36C24219R0002-019.pdf

D.24 LABORATORY SERVICES MANUAL

Test Reference Values/Interpretation Lab Specimen Collection Handling Instructions Transport Test

Frequency 17- Hydroxyprogesterone See report REF Red top NO GEL Spin and aliquot serum Refrigerated Referral

5-HIAA, Urine See report REF Random Urine 10mL urine Refrigerated Referral

5’-Nucleotidase See report REF Gold top SST Centrifuge and aliquot. Frozen

A1C Hemoglobin 4.4 - 6.6% CHEM Lavender top Refrigerate. Do not centrifuge. Refrigerated Mon - Fri

Acetaminophen 10 - 30 ug/mL Toxic: Greater than 150 ug/mL at 4 hours after ingestion.

CHEM

Gold top SST or Red top NO GEL

Allow to clot. Centrifuge, remove serum and refrigerate. Refrigerated Daily

Acetylcholine Receptor Antibody See report REF Gold top SST Allow to clot, centrifuge and refrigerate Refrigerated Referral

ACTH,

Adrenocorticotropic Hormone

See report REF Pre-chilled LAV top tube Collect and immediately place on ice.

Centrifuge in a refrigerated centrifuge, remove plasma and freeze immediately in a plastic tube.

Frozen Referral

Activated Protein C Resistance Assay 2.0 - 4.0 ratio HEM

(REF)

Blue top tube ON ICE Deliver to lab immediately!

Transport to lab immediately or centrifuge (refrigerated centrifuge if available) at 3000 rpm for 10 minutes.

Using a plastic pipette, transfer plasma to a plastic tube and freeze.

Frozen Referral

Adenovirus Group Ab See report REF Gold top SST Allow to clot. Centrifuge, and refrigerate. Refrigerated Referral

Adenovirus Culture See Viral Encephalitis Panel MI

AFB Culture & Smear

Negative Smears for acid fast bacilli are routinely prepared and read on all specimens except urine. 6 weeks required for negative test. Also see

BLOOD CULTURE, AFB.

MI

(REF)

Collect at least 5.0 mL of sputum, respiratory aspirates, body fluids, gastric washing stool or urine in sterile container with secure lid. Collect tissue samples in a sterile, leak-proof container without preservatives.

Refrigerate Transport specimens to lab within 24 hours of collection.

Refrigerated Referral

Test Reference Values/Interpretation Lab Specimen Collection Handling Instructions Transport Test Frequency

AFB Direct Smear Negative MI

(REF)

Collect at least 5.0 mL of sputum or respiratory aspirate in sterile, leak-proof container with secure lid.

Refrigerate Refrigerated Referral

(ALT) Alanine Aminotransferase 10 - 55 units/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Albumin, Serum 3.4 - 4.5 g/dL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Albumin, CSF 11 - 32 mg/dL CHEM (REF) 1 mL spinal fluid Refrigerate Refrigerated Referral

Albumin,Serous Fluid/ Synovial Fluid

See report Order concurrent serum albumin

CHEM/

REF 2 mL fluid Refrigerate Refrigerated Daily/Referral

Alcohol Metabolite & Confirmation

(ETG)

See report REF Random Urine Aliquot 1mL urine and store at room temperature Room Temp Referral

Aldolase See report REF Gold top SST Centrifuge, aliquot and freeze. Frozen Referral

Aldosterone, Serum See report REF Red top NO GEL State site of collection and if patient was upright or supine. Allow blood to clot, centrifuge and refrigerate.

Refrigerated Referral

Aldosterone, Urine See report REF 24 hour urine collection on boric acid. Refrigerate during collection.

Acid can be added after collection.

Refrigerate. Send 5 mL urine aliquot.

Record total volume.

Refrigerated Referral

(ALP) Alkaline Phosphatase 50 - 136 units/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Alpha 1 Antitrypsin 83 - 199 mg/dL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Alpha Fetoprotein 0 - 8.7 ng/mL CHEM Gold top SST Allow to clot, centrifuge, and freeze.

OK refrigerated for 48 hours. Frozen Referral

Aluminum See report REF 1 full dark blue top tube Draw 1 tube and discard, submit 2nd tube.

Centrifuge, transfer to a metal free tube and refrigerate. Refrigerated Referral

Frequency

Amikacin Therapeutic peak: 20 - 30 MCG/mL Therapeutic trough: 1 - 8 MCG/mL

REF Red top NO GEL Allow to clot. Centrifuge, remove serum, and refrigerate. Refrigerated Referral

Aminolevulinic Acid, Delta, 24H urine

See report

REF

24 hour urine collected in 33% acetic acid. Refrigerate during collection.

Freeze. Send 25 mL minimum of the 24 hour collection. Record total volume and collection period (hours) on requisition. Protect from light.

Frozen Referral

Amitriptyline Panel See report REF Red top NO GEL Allow to clot. Centrifuge, remove serum, and refrigerate. Refrigerated Referral

Ammonia 11 - 32 UMOL/L CHEM Green Top, Lithium Heparin.

Collect and place on ice.

Deliver IMMEDIATELY

Must be spun and run within 20 minutes of collection. N/A Daily

Amphetamines Screen, Urine Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine.

No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Amylase, Serum 27 -117 IU/L CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Amylase, Urine CHEM 24 hour urine. No preservative. Refrigerate Refrigerated Daily

Anaerobe Culture

Specimens acceptable for anaerobic culture include normally sterile sites such as body cavity fluids, abscesses, surgical specimens, cervical or uterine specimens obtained by direct visual examination of a lesion, transtracheal aspirates, and urine obtained by suprapubic puncture. Unacceptable specimens are those from or collected via sites with normal anaerobic flora:

throat, mouth, cervix, lower gastrointestinal tract, skin, superficial wound etc.

MI

Sterile fluids and aspirates:

Collect 1.0 mL in syringe.

Inject fluid into anaerobic transport tube. Swabs:

collect specimen using a sterile swab and send swab in anaerobic transport medium. Tissue: Place sample in sterile container without preservatives.

Transport to the laboratory within 24 hours of collection.

Room temp.

for anaerobic transport tube.

Refrigerated for tissue.

Daily

Frequency Anaplasma Ab Ordered with Ehrlichia Ab

Negative/Nonreactive NYS Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Referral

Anaplasma DNA Ordered with Ehrlichia DNA

Not Detected NYS 2 full Lav top (EDTA) tubes Room temperature Room temp Referral

Androstenedione See report REF Red top NO GEL Allow to clot, centrifuge and separate. Room Temp Referral Angiotensin Converting Enzyme

(ACE)

See report REF Gold top SST Deliver IMMEDIATELY

Must be spun and aliquoted within 1 hour. Allow to clot. Centrifuge and refrigerate.

Refrigerated Referral

Anticardiolipin Antibodies <10 u/mL HEM

(REF) Light blue top tube Spin & remove plasma Refrigerated Referral

Anticardiolipin Ab IgA See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated

Anti-CCP IgG See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Anti-DS-DNA See report REF Gold top SST Allow to clot. Centrifuge, aliquot 1 mL serum and refrigerate. Room Temp Referral

Antidiuretic Hormone (Vasopressin)

See report

REF

2 PRE-CHILLED LAV top tubes Collect and immediately place on ice.

Centrifuge, remove plasma and serum, and freeze immediately. Frozen Referral

Anti-Mitochondrial Antibody (M2) Negative REF Gold Top SST

Deliver Immediately Allow to clot, centrifuge, aliquot 1 mL serum and refrigerate.Within 1 hour! Room temp. Referral

Antinuclear Antibody

Negative: < 1:40 Positive samples are referred for titer and pattern confirmation

MI Gold top SST Allow clotting, centrifuge, and refrigerate. Refrigerated 1 time/week

ANCA

(Antineutrophil Cyto Ab)

See report REF Gold top SST Allow to clot, centrifuge and store at room temperature. Room temp Referral

Anti-Parietal Cell Antibody Negative REF Gold Top SST Allow to clot, centrifuge, aliquot serum and Refrigerate. Refrigerated Referral

Anti-Streptolysin O Negative: < 200 IU REF Gold Top SST Allow to clot, centrifuge, and freeze. Frozen Referral Anti-TPO Antibodies Negative REF Gold Top SST Allow to clot, centrifuge and refrigerate. Refrigerated Referral

Arsenic, Urine See Heavy Metals, Urine REF

Arthropod Identification

Microscopic, genus level identification of arthropods including ticks, lice and mites.

MI

Submit arthropod or skin scrapings in a clean, dry specimen container.

Store at room temperature. Room temp. As requested

(AST) Aspartate Aminotransferase 12 - 34 IU/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Babesia Ab Negative/Nonreactive NYS (REF) Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Babesia DNA Not detected NYS (REF) 1 full LAV top EDTA tube Store at room temperature Room Temp Referral

Barbiturates Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Benzodiazepines Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Beta 2 Glycoprotein 1 Abs See report REF Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated Referral

Beta 2 Microglobulin 1.4 - 2.7 mg/L CHEM Gold top SST Allow to clot, centrifuge, aliquot serum and refrigerate. Refrigerated Referral

Beta- Hydroxybutyrate See report REF Gold top SST Allow to clot, centrifuge, aliquot serum and refrigerate. Refrigerated Referral

Beta Strep Screen Throat See Rapid Strep A Antigen test MI . Daily

Bilirubin, Direct 0.0 - 0.5 mg/dL CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Bilirubin, Total 0.1 - 1.0 mg/dL CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Blood Culture MI

Draw blood using aseptic technique by disinfecting the venipuncture site with ChloraPrep. DO NOT touch site after cleansing. Wipe tops of bottles with alcohol.

Must be received by Lab within 4 hours of collection

Blood culture Acid Fast Bacilli

Any organism isolated may be considered a pathogen.

MI

(REF)

5 mL of blood in MYCO/F LYTIC bottle. Call 626-5716 for details.

Must be received by Lab within 4 hours of collection. Refrigerated Referral

Blood Culture Fungus

Any organism isolated may be considered a pathogen.

5 mL of blood in MYCO/F LYTIC bottle. Call lab at 626-5716 for details.

Must be received by Lab within 4 hours of collection Room temp. Daily

Blood culture Routine

Any organism isolated may be considered a pathogen.

8-10 mL of blood in aerobic blood culture bottle. (Blue top bottle) 5-7 mL of blood in anaerobic bottle. (yellow top)

Must be received by Lab within 4 hours of collection Room temp. Daily

Blood Grouping ABO/RH Not applicable BB 7 mL blood (pink top tube)

Hand labeled Store at room temp.

Refrigerate if held overnight. Refrigerate Daily

Blood Parasite Smear Normal: No parasites. HEM

5 mL blood (lavender top EDTA tube). Draw at time of temperature spike.

Room temperature Room temp. Mon - Fri

Bone Marrow Aspiration Report and interpretation provided. HEM

Samples should only be collected at the VA Medical Center in Albany with a Hematology consult.

Bordetella Pertussis, PCR Negative MICRO

(REF)

Collect nasopharyngeal swab specimens with Quest collection kit.

Store at room temperature Room temp Referral

Bronchial Aspirate Culture See Lower Respiratory Culture MI

Buprenorphine

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

C-Peptide See report REF Gold top SST Allow to clot. Centrifuge, aliquot serum and refrigerate. Refrigerated Referral

C-Reactive Protein 0 - 0.8 mg/dL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerate Daily

C-Telopeptide See report REF Collect between 8-10am Gold top SST Delivered to lab immediately

Allow to clot, centrifuge and aliquot Frozen Referral

C1-Esterase Inhibitor See report REF Gold top SST Allow to clot, centrifuge, and aliquot serum. Room Temp. Referral

C3 Complement 88 - 201 mg/dL CHEM Gold top SST Allow to clot, centrifuge, aliquot 0.5 mL serum and freeze. Frozen Mon - Fri

C4 Complement 16 - 47 mg/dL CHEM Gold top SST Allow to clot, centrifuge, aliquot 0.5 mL serum and freeze. Frozen Mon - Fri

CA125 See report REF Gold top SST Allow to clot. Centrifuge, and store at room temperature. Room Temp Referral

CA 19-9 See report REF Gold top SST Allow to clot. Centrifuge, and store at room temperature. Room Temp Referral

Calcitonin (Thyrocalcitonin) See report REF Gold top SST Allow to clot. Centrifuge, aliquot serum and freeze. Frozen Referral

Calcium Ionized, Serum 1.18 - 1.32 mmol/L CHEM Gold top SST Centrifuge. Do not remove stopper.

Refrigerate Refrigerated Daily

Calcium, Serum 8.5 - 10.2 CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Calcium, 24 Hour Urine 30 - 400 mg/24 Hr CHEM

24 hour urine collection in plain or HCL bottle.

Refrigerate during collection.

Record total volume and collection period (hours) on requisition. Send 10 mL aliquot. Refrigerate.

Refrigerated Daily

Calcium, Random Urine Not applicable CHEM 10 mL fresh random urine. Refrigerate Refrigerated Daily

Calculus See Stone REF

Cannabinoids Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Carbamazepine Therapeutic: 4 - 12 ug/mL CHEM Gold top SST Centrifuge, remove serum, and refrigerate. Refrigerated Referral

Carbon Dioxide 23 - 32 mEq/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Carboxyhemoglobin

Non-smoker < 1.5% Smoker 1.5 - 5.0 %

CHEM

2 mL blood (ABG or GREEN TOP TUBE). Collect and immediately place on ice

Refrigerate Refrigerated Daily

Carcinoembryonic Antigen (CEA) 0 - 5 ng/mL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate up to 48 hours or freeze.

Refrigerated or frozen Daily

Carotene See report REF Gold top SST Protect from light.

Allow to clot, centrifuge, remove serum and freeze. Protect from light. Frozen Referral

Catecholamines, Urine See report REF

24 hour urine collected in 6N HCL bottle. Refrigerate during collection.

Refrigerate. Send 10 mL minimum of the 24 hour collection. Record total volume and collection period (hours) on requisition.

Refrigerated Referral

Catheter Tip Culture

Any organism in quantities of > 15 colonies considered a potential pathogen.

MI Place tip in sterile, capped container. Refrigerate Refrigerated Daily

CBC, Complete Blood Count See report HEM LAV top EDTA tube

Draw to fill line

Make slide and refrigerate tube; avoid temperature extremes. Transport within 24 hours.

Refrigerated Daily

Ceruloplasmin See report CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated Referral

Cervical Culture See Genital Tract Culture MI

Chemistry Basic Metabolic Panel

Includes:

Calcium Carbon Dioxide Chloride Creatinine Glucose Potassium Sodium Urea Nitrogen See individual test for interpretation.

CHEM Gold top SST Allow to clot. Centrifuge and

Chemistry Comprehensive Metabolic Panel

Includes:

Albumin Alanine aminotransferase Alkaline phosphatase Aspartate aminotransferase Bilirubin, total Calcium Carbon dioxide Chloride Creatinine Glucose Potassium Protein, total Sodium Urea nitrogen See individual test for interpretation

CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Chlamydia Trachomatis Amplified Nucleic Acid

See Chlamydia/ GC Amplified Nucleic Acid MI

Chlamydia/ GC Amplified Nucleic Acid

Negative MI

Use Cepheid CT/NG Specimen collection kit to obtain samples

1. Pink shaft swab for female endocervical or vaginal samples collected in the transport tube . For urine specimens –male and female- the liquid level in the transport tube must be at the fill line on the tube label.

Specimens (urines or swabs) in transport tube may be stored at refrigerator or room temperature for up to 45 days.

Swabs: Room temp. or refrigerated Urine: Room temp or refrigerated

Mon-Sat Day shift

Chloride, Serum 97 - 109 mEq/L CHEM Gold top SST Allow to clot, centrifuge, and

Chloride, 24 Hour Urine 77 - 266 mEq/24 Hr CHEM 24 hour urine in plain bottle.

Refrigerate during collection.

Record total volume and collection period (hours) on requisition. Send 10 mL aliquot. Refrigerate.

Refrigerated Daily

Chloride, Random Urine Not applicable CHEM 10 mL fresh random urine. Refrigerate Refrigerated Daily

Cholesterol Low risk: <200 mg/dL Borderline: 200 - 239 mg/dL High Risk: > 240 mg/dL

CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated Daily

Cholesterol, HDL See Lipid Profile CHEM

Chromogranin A See report REF Gold top SST Allow to clot, centrifuge & freeze Frozen Referral

Chronic Ambulatory Peritoneal Dialysis (CAPD) Fluid Culture

Any organism may be considered a pathogen. MI

50 mL aliquot in sterile, leak-proof container or entire dialysis fluid bag.

Refrigerate Refrigerated Daily

Citrate, Urine See report REF 24 hour urine collection in plain or HCL bottle.

Refrigerate during collection.

Refrigerate. Send at least a 25 mL aliquot. Record total volume and collection period (hours) on requisition.

Refrigerated Referral

Clostridium Difficile Toxin

Toxigenic C diff and 027 NAP1-B1 Negative MI

Collect at least 5.0 mL of LIQUID stool in a sterile container. Rectal swabs are not acceptable.

Store refrigerated. Refrigerated Mon- Sat Day shift

Clozapine See report REF Red top NO GEL Allow to clot, centrifuge and aliquot serum. Frozen Referral

Cocaine Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Cold Agglutinins Negative HEM

(REF)

(2) Red top tubes NO GEL Collect in pre-warmed tube.

Deliver to lab immediately

Allow to clot in 37oC water bath. Spin and separate immediately. Store at room temperature.

Room temp. Referral

Complement, Total (CH50) See report REF Gold top SST

Delivered to lab immediately Allow to clot, centrifuge and aliquot within 1 hour. Frozen Referral

Copper, plasma See report REF Full Dk Blue top EDTA tube

Allow to clot. Centrifuge within 45 minutes of collection, transfer to metal free tube and store at room temperature.

Room temp. Referral

Copper, Urine See report

REF

24 hour urine collection in special acid washed container.

Send minimum 7 mL aliquot. Record total volume and collection period (hours) on requisition. Refrigerate

Refrigerated Referral

Cortisol, Serum 2.4 - 18.6 ug/dL CHEM Gold top SST Allow to clot. Centrifuge, transfer 2 mL serum and refrigerate. Refrigerated Daily

Cortisol, Urine (24Hr) See report REF

24 hour urine collection in bottle unpreserved or containing 30 mL of 6 N HCL. Refrigerate during collection.

Refrigerate. Send minimum 2 mL aliquot. Record total volume and collection period (hours) on requisition.

Refrigerated Referral

Creatine Kinase Mb Normal: 0 - 5 ng/mL Suggestive of myocardial infarction: > 5 ng/mL and >4% of Total CK

CHEM Gold top SST Allow to clot. Centrifuge, aliquot serum and refrigerate. Refrigerated Daily

Creatine Kinase, Total 21 - 232 IU/L CHEM Gold top SST Allow to clot. Centrifuge, aliquot serum and refrigerate. Refrigerated Daily

Creatinine, Serum 0.7 - 1.4 mg/dL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Creatinine, 24 Hour Urine 600 -2500 mg/dL CHEM 24 hour urine in plain bottle.

Refrigerate during collection.

Refrigerate. Record total volume and collection period (hours) on requisition. Send 10 mL aliquot.

Refrigerated Daily

Creatinine, Random Urine Not applicable CHEM 10 mL fresh random urine. Refrigerate Refrigerated Daily

Cryptococcus Neoformans Antigen Detection

Negative Positive antigen samples are titered. MI

CSF: 1 mL in a sterile container.

Blood: Gold top SST

CSF: Refrigerate Blood: Centrifuge, remove serum and refrigerate.

Refrigerated As requested

Cryptosporidium Antigen See Ova And Parasite Exam MI

CSF Culture See Sterile Fluid Culture MI

Cyclospora See Ova And Parasite Exam Comprehensive MI

Cyclosporine, Whole Blood

Therapeutic range: Dependent upon transplant indication. REF LAV top EDTA Room Temp Room Temp Referral

Cystine, Urine See report REF 24 hour urine collected without preservative.

Refrigerate during collection.

Send 2 mL aliquot. Record total volume and collection period (hours) on requisition. Freeze Frozen Referral

Cytology, Genital See report PATH

Use appropriate collection supplies to obtain sample.

Contact the cytology laboratory 626-5712 for additional information.

Transfer sample to slide labeled with patient name. Store at Room temperature.

Room temp Mon - Fri

Cytology, Sputum See report PATH Collect in sterile specimen container, no preservative. Refrigerate Refrigerated Mon - Fri

Cytology, Urine See report PATH Collect in sterile specimen container, no preservative. Refrigerate Refrigerated Mon - Fri

Cytomegalovirus DNA By PCR, Plasma, Fluid, Or Tissue

See report

REF

LAV top EDTA tube or 0.5 mL fluid CSF

Plasma: Separate and freeze within 5 hours of collection. Fluid:

Refrigerate. Ship within 48 hrs of collection

Plasma:

Frozen Fluid:

Refrigerated

Referral

Cytomegalovirus Titer IgG IgM

See report REF Gold top SST Allow to clot, centrifuge, aliquot serum and refrigerate. Refrigerated Referral

D-Dimer <0.5 ug/mL expressed in fibrinogen equivalent units (FEU) HEM 5 mL blood (light blue top tube)

Transport to laboratory within 4 hours of draw time or centrifuge at 3000 rpm for 10 minutes. Transfer plasma to plastic tube and freeze.

Refrigerate if uncentrifuged.

Frozen if separated.

Daily

Dehydroepiandroster one (DHEA)Sulfate See report REF Gold top SST Allow to clot. Centrifuge and store at room temp. Room Temp Referral

Deoxycorticosterone See report REF Gold top SST Deliver to lab Immediately

Allow to clot. Centrifuge, and freeze within 1 hour. Frozen Referral

Desipramine See report REF Red top NO GEL Allow to clot. Centrifuge, remove serum and store at room temp. Room Temp Referral

Digoxin Therapeutic: 0.8 - 2.0 ng/mL CHEM Gold top SST Centrifuge and refrigerate. Refrigerated Daily

Dopamine, Urine See Catecholamines, Urine REF

Drug Confirmation, Urine See report REF 30 mL fresh random urine.

No preservative Refrigerate Refrigerated Referral

Drug Screen, Urine Qualitative

Drug classes available include:

Opiates, Benzodiazepines, Cannabinoids, and Cocaine Does not include confirmatory testing on presumptive positives.

CHEM 20 mL fresh random urine.

No preservative Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Ear Culture No growth or normal skin flora MI

Use Culturette system to collect swab of drainage or fluid obtained during tympanocentesis. After collection insert swab into Culturette tube.

Store at room temp. Must be received by lab within 24 hours of collection.

Room temp. Daily

E. Coli Shiga Toxin Included in Stool Culture MI Stool in clean container or Cary Blair C/S medium (yellow top transport vial)

Store at room temperature. Must be received within 2 hours or store in Cary Blair C/S medium

Room temperature

Mon-Sat Day shift

Ehrlichia Ab Ordered with Anaplasma Ab

Negative NYS Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Referral

Anaplasma DNA Ordered with Ehrlichia DNA

Not detected NYS (2) LAV top EDTA tubes Room temperature Room Temp Referral

Electrolytes Includes:

Carbon Dioxide, Potassium, Chloride, Sodium

CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Epstein Barr Virus

In order to provide a complete interpretation, the following individual components should be ordered:

Early Antigen IgM Ab to Viral Capsid Ag IgG Ab to Viral Capsid Ag Nuclear Antigen. (See individual tests.)

REF Gold top SST Allow to clot. Centrifuge and

Epstein Barr Virus, Early Antigen See report REF Gold top SST Allow to clot. Centrifuge and

Epstein Barr Virus, IgG Ab To Viral Capsid Ag

See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Epstein Barr Virus, IgM Ab To Viral Capsid Ag

See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Epstein Barr Virus, Nuclear Antigen See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Estradiol, Free See report REF Red top NO GEL Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Erythropoietin See report REF Draw between 0730-12 noon Gold top SST

Allow to clot. Centrifuge and store at room temperature Room Temp Referral

Estrogen See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Ethanol, Serum Normal: Negative Critical High: 0.4% CHEM Gold top SST Allow to clot. Centrifuge. Do not open tube. Refrigerate Refrigerated Daily

Ethylene Glycol See report REF Red top NO GEL on ICE Do not open, do not spin. Send whole blood refrigerated. Refrigerated Referral

Extractable Nuclear Antigen (ENA) See report REF Gold top SST Allow to clot, centrifuge, and store at room temp Room Temp Referral

Eye Culture

Potential pathogens: Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, and Moraxella sp.

MI

Use Culturette system to collect swab of drainage.

After collection insert swab into Culturette tube.

Store at room temp. Must be received by lab within 24 hours of collection.

Room temp. Daily

Factor Assays:

50 - 150%

HEM

*Special Coagulation test* Requires hematology consult please contact Hematology Lab at x65750 to schedule testing in advance 5 mL blood (light blue top tube) Deliver to lab immediately

Perform test immediately

Room temp.

uncentrifuged.

Frozen if separated.

M-F Days Upon request

Factor 2 Assay

Factor 5 Assay Factor 7 Assay Factor 8 Assay Factor 9 Assay

Factor 10 Assay Factor 11 Assay Factor 12 Assay

Factor V Leiden Assay HEM

(REF) (2) LAV top EDTA tubes Refrigerate Room temp Referral

VonWillebrand Antigen 50 - 217% HEM

(REF)

(3) 5 mL tubes of blood (light blue top tube). Collect on ICE and deliver immediately

Centrifuge and Freeze.

Transport to lab frozen. Frozen Referral

Fat, Fecal, Qualitative (Sudan Stain)

Negative REF Send a small portion stool specimen in clean container. Freeze 5g of stool Frozen Referral

Fat, Fecal, Quantitative See report REF 72 hour specimen. Send in

72hr collection container Freeze Frozen Referral

Fecal Lactoferrin Negative MI

Collect at least 1.0 mL of stool in a clean container with secure lid. Rectal swabs are not acceptable.

Store refrigerated. Refrigerated Mon - Sat-day shift

Fentanyl/Norfentanyl serum See report REF Red top NO GEL Allow to clot. Centrifuge and aliquot serum. Room Temp Referral

Ferritin 35 - 435 ng/mL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Fibrinogen Level 200 - 400 mg/dL HEM 5 mL blood (light blue top tube)

Freeze if testing is delayed more than 5 hours. Refrigerated Daily

Flecainide See report REF Red top NO GEL Centrifuge, remove plasma and refrigerate. Refrigerated Referral

Flow Cytometry See individual test requests:

T-cell panel Lymphoma/Leukemia markers

HEM

(REF)

Fluorescent Treponemal Antibody (TP-PA)

Non-reactive. Test used to confirm positive RPR tests. REF Gold top SST Allow to clot, centrifuge, and

Folate, Serum Normal: >5.3 ng/mL Borderline: 3.1 - 5.3 CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Frozen Daily

Folate, RBC 257 - 800 ng/mL REF LAV top EDTA tube Protect from light (>72hr) Store at Room Temp Room Temp Referral

Follicle Stimulating Hormone (FSH) See report CHEM Gold top SST Allow to clot. Centrifuge and freeze. Refrigerated M, W, F

Free Light Chains Serum/Urine See report CHEM Gold top SST/Random Urine Refrigerate Refrigerated Weekly

Fructosamine See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Fungus Culture See Mycology Culture MI

Gamma Glutamyl Transferase (GGT) 15 - 82 IU/L CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Gastric Analysis See report Includes volume, pH, and total acid REF

10 mL specimen in sterile container. 12 hour fast required.

Refrigerate Refrigerated Referral

Gastric Occult Blood Negative MI 1 mL specimen in sterile container. Refrigerate Refrigerated As requested

Gastrin See report

REF

Gold top SST Collect and place immediately on ice.

Patient must be fasting 12 hrs

Allow to clot, centrifuge, remove serum and freeze immediately. Frozen Referral

GC Amplified Nucleic Acid See Chlamydia/ GC Amplified MI

GC Culture See Neisseria Gonorrhoeae Culture MI

Genital Tract Culture Male/Female

Potential pathogens: Neisseria gonorrhoeae, beta hemolytic streptococci, Gardnerella vaginalis, Staphylococcus aureus, and Yeast.

MI

Use Culturette system to collect swab specimens.

After collection, insert swab into Culturette tube.

Store swab at room temp. Room temp. Daily

Gentamicin Therapeutic Peak: 4 - 8 MCG/mL Therapeutic Trough: <2 MCG/mL CHEM Gold top SST Allow to clot. Centrifuge and

Giardia Antigen See Ova And Parasite Exam MI

Glucagon, Plasma See report REF LAV top ETDA tube Centrifuge, remove plasma, and freeze. Frozen Referral

Glucose, CSF 45 - 80 mg/dL CHEM 0.5 mL spinal fluid Refrigerate Refrigerated Daily

Glucose, Serum 70 - 115 mg/dL CHEM Gold top SST Allow to clot, centrifuge and refrigerate Refrigerated Daily

Glucose-6- Phosphate Dehydrogenase Quantitative

See report REF (HEM) LAV top EDTA tube Refrigerate Do not centrifuge. Do not freeze Refrigerated Referral

Gram Stain Specimen dependent. Test must be specifically requested for all specimens other than tissue and sterile fluid.

MI

Refer to specific specimen source for collection instructions.

Refer to specific specimen source for handling instructions.

Refer to CULTURE for transport conditions.

Daily

Growth Hormone See report REF Gold top SST Allow to clot, centrifuge, and store at room temperature Room Temp Referral

Haptoglobin See report CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated Referral

Heavy Metals, Blood

Includes Arsenic, Lead , and Mercury.

See report.

REF Dk Blue top tube Do not open. Store refrigerated. Refrigerated Referral

Helicobacter Pylori Antigen, Stool Negative MI 5mL of stool in a sterile container Store refrigerated Refrigerated 1 time/week

Hemochromatosis DNA Analysis See Report REF (2) LAV top EDTA tubes Whole blood stored at room temperature. Room Temp Referral

Hematocrit Male: 38.9 - 52.4 Female: 35.0 - 44.0 HEM LAV top EDTA tube Store refrigerated. Transport within

24 hours. Refrigerated Daily

Hemoglobin Male: 13.5 - 17.1 Female: 11.7 - 14.8 HEM LAV top EDTA tube Store refrigerated. Transport within

24 hours. Refrigerated Daily

Hemoglobin Electrophoresis (Hemoglobinopathy Evaluation)

Hemoglobin A: 94 - 98% Hemoglobin A2: 1.5 - 3.0% Hemoglobin F: 0 - 2% Hemoglobin S: 0% Hemoglobin C: 0%

HEM

(REF) LAV top EDTA tube Refrigerate. Attach CBC if available Refrigerated Referral

Hepatic Function Panel

Includes:

Alanine Aminotransferase Albumin Alkaline Phosphatase Aspartate Aminotransferase Bilirubin, Direct Bilirubin, Total Protein, Total See individual tests for reference values.

CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

Hepatitis A Antibody IgG & IgM

See report REF Gold top SST Allow to clot, centrifuge and freeze. Frozen Referral

Hepatitis A Antibody IgM

REF Gold top SST Allow to clot, centrifuge, and freeze. Frozen Referral

Hepatitis B

TOTAL CORE

ANTIBODY

(HBcAb)

Negative. Included in Hepatitis B Profile. Will reflex to HBsAb if HBcAb is positive.

CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated T/TH

SURFACE

ANTIGEN (HBsAg)

Negative. Included in Hepatitis B Profile. Will reflex for confirmation if positive.

CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated T/TH

SURFACE

ANTIBODY

(HBsAb)

Positive if patient is immune because of past infection or vaccination CHEM Gold top SST Allow to clot, centrifuge and refrigerate. Refrigerated T/TH

Hepatitis C Antibody

Negative Positive samples will be referred for confirmatory testing.

CHEM Gold top SST AND White top SST

Centrifuge within 2 hours of collection. Refrigerate. Refrigerated T/TH

Hepatitis C Virus

RNA (HCV RNA

Quantitation)

Reportable range: 12 - 100,000,000 IU/mL MI White top SST

Centrifuge within 2 hours of collection. Do not open. Store frozen.

Frozen 1-2 times/week

Hepatitis C Virus Genotyping

Classifies Hepatitis C virus as genotype 1-6 and their most common subtypes. MI White top SST

Centrifuge within 2 hours of collection. Do not open. Store frozen.

Frozen Every other week

Hepatitis Delta Antibody See report

REF Gold top SST Allow to clot, centrifuge, and store at room temperature Room Temp Referral

Herpes Simplex (HSV-I) Antibody IGG or IGM

See report REF Gold top SST Allow to clot, centrifuge, and store at room temperature. Room Temp Referral

Herpes Simplex Virus, Type 1 & 2 DNA Amplification

Negative Performed on dermal, oral and genital tract samples.

MI

(REF)

Collect specimens using culturette swab or virus collection kit.

Place swab in culturette tube or transport medium and store refrigerated.

Refrigerated Referral

Hiv-1 RNA Quantitation (HIV Viral Load)

Reportable range: 40 - 10,000,000 copies/mL MI White top SST

Centrifuge within 4 hours of collection. Do not open. Store frozen.

Frozen 1 time/week

HIV Antibody

Negative An HIV antigen and antibody combination test is used. Samples positive by initial testing are referred for Western Blot and/or HIV RNA testing

MI Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated 1 time/week

HIV-1 Western Blot Used as a confirmation test by lab only

MI Gold top SST Allow to clot, centrifuge, and refrigerate. Room temp referral

HLA Antibody Screen See report REF Red top NO GEL Do not centrifuge. Store at room temperature. Room temp. Referral

HLA-B27 Antigen See report REF 1 Full Green top Sodium Heparin tube. Draw only Mon. – Fri before noon

Store at room temperature. Room temp. Referral

HLA-Dr Typing See report REF LAV top EDTA tube. Draw only Mon. – Fri before noon Store at room temperature. Room temp. Referral

Homocysteine See report REF 1 Full LAV top EDTA tube on ICE, Deliver immediately.

Spin immediately in refrigerated centrifuge and aliquot, store refrigerated.

Homovanillic Acid, Urine See report

REF

24 hour urine collected in 6NHCL. Refrigerate during collection.

Refrigerate. Send 30 mL aliquot.

Record total volume and collection period (hours) on requisition.

Refrigerated Referral

HTLV-I Antibody See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Human Chorionic Gonadotropin (hCG)

See report This is a quantitative test. CHEM Gold top SST Allow to clot, centrifuge, and refrigerate Refrigerated Referral

17- Hydroxyprogestero ne

See report REF Red top NO GEL Allow to clot, centrifuge, aliquot and refrigerate. Refrigerated Referral

Immunoglobulins

IgA 60 - 350 mg/dL CHEM Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Daily

IgE See report REF Gold top SST Allow to clot, centrifuge, and store at room temp Room Temp Referral

IgG Serum: 620 - 1400 mg/dL CHEM Gold top SST Allow to clot, centrifuge, and refrigerate Refrigerated Daily

CSF: See report REF

2 mL CSF in leak-proof container. CSF should be accompanied with a serum specimen. Gold top SST

Allow blood tube to clot, centrifuge, remove serum and refrigerate. Refrigerated Referral

IgM 40 - 260 mg/dL CHEM Gold top SST Allow to clot, centrifuge, and

Influenza/RSV

RT-PCR

Negative for Influenza A and Influenza

B MI

Collect nasopharyngeal specimen using virus collection kit.

Place swab in transport medium and store refrigerated. Transport to lab within 24 hrs of collection.

Refrigerated As requested

Influenza A&B Antibody Quant See report REF Gold top SST Allow to clot. Centrifuge and store at room temperature Room Temp Referral

Insulin See report REF Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerate Referral

Lactic Acid Venous: 0.4 - 2.0 MMOL/L CHEM

Gray top tube Collect and place immediately on ice. Avoid tourniquet and hand clenching.

Centrifuge (in a refrigerated centrifuge if available), remove plasma and refrigerate immediately.

Refrigerated Daily

Lamotrigine See report REF Draw 30 min prior to next dose. Red top NO GEL

Allow to lot. Centrifuge, aliquot and freeze. Frozen Referral

Lead, Whole Blood See report REF Dk Blue top tube Store at room temperature. Do not centrifuge Room temp. Referral

Legionella Culture No Legionella isolated MI Collect sputum, respiratory aspirate or lung tissue in sterile container.

Store refrigerated. Refrigerated Daily

Legionella Urinary Antigen Negative MI Collect at least 1.0 mL of urine in a sterile container. Store refrigerated. Refrigerated Mon-Sat Day shift

Leukocyte Alkaline Phosphatase (LAP scrore)

11 - 95 index HEM

(REF)

10 mL blood (green top tube) Delivered to the lab immediately

Make slides. Must arrive at testing facility within 7 days. Room temp. Mon - Fri

Levetiracetam See report REF Draw TROUGH immediately prior to next dose. Red top

NO GEL

Allow to clot. Centrifuge, aliquot and store at room temperature. Room temp Referral

Lidocaine Therapeutic: 1.5 - 5.0 ug/mL REF Gold top SST Allow to clot. Centrifuge, remove serum and refrigerate. Refrigerated Daily

Lipase 8 - 78 U/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Lipid Profile

CHOLESTEROL: See report.

Low Risk: <200 mg/dL Borderline: 200 - 239 mg/dL High Risk: >240 mg/dL

HDL:

Desirable: >35 mg/dL High Risk: <35 mg/dL

LDL:

Desirable: <130 mg/dL Borderline: 130 - 159 mg/dL High Risk: >160 mg/dL

TRIGLYCERIDE:

Desirable: <200 mg/dL Borderline: 200 - 400 mg/dL High Risk: >400 mg/dL LDL is a calculated parameter.

See report.

CHEM

Gold top SST Fasting 10 - 12 hours required.

Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Lipoprotein Profile Includes Lipoprotein typing and quantitation of Cholesterol and Triglycerides.

REF

Gold top SST.

Fasting 10 - 12 hours is required.

Allow to clot, centrifuge and store at room temp Room Temp Referral

Lithium 0.5 - 1.2 mEq/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Liver Fibrosis Panel See report REF (2) Gold top SST delivered to the lab immediately Spin & aliquot within 1 hour. Frozen Referral

Liver/Kidney- Microsomal Antibody

Negative REF Gold Top SST Allow to clot, centrifuge and

Lower Respiratory Culture

Normal respiratory flora: Alpha-hemolytic streptococci, non-hemolytic streptococci, Micrococcus sp, Neisseria sp, diphtheroid bacilli, Haemophilus species. Potential pathogens when organism is predominating:

Haemophilus influenzae, Enterobacteriaceae, Gram negative rods, Neisseria meningitidis, Streptococcus pneumoniae, Staphylococcus aureus, Moraxella catarrhalis, yeast and beta hemolytic streptococcus. Expectorated sputums are evaluated for specimen quality.

Specimens excessively contaminated with oral secretions are not cultured and a repeat specimen is requested.

MI Suction trap or sterile capped container. Refrigerate Refrigerated Daily

Lupus Anticoagulant

(DRVVT)

Normal: Ratio of 0.8 - 1.2 Abnormal:

Ratio of 1.2 - 1.5 LA weakly present Ratio of 1.5 - 2.0 LA moderately present Ratio of >2.0 LA strongly present

HEM Light blue top tube Deliver to lab immediately

Transport to laboratory immediately or centrifuge, remove plasma, centrifuge again, remove 2 mL of plasma and freeze.

Frozen Daily

Luteinizing Hormone See report CHEM Gold top SST Allow to clot, centrifuge, and freeze. Frozen M/W/F

Lyme Titer See report NYS Gold top SST Allow clotting, centrifuge and refrigerate. NYSDOH questionnaire must accompany specimen.

Refrigerated Referral

Lymphoma / Leukemia Markers

Complete panel includes the following markers:

CD10, CD19, CD23, CD7, CD3, HLA-

DR, CD20, CD5, CD45, CD4, CD8,

CD2, CD33, CD34, CD13, CD11b, Kappa light chain, and Lambda light chain.

HEM

(REF)

Blood: 10 mL peripheral blood in yellow top tube and 5 mL in lavender top tube for a CBC.

Bone marrow: 2 mL bone marrow (green top tube).

Samples accepted Mon.

through Thurs. ONLY.

Store at room temperature.

Specimens must be received by the lab on the same day as collected.

Send CBC with specimen to testing facility.

Room temp. Mon - Thurs

Magnesium, Serum 1.9 - 2.7 mg/dL CHEM Gold top SST Allow to clot. Centrifuge and

Magnesium, 24 Hour Urine 40 - 180 mg/24 Hr CHEM

24 hour urine collection in plain or HCL bottle.

Refrigerate during collection.

Send 10 mL aliquot. Record total volume and collection period (hours) on requisition. Refrigerate.

Refrigerated Daily

Magnesium, Random Urine Not applicable CHEM 10 mL fresh random urine. Refrigerate. Refrigerated Daily

Manganese, Plasma See report REF Dk Blue top tube Centrifuge, remove plasma and store at room temperature. Room temp. Referral

Measles (Rubeola) IgG Antibody Immune MI Gold top SST Allow to clot. Centrifuge, remove and refrigerate. Refrigerated 2 times/week

Metanephrine Panel

Includes Metanephrine and Normetanephrine See Report REF

24 hour urine: collect in HCL bottle. Refrigerate during collection.

Refrigerate. Send minimum 100 mL aliquot. Record total volume and collection period (hours) on requisition.

Refrigerated Referral

Methadone Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Methicillin Resistant Staphylococcus Aureus (MRSA) Surveillance Nares

DNA

Negative MI

Use Culturette system to collect nares swab. After collection insert swab into Culturette tube.

Store swab at room temperature. Swab: Room temp. Mon - Sat

Methicillin Resistant Staphylococcus Aureus (MRSA) Surveillance Other Agar

Negative MI

Use Culturette system to collect swab specimens.

After collection insert swab into Culturette tube. >1.0 mL clean catch urine or other fluids in sterile container with secure lid.

Store swab at room temperature.

Refrigerate urine or fluid.

Swab: Room temp.

Urine or fluid:

Refrigerated

Daily

Methotrexate See report REF Red top NO GEL Allow to clot. Centrifuge, remove serum and freeze. Frozen Referral

Methylmalonic Acid See report REF Gold top SST Allow to clot. Centrifuge and store Refrigerated Referral

Mexiletine See report REF Red top NO GEL Allow to clot. Centrifuge, remove serum and refrigerate. Refrigerated Referral

Microalbumin, 24 Hour Urine

0 - 15 mg/DAY Only specimens with protein < 110 mg/dL will be tested.

CHEM 24 hour urine. Refrigerate during collection.

Send 10 mL aliquot. DO NOT send in glass container. Record total volume and collection period (hours) on requisition. Refrigerate up to 72 hours.

Refrigerated Daily

Microalbumin, Random Urine

0.0 - 1.9 mg/dL Only specimens with protein < 110 mg/dL will be tested.

CHEM 10 mL fresh random urine. Refrigerate. Store in plastic (DO NOT use glass containers) up to 72 hours. Refrigerated Daily

Mitochondrial M2 Antibody See report REF Gold top SST delivered to the lab immediately Spin & aliquot within 1 hour, store at room temperature Room Temp Referral

Monotest Negative MI Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated Mon-Sat

Day shift

Morphine, Total See report REF Red top NO GEL delivered to lab immediately

Spin & aliquot within 2 hours, store refrigerated. Refrigerated Referral

Mumps IgG Antibody Immune MI Gold top SST Allow to clot, centrifuge, and refrigerate. Refrigerated 2 times/week

Mycobacteria Culture & Smear See AFB Culture & Smear MI

Mycology Culture No fungi isolated.

4 weeks required for negative result for most cultures

MI

Scrapings or fluids (minimum

1.0 mL) are collected in a capped sterile container.

Collect swab specimens for yeast using Culturette swab.

After collection insert swab into culturette tube.

Scrapings and fluids: Store refrigerated. Swabs: Store at room temperature.

Swabs: Room temp.

Scrapings and fluids:

Refrigerated

Daily

Mycology, KOH Prep No mycotic elements seen MI

Refer to Mycology Culture for specimen collection instructions.

Refer to Mycology Culture for handling instructions.

Refer to Mycology Culture for transport instructions.

Mon-Sat Day shift

Mycoplasma Antibody Panel See report REF Gold top SST

Allow to clot. Centrifuge and refrigerate. Refrigerated Referral

Myelin Basic Protein See report REF 2 mL CSF. Refrigerate. Refrigerated Referral

Myoglobin, Urine, Qualitative Negative REF

4mL of random urine. M-F only. Delivered to Lab immediately and aliquoted within 1 hour

If dipstick is positive for blood transfer to Myoglobin transport tube & freeze within 1 hour. Send same day.

N-telopeptide, serum See report REF Gold top SST Allow to clot. Centrifuge, aliquot and freeze. Frozen

Neisseria Gonorrhoeae Culture

No Neisseria gonorrhoeae isolated MI

Collect male urethral, female endocervical, or rectal or throat specimens using Culturette system. After collection, insert swab into Culturette tube.

Store at room temperature. Room temp. Daily

Occult Blood, Fecal Negative MI Occult blood slide Store at room temp. Room temp. Daily

Opiates / Opioids Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated Daily

Osmolality, Serum 275 - 295 mOsm/kg CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Osmolality, Urine 350 - 900 mOsm/kg CHEM 5 mL fresh random urine. No preservatives. Refrigerate Refrigerated Daily

Osteocalcin N-MID See report REF Gold top SST, delivered to lab immediately

Spin & Freeze immediately after clotting Frozen Referral

Ova And Parasite Exam MI

Routine O&P Screen No Cryptosporidium or Giardia antigen MI

Collect one stool sample (free of barium and oil) in a clean container.

Place sample in O&P Routine kit.

Pink top vial only. Store at room temp.

Room temp. Mon – Sat Day shift

Comprehensive O&P

No Cryptosporidium or Giardia antigen.

No ova or parasites observed.

Call the microbiology laboratory at 626- 5716 for special requests e.g.

Cyclospora or Microsporidium.

MI

(REF)

Collect stool as above.

Three samples collected at intervals of 2-3 days are required.

Place sample in O&P Comprehensive kit. Pink and blue top vials. Store at room temp. History of recent travel outside of the United States required.

Room temp. Referral

Oxalate, Urine See report

REF

24 hour urine collection in plain or HCL bottle.

Refrigerate during collection.

Refrigerate. Send 100 mL aliquot.

Record total volume and collection period (hrs) on requisition.

Refrigerated Referral

Oxycodone

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated Daily

Pap Smear See Cytology, Genital PATH

Parathyroid Hormone (PTH) 8.7 - 77.1 pg/mL CHEM LAV top EDTA Spin at 1000g for 20 minutes, aliquot and refrigerate. Refrigerated Mon - Fri

Partial Thromboplastin Time

APTT

26.4 - 28.7 HEM 5 mL blood (light blue top tube)

Store refrigerated. Transport within 4 hours of collection or centrifuge, aliquot and freeze.

Refrigerated or frozen Daily

Partial Thromboplastin Time Mixing Study

26.4 - 28.7 HEM

Collect two 5 mL light blue top tubes of blood.

Refrigerate immediately

Store refrigerated. Transport within 4 hours of collection or centrifuge, aliquot and freeze.

Refrigerated or frozen Mon - Fri pH (Body Fluids) See report CHEM 1.5 - 2.0 mL in syringe. No anticoagulant. Refrigerate. Transport within 4 hours. Refrigerated Daily

Phencyclidine Screen, Urine, Qualitative

Qualitative Negative/Presumptive Positive results reported. Does not include confirmatory testing on presumptive positives.

CHEM 5 mL fresh random urine. No preservatives. Refrigerate up to 24 hours or freeze. Refrigerated or frozen Daily

Phenobarbital 15 - 40 ug/mL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Phenytoin (Dilantin) Therapeutic: 10-20 ug/mL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Phenytoin, Free See report REF Red top NO GEL Centrifuge, remove serum, and refrigerate. Refrigerated Referral

Phosphorus, Serum 2.5 - 4.5 mg/dL CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Phosphorus, 24 Hour Urine 400 - 1700 mg/24 Hr CHEM

24 hour urine collection in plain or HCL bottle.

Refrigerate during collection.

Send 10 mL aliquot. Record total volume and collection period (hours) on requisition. Refrigerate.

Refrigerated Daily

Phosphorus, Random Urine Not applicable CHEM 10 mL fresh random urine. Refrigerate Refrigerated Daily

Platelet Aggregation Negative HEM

Schedule patient to be drawn at VA Medical Center in Albany. Call Hematology at x 65750 for requirements

(4) blue top tubes

Do NOT spin!

Test must be performed within 1 hour of collection.

Upon request M-F days

Platelet Count 150 - 450 HEM LAV top EDTA tube Make smear. Store refrigerated.

Transport within 24 hours. Refrigerated Daily

Porphobilinogen, Random Quantitative

See report REF Fresh random specimen (25 mL minimum). Protect from light.

Protect from light. Freeze. Frozen Referral

Porphobilinogen, 24 Hr Quantitative

See report REF

24 hour urine collected in plain bottle. Refrigerate during collection. Protect from light.

Protect from light. Freeze. Send minimum 25 mL aliquot. Record total volume and collection period (hours) on requisition.

Frozen Referral

Porphyrins, Urine, Quantitative

Includes Coproporphyrin and Uroporphyrin. See report REF

24 hour urine collection in plain bottle. Refrigerate during collection. Protect from light.

Refrigerate. Protect from light. Send minimum 25 mL aliquot. Record total volume and collection period (hours) on requisition.

Refrigerated Referral

Potassium, Serum 3.8 - 5.1 mEq/L CHEM Gold top SST Allow to clot. Centrifuge and refrigerate. Refrigerated Daily

Potassium, 24 Hour Urine 27 - 116 mEq/24 Hr CHEM 24 hour urine in plain bottle.

Refrigerate during collection.

Send 10 mL aliquot. Record total volume and collection period (hours) on requisition. Refrigerate.

Refrigerated…