Ultrasonics offers the possibility of developing sophisticated fluid manipulation tools in lab-on-a-chip technologies. Here we demonstrate the ability to shape ultrasonic fields by using phononic lattices, patterned on a disposable chip, to carry out the complex sequence of fluidic manipulations required to detect the rodent malaria parasite Plasmodium berghei in blood. To illustrate the different tools that are available to us, we used acoustic fields to produce the required rotational vortices that mechanically lyse both the red blood cells and the parasitic cells present in a drop of blood. This procedure was followed by the amplification of parasitic genomic sequences using different acoustic fields and frequencies to heat the sample and perform a real-time PCR amplification. The system does not require the use of lytic reagents nor enrichment steps, making it suitable for further integration into lab-ona-chip point-of-care devices. This acoustic sample preparation and PCR enables us to detect ca. 30 parasites in a microliter-sized blood sample, which is the same order of magnitude in sensitivity as lab-based PCR tests. Unlike other lab-on-a-chip methods, where the sample moves through channels, here we use our ability to shape the acoustic fields in a frequency-dependent manner to provide different analytical functions. The methods also provide a clear route toward the integration of PCR to detect pathogens in a single handheld system. phononic crystal | surface acoustic waves | nucleic acid amplification test | mechanical cell lysis A coustic waves contain a mechanical energy that can be used to manipulate fluids, cells, and samples (1). A range of ultrasonic transducers have previously been developed, including those using surface acoustic wave (SAW) devices, as a practical solution to actuate fluids on microfluidic chips (2, 3). SAWs have the advantage that, despite using low powers, the energy is concentrated at the interface between the fluid and the substrate, enabling a range of fluid manipulations on a chip. Despite this ability to implement low power microfluidics, one potential disadvantage of using a SAW chip is the relatively high cost of the piezoelectric wafer. In an alternative configuration, the SAW can be coupled into a disposable superstrate (Fig. 1A) placed on the surface of the piezoelectric chip (4, 5), thus providing a low cost technology.Using such superstrates, we have recently demonstrated an alternative and improved method for performing complex fluid manipulations in which the ultrasonic waves are coupled into phononic lattices. Importantly, the functionality of such phononic structures is dependent upon the acoustic frequency. By using phononics to locally shape the acoustic fields and by switching between different ultrasonic wavelengths, we have designed tools capable of enabling different fluid manipulations on the disposable superstrate (5-7).In this paper we show the implementation of nucleic acid based tests (NATs) on a microfluidic chip to demonstrate the potential of phon...