Agent (Condition) | Notification of Results | Specimen Submission to the Washington State Public Health Laboratories |
What to Submit in a Laboratory Report | When and Whom to Notify Upon Receiving Presumptive or Final Test Result | What to Submit | When to Submit |
Amebic meningitis | Positive result by any method | Immediately to LHJ | Specimen associated with positive result, if available | Within 2 business days |
Anaplasma species (Anaplasmosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result, if available | Within 2 business days of request by LHJ or DOH |
Babesia species (Babesiosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result, if available | Within 2 business days of request by LHJ or DOH |
Bacillus anthracis (Anthrax) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
Bacillus cereus, biovar anthracis only | Confirmed positive result by any method | Immediately to LHJ | Do not ship specimen | Do not ship specimen |
Baylisascaris (Baylisascariasis) | Positive result by any method | Within 24 hours to LHJ | Specimen associated with positive result, if available | Within 2 business days |
Blood lead level | Results equal to or greater than 5 micrograms per deciliter for: RST Venous | Within 2 business days to DOH | N/A | N/A |
Results less than 5 micrograms per deciliter for: RST Venous | Within 30 days to DOH |
Bordetella pertussis (Pertussis) | Positive results by: Culture or Nucleic acid detection ((nucleic acid testing (NAT)) or (nucleic acid amplification testing (NAAT)) | Within 24 hours to LHJ | Isolate | Within 2 business days |
If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Borrelia burgdorferi or Borrelia mayonii (Lyme disease) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Borrelia hermsii, parkeri, turicatae, miyamotoi, or recurrentis (Relapsing fever, tick- or louse-borne) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Brucella species (Brucellosis) | Positive result by any method excluding Immunoglobulin G (IgG) | Within 24 hours to LHJ | Isolate, excluding confirmed positive B. melitensis, B. abortus, or B. suis | Within 2 business days |
| | | If no isolate available, specimen associated with positive result | |
Burkholderia mallei (Glanders) | Positive result by any method excluding IgG | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
Burkholderia pseudomallei (Melioidosis) | Positive result by any method excluding IgG | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
California serogroup viruses, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Campylobacter species (Campylobacteriosis) | Positive result by: Culture, Nucleic acid detection (NAT or NAAT), or Antigen detection | Within 2 business days to LHJ | Isolate | Within 2 business days of request by LHJ or DOH |
| | If no isolate available, specimen associated with positive result | |
Candida auris | Positive result by any method | Within 24 hours to LHJ | Isolate | Within 2 business days |
| | | If no isolate available, specimen associated with positive result | |
Carbapenem-resistant Enterobacteriaceae: Klebsiella species E. coli Enterobacter species | Positive for known carbapenemase resistance gene (including, but not limited to, KPC, NDM, VIM, IMP, OXA-48) demonstrated by nucleic acid detection (NAT or NAAT), or whole genome sequencing Positive on a phenotypic test for carbapenemase production including, but not limited to, Metallo-B-lactamase test, modified Hodge test (MHT) (for E. coli and Klebsiella species only), CarbaNP, Carbapenem Inactivation Method (CIM) or modified CIM (mCIM) Resistant to any carbapenem including, but not limited to, doripenem, ertapenem, imipenem or meropenem | Within 2 business days to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
CD4 + counts1, or CD4 + percents2, or both (patients aged thirteen or older) | All results | Within 30 days to DOH except in King County where this is notifiable to the LHJ | N/A | N/A |
Chikungunya virus, acute (Arbovirus) | Positive result by any method excluding Immunoglobulin G (IgG) | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Chlamydia psittaci (Psittacosis) | Positive result by any method excluding IgG | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Chlamydia trachomatis | Positive and indeterminate result by any method | Within 2 business days to LHJ | N/A | N/A |
Chlamydia trachomatis | Deidentified negative screening result | At least annually to DOH | N/A | N/A |
Clostridium botulinum (Botulism) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
Coccidioides (Coccidioidomycosis) | Positive result by any method | Within 2 business days to LHJ | Isolate | Within 2 business days |
If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Coronavirus SARS-associated coronavirus MERS-associated coronavirus Novel coronavirus (SARS-CoV-2) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days of request by LHJ or DOH |
Corynebacterium diphtheriae (Diphtheria) | Positive result by: Culture or Nucleic acid detection (NAT or NAAT) | Immediately to LHJ | Isolate | Within 2 business days |
If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Coxiella burnetii (Q fever) | Positive result by any method | Within 24 hours LHJ | Specimen associated with presumptive positive result | Within 2 business days |
Crimean-Congo hemorrhagic fever virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Cryptococcus gattii or undifferentiated Cryptococcus species (i.e., Cryptococcus not identified as C. neoformans) | Positive results by any method excluding cryptococcal antigen | Within 2 business days to LHJ | Isolate If no isolate available, specimen associated with positive result (excluding serum) | Within 2 business days |
Serum | Within 2 business days of request by LHJ or DOH |
Cryptosporidium (Cryptosporidiosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Cyclospora cayetanensis (Cyclosporiasis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Dengue virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
E. coli - Refer to "Shiga toxin-producing E. coli" | | | | |
Eastern and western equine encephalitis virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result excluding specimens from viral culture | Within 2 business days of request by LHJ or DOH |
Ebola virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive specimen | Within 2 business days |
Echinococcus granulosus or E. multilocularis (Echinococcosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Ehrlichia species (Ehrlichiosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Francisella tularensis (Tularemia) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
Giardia duodenalis, G. lamblia, G. intestinalis (Giardiasis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Guanarito virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate | Within 2 business days |
| | | If no isolate available, specimen associated with presumptive positive result | |
Haemophilus influenzae (children < 5 years of age) | Positive result for specimen from a normally sterile site by: Culture or Nucleic acid detection (NAT or NAAT) | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Hantavirus including, but not limited to: Andes virus Bayou virus Black Creek Canal virus Dobrava-Belgrade virus Hantaan virus Seoul virus Sin nombre virus | Positive result by any method | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days |
Hepatitis A virus | Positive results for: IgM or Nucleic acid detection (NAT or NAAT) Hepatocellular enzyme levels to accompany report, if available, for positive IgM results | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Hepatitis B virus | Positive results for: IgM anti-HBc, HBsAg, HBeAg, or HBV Nucleic acid detection (NAT or NAAT) either qualitative or quantitative, for example PCR or genotyping If associated with a positive result listed above, and available: Hepatocellular enzyme levels, Pregnancy status, and Negative IgM anti-HBc result | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Hepatitis C virus | Positive result by any method Positive and nonpositive results for: HCV nucleic acid detection (NAT or NAAT) for qualitative, quantitative, and genotype tests If associated with a positive result and available: Hepatocellular enzyme levels, Pregnancy status, Negative result for IgM anti-HAV, and Negative result for IgM anti-HBc | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Hepatitis C virus | Deidentified negative screening result | At least annually to DOH | N/A | N/A |
Hepatitis D virus | Positive result by any method If associated with a positive result and available: Hepatocellular enzyme levels | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Hepatitis E virus | Positive result by any method If associated with a positive result and available: Hepatocellular enzyme levels | Within 24 hours to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Histoplasma capsulatum (histoplasmosis) | Positive result by any method | Within 2 business days to LHJ | Isolate | Within 2 business days |
Serum | Within 2 business days of request by LHJ or DOH |
Human immunodeficiency virus (HIV) | Positive and indeterminate results and subsequent negative results associated with those positive or indeterminate results for the tests below: Antibody detection tests (including RST), Antigen detection tests (including RST), or Viral culture All HIV nucleic acid detection (NAT or NAAT) tests: Qualitative and quantitative Detectable and undetectable HIV antiviral resistance testing genetic sequences | Within 2 business days to DOH except in King County where this is notifiable to the LHJ | N/A | N/A |
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Human immunodeficiency virus (HIV) | Deidentified negative screening result | At least annually to DOH | N/A | N/A |
Human prion disease | Positive result by any method excluding Tau protein | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Influenza virus, novel or unsubtypable strain | Positive novel and unsubtypable result | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Japanese encephalitis virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Junin virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
La Crosse encephalitis virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Lassa virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Legionella species (Legionellosis) | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available but respiratory specimen available and associated with a positive test (as in the case of a PCR positive), respiratory specimen associated with positive result | Within 2 business days |
Leptospira species (Leptospirosis) | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Listeria monocytogenes (Listeriosis) | Positive result for specimen from a normally sterile site by: Culture or Nucleic acid detection (NAT or NAAT) | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Lujo virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Machupo virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Marburg virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Measles virus - See "Rubeola (measles virus)" | | | | |
Mumps virus | Positive result for: Culture, Nucleic acid detection (NAT or NAAT), or IgM | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Specimen associated with positive IgM | Within 2 business days of request by LHJ or DOH |
Mycobacterium tuberculosis complex (Tuberculosis) | Positive result for: Culture Nucleic acid detection (NAT or NAAT) Drug susceptibilities (molecular and culture based) | Within 2 business days to DOH | Mycobacterium tuberculosis complex positive isolate (earliest available isolate for the patient) | Within 2 business days |
Neisseria gonorrhoeae (Gonorrhea) | Positive and indeterminate result by any method | Within 2 business days to LHJ | N/A | N/A |
Neisseria gonorrhoeae (Gonorrhea) | Deidentified negative screening result | At least annually to DOH | N/A | N/A |
Neisseria meningitidis (Meningococcal disease) | Positive result for specimen from a normally sterile site by any method | Immediately to LHJ | Isolate from a normally sterile site | Within 2 business days |
If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Plasmodium species (Malaria) | Positive results for: Nucleic acid detection (NAT or NAAT), Malaria-specific antigens by rapid diagnostic test, PCR, or Microscopy (thick or thin smear) | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Poliovirus (Poliomyelitis) | IgM positivity; PCR positivity | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Powassan virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Rabies virus | Positive result by any method | Immediately to LHJ | Specimen associated with positive result | Within 2 business days |
Rickettsia species including, but not limited to: Rickettsia rickettsii Rickettsia africae Rickettsia conorii Rickettsia typhi Rickettsia parkeri Rickettsia philipii | Positive results by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Rubella | Positive result by: Culture, IgM, or Nucleic acid detection (NAT or NAAT) | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Other specimen | Within 2 business days of request by LHJ or DOH |
Rubeola (measles virus) | Positive result by: Culture, IgM, or Nucleic acid detection (NAT or NAAT) | Immediately to LHJ | Isolate and specimen associated with positive culture Isolate and specimen association with positive NAT or NAAT result | Within 2 business days |
Specimen associated with positive IgM Other specimen | Within 2 business days of request by LHJ or DOH |
Sabia virus (Viral hemorrhagic fever) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Salmonella species (Salmonellosis, typhoid fever) | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Shiga toxin-producing E. coli/enterohemorrhagic E. coli (STEC) | Positive result by any method | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Shigella species (Shigellosis) | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
St. Louis encephalitis virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Taenia solium (Taeniasis or Cysticercosis) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Treponema pallidum (Syphilis) | Positive and indeterminate result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days |
Treponema pallidum (Syphilis) | Deidentified negative screening result | At least annually to DOH | N/A | N/A |
Trichinella species (Trichinellosis) | Positive serologic test for Trichinella | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Trypanosoma cruzi (Chagas disease) | Positive result by any method | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days |
Vaccinia | Any request for testing associated with a suspect case | Immediately to LHJ | Any specimen collected from a suspect case | Immediately |
Vancomycin-resistant Staphylococcus aureus | Resistance to vancomycin | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Variola virus (smallpox) | Any request for testing associated with a suspect case | Immediately to LHJ | Specimen collected from a suspect case | Immediately |
Vibrio cholerae O1 or O139 (Cholera) | Positive result by any method | Immediately to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
Vibrio species (Vibriosis) not including Vibrio cholerae O1 or O139 (Cholera) See "Vibrio cholerae O1 or O139 (Cholera)" | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days |
West Nile virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Yellow fever virus (Arbovirus) | Positive result by any method excluding IgG | Immediately to LHJ | Specimen associated with positive result | Within 2 business days |
Yersinia enterocolitica, Y. pseudotuberculosis, Y. intermedia, Y. fredericksenii, or Y. kristensenii (Yersiniosis) | Positive result by any method | Within 24 hours to LHJ | Isolate If no isolate available, specimen associated with positive result | Within 2 business days of request by LHJ or DOH |
Yersinia pestis (Plague) | Positive result by any method | Immediately to LHJ | Presumptive positive isolate If no isolate available, specimen associated with presumptive positive result | Within 2 business days |
Zika virus, acute (Arbovirus) | Positive result by any method excluding IgG | Within 2 business days to LHJ | Specimen associated with positive result | Within 2 business days of request by LHJ or DOH |