The Laboratory Research Division (LRD) is the largest among all four (4) divisions of the Research Institute for Tropical Medicine. The LRD is composed of 10 departments: the Antimicrobial Resistance Surveillance Reference Laboratory (ARSRL), Medical Entomology, Immunology, Microbiology, Molecular Biology Laboratory, the National TB Reference Laboratory, Parasitology, Pathology, Veterinary Research Laboratory, and Virology.

The LRD also houses all the Philippine Department of Health’s National Reference Laboratories for infectious diseases (with the exception of the Reference Laboratory for Sexually Transmitted Infections) and World Health Organization (WHO) – recognized laboratories. These lead centers are tasked with performing laboratory research, monitoring of disease occurrence and spread (surveillance), responding rapidly to outbreaks and pandemics, performing confirmatory testing on referred specimens/microbial isolates, conducting training programs, providing guidance documents and technical assistance, testing of rapid diagnostic kits, and implementing national external quality assurance programs for microbiology laboratories.

The RITM-LRD gears all these activities in support to the DOH’s thrusts in the prevention and control of infectious and tropical diseases of public health importance.

For list of updated Laboratory Services Fees, please contact the RITM Clinical Laboratory at (02) 807-2631/32/37 local 201.

For public health emergencies, please contact RITM Surveillance and Response Unit (SRU) at (02) 807-2631/32/37 local 401, 0998 531 3590 (Smart), 0977 098 4339 (Globe).


LABORATORY PROCEDURESPECIMENSTATUS
Aerobic Culture and Susceptibility (Upper Respiratory Tract Specimen)
*For T/C Tonsillopharyngitis ONLY; For isolation of C. diphtheriae - see "Culture for Isolation of Corynebacterium diphtheriae"
**Gram stain not recommended
Throat SwabAvailable
Aerobic Culture and Susceptibility Test (Blood)
*Gram Stain not included; add-on test
BloodAvailable
Aerobic Culture and Susceptibility Test (CSF)
Inclusions:
1. Gram Stain
2. India Ink
Cerebrospinal Fluid (CSF)Available
Aerobic Culture and Susceptibility Test (Ear/Eye Discharge)
Inclusion:
1. Gram Stain
Ear/Eye DischargeAvailable
Aerobic Culture and Susceptibility Test (Exudate)
Inclusion:
1. Gram Stain
Wound discharge/swabAvailable
Aerobic Culture and Susceptibility Test (Genital Tract Specimen)
Inclusion:
1. Gram Stain
Endocervical, vaginal/urethral/penile discharge/anorectal dischargeAvailable
Aerobic Culture and Susceptibility Test (Lower Respiratory Tract Specimen)
Inclusion:
1. Gram Stain
brush or wash , SputumAvailable
Aerobic Culture and Susceptibility Test (Stool)
*Gram stain not recommended
Rectal swabAvailable
Aerobic Culture and Susceptibility Test (Tissue)
Inclusion:
1. Gram Stain
Available
Aerobic Culture and Susceptibility Test (Urine)
*Gram Stain not included; add-on test
Urine (Freshly voided)Available
AFB Smear, Acid-fast organismsPulmonary (Sputum, BAL, NPA)Available
AlbuminSerumAvailable
Alkaline PhosphateSerumAvailable
AmylaseSerumAvailable
Anti-Desmoglein 1, Auto immune disease, Desmoglein 1 antibodySerumAvailable
Anti-Desmoglein 3, Auto immune disease, Desmoglein 3 antibodySerumAvailable
Anti-HAV IgM, Hepatitis A virus, Hepatitis A IgM antibodySerumAvailable
Anti-HBc, Hepatitis B virus, Hepatitis B core antibodySerumAvailable
Anti-HBeAg, Hepatitis B virus, Hepatitis B evelope antibodySerumAvailable
Anti-HBsAg, Hepatitis B virus, Hepatitis B surface antibodySerumAvailable
Anti-HCV, Hepatitis C virus, Hepatitis C total antibodySerumAvailable
AutopsyHuman CadaverAvailable
Bacterial Antigen Detection (BADCSFAvailable
Bilirubin, (Direct, Indirect & Total)SerumAvailable
Bilirubin, DirectSerumAvailable
Bilirubin, TotalSerumAvailable
Biofire Respiratory Panel 2.1, Respiratory Viruses and BacteriaNPS/OPSAvailable
Bleeding TimeBloodAvailable
Blood / RH TypingBloodAvailable
Blood Uric AcidSerumAvailable
BUNSerumAvailable
Calcium (Ca)SerumAvailable
CD4, HIV-1 & HIV-2Whole bloodAvailable
Cell block with CytologyBody fluids, surgical pathology specimensAvailable
Cell Count / Differential Count of Body FluidsCSFAvailable
Chloride (Cl)SerumAvailable
CholesterolSerumAvailable
Circumoval Precipitin Test (COPT), Schistosoma japonicum, Schistosoma japonicum antibodySerumAvailable
Clotting TimeBloodAvailable
Colistin Minimum inhibitory concentration determination by Broth dilution Method, Escherichia coliKlebsiella pneumoniae, Bacterial IsolatePure isolate of E.coli/K. pneumoniaeAvailable
Complete Blood Count w/ Platelet CountBloodAvailable
Concentration technique with 3% NaOH, ParagonimusWestermani ovaSputumAvailable
Confirmatory Identification and Susceptibility Test for Aerobic Bacterial Pathogen
*isolate from clinical specimen only
IsolateAvailable
Confirmatory Identification and Susceptibility Test for Medically Important Fungi (Yeast/Mold Isolate)
*isolate from clinical specimen only
IsolateAvailable
Confirmatory Identification of Salmonella serovar, SalmonellaIsolate (pure, 18-24 hours old)Available
Confirmatory Identification of Shigella species, Shigella spp.Isolate (pure, 18-24 hours old)Available
Confirmatory Identification of Vibrio cholerae O1/O139, Vibrio cholerae 01/0139Isolate (pure, 18-24 hours old)Available
Confirmatory Testing, Referable bacterial isolates based on CLSI, Pure culture bacterial isolatesIsolateAvailable
Conventional PCR detection of Bacteria causing Atypical Pneumonia (Chlamydophila pneumoniae, Legionella pneumophila, Mycoplasma pneumoniae)Nasopharygeal Aspirate/SwabAvailable
Conventional PCR detection of Bordetella pertussis and Bordetella parapertussis, Bordetella pertussisBordetella parapertussisNasopharygeal Aspirate/SwabAvailable
Conventional PCR, Malaria species, Malarial parasiteDried Blood SpotAvailable
Coomb’s Test (Direct & Indirect)BloodAvailable
COVID19 Rapid Antigen Testing, SARS-CoV-2NPS/OPSAvailable
CPK / CKSerumAvailable
CreatinineSerumAvailable
Cross-MatchingBloodAvailable
Cryptococcal Antigen Detection (CrAg Lateral Flow Assay) - QUALITATIVE, Cryptococcus spp.CSFAvailable
Cryptococcal Antigen Detection (CrAg Lateral Flow Assay) - QUANTITATIVESerumAvailable
CSF GlucoseCSFAvailable
CSF ProteinCSFAvailable
Culture for Isolation of Corynebacterium diphtheriae
Inclusion:
1. Gram Stain
Pseudomembrane/ Throat swab/
Nasopharyngeal swab (NPS)/Cutaneous Lesion
Available
Culture for Isolation of Pathogenic Leptospira spp., Leptospira spp.Whole BloodAvailable
CytologyBody FluidsAvailable
Direct Coomb’s TestBloodAvailable
Direct Fecal SmearStoolAvailable
Direct fecal Smear Microscopy, Intestinal parasites(Helminths and protozoan)StoolAvailable
Direct FLUORESCENT ANTIBODY TEST (dFAT) for ANIMALS, Rabies virusAnimal headAvailable
Direct FLUORESCENT ANTIBODY TEST (dFAT) for HUMAN, Rabies virusBrain TissueAvailable
Drug resistance genotyping by sequencing, HIV - 1PlasmaAvailable
Du TypingBloodAvailable
EIA/CHLIA, HBV, HBVPlasmaAvailable
EIA/CHLIA, HCV, HCVPlasmaAvailable
EIA/CHLIA, HIV, HIVPlasmaAvailable
EIA/CHLIA, Syphilis, Treponema pallidumPlasmaAvailable
ELISA IgG, Ebola virusSerumAvailable
ELISA IgM / IgG, MersCoVPaired SerumAvailable
Enzyme-linked immunosorbent assay (ELISA): Rabies Anti-Rabies IgG Titer Detection for Animals, Antibody against Rabies virusAnimal serumAvailable
Enzyme-linked immunosorbent assay (ELISA): Rabies Anti-Rabies IgG Titer Detection for Human, Antibody against Rabies virusHuman serumAvailable
Erythrocyte Sedimentation RateBloodAvailable
Fecal Occult Blood Test, NA, Detection of unseen blood in stoolStoolAvailable
Filaria Blood Film microscopy, Wuchereria bancrofti /Brugia malayiWhole bloodAvailable
Formalin Ethyl Concentration Technique, Intestinal parasites(Helminths and protozoan)StoolAvailable
Fungal Culture and Susceptibility Test (Blood and Bone Marrow Aspirate)
Inclusion:1. Giemsa Stain (for suspected Histoplasmosis only)
Bone Marrow AspirateAvailable
Fungal Culture and Susceptibility Test (CSF)
Inclusion:
1. India Ink
CSFAvailable
Fungal Culture and Susceptibility Test (Cutaneous Specimen)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Skin Scrapings / Nail Clippings / HairAvailable
Fungal Culture and Susceptibility Test (Exudate)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Abscess / Aspirate / Drainage / Ear Discharge / Eye Discharge / Pus / Wound DischargeAvailable
Fungal Culture and Susceptibility Test (Genital Tract Specimen)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Endocervical, vaginal/urethral/penile discharge/anorectal dischargeAvailable
Fungal Culture and Susceptibility Test (Lower Respiratory Tract Specimen)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Endotracheal/ Nasotracheal Aspirate; Bronchoalveolar lavage, brush or washAvailable
Fungal Culture and Susceptibility Test (Lower Respiratory Tract Specimen)
Inclusion:
1. Potassium hydroxide Mount (KOH)
SputumAvailable
Fungal Culture and Susceptibility Test (Other Sterile Body Fluids)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Other Sterile Body Fluids (except CSF and Urine)Available
Fungal Culture and Susceptibility Test (Stool)
Note: KOH Mount not recommended
StoolAvailable
Fungal Culture and Susceptibility Test (Tissue)
Inclusion:
1. Potassium hydroxide Mount (KOH)
TissueAvailable
Fungal Culture and Susceptibility Test (Upper Respiratory Tract Specimen)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Throat swab / Oropharyngeal swab / Nasopharyngeal swab / Nasal sinusAvailable
Fungal Culture and Susceptibility Test (Urine)
Inclusion:
1. Potassium hydroxide Mount (KOH)
Urine (Freshly voided)Available
Glucose (1 hr. Challenge Test)SerumAvailable
Glucose (2 hrs. PPBS)SerumAvailable
Glucose (FBS)SerumAvailable
Glucose (OGTT)-1 hr/2 hrs/3 hrsSerumAvailable
Glucose (RBS)SerumAvailable
Gomorri's Ammoniacal Silver Stain (GAS), Fungal organismTissueAvailable
Gram Stain ONLYAll Clinical Specimen (except stool)Available
H & E Stain for referring in-house pathologistTissueAvailable
H and E stain for Rabies, Rabies virusBrain TissueAvailable
HAT Screening, HIV-1 & HIV-2Whole Blood and PlasmaAvailable
HBeAg, Hepatitis B virus, Hepatitis B envelope antigenSerumAvailable
HBsAg, Hepatitis B virus, Hepatitis B surface antigenSerumAvailable
HDL – CholesterolSerumAvailable
Hematoxylin-Eosin StainTissueAvailable
IgM & IgG (Rapid Test), Antibody against Dengue virusSerumAvailable
India Ink ONLYCerebrospinal fluid / Other Sterile Body Fluids (except urine) / Exudates / Sputum / TissueAvailable
Indirect Coomb’s TestBloodAvailable
Inorganic PhosphorousSerumAvailable
Ionized Calcium, Ionized CalciumSerumAvailable
Kato-Katz Technique, Intestinal parasites(Helminths)StoolAvailable
Kato-Katz Technique, Schistosoma japonicum, Schistosoma japonicum eggsStool (preferably formed stool)Available
KetoneUrineAvailable
LDHSerumAvailable
LDL – CholesterolSerumAvailable
Line Probe Assay(For Program Use Only), Mycobacterium tuberculosisSputum, TB isolateAvailable
Magnesium (Mg)SerumAvailable
Malaria blood film microscopy, Plasmodium falciparum,Plasmodium vivax,Plasmodium malariae,Plasmodium ovaleBloodAvailable
Malaria Blood Film, Protozoan Parasites (Plasmodium)BloodAvailable
Malaria Nested PCR, Plasmodium falciparum,Plasmodium vivax,Plasmodium malariae,Plasmodium ovale,Plasmodium knowlesiWhole Blood collected in EDTA tube or filter paper (ordinary, but Whatman #3 or chromatography paper is preferred if available)Available
MCV / MCH / MCHCBloodAvailable
Microscopic Agglutination Test (MAT) for the detection of Pathogenic Leptospira spp., Leptospira sppPaired Serum (Acute and convalescent Phase)Available
Microscopy-Peri-anal swab, Enterobius vermicularisPeri-anal swabAvailable
Minimum inhibitory concentration (Gradient Etest or Broth dilution or Agar Dilution Method),
1.Gram Negative Organisms
--1.1Enterobacterales(all)
--1.2 Enteric Pathogens
----1.2.1 Salmonella
----1.2.2 Shigellae
----1.2.3 Vibrio cholerae 01
--1.3 Non-Enterobacterales
----1.3.1 Acinetobacter spp.
----1.3.2 B. cepacia
----1.3.3 P. aeruginosa
----1.3.4 S. maltophilia
----1.3.5 Other non-fermenting organisms
--1.4 Fastidious Organism
----1.4.1. Haemophillus influenzae
----1.4.2. Haemophillus parainfluenzae
----1.4.3. Neisseria gonorrhoeae
----1.4.4. Neisseria meningitidis
----1.4.5. Moraxella catarrhalis, Bacterial Isolate
Pure isolate of listed Gram Negative OrganismAvailable
Minimum inhibitory concentration (Gradient Etest or Broth dilution or Agar Dilution Method),
2. Gram Positive Organisms
--2.1 Enterococcus spp
--2.2 Staphylococcus spp
--2.3 Streptococcus pneumoniae
--2.4 Streptococcus agalactiae
--2.5 Streptococcus pyogenes
--2.6 B-hemolytic Streptococcus
--2.7 Other Streptococcus, Bacterial Isolate
Pure isolate of listed Gram Positive OrganismAvailable
Modified Acid Fast (MAF), Acid-fast organismsTissueAvailable
Modified Acid Fast Technique, Intestinal parasites(Cryptosporidium spp.,Cyclospora cayetanensis)Whole Blood collected in EDTA tube or filter paper (ordinary, but Whatman #3 is preferred if available)Available
Modified Gram's Stain (MGS), Gram negative/Positive organismsTissueAvailable
Mucicarmine Stain, Fungal organismTissueAvailable
Multiplex PCR, Enterobacterales: Carbapenemases, ESBLPure isolate of E.coli/K. pneumoniaeAvailable
Multiplex PCR, HIV, HBV, HCV, HIV, HBV, HCVPlasmaAvailable
Multiplex PCR, S. aureus: mecA, ICRPure isolate of E.coli/K. pneumoniaeAvailable
Nanoparticle study, NanoparticleNanoparticle solutionAvailable
Negative staining with photomicrographBody fluids; Biological samplesAvailable
Neutralization Test: Henipa Antibody Detection, Henipa VirusSerumAvailable
NS1-Ag (Rapid Test), Antibody against Dengue virusSerumAvailable
Package A/TEMComplete tissue processing with micrographBody fluidsAvailable
Package B/TEMSpecimen processing with viewing onlyTissueAvailable
Package C/TEM Viewing onlyTissue, Body fluids; Biological samplesAvailable
Package D/TEMViewing with MicrographTissueAvailable
Package D/TEMViewing with MicrographBody fluids; Biological samplesAvailable
Papanicolaou Stain for referring in-house pathologistBody fluids, surgical pathology specimensAvailable
Partial Thromboplastin TimeBloodAvailable
PCR for animals, Ebola RestonBloodAvailable
PCR for animals, Henipa VirusCSF, Urine, throat and nasal swab, bloodAvailable
PCR for animals, Rabies virusBrain TissueAvailable
PCR for human, Henipa VirusCSF, Urine, throat and nasal swab, bloodAvailable
PCR for Human, Rabies virusSalivaAvailable
PCR for humans, Ebola RestonBloodAvailable
PCR, Middle East Respiratory Syndrome Coronavirus (MERS CoV)Available
PCR, Severe Acute Respiratory Syndrome (SARS-CoV)Available
PCR, Zaire EbolavirusWhole BloodAvailable
Periodic Acid Schiff (PAS), fungal and hyphal elementsTissueAvailable
Peripheral Blood SmearBloodAvailable
Potassium (K)SerumAvailable
Potassium hydroxide (KOH) Mount ONLYAll Clinical Specimen (except stool)Available
Prothrombin TimeBloodAvailable
Rapid HIV Diagnostic Algorithm Confirmatory Testing, Human Immunodeficiency VirusPlasmaAvailable
Rapid Plasma Reagin (RPR) - QUALITATIVESerumAvailable
Rapid Plasma Reagin (RPR) - QUANTITATIVESerumAvailable
Rapid Test: IF (all except entero/rhino & metapneumovirus), Panel 5 (RESPI):
Flu/Respiratory viruses panel:
Influenza A&B
RSV
Parainflu 1,2,3
Rhinovirus
Adenovirus
Enterovirus
HSV 1 & 2
NPAAvailable
RBC / WBC CountBloodAvailable
RBC Morphology - verify with CLUrineAvailable
Real Time /Conventional PCR, HFMD (Hand-foot-mouth disease)
1. Enterovirus A71
2. Coxsackievirus A6
3. Coxsackievirus A16
4. Other enteroviruses
Stool, CSF, NPS/OPS, Vesicular swab, Rectal swabAvailable
Real time PCR, Adenovirus (AdV)Stool , NPS/OPSAvailable
Real time PCR, Avian Influenza (H5, H7)NPS/OPS, Endotracheal Aspirate; Bronchoalveolar lavageAvailable
Real time PCR, Chikungunya (CHIKV)SerumAvailable
Real time PCR, Cytomegalovirus (CMV)UrineAvailable
Real time PCR, Cytomegalovirus (CMV)Whole blood, UrineAvailable
Real time PCR, DengueSerumAvailable
Real time PCR, Enterovirus (EV)Available
Real time PCR, HSV 1 & 2Genital swab Endocervical swab
Urethral swab Vesicular swab
Available
Real time PCR, Influenza A&B with subtyping (H1, H3)NPS/OPSAvailable
Real time PCR, MumpsBuccal swabAvailable
Real time PCR, Norovirus Group 1 & 2StoolAvailable
Real time PCR, Panel 1 (CNS):
Japanese Encephalitis + West Nile Virus
SerumAvailable
Real time PCR, Panel 10 (GI):
Rota, Noro Genogroup 1 & 2
StoolAvailable
Real time PCR, Panel 11 (GI):AdV, EVStoolAvailable
Real time PCR, Panel 12 (GI):=Panels 10 + 11(Rota, Noro, AdV, EV)StoolAvailable
Real time PCR, Panel 2 (CNS):WNV, JEV, EVSerumAvailable
Real time PCR, Panel 3 (CNS):HSV-1 & 2, CMVCSFAvailable
Real time PCR, Panel 4 (CNS):=Panels 2+3(WNV, JEV, EV, HSV 1&2, CMVCSFAvailable
Real time PCR, Panel 6 (RESPI): Metapneumovirus + Respiratory syncytial virus (RSV)Available
Real time PCR, Panel 7 (RESPI):RSV, MPV, ADVAvailable
Real time PCR, Panel 8 (RESPI):Parainfluenza 1-3, EVAvailable
Real time PCR, Panel 9 (RESPI):=Panel 7 + 8(RSV, MPV, ADV, Parainfluenza 1-3, EV)Available
Real time PCR, Panel 9 (RESPI):=Panel 7 + 8(RSV, MPV, ADV, Parainfluenza 1-3, EV)Lung aspirate, endotracheal aspirate, Broncho-alveolar lavageAvailable
Real time PCR, RotavirusStoolAvailable
Real time PCR, RubellaNPS/OPSAvailable
Real time PCR, VaricellaCSFAvailable
Real-Time PCR detection of Invasive Haemophilus influenzae, Haemophilus influenzaeAvailable
Real-Time PCR detection of Invasive Neisseria meningitidis, Neisseria meningitidisAvailable
Real-Time PCR detection of Invasive Streptococcus pneumoniae, Streptococcus pneumoniaeSerumAvailable
Real-Time PCR detection of Pathogenic Leptospira spp., Leptospira spp.Formalin fixed paraffin embedded tissueAvailable
Recut of Tissue with H & E stainingFormalin fixed paraffin embedded tissueAvailable
Reticulocyte CountBloodAvailable
SARS-CoV-2/COVID-19 Antibody/Antigen KitAvailable
Sequencing, SARS-CoV-2 (causitive agent of COVID-19)For ambulatory cases: NPS/OPS in VTM or UTM
For cases with severe respiratory disease: sputum (if produced) and/or endotracheal aspirate or bronchoalveolar lavage
For cases which expired: lung tissue from biopsy
Available
Serogrouping, Salmonella, Bacterial IsolatePure isolateAvailable
Serology: Antigen Detection, RotavirusStoolAvailable
Serology: ELISA IgM, Chikungunya (CHIKV)SerumAvailable
Serology: IgM, Japanese Encephalitis markCSF and Serum (paired)Available
Serology: IgM, MeaslesSerumAvailable
Serology: IgM, RubellaSerumAvailable
Serology: IgM/IgG, MumpsSerumAvailable
Serotyping of Streptococcus pneumoniae by Conventional PCR, Streptococcus pneumoniaeIsolateAvailable
Serotyping, Salmonella, Bacterial IsolatePure isolateAvailable
SGOTSerumAvailable
SGPTSerumAvailable
Snake Identification As Venomous/Non-VenomousWhole Snake (Dead or Alive)Available
Sodium (Na)SerumAvailable
Solid TB Culture/DST, Mycobacterium tuberculosisPulmonary (Sputum, BAL, NPA)Available
Taxonomic identification of selected medically-important insects, Dengue, Zika, Chikungunya, Malaria, Filaria, Japanese EncephalitisMosquito, Louse, Flea, Cockroach ,Biting midge, Blow fly, Housefly, Sand fly, Bedbug, Kissing bugAvailable
Tissue Block for Pull-outTissue blockAvailable
Total ProteinSerumAvailable
TPA/G (Total Protein A/G)SerumAvailable
Treponema pallidum Particle Agglutination (TPPA) – QUALITATIVESerumAvailable
Treponema pallidum Particle Agglutination (TPPA) – QUANTITATIVESerumAvailable
TriglyceridesSerumAvailable
Tzanck Smear, HSV (usual, sometimes staphylococcus for SJS/TEN/SSSS)Smears on glass slide in 95% ethanol for at least 15 minutesAvailable
UrinalysisUrineAvailable
Vibrio cholerae O1 ctxA ToxinIsolateAvailable
Viral Load, HIV-1PlasmaAvailable
Virus isolation (all except metapneumo-virus), Panel 5 (RESPI):
Flu/Respiratory viruses panel:
Influenza A&B
RSV
Parainflu 1,2,3
Rhinovirus
Adenovirus
Enterovirus
HSV 1 & 2
NPS/OPSAvailable
Virus isolation (all except metapneumovirus), Panel 5 (RESPI):
Flu/Respiratory viruses panel:
Influenza A&B
RSV
Parainflu 1,2,3
Rhinovirus
Adenovirus
Enterovirus
HSV 1 & 2
Lung aspirate; endotracheal aspirate; Broncho-alveolar lavageNot Available
Virus isolation, Enterovirus (EV)
1. Polioviruses
2. Other NPEVs (Nonpolio enteroviruses)
StoolAvailable
Virus isolation, MeaslesNPS/OPSAvailable
Virus isolation, RubellaNPS/OPSAvailable
Virus Transport MediaAvailable
Xpert MTB/RIF Assay(For Program Use Only), Mycobacterium tuberculosisPulmonary (Sputum, BAL, NPA)Available