Test Menu & Specimen Guide: every assay we run, and what sample it takes

Medically reviewed by our MD Laboratory Director (a role required by CLIA; the director's name is on file in the CMS CLIA database, #45D2048957, and can be verified independently) · Editorial policy
Molecular fluorescence imaging — Auspicious Laboratory, Houston
Every assay we run, the sample it needs, and how fast it comes backCLIA #45D2048957 · CAP #8722734 · Same-day results · Walk-ins welcome
Auspicious Laboratory runs five molecular panels and a full LC-MS/MS toxicology service in-house in Houston. STD/STI: 12 markers (11 by PCR from urine or a swab, plus HIV from blood). UTI: 19 uropathogens + 6 antibiotic-resistance genes from urine. GI: 22 targets from stool. Respiratory: 22 targets from one nasal swab. Toxicology: ELISA screening plus LC-MS/MS confirmation in urine or oral fluid — and serum levels for ten anti-tuberculosis drugs. PCR panels report the same day: sample by 1:00 PM, results at 4:30 PM; STAT in about 2 hours if the sample is in by 3:00 PM. What we do not do: syphilis serology, HSV blood serology, hepatitis testing, and culture-based susceptibility — and we will tell you when that is what you actually need.
Not sure which test or which sample? Text us — we will tell you before you come in.
📱 Text (713) 832-8892 📞 Call (713) 266-0808
3707 Westcenter Dr Suite 100, Houston, TX 77042 · Walk-ins welcome
Every assay below is run in our own Houston laboratory — CLIA #45D2048957, CAP #8722734. We are a high-complexity molecular lab, not a collection site that ships your sample to another state.

What can Auspicious Laboratory actually test, and from what sample?

This page is the lab's own menu, written out in full. Use it to check three things before you come in: is the target on the menu, what specimen it needs, and whether it can come back the same day. If a target is not listed here, we do not run it — and we will tell you that instead of guessing.

STD / STI molecular panel (RT-PCR) — 12 markers

Eleven targets run by RT-PCR from urine or a swab; HIV is the twelfth marker and is a blood test. You can order a single marker, a few, or the full panel.

MarkerSpecimenMethodSame-day?
Chlamydia trachomatisUrine or swabRT-PCRYes
Neisseria gonorrhoeaeUrine or swabRT-PCRYes
Trichomonas vaginalisUrine or swabRT-PCRYes
Mycoplasma genitaliumUrine or swabRT-PCRYes
Mycoplasma hominisUrine or swabRT-PCRYes
Ureaplasma urealyticumUrine or swabRT-PCRYes
Ureaplasma parvumUrine or swabRT-PCRYes
Gardnerella vaginalis (bacterial vaginosis)Swab (or urine)RT-PCRYes
Herpes simplex virus 1 (HSV-1)Lesion swab preferredRT-PCRYes
Herpes simplex virus 2 (HSV-2)Lesion swab preferredRT-PCRYes
Treponema pallidum (syphilis)Swab / urineRT-PCRYes
HIV-1/2 antibody + p24 antigenWhole bloodAntigen/antibody immunoassayYes
Two honest limits you should know before you rely on this panel.
1. Herpes. PCR is the most sensitive method while a lesion is present, and it tells you whether it is HSV-1 or HSV-2. Once the sore has healed, a swab can be negative even in someone who carries the virus — that question is answered by type-specific blood serology, which is not on this menu.
2. Syphilis. A PCR from a lesion detects the organism when it is there, but staging syphilis and confirming that treatment worked are done with blood serology (RPR/VDRL titers plus a treponemal test), and we do not perform syphilis serology. If syphilis is suspected or found, a licensed physician will order serology elsewhere. We would rather tell you that than let you leave thinking one urine test settled it.

Urinary tract infection panel (RT-PCR, urine)

Nineteen uropathogens plus six antibiotic-resistance genes — the resistance genes are the part a urine culture at an urgent care will not give you the same day.

GroupTargets
Gram-negative bacteriaEscherichia coli · Klebsiella pneumoniae · Klebsiella oxytoca · Enterobacter cloacae · Proteus mirabilis · Providencia stuartii · Morganella morganii · Pseudomonas aeruginosa · Serratia marcescens
Gram-positive bacteriaEnterococcus faecalis · Staphylococcus aureus · Staphylococcus saprophyticus · Streptococcus agalactiae (Group B strep)
Atypical bacteriaMycoplasma hominis · Ureaplasma urealyticum
YeastCandida albicans · Candida glabrata · Candida parapsilosis · Candida tropicalis
Antibiotic-resistance genesKPC (carbapenemase) · mecA (methicillin resistance) · SHV (β-lactamase) · VanA · VanB (vancomycin resistance) · VIM (metallo-β-lactamase)

Specimen: urine. Method: RT-PCR. Same-day: yes.

Gastrointestinal pathogen panel (RT-PCR, stool)

GroupTargets
BacteriaCampylobacter · Clostridioides difficile toxin A/B · Salmonella · Plesiomonas shigelloides · Vibrio cholerae · Yersinia enterocolitica
Diarrheagenic E. coli / ShigellaEAEC · EPEC · ETEC (lt/st) · STEC (stx1/stx2) · E. coli O157 · EIEC / Shigella
ParasitesCryptosporidium · Cyclospora cayetanensis · Entamoeba histolytica · Giardia lamblia
Viruses ("stomach flu")Norovirus GI/GII · Rotavirus A · Adenovirus F 40/41 · Astrovirus · Sapovirus

Specimen: stool. Method: RT-PCR. A stool culture typically takes 2–4 days and mainly finds bacteria; it does not detect norovirus, which is the most common cause of viral gastroenteritis in U.S. adults.

Respiratory pathogen panel (RT-PCR, nasal swab)

GroupTargets
VirusesSARS-CoV-2 · Influenza A · Influenza B · Respiratory syncytial virus (RSV) · Parainfluenza virus · Human metapneumovirus · Human rhinovirus · Enterovirus · Adenovirus · Coronavirus 229E / NL63 / OC43 / HKU1 · Human bocavirus · Human parechovirus
BacteriaMycoplasma pneumoniae · Chlamydophila pneumoniae · Streptococcus pneumoniae · Haemophilus influenzae · Legionella pneumophila · Bordetella pertussis · Bordetella parapertussis

Specimen: nasal swab. Method: RT-PCR. One swab covers flu, COVID and RSV together — plus the bacterial causes a rapid flu/COVID antigen test cannot see.

Clinical toxicology (for healthcare providers)

ServiceSpecimenMethodScope
Drug-of-abuse screeningUrineELISA immunoassay10 classes: amphetamine · barbiturates · benzodiazepines · opiates · oxycodone · methadone · PCP · cocaine metabolites · THC-COOH · ethyl alcohol
Specimen validityUrineELISA / chemistryCreatinine · pH · specific gravity · oxidants
Definitive confirmationUrineLC-MS/MS~70 analytes: amphetamines, benzodiazepines, opiates/opioids (incl. fentanyl/norfentanyl, buprenorphine, tramadol, methadone/EDDP), TCA/SSRI, illicits (incl. ketamine, mitragynine), EtG/EtS, barbiturates, gabapentinoids, zolpidem, carisoprodol, methylphenidate
Definitive confirmationOral fluidLC-MS/MSAmphetamines · benzodiazepines · opioids · TCA/SSRI · illicits · gabapentinoids and others — the option when observed urine collection is impractical
Anti-tuberculosis drug levelsSerumLC-MS/MSIsoniazid · rifampin · rifabutin · pyrazinamide · ethambutol · cycloserine · ethionamide · moxifloxacin · linezolid · pretomanid
Therapeutic drug monitoring for TB is unusual in a community lab. Malabsorption, diabetes, HIV co-infection and drug–drug interactions can leave a fully adherent patient with sub-therapeutic serum levels — which looks like treatment failure or acquired resistance. Measuring the level distinguishes the two. See TB therapeutic drug monitoring for clinics.

How fast is each result — and what is eligible for STAT?

ServiceStandard turnaroundSTAT
STD/STI PCR panelSame day — sample in by 1:00 PM, results 4:30 PM~2 hours, sample in by 3:00 PM
UTI PCR + resistance genesSame day~2 hours, sample in by 3:00 PM
Respiratory panelSame day~2 hours, sample in by 3:00 PM
GI pathogen panelSame day~2 hours, sample in by 3:00 PM
HIV Ag/Ab (blood)Same day
Toxicology LC-MS/MS confirmationReported to the ordering provider — call the lab for current turnaroundBy arrangement
TB serum drug levelsReported to the ordering provider — call the lab for current turnaroundBy arrangement

What we do not offer

If you need one of these, a licensed physician can order it elsewhere. We would rather send you to the right test than sell you the wrong one.

FAQ

Do you run the tests in-house or send them out?
In-house, in our Houston laboratory at 3707 Westcenter Dr Suite 100. We are CLIA-certified (#45D2048957) and CAP-accredited (#8722734) for high-complexity molecular testing. That is why a PCR result comes back the same day instead of in 3-5 days.
What sample do I give for an STD test - urine or a swab?
Eleven of the twelve markers can be run from urine or a swab. Herpes and syphilis are best taken as a swab of the lesion itself while it is present. HIV is a blood test. If you are not sure, text us and we will tell you which sample fits your symptoms.
Can a urine PCR rule out syphilis?
No. PCR can detect Treponema pallidum when the organism is present at the site sampled, but syphilis is staged - and cure is confirmed - with blood serology (RPR/VDRL titers plus a treponemal test), which we do not perform. A negative PCR does not exclude syphilis, and a positive one still needs a physician and serology.
Can you tell me if I carry herpes if my sore has already healed?
Not from a swab. PCR needs the virus to be present at the site. Once the lesion has healed, that question is answered by type-specific blood serology, which is not on our menu. A licensed physician can order it.
What is the difference between your UTI panel and a urine culture?
A culture grows organisms - typically 24-72 hours, and fastidious or polymicrobial infections can be missed. Our PCR panel detects 19 uropathogens plus 6 antibiotic-resistance genes directly from the urine, the same day. What a culture gives you that PCR does not is a phenotypic MIC.
Do you do drug testing for employers?
Our toxicology services - ELISA screening, specimen validity, and LC-MS/MS definitive confirmation in urine or oral fluid - are for healthcare organizations and clinicians ordering for clinical purposes. Contact the lab to discuss requisitions and account setup.
Do you really measure anti-tuberculosis drug levels?
Yes - serum levels for ten TB drugs by LC-MS/MS, including isoniazid, rifampin, pyrazinamide, ethambutol, linezolid, moxifloxacin and pretomanid. This is ordered by a physician for a patient who is not responding as expected, or who has malabsorption, diabetes or HIV co-infection.
Not sure which test or which sample? Text us — we will tell you before you come in.
📱 Text (713) 832-8892 📞 Call (713) 266-0808
3707 Westcenter Dr Suite 100, Houston, TX 77042 · Walk-ins welcome

References

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