Attachment_A.docx

Attachment A: Test List 5-HIAA - Urine (24 hr) 5-HIAA - Urine (Random) ABO & RH Type (Group and Type) Abcess Culture Acanthamoeba/Nagleria Culture Acetaminophen (Tylenol) Acetone (Ketone) - Serum Acid Fast Culture Acid Fast Smear

APTT

Activated Protein C Resistance Acutane Profile Female Acutane Profile Male Adenovirus PCR Ad renocorticotropic Hormone Albumin Albumin, Body Fluid Alcohol (ETON) Aldosterone Alkaline Phosphatase Alpha 2 Antiplasmin Alpha Fetoprotein (AFP) Maternal Serum Alpha Fetoprotein (AFP) Tumor Marker Alpha-1 Antitrypsin Amikacin - Peak Amikacin - Random Amikacin - Trough Ammonia Amniotic Fluid Culture Amylase Amylase - Body Fluid Amylase - Urine (24 Hour) Anaerobic Culture Anti Cardiolipin G&M Anti DNA Antibodies Anti ENA Antibody Anti Mitrochondrial Antibody Anti Nuclear Antibody Profile Anti Nuclear Antibody Screen Anti Parietal Cell Antibody Anti SCL 70 Anti Smooth Muscle Antibody Anti SSA & SSB Antibody Anti Streptococcal Dnase B Anti Streptolysin 0 Screen Anti Thyroid Antibodies Antibody Identification Antibody Titer Anti-factor Xa Antigen Testing Antithrombin III - Antithrombin APT Test aPTT - Post Heparin Removal Aspergillus Antibodies B Type Natriuetic Peptide (BNP) B2 Glycoproteins (IgG & IgM) B2 Microglobulins Bacterial Aerobic ID BCL2 t(14;18) PCR BCR ABL t(9,22) PCR Bilirubin - Direct Bilirubin - Neonatal Bilirubin - Total Bilirubin, Total - Body Fluid BK/JC Virus PCR (Blood) BK/JC Virus PCR (Urine) Blood Culture Blood Culture for Acid Fast Blood Culture for Fungus Blood Morphology (Pathologist Smear Review) Blood Urea Nitrogen (BUN) Blood Urea Nitrogen (BUN) Body Fluid Body Fluid Culture Body Tissue Culture Bone Marrow Aspiration Bordetella pertussis culture Bordetella pertussis Bronchial Wash Culture Brucella Antibodies C3 - Complement C4 - Complement

CA 125

CA 15-3

Calcium Calcium - Ionized Calcium - Urine (24 hrs) Carbamazepine (Tegretol) Carboxyhemoglobin (Carbon Monoxide) Catheter Tip Culture

CBC

CEA - Carcinoembryonic Antigen Cell Count - Diff Body Fluid Cell Count - Diff CSF Ceruloplasmin CF Culture, Quantitative CF Respiratory Culture Chlamydia trachomastis Culture Chlamydia trachomastis - PCR Chloride Chloride - Body Fluid Chloride - Urine (24 hr) Cholesterol CK - MB Mass Clostridium difficile Toxin CMV AB - IgG (Cytomegalovirus antibody) CMV AB IgM (Cytomegalovirus IgM antibody) CMV Culture CO2 (Carbon Dioxide) Cortisol Cotinine CPK (Creatine Phosphokinase) C-Reactive Protein C-Reactive Protein, High Sensitivity Creatinine Creatinine - Body Fluid Creatinine - Clearance Creatinine - Urine (24 Hr) Cryofibrinogen Cryptococcal Antigen- CSF Cryptococcal Antigen - Serum CSF Culture CSF Electrophoresis - Fluid Cyclic Citrinullated Peptide IgG Cyclosporine Cyclosporine - 2 Hr Post Dose Cystic Fibrosis Cytomegalovirus (CMV PCR) Cytoplasmic Neutrophil AB D-Dimer (Special Coagulation) Dermatophyte Culture DHEA - Sulfate DIC Screen Digoxin Direct Coombs Down Syndrome Profile (DSP) Drug Screen - Urine (Basic Medical) Ear Culture EBV - Early Antigen EBV - Nuclear Antigen EBV Profile EBV Viral Capsid AB - IgG EBV Viral Capsid AB - IgM Electrolyte Group Enterovirus Culture Enterovirus PCR Eosinophil Smear Epstein Barr Virus PCR Erythropoietin Estradiol Estriol - Unconjugated Extrinsic Factors Eye Culture Factor II Factor IX Factor IX Inhibitor Assay Factor V Factor V Leiden Factor VII Factor VIII Factor VIII Inhibitor Assay Factor X Factor XI Factor XII Factor XIII Quantitative Factor XIII Screen Fat, Fecal Qualitative Ferritin Fetal Lung Maturity Fibrin Monomer Fibrin Split Products (FDP or FSP) Special Coag Fibrinogen (Special Coagulation) Fibrinogen - Antigen

FLU - EIA

Fluid Immune Profile Folate Free T3 Free T4

FSH

FTA -ABS

FTA-ABS CSF

Fungus Culture Fungal Culture ID Fungus Smear Gastrin Gastroccult

GC - PCR

GC Culture Genital Culture Gentamicin - Peak Gentamicin - Random Gentamicin - Trough

GGTP

Gimesa (Malaria/Borrelia) Glucola 50 gm - 1 hr (OB) Glucola 75 gm - 2 hr (Postpartum) Glucose Glucose - 2 Hr PP Glucose - Body Fluid Glucose - CSF Glucose - Urine (24 Hr) Glucose Tolerance 110 gm - 3 hr (0B) Glucose Tolerance 75 gm - 3 hr Glucose Tolerance 75 gm - 2 hr (CF/NEURO) Glycated Hemoglobin GR. B Strep Culture GR. B Strep Culture (Pen Allergic) Gram Stain Group B Strep PCR H. Pylon AB - IgG H. Pylori Stool Antigen (EIA) Haptoglobin

HCG

HVC Genotype HCV Quantitative HDL Cholesterol Hematocrit Hemoglobin Hemoglobin - Electrophoresis Hemoglobin Al C Hemosiderin (Iron) Stain - Urine Hep A AB - IgM Hep A AB - Total Hep B Core AB - 1gM Hep B Core AB - Total Hepatitis B Quantitative Hep B Surface AB Hep B Surface AG Hep C AB Heparin Induced Thrombocytopenia (HIT) Hepatitis Panel - Acute Hereditary Hemochromatosis Herpes Culture Herpes Simplex AB 1 and 2 - IgG Herpes Simplex Antibody - IgM Herpes Simplex PCR Heterophile AB (MonoSpot)

HG B/H CT

HIV 1/2 Antibody HIV 1 Western Blot HIV 1 Monitor Ultrasensitive HLA -ABC Typing HLA Antibody Screen Class 1 and HLA Class II

HLA - B27

HLA- DNA Class I HLA Class I Antibody Screen HLA - DNA Class II HLA Class II Antibody Screen HLA - DNA Class II - High Resolution HLA - DR Typing HLA - Platelet Antibody Screen HLA - PRA (Panel Reactive Antibody) HLA Single Antigen - ABC Disease Association HLA Single Antigen - DR Disease Association Homocysteine HPV - Human Papillomavirus Digen HTLV I/II Antibody Hypercoaguable Screen IgA IgE IgG IgG, IgA, IgM 1gM Immune Profile I w/ CBC Immune Profile II w/CBC Immune Profile Ill w/CBC Immune Profile IV w/CBC Immune Profile V w/CBC Immunofixation - Serum Immunofixation - Urine (24 hr) Immunofixation - Urine (Random) Indirect Coombs (Antibody Screen) Insect Identification Insulin Insulin Tolerance - Cortisol Intrinsic Factors Iron JAK 2 V617F Mutation JO 1 Antibody Kleihauer-Betke Stain Lactate (Lactic Acid) Lactate - CSF

LDH

LDH - Body Fluid Legionella Urinary Antigen Leukemia/Lymphoma Panel Leukocyte Alkaline Phosphotase Stain (LAP) Lipase Lipoprotein A Lithium Lupus Anticoagulant Screen Lutenizing Hormone (LH) Lyme Antibody (IgM & IgG) Magnesium Magnesium - Urine (24 Hr) Measles Antibody Metanephrines - Urine (24 Hr) Metanephrines - Urine (Child/Random) Methemoglobin Methotrexate Microalbumin - Urine (24 Hr) Microalbumin - Urine (Random) Mixing Studies - aPTT Mixing Studies - PT Modified Russell Viper Venon Time (MRVVT/DRVVT) MRSA Screen Mumps Antibody IgG Mycobacterium Differential PCR Mycoplasma Antibody - IgG Mycoplasma Antibody - IgM Narcolepsy Associated Antigen Screen Nasopharynx (NP) Culture O & P (Cyclospora Screen) O & P (Microsporidium Screen) O & P (Routine) O & P Screen (Giardia/Cryptosporidium) Occult Blood Feces Osmolality Osmolality - Body Fluid Osmolality - Urine (Random) Parasite ID Pericardial Fluid Culture Peritoneal Dialysis Culture Peritoneal Fluid Culture pH - Body Fluid pH & Reducing Substances Phenobarbital Phenytoin (Dilantin) Phosphatidylglycerol (PPG) Phosphorus - Urine (24 hrs) Phosphorus (Phosphate) Pinwom Prep Plasminogen Platelet Aggregation Platelet Count (Hematology) Platelet Donor Type Platelet Recipient (Patient) Pleural Fluid Culture Post Vasectomy Sperm Count Potassium Potassium - Body Fluid Potassium - Urine (24 Hr) Prealbumin Pregnancy, Serum Pregnancy, Urine Prenatal Basic Prenatal Full Prenatal Plus Profile 20 Profile Basic Metabolic Profile Comprehensive Metabolic Profile Hepatic Liver Function Profile Lipid Profile Renal (Dialysis) Profile Veterinary Progesterone Prolactin Protein C Antigenic Protein C Functional Protein Electrophoresis - Serum Protein Electrophoresis - Urine (24 Hr) Protein Electrophoresis - Urine (Random) Protein S Activity Protein S Free Prothrombin Time (PT) (Special Coagulation) PSA - Free and Total (% ratio) PSA - Prostate Specific Antigen Pseudocholinesterase PT - Post Heparin Removal PT/aPTT PTH - Parathyroid Hormone Rapid Cortrosyn - Aldosterone Rapid Cortrosyn - Cortisol RBC Folate Respiratory Virus Culture Reticulocyte (Retic) Count Rheumatoid Factor - Screen RHIG Workup Profile Rickettsia Screen Rotavirus - EIA RPR - Rapid Plasmin Reagin

RSV - EIA

Rubella Antibody - IgG Salicylate (Asprin) Sedimentation Rate (ESR) Serum Bactericidal Titer Serum Viscosity

SCOT (AST)

SGPT (ALT)

Sickle Cell Screen Sinus Culture Sodium Sodium - Body Fluid Sodium - Urine (24 Hr) Specific Gravity Only, Urine Sputum Culture Stool Culture (R/0 Campy) Stool Culture (R/O Salmonella-Shigella) Stool Culture (R/O Vibrio) Stool Culture (R/0 Yersinia) Stool EIA (R/O E. coli 0157) Strep Screen - Group A - Rectal Strep Screen - Group A - Throat Streptococcus Pneumoniae Urinary AG Synovial Fluid Analysis Synovial Fluid Culture T3 Uptake Tacrolimus (FK506) T-cell Gene Rearrangement (Gamma) T-cell Beta Gene Rearrangement Testosterone - Free Testosterone - Total Theophylline Throat Culture Thrombin Time (TT) Thyroid Stimulating Hormone (TSH) TI BC - Iron Tobramycin - Peak Tobramycin - Random Tobramycin Trough Total Protein Total Protein, Body Fluid Total Protein, CSF Total Protein - Urine (24 Hr) Total T3 (Triidothyronine) Total T4 (Thyroxine) Toxoplasma Antibody - IgG Toxoplasma Gondii Antibody - IgM Tracheal Aspirate Culture Transferrin Treponema Pallidium AB Triglyceride Triglyceride, Body Fluid Troponin I Type and Crossmatch Type and Screen Urea Nitrogen - Urine (24 Hr) Uric Acid Uric Acid - Urine (24 Hr) Urinalysis - Routine Urinalysis, Chemistry Dipstick Only Urinalysis, Microscopic Only Urine Culture Valproic Acid (Depekane) Vancomycin - Peak Vancomycin - Random Vancomycin - Trough Varicella-Zoster Culture Varicella - Zoster IgG VDRL - Qualitative Screen Serum VDRL - Spinal Fluid Vitamin B12 VMA - Urine (24 Hr) von Willebrand Factor Antigen von Willebrand Profile von Willebrand Ristocetin Cofactor von Willebrand Screen VRE Screen WBC/Fecal Leukocytes White Blood Cell (WBC) Wound Culture

Non-Discountable Tests Chromosome Analysis Bone Marrow Unstimulated Peripheral Blood for Malignancies DNA FISH for Translocation, Deletions or XY Engraftment in Hematologic Malignancies Tissue Chromosome Analysis Level I Gross Exam Only Level 11 Gross and Micro Exam Level III Gross and Micro Exam Cell Block / Non-Gyn or FNA Level IV Gross and Micro Exam Level V Gross and Micro Exam Level VI Gross and Micro Exam Decalcification Procedure Special Stains Group I Special Stains Group II Special Stains Histochemical Stains w/ Frozen Determinative Histo Cyto Chemistry Consultation and Report on Referred Slides Consult and Report Requiring Cutting of Block Pathology Consultation During Surgery Pathology Consultation During Surgery w Frozen Pathology Consultation During Surgery w Frozen Immunocytochemistry Each Antibody Electron Microscopy Tissue In Situ Hybridization w lnterp and Report FNA Interpretation and Report Pap Smear Thin Prep Auto Screen Non-Gyn Cytology Body Fluid DNA FISH Lymphoma