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

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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.
| Marker | Specimen | Method | Same-day? |
|---|---|---|---|
| Chlamydia trachomatis | Urine or swab | RT-PCR | Yes |
| Neisseria gonorrhoeae | Urine or swab | RT-PCR | Yes |
| Trichomonas vaginalis | Urine or swab | RT-PCR | Yes |
| Mycoplasma genitalium | Urine or swab | RT-PCR | Yes |
| Mycoplasma hominis | Urine or swab | RT-PCR | Yes |
| Ureaplasma urealyticum | Urine or swab | RT-PCR | Yes |
| Ureaplasma parvum | Urine or swab | RT-PCR | Yes |
| Gardnerella vaginalis (bacterial vaginosis) | Swab (or urine) | RT-PCR | Yes |
| Herpes simplex virus 1 (HSV-1) | Lesion swab preferred | RT-PCR | Yes |
| Herpes simplex virus 2 (HSV-2) | Lesion swab preferred | RT-PCR | Yes |
| Treponema pallidum (syphilis) | Swab / urine | RT-PCR | Yes |
| HIV-1/2 antibody + p24 antigen | Whole blood | Antigen/antibody immunoassay | Yes |
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.
| Group | Targets |
|---|---|
| Gram-negative bacteria | Escherichia coli · Klebsiella pneumoniae · Klebsiella oxytoca · Enterobacter cloacae · Proteus mirabilis · Providencia stuartii · Morganella morganii · Pseudomonas aeruginosa · Serratia marcescens |
| Gram-positive bacteria | Enterococcus faecalis · Staphylococcus aureus · Staphylococcus saprophyticus · Streptococcus agalactiae (Group B strep) |
| Atypical bacteria | Mycoplasma hominis · Ureaplasma urealyticum |
| Yeast | Candida albicans · Candida glabrata · Candida parapsilosis · Candida tropicalis |
| Antibiotic-resistance genes | KPC (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)
| Group | Targets |
|---|---|
| Bacteria | Campylobacter · Clostridioides difficile toxin A/B · Salmonella · Plesiomonas shigelloides · Vibrio cholerae · Yersinia enterocolitica |
| Diarrheagenic E. coli / Shigella | EAEC · EPEC · ETEC (lt/st) · STEC (stx1/stx2) · E. coli O157 · EIEC / Shigella |
| Parasites | Cryptosporidium · 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)
| Group | Targets |
|---|---|
| Viruses | SARS-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 |
| Bacteria | Mycoplasma 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)
| Service | Specimen | Method | Scope |
|---|---|---|---|
| Drug-of-abuse screening | Urine | ELISA immunoassay | 10 classes: amphetamine · barbiturates · benzodiazepines · opiates · oxycodone · methadone · PCP · cocaine metabolites · THC-COOH · ethyl alcohol |
| Specimen validity | Urine | ELISA / chemistry | Creatinine · pH · specific gravity · oxidants |
| Definitive confirmation | Urine | LC-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 confirmation | Oral fluid | LC-MS/MS | Amphetamines · benzodiazepines · opioids · TCA/SSRI · illicits · gabapentinoids and others — the option when observed urine collection is impractical |
| Anti-tuberculosis drug levels | Serum | LC-MS/MS | Isoniazid · rifampin · rifabutin · pyrazinamide · ethambutol · cycloserine · ethionamide · moxifloxacin · linezolid · pretomanid |
How fast is each result — and what is eligible for STAT?
| Service | Standard turnaround | STAT |
|---|---|---|
| STD/STI PCR panel | Same day — sample in by 1:00 PM, results 4:30 PM | ~2 hours, sample in by 3:00 PM |
| UTI PCR + resistance genes | Same day | ~2 hours, sample in by 3:00 PM |
| Respiratory panel | Same day | ~2 hours, sample in by 3:00 PM |
| GI pathogen panel | Same day | ~2 hours, sample in by 3:00 PM |
| HIV Ag/Ab (blood) | Same day | — |
| Toxicology LC-MS/MS confirmation | Reported to the ordering provider — call the lab for current turnaround | By arrangement |
| TB serum drug levels | Reported to the ordering provider — call the lab for current turnaround | By arrangement |
What we do not offer
- Syphilis serology (RPR/VDRL, TP-PA/EIA). Not on our menu. Staging and cure confirmation need it.
- Type-specific HSV blood serology. Not on our menu. A healed sore cannot be answered by a swab.
- Hepatitis B and C testing. Not on our menu.
- Bacterial culture and susceptibility (MIC). We report resistance genes by PCR, which is faster; a culture-based MIC is a different measurement.
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.
📱 Text (713) 832-8892 📞 Call (713) 266-0808
References
- CDC — Sexually Transmitted Infections Treatment Guidelines, 2021 (diagnostic recommendations by infection and specimen site).
- CDC — Syphilis: diagnosis and testing (nontreponemal + treponemal serology; titers for staging and follow-up).
- CDC — Genital herpes: diagnosis (NAAT of the lesion is the preferred test; type-specific serology when no lesion).
- IDSA — Urinary tract infection guidelines.
- CMS — CLIA program; CAP Laboratory Accreditation Program — how to verify a laboratory yourself.
- CDC/ATS/IDSA — Treatment of drug-susceptible and drug-resistant tuberculosis (therapeutic drug monitoring in slow responders and malabsorption).
