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TB testing guide

TB (tuberculosis) screening blood test order online in Virginia and West Virginia

This guide is for ordering a latent TB screening blood test, not for active TB symptoms like a cough lasting more than 3 weeks or coughing blood.

Start online

Start a $199 online review for TB screening test.

An order for a TB blood test (interferon-gamma release assay, IGRA — QuantiFERON-TB Gold or T-SPOT) for adults who need latent TB screening: a job or school requirement, a known exposure, or a risk factor such as birth in or travel to a high-incidence country. This is a test order, not a diagnosis or treatment visit; a positive result is followed by a chest X-ray and, if needed, treatment, arranged after the result.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Quick facts

  • You must be physically located in Virginia or West Virginia at the time of request.
  • Starts at $199
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • A healthcare job, school, or immigration requirement for TB screening
  • A known close contact with someone diagnosed with active TB
  • Having lived in or traveled to a country where TB is common

May fit online care

  • Adults 18 and older
  • Need screening for a job, school, or immigration requirement
  • No active symptoms (cough, fever, night sweats, weight loss)
  • No known close contact with untreated active TB in the last 8 weeks
  • No prior positive TB test (or you're bringing that history)

Look for another care setting

  • Coughing up a significant amount of blood, or severe difficulty breathing
  • A cough lasting more than 3 weeks, coughing up blood, unexplained weight loss, night sweats, or fever
  • A known close contact with untreated active TB within the last 8 weeks
  • A prior positive TB test or treatment for TB or latent TB without bringing that history

What to have ready

  • Why you need TB screening (job, school, exposure)
  • Any cough, fever, night sweats, or weight loss
  • Any known TB exposure and when
  • Any prior TB test results or treatment

What happens next

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Does this order include the vaccine or treatment?

No. This is a test order only. If the result is positive, a chest X-ray and treatment discussion are arranged as next steps, not included automatically in this order.

What if I have symptoms right now?

A cough lasting more than 3 weeks, blood in the sputum, unexplained weight loss, night sweats, or fever can mean active TB, which needs an in-person evaluation and a chest X-ray rather than a screening blood draw alone.

I already tested positive before — do I need to retest?

Usually not. Bring your prior positive result and any treatment history to your evaluation; a repeat screening test is not usually needed.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Technical help

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For questions about your care, use the patient portal.