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BiothreatLRN · Laboratory Response NetworkBANTSelect-agent rule-out pack

Bacillus anthracis (LRN rule-out)

Bacillus anthracis

Last reviewed 2026-08-13

Public health significance

A rule-out is a public-health product. The custody trail is part of the result.

Specimen types

As directed by the LRN protocol

Method

LRN rule-out / rule-in

CLIA / validation

LRN protocols and LDT/reference methods. Biosafety level is not optional.

Interpretation

Not detected / ruled out, Presumptive, Confirmed. Never collapse those three into Positive.

Reflex / referral

Referral to the LRN reference laboratory on presumptive. Law enforcement notification per protocol.

Quality control

LRN-specified controls. Document chain of custody on every handoff.

Reportability

Immediate. Not a next-batch ELR item.

HL7 / ELR

Follow APHL/CDC LRN messaging. Routine ELR is not sufficient by itself.

Sources

CDC LRN; APHL biothreat bench cards.