Independent noise sources combine in quadrature: total variance is the sum of the individual variances, so the standard deviations add as the square root of the sum of squares. Three of them matter here.
Shot noise is Poisson and irreducible. Collect S photoelectrons and they fluctuate by √S. This is a property of light, not of the camera, and no engineering removes it. Background B — autofluorescence, out-of-focus light, stray excitation — carries its own shot noise √B and adds nothing to the signal. Read noise R is a fixed Gaussian penalty charged once per pixel read, independent of how much light arrived, typically 0.3 to 1.6 electrons on a modern sCMOS.
SNR = S / √(S + B + R²)
The asymmetry in that expression is worth staring at: S appears once on top and once underneath. Doubling the signal does not double the SNR; it multiplies it by √2 once you are shot-noise-limited. Four times the exposure for twice the certainty is the central bargain of every photon-starved measurement.