HIV Diagnostics and Reference Laboratory

MHRP oversees all HIV testing for the Army and serves as the Tri-Service Reference Laboratory.

Specimen Testing

If you are a DoD site wanting to submit specimens to the HIV Diagnostics & Reference Laboratory (HDRL) for testing, please refer to our Specimen Submission Guidelines for general instructions. See "Test Request Forms and Test Specs" below to download test request forms, individual test specifications, and testing algorithms (PDF format).

• Specimen Submission Guidelines (June 2017)
• Summary of Changes (June 2017)
• Memo re: HDRL SSG Revision (June 2017)

Test Request Forms and Test Specs For Serology

Fillable Form - HDRL Serology Clinical Test Request Form (June 2017)

Fillable Form - Hepatitis B Surface Antigen Test Request Form (June 2017)

Fillable Form - HIV Verification Algorithm Test Request Form (Sites other than CONUS - June 2017)

HIV Verification Algorithm Test Request Form (CONUS sites only - May 2014)

• HIV-1 Western Blot
• HIV Combo Ag/Ab EIA
• Geenius HIV 1/2 Supplemental
• Hepatitis B Surface Antigen (HBsAg) Confirmatory

Test Request Forms and Test Specs For Molecular

Fillable Form - Molecular Aptima/Qualitative Test Request Form (June 2017)​

Fillable Form - Molecular Viral Load (Quantitative) Drug Resistance Test Request Form (June 2017)​

Fillable Form - Molecular Send Out Test Request Form (June 2017)​

• HIV-1 Viral Load (method: Roche COBAS AmpliPrep/COBAS TaqMan)
• HIV-1 RNA Qualitative Assay (APTIMA)
• HIV-1 Integrase Genotyping 
• HIV-1 Resistance Genotype
• HIV-1 Phenotype
• HIV-1 Trofile
• HIV-1/HIV-2 DNA PCR
• HCV RNA Qualitative Assay (APTIMA)
• HCV Viral Load (method: Roche COBAS AmpliPrep/COBAS TaqMan)

Vaccine Induced Sero-Reactivity Test Request Form (June 2017)

Testing Algorithms

• HDRL New Clinical HIV Testing Algorithm
• Acute HIV Infection Algorithm

POC Forms

• HDRL Point of Contact Form (Results Reporting) (June 2017)
• HDRL Point of Contact Form (Notification & Follow-Up) (June 2017)

Packing & Shipping

• Packaging Instructions
• Verification Kit Instructions (CONUS sites only)

Certificates

• CLIP Certificate
• CAP Certificate

Historical Changes

• Memo re: Modification of HDRL Testing, Effective December 1, 2016(December 2016)
• Summary of Changes (July 2015)
• Specimen Submission Guidelines (July 2015)
• Memo re: Modifications to HDRL's HIV 1/2 Rapid Testing Interpretations (March 3, 2015)
• Memo re: Availability of ViroSeq HIV-1 Integrase Genotype Assay (July 7, 2015)
• Memo re: Changes to Submission Guideline (March 23, 2015)