Medium
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

A        back to top

Medium
Accordion Section Title
Aerobic Culture Reference

Acceptable Specimen: Pure isolate in appropriate tubed transport medium or Amies (with charcoal) transport medium. Plates not accepted.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Normal Value: Not applicable

Turn Around Time: 7 days

Accordion Section Title
Anaerobic Culture Reference

Acceptable Specimen: Pure isolate in anaerobic tubed medium such as Anaerobic Thio, Amies (with charcoal) transport medium, PORT-A-CUL tubes, etc.. Plates not accepted.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Normal Value: Not applicable

Turn Around Time: 7 days

Accordion Section Title
Arboviral Encephalitis Panel

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 5 Days; Refrigerated: 5 Days; Frozen: >5 Days

Normal Value: West Nile Virus EIA - Negative; Western Equine, Eastern Equine, St. Louis, California Group IFA < 1:16

Turn Around Time: 3 days

Medium

B        back to top

Medium
Accordion Section Title
Bacillus anthracis (Anthrax) Confirmation PCR/Culture

Acceptable Specimen: Isolate in appropriate tubed transport medium or a piece of agar with growth and send in a sterile container. Plates are not accepted. Cutaneous collect in vesicular fluid with sterile swab or collect from beneath the eschar. Gastrointestinal collect blood, stool, or rectal swabs. Inhalational collect blood.

Transport: Cutaneous, gastrointestinal and inhalational at room temperature.

Turn Around Time: 1 to 2 days

Accordion Section Title
Bordetella species HDA

Acceptable Specimen: Nasopharyngeal specimen, in universal transport media, provided in kit.

This Helicase-Dependent Ampliflication (HDA) assay simultaneously tests for the following pathogens: Bordetella parapertussis and Bordetella pertussis

Click here for collection instructions.

Click here for collection kits.

Stability: Ambient: 2 days; Refrigerated: 4 days; Frozen: 5 months

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Brucella Antibody Agglutination

Acceptable Specimen: 2 ml acute and convalescent sample phase sera recommended (at least 14 days apart)

Stability: Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: >4 days

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
Brucellosis Confirmation PCR/Culture

Acceptable Specimen: Isolate in appropriate tubed transport medium or a piece of agar with growth and send in a sterile container. Plates are not accepted. For primary isolation and PCR, collect blood or bone marrow

Transport: Room temperature

Turn Around Time: 7 days

Accordion Section Title
Burkholderia mallei (Glanders) or Burkholderia pseudomallei (Melioidosis) PCR/Culture

Acceptable Specimen: Isolate in appropriate tubed transport medium or a piece of agar with growth and send in a sterile container. Plates are not accepted.

Transport: Blood, bone marrow, sputum, abscess and wound swabs, urine transport blood room temp; all others transport at 2 to 8°C

Turn Around Time: 1 to 2 days

Medium

C        back to top

Medium
Accordion Section Title
California group Encephalitis Ab IFA

Refer to Arboviral Encephalitis Panel

Accordion Section Title
Candida auris Rule Out

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

Stability: Ambient: 10 days; Refrigerated: 10 days; Frozen: Unacceptable

Normal Value: Not applicable

Turn Around Time: 1 week

Accordion Section Title
Carbapenem Resistance Gene Screen

Acceptable Specimen: Rectal swab specimen collected with BD BBL liquid Stuart’s dual culture swab

Stability: Ambient: 5 days; Refrigerated: 5 days; Frozen: Unacceptable

Normal Value: KPC, NDM, VIM, OXA-48, and IMP Not Detected

Turn Around Time: 1 day

Accordion Section Title
Carbapenem Resistant Organism Confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

*Please submit antimicrobial susceptibility results from instrument printout.

A report containing test results to support infection prevention measures will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Chlamydia trachomatis and Neisseria gonorrhoeae TMA

Acceptable Specimen: Endocervical, oral, rectal, urine, throat, vaginal, or male urethral specimen in Hologic multi specimen collection kit

Click here for collection instructions.

Click here for collection kits.

Stability: Ambient: 60 days; Refrigerated: 60 days

Stability: Urine Ambient: 30 days; Refrigerated: 30 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Clostridium botulinum toxin DIG ELISA/PCR/Mouse Bioassay

Acceptable Specimen: Contact Laboratory Services for specific recommendation regarding collection and transportation.

All testing will be performed by the Minnesota Department of Health and/or the Centers for Disease Control and Prevention.

Turn Around Time: Procedure dependent

Accordion Section Title
Coronavirus (COVID-19)

See SARS-CoV-2

Accordion Section Title
Corynebacterium diptheriae Confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

A report with the organism identification will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Medium

D        back to top

Medium

E        back to top

Medium
Accordion Section Title
Eastern Equine Encephalitis Ab IFA

Refer to Arboviral Encephalitis Panel

Accordion Section Title
Encephalitis Panel Antibody, IgM CLIA, EIA and IFA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 8 hours; Refrigerated: 2 days; Frozen: >2 days

Normal Value: <1:8 or Negative

Turn Around Time: 1 day

Accordion Section Title
Enterovirus PCR

Acceptable Specimen: Nasopharyngeal, skin lesion material, and throat in viral transport medium. CSF and stool in sterile container.

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Negative

Turn Around Time: 3 days

Accordion Section Title
Escherichia coli 0157 Serotyping

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

*Facilities using molecular methods without conventional culture may send original stool sample.

*Cultures of verotoxigenic E. coli need to be shipped as a Category A specimen.

A report with serotyping results will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Medium

F        back to top

Medium
Accordion Section Title
Fluorescent Treponemal Antibody

Acceptable Specimen: 2 ml serum

Stability: Ambient: 8 hours; Refrigerated: 2 days; Frozen: >2 days

Normal Value: Nonreactive

Turn Around Time: 2 days

Accordion Section Title
Francisella tularensis Antibody Serum Agglutination

Acceptable Specimen: 2 ml acute and convalescent (3 weeks post onset) phase sera

Stability: Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: >4 hours

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
Francisella tularensis (Tularemia) Confirmation PCR/Culture

Acceptable Specimen: Isolate in appropriate tubed transport medium or a piece of agar with growth and send in a sterile container. Plates are not accepted. For primary isolation and PCR collect blood, biopsied tissue or ulcer scraping.

Transport: Blood at room temperature. Tissue and ulcer samples at 2 to 8°C

Turn Around Time: 2 to 4 days

Accordion Section Title
Fungal Primary Culture

Acceptable Specimen: Sterile containers or on Sabouraud Dextrose Agar. Plates will not be accepted. Contact Laboratory Services for assistance with systemic isolates such as histoplasma, coccidioides and blastomyces.

Stability: Ambient: 10 days; Refrigerated: 10 days; Frozen: Unacceptable

Normal Value: No fungi isolated

Turn Around Time: Negative culture - 2 weeks; Positive culture - 2 to 6 weeks

Accordion Section Title
Fungal Reference Culture

Acceptable Specimen: Pure isolate in tubed medium such as Sabouraud Dextrose Agar or Amies transport medium. Plates not accepted. Contact Laboratory Services for assistance with systemic isolates such as histoplasma, coccidioides and blastomyces.

Stability: Ambient: 10 days; Refrigerated: 10 days; Frozen: Unacceptable

Normal Value: Not applicable

Turn Around Time: 2 to 6 weeks

Medium

G        back to top

Medium
Accordion Section Title
Gastrointestinal (GI) Panel PCR

Acceptable Specimen: 1 ml stool in Cary-Blair medium

This assay simultaneously tests for the following pathogens: Adenovirus F (40/41), Astrovirus, Campylobacter, Clostridium difficile toxin (A/B), Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Enteroaggregative Escherichia coli (EAEC), Enteropathogenic Escherichia coli (EPEC), Enterotoxigenic Escherichia coli (ETEC) lt/st, Giardia lamblia, Norovirus (GI/GII), Plesiomonas shigelloides, Rotavirus A, Salmonella, Sapovirus, Shiga-like toxin producing E.coli (STEC) stx1/stx2, Escherichia coli 0157, Shigella/Enteroinvasive Escherichia coli (EIEC), Vibrio, Vibrio cholerae, Yersinia enterocolitica

Stability: Stool in Cary Blair - Ambient: 4 days; Refrigerated: 4 days; Frozen: Unacceptable

Normal Value: Not Detected

Turn Around Time: 2 days

Medium

H        back to top

Medium
Accordion Section Title
Haemophilus influenzae Serotyping

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

The isolate will be forwarded to Minnesota Public Health Laboratory for testing.

A report with serotyping results will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Handling Fee

Handling fees are dependent on test requested. Call Laboratory Services for test specific handling fee information.

Accordion Section Title
Hantavirus Antibody Enzyme Capture-IgM ELISA

Acceptable Specimen: 2 ml acute phase serum

Stability: Refrigerated: 5 days; Frozen: >5 days

Normal Value: Negative

*Positive results are sent to CDC for Confirmation.

Turn Around Time: 2 days

Accordion Section Title
Hepatitis A IgM Antibody CLIA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 2 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Hepatitis B Core Antibody, IgM CLIA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 4 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

Turn Around Time: 1 day

Accordion Section Title
Hepatitis B Core Antibody, Total Ig CLIA

Acceptable Specimen: 2 ml serum

Stability: Ambient: 4 days; Refrigerated: 4 days; Frozen: >4 days

Normal Value: Nonreactive

Turn Around Time: 1 day

Accordion Section Title
Hepatitis B Surface Antibody Immune Status (Anti-HBs) CLIA

Acceptable Specimen: 2 ml serum

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Positive

Turn Around Time: 1 day

Accordion Section Title
Hepatitis B Surface Antigen (HBsAg) CLIA

Acceptable Specimen: 2 ml serum

Stability: Ambient: 3 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

Confirmatory testing will be performed, at no additional charge, on all reactive specimens

Turn Around Time: 1 day

Accordion Section Title
Hepatitis C Virus Antibody, Total Ig (Anti-HCV) CLIA

Acceptable Specimen: 2 ml serum

Stability: Ambient: 4 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

*Positive tests will reflex to Hepatitis C Virus RNA

Turn Around Time: 1 day

Accordion Section Title
Hepatitis C Virus Genotyping

Acceptable Specimen: 3 ml serum or 5 ml whole blood

Stability: Serum - Ambient: 1 day; Refrigerated: 3 days; Frozen: >3 days

Stability: Whole Blood - Ambient: 6 hours; Refrigerated: 6 hours; Frozen: Unacceptable

Normal Value: Not Applicable

Turn Around Time: Weekly

Accordion Section Title
Hepatitis C Virus RNA (Quantitative)

Acceptable Specimen: 3 ml serum or 5 ml whole blood

Stability: Serum - Ambient: 1 day; Refrigerated: 5 days; Frozen: >5 days

Stability: Whole Blood - Ambient: 6 hours; Refrigerated: 6 hours; Frozen: Unacceptable

Normal Value: Not Detected

Turn Around Time: Weekly

Accordion Section Title
Herpes Simplex Virus Antibody, IgM EIA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 8 hours; Refrigerated: 2 days; Frozen: >2 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Herpes Simplex Virus 1 & 2 and Varicella zoster HDA

Acceptable Specimen: Swab, in viral transport medium, from any lesion.

Stability: Ambient: 2 days; Refrigerated: 7 days; Frozen: 7 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
HIV-1 RNA Viral Load

Acceptable Specimen: 2 mL serum (Qualitative) or plasma (Quantitative); tubes containing ETDA or Acid Citrate Dextrose (ACD) anticoagulants or Plasma Preparation Tubes (PPTs)

Stability: Primary Tube- Ambient: Unacceptable; Refrigerated: 3 days; Frozen: Unacceptable

Stability: Secondary Tube- Ambient: Unacceptable; Refrigerated: 5 days; Frozen: 90 days

Normal Value: Not Detected

Turn Around Time: Weekly

Accordion Section Title
HIV-1, 2 Antibody/HIV-1 p24 Antigen Combo CLIA

Acceptable Specimen: 3 ml serum or plasma

Stability: Ambient: 3 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

*Confirmatory testing will be performed, at no additional charge, on all reactive specimens following current CDC and CLSI guidelines for 4th Generation HIV Ab/Ag Combo tests.

Turn Around Time: 1 day

Accordion Section Title
HIV-1, 2 Antibody/HIV-1 p24 Antigen Confirmation

Acceptable Specimen: 1 ml serum or plasma

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

Turn Around Time: 2 days

Medium

I        back to top

Medium
Accordion Section Title
Immune Screen- Measles, Mumps, Rubella and Varicella

Acceptable Specimen: 2 ml serum

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value:  Measles IgG > 1:16
   Mumps IgG > 1:16
   Rubella - Positive
   Varicella IgG > 1:16

 

Turn Around Time: Tuesday and Thursday

Accordion Section Title
Influenza A/B/RSV/SARS CoV-2 PCR

Acceptable Specimen: Nasopharyngeal swab in viral transport medium or universal transport media.

Stability: Ambient: Unacceptable; Refrigerated: 4 days; Frozen: Unacceptable

Normal Value: Not detected

Turn Around Time: 3 days

Accordion Section Title
Influenza Virus Type A & B PCR and Subtype Confirmation

Acceptable Specimen: Specimen in 1.5ml to 3ml viral transport medium. Refer to Specimen Collection and Handling Section for instructions.

Click here for collection kits.

Sub-typing: A - H3, 2009H1N1

Sub-typing: B - Yamagata, Victoria

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Not Applicable

Turn Around Time: 3 days

Medium

J        back to top

Medium

K        back to top

Medium

L        back to top

Medium
Accordion Section Title
Legionella Culture

Acceptable Specimen: Bronchial, lung, sputum, tissue in sterile container

Stability: Ambient: Unacceptable; Refrigerated: 7 days; Frozen: Unacceptable

Normal Value: Negative

Turn Around Time: 7 days

Accordion Section Title
Lyme Antibody IgG, IgM, and Total Ig CLIA

Acceptable Specimen: 2 ml of serum

Stability: Ambient: 8 hours; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Negative

Turn Around Time: 1 day

Medium

M        back to top

Medium
Accordion Section Title
Malaria Confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Whole blood sample in EDTA prior to treatment plus thick and thin blood films made from fresh blood or EDTA (if prepared within one hour) if available.

The sample will be forwarded to CDC for species confirmation and evaluation of emerging drug resistance.

A report will be issued to the submitting facility.

Accordion Section Title
Measles Virus (Rubeola) Antibody, IgM IFA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value: <1:8

Turn Around Time: 1 day

Accordion Section Title
Measles Virus (Rubeola) Antibody, IgG CLIA

Acceptable Specimen: 2 ml serum

Stability: Refrigerated: 9 days; Frozen: >9 days

Normal Value: Positive

Turn Around Time: 1 day

Accordion Section Title
Measles Virus (Rubeola) PCR

Acceptable Specimen: Nasopharyngeal swabs (preferred) or aspirates, nasal swabs, throat swabs, in viral transport medium. 50 ml urine in sterile container.

Stability: Ambient: Unacceptable; Refrigerated: 3 days; Frozen: >3 days

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
Monkeypox (Orthopox) PCR

Refer to Orthopox (Monkeypox) Panel PCR

Accordion Section Title
Mumps Virus Antibody, IgM IFA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value: <1:8

Turn Around Time: 1 day

Accordion Section Title
Mumps Virus Antibody, IgG CLIA

Acceptable Specimen: 2 ml serum

Stability: Refrigerated: 9 days; Frozen: >9 days

Normal Value: Positive

Turn Around Time: 1 day

Accordion Section Title
Mumps PCR

Acceptable Specimen: Buccal swabs (preferred), throat swabs, and nasopharyngeal swabs or aspirates in viral transport medium. Urine in sterile container.  Molecular grade swabs only.  Dacron or rayon swabs with plastic or metal shafts only.  Calcium alginate swab and cotton swabs with wooden shafts are unacceptable.

Click here for collection instructions

Stability: Ambient: Unacceptable; Refrigerated: 3 days; Frozen: >3

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
Mycobacteria Primary Culture

Acceptable Specimen: Sterile container

Contact Laboratory Services for collection and mailing kit.

Click here for Specimen Collection and Handling instructions.

All new positive mycobacterium direct smears on sputum, bronchial lavage, and bronchial wash samples will automatically reflex to perform the Mycobacterium tuberculosis/Rifampin PCR test.

Stability: Whole Blood/Bone Marrow - Ambient: 7 days; Frozen: Unacceptable

Stability: Other - Ambient: Unacceptable; Refrigerated: 7 days; Frozen: Unacceptable

Normal Value: Mycobacteria Culture - No Mycobacteria isolated; AFB Smear - No AFB seen

Turn Around Time: 2 to 8 weeks

Accordion Section Title
Mycobacteria Reference Culture

Acceptable Specimen: Isolate on tubed solid medium such as LJ slants, 7H10 slants, etc. Plates or liquid medium not accepted.

Stability: Ambient: 4 days; Refrigerated: 7 days fresh growth; Frozen: Unacceptable

Normal Value: Not Applicable

Turn Around Time: 2 to 6 weeks

Accordion Section Title
Mycobacteria Susceptibility

Isolates for susceptibility testing will be referred to a reference laboratory.

Susceptibility testing on M .tuberculosis will be submitted on all isolates from patients considered to be a new case as part of the initial culture procedure.

*Susceptibility testing on mycobacteria isolates other than M. tuberculosis will be submitted to a reference laboratory upon request with a handling fee.

Normal Value: Susceptible

Turn Around Time: Not Applicable

Accordion Section Title
Mycobacterium tuberculosis/ Rifampin Nested Real Time PCR

Acceptable Specimen: 1 ml Sputum

2 samples per patient in a 3 month period or 12 months after the end of treatment.

The PCR test is only intended for use on specimens from patients showing signs and symptoms consistent with active pulmonary tuberculosis. The PCR test must be performed in conjunction with mycobacterial culture.

Stability: Ambient: 3 days; Refrigerated: 10 days; Frozen: Unacceptable

Normal Value: MTB Not detected

Turn Around Time: Test performed as needed

Accordion Section Title
Mycoplasma genitalium TMA

Acceptable Specimen: Endocervical, urine, vaginal, penile meatal or male urethral specimen in a Hologic specimen collection kit.

Stability: Swab- Ambient: 60 days; Refrigerated: 60 days; Frozen: >60 days

Stability: Urine- Ambient: 30 days; Refrigerated: 30 days; Frozen: >30 days

Normal Value: Negative

Turn Around Time: 3 days

Medium

N        back to top

Medium
Accordion Section Title
Neisseria gonorrhoeae TMA

Can only be ordered as part of a dual test for Chlamydia trachomatis and Neisseria gonorrhoeae.

Refer to Chlamydia trachomatis and Neisseria gonorrhoeae TMA

Accordion Section Title
Neisseria meningitidis Serogrouping

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

The isolate may be forwarded to Minnesota Public Health Laboratory for testing.

A report with serotyping results will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Medium
Medium

O        back to top

Medium
Accordion Section Title
Orthopox (Monkeypox) Panel PCR

Acceptable Specimen: Two sterile, dry synthetic swabs (including, but not limited to polyester, nylon, or dacron) per lesion labeled per site collected OR in synthetic swabs in VTM

Click here for collection instructions.

This test includes: Orthopox, Non-variola Orthopox and Varicella zoster Virus PCR

Stability: Ambient: Unacceptable; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Not Detected

Turn Around Time: 1 day

Medium

P        back to top

Medium
Accordion Section Title
Parasites, Blood Giemsa Stain

Acceptable Specimen: At least two thin blood films and two thick films made from fresh blood are preferred. Stain one slide set (one thin and one thick) with Wright-Giemsa or Giemsa (preferred) and send the second slide set unstained.

Blood containing anticoagulant (EDTA) can be used if films are prepared within one hour.

Air dry and send in protected container to prevent breakage.

The submission of a single blood specimen will not rule out blood parasites. Additional blood specimens are recommended.

Include EDTA whole blood and serum tubes for possible referral.

Pertinent travel history is requested.

Stability: Ambient: 7 days; Frozen: Unacceptable

Normal Value: No parasites seen

Turn Around Time: 2 days

Accordion Section Title
Parasites, Stool

Acceptable Specimen: Stool specimen in Total-Fix preservative includes wet mount, trichrome stain and acid-fast stain (for Cryptosporidium, Cyclospora and Cystoisospora belli). Microsporidia examination is not included. If fresh stool sample is collected, sample must be placed in Total-Fix collection container within 30 minutes.

Two specimens are recommended, while three specimens offer the best chance of organism recovery.

Antibiotics such as metronidazole or tetracycline may interfere with the recovery of intestinal parasites, particularly the protozoa.

If specimen is collected in formalin, trichrome stain will not be performed.

*If Schistosomiasis is suspected, please send urine and stool specimens.

Click here for collection kits.

Stability: Ambient: 7 days; Frozen: Unacceptable

Normal Value: No parasites seen

Turn Around Time: 2 days

Accordion Section Title
Pertussis PCR

Refer to Bordetella species HDA

Accordion Section Title
Prenatal Hepatitis B Surface Antigen CLIA

Acceptable Specimen: 2 ml serum

Stability: Ambient: 3 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

Turn Around Time: 1 day

Medium

Q        back to top

Medium
Accordion Section Title
Q Fever, Total Ig IFA (Coxiella burnetii)

Serum for IFA testing will be referred to a reference laboratory.

Acceptable Specimen: 2 ml acute and convalescent (3 weeks post onset) phase sera

Stability: Ambient: 1 day; Refrigerated: 6 days; Frozen: >6 days

Normal Value: < 1:256 or a less than fourfold increase in titer between acute and convalescent sera.

Turn Around Time: 7 days

Accordion Section Title
Q Fever PCR (Coxiella burnetii)

Acceptable Specimen: Whole Blood and Environmental samples (Liquid, soil, powder, wipes, swabs, and paper)

Stability: Ambient: Unacceptable; Refrigerated: 7 days; Frozen: 2 months

Normal Value: Not Detected

Turn Around Time: 1 day

Accordion Section Title
Quantiferon TB Gold Plus (Mycobacterium tuberculosis)

Acceptable Specimen: Four tube blood collection kit or 5-6 ml lithium heparin without gel

Click here for collection instructions

Click here for collection kits.

Samples must be received Monday through Thursday.

Stability: Refer to Collection Instructions link above.  Incubated and centrifuged plasma in QFT-Plus tubes - Refrigerated: 28 days; Frozen: >28 days

Normal Value: Negative

Turn Around Time: 3 days

Medium

R        back to top

Medium
Accordion Section Title
Rabies Direct Antigen Detection DFA

Acceptable Specimen: Animal testing only. Full cross section of brain stem and cerebellum. Contact Laboratory Services for assistance.

Please submit a rabies request form for each specimen.

Please call for consultation if animal brain cannot be removed prior to submission.

Stability: Ambient: Unacceptable; Refrigerated: Specimen must be shipped cold; Frozen: Unacceptable

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Respiratory Panel (RP2) PCR

Acceptable Specimen: Nasopharyngeal swabs in viral transport medium or saline

This assay simultaneously tests for the following pathogens:Adenovirus, Coronavirus HKU1, Coronavirus NL63, Coronavirus 229E, Coronavirus OC43, SARS CoV-2, Human Metapneumovirus, Human Rhinovirus/Enterovirus, Influenza A, Influenza A/H1, Influenza A/H3, Influenza A/H1-2009, Influenza B, Parainfluenza 1, 2, 3 & 4, Respiratory Syncytial Virus (RSV), Bordetella parapertussis, Bordetella pertussis, Chlamydia Pneumoniae, Mycoplasma pneumoniae

Stability: Ambient: 4 hours; Refrigerated: 3 days; Frozen: 30 days

Normal Value: Not Detected

Turn Around Time: 2 days

Accordion Section Title
Ricin Toxin TRF

Acceptable Specimen: Liquid, soil, powder, wipes, swabs, paper, plant material and food samples

Turn Around Time: 1 day

Accordion Section Title
Rickettsia PCR

Acceptable Specimen: Venous whole blood preserved with EDTA or acid citrate dextrose Solution A (ACD-A)

This assay is intended for the qualitative detection and differentiation of R. rickettsii and R. prowazekii DNA. Specimens can be collected from individuals with signs or symptoms indicative of Rocky Mountain Spotted Fever or epidemic typhus and epidemiological risk factors consistent with potential exposure.

Stability: Ambient: Unacceptable; Refrigerated: 7 days; Frozen: Unacceptable

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
Rocky Mountain Spotted Fever (Rickettsia) Antibody IFA

Acceptable Specimen: 2 ml acute and convalescent (3 weeks post onset) phase sera

Stability: Ambient: 1 day; Refrigerated: 3 days; Frozen: >3 days

Normal Value: < 1:64 or less than fourfold increase in titer between acute and convalescent sera.

Turn Around Time: 1 day

Accordion Section Title
RPR - Rapid Plasma Reagin

Acceptable Specimen: 2 ml serum

Stability: Ambient: 3 days; Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

*Reactive RPR can be confirmed by TP-PA at facilities request. Contact Laboratory Services to order.

Turn Around Time: 1 day

Accordion Section Title
Rubella (German Measles) Virus Antibody, IgM CLIA

Acceptable Specimen: 2 ml acute phase serum. Include immunization history on test request form.

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Rubella Virus Antibody, IgG Immune Screen CLIA

Acceptable Specimen: 2 ml serum

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Positive

Turn Around Time: 1 day

Accordion Section Title
Rubeola (Measles) Virus

Refer to Measles Virus

Medium

S        back to top

Medium
Accordion Section Title
Salmonella Serotyping

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

*Facilities using molecular methods without conventional culture may send original stool sample.

*Serotypes will no longer be reported back to the submitting facility.

A report indicating if the isolate is a Salmonella species will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
SARS-CoV-2 PCR

Acceptable Specimen: Nasopharyngeal swab in viral transport medium or Hologic collection device in sterile screw cap container

Stability: Refrigerated: 3 days; Frozen: -70 degrees C, ship on dry ice

Normal Value: Negative

Turn Around Time: 2 days

Accordion Section Title
SARS-CoV-2 TrimericS IgG CLIA

Acceptable Specimen: 2 ml serum or plasma

Stability: Ambient: 2 days; Refrigerated: 21 days; Frozen: >21 days

Normal Value: Negative

Turn Around Time: 3 days

Accordion Section Title
Shiga toxin-producing Escherichia coli confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Shiga toxin positive specimen in appropriate transport media (MacConkey broth, GN broth, etc.)

*Facilities using molecular methods without conventional culture may send original stool sample.

*Cultures of verotoxigenic E.coli need to be shipped as a Category A specimen.

A report indicating if Shiga toxin-producing Escherichia coli was isolated will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Shigella Serotyping

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

*Facilities using molecular methods without conventional culture may send original stool sample.

A report with serotyping results will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Smallpox/Vaccinia PCR (Orthopox Panel)

Acceptable Specimen: Contact Laboratory Services for specific recommendation regarding collection and transportation.

Call the North Dakota Department of Health and Human Services if you suspect smallpox, an adverse reaction to smallpox vaccination or require consultation on an unusual or pustular rash illness.

Confirmation for Smallpox will be performed by the Minnesota Department of Health and/or the Centers for Disease Control and Prevention.

The smallpox risk level should be clearly noted on the laboratory requisition form accompanying any specimen labeled as “vesicle,” “blister,” “rash,” or otherwise suggestive of acute/generalized vesicular or pustular rash illness.

Turn Around Time: Preliminary PCR results within 1 day for vaccinia, VZV and non variola panel

Accordion Section Title
St.Louis Encephalitis Ab IFA

Refer to Arboviral Encephalitis Panel

Accordion Section Title
Streptococcus pneumoniae Isolate Submission

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

Our laboratory participates in a project for the Antimicrobial Resistance Laboratory Network (ARLN). Isolate will be forwarded to the Minnesota Public Health Laboratory for serotyping and susceptibility testing.

*A report with serotyping results is available upon request.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Syphilis Testing Panel

Acceptable Specimen: 2 ml serum

This panel starts with chemiluminescent microparticle immunoassay screen (CLIA). If positive cases are identified, follow up testing will include RPR, and TPPA as needed.

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Nonreactive

Turn Around Time: 1 day

Medium

T        back to top

Medium
Accordion Section Title
Treponema pallidum Particle Agglutination

Acceptable Specimen: 2 ml serum

Stability: Ambient: 3 days; Refrigerated: 5 days; Frozen: >5 days

Normal Value: Nonreactive

Turn Around Time: 1 day

Accordion Section Title
Trioplex PCR

Acceptable Specimen: 1.5 mL serum, 1.0 mL urine, CSF and amniotic fluid

*Must meet CDC requirements, this form must accompany the specimen sent to the lab.

Stability: Ambient: 8 hours; Refrigerated: 2 days; Frozen: >2 days

Normal Value: Zika Negative, Chikungunya Negative, Dengue Negative

Turn Around Time: 7 days

Medium

U        back to top

Medium

V        back to top

Medium
Accordion Section Title
Vancomycin-Resistant/Intermediate Staphylococcus aureus Confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

A report with susceptibility to vancomycin will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Accordion Section Title
Varicella zoster Virus Antibody, IgG CLIA

Acceptable Specimen: 2 ml serum

Stability: Refrigerated: 7 days; Frozen: >7 days

Normal Value: Positive

Turn Around Time: 1 day

Accordion Section Title
Varicella zoster Virus Antibody, IgM IFA

Acceptable Specimen: 2 ml acute phase serum

Stability: Ambient: 1 day; Refrigerated: 7 days; Frozen: >7 days

Normal Value: <1:8

Turn Around Time: 1 day

Accordion Section Title
Varicella zoster/Herpes Simplex Virus 1 & 2 HDA

Acceptable Specimen: Swab, in viral transport medium, from any lesion.

Stability: Ambient: 2 days; Refrigerated: 7 days; Frozen: 7 days

Normal Value: Negative

Turn Around Time: 1 day

Accordion Section Title
Vibrio Confirmation

Mandatory Reportable Condition click HERE to report

Mandatory Isolate Submission

Acceptable Specimen: Pure isolate in appropriate tubed medium or Amies (with charcoal) transport medium. Plates not accepted.

A report with the organism identification will be issued to the submitting facility.

Stability: Ambient: 7 days; Refrigerated: 7 days; Frozen: Unacceptable

Medium

W        back to top

Medium
Accordion Section Title
Western Equine Encephalitis Ab IFA

Refer to Arboviral Encephalitis Panel

Accordion Section Title
West Nile Virus Antibody, IgM EIA

Acceptable Specimen: 2 ml late acute phase serum

Stability: Ambient: 8 hours; Refrigerated: 2 days; Frozen: >2 days

Normal Value: Negative

Turn Around Time: 3 days

Medium

X        back to top

Medium

Y        back to top

Medium
Accordion Section Title
Yersinia pestis (Plague) Confirmation PCR/Culture

Acceptable Specimen: Isolate in appropriate tubed transport medium or a piece of agar with growth and send in a sterile container. Plates are not accepted. For primary isolation and PCR, collect blood, tissue aspirate or biopsied tissue.

Transport: Blood at room temperature. Tissue samples at 2 to 8°C

Turn Around Time: 3 to 5 days

Medium

Z        back to top