Cryptosporidium spp. Subtyping by Sanger Sequencing

Laboratory Fee Schedule

Procedure Number: N/A

CPT Code: N/A

Synonym(s):Cryptosporidium spp.; Subtyping; Sanger Sequencing; Cryptosporidium; Crypto; Cryptosporidiosis; Nested PCR
Requisition FormG2-B
Test DescriptionSubtyping of Cryptosporidium spp. by nested PCR and Sanger sequencing.
Pre-Approval NeededN/A
Supplemental Information RequiredN/A
Supplemental Form(s)N/A
Performed on Specimens from (sources)Human
Sample/Specimen Type for TestingStool
Minimum Volume/Size RequiredAt least 500 µL
Storage/Preservation Prior to Shipping
  • Raw stool and unfixed stool should be stored and shipped cold between 2°C–8°C. 
  • Fixed stool may be shipped at ambient temperature.
  • Avoid specimen collection kits containing formalin as it interferes with testing.
Transport Medium
  • Raw stool, or stool in Cary Blair medium
  • Stool treated with non-formalin and PCR compatible fixatives
Specimen Labeling
  • At least two patient identifiers are required on specimen (e.g., patient full name, date of birth, medical record number). 
  • Three patient identifiers are preferred. 
  • Patient identifiers on specimen label must exactly match identifiers on submission form. (e.g., abbreviated name on label and full name on form is not acceptable.)
  • Additional DSHS Laboratory specimen labeling guidelines available online here
Shipping and Specimen Handling Requirements
  • Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
  • Category B Biological Substance, UN3373 shipping requirements apply.
  • Handle as infectious agent using universal precautions. 
  • Submitters are responsible for packaging and shipping specimens according to regulatory requirements. 
  • Ship raw stool specimens cold and overnight Monday-Thursday to avoid weekend deliveries.
  • Additional DSHS Laboratory specimen labeling guidelines online here.
MethodNested PCR and Sanger sequencing
Turn-around Time14 working days 
Interferences/LimitationsOnly samples positive for Cryptosporidium can be subtyped.
Common Causes for Rejection
  • inadequate specimen volume 
  • improperly stored specimen
  • raw stool specimens not stored cold
  • specimen dried out
  • specimen over two years old
  • failure to meet shipping/transportation guidelines 
Additional InformationN/A