For healthcare workers and clinical-rotation students renewing their TB screening
Annual TB test for Virginia healthcare workers, started online.
QuantiFERON-TB Gold Plus (CPT 86480) is the single-draw blood test that satisfies annual tuberculosis screening for most U.S. healthcare workers and clinical-rotation students. Practiclear (Organization NPI 1972448322; Virginia APRN License 0024172132) reviews the intake, sends a Labcorp requisition by secure email if appropriate, reviews the result, and issues clinician-signed documentation when the reviewed result supports the requirement. Andrew Overbey, FNP-BC, ENP-C reviews every request. Annual cadence is set by the employer or program, consistent with CDC and OSHA guidance; acceptance of any specific documentation remains with the institution.
A previous negative TB screen does not get you out of the next year's test. Every clinical program and most healthcare employers require a fresh annual screen — usually right when nobody has time for a PCP appointment. The review-first QuantiFERON pathway is built for this recurring use case.
Start an annual TB order First-time TB test page
$129 · Single direct-pay fee for clinician review, lab order, result review, and clinician-signed documentation when supported
The annual TB question
Do healthcare workers and clinical-rotation students need a TB test every year?
Most U.S. healthcare facilities and clinical-rotation programs require annual TB screening for employees and students with direct patient contact, consistent with CDC tuberculosis screening guidance for healthcare personnel and OSHA's respiratory-protection framework. The exact cadence is set by the employer or program — annual is the most common requirement. A previous negative QuantiFERON or PPD does not exempt you from the next year's screening.
What that means in practice: every healthcare worker, nursing student, medical student, PA student, allied-health student, MA, CNA, and PT/OT student in a clinical placement needs a fresh TB screen on a recurring schedule. The screen itself is routine; the logistics of finding a time-of-year-appropriate appointment is where the system fails people.
Why a blood test, not a PPD?
Why a QuantiFERON blood test instead of a PPD for annual TB?
Annual cadence is where QuantiFERON's single-draw advantage compounds: no return visit, no reading window to miss, and unaffected by prior BCG vaccination. PPD/TST is still appropriate when an employer specifically requires it. For most annual healthcare-worker screening, QuantiFERON is the simpler operational path.
- One appointment instead of two. Specimen drawn once; no 48–72 hour reading window.
- No PPD false-positive from BCG. QuantiFERON is specific to M. tuberculosis antigens.
- No appointment required for most orders. Virginia nurse practitioner review and documentation are not gated on an in-person visit.
- Same-day draw. Use Labcorp on your schedule after Practiclear sends requisition instructions.
The included documentation
Does Practiclear's annual TB pathway include the clinician-signed documentation letter?
Yes. When the reviewed QuantiFERON result supports the requirement, Practiclear issues clinician-signed documentation on Practiclear letterhead from Andrew Overbey, FNP-BC, ENP-C (NPI 1104220367; Virginia APRN License 0024172132). The letter includes the test name, performing lab, draw date, result, and provider identifiers your program or employer can verify against the NPPES registry and the Virginia Department of Health Professions Lookup.
The letter is part of the direct-pay fee, not an extra appointment or administrative charge.
What if the result is not straightforward?
What happens if my annual QuantiFERON result is positive?
A positive QuantiFERON does not by itself diagnose active tuberculosis. It signals that follow-up evaluation is needed — usually through your primary care provider, an infectious-disease clinician, or your local health department. Tuberculosis is a reportable condition in Virginia per 12 VAC 5-90-80. Practiclear refers; it does not manage active TB. Practiclear is also not appropriate for evaluation of symptoms (cough, weight loss, fever, night sweats).
Indeterminate QuantiFERON results may require repeat testing or alternative screening; the documentation pathway is limited until the follow-up is complete. The abnormal-result workflow describes this in more detail.
Set up your annual cadence
Order your annual TB screening when it suits you, not when the front desk says.
Set a yearly reminder. Each annual request includes Virginia NP review, a single-draw QuantiFERON when appropriate, result review, and signed documentation when supported.
Updated 2026-05-29