MOLECULAR
Three Rivers Diagnostics offers an expansive test menu with a same-day turnaround time to serve the varied needs of health care providers, hospitals, retirement centers, rehabilitation facilities, and many more.
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For molecular panels, any antibiotic resistant pathogen detected will populate an Arkstone OneChoice report. Arkstone is a leader in diagnosing infections by detecting microbes through molecular analysis, as well as generating fast results.
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We provide molecular testing services for respiratory, Covid-19, strep, STI, UTI, wound care, gastrointestinal, and antibiotic resistance testing.
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Learn more about each below.

RESPIRATORY
Comprehensive panel detecting viral, bacterial, and fungal pathogens causing respiratory illness by molecular technique.
Pathogens detected:
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Adenovirus
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Bocavirus
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Coronavirus 229E
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Coronavirus HKU-1
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Coronavirus NL63
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Coronavirus OC43
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Influenza A & B
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Metapneumovirus A/B
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Parainfluenza Type 1-4
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Parechovirus
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RSV A & B
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Rhinovirus/Enterovirus
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Bordetella pertussis/holmessi
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Haemophilis influenzae
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Mycoplasma pneumoniae
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Staphylococcus aureus
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Streptococcus pneumoniae
PHARYNGITIS
Comprehensive panel detecting pathogens causing inflammation of the pharynx.
Pathogens detected:
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Streptococcus pyogenes (GAS)
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Streptococcus dysgalactiae (GCS,GGS)
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Streptococcus pneumoniae
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Streptococcus agalactiae (GBS)
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STI
Sexually Transmitted Infection testing by molecular technique.
Pathogens detected:
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Chlamydia trachomatis
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Gardnerella vaginalis
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Haemophilus ducreyi
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Herpes simplex 1 & 2
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Mycoplasma genitalium
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Mycoplasma hominis
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Neisseria gonorrhoeae
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Treponema pallidum
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Trichomonas vaginalis
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Ureaplasma urealyticu
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UTI
Comprehensive panel detecting, by molecular technique, urinary pathogens. Testing with high sensitivity and specificity compared to the traditional urine culture technique. We identify pathogens difficult to grow in culture and use the largest pathogen menu available.
Pathogens detected:
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Acinetobacter baumanii
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Candida albicans
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Candida glabrata
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Candida parapsilosis
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Candida tropicalis
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Enterobacter cloacae complex
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Escherichia coli
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Enterococcus faecalis
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Enterococcus faecium
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Klebsiella oxytoca
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Klebsiella pneumoniae
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Morganella moranii
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Mycoplasma hominis
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Mycoplasma genitalium
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Psuedomonas aeruginosa
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Proteus mirabilis
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Providence suartii
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Streptococcus agalactiae
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Staphylococcus aureus
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Serratia marescens
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Staphylococcus saprophyticus
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​Ureaplasma parvum
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Ureaplasma urealyticum
WOUND
Quickly manage skin and soft tissue infections, avoiding delays in diagnosis and preventing infections from progressing. Comprehensive panel detecting the most common pathogens infecting wounds and soft skin by molecular technique.
Pathogens detected:
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Acinetobacter baumannii
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Bacteroides fragilis
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Candida albicans
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Candida glabrata
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Candida krusei
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Citrobacter freundii
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Clostridium perfringens
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Enterobacter spp.
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Escherichia coli
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Enterococcus faecalis
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Enterococcus faecium
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Finegoldia magna
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Haemophilus influenzae
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Herpes Simplex virus 1 & 2
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Klebsiella aerogenes
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Klebsiella oxytoca complex
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Klebsiella pneumoniae
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Morganella morganii
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Peptoniphilus asaccharolyticus
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Peptoniphilus harei
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Peptostreptococcus anaerobius
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Prevotella spp.
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Proteus mirabilis
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Pseudomonas aeruginosa
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Serratia marcescens
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Staphylococcus aureus
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Streptococcus agalactiae (Group B)
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Streptococcus pneumoniae
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Streptococcus pyogenes (Group A)
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Varicella zoster virus
GASTROINTESTINAL
Testing for gastrointestinal health.
Pathogens detected:
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Adenovirus
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Campylobacter jejuni
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Campylobacter upsaliensis
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Campylobacter coli
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Campylobacter species
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Human Astrovirus
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Rotavirus
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Norovirus GI
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Norovirus GII
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Enteroinvasive Escherichia coli / Shigella
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Enteroaggregative Escherichia coli [aggR]
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Enterotoxigenic Escherichia coli [est]
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Enterotoxigenic Escherichia coli [elt]
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Enterotoxigenic Escherichia coli [est & elt]
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Shiga toxin 1
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Shiga toxin 2
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Shiga toxin 1&2
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Yersinia enterocolitica [ail]
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Yersinia enterocolitica [inv]
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Yersinia enterocolitica 1&2
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Helicobacter pylori
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Clostridium Difficile Toxin A and B
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Clostridioides difficile (Toxin A)
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Clostridioides difficile (Toxin B)
ANTIBIOTIC RESISTANCE
Testing for pathogens that provide multi-resistance to common antibiotics. Get insight on which antibiotics will work best for your patients and find out which they're resistant to.
Pathogens detected:
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​Temoniera-β-lactamase (TEM)
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Sulfhydryl Variable-β-lactamase (SHV)
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Klebsiella pneumoniae carbapenemase (KPC)
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CefoTaXime-M-β-lactamase (CTXM 1)
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CefoTaXime-M-β-lactamase (CTXM 2)
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CefoTaXime-M-β-lactamase (CTXM 8)
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CefoTaXime-M-β-lactamase (CTXM 9)
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CefoTaXime-M-β-lactamase (CTXM 25)
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New Delhi metallo-β-lactamase (NDM)
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Verona integron-encoded metallo-β-lactamase (VIM)
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Verona integron-encoded metallo-β-lactamase (VIM 7)
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Verona integron-encoded metallo-β-lactamase (VIM 13)
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Cephamycinase (CMY 1)
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Cephamycinase (CMY 2)
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Cefoxitin-Hydrolyzing Class C-β-lactamase (FOX)
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Oxacillinase Group (OXA 1)
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Oxacillinase Group (OXA 2)
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Oxacillinase Group (OXA 48)
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Methicillin Resistance (mecA)
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Sulfonamide-Resistant isolate (Sul 2)
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Sulfonamide-Resistant isolate (Sul 3)
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Erythromycin Resistance Gene (ermB)
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Plasmid-Mediated Quinolone Resistance Determinant (qnrA 1)
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Plasmid-Mediated Quinolone Resistance Determinant (qnrB)
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Plasmid-Mediated Quinolone Resistance Determinant (qnrS)
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Vancomycin Resistance (Van A)
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Vancomycin Resistance (Van B)
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Vancomycin Resistance (VanC 1)
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Vancomycin Resistance (VanC 2-4)
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Aminoglycoside Resistance ampC beta-lactamases (ACC, ACT/MIR, FOX)
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Class A beta-lactamases (blaGES, blaVEB, blaPER)
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Class A beta-lactamases (CTX-M-1, CTX-M-2, CTX-M-8/25, CTX-M-9)
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Class A beta-lactamases (SHV, KPC)
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Class B beta-lactamases (blaIMP, blaNDM, blaVIM)
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Class D beta-lactamases (OXA-23, OXA-48, OXA-51)
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Extended spectrum betalactamases (blaTEM)
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Fluoroquinolones (qnrA1/A2, qnrB, qnrS)
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Macrolide, lincosamide, streptogramin (ermA, ermB, ermC, mefA)
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Methicillin/Oxacillin (mecA, mecC)
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Sulfonamides (sul1, sul2, sul3)
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Tetracycline Resistance (tetB, tetM, tetS)
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Trimethoprim (dfrA1, dfrA5) Vancomycin Resistance (vanA, vanB)
COVID-19, Influenza A/B, RSV A/B
Pathogens detected:
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Influenza A
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Influenza B
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Coronavirus COVID-19
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Respiratory Syncytial Virus A & B
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