Flexibility
We pride ourselves in providing the highest level of flexibility and customization. If you were not able to find a panel suiting your patient's needs you can create a Custom NGS panel using any of our 18,000+ genes.
Specifications
Panel Coverage: 96% at 20x Guaranteed
Single Gene Coverage: 99.99% at 20x Guaranteed
Deletion / Duplication: ≥ 2 exons
Sequencing Methods: NGS
Orthogonal Methods: Sanger, qPCR, MLPA, rpPCR
Turnaround Time: 3-5 weeks

Reflex Testing Options
Reflex testing options are designed to broaden your patient’s genetic analysis to exome sequencing when primary testing is non-diagnostic. Primary testing comprises a preset or custom panel selected by you for your patient. If genetic variants are identified that are sufficient to make a molecular diagnosis, the panel results will be reported, typically within three to four weeks. If our curation scientists and lab directors find that no diagnosis can be made based on primary testing, then the selected reflex testing is initiated. Our client services representatives or genetic counselors may contact you at this time to obtain additional clinical information and family history.

The reflex options examine coding regions and splice junctions for thousands of genes, and reports include only the variants that are of plausible clinical relevance for your patient. These reflex options provide more assurance that a relevant molecular diagnosis can be made for your patient, at more efficient turnaround times and pricing than sequential orders. This flexibility eliminates the need for separate office visits, blood draws, and requisitions, and allows the diagnostic search to continue unimpeded.
All-In-One Reflex
This reflex option is based on Fulgent’s Clinical Exome Sequencing (CES), which targets over 4,500 genes enriched for clinical significance. This approach is best suited for individuals with multiple clinical features who do not fit a specific clinical diagnosis, but fall within the spectrum of well-established Mendelian conditions.
Panel Coverage: 96% at 20x Guaranteed
Deletion / Duplication: ≥ 2 exons
Sequencing Methods: NGS
Orthogonal Methods: Sanger, qPCR, MLPA, rpPCR
Turnaround Time: 5-7 weeks
Whole-In-One Reflex
This reflex option is based on Fulgent’s Whole Exome Sequencing (WES), which targets over 20,000 genes. This approach is best suited for individuals with very rare clinical presentations, either because of a single atypical finding or an unfamiliar combination of phenotypes.

Panel Coverage: 96% at 20x Guaranteed
Deletion / Duplication: ≥ 2 exons
Sequencing Methods: NGS
Orthogonal Methods: Sanger, qPCR, MLPA, rpPCR
Turnaround Time: 5-7 weeks