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PATHOLOGY SERVICES

MOLECULAR

Clear Path Toxicology 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

Utilizing high-sensitivity PCR technology for rapid and accurate identification of viral and bacterial pathogens in the respiratory tract.

Pathogens detected:

  • Adenovirus

  • Bocavirus

  • Coronavirus 229E

  • Coronavirus HKU-1

  • Coronavirus NL63

  • Coronavirus OC43

  • Influenza A & B

  • Metapneumovirus A/B

  • Parainfluenza Type 1-4

  • Parechovirus

  • RSV A & B

  • Rhinovirus/Enterovirus

  • Bordetella pertussis/holmessi

  • Haemophilis influenzae

  • Mycoplasma pneumoniae

  • Staphylococcus aureus

  • Streptococcus pneumoniae

UTI

Molecular screening that detects even low-level infections, providing clinical clarity for targeted treatment in complex urinary cases.

Pathogens detected:

  • Acinetobacter baumanii

  • Candida albicans

  • Candida glabrata

  • Candida parapsilosis

  • Candida tropicalis

  • Enterobacter cloacae complex

  • Escherichia coli

  • Enterococcus faecalis

  • Enterococcus faecium

  • Klebsiella oxytoca

  • Klebsiella pneumoniae

  • Morganella moranii

  • Mycoplasma hominis

  • Mycoplasma genitalium

  • Psuedomonas aeruginosa

  • Proteus mirabilis

  • Providence suartii

  • Streptococcus agalactiae

  • Staphylococcus aureus

  • Serratia marescens

  • Staphylococcus saprophyticus

  • ​Ureaplasma parvum

  • Ureaplasma urealyticum

ANTIBIOTIC RESISTANCE

Concurrent testing for genetic markers of resistance allows for precise antibiotic selection and significantly improved clinical outcomes.

Pathogens detected:

  • Temoniera-β-lactamase (TEM)
  • Sulfhydryl Variable-β-lactamase  (SHV)
  • Klebsiella pneumoniae carbapenemase (KPC)
  • CefoTaXime-M-β-lactamase (CTXM 1)
  • CefoTaXime-M-β-lactamase (CTXM 2)
  • CefoTaXime-M-β-lactamase (CTXM 8)
  • CefoTaXime-M-β-lactamase (CTXM 9)
  • CefoTaXime-M-β-lactamase (CTXM 25)
  • New Delhi metallo-β-lactamase (NDM)
  • Verona integron-encoded metallo-β-lactamase (VIM)
  • Verona integron-encoded metallo-β-lactamase (VIM 7)
  • Verona integron-encoded metallo-β-lactamase (VIM 13)
  • Cephamycinase (CMY 1)
  • Cephamycinase (CMY 2)
  • Cefoxitin-Hydrolyzing Class C-β-lactamase (FOX)
  • Oxacillinase Group (OXA 1)
  • Oxacillinase Group (OXA 2)
  • Oxacillinase Group (OXA 48)
  • Methicillin Resistance (mecA)
  • Sulfonamide-Resistant isolate (Sul 2)
  • Sulfonamide-Resistant isolate (Sul 3)
  • Erythromycin Resistance Gene (ermB)
  • Plasmid-Mediated Quinolone Resistance Determinant (qnrA 1)
  • Plasmid-Mediated Quinolone Resistance Determinant (qnrB)
  • Plasmid-Mediated Quinolone Resistance Determinant (qnrS)
  • Vancomycin Resistance (Van A)
  • Vancomycin Resistance (Van B)
  • Vancomycin Resistance (VanC 1)
  • Vancomycin Resistance (VanC 2-4)
  • Aminoglycoside Resistance ampC beta-lactamases (ACC, ACT/MIR, FOX)
  • Class A beta-lactamases (blaGES, blaVEB, blaPER)
  • Class A beta-lactamases (CTX-M-1, CTX-M-2, CTX-M-8/25, CTX-M-9)
  • Class A beta-lactamases (SHV, KPC)
  • Class B beta-lactamases (blaIMP, blaNDM, blaVIM)
  • Class D beta-lactamases (OXA-23, OXA-48, OXA-51)
  • Extended spectrum betalactamases (blaTEM)
  • Fluoroquinolones (qnrA1/A2, qnrB, qnrS)
  • Macrolide, lincosamide, streptogramin (ermA, ermB, ermC, mefA)
  • Methicillin/Oxacillin (mecA, mecC)
  • Sulfonamides (sul1, sul2, sul3)
  • Tetracycline Resistance (tetB, tetM, tetS)
  • Trimethoprim (dfrA1, dfrA5) Vancomycin Resistance (vanA, vanB)
PHARYNGITIS

Specialized molecular screening for bacteria causing acute pharyngitis, ensuring rapid turnaround for effective patient management.

Pathogens detected:

  • Streptococcus pyogenes (GAS)
  • Streptococcus dysgalactiae (GCS,GGS) 
  • Streptococcus pneumoniae
  • Streptococcus agalactiae (GBS)
WOUND

Identification of polymicrobial infections in chronic wounds, detecting both aerobic and anaerobic organisms simultaneously.

Pathogens detected:

  • Acinetobacter baumannii
  • Bacteroides fragilis
  • Candida albicans
  • Candida glabrata
  • Candida krusei
  • Citrobacter freundii
  • Clostridium perfringens
  • Enterobacter spp.
  • Escherichia coli
  • Enterococcus faecalis
  • Enterococcus faecium
  • Finegoldia magna
  • Haemophilus influenzae
  • Herpes Simplex virus 1 & 2
  • Klebsiella aerogenes
  • Klebsiella oxytoca complex
  • Klebsiella pneumoniae
  • Morganella morganii
  • Peptoniphilus asaccharolyticus
  • Peptoniphilus harei
  • Peptostreptococcus anaerobius
  • Prevotella spp.
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Staphylococcus aureus
  • Streptococcus agalactiae (Group B)
  • Streptococcus pneumoniae
  • Streptococcus pyogenes (Group A)
  • Varicella zoster virus
STI

Comprehensive screening for sexually transmitted infections with high sensitivity for accurate and reliable clinical diagnosis.

Pathogens detected:

  • Chlamydia trachomatis

  • Gardnerella vaginalis

  • Haemophilus ducreyi

  • Herpes simplex 1 & 2

  • Mycoplasma genitalium

  • Mycoplasma hominis

  • Neisseria gonorrhoeae

  • Treponema pallidum

  • Trichomonas vaginalis

  • Ureaplasma urealyticu

GASTROINTESTINAL

Comprehensive molecular evaluation of enteric pathogens, helping providers manage gastrointestinal health with unprecedented precision.

Pathogens detected:

  • Adenovirus
  • Campylobacter jejuni
  • Campylobacter upsaliensis
  • Campylobacter coli
  • Campylobacter species
  • Human Astrovirus
  • Rotavirus
  • Norovirus GI
  •  Norovirus GII
  • Enteroinvasive Escherichia coli / Shigella
  • Enteroaggregative Escherichia coli [aggR]
  • Enterotoxigenic Escherichia coli [est]
  • Enterotoxigenic Escherichia coli [elt]
  • Enterotoxigenic Escherichia coli [est & elt]
  • Shiga toxin 1
  • Shiga toxin 2
  • Shiga toxin 1&2
  • Yersinia enterocolitica [ail]
  • Yersinia enterocolitica [inv]
  • Yersinia enterocolitica 1&2
  • Helicobacter pylori
  • Clostridium Difficile Toxin A and B
  • Clostridioides difficile (Toxin A)
  • Clostridioides difficile (Toxin B)
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