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Pass Through Request

Specimen Pass Through Form

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

How to Order a Lab Test

Use our online system to order your lab test.

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

Use the menu below for:

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

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


Name 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
Measles IgG, EIA
Rubeola
05/05/2022

Measles IgG, EIA

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)
Measles IgM, EIA
Rubeola
05/05/2022

Measles IgM, EIA

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).
** 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)
Measles, RT-PCR
Measles PCR
05/05/2022

Measles RT-PCR

Measles Specimen Shipping Guide

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)
Mumps IgG, EIA 05/05/2022

Mumps IgG, EIA

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)
Mumps IgM, EIA 05/05/2022

Mumps IgM, EIA

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)
Mumps, RT-PCR
Mumps PCR
09/07/2018

Mumps RT-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 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).
** 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)
Neisseria species Identification
Neisseria ID, GNDC
06/01/2022

Neisseria species Identification

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)
Non-variola Orthopox
Vaccinia, Monkey pox, Cow pox, Camel pox, Mpox
08/27/2024

Non-variola Orthopox

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
** Confirmation is performed at the 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)
Norovirus, RT-PCR
Norovirus PCR
06/27/2023

Norovirus, RT-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) 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)
Orthopox
Vaccinia, Monkey pox, Cow pox, Camel pox, Mpox
08/27/2024

Orthopox

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
** Confirmation is performed at the 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)
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)

Instructional Video

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:
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
Shellfish Program (360) 236-3328

Washington State Department of Health Shellfish Program

National Shellfish Sanitation Program

Notifiable Conditions Overview
List of Notifiable Conditions (includes links to reporting forms, guidelines for public health investigations, and case definition)
Parasite - Blood Confirmation
Malaria, Babesia sp., Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale, Microfilariae, Trypanosomes, parasites, blood parasite, blood parasites
11/23/2022

Parasite - Blood Confirmation

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)
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

Parasite - Gross Specimen Identification

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)
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

Parasite - Intestinal Confirmation

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)
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

Parasite - Intestinal Screen

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)
Parasite - Miscellaneous
Paragonimus; Paragonimiasis; Schistosoma haematobium; Schistosomiasis; Strongyloides stercoralis; Strongyloidiasis, parasites
11/23/2022

Parasite - Miscellaneous

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)
Rabies, DFA
Rabies
05/23/2024

Rabies, DFA

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).
** 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)
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.
04/15/2024

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

5 business days

Adenovirus typing is not performed at WA PHL. Testing will be forwarded to CDC upon request.
Positive Influenza specimens will be typed, and forwarded to CDC if applicable.

* 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)
Ricin Toxin
Ricinus communis, ricin
06/30/2022

Ricin Toxin

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)
Rubella IgG, EIA 05/05/2022

Rubella IgG, EIA

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)
Rubella IgM, EIA 05/05/2022

Rubella IgM, EIA

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)
Rule Out Campylobacter species
Campylobacteriosis, Campylobacter jejuni, Campylobacter coli, R/O Campylobacter, Rule-Out Campylobacter
01/15/2015

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)
Rule out Mpox (Clade Determination) Monkey Pox 08/29/2024

Rule out Mpox (Clade determination)

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)
Rule Out Salmonella species
Salmonella, Salmonellosis, Test of Cure, R/O Salmonella, Rule-Out Salmonella
05/31/2022

R/O Salmonella species

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)
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

R/O Shiga Toxigenic E. coli (STEC)

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)