vibriosis, foodborne illness, foodborne outbreak |
10/14/2022 | Requisition Form - Food Lab (file) | Pre-approval required. Must be approved by Washington State Department of Health (DOH) Office of Communicable Disease Epidemiology (CDE) 206-418-5500. |
Enumeration of Vibrio parahaemolyticus through an MPN based real-time PCR assay. Other species of Vibrio are tested using isolation and confirmation methods based on the FDA Bacteriological Analytical Manual (BAM). |
As needed upon request. |
3-14 days |
Testing performed only for outbreak investigations with CDE approval. |
Food Microbiology (206) 418-5442 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Vibrio species Identification Vibriosis, Vibrio vulnificus, Vibrio parahaemolyticus, Vibrio cholerae |
06/01/2022 | Requisition Form - Microbiology (webform) | Pre-approval not required. |
Isolates are identified using biochemicals and PCR. |
Daily, on regular business days |
3-7 days |
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) |
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| West Nile Virus / St. Louis encephalitis WN, WNV, St. Louis, SLE |
09/07/2018 | Requisition Form - Virology (webform) | 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). |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| 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) |
Pre-approval by the ZD/VBD Program in CDE required |
Reverse Transcription Polymerase Chain Reaction (RT-PCR) |
Variable |
48 hours |
ZD/VBD Program in Communicable Disease Epidemiology |
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) |
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| White Powder, Unknown Unknown white powder |
06/30/2022 | Biothreat Environmental Sample Submission and Chain-of-Custody Form (file) | 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) |
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| Yersinia pestis Y. pestis, pestis, plague, bubonic plague, black death |
06/30/2022 | Requisition Form - Bioterrorism (file) | 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 |
Notifiable Conditions Overview List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition) |
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| Yersinia species Identification | 06/01/2022 | Requisition Form - Microbiology (webform) | 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) |
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| Zika Virus, rRT-PCR Zika, Flavivirus, Arbovirus |
06/30/2022 | Requisition Form - Zika (file) | 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) |
