INDIANA-COMPLIANT TB TESTING IN CARMEL
TB Testing — Call For An Appointment
PPD skin tests, QuantiFERON Gold blood draws, and chest X-rays for positive results — all under one roof with physician oversight. Serving employers, healthcare facilities, and individuals across Hamilton County.
Administered by Dr. Lisa Clay, MD & licensed clinical staff | Open 7 days a week
3 Test Types
PPD skin test, QuantiFERON blood draw, and chest X-ray
Call For An Appointment
No appointment needed — open 7 days a week
Physician-Supervised
Physician reviews all results and clearance letters
2026 Compliant
Meets all Indiana IDOH and CDC testing requirements
INDIANA TB TESTING COMPLIANCE
How Monarch Medicine Helps You Meet Indiana's TB Testing Requirements
Indiana's TB testing requirements vary by industry — healthcare facilities, long-term care, home health agencies, and schools each have different rules. Whether you need a baseline test for a new hire or annual screening for your entire staff, Dr. Lisa Clay and the clinical team at Monarch Medicine handle the complete process so you stay compliant without the headaches.
Healthcare & Hospital Staff
We perform baseline two-step TST and IGRA (QuantiFERON Gold) testing for new hires, post-exposure testing after known TB contact, and annual symptom screenings for staff with a prior positive history. If a chest X-ray is needed, it's done on-site the same day — no hospital referral required.
Long-Term Care & Licensed Facility Staff
We administer two-step Mantoux baseline testing and ongoing annual screening to keep your facility in compliance with Indiana licensure requirements. Every test is documented with physician-signed results that satisfy IDOH record-keeping standards — we fax or email directly to your HR team.
Home & Community-Based Services (HCBS)
New for 2026: Indiana now requires all HCBS direct care employees to have a TB test upon hire, before any client contact. Monarch Medicine offers booked appointments testing 7 days a week so your new hires can get tested and cleared without delaying their start date.
Schools, Child Care & First Responders
We test school employees, licensed child care workers, EMS, fire, and law enforcement personnel. If your organization has specific documentation requirements, bring them in — we'll match the test type and paperwork to your compliance needs.
Individuals & Students
Need a TB test for a new job, college enrollment, or immigration physical? Book an appointment anytime — no employer account needed. Results and documentation are provided directly to you.
Not sure which test you need? Call Dr. Clay's team: (317) 804-4203 →
Monarch Medicine also offers diagnostic testing, full urgent care services, and transparent self-pay pricing for uninsured patients.
TESTING OPTIONS
Three Ways to Test — All Under One Roof
Monarch Medicine offers every standard TB test accepted by Indiana employers and regulatory bodies. Dr. Clay determines the appropriate test based on your history, employer requirements, and timeline.
PPD Skin Test (Mantoux)
The Standard Tuberculin Skin Test
How it works: A small amount of tuberculin purified protein derivative (PPD) is injected just under the skin of the forearm. You return in 48–72 hours so a licensed clinician can measure and interpret the reaction.
Turnaround: 48–72 hours (requires a return visit for reading)
Accepted for: Pre-employment screening, annual compliance, school enrollment, immigration physicals
1-Step & 2-Step available: We perform both single-step and two-step Mantoux tests as required by your employer or facility
Administered and read by TB-validated licensed clinicians
QuantiFERON Gold (IGRA Blood Test)
Single-Visit Blood Draw — No Return Trip
How it works: A standard blood draw is collected and sent to a reference lab. The interferon-gamma release assay (IGRA) measures your immune response to TB-specific proteins — no skin injection required.
Turnaround: 2–3 business days
Preferred for: Patients with prior BCG vaccination, those who cannot return for a 48–72 hour reading, healthcare workers requiring IGRA per facility policy
CDC recommended: The CDC considers IGRA the preferred test for most healthcare personnel screening
Only one visit required — ideal for busy employers
Chest X-Ray (Positive Result Follow-Up)
Required After Any Positive TB Test
How it works: If your PPD or QuantiFERON result is positive, Indiana regulations require a chest X-ray to rule out active pulmonary tuberculosis. Dr. Clay reviews the imaging and provides a physician evaluation and clearance letter.
Turnaround: Same-day imaging with physician review
Includes: Chest radiograph, physician interpretation, written clearance letter for your employer
No referral needed: Schedule — we handle the complete follow-up workflow in one location
Complete positive-result pathway without hospital referral
PHYSICIAN-SUPERVISED TB TESTING
Why Physician Oversight Matters for TB Testing
TB testing seems simple, but interpretation errors are common — and the consequences for employers and patients are serious. A false positive can cost an employee their job start date. A missed positive can put an entire facility at risk.
At Monarch Medicine, Dr. Lisa Clay, MD personally reviews every positive result, performs the chest X-ray evaluation, and writes the physician clearance letter. Unlike retail clinics where a technician administers the test and results are sent to an off-site provider, our entire testing and evaluation workflow happens under one roof with direct physician involvement.
"Employers trust us because we handle the entire process — the test, the reading, the X-ray if needed, and the clearance letter — all with physician oversight. Their employees don’t get bounced between multiple facilities." — Dr. Lisa Clay, MD, Owner & Medical Director
Looking for immune support while you're here? Ask about our Vital Immunity Boost (VIB) — a physician-formulated injection available same-day with no appointment.
WHO NEEDS TESTING
Who Needs a TB Test in Indiana?
Indiana requires TB testing for a wide range of patient-facing and direct care employees. If you’re not sure whether your staff needs testing, Monarch Medicine can help you determine the right protocol.
- ✓ Healthcare workers (hospitals, clinics, ambulatory care)
- ✓ Long-term care and nursing home staff
- ✓ Home & community-based services (HCBS) employees — NEW 2026
- ✓ Assisted living facility staff
- ✓ Licensed child care workers
- ✓ School employees and volunteers
- ✓ First responders (EMS, fire, law enforcement)
- ✓ Food service workers (employer-required)
- ✓ College and university students
- ✓ Immigration applicants (USCIS civil surgeon exam)
- ✓ Anyone with known TB exposure
Employers: Call (317) 804-4203 to set up ongoing testing for your team. We’ll help you determine which test type and frequency your facility requires.
WHAT TO EXPECT
Your TB Test Visit in 4 Simple Steps
1
Call or Book Online
Call for an appointment or check in through MyChart to save time.
2
Clinical Intake & Test Selection
Our team reviews your health history, employer requirements, and any prior TB test results to determine the right test for you.
3
Test Administration
PPD: Skin test placed, return in 48–72 hours for reading. QuantiFERON: Single blood draw, results in 2–3 business days. X-ray: Same-day imaging if needed.
4
Results & Documentation
Receive your results and, if needed, a physician-signed clearance letter accepted by Indiana employers. We fax or email documentation directly to your employer on request.
FREQUENTLY ASKED QUESTIONS
TB Testing — Frequently Asked Questions
Do I need an appointment for a TB test?
Yes. Monarch Medicine is walk-in friendly 7 days a week and for timing the test we ask you make an appointment.. You can also check in ahead of time through MyChart to save time.
What is the difference between a PPD skin test and a QuantiFERON blood test?
A PPD (Mantoux) skin test involves a small injection under the skin of the forearm. You must return in 48–72 hours for a trained clinician to read the result. A QuantiFERON Gold test is a single blood draw with no return visit — results are available in 2–3 business days. Both are accepted by Indiana employers. The CDC considers IGRA (QuantiFERON) the preferred test for most healthcare personnel.
Which TB test does my employer require?
It depends on your industry and facility type. Healthcare workers, long-term care staff, and HCBS employees each have different requirements under Indiana regulations. If you're unsure, bring your employer's documentation and Dr. Clay's team will help determine the right test.
What happens if my TB test is positive?
A positive TB test does not mean you have active tuberculosis. It means your body has been exposed to TB bacteria. Dr. Clay will order a chest X-ray — performed on-site the same day — to rule out active pulmonary TB. If the X-ray is clear, you'll receive a physician-signed clearance letter accepted by Indiana employers.
Do you provide clearance letters for employers?
Yes. Dr. Clay provides physician-signed documentation for all TB test results. We can fax or email clearance letters directly to your employer on request.
What is the new HCBS TB testing requirement for 2026?
As of January 20, 2026, all direct care employees in Indiana's Home and Community-Based Services (HCBS) programs must have a TB test upon hire, before any face-to-face interaction with clients. Documentation must be maintained in the employee's personnel file.
Do I need a two-step TB test?
Two-step Mantoux testing is required for baseline screening at many licensed facilities in Indiana, including long-term care and nursing homes. The second step is administered 1–3 weeks after the first. Monarch Medicine performs both steps. If your employer requires a two-step test, plan for two visits.
How much does a TB test cost?
All TB tests at Monarch Medicine are self-pay with transparent pricing and no hidden fees. See our pricing section above for current rates, or call (317) 804-4203.
Can I get a TB test on the weekend?
Yes. Monarch Medicine is open Saturday and Sunday from 9:00 AM to 12:00 PM. Walk-ins are welcome appointment required for TB testing, due to timing issues. Note that if you receive a PPD skin test on Saturday, your reading visit will fall on Monday or Tuesday.
I had a BCG vaccine as a child. Which test should I get?
The QuantiFERON Gold blood test is preferred for patients with a history of BCG vaccination. The PPD skin test can produce a false positive in BCG-vaccinated individuals, while the QuantiFERON test is not affected by prior BCG vaccination.
TRANSPARENT PRICING
TB Testing Pricing
All TB tests are self-pay. No insurance billing. No hidden fees. Pricing is per patient.
PPD Skin Test
$100
Includes placement + 48–72 hr reading
QuantiFERON Gold
$400
Single blood draw + lab analysis
Chest X-Ray + Clearance
$310.80
Imaging + physician review + clearance letter
Book an appointment: (317) 804-4203
We also provide walk-in X-rays and sports physicals for employers and individuals.
Employer & Facility TB Testing Programs
Monarch Medicine serves employers and healthcare facilities across Hamilton County, Boone County, and the greater Indianapolis area. We make compliance simple:
- ✓ Online scheduling for TB tests — HR teams can book employees directly through MyChart
- ✓ Physician-signed clearance letters faxed or emailed same day
- ✓ Complete positive-result workflow (test + X-ray + clearance) in one location
- ✓ Open 7 days a week — accommodates shift workers and weekend onboarding
- ✓ HCBS, LTC, and acute care compliance expertise
Set Up Your Employer Account
Call our office to discuss your facility’s testing requirements and set up an ongoing employer relationship. We’ll identify the right test type, frequency, and documentation workflow for your team.
Mon–Fri 8am–6pm · Sat–Sun 9am–12pm
PATIENT REVIEWS
What Our Patients Say
★★★★★
"The staff were incredibly friendly, attentive, and genuinely caring when I brought my daughter in. They created a welcoming environment with coffee, water, and snacks in the waiting area, which was a thoughtful touch. I also really appreciated their transparent pricing. They bill insurance but also offer very reasonable cash-pay options, which provides peace of mind compared to the unpredictable costs of an ER visit. Most importantly, the experience felt personal rather than rushed. Highly recommend if you’re looking for compassionate, patient-centered care."
—Brittany Carter
★★★★★
"Dr. Clay is great, always nice and makes sure I’m up to date on any questions I may have. Nurse Olivia is always happy and smiling. It’s a great place!!!"
—Greg Newcomb
★★★★★
"Going to this Urgent Care is like visiting my own doctor…not your typical urgent care facility. This is my second visit in less than a year upon someone’s recommendation. Virtually no wait and Dr Clay really listened and got to the root of my problem. Highly recommend!"
— Robin DeLuca
MEDICALLY REVIEWED
This page was medically reviewed by Dr. Lisa Clay, MD — board-certified physician, owner and medical director of Monarch Medicine Urgent Care in Carmel, Indiana. Last reviewed: March 2026.
Need a TB Test? Book An Appointment Today.
PPD skin tests, QuantiFERON blood draws, and chest X-rays — no appointment needed.
Mon–Fri 8am–6pm · Sat–Sun 9am–12pm
TB testing at Monarch Medicine is performed for screening and compliance purposes. A positive TB test does not confirm active tuberculosis — additional evaluation including chest X-ray and physician assessment is required. All testing is administered by licensed clinical staff under physician supervision. Results are interpreted according to CDC and Indiana Department of Health guidelines. This page is for informational purposes and does not constitute medical advice. Patients with symptoms of active TB (persistent cough, fever, night sweats, unexplained weight loss) should seek immediate medical evaluation.