Laboratory Testing Services Manual - Laboratory Tests for Diseases and Agents

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Biochemistry and Genetics

• Blood Lead
• Cholesterol / Lipid Profile
• Cystic Fibrosis Testing (CFTR Mutation Panel)
• Diabetes/Glucose
• Galactosemia Testing (DNA Mutation Panel)
• Hemoglobin Electrophoresis
• Hemoglobinopathy Testing (DNA Confirmation)
• High-Density Lipoprotein (HDL)
• Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCAD) (DNA Mutation Panel)
• Very Long-Chain Acyl-CoA Dehydrogenase Deficiency (VLCAD) (Gene Sequencing)
• Newborn Screening Panel
• Phenylketonuria (PKU) – Dietary Monitoring
• Total Hemoglobin
• X-linked Adrenoleukodystrophy (X-ALD) Full Gene Sequencing
• X-linked Adrenoleukodystrophy (X-ALD) Targeted Gene Sequencing

Environmental

Drinking Water-Inorganic

• Alkalinity, Total and Phenolphthalein
• Bicarbonate-Carbonate, with Alkalinity
• Bicarbonate-Carbonate, without Alkalinity
• Carbon, Total Organic
• Chloride
• Conductance
• Cyanide, Total
• Fluoride
• Hardness
• Nitrate + Nitrite
• Nitrate
• Nitrite
• pH
• Routine Water Group
• Reagent Water Suitability Group – Drinking Water
• Solids, Total Dissolved
• Solids, Total Dissolved (determined)
• Sulfate
• Total Recoverable Metals Digestions – Drinking Water
• Turbidity

Drinking Water-SOC

• Synthetic Organic Contaminants – Drinking Water

Drinking Water-SVOC

• Trihalomethanes in Drinking Water
• Ethylene Dibromide and Dibromochloropropane in Drinking Water
• Chlorinated Pesticides and PCBs in Drinking Water
• Decachlorobiphenyl in Drinking Water
• Chlorophenoxy Herbicides in Drinking Water
• Carbamates in Drinking Water
• Glyphosate in Drinking Water
• Endothall
• Diquat and Paraquat
• Haloacetic Acids and Dalapon in Drinking Water
• Semi-Volatiles in Drinking Water

Drinking Water-VOC

• Volatile Organic Compounds in Drinking Water

Food and Food Products

• Added Substances
• Added Water
• Deterioration, Canned Products
• Fat, Paly Screen
• Fat, Soxhlet Extraction
• Filth
• Meat Protein
• Moisture
• pH of Food Products, USDA PHM
• Protein
• Salt
• Water Activity

Metals:

• All Metals – Drinking Water
• Metals in Drinking Water by ICP
• Metals in Drinking Water by ICP-MS
• Mercury in Drinking Water
• Metals by ICP
• Metals by ICP-MS
• Mercury by Cold Vapor Atomic Absorption (CVAAS)
• Metals in Pottery
• Single Inductively Coupled Plasma-Atomic Emission Spectrometry-DW
• Single Inductively Coupled Plasma-Mass Spectrometry-DW
   

Soil- Radiation

• Gross Alpha or Gross Beta
• Gross Alpha and Gross Beta
• Gamma Emitting Isotopes
• Radium 226
• Radium 228
• Uranium Isotopes by Alpha Spectroscopy
• Plutonium Isotopes
• Thorium Isotopes
• Strontium 89 or Strontium 90
• Tritium
• Alpha Spectroscopy Preparation Procedure

Vegetation/Tissue - Radiation:

• Gross Alpha or Gross Beta
• Gross Alpha and Gross Beta
• Gamma Emitting Isotopes
• Radium 226
• Radium 228
• Uranium Isotopes by Alpha Spectroscopy
• Plutonium Isotopes
• Thorium Isotopes
• Strontium 89 or Strontium 90
• Tritium 
• Alpha spectroscopy Preparation Procedure

Water - Radiation:

• Gross Alpha or Gross Beta
• Gross Alpha and Gross Beta
• Gamma Emitting Isotopes
• Radium 226
• Radium 228
• Uranium Isotopes by Alpha Spectroscopy
• Plutonium Isotopes
• Thorium Isotopes
• Strontium 89 or Strontium 90
• Strontium 89 and/or 90 – Drinking Water 
• Tritium
• Alpha Spectroscopy Preparation
• Uranium Isotopes – Drinking Water
• Uranium Isotopes – Non-Potable Water

Microbiology

--A--

• Acanthamoeba Molecular Detection, CDC Reference Test
• Acid Fast Bacilli Identification, HPLC
• Acid Fast Bacilli (AFB) Culture
• Acid Fast Bacilli (AFB) Isolate Identification, Biochemical 
• Acid Fast Bacilli (AFB) Isolate Identification, HPLC
• Acid Fast Bacilli (AFB) Referred Mycobacterium Isolate Identification
• Acid Fast Bacilli (AFB) Smear
• Acid Fast Bacilli (AFB) Specimen Concentration 
• Acid Fast Bacilli, Mycobacterium kansasii, Rifampin Susceptibility by Agar Proportion
• Aerobic Actinomycete Isolate Identification, Biochemical
• Aerobic Actinomycete Isolate Identification, HPLC
• Aerobic Bacterial Isolation from Clinical Specimen
• Aerobic Bacteria (Bioterrorism Agents), Definitive Identification by Culture
• Aerobic Plate Count: Shellfish
• Amebiasis (Entamoeba sp.) Detection and Identification in Body Fluids 
• Amebiasis (Entamoeba sp.), Identification, Fecal Ova and Parasite Exam 
• Anaerobic Isolate, Identification
• Anaerobic Isolation from Clinical Specimen
• Animal Testing- Diagnosis of animal diseases is not offered at TDSHS, testing is available at Texas Veterinary Medical Diagnostic Laboratory, College Station, TX (888)-646-5623. See Rabies for exception. Anthrax Culture (Isolation)Anthrax Culture (Identification)
• Ascaris lumbricoides (Ascariasis) Identification, Direct Microscopic Examination
• Aspergillus Identification 

--B--

• Babesiosis Serology, CDC Reference Test
• Babesia spp. (Babesiosis) Identification, Giemsa Stain
• Bacillus spp. Definitive Identification
• Bacillus anthracis (Culture - Isolation)
• Bacterial Whole Genome Sequencing
• Balantidiasis (Balantidium coli), Microscopic Detection and Identification
• Bioterrorism agents, Isolation from Environmental, Clinical, or Referred Specimen
• Bioterrorism agents, Referred Specimen Identification, Time Resolved Fluorescence (TRF) and Real Time PCR
• Blastocystis hominis Microscopic Detection and Identification
• Botulism, Definitive Identification by Culture 
• Botulism (Clostridium botulinum) Toxin Gene Detection, PCR
• Botulinum Toxin (Toxin Detection and Typing, Serological)
• Brevetoxin; Shellfish
• Brucella abortus Total Antibody Agglutination
• Brucella spp. (Brucellosis) Detection, PCR 
• Brucella spp. Definitive Identification by Culture
• Burkholderia mallei/pseudomallei, Definitive Identification by Culture
• Burkholderia mallei/pseudomallei Detection, PCR

--C-- 

• Campylobacter spp. Identification from Clinical Specimen
• Campylobacter spp. Definitive Identification of Isolate
• Campylobacter spp. Sequencing 
• Candida auris Colonization Screening
• Candida auris Whole Genome Sequencing
• Candida spp. Isolate Identification
• Carbapenem Resistant Acinetobacter spp. Colonization Screening
• Carbapenem Resistant Enterobacterales, Colonization Screening
• Carbapenem Resistant Pseudomonas aeruginosa, Colonization Screening
• Carbapenem Resistant Acinetobacter spp. Isolate Identification
• Carbapenem Resistant Enterobacterales, Isolate Identification
• Carbapenem Resistant Pseudomonas aeruginosa, Isolate Identification
• Carbapenem-Resistant Organisms Sequencing
• Chagas Disease Serology, CDC Reference Test
• Chagas IgG 
• Chancroid, See Haemophilus ducreyi
• Chikungunya Virus, IgM
• Chikungunya Virus Real-Time RT-PCR, Trioplex
• Chlamydia trachomatis and Neisseria gonorrhoeae (GC/CT), Amplified RNA Probe
• Cholera, See Vibrio cholerae
• Clonorchis Microscopic Detection and Identification
• Clostridium botulinum, Definitive Identification by Culture
• Clostridium botulinum Toxin Detection and Typing
• Colorado Tick Fever (Serological)
• Corynebacterium diphtheriae Isolation from Clinical Specimen
• Corynebacterium diphtheriae Isolate Identification
• Cryptosporidium spp. Detection and Identification, Acid Fast Stain
• Cryptosporidium spp. Subtyping by Sanger Sequencing
• Cyclospora sp. Detection and Identification, Acid Fast Stain
• Cysticercosis Serology, CDC Reference Test 
• Cystoisosporiasis (Cystoisospora sp.) Detection and Identification

--D-- 

• Definitive ID: Francisella tularensis
• Dengue Virus, IgM 
• Dengue Virus Real-Time RT-PCR, Trioplex
• Dientamoeba fragilis Microscopic Detection and Identification
• Direct Detection by High Performance Liquid Chromatography (HPLC)

--E-- 

• Ebola Virus Zaire Detection, PCR
• Echinocococcus spp. Microscopic Detection and Identification
• Echinococcosis Serology, CDC Reference Test  
• Entamoeba histolytica/dispar Molecular Detection, CDC Reference Test
• Enteric Bacteria Isolation
• Enteric Bacteria Isolate, Definitive Identification 
• Enterobiasis (Pin Worm) Direct Exam of Misc. Body Fluids
• Enterobiasis (Pin Worm) Identification, Fecal Ova and Parasite Exam
• Enterobiasis (Pin Worm) Identification, Morphological
• Enterohaemorrhagic Escherichia coli (EHEC), Shiga-like Toxin Assay
• Enterohemorrhagic Escherichia coli (EHEC) Typing
• Enterobius vermicularis Identification, Direct Examination
• Escherichia coli Sequencing
• Escherichia coli Shiga Toxin Virulence Factor Detection, PCR
• Escherichia coli O157:H7 Isolation from Clinical Specimen

--F-- 

• Fascioliasis Serology, CDC Reference Test 
• Fecal Coliforms, Most Probable Number (MPN), Baywater 
• Fecal Coliform MPN, Oysters
• Filariasis Serology, CDC Reference Test
• Filariasis Worm Detection and Examination, Giemsa Stain
• Food Analysis: Campylobacter spp. Identification
• Food Analysis: Cronobacter sakazakii
• Food Analysis: Cyclospora, PCR  
• Food Analysis: E. coli O157 Identification
• Food Analysis: Listeria spp. Identification
• Food Analysis: Non-O157 Shiga-Toxin Producing E. coli (STEC)
• Food Analysis: Salmonella spp. Identification
• Food Analysis: Shigella spp. Identification
• Food Analysis: Staphylococcus sp. Enterotoxin Detection 
• Food Analysis: Vibrio cholerae Identification
• Food Analysis: Vibrio parahaemolyticus and V. vulnificus Identification
• Food Analysis: Yersinia enterocolitica Identification
• Francisella tularensis Definitive Identification by Culture
• Francisella tularensis Detection, Real-Time PCR
• Fungal Whole Genome Sequencing

--G-- 

• Giardia duodenalis (Giardiasis) Identification, Fecal Ova and Parasite Exam
• Glanders (Burkholderia mallei) Definitive Identification by Culture 
• Gonorrhea Antimicrobial Susceptibility Testing (GC AST)
• Gram-Negative Rod Isolate, Definitive Identification
• Gram Positive Rod Isolate, Definitive Identification
• Group B Streptococcus (Beta Strep) Identification

--H-- 

• Haemophilus ducreyi (Chancroid) Isolation and Identification
• Haemophilus sp. Isolate, Definitive Identification
• Haemophilus influenzae Serotyping 
• Hansen's Disease Program/Leprosy Treatment, See DSHS Hansen's Disease Program
• Hantavirus, IgM and IgG
• Healthcare Acquired Infection (HAI), Identification by Whole Genome Sequencing, Bacterial
• Hepatitis A Virus, IgM
• Hepatitis A Virus, Total Antibody
• Hepatitis B Virus Core Antibody, IgM
• Hepatitis B Virus Surface Antibody
• Hepatitis B Virus Surface Antigen  
• Hepatitis B Virus Core, Total Antibody
• Hepatitis C  Virus Antibody
• Hepatitis C Virus RNA, Quantitative NAAT
• HIV-1 RNA, NAAT
• HIV Screen, HIV Antigen-Antibody Multiplex
• HIV Confirmation Test, Geenius
• Hookworm Detection and Identification
• Hookworm Identification, Fecal Ova and Parasite Exam

--I-- 

• Influenza Real-Time RT-PCR 
• Influenza Sequencing
• Influenza Virus and SARS-CoV-2 Multiplex, Real-Time RT-PCR

--L-- 

• Legionella spp. Identification
• Leishmania species Identification, CDC Reference Test 
• Leishmaniasis Serology, CDC Reference Test
• Leptospirosis (Serological) 
• Listeria spp. Sequencing
• Listeria spp. Isolation from Clinical Specimen
• Listeria spp. Definitive Identification
• Loa loa Detection, Giemsa Stain
• Lymphocytic Choriomeningitis (Serological)

--M-- 

• Malaria (Plasmodium spp.) Detection, Giemsa Stain
• Measles (Rubeola) IgG 
• Measles (Rubeola) IgM
• Measles (Rubeola) Real-Time RT-PCR
• Melioidosis (Burkholderia pseudomallei) Definitive Identification by Culture
• Melioidosis (Burkholderia pseudomallei) Detection, Real- Time PCR
• Meningitis, Amebic See Primary Amebic Meningoencephalitis
• Microsporidium Molecular Identification, CDC Reference Test
• Milk and Dairy: Coliform Count, Dairy Products 
• Milk and Dairy: Coliform Standard Plate Count - Dairy Products
• Milk and Dairy: Freezing Point 
• Milk and Dairy: Growth inhibitors, Charm ROSA, Sulfonamide 
• Milk and Dairy: Growth inhibitors, Charm 3 SL-3 Beta Lactams 
• Milk and Dairy: Growth inhibitors, Charm SLBL Beta Lactam 
• Milk and Dairy: Growth inhibitors, Charm ROSA, Tetracyclines
• Milk and Dairy: Growth inhibitors, Delvo Test  
• Milk and Dairy Products: Coliform Count for Containers 
• Milk and Dairy: Somatic Cell Count, Goat -DMSCC
• Milk and Dairy: Somatic Cell Count, Cow -ESCC
• Milk and Dairy: Somatic Cell Count, Goat -ESCC 
• Milk and Dairy: Somatic Cell Count, Cow -DMSCC 
• Milk and Dairy: Standard Plate Count, Sterile Containers
• Milk and Dairy: Total Coliform MPN, Dairy Waters
• Milk and Dairy: Aflatoxin Assay
• Milk and Dairy: Phosphatase Activity
• Mold Identification 
• Mpox Sequencing
• M. tuberculosis complex, AFB Agar Proportion Drugs, Isoniazid, 0.2 µg/mL
• M. tuberculosis complex, AFB Agar Proportion Drugs, Isoniazid, 1.0 µg/mL 
• M. tuberculosis complex, AFB Agar Proportion Drugs, Capreomycin 
• M. tuberculosis complex, AFB Agar Proportion Drugs, Ethambutol 
• M. tuberculosis complex, AFB Agar Proportion Drugs, Ethionamide
• M. tuberculosis complex, AFB Agar Proportion Drugs, Kanamycin  
• M. tuberculosis complex, AFB Agar Proportion Drugs, Ofloxacin
• M. tuberculosis complex, AFB Agar Proportion Drugs, Rifabutin 
• M. tuberculosis complex, AFB Agar Proportion Drugs, Rifampin
• M. tuberculosis complex, AFB Agar Proportion Drugs, Streptomycin 
• M. tuberculosis complex, MGIT Pyrazinamide Susceptibility Test
• Mumps Virus IgG 
• Mumps Virus, Real-Time RT-PCR
• Mycobacterium spp. Isolation from Clinical Specimen
• Mycobacterium tuberculosis Complex MGIT Susceptibility, Primary Drug Panel
• Mycobacterium tuberculosis Complex Identification, NAAT
• Mycobacterium tuberculosis Complex Speciation, Real-Time PCR
• Mycobacterium tuberculosis Sequencing
• Mycobacterium leprae (Hansen's Disease/Leprosy Treatment)- See DSHS Hansen's Disease Program
• Mycoplasmosis (Serological)

--N-- 

• Naegleria Molecular Detection, CDC Reference Test 
• Neisseria gonorrhoeae Antimicrobial Susceptibility Testing, (GC AST)
• Neisseria gonorrhoeae and Chlamydia trachomatis (GC/CT), Amplified RNA Probe
• Neisseria gonorrhoeaea Sequencing
• Neisseria spp. Definitive Identification
• Neisseria meningitidis Serotyping
• Healthcare Acquired Infection (HAI), Identification by Whole Genome Sequencing, Bacterial
• Norovirus Detection, PCR

--O-- 

• Ornithosis (see Psittacosis) Names of Related Agents: Psittacosis, Parrot Fever

--P-- 

• Paragonimiasis Identification, Direct Exam of Misc. Body Fluids
• Paragonimiasis Identification, Fecal Ova and Parasite Exam
• Paragonimiasis Serology, CDC Reference Test
• PCR: Francisella tularensis
• Plague (Culture - Isolation)
• Plague ( Culture- Identification)
• Pneumococcus, See Streptococcus pneumoniae Serotyping.
• Plasmodium spp. Detection, PCR
• Poliomyelitis,  CDC Reference Test
• Potable Water, Total Coliform and Escherichia coli Detection
• Primary Panel, MGIT Susceptibility
• Prototheca spp. Identification
• Psittacosis (Serological-Forwarded by TDH to CDC for testing.)

--R-- 

• Rabies Virus Antigen Detection, Direct Fluorescent Antibody Cell Culture
• Rabies Virus Detection, Microscopic-Direct Fluorescent Antibody
• Relapsing Fever (Serological-Forwarded by TDH to CDC for testing.)
• Rickettsia spp. Detection, Real-Time PCR
• Rickettsia spp. Panel IgG (Rocky Mountain Spotted Fever and Typhus)
• Rocky Mountain Spotted Fever IgG (Rickettsial Panel)
• Roundworm Identification, Direct Microscopic Examination
• Rubella (German Measles) Screen, IgG

--S-- 

• Salmonella spp. Definitive Identification of Isolate
• Salmonella spp. Isolation from Clinical Specimen
• Salmonella spp. Serotyping by Whole Genome Sequencing  
• SARS-CoV-2 (COVID-19) Real-Time RT-PCR
• SARS-CoV-2 Sequencing
• Schistosoma mansoni, IgG
• Schistosoma spp. Identification, Fecal Ova and Parasite Exam
• Schistosoma spp. Identification, Morphological
• Schistosomiasis Serology, CDC Reference Test
• Schistosoma spp. Identification, Urine Examination
• Shigella Serotyping by Whole Genome Sequencing 
• Shigella spp. Definitive Identification of Isolate
• Shigella spp. Isolation from Clinical Specimen
• Shigella Isolate Sequencing
• Sporothrix schenckii (Sporotrichosis) Identification
• Staphylococcus spp. Definitive Identification
• Staphylococcus spp. Isolation from Clinical Specimen
• St. Louis Encephalitis Virus, IgM
• Stool Culture
• Streptococcus pneumoniae (Culture - Typing) See Pneumococcus
• Streptococcus spp. Isolate Definitive Identification
• Streptococcus pneumoniae Serotyping
• Strep Screen (Type B only) 
• Strongyloides IgG
• Strongyloides spp. Identification, Direct Exam of Misc. Body Fluids
• Strongyloides spp. Identification, Fecal Ova and Parasite Exam
• Syphilis Screen, Total Antibody
• Syphilis Confirmation by Particle Agglutination (TP-PA)
• Syphilis (Serological-Venereal Disease Research Laboratory)
• Syphilis (Treponema pallidum) Rapid Plasma Reagin Detection

--T-- 

• Tapeworm Identification, Fecal Ova and Parasite Exam
• Tapeworm Identification, Morphological
• Toxocariasis Serology, CDC Reference Test 
• Trichinelliasis (Serological)
• Trichinellosis Serology, CDC Reference Test  
• Trichomonas Susceptibility
• Trichuriasis Identification, Morphological
• Trichuriasis (Whipworm) Identification, Fecal Ova and Parasite Exam
• Trypanosoma spp. (Chagas Disease) Identification, Giemsa Stain
• Tularemia Detection, (Francisella tularensis) Real-Time PCR
• Tularemia (Francisella tularensis) Definitive Identification by Culture
• Typhus IgG (Rickettsial Panel)

--U-- 

• Unknown Aerobic Bacteria, Identification by Culture
• Unknown Biological Threat Agent Detection
• Urethritis (Culture-Isolation)
• Urethritis (Culture-Identification) For clinical culture studies see Gonorrhea (Culture-Isolation) For probe testing, see Gonorrhea (Culture-Genetic Probe)

--V-- 

• Vibrio cholera Serotyping
• Vibrio cholerae Isolation from Clinical Specimen
• Vibrio spp. Identification by Whole Genome Sequencing  
• Vibrio spp. Isolate Definitive Identification
• Viral Next Generation Sequencing

--W-- 

• West Nile Virus, IgM
• West Nile Virus Detection in Mosquitoes, Real-Time RT-PCR
• Worm Identification

--Y-- 

• Yeast Identification
• Yellow Fever (Serological)

--Z-- 

• Zika Virus IgM
• Zika Virus Real-Time RT-PCR, Trioplex