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Epic Code LAB240 Fungal Culture with Fungal Stain, NOT Hair, Skin, or Nails

Important Note

  • Fungal stain not included on cerebrospinal fluid (CSF) specimen.
  • If trying to rule-out Malassezia furur, please indicate ,"rule-out M. furfur" in the order comments as unique isolation techniques need to be taken to isolate this organism.
  • If ruling out dimorphic fungi such as Sporothrix spp., Histoplasma spp., Blastomyces, etc. indicate suspected isolate in the ordering comments for cultures to be held for an extended incubation.

Test Name Alias

Culture Fungus(not hair,skin,nail) w/ Fungal Stain | 8898 | Culture Fungus Respiratory w/ Fungal Stain | Fungal Culture Respiratory | 173 | Fungal Respiratory Culture

Interface Order Alias


Clinical Information

This test includes a fungal stain, except on CSF specimens.

Extended incubation after 28 days by special request (i.e. Histoplasmosis).

Ordering Instructions

Replicate specimens collected at the same time and with the same description (i.e. left leg tissue 1, 2, and 3) may be pooled for processing, and will be reported with a result comment indicating which orders were pooled.

Icons & Photos

CSF Transport Tubes
Sterile Container with Lid
Eswab with Regular Swab


Collection Instructions

Submit only one of the following specimens:


Specimen Type: Cerebrospinal fluid (CSF)
Container/Tube: Sterile container
Volume: 1.0 mL
Minimum volume: 0.5 mL
Collection Instructions: Indicate specimen type and source.

Specimen Transport Temperature: Ambient


Specimen Type: Body Fluid
Container/Tube: Sterile container or ESwab
Collection Instructions: Indicate specimen type and source.

Specimen Transport Temperature: Ambient


Specimen Type: Biopsy specimen
Container/Tube: Sterile container or ESwab
Collection Instructions: Indicate specimen type and source.

  1. Open the peel pouch and remove the contents. Aseptically unscrew and remove the cap from the ESwab.
  2. Place the tube in a secure position so as not to allow the liquid to leak out of the tube.

  3. Remove the swab. Collect the patient's sample using the swab. 

  4. Insert the swab back into the tube of liquid, all the way to the bottom of the tube.

  5. Holding the swab shaft close to the rim of the tube, break the applicator shaft at the color breakpoint indication line.

  6. Screw the cap on tightly to prevent leakage. Discard the broken handle of the shaft into an approved medical waste disposal container.

  7. Write the patient's information (Name and Date of Birth) on the tube or apply a label with patient’s information. Indicate source.

  8. Send specimen to the Laboratory.

  9. Specimen Transport Temperature: Ambient


Specimen Type: Swab, Cervix/Vaginal Swab
Container/Tube: ESwab

Collection Instructions: Fungal culture with staining may be used to detect yeast from a genital swab not accepted for bacterial vaginosis Gram staining.


Note: The ESwab fluid maintains the viability of diverse bacteria, yeast and fungus. Do not send a dry ESwab as this will lead to unsatisfactory results. If the tube spills its contents prior to inserting the swab, the liquid is non-toxic. Simply put the swab into another tube before sending it to the laboratory and discard the spilled tube.


Specimen Type: sputum, bronc lavage or brush
Container/Tube: Sterile container
Collection Instructions: Morning collection is preferred. Collect four or five deep coughs in a sterile specimen container. Place cap on the container. Label with orders (include source: sputum). Deliver to lab immediately.

Transport Temperature: Ambient (Inpatients) Refrigerated (Outpatients)

Lab Staff Instructions

Lab Central Staff: All CSF specimens to Hematology first.

Specimen Stability

Ambient: Send to laboratory as soon as possible

Refrigerated (Eswab only): 48 hours

Refrigerated (sputum, bronc lavage or brush): 24 hours

Laboratory Retention: 4 days

Test Frequency

Available daily.


Extended incubation after 28 days by special request (i.e. Histoplasmosis)

Reference Range

No fungus isolated

Performing Department


Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI





CDM Code


Epic Test ID


Mayo Access Code


Reviewed Date


Updated Date

3/15/2024 - added in Fungal Respiratory Culture with Fungal Stain information