Smallpox  

 
NPHL has moved to an electronic ordering system, NUlirt, and it is now the preferred method to order all tests. Once ordered, print a "batch list" (see NUlirt Guide).

Forms Required - NUlirt batch list of NPHL Test Request Form (completed in its entirety) must accompany the specimen to include the following information: symptoms and date of onset, pregnancy status, travel and vaccine history. Testing will not be performed without all required information.

Please call NPHL Client Services at 402-559-2440 or toll free at 800-334-0459 for further clarification.

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Test: Smallpox
  • Contact NPHL emergency pager before sending specimen 402-888-5588
 
Synonym: Variola, Variola virus, Orthopox, Orthopoxvirus, Small pox  
Method:
  • CDC Laboratory Response Network approved methods
 
Availability:
  • Test performed Monday-Friday
  • Turnaround time 1-7 days
 
Specimen:
  • Vesical fluid
  • Skin
  • Crust
  • Dry or wet swab of lesion (dry is preferred)
  • Touch prep (slide) of lesion/vesical fluid
  • Fresh biopsy (NO FORMALIN)
 
Collection Device:
  • Viral transport media may be added to swabs
  • Test subject to CLIA regulations and requires 2 patient identfiers on container and requisition forms
 
Volume:
  • Requested volume for liquid clinical samples: 1 mL
  • Minimum volume for liquid clinical samples: 0.5 mL
 
Storage/Transport:
  • See Category A shipping instructions
  • Specimen Packaging & Shipping - NPHL
  • Seal tubes with Parafilm™ or tape and place in biohazard bag with absorbent material
  • NPHL Test Request Form (completed in its entirety) must accompany specimens
 
Unacceptable:
  • Swabs collected in inappropriate transport media
  • Leaking container
  • Inappropriate specimen type
  • Insufficient volume
 
Specimen Stability:
  • Store frozen dry swabs (-20° C) up to 60 days
  • Store frozen crusts and swabs (-20° C) in transport media up to 30 days
  • Freezing strongly recommended, however if no freezer is available, refrigerate samples (2°-8° C) up to 7 days
 
Comments: Contact NPHL emergency pager before sending specimen 402-888-5588  
Revised: 10/24/2025 
If you have questions about proper specimen collection, please call NPHL Client Services at 402-559-2440 or toll free at 800-334-0459.

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