Catalog > Search Results > Search Detail Full Test Directory CODE TEST CPT CODE SPECIMEN REQUIREMENTS / REFERENCE RANGES   BLOD0171  1 25,Dihydroxyvitamin D by Liquid Chromatography/Tandem Mass Spectrometry *Note: Reports Total, D2, and D3 of 1,25 Dihydroxyvitamin D; measures the bio-active form of Vitamin D. 82652 2.0 mL serum (1.1 mL minimum). No gel barrier or SST tubes. Room temperature. Stability: RMT - 14 days            REFT - 14 days BLOD0183  17 Alpha Hydroxyprogesterone by Liquid Chromatography Tandem Mass Spectrometry 83498 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Do not use glass tubes. EDTA and heparinized plasma also acceptable. Send refrigerated. Stability: REFT - 7 days            Frozen - 14 days NBLD0039  17-Ketosteroids Total 24-hr Urine by Colorimetric with Modified Zimmerman Reaction 83586 20 mL aliquot (10 mL minimum) of a well-mixed and measured 24-hour urine. Add 10 grams boric Acid or 30 mL of 6N HCl to container at start of collection to maintain a pH below 7.5. Record total volume on test request form and urine vial. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0409  25-Hydroxy Vitamin D Total by Chemiluminescence Immunoassay *This assay tests for both Vitamin D2 and D3 but does not differentiate. 82306 1.0 mL serum (0.5 mL minimum). EDTA and heparin plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days   5 Hydroxyindoleacetic Acid (5-HIAA) Quantitative 24-Hour Urine Refer to "5 HIAA". NBLD0067  5-HIAA (5 Hydroxyindoleacetic Acid) Quantitative 24-Hour Urine by HPLC 83497 10 mL aliquot of a well-mixed and measured 24-hour urine (5.0 mL minimum). Collect urine with 25 mL of 6N HCl during collection to maintain pH below 3. Contact Client Support for alternative shipping if preservative is unavailable. Record total volume on test request form and urine vial. Three days prior to collection, follow PATIENT PROTOCOL: Avoid foods high in indoles: avocados, bananas, tomatoes, plums, walnuts, pineapple, and eggplant. Patient should also avoid tobacco, tea, and coffee three days prior to collection. INTERFERING DRUGS: Alpha & beta blockers, atenolol, bromocriptine, bronchodilators, clonidine, digoxin, isoniazid, L-dopa, labetelol, methyldopa, MAO inhibitors, nitroglycerin, sympathomimetic amines, phenobarbital, phenothiazines, phentolamine, reserpine, salicylates, and tricyclic antidepressants. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   6 Monoacetylmorphine Refer to "Drugs of Abuse" or "Drug Screen". BLOD0417   A2 Hemoglobin by HPLC 83021 5.0 mL EDTA whole blood (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0918  ABO Blood Group 86900 3.0 mL EDTA whole blood or 3.0 mL clotted blood (sterile tube with no additives). No gel barrier or SST tubes. Refer to GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0919  ABO Blood Group and Rh Type 86900 86901 3.0 mL EDTA whole blood or 3.0 mL clotted blood (sterile tube with no additives). No gel barrier or SST tubes. Refer to GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0154  ACE (Angiotensin-1 Converting Enzyme) by Kinetic 82164 1.0 mL serum only (0.5 mL minimum). Stability: RMT - 5 days            REFT - 7 days BLOD0548  Acetaminophen (Tylenol) by Colorimetric 82003 1.0 mL serum (0.5 mL minimum). Lithium heparin plasma also acceptable. For overdose, obtain level 4 hours post-ingestion (or as soon as possible after 4 hours). Refrigerate. Stability: REFT - 7 days BLOD0003  Acetone (Blood Ketone), Quantitative by Colorimetric 82010 1.0 mL serum (0.7 mL minimum). Send refrigerated. Stability: RMT - 1 day            REFT - 7 days BLOD0472  Acetylcholine Receptor Binding Antibody by RIA 83519 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days BLOD0473  Acetylcholine Receptor Blocking Antibody (ACHR) by RIA 83519 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0205  Acetylcholine Receptor Modulating Antibody by RIA 83519 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Acetylcholinesterase RBC Refer to "Cholinesterase RBC and Plasma".   Acid Fast Bacilli Stain Refer to "CULT Acid Fast Bacilli Stain".   Acid Fast Culture Refer to "CULT Acid Fast Culture Indicate Source".   Acid Fast Culture Blood Refer to "CULT Acid Fast Culture Blood".   Acid Fast Culture Other Refer to "CULT Acid Fast Culture Indicate Source".   Acid Phosphatase Prostatic Refer to "Prostatic Acid Phosphatase". BLOD0146  ACTH High-Sensitive Plasma (Adrenocorticotrophic Hormone) by Immunoassay 82024 1.5 mL frozen EDTA plasma (0.5 mL minimum). Draw specimen between 7 a.m. and 10 a.m. If drawn during any other time, the reference ranges do not apply. Transfer plasma to plastic transport vial. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Actin Antibody Refer to "Anti-Smooth Muscle Antibody IgG". BLOD0664  Activated Protein C Resistance (APC Resistance Factor V Abnormality) by APTT-Based Assay Clot-Based 85307 2.0 mL frozen sodium citrate platelet-poor plasma (0.7 mL minimum). Refer to GENERAL INFORMATION Section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Sodium citrate (3.2%) is the only acceptable anticoagulant. NOTE: Testing can be performed on samples from patients on coumadin or heparin therapy. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Activated Thromboplastin Time (APTT) Refer to "APTT". BLOD0783  Acute Hepatitis Panel -Hepatitis A Antibody (HAAb), IgM               Antibody -Hepatitis B Core Antibody (HbcAb), IgM               Antibody -Hepatitis B Surface Antigen (HbsAg)               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. -Hepatitis C Antibody *Note: Acute Hepatitis Panel is one of the Medicare approved Clinically Relevant Panels. Please refer to the MEDICAL NECESSITY section of this Catalog. 80074 1.0 mL serum and 4.0 mL EDTA plasma (3.0 mL minimum). Please indicate "serum" or "plasma" on specimen tubes. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Acute Leukemia Panel Refer to "Leukemia Diagnostic Panel".   Adapin (Doxepin/Sinequan) Refer to "Doxepin".   Adenovirus (Viral Culture) Refer to "CULT Viral Culture". BLOD0316  Adenovirus Antibody by Complement Fixation 86603 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate. CSF is not acceptable for this test. Stability: RMT - 4 days            REFT - 7 days BLOD0217  ADH - Antidiuretic Hormone (Arginine Vasopressin) by RIA/Extraction 84588 4.0 mL frozen EDTA plasma (1.3 mL minimum) Draw blood in pre-chilled EDTA tube. Transport in an ice bath to a refrigerated centrifuge. Separate plasma immediately and freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0480  Adrenal Total Antibodies by IFA *Used to evaluate Adrenal insufficiency and Addison's Disease. 86255 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 14 days   Adrenocorticotropic Hormone Refer to "ACTH".   AFB Stain Refer to "CULT Acid Fast Bacilli Stain". BLOD0849  AFP (Alpha Fetoprotein) Serum Maternal by Immunochemiluminometric Assay *(Open Neural Tube Defect Only) 82105 1.0 mL serum only (0.7 mL minimum). Submit with a special AFP requisition available from our Supplies Department. ALL INFORMATION MUST BE COMPLETED ON THE MATERNAL-AFP REQUISITION. Test MUST be performed at 15-22.9 weeks gestation. Refrigerate. Stability: REFT - 7 days            Frozen - 14 days BLOD0586  AFP (Alpha Fetoprotein) Tumor Marker by Chemiluminescence 82105 1.0 mL serum only (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 7 days NBLD0048  ALA (Aminolevulinic Acid) 24-Hour Urine by Colorimetric *Includes Urine Creatinine 82135 2.0 mL aliquot of well-mixed and measured 24-hour urine (0.8 mL minimum). Record total volume on test request form and urine vial. PROTECT FROM LIGHT. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Albumin 24-Hour Urine - Microalbumin Refer to "Microalbumin 24 Hour Urine".   Albumin Random Urine - Microalbumin Refer to "Microalbumin Random Urine". BLOD0549   Albumin Serum by BCG 82040 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0550  Alcohol Ethanol Blood by Enzymatic 82055 1.0 mL lithium heparin plasma. Fill tube completely. NOTE: To minimize exposure to air, spin samples with cap on. Separate plasma from cells and transfer plasma to a plastic tube and immediately cap tube tightly. Send refrigerated. LABS0221  Alcohol Ethanol Legal Blood by Enzyme Immunoassay, GC/MS *Requires Chain-of-Custody Form 82055 4.0 mL sodium fluoride whole blood (1.0 mL minimum). Tubes should be filled to prevent loss of volatile compound into headspace. Gently mix well. Refrigerate. Stability: RMT - 24 hours            REFT - 14 days BLOD0147  Aldolase by Enzymatic 82085 2.0 mL serum (1.2 mL minimum). Submit in separate plastic vial. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Frozen preferred. Stability: REFT - 5 days            Frozen - 14 days NBLD0044  Aldosterone 24-Hour Urine by Extraction, Radioimmunoassay 82088 5.0 mL aliquot of a well-mixed and measured 24-hour urine (1.0 mL minimum). Collect urine with 10 grams of boric acid at start of collection to maintain a pH below 7.5. Refrigerate during and after collection. Record total volume on test request form and urine vial. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. NOTE: The drug Lasix will affect the test. Stability: REFT - 7 days            Frozen - 14 days BLOD0148  Aldosterone Serum by LC/MS/MS 82088 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Separate from cells within 30 minutes. Refrigerate. Drawn upright samples at least 1/2 hour after patient sits up. Indicate "supine" or "upright" position during sample collection. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT.             Stability: REFT - 7 days            Frozen - 14 days BLOD0568  Alkaline Phosphatase by Colorimetric - Rapid City by Enzymatic - Sioux Falls 84075 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 4 days BLOD0200  Alkaline Phosphatase Isoenzymes by Agarose Electrophoresis, Enzymatic *Includes Total Alkaline Phosphatase and Isoenzymes: Intestinal, Bone, Liver, & Placental 84080 84075 2.0 mL serum only (1.0 mL minimum). Overnight fasting preferred. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0709  Allergen Animal Cat Dander by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0718  Allergen Animal Cow Dander by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0723  Allergen Animal Dog Dander by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0240  Allergen Animal Ferret Epithelia by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0245  Allergen Animal Goose Feathers by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0249  Allergen Animal Guinea Pig Epithelium by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1135  Allergen Animal Hamster by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0730  Allergen Animal Horse Dander by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0265  Allergen Animal Parrot / Parakeet Droppings (Budgerigar) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0273  Allergen Animal Rabbit Epithelia by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0279  Allergen Animal Turkey Feathers by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0805  Allergen Drug Penicillin Allergy Panel by Fluoroallergrosorbent *Includes Penicilloyl G, Penicilloyl V, Amoxicilloyl, & Ampicilloyl **Tests for all four major determinates of Penicillin. 86003(4) 1.0 mL serum (0.8 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0694  Allergen Food Almond by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0695  Allergen Food Alpha lactalbumin by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0697  Allergen Food Apple by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0230  Allergen Food Avocado by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0699  Allergen Food Banana by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0700  Allergen Food Barley by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0701  Allergen Food Beef by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0703  Allergen Food Beta lactoglobulin by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0231  Allergen Food Brazil Nut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0232  Allergen Food Broccoli by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0713  Allergen Food Cacao (Cocoa) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0707  Allergen Food Carrot by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0705  Allergen Food Casein by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0708  Allergen Food Cashew Nut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0234  Allergen Food Celery by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0235  Allergen Food Cheese Cheddar by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0236  Allergen Food Cheese Mold Type by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0710  Allergen Food Chicken Meat by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0237  Allergen Food Cinnamon by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0288  Allergen Food Clam by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0713  Allergen Food Cocoa Tested as "Cacao" by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0239  Allergen Food Coconut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0714  Allergen Food Codfish by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0716  Allergen Food Corn (maize) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0719  Allergen Food Crab by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0724  Allergen Food Egg White by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0725  Allergen Food Egg Yolk by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0242  Allergen Food Garlic by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0243  Allergen Food Gluten by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0246  Allergen Food Grape by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0247  Allergen Food Grapefruit by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0248  Allergen Food Green Bean by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0250  Allergen Food Hazelnut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0289  Allergen Food Kiwi Fruit by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0254  Allergen Food Lamb / Mutton by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0255  Allergen Food Lemon by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0256  Allergen Food Lettuce by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0257  Allergen Food Lobster by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1136  Allergen Food Macadamia Nut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0258  Allergen Food Melon by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0737  Allergen Food Milk by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0260  Allergen Food Mushroom by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0261  Allergen Food Mustard by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0741  Allergen Food Oat by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0262  Allergen Food Onion by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0742  Allergen Food Orange by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0264  Allergen Food Paprika by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0267  Allergen Food Pea by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0268  Allergen Food Peach by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0744  Allergen Food Peanut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0269  Allergen Food Pear by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0270  Allergen Food Pecan Nut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0271  Allergen Food Pineapple by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0272  Allergen Food Pistachio by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0749  Allergen Food Pork by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0750  Allergen Food Potato by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0290  Allergen Food Psyllium by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0752  Allergen Food Rice by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0274  Allergen Food Rye by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0291  Allergen Food Salmon by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0754  Allergen Food Scallops by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0292  Allergen Food Sesame Seed by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0755  Allergen Food Shrimp by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0756  Allergen Food Soybean by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0757  Allergen Food Strawberry by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0275  Allergen Food Sunflower Seed by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0276  Allergen Food Sweet Potato by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0759  Allergen Food Tomato by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0278  Allergen Food Tuna by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0280  Allergen Food Turkey Meat by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0760  Allergen Food Walnut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0761  Allergen Food Wheat by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0764  Allergen Food Yeast by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0763  Allergen Grass Alfalfa by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0702  Allergen Grass Bermuda by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0233  Allergen Grass Brome by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0253  Allergen Grass Johnson by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0732  Allergen Grass Kentucky Blue June by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0728  Allergen Grass Meadow Fescue by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0743  Allergen Grass Orchard Grass (Cocksfoot) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0751  Allergen Grass Redtop Bentgrass by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0747  Allergen Grass Rye Perennial by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0758  Allergen Grass Timothy by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0731  Allergen House Dust (Hollister-stier) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0720  Allergen House Dust / Mite Dermatophagoides farinae by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0721  Allergen House Dust / Mite Dermatophagoides microceras by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0722  Allergen House Dust / Mite Dermatophagoides pteronyssinus by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0712  Allergen Insect Cockroach (Blatella germanica) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0241  Allergen Insect Fire Ant by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0252  Allergen Insect Honey Bee by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0263  Allergen Insect Paper Wasp by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0282  Allergen Insect Whitefaced Hornet by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0286  Allergen Insect Yellow Hornet by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0287  Allergen Insect Yellow Jacket (Common wasp) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0696  Allergen Mold Alternaria alternata by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0698  Allergen Mold Aspergillus fumigatus by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0706  Allergen Mold Candida albicans by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0711  Allergen Mold Cladosporium herbarum (Hormodendrum) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1077  Allergen Mold Epicoccum purpurascens by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0251  Allergen Mold Helminthosporium halodes by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0738  Allergen Mold Mucor racemosus by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0746  Allergen Mold Penicillium notatum by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0734  Allergen Occupational Latex by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0762  Allergen Tree Ash (White) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0704  Allergen Tree Birch Common silver by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0735  Allergen Tree Boxelder / Maple by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0717  Allergen Tree Cottonwood by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0726  Allergen Tree Elm American by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0259  Allergen Tree Mountain Cedar Juniper by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1171  Allergen Tree Mulberry by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0740  Allergen Tree Oak by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0745  Allergen Tree Pecan Hickory by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0283  Allergen Tree Pine (White) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0281  Allergen Tree Walnut by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0284  Allergen Tree Willow by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0238  Allergen Weed Cocklebur by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0715  Allergen Weed Common Ragweed by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0727  Allergen Weed English Plantain (Ribwort) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0729  Allergen Weed Firebush / Kochia by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0244  Allergen Weed Goldenrod by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0733  Allergen Weed Lambs Quarter (Goosefoot) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0736  Allergen Weed Marshelder Rough by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0739  Allergen Weed Mugwort by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1172  Allergen Weed Nettle by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0748  Allergen Weed Pigweed Rough Common by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0753  Allergen Weed Russian Thistle (Saltwort) by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1173  Allergen Weed Sheep Sorrel by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0285  Allergen Weed Wormwood by Fluoroallergrosorbent 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0690  Allergy - Screen Animal * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Cat Dander -Cow Dander -Dog Dander -Horse Dander 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0765  Allergy - Screen Grass * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Orchard -Meadow Fescue -Perennial Rye -Timothy -Kentucky Blue 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0691  Allergy - Screen House Dust * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Cockroach (Blatella germanica) -Dermatophagoides farinae -Dermatophagoides pteronyssinus -Housedust (Hollister-Stier) 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0692  Allergy - Screen Mold * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Alternaria alternata -Aspergillus fumigatus -Cladosporium herbarum -Penicillin notatum 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BL:OD0766  Allergy - Screen Tree * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Box-Elder (Maple) -Oak -Elm -Cottonwood -Pecan/Hickory 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0767  Allergy - Screen Weed * by Fluoroallergrosorbent *Includes but does not differentiate between the following allergens: -Common Ragweed -Mugwort -English Plantain -Lambs Quarter -Russian Thistle 86005 1.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0693  Allergy - Total IgE Serum by Fluroenzymeimmunoassay 82785 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days BLOD0770  Allergy CHAMP Panel (Childhood Allergy March) + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay *Recommended for children 3 months - 4 years. -Alternaria alternata -Cat Dander -Cladosporium herbarum                           (Hormodendrum) -Cockroach -Codfish -Dermatophagoides farinae -Dermatophagoides pteronyssinus -Dog Dander -Egg White -Milk -Peanut -Shrimp -Soybean -Walnut -Wheat -Total IgE 86003(15) 82785 3.5 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0891  Allergy Food Panel 1 + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay -Clam -Codfish -Corn -Egg White -Milk -Peanut -Scallop -Sesame Seed -Shrimp -Soybean -Walnut food -Wheat -Total IgE 86003(12) 82785 3.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0892  Allergy Food Panel 2 + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay -Barley -Cacao (Cocoa) -Cashew nut -Chicken meat -Codfish -Corn -Egg white -Milk -Oat -Orange -Peanut -Pork (food) -Potato -Scallop -Shrimp -Soybean -Tomato -Walnut (food) -Wheat -Yeast -Total IgE 86003(20) 82785 3.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0804  Allergy Pediatric Food Panel by Fluoroallergrosorbent -Codfish -Corn -Egg white -Milk -Peanut -Soybean -Wheat 86003(7) 3.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0894  Allergy Pediatric Food Panel + Total IgE by Fluoroallergrosorbent, Fluroenzymeimmunoassay -Codfish -Corn -Egg white -Milk -Peanut -Soybean -Wheat -Total IgE 86003(7) 82785 3.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0889  Allergy Pediatric Panel + Total IgE by Fluoroasllergrosorbent, Fluoroenzymeimmunoassay *Includes but does not differentiate between the following allergens: -Animal Screen*               Cat Dander               Horse Dander               Cow Dander               Dog Dander -House Dust Screen*               Housedust (H-Stier)               Derm. pteronyssinus               Derm. farinae               Cockroach -Mold Screen*               Penicillin notatum               Cladosporium herbarum               Aspergillus fumigatus               Alternaria alternata -Codfish (white fish) -Corn -Egg White -Milk -Peanut -Soybean -Wheat -Total IgE 86005(3) 86003(7) 82785 3.0 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0769  Allergy Upper Respiratory Disease Panel Central Midwest States + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay *For upper and lower respiratory disease **Recommended for persons 4 years and older. -Alternaria alternata -Ash Tree -Aspergillus fumigatus -Bermuda Grass -Box Elder/Maple -Cat Dander -Cladosporium herbarum                           (Hormodendrum) -Cockroach -Common Ragweed -Cottonwood -Dermatophagoides pteronyssinus -Dog Dander -Dust Mite (Dermatophagoides farinae) -Elm, American -Kentucky Blue Grass, June -Mountain Cedar Juniper -Mulberry Tree -Nettle -Oak Tree -Penicillium notatum -Pigweed, Common (Rough) -Russian Thistle (Saltwort) -Sheep Sorrel -Total IgE 86003(23) 82785 5.0 mL serum (4.0 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD1072  Allergy Western Respiratory Disease Panel + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay *For upper and lower respiratory disease. -Alternaria alternata -Aspergillus fumigatus -Box Elder/Maple -Cat Dander -Cladosporium herbarum                           (Hormodendrum) -Common Ragweed -Cottonwood -Dog Dander -Dust Mite (Dermatophagoides farinae) -Firebush/Kochia -Kentucky Blue Grass, June -Mountain Cedar Juniper -Mugwort -Penicillium notatum -Total IgE 86003(14) 82785 4.0 mL serum (3.0 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen >7 days BLOD0849  Alpha Fetoprotein (AFP) Serum Maternal by Immunochemiluminometric Assay *(Open Neural Tube Defect Only) 82105 1.0 mL serum only (0.7 mL minimum). Submit with a special AFP requisition available from our Supplies Department. ALL INFORMATION MUST BE COMPLETED ON THE MATERNAL-AFP REQUISITION. Test MUST be performed at 15-22.9 weeks gestation. Refrigerate. Stability: REFT - 7 days            Frozen - 14 days BLOD0586  Alpha Fetoprotein (AFP) Tumor Marker by Chemiluminescence 82105 1.0 mL serum only (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 7 days BLOD0149  Alpha-1 Antitrypsin Phenotype by Isoelectric Focusing *Does not include quantitation; phenotype only. 82104 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 14 days Frozen - 14 days BLOD0007  Alpha-1 Antitrypsin Quantitation by Turbidimetric 82103 1.0 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days BLOD0573  ALT (SGPT) Alanine Aminotransferase by Enzymatic 84460 1.0 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Separate serum/plasma within 1 hour. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days BLOD0150  Aluminum by Atomic Spectroscopy 82108 2.0 mL serum (0.7 mL minimum) Draw one dark blue trace metal free tube of blood and DISCARD. Draw a second dark blue trace metal free tube with NO additive and allow to clot. Centrifuge and transfer serum to a trace metal free transport tube. Send refrigerated. Also acceptable is plasma collected in a a dark blue trace metal free tube with EDTA or sodium heparin. Centrifuge and transfer plama to a trace metal free transport tube. Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. Refrigerate. Stability: RMT - 4 days            REFT - 14 days BLOD0796  Amino Acid Quantitative Plasma by LC-MS/MS *Includes 23 different amino acids 82139 1.0 mL frozen heparinized plasma (0.5 mL minimum). Freeze. NOTE: Patient should be fasting at least 4 hours. Include family history, clinical condition, diet, drug therapy, and patient's age and sex. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only NBLD0048  Aminolevulinic Acid (ALA) 24-Hour Urine by Colorimetric *Includes Urine Creatinine 82135 2.0 mL aliquot of well-mixed and measured 24-hour urine (0.8 mL minimum). Record total volume on test request form and urine vial. PROTECT FROM LIGHT. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0541  Aminophylline (Theophylline) by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City by Enzymatic - Sioux Falls 80198 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. AVOID hemolysis. Heparinized plasma also acceptable. Preferred collection time is 1 hour after dose for "rapid release" form. Preferred collection time is at least 4 hours after "sustained release" form. Refrigeration preferred. Stability: RMT - 7 days            REFT - 7 days BLOD0399  Amiodarone (Cordarone) by HPLC *Includes metabolite Desethylamiodarone 82492 3.0 mL serum (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Refrigerate or freeze as noted below. Stability: REFT - 4 days            Frozen - 14 days BLOD0384  Amitriptyline (Elavil) by HPLC *Includes metabolite Nortriptyline 80152 2.0 mL serum (1.2 mL minimum). No gel barrier or SST tubes. Also acceptable: EDTA plasma, sodium or lithium heparin plasma. Preferred collection time is immediately before the next scheduled dose or at least 12 hours after last dose. Refrigeration preferred. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0551  Ammonia by Enzymatic 82140 2.0 mL frozen EDTA plasma. Lithium and sodium heparin plasma are also acceptable. It is crucial to fill the tube to capacity. Mix well, then centrifuge with stopper in place for 5 minutes right after drawing. Separate plasma from cells immediately and freeze. Prechilled tubes no longer needed. AVOID hemolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. NOTE: Draw specimen at appropriate time to ensure TESTING within 24 hours. Contact Client Support for questions regarding stability. Stability: Frozen - 24 hours   Amniotic Fluid L/S Ratio Refer to "L/S Ratio Amniotic Fluid".   Amphetamines Refer to "Drugs of Abuse". NBLD0168  Amylase Body Fluid by Enzymatic 82150 1.0 mL body fluid in sterile tube (0.5 mL minimum). Refrigeration preferred. Stability: RMT - 7 days            REFT - 7 days BLOD0552  Amylase Serum by Enzymatic, Colorimetric - Rapid City by Enzymatic - Sioux Falls 82150 1.0 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 7 days            REFT - 7 days NBLD0161  Amylase Timed-Urine by Enzymatic 82150 10 mL aliquot of a well-mixed and measured "timed" urine specimen. Record duration of collection time and the total volume on the requisition. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0773  ANA - FANA - Antinuclear Antibody Screen Serum - Reflex to titer and pattern if positive by EIA *ANA screen must be performed before an ANA titer is performed. Titer and pattern performed at an additional fee. 86038 Reflex 86039 1.0 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 2 days            Frozen - 7 days   Anaerobic Culture Refer to "CULT Bacterial Culture Anaerobic".   Anaerobic Identification Refer to "CULT Identification Anaerobic". BLOD0400  Anafranil (Clomipramine) by HPLC *Includes metabolite Desmethylclomipramine 83789 2.0 mL serum or EDTA plasma (1.5 mL minimum). No gel barrier or SST tubes. Separate cells as soon as possible after clotting. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigeration preferred. If sent frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0293  ANCA MPO Only - Myeloperoxide Antibody by EIA *For patients who have previously had a positive P-ANCA and are being followed/monitored for disease remission/progression. 86021 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0295  ANCA PR3 Only - Proteinase-3 Antibody by EIA *For patients who have previously had a positive C-ANCA and are being followed/monitored for disease remission/progression. 86021 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0294  ANCA Screen with MPO and PR3 - Anti- Neutrophil Cytoplasmic Antibodies by Immunoassay *Note: The ANCA screen now always includes additional tests MPO and PR3. If the ANCA screen is positive, the C-ANCA titer &/or P-ANCA titer &/or the Atypical P-ANCA titer will be performed at an additional charge with the additional CPT code of 86021 for each titer performed. 86021(3) 2.0 mL serum (1.1 minimum). Send refrigerated. Stability: RMT - 4 days            REFT - 7 days BLOD0153  Androstenedione by Liquid Chromatography Tandem Mass Spectrometry 82157 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Do NOT use glass tubes. An early morning specimen is preferred. Send refrigerated. Stability: RMT - 14 days            REFT - 14 days BLOD0838  Anemia Panel -Ferritin -Iron -Iron Binding Capacity -Reticulocyte Count -Vitamin B12 -Folic Acid, Serum 82728 83540 83550 85045 82607 82746 4.0 mL refrigerated serum (3.0 mL minimum) and 4.0 mL EDTA whole blood (1.5 mL minimum). PROTECT SPECIMEN FROM LIGHT. AVOID hemolysis. Serum Stability:               REFT - 7 days Whole Blood Stability:               RMT - 8 hours            REFT - 3 days BLOD0154  Angiotensin-1 Converting Enzyme (ACE) by Kinetic 82164 1.0 mL serum only (0.5 mL minimum). Stability: RMT - 5 days            REFT - 7 days   Animal Allergens Refer to "Allergen Animal" and then by specific animal name.   Animal Allergy Screen Refer to "Allergy - Screen Animal". BLOD0922  Antibody Identification - Red Cell *If antibody is significant, a titer will be performed at an additional fee. 86870 20 mL EDTA whole blood or 20 mL clotted blood (2 sterile tubes with no additives) and 5.0 mL EDTA whole blood. During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. NOTE: If previous screen was positive, please include phase of reaction, results, and method used. "Compatibility/Antibody Identification Form" available from Client Support. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0815  Antibody Identification and Titer Red Cell 86870 86886 20 mL EDTA whole blood or 20 mL clotted blood (2 sterile tubes with no additives) and 5.0 mL EDTA whole blood. During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. NOTE: If previous screen was positive, please include phase of reaction, results, and method used. "Compatibility/Antibody Identification Form" available from Client Support. Refer to GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0926  Antibody Screen Red Cell *If positive, antibody identification will be performed at an additional fee. 86850 10 mL EDTA whole blood or 10 mL clotted blood (sterile tube with no additives). During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0921  Antibody Titer Red Cell *Order if need titer of previously identified antibody (during this pregnancy). Specify antibody to be titered on the requisition. 86886 10 mL EDTA whole blood or 10 mL clotted blood (sterile tubes with no additives). Specify antibody to be titered on the requisition. During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. Refer to the GENERAL INFORMRATION Section for Specimen Labeling Policy - Blood Bank. BLOD0217  Anti-Diuretic Hormone (ADH - Arginine Vasopressin) by RIA/Extraction 84588 4.0 mL frozen EDTA plasma (1.3 mL minimum). Draw blood in pre-chilled EDTA tubes. Transport in an ice bath to a refrigerated centrifuge. Separate plasma immediately and freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0775  Anti-DNA Double Stranded Antibody by EIA 86225 1.0 mL serum (0.7 mL minimum). Plasma is NOT acceptable. Refrigerate or freeze as noted below. AVOID freeze/thaw cycles. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days BLOD0460  Anti-DNA Single Stranded Antibody by EIA 86226 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0305  Anti-DNase B Antibody by Nephelometry 86215 1.0 mL serum (0.5 mL minimum). Refrigeration preferred. Stability: RMT - 48 hrs            REFT - 8 days BLOD0424  Anti-ENA Antibodies by EIA *Includes Anti-RNP and Anti-Sm Antibodies 86235(2) 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Anti-Extractable Nuclear Antigens Refer to "ENA Profiles".   Anti-Gliadin Antibodies Refer to "Gliadin Peptide" or "Gliadin (Deamidated)". BLOD0187  Anti-Glomerular Basement Membrane (GBM Antibody) by Immunoassay 83520 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0184  Anti-Histone Antibodies by EIA 83516 1.0 mL serum (0.5 mL minimum). Overnight fasting preferred. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Anti-Islet Cell Antibody Refer to "Islet Cell Antibody". BLOD0306  Anti-Jo-1 by Immunoassay 86235 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0309  Anti-Mitochondrial Antibody (AMA) Screen with Reflex to Titer by Immunoassay *If screen is positive, a titer will be performed at an additional fee. 86255 Reflex 86256 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD1157  Anti-Mullerian Hormone (AMH) Serum by ELISA *This test is for investigational/research use only. 83516 1.0 mL frozen serum (0.5 mL minimum). Separate serum from cells within one hour and freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0294  Anti-Neutrophil Cytoplasmic Antibodies (ANCA Screen with MPO and PR3) by Immunoassay *Note: The screen now always includes additional tests MPO and PR3. If the ANCA screen is positive, the C-ANCA titer &/or P-ANCA titer &/or the Atypical P-ANCA titer will be performed at an additional charge with the additional CPT code of 86021 for each titer performed. 86021(3) 2.0 mL serum (1.1 mL minimum). Send refrigerated. Stability: RMT - 4 days            REFT - 7 days   Anti-Nuclear Antibody (Expanded) Profile Refer to "ENA Profile 3". BLOD0773  Anti-Nuclear Antibody Screen - ANA - Serum Reflex to titer and pattern if positive by EIA *ANA screen must be performed before an ANA titer is performed. Titer and pattern performed at an additional fee. 86038 Reflex 86039 1.0 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT- 2 days            Frozen - 7 days BLOD0310  Anti-Parietal Cell Antibody by ELISA 83516 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days            Frozen -14 days BLOD0680  Anti-Phospholipid Antibody Panel PC - (with Lupus Inhibitor Screen) *Includes Cardiolipin IgG & IgM Antibodies; Lupus Inhibitor Evaluation - PTT, PTT confirmatory, PTT Interpretation, DRVVT, DRVVT Confirmation, DRVVT ratio; and Anti-Beta 2 Glycoprotein-I Antibodies ( Beta-2-GPI) IgG & IgM with Pathologist Interpretation. **Confirmatory testing will be performed if necessary at an additional fee. 86147(2) 85730 85613 85732 86146(2) Cardiolipins and Beta-2-GPI for IgG & IgM: 3.0 mL frozen 3.2% sodium citrate plasma (2.0 mL minimum) into a separate aliquot. Heparinized plasma and EDTA plasma are also acceptable. Lupus Inhibitor Evaluation: 2.0 mL frozen 3.2% sodium citrate platelet-poor plasma (2.0 mL minimum) into a separate aliquot. Freeze platelet-poor plasma immediately. DO NOT FREEZE/THAW. THIS TEST REQUIIRES 2 SEPARATE FROZEN ALIQUOTS. Refer to GENERAL INFORMATION Section for collection of Coagulation tests and platelet-poor plasma. Stability: Cardiolipins and Beta-2-GPI:               REFT - 48 hrs            Frozen > 48 hrs Lupus Inhibitor Evaluation:               Frozen only                  Anti-Platelet Antibody (Indirect) Refer to "Platelet Antibody Indirect Circulating".   Anti-Platelet IgG Antibody (Direct) Refer to "Platelet Antibody Direct Platelet Bound". BLOD0308  Anti-Scleroderma Antibody (Anti-Scl 70) by Immunoassay 86235 1.0 mL serum (0.7 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days   Anti-Sjogrens Syndrome Refer to "Sjogrens Syndrome Antibodies".   Anti-Sm (Smith) and Anti-RNP Refer to "ENA Antibodies". BLOD0185  Anti-Smooth Muscle Antibody IgG (Actin Antibody) by Enzyme Linked Immunosorbent Immunoassay 83516 1.0 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate. Stability: REFT - 14 days   Anti-SSA/Ro and Anti-SSB/La Refer to "Sjogrens Syndrome Antibodies". BLOD0620  Anti-Streptolysin O (ASO) Quantitative by Turbidimetric 86060 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days BLOD0454  Anti-Striated Muscle Antibody by IFA 86255 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0222  Anti-Thrombin 3 Antigen by Immunoturbidimetric 85301 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Overnight fasting is preferred. 3.8% sodium citrate plasma is NOT acceptable. Centrifuge specimen immediately and transfer to plastic vial. NOTE: Heparin may cause decreased values. Overnight fasting is preferred. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0663  Anti-Thrombin Functional by Colorimetric 85300 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Refer to GENERAL INFORMATION Section for collection of coagulation tests and procedure for preparing platelet-poor plasma. AVOID hemolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0413  Anti-Thyroglobulin Antibodies by Chemiluminescence 86800 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days BLOD0376  Anti-Thyroid Antibodies Panel by Chemiluminescence -Thyroglobulin Antibodies -Thyroid Peroxidase Antibodies 86800 86376 2.0 mL serum (1.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days BLOD0315  Anti-Thyroid Peroxidase Antibodies (TPO) by Chemiluminescence 86376 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stabilty: REFT - 3 days            Frozen - 7 days BLOD0673  APTT (Activated Partial Thromboplastin Time) by Mechanical Clot Detection 85730 2.0 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). AVOID hemolysis. Centrifuge, separate, and freeze plasma within 30 minutes of drawing. Do not store in a frost-free freezer. Correct ratio of blood to anticoagulant is critical for assay validity. Fill tube completely. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Refer to GENERAL INFORMATION Section for collection of Coagulation tests. Send frozen. Stability: Frozen only   Arginine Vasopressin Refer to "Anti-Diuretic Hormone". BLOD0157  Arsenic Whole Blood by Inductively Coupled Mass Spectrometry 82175 7.0 mL EDTA whole blood collected in an EDTA trace metal-free tube (2.0 mL minimum). Trace metal-free collection tubes and transfer tube are available from our Supplies Department; specify which tubes are needed. Room temperature or refrigerate as noted below. NOTE: Patient should refrain from eating seafood and taking herbal or mineral supplements at least 3 days prior to specimen collection. Stability: RMT - 10 days            REFT - 10 days   ASCA Refer to "Saccharomyces cerevisiae". BLOD0091  Ascorbic Acid Plasma (Vitamin C) by LC/MS/MS 82180 1.0 mL frozen heparinized plasma (0.5 mL minimum). Overnight (12-14 hour) fast is required. Place tube on wet ice immediately. Spin down heparinized whole blood and place plasma in plastic vial. Freeze specimen immediately and PROTECT FROM LIGHT. AVOID freeze/thaw cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0620  ASO Titer (Anti Streptolysin O) Quantitative by Turbidimetric 86060 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days BLOD0987  Aspergillus Antigen Serum (Galactomannan) by Immunoassay 87305 Draw blood in a plastic serum separator/gel barrier tube. Spin down and send 2.0 mL serum in the ORIGINAL tube (1.0 ml minimum). DO NOT OPEN THE LID OR POUR SAMPLE INTO another tube as opening the lid can cause contamination. AVOID hemolysis and lipemia. Send refrigerated. Stability: REFT & Unopened - 5 days BLOD0540  Aspirin (Salicylates) by Enzymatic 80196 2.0 mL serum (0.6 mL minimum). No gel barrier or SST tubes. Draw specimen 2 hours after dose. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0572  AST (Aspartate Aminotransferase) (SGOT) by Enzymatic 84450 1.0 mL serum (0.6 mL minimum). Separate serum from cells within 1 hour. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days BLOD0019  Ativan (Lorazepam) by HPLC 80154 2.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately prior to the next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 72 hours            REFT - 72 hours   AVP Refer to "Anti-Diuretic Hormone". BLOD0604  B12 (Vitamin B12 Cyanocobalamin) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 82607 1.0 mL frozen serum (0.5 mL minimum). Heparinized and EDTA plasma also acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0464  Bartonella henselae IgG and IgM Antibodies by IFA *Bartonella henselae has been associated with cat scratch disease (CSD), peliosis hepatitis (PH), and endocarditis. Bartonella quintana has been associated with trench fever, bacillary angiomatosis (BA), and endocarditis. Both can cause BA, a newly recognized syndrome. BA is a vascular proliferative disease usually involviing the skin and regional lymph nodes. 86611(2) 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 7 days BLOD0485  Bartonella quintana IgG and IgM Antibodies by IFA *Bartonella henselae has been associated with cat scratch disease (CSD), peliosis hepatitis (PH), and endocarditis. Bartonella quintana has been associated with trench fever, bacillary angiomatosis (BA), and endocarditis. Both can cause BA, a newly recognized syndrome. BA is a vascular proliferative disease usually involviing the skin and regional lymph nodes. 86611(2) 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 14 days BLOD0528  Basic Metabolic Panel (Kidney) -Sodium -Potassium -Chloride -Carbon Dioxide (CO2) -Calcium -Creatinine -Glucose -Urea Nitrogen (BUN) -eGFR (>18 years old) *Note: Basic Metabolic Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the Medical Necessity Section of this catalog. 80048 2.0 mL serum (0.6 mL minimum). Lithium heparin also acceptable. Prompt separation of serum from cells is essential. Minimum 12-hour fast is recommended. AVOID hemolysis. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days   Bence Jones - Protein Kappa and Lambda Light Chains Refer to "Free Light Chains". BLOD1187  Beta 2 Glycoprotein I IgG and IgM Antibodies by Fluoroenzymeimmunoassay (FEIA) *Beta-2-GPI antibodies are found in patients with antiphospholipid syndrome (APS) and are associated with increased risk of venous and arterial thrombosis and thrombocytopenia. Beta-2-GPI antibodies are found only in patients with autoimmune diseases, while cardiolipin antibodies can be transiently found in infectious diseases. 86146(2) 2.0 mL frozen serum (1.0 mL minimum). Lithium heparin, citrated, and EDTA plasma are also acceptable. AVOID hemolysis and lipemia. THIS TEST REQUIRES ITS OWN FROZEN ALIGUOT. Stability: REFT - 48 hrs            Freeze >48 hrs BLOD1188  Beta-2 GPI Antibody IgA by Enzyme Immunoassay 86146 1.0 citrated plasma (0.5 mL minimum). Serum is also acceptable. Room temperature or refrigerated as noted below. Stability: RMT - 5 days            REFT - 14 days BLOD0158  Beta-2 Microglobulin Serum by Nephelometry 82232 1.0 mL serum only (0.7 mL minimum). Fasting preferred. AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days NBLD0051  Beta-2 Microglobulin Urine by Nephelometry 82232 Patient should void bladder, then drink at least 500 mL of water prior to submitting specimen. Sample should be collected within one hour after drinking water. Send 1.0 mL frozen aliquot of urine (0.5 mL minimum). Adjust pH to 6 - 8 with sodium hydroxide. Send frozen. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0089  Beta-Hydroxybutyrate Serum by Photometric, B-Hydroxbutyrate Dehydrogenase *Useful for monitoring diabetic ketoacidosis. 82010 1.0 mL frozen serum (0.5 mL minimum). Frozen specimen preferred. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days BLOD1047  Bile Acids Total Serum by Enzymatic 82239 1.0 mL serum (0.5 mL minimum) collected in a serum separator gel tube drawn from a fasting patient (fasting at least 8 hours). Centrifuge within 1 hour of collection. Send refrigerated. Stability: REFT - 7 days            Frozen - 14 days NBLD0034  Bilirubin Amniotic Fluid (Delta OD of Bilirubin) by Spectrophotometric Scan *Useful for determining the presence of fetal erythroblastosis. 82247 2.0 mL frozen aminotic fluid (1.0 mL minimum). Centrifuge, separate supernatant, and send both supernatant and sediment frozen in separate plastic vials, labeled appropriately. PROTECT SAMPLES FROM LIGHT. AVOID contamination by blood. Include duration of pregnancy on the requisition. Stability: Frozen only BLOD0578  Bilirubin Direct - Rapid City by Diazotization *Test result is a direct assay. 82248 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0578  Bilirubin Direct - Sioux Falls by Colorimetric *Test result is a calculation based on the performance of the Indirect Bilirubin test. 82248 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0527  Bilirubin Total (> 1 month) by Diazonium Ion - Rapid City by Colorimetric - Sioux Falls 82247 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0129  Blastomyces Antibody by Immunodiffusion 86612 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Serum is the only acceptable specimen. Refrigerate. Room temperature unacceptable. Stability: Refrigeration preferred LBOR0012  Blastomyces dematitidis Antigen by EIA 87449 Preferred specimen is 5.0 mL random urine (2.0 mL minimum). Other acceptable sample types: 2.0 mL serum or plasma (sodium heparin or sodium citrate) (0.5 mL minimum); or 2.0 mL CSF (0.5 ml minimum); or 2.0 mL brochoscopy specimen or body fluid (0.5 mL minimum). Send at room temperature. Stability: RMT - 14 days            REFT - 14 days   Bleeding Time Refer to "Platelet Function Analysis".   Blood Culture Refer to "CULT" and select culture type.   Blood Culture Acid Fast Refer to "CULT Acid Fast Culture Blood".   BMP Refer to "Basic Metabolic Panel". BLOD0004  BNP (Brain or B-Type Natriuretic Peptide) by Fluorescent Immunoassay 83880 2.0 mL frozen EDTA plasma preferred (0.5 mL minimum). Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Also acceptable: 2 mL refrigerated EDTA plasma or EDTA whole blood if testing is performed within 24 hours of specimen collection. Blood and plasma stability noted below. Plasma Stability:               REFT - 24 hours            Frozen - 7 days Whole Blood Stability: REFT - 24 hours NBLD0205  Body Fluid Cell Count and Differential 89051 2.0-3.0 mL body fluid in an EDTA tube. Keep refrigerated.   Body Fluid Culture Aerobic Refer to "CULT Bacterial Culture Other".   Body Fluid Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source. NBLD0204  Body Fluid pH 83986 3.0 mL body fluid in a sterile tube with minimal exposure to air. Keep refrigerated.   Bone Marrow Culture Refer to "CULT Bacterial Culture Other". BLOD0487  Bordetella pertussis Antibodies IgG by MAID (Multi-Analyte Immunodetection) *B. Pertussis is the causative agent of Whooping Cough. 86615(2) 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen -14 days BLOD1117  Bordetella pertussis Antibodies IgG and IgA by MAID (Multi-Analyte Immunodetection *B. Pertussis is the causative agent of Whooping Cough. 86615(4) 1.0 mL serum (0.7 mL minimum). Sendroom temperature. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Brain Natriuretic Peptide (B type) Refer to "BNP". BLOD0426  Brucella abortus Antibodies IgG and IgM by Enzyme Linked Immunosorbent Assay 86622(2) 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0001  BUN (Blood Urea Nitrogen) Serum - Rapid City by Urease 84520 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0001  BUN (Blood Urea Nitrogen) Serum - Sioux Falls by Urease 84520 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 5 days   C difficile Refer to "Clostridium difficile". BLOD0221  C Peptide Serum or Plasma by Immunoassay 84681 1.0 mL serum preferred (0.5 mL minimum). An overnight fast is required. Heparinized plasma also acceptable. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0622  C Reactive Protein (CRP) High Sensitive (CRP Cardiac) by Turbidimetric 86141 0.5 mL serum only. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days BLOD0621  C Reactive Protein (CRP) Quantitative by Turbidimetric *For inflammation 86140 1.0 mL serum (0.7 mL minimum). Lithium heparin plasma also acceptable. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days BLOD0303  C1 Esterase Inhibitor Functional by Immunoassay 86161 1.0 mL frozen serum (0.5 mL minimum). No gel barrier or SST tubes. AVOID hemolysis. Freeze within 1 hour of drawing. Do NOT use glass tubes. Do NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0300  C1 Esterase Inhibitor Quantitation (Non-Functional) by Nephelometry 86160 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. AVOID hemolysis. Collect on ice. Chill in ice bath during clotting. Pleural and synovial fluid are NOT acceptable specimens. Overnight fasting is preferred. Refrigerate or freeze immediately as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 8 days            Frozen - 14 days   C3 and C4 Refer to "Complement". BLOD0608  CA 125 (Ovarian Cancer) by Chemiluminescence 86304 1.0 mL frozen serum preferred (0.5 mL minimum). Heparinized plasma also acceptable. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. AVOID freeze/thaw cycles. Stability: REFT - 7 days            Frozen - 7 days BLOD0311  CA 15-3 (Breast Cancer) by Immunoassay 86300 1.0 mL serum only (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0312  CA 19-9 (Pancreatic Cancer) by Immunoassay 86301 1.0 mL serum only (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 5 days            Frozen - 14 days BLOD0603  CA 27.29 (Breast Cancer) by Immunoassay - Centaur 86300 1.0 mL serum only (0.7 mL minimum). AVOID gross hemolysis and lipemia. Send frozen. AVOID freeze/thaw cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Frozen - 7 days NBLD0052  Cadmium 24-Hour Urine by Inductively-Coupled Plasma/Mass Spectrometry 82300 7 mL aliquot from a 24-hour urine collection (5.0 mL minimum) collected in a metal-free plastic container or an acid washed container. NOTE: Patient should avoid eating seafood 3 days prior to collection. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 5 days            Frozen - 14 days             BLOD0403  Caffeine by Immunoassay 83520 1.0 mL serum (0.7 minimum). No gel barrier or SST tubes. Heparinized plasma is NOT acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN ALIQUOT. Stability: REFT - 14 days            Frozen - 14 days BLOD0160  Calcitonin by Immunoassay 82308 1.0 mL frozen serum (0.5 mL minimum). AVOID gross hemolysis. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Fasting sample preferred. Stability: Frozen - 14 days NBLD0164  Calcium 24-Hour Urine by Arsenazo III Complex 82340 10 mL aliquot of well-mixed and measured 24-hour urine (2.0 mL minimum). Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate. Stability: REFT - 7 days BLOD0656  Calcium Ionized by ISE 82330 2.0 mL serum. Completely FILL tube during draw. Separated serum samples must be stored and transported in a tube that minimizes exposure to room air. The transfer tube must be at least half full to prevent large pCO2 losses. **Smaller transfer tubes (2-3 mL size) are available from our Supplies Department.** Refrigerate. THIS TEST REQUIRES A SEPARATE REFRIGERATED ALIQUOT. Stability: REFT - 48 hours BLOD0553  Calcium Total by O-Cresolpthalein Complexone - Rapid City by Arsenazo III Complex - Sioux Falls 82310 1.0 mL serum (0.6 mL minimum). Overnight fasting is preferred. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: REFT - 7 days NBLD0125  Calculi Analysis (Stone) by Fourier Transform Infra-Red Spectrophotometry (FTIR), Gravimetric 82365 Submit entire stone,air-dried. Source or type of stone is REQUIRED (e.g., kidney, bladder, gall bladder, salivary, prostate). Send dry stone in plastic, screw-capped container or test tube. Do not use scotch tape to secure the stone. Note: Stones that have been in formalin may be submitted. Air dry the stone and note on the requisition that it had been in formalin. Send at room temperature. Stability: RMT - 12 months NBLD0368  Calprotectin (Stool) by Immunoassay 83993 1 gram of stool unpreserved in a sterile plastic leakproof container (0.5 grams minimum). Send frozen. Stability: REFT - 11 days            Frozen - 14 days   Campylobacter Stool Culture Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Campylobacter.   Cannabinoids (Marijuana or THC Screen) Refer to "Marijuana". BLOD0022  Carbamazepine (Tegretol) Free - Unbound by Liquid Chromotography MS/MS 80157 2.0 mL serum (1.2 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days BLOD0532  Carbamazepine (Tegretol) Total by Enzymatic Immunoassay - Rapid City by Enzymatic - Sioux Falls 80156 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 7 days BLOD0397  Carbamazepine-10 11-Epoxide (Tegretol Metabolite) by Liquid Chromatography/MS/MS *This test does not include a total Tegretol. 83789 2.0 mL serum (1.0 mL minimum). EDTA plasma also acceptable. No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Specimen may also be frozen. Stability: RMT - 14 days            REFT - 14 days BLOD0554  Carbon Dioxide (CO2) by Enzymatic 82374 2.0 mL fresh serum (0.6 mL minimum). Lithium heparin plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days BLOD0657  Carbon Monoxide Quantitative (Carboxyhemoglobin) by Co-oximeter 82375 4.0 mL EDTA whole blood. Fill tube completely and keep tightly sealed. Lithium heparin whole blood also acceptable. Refrigerate. Stability: REFT - 2 days (unopened) BLOD0587  Carcinoembryonic Antigen (CEA) by Chemiluminescence 82378 1.0 mL frozen serum only (0.5 mL minimum). Frozen specimen preferred. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. AVOID freeze/thaw cycles. Stability: REFT - 7 days            Frozen - 7 days BLOD0907  Cardiolipin Antibodies IgG and IgM by Fluoroenzymeimmunoassay (FEIA) 86147(2) 2.0 mL frozen serum (1.0 mL minimum) for IgG and IgM antibodies. Lithium heparin, citrated, and EDTA plasma are also acceptable. AVOID hemolysis and lipemia. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Freeze >48 hrs BLOD0297  Cardiolipin Antibody IgA by EIA 86147 1.0 mL serum (0.5 mL minimum). AVOID lipemic and hemolyzed specimens. Citrated plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0298  Cardiolipin Antibody IgG by Fluoroenzymeimmunoassay (FEIA) 86147 1.0 mL frozen serum (0.5 mL minimum). Lithium heparin, citrated, and EDTA plasma are also acceptable. AVOID hemolysis and lipemia. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Freeze >48hrs BLOD0299  Cardiolipin Antibody IgM by Fluoroenzymeimmunoassay (FEIA) 86147 1.0 mL frozen serum (0.5 mL minimum). Lithium heparin, citrated, and EDTA plasma are also acceptable. AVOID hemolysis and lipemia. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Freeze >48hrs   Cardioquin Refer to "Quinidine". BLOD0093  Carnitine Free and Total by Flow Injection Analysis MS/MS 82379 1.0 mL frozen sodium heparin plasma only (0.5 mL minimum). No gel barrier or SST tubes. Spin down and transfer plasma to a plastic tube. Freeze. NOTE: Sex and age of patient is required for age-dependent reference ranges. Heparin is the only acceptable anticoagulant. Serum is NOT acceptable. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0373  Carotene Serum by HPLC 82380 2.0 mL frozen serum preferred (0.7 mL minimum). Overnight fast preferred. Plasma is NOT acceptable. Separate serum from cells as soon as possible. Transfer serum in plastic vial wrapped with foil to PROTECT FROM LIGHT. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 6 days            Frozen - 14 days NBLD0056  Catecholamines Fractionated 24-Hour Urine by HPLC *Includes Norepinephrine, Epinephrine, Dopamine, and Total Catecholamines 82384 10 mL aliquot of a well-mixed and measured 24-hour urine (5.0 mL minimum). Collect urine with 25 mL of 6N HCl at start of collection to maintain pH below 3.0. Record total volume on test request form and urine vial. Patient Protocol Prior to Collection: Patient should avoid alcohol, coffee, tea, tobacco, and strenuous exercise prior to collection. It is preferrable for patients to be off medications for 3 days prior to collection; however, common antihypertensives (diuretics, ace inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0161  Catecholamines Fractionated and Total Plasma by HPLC *Includes Norepinephrine, Epinephrine, Dopamine, and Total Catecholamines 82384 Draw 2 PRECHILLED sodium or lithium heparin tubes. Spin down and separate plasma within 30 minutes of collection and freeze immediately in a plastic vial. Overnight fasting is required. Send 4.0 mL frozen plasma (2.5 mL minimum). EDTA plasma is NOT acceptable. AVOID hemolysis. Patient should be relaxed either in a supine or upright position before the blood is drawn. States of anxiety and stress can cause fluctuation of catecholamine levels. NOTE: Patient should avoid alcohol, coffee, tea, tobacco, and strenuous exercise prior to collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: Frozen only BLOD0632  CBC no Differential by CELL-DYN 3200 - Rapid City by ADVIA - Sioux Falls *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, and Platelet 85027 4.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum of EDTA whole blood for pediatrics). AVOID hemolysis and lipemia. Refrigerate. Stability: RMT - 8 hours            REFT - 3 days BLOD0008  CBC with Differential (Complete Blood Count) by CELL-DYN 3200 - Rapid City by ADVIA - Sioux Falls *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, Platelet, and Differential 85025 4.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum of EDTA whole blood for pediatrics) refrigerated and two unstained blood smears. AVOID hemolysis and lipemia. Refrigerate. Stability: RMT - 8 hours            REFT - 3 days   CCP Antibodies Refer to "Cyclic Citrullinated Peptide". BLOD0646  CD4 Count (T Helper Lymph Marker) by Flow Cytometry -Total Lymphocytes -Helper-Inducer T (CD3+CD4+) 86361 One 4.0 mL EDTA whole blood (2.0 mL minimum). Keep at room temperature. Do not refrigerate or freeze. Specimen must be tested within 48 hours. Send to receive Monday through Thursday only. Stability: RMT - 2 days            Room temp only BLOD0587  CEA (Carcinoembryonic Antigen) by Chemiluminescence 82378 1.0 mL frozen serum only (0.5 mL minimum). Frozen specimen preferred. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. AVOID freeze/thaw cycles. Stability: REFT - 7 days            Frozen - 7 days   Celexa (Citralopram) Refer to "Citalopram". BLOD0501  Celiac Disease Panel Includes: -Endomysial IgA Antibodies Screen -Gliadin Peptide (Deamidated) Antibody               IgG/IgA Screen - This screen               includes IgG & IgA but does               not differentiate. -IgA, Total Serum -Tissue Transglutaminase Antibody IgA 86255 83516 82784 83516 3.0 mL frozen serum (pediatric minimum 1.0 mL). AVOID hemolysis. Freeze. THIS TEST REQUIRES 3 FROZEN ALIQUOTS. Stability: Frozen - 7 days   Cell Count and Differential Refer to specimen type (e.g., Body Fluid, CSF, etc.); and then "Cell Count and Differential". BLOD0087  Cellcept (Mycophenolic Acid) by LC/MS/MS *Cellcept is an immunosuppressive drug used in organ transplants. 80299 1.0 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Plasma is NOT acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Send refrigerated. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days   Cerebrospinal Fluid Analysis Refer to "CSF". BLOD0162  Ceruloplasmin by Nephelometry 82390 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days LBOR0028  CGH (Comparative Genomic Hybridization) by Affymetrix Cytogenetics Whole-Genome 2.7M SNP Array 83891 88299 3.0 mL sodium heparin whole blood and 3.0 mL EDTA whole blood in original vacutainers (2.0 mL minimum each). Do not collect on Fridays; must be received at Sanford Laboratories within 48-72 hours of blood draw and by Thursday. Send room temperature. NOTE: Indicate reason for this test. Stability: Room temperature preferred BLOD0770  CHAMP Allergy Panel (Childhood Allergy March) + Total IgE by Fluoroallergrosorbent, Fluoroenzymeimmunoassay *Recommended for children 3 months - 4 years. -Alternaria alternata -Cat Dander -Cladosporium herbarum                           (Hormodendrum) -Cockroach -Codfish -Dermatophagoides farinae -Dermatophagoides pteronyssinus -Dog Dander -Egg White -Milk -Peanut -Shrimp -Soybean -Walnut -Wheat -Total IgE 86003(15) 82785 3.5 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen >7 days NBLD0267  Chlamydia / GC by BD Probe by Amplified Nucleic Acid Strand Displacement (BD Probe) 87491 87591 25 mL of urine from a first morning void (minimum 20 mL) collected in a plastic, sterile urine container from a patient who has not urinated one hour prior to collection; OR a cervical/urethral specimen collected with a BD Probe collection kit. The special collection kits are available from our Supplies Department. NOTE: For males, use the blue collection swab; for females, use the pink collection swab. Refrigerate. Do NOT freeze urine or swab. Stability: REFT - 4 days NBLD0277  Chlamydia / GC Cervical and Urethral by DNA Hybridization with Chemiluminescent Detection 87490 87590 Cervical or urethral swab. Use a Gen Probe urethral or cervical collection kit available from our Supplies Department. Clear exudate material from collection site to allow collection of epithelial cells. Room temperature or refrigerate as noted below. Indicate source. Stability: RMT - 7 days            REFT - 7 days   Chlamydia Culture Refer to "CULT Chlamydia Culture". BLOD0350  Chlamydia pneumoniae Antibody Panel by Micro Immunofluorescence Assay *Includes Chlamydia pneumoniae IgG, IgA, and IgM 86631(2) 86632 1.0 mL serum (0.5 mL minimum). Separate from clot within 4 hours of drawing. Refrigerated specimen preferred. Stability: RMT - 7 days            REFT - 14 days BLOD0377  Chlamydia Species Antibody Panel by Micro-Immunofluorescent Assay (MIFA) *Detects antibodies to C. pneumoniae, C. trachomatis, and C. psittaci **Includes IgG, IgA, and IgM Antibodies 86631(6) 86632(3) 1.0 mL serum (0.5 mL minimum). Refrigeration preferred. Stability: RMT - 7 days            REFT - 14 days BLOD0351  Chlamydia trachomatis Antibodies IgG IgM and IgA by Microimmunofluorescent Assay 86631(2) 86632 1.0 mL serum (0.5 mL minimum). Refrigeration preferred. Stability: RMT - 7 days            REFT - 14 days NBLD0294  Chlamydia trachomatis by BD Probe by Amplified Nucleic Acid Strand Displacement (BD Probe) 87491 25 mL of urine from a first morning void) (minimum 20 mL) collected using a special transport tube (or in a plastic, sterile urine container) from a patient who has not urinated one hour prior to collection; OR a cervical/urethral specimen collected with a BD Probe collection kit. The special transport tubes and collection kits are available from our Supplies Department. NOTE: For males, use the blue collection swab; for females, use the pink collection swab. Refrigerate. Do NOT freeze urine or swab. REFT - 4 days             NBLD0087  Chlamydia trachomatis by DFA by DFA 87270 Use a DFA collection kit available from our Supplies Department. Acceptable sources are: endocervical, urethral, conjunctival, rectal, or nasopharyngeal. Unacceptable specimens are vaginal, penile, and genital. Clear exudate material from collection site to allow collection of epithelial cells. Swab urethra, cervix, eye, or nasopharyngeal (NP) washing. Indicate source. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days NBLD0091  Chlamydia trachomatis Cervical and Urethral by DNA Probe with Chemiluminescent Detection 87490 Cervical or urethral swab. Use a DNA Probe urethral or cervical collection kit available from our Supplies Department. Clear exudate material from collection site to allow collection of epithelial cells. Stability: RMT - 7 days            REFT - 7 days NBLD0090  Chlamydia trachomatis Conjunctival by DNA Hybridization with Chemiluminescent Detection 87490 Conjunctival swab. Use a DNA Probe conjunctival collection kit available from our Supplies Department. Stability: RMT - 7 days            REFT - 7 days NBLD0260  Chloride 24-Hour Urine by ISE Indirect - Rapid City by ISE - Sioux Falls 82436 10 mL aliquot of a well-mixed and measured 24-hour urine. Record total volume on test request form and urine vial. Keep refrigerated. Stability: REFT - 7 days BLOD0555  Chloride Serum by ISE Indirect - Rapid City by ISE - Sioux Falls 82435 1.0 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 7 days BLOD0002  Cholesterol Total by Enzymatic Colorimetric - Rapid City by Enzymatic - Sioux Falls 82465 1.0 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 7 days BLOD0163  Cholinesterase Pseudo (Plasma) by Kinetic/Spectrophotometric *Use for preanesthesia testing and monitoring pesticide/organophosphate exposure. 82480 1.0 mL EDTA plasma (0.5 mL minimum). Separate cells from plasma immediately. Refrigerated sample preferred. Stability: RMT - 14 days            REFT - 14 days BLOD0352  Cholinesterase RBC and Plasma by Kinetic Spectrophotometric 82482 82480 5.0 mL EDTA whole blood (4.0 mL minimum) and 2.0 mL EDTA plasma (0.7 mL minimum). Draw two EDTA tubes. AVOID hemolysis. Spin one tube to separate plasma. Pour plasma into aliquot tube and send both the whole blood tube and plasma sample refrigerated. Stability: REFT- 7 days BLOD1027  CHr Reticulocyte Hemoglobin Content by Flow Cytometry *Includes a Reticulocyte Count and a Reticulocyte Hemoglobin 85046 1.0 mL EDTA whole blood (0.5 mL minimum). Refrigerate. Stability: REFT - 72 hours BLOD0060  Chromium Blood by ICP-MS with Dynamic Reaction Cell 82495 4.0 mL EDTA whole blood (2.0 mL minimum) collected in an EDTA trace metal-free tube (royal blue top). Trace metal-free collection tubes are available from our Supplies Department. AVOID hemolysis and lipemia. NOTE: Patient should refrain from taking mineral supplements, and multi-vitamins 3 days prior to specimen collection. Room temperature or refrigerate as noted below. Stability: RMT - 48 hrs            REFT - 5 days BLOD0126  Chromogranin A Serum by ICMA 86316 1.0 mL frozen serum only (0.5 mL minimum). No gel barrier or SST tubes. Specimen must be frozen. AVOID freeze/thaw cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Refrigerated samples not acceptable. Stability: Frozen only NBLD0284  Chromosome Analysis and AFP Amniotic Fluid -Tissue Culture, Amniotic Fluid -Amniotic Chromosome 2 Karotypes -AFP, Amniotic Fluid 88235 88269 82106 Refer to GENERAL INFORMATION Section for detailed Genetics specimen instructions. 23-34 mL amniotic fluid collected using sterile technique. Smaller samples may require more time for sufficient cell growth. All amniotic fluid samples should be placed in sterile, tightly capped plastic containers at room temperature (65-80 F). Send to laboratory ASAP. Specimens should not be sent in syringe, vacutainers, or any container which contains cytotoxic material (e.g., rubber stoppers or metal caps). DO NOT FREEZE OR REFRIGERATE. If amniotic fluid AFP is elevated, an acetylcholinesterase on amniotic fluid is performed if indicated (at no additional fee). Note: Please submit a completed "Sanford Genetics Laboratory Form" sent with specimen. Contact Client Support for form. Send to receive Monday through Thursday only. BLOD1011  Chromosome Analysis Blood -Tissue Culture, Lymphocyte -Chromosome 2 Karotypes 88230 88262 5.0-10 mL sodium heparin whole blood only (Infant minimum 1.0-2.0 mL whole blood). Keep at room temperature. Call Client Support for scheduling and form. Blood should be less than two days old. Note: Requires a completed "Sanford Genetics Laboratory Form" sent with specimen providing patient's history and clinical information. See GENERAL INFORMATION Section for detailed Genetics specimen instructions. Send to receive Monday through Thursday only. Stability: RMT - 48 hours                           Room temperature only NBLD0326  Chromosome Study for Hematologic Malignancy Bone Marrow *Includes Philadelphia Chromosome Tissue Culture, Bone Marrow or Blood Chromosome 2 Karyotypes 88237 88264 2.0-3.0 mL of initial aspirate in sodium heparin tube. Note: Requires a completed "Sanford Genetics Laboratory Form" sent with specimen with history and clinical information, CBC, bone marrow, histology, and diagnosis. Call Client Support for form. Keep specimen at room temperature. Refer to GENERAL INFORMATION Section for detailed Genetics specimen instructions. Send to receive Monday through Thursday only. Room temperature only. BLOD0056  Citalopram (Celexa) and Desmethylcitalopram (metabolite) by HPLC-FD 82492 2.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Trough levels are most reproducible. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days NBLD0057  Citrate Acid 24-Hour Urine by Spectrophotometry, Enzymatic *Includes Creatinine 82507 82570 10 mL aliquot of well-mixed and measured 24-hour urine (5.0 mL minimum). No preservative. Keep refrigerated during collection. Record total volume on test request form and urine vial. Acidified urines are unacceptable. Send frozen. Stability: REFT - 14 days            Frozen - 14 days BLOD0557  CK (CPK) MB by Chemiluminescence *Includes Total CK **CK MB is performed only if Total CK is greater than 80 U/L. 82553 2.0 mL sodium or lithium heparin plasma only (1.2 mL minimum). AVOID hemolysis. NOTE: Indicate collection times on tube and requisition. Refrigerate or freeze as noted below. Stability: REFT - 72 hrs            Freeze >72 hrs BLOD0556  CK (CPK) Total by Enzymatic 82550 2.0 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate. Stability: RMT - 4 hours            REFT - 5 days BLOD0400  Clomipramine (Anafranil) by HPLC *Includes metabolite Desmethylclomipramine 83789 2.0 mL serum or EDTA plasma (1.5 mL minimum). No gel barrier or SST tubes. Separate from cells as soon as possible after clotting. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigeration preferred. If sent frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0017  Clonazepam (Klonopin) by HPLC 80154 2.0 mL frozen serum preferred (1.2 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0018  Clorazepate (Tranxene) by LC-MS/MS *Measured as metabolite Desmethyldiazepam 80154 2.0 mL serum (1.0 mL minimum). No gel barrier or SST tubes. Heparinized plasma NOT acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days NBLD0386  Clostridium difficile Toxin B PCR - Sioux Falls by Real-time PCR 87493 2-3 grams of liquid or soft stool in a dry sterile container. Testing is performed ONLY ON DIARRHEAL STOOL. Bristol Stool Chart 5, 6, and 7 specimens accepted. For chart, refer to GENERAL INFORMATION Section for Clostridium difficle Toxin. Stabiity: RMT - 24 hours            REFT - 4 days NBLD0413  Clostridium difficile Toxin DNA - Rapid City By Loop-Mediated Isothermal DNA Amplification (LAMP) 87493 2-3 grams of liquid stool in dry sterile container. (Also acceptable: Preserved stool in Cary-Blair media - refrigerated only). NOTE: Testing is performed ONLY ON DIARRHEAL STOOL. Formed stool specimens will be rejected. Bristol Stool Chart 5, 6, and 7 specimens accepted. For chart, refer to GENERAL INFORMATION Section for Clostridium difficle Toxin. Stability: REFT - 5 days            Frozen >5 days BLOD0468  Clozapine (Clozaril) by LC/MS/MS *Includes Norclozapine 83789 2.0 mL serum;or heparinized or EDTA plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days   CMP Refer to "Comprehensive Metabolic Panel". BLOD0880  CMV (Cytomegalovirus) Antibodies by Chemiluminescence Immunoassay *Includes IgG and IgM Antibodies 86644 86645 1.0 mL frozen serum (0.7 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Frozen specimen preferred. Stability: REFT - 2 days            Frozen - 7 days BLOD0684  CMV (Cytomegalovirus) Antibody IgG by Chemiluminescence Immunoassay 86644 1.0 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Frozen specimen preferred. Stability: REFT - 2 days            Frozen - 7 days BLOD0685  CMV (Cytomegalovirus) Antibody IgM by Chemiluminescence Immunoassay 86645 1.0 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Frozen specimen preferred. Stability: REFT - 2 days            Frozen - 7 days BLOD0982  CMV (Cytomegalovirus) Antigenemia Detection Assay by Antigenemia *Assay is helpful for early diagnosis/monitoring of antiviral treatment of CMV, and valuable in diagnosis and monitoring CMV infection in solid organ and bone marrow transplants. 87332 2 full tubes (5.0 mL each) of EDTA whole blood (8.0 mL minimum). Tubes should be kept on mixer or rocker until sent. DO NOT REFRIGERATE - Keep samples at room temperature. **WBC of 0.8 K/uL or greater is required.** Please notify lab prior to sending in testing if possible. Please send specimens to be received at Sanford Laboratories Virology Monday-Friday by 3 p.m. Clients sending in specimens, draw patient as close to courier pick up time as possible for next day testing. Stability: RMT - 24 hours Send to receive at Sanford Laboratories Virology Monday - Friday (by 3 pm) BLOD1101  CMV (Cytomegalovirus) DNA Quantitative by PCR Plasma by PCR/DNA Probe Hybridization 87497 1.0 mL EDTA plasma (0.5 mL minimum) refrigerated. NOTE: A screening is done and if positive, a quantitative value (copies/mL) is reported. This assay is only to be used for patients with clinical history and symptoms consistent with CMV infection and is not to be used as a screening test for asymptomatic patients. Stability: REFT - 14 days LBOR0004  CMV (Cytomegalovirus) DNA Screen by PCR by Real-Time Polymerase Chain Reaction (PCR) 87496 Submit only ONE of the following specimens: 5.0 mL EDTA or ACD-B whole blood (1.5 mL minimum); 1.0 mL serum (0.5 mL minimum);1.0 mL EDTA or ACD-B plasma (0.5 mL minimum); 1.0 mL serum (0.5 mL minimum); 1.0 mL of CSF, amniotic fluid or urine (0.5 mL minimum); or 3 mm3 fresh tissue frozen; or 1.0 mL bronchial brush/wash (0.5 mL minimum). Blood collected with heparin anticoagulant is NOT acceptable. NOTE: Submit non-blood specimens in sterile leak-proof container. Urine, CSF, and body fluids contaminated with blood may produce false Negative results. Do NOT spin spinal fluid specimens. Do NOT freeze whole blood. Send refrigerated. Indicate source. Stability: RMT - 48 hours            REFT - 8 days   CMV (Cytomegalovirus) Rapid Culture Refer to "CULT CMV (Cytomegalovirus) Rapid Culture". BLOD0554  CO2 (Carbon Dioxide) by Enzymatic 82374 2.0 mL fresh serum (0.6 mL minimum). Lithium heparin plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days LBOR0016  Coccidioides Antibodies IgG and IgM by EIA 86635(2) 2.0 mL serum (0.5 mL minimum). Refrigerate. CSF is also acceptable. Stability: RMT - 48 hours            REFT - 14 days BLOD0317  Coccidioides Antibody IgG Serum by Complement Fixation 86635 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Codeine Screen Refer to "Drug Screen". BLOD1095  Coenzyme Q10 by HPLC 82491 1.0 mL frozen serum (0.5 mL minimum). PROTECT TUBE FROM LIGHT. Fasting for 8-12 hours is required. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days            Frozen only BLOD0779  Cold Agglutinins (Cold Hemagglutinins) by Hemagglutination 86157 3.0 mL serum (0.5 mL serum). Draw blood in red top clot tube. No gel barrier or SST tubes. Allow blood to clot at 37°C. Centrifuge and immediately separate serum from cells and send ONLY the serum. Stability: RMT - 14 days            REFT - 14 days NBLD0058  Collagen Cross-Linked N-Telopeptide (NXT) Urine by Enhanced Chemiluminescence 82523 2.0 mL of the second morning void urine (1.0 mL minimum). Discard the first morning void, and collect the second morning void. DO NOT use preservatives. DO NOT acidify. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days BLOD1127  Collagen Type 1 C Telopeptide (CTX) by Immunoassay 82523 1.0 mL frozen serum (0.5 mL minimum). Collect in morning (8-10 a.m.) following a REQUIRED minimum 12 hour fast. Nonfasting samples are unacceptable. Must be collected in the morning (affected by diurnal variation). THIS REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 72 hours            Frozen - 14 days LBOR0028  Comparative Genomic Hybridization (CGH) by Affymetrix Cytogenetics Whole-Genome 2.7M SNP Array 83891 88299 3.0 mL sodium heparin whole blood and 3.0 mL EDTA whole blood in original vacutainers (2.0 mL minimum each). Do not collect on Fridays; must be received at Sanford Laboratories within 48-72 hours of blood draw and by Thursday. Send room temperature. NOTE: Indicate reason for this test. Stability: Room temperature preferred BLOD0301  Complement C2 by Radial Immunodiffusion 86160 1.0 mL serum (0.5 mL minimum) refrigerated. EDTA plasma also acceptable. AVOID hemolysis and lipemia. Refrigerate. Stability: RMT - 48 hours            REFT - 14 days BLOD0623  Complement C3 by Turbidimetric 86160 1.0 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days BLOD0909  Complement C3 and C4 by Turbidimetric 86160(2) 1.0 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days BLOD0624  Complement C4 by Turbidimetric 86160 1.0 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days BLOD0304  Complement Total CH50 by Colorimetric 86162 1.0 mL frozen serum (0.5 mL minimum). AVOID hemolysis. Allow specimen to clot at room temperature. Within 1 hour of collection, centrifuge specimen and transfer serum to plastic vial. Freeze immediately. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: Frozen only BLOD0530  Comprehensive Metabolic Panel (CMP) -Albumin -Alkaline Phosphatase -Bilirubin, Total -Calcium -Carbon Dioxide (CO2) -Chloride -Creatinine -Glucose -Potassium -Sodium -SGOT (AST) -SGPT (ALT) -Total Protein -Urea Nitrogen (BUN) -eGFR (>18 years old) *Note: Comprehensive Metabolic Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80053 3.0 mL serum (0.6 mL minimum). Lithium heparin also acceptable. Prompt separation of serum from cells is essential. Minimum 12-hour fast is recommended. AVOID hemolysis. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days   Concerta (Methylphenidate, Ritalin) Refer to "Ritalin".   Coombs Direct Refer to "Direct Coombs".   Coombs Indirect Refer to "Indirect Coombs". NBLD0059  Copper 24-Hour Urine by Atomic Spectroscopy 82525 Collect urine without preservative in a plastic acid-washed metal free container. Submit 7 mL aliquot of 24-hour urine collection (3.0 mL minimum). NOTE: Patient should refrain from taking vitamins, minerals, or herbal supplements for one week prior to collection. Record total volume on requisition and specimen. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days BLOD0165  Copper Serum or Plasma by Atomic Spectroscopy 82525 Preferred specimen is 2.0 mL serum collected in a trace metal-free tube with no additive (0.7 mL minimum). Also accpetable is 2.0 mL plasma collected in a trace metal-free EDTA tube. NOTE: Patient should refrain from taking vitamins, minerals, or herbal supplements at least one week prior to collection. Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. Transfer serum into a plastic trace metal-free transport vial. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 10 days   Coproporphyrin Refer to "Porphyrins". BLOD0399  Cordarone (Amiodarone) by HPLC *Includes metabolite Desethylamiodarone 82492 3.0 mL serum (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Refrigerate or freeze as noted below. Stability: REFT - 4 days            Frozen - 14 days NBLD0061  Cortisol Free 24-Hour Urine by Liquid Chromatography MS/MS 82530 2.0 mL aliquot of a 24-hour urine (1.0 mL minimum). Collect urine in a plastic container, NO preservative. Record total volume on test request form and urine vial. NOTE: Assay is NOT recommended when patient is on prednisone/ prednisolone therapy. Send urine frozen. Stability: REFT - 7 days            Frozen - 14 days BLOD0166  Cortisol Free Serum by Equilibrium Dialysis, LC MS/MS 82530 2.0 mL serum (0.7 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Sodium heparin plasma NOT acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days NBLD0036  Cortisol Saliva by LC MS/MS 82530 Special collection kit Sarsted Salivette - available from our Supplies Department. See patient instructions for collection. Preferred collection time is 11 PM to Midnight. Send refrigerated. BLOD0582  Cortisol Total Serum 4 p.m. Sample by Chemiluminescence *4 p.m. Sample 82533 2.0 mL serum (0.5 mL minimum). EDTA or heparinized plasma also acceptable. NOTE: Indicate collection time on specimen and test request form. Remove serum or plasma from gel barrier or cells within 8 hours. AVOID hemolysis. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days BLOD0583  Cortisol Total Serum 8 a.m. Sample by Chemiluminescence *8 a.m. Sample 82533 2.0 mL serum (0.5 mL minimum). EDTA or heparinized plasma also acceptable. NOTE: Indicate collection time on specimen and test request form. Remove serum or plasma from gel barrier or cells within 8 hours. AVOID hemolysis. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days   Coxsackie A and B (Viral Culture) Refer to "CULT Viral Culture". BLOD0444  Coxsackie A Virus (2, 4, 7, 9, 10, 16) Antibody Panel by Complement Fixation 86658(6) 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0445  Coxsackie B Virus (1-6) Antibodies by Complement Fixation 86658(6) 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0557  CPK (CK) MB by Chemiluminescence *Includes Total CK **CK MB is performed only if Total CK is greater than 80 U/L. 82553 2.0 mL sodium or lithium heparin plasma only (1.2 mL minimum). AVOID hemolysis. NOTE: Indicate collection times on tube and requisition. Refrigerate or freeze as noted below. AVOID freeze/thaw cycles. Stability: REFT - 72 hrs            Freeze - >72 hrs BLOD0556  CPK (CK) Total by Enzymatic 82550 2.0 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate. Stability: RMT - 4 hours            REFT - 5 days NBLD0327  Creatinine 24-Hour Urine by Jaffee, Compensated - Rapid City by Enzymatic - Sioux Falls 82570 10 mL aliquot of a well-mixed and measured 24-hour urine specimen (5.0 mL minimum). Record total volume on test request form and urine vial. Refrigerate during collection and transport. Stability: RMT - 12 hours            REFT - 7 days LBAN0004  Creatinine Clearance by Jaffee, Compensated - Rapid City by Enzymatic - Sioux Falls -Includes Serum Creatinine -eGFR (>18 years old) 82575 2.0 mL serum (0.5 mL minimum) and 10 mL aliquot (5.0 mL minimum) of a well-mixed and measured 24-hour urine. NOTE: Serum specimen should be drawn within 24 hours of urine collection. Refrigerate during collection. Record urine total volume on test request form and urine vial. Include patient's height and weight. Submit serum and urine specimens at same time. Room temperature or refrigerate as noted below. Stability: Serum: RMT - 5 days            REFT - 7 days Urine: REFT - 5 days BLOD0558  Creatinine Serum by Jaffee, Compensated - Rapid City by Enzymatic - Sioux Falls -eGFR (>18 years old) 82565 2.0 mL serum (0.5 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days BLOD0622  CRP High Sensitive (CRP Cardiac) by Turbidimetric 86141 0.5 mL serum only. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days BLOD0621  CRP Quantitative by Turbidimetric *For inflammation 86140 1.0 mL serum (0.7 mL minimum). Lithium heparin plasma also acceptable. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days BLOD0612  Cryoglobulins Qualitative *Percent precipitate is reported for all positives. 82595 4.0 mL serum at room temperature. No gel barrier or SST tubes. Allow blood to clot at 37C. Centrifuge at room temperature or 37C. Separate serum from cells within 1 hour and submit only the serum. Do not refrigerate. Stability: RMT - 3 days            Room temp only NBLD0334  Cryptococcus Antigen Screen CSF -Reflex to Titer by Latex Agglutination 86403 Reflex 86406 1.0 mL cerebrospinal fluid (0.7 mL minimum). Refrigerate. Stability: RMT - 2 hours            REFT - 3 days BLOD0683  Cryptococcus Antigen Screen Serum - Reflex to Titer by Latex Agglutination 86403 Reflex 86406 1.0 mL serum (0.7 mL minimum). Refrigerate. Stability: RMT - 2 hours            REFT - 3 days NBLD0221  Cryptosporidia / Cyclospora by Acid Fast Stain 87206 Fresh stool in the O & P fixative vial at a ratio of 1 part feces to 3 parts fixative. O & P fixative is available from our Supplies Department. Mix stool specimen well after transferring into preservative. Note consistency of specimen. Label vial. OR submit raw stool in a sterile, leak-proof container and refrigerate. Stability: O & P Fixative: RMT - 7 days Room temp only Raw stool: Refrigerate               CSF Acid Fast Culture Refer to "CULT Acid Fast Culture". NBLD0272  CSF Cell Count and Differential by Microscopy 89051 1.0 mL cerebrospinal fluid. Refrigerate. **NOTE: White count values may be significantly lowered in specimens not tested within 4 hours.**   CSF Culture Refer to culture type; CULT Acid Fast, Bacterial, Fungal, or Viral   CSF Fungal Culture Refer to "CULT Fungal Culture Other". Indicate source. NBLD0174  CSF Glucose by Glucose Oxidase 82945 1.0 mL clear refrigerated spinal fluid (0.6 mL minimum). CSF aliquots should be centrifuged and separated from cells prior to refrigeration. NOTE: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. Stability: RMT - 24 hrs            REFT - 7 days NBLD0273  CSF Profile 1 -Cell Count and Differential -Glucose -Total Protein 89051 82945 84157 4.0 mL cerebrospinal fluid. Keep refrigerated. Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. **NOTE: White count values may be significantly lowered in specimens not tested within 4 hours.**   CSF Protein Electrophoresis Refer to "Electrophoresis Protein CSF" NBLD0180  CSF Total Protein by Copper-Azo Dye Complex 84157 1.0 mL CSF (0.5 mL minimum). If CSF is frozen, centrifuge and separate from any cells prior to freezing. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days NBLD0202  CSF VDRL by Floculation/Agglutination *Positive results will be titered. 86592 1.0 mL frozen CSF (0.5 mL minimum). Send frozen in plastic vial. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT.   CTX (Collagen Type 1 C Telopeptide Refer to "Collagen Type 1 C Telopeptide". MICR0014  CULT Acid Fast Bacilli Stain by Fluorochrome 87206 Submit specimen in a sterile screw cap leak-proof container. Indicate source. Refrigerate. Stability: RMT - 2 hours            REFT - 2 days BLOD1118  CULT Acid Fast Culture Blood (Does not include Acid Fast Bacilli Stain)                *Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87116 Submit in a special tube (Isolator Tube) available from our Supplies Department. Indicate source. Room temperature. Final culture report in 6-8 weeks. MICR0019  CULT Acid Fast Culture Indicate Source **Concentation of Acid Fast Bacilli Stain by Fluorochrome may be performed when indicated at an additional fee. *Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87116 **87206 **87015 Submit a minimum of 1.0 mL of specimen (5.0 mL for sputum or bronchial washings) in a sterile container. First morning collection recommended. If unable to obtain adequate sputum amount, combine 3-6 specimens and submit total amount in one container. Swabs are NOT acceptable. Indicate source. Refrigerate. Final culture report in 8 weeks. MICR0009  CULT Bacterial Culture Anaerobic *Must be ordered separately. Only included in Bacterial Culture, Blood. **Identification and/or typing will be performed if indicated at an additional fee (per organism). 87075 Submit specimens in Anaerobic culturette. Indicate source. NOTE: IUD specimens should indicate anaerobic swab for Actinomyces. BLOD0990  CULT Bacterial Culture Blood *Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87040 Two blood culture bottles marked with site and time drawn. Chloraprep applicator available from our Supplies Department. Acid Fast blood cultures require special tubes. For Acid Fast, refer to "CULT Acid Fast Culture Blood". For Fungal specimens, refer to "CULT Fungal Culture Blood". MICR0004  CULT Bacterial Culture Genital Screen for Selected Organism *Specify selected organism. -Group B streptococcus -Group B streptococcus, Penicillin               Allergic -GC -Yeast *Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87081 Group B Strep: Culturette at room temperature. Appropriate specimen is a vaginal/rectal swab. Refer to the GENERAL INFORMATION Section - Microbiology Specimen collection portion for Group B streptococcus collection. Submit at room temperature. GC: Inoculate Jembec plate. Add CO2 and place into a plastic bag securely sealed to maintain a CO2 environment. Keep incubated at room temperature. Indicate source. MICR0003  CULT Bacterial Culture Other *Body fluid, bone marrow, CSF, ear, eye, genital (includes yeast), IUD, surgical site, wound, or other specific source. Indicate source for all sites. **Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87070 Body fluid: Submit fluid in sterile, leak-proof container. Do not submit syringe. Send refrigerated. Bone marrow: Submit in sterile container. CSF: Submit all of the cerebrospinal fluid in a sterile container. Send refrigerated. Ear, Eye, Genital: Submit culturette at room temperature. Crush ampule.                IUD: Will include anaerobic culture for Actinomyces. Submit IUD and anerobic swab. Surgical site: Submit culturette at room temperature or fresh fluid from source in sterile leak-proof container. Wound: Submit culturette at room temperature or fresh fluid from source in sterile leak-proof container. Indicate if it is a "surgical wound" or a "skin wound". Other specific source: Submit culturette at room temperature. Indicate source. Special request must be indicated. Indicate source for all sites listed. Submit any fluid in a sterile leak-proof container, refrigerated. MICR0001  CULT Bacterial Culture Respiratory *Bronchial washings, nasal, sputum, throat, bronchoalveolar lavage Indicate source. **Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87070 Bronchial washings: Submit in sterile, leak-proof container. Nasal: Culturette at room temperature. Sputum: Deep "first morning" cough specimen in sterile container or on a swab in a culturette. Throat: Culturette at room temperature. Indicate source. MICR0005  CULT Bacterial Culture Screen for Selected Organism (other than Genital) *Specify selected organism. -Anthrax -GC -Legionella -Methicillin Resistant Staph aureus               (MRSA) -Vancomycin Resistant Enterococcus               (VRE) -Actinomyces -Beta strep 87081 Anthrax Screen: Nasal culturette at room temperature. GC: Inoculate Jembec plate. Add CO2 tablet and place into a plastic bag securely sealed to maintain a CO2 environment. Keep incubated at room temperature. A culturette at room temperature is also acceptable. Indicate source. Legionella: Submit fresh biopsy tissue, lower respiratory tract specimens, or pleural fluid in sterile, screw-cap container. Keep refrigerated. Stability: REFT - 3 days MRSA: Culturette at room temperature. Indicate source. Submit at room temperature. VRE: If sample is stool, submit in a sterile, leak-proof container and refrigerate. A rectal swab is also an appropriate specimen. Indicate source. Actinomyces: Submit an anaerobic swab. MICR0020  CULT Bacterial Culture Stool *Includes Salmonella/Shigella Campylobacter, Yersinia, E. coli O157, Aeromas, Vibrio, & Plesiomanas **If stool is positive for E. coli O157, then H7 typing will be performed. ***Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87045 87046(3) Place fresh stool in Cary-Blair transport media suitable for Salmonella, Shigella, Yersinia, Campylobacter, and E. coli O157:H7 pathogens. Cary-Blair transport media is available from our Supplies Department. Keep at room temperature when stool is submitted in Cary-Blair preservative. MICR0002  CULT Bacterial Culture Stool Screen for Selected Organism *Specify organism. -Campylobacter -E. coli O157:H7 -Yersinia **If stool is positive for E. coli O157, then H7 typing will be performed. ***Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87046 Place stool in Cary-Blair transport media available from our Supplies Department. Keep at room temperature. MICR0026  CULT Bacterial Culture Stool Screen for Selected Organism *Specify organism. -Salmonella/Shigella **Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87045 Place stool in Cary-Blair transport media available from our Supplies Department. Keep at room temperature. MICR0013  CULT Bacterial Culture Urine -Culture with no growth or -Culture with growth, isolation, & presumptive identification of each isolate or -Culture with growth & definitive identification *Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87086 or 87086 87088 or 87086 87077 Clean catch urine midstream or catheterized urine specimen in sterile container or urine culture transport system. Refrigerate after collection. Indicate source (clean catch, midstream, or catheterized). Refer to GENERAL INFORMATION Section for urine collection instructions. NBLD0239  CULT Chlamydia Culture 87110 Swab of urethra, cervix, rectal mucosa, or eye. Use Chlamydia transport media (2SP) available from our Supplies Department. NOTE: Respiratory source (nasophayngeal [NP] aspirate) is acceptable only for patients under 6 months of age. Place generous amounts of aspirate in Chlamydia transport media by using a Dacron swab. Do NOT use calcium alginate or wooden shaft swabs. Extract specimen from swab and discard. Freeze. Indicate source. Refer to "Microbiology Specimen Collection Protocol" in GENERAL INFORMATION section for Chlamydia collection information. NBLD0322  CULT CMV (Cytomegalovirus) Rapid Culture by Shell Vial and Specific Viral Culture Limited to CMV Cell Line 87254 First morning urine, throat, lung tissue or other tissue specimens, bronchoalveolar lavage, or bronchial washing. Use viral transport media for throat, tissues, and bronchial washings. Send 2 mL urine in viral transport media and additional urine in sterile container. Do NOT use calcium alginate or wooden shaft swabs. Indicate source. Refrigerate. BLOD1097  CULT Fungal Culture Blood *Identification will be performed if indicated at an additional fee (per organism). 87103 Submit specimen in special Isolator(R) tubes available from our Supplies Department. Cleanse the drawing site the same as collecting for blood culture. Indicate source. Send tubes at room temperature. **Please indicate "Adult" or "Pediatric" Isolator(R) tubes when ordering from Supplies.** Final culture report in 3 weeks. MICR0023  CULT Fungal Culture Other *Any source other than skin, hair, & nails **Identification will be performed if indicated at an additional fee (per organism). 87102 Submit specimen in sterile screw-cap container or on culturette. Indicate source. Refrigerate. Final culture report in 5 weeks. Stability: RMT - 2 hours            REFT - 2 days MICR0022  CULT Fungal Culture Skin Hair and Nails *Identification will be performed if indicated at an additional fee (per organism). 87101 Submit specimen in sterile screw-cap container or on culturette. Indicate source. Refrigerate. Final culture report in 5 weeks. Stability: RMT - 2 hours            REFT - 2 days MICR0008  CULT Gram Stain 87205 Saturate swab with exudate or other material and roll over 2 clean slides to produce a thin smear, or submit culturette at room temperature. NOTE: Gram stain requires its own culturette. Do NOT submit gel swabs. Air dry slides. Indicate source. NBLD0256  CULT Herpes Culture Reflex to Typing -Primary component: Herpes simplex -Secondary components: Other viruses *If Herpes is positive, Herpes typing will be performed at an additional fee. 87252 Reflex 87253(2) Do NOT use calcium alginate or wooden shaft swabs. To inoculate viral transport media, refer to GENERAL INFORMATION Section for specific viral collection instructions. Genital Sources Only: Swab source. Inoculate viral transport media by placing swab in transport medium. Swab should remain in medium for 30 minutes. Then remove the swab by wringing out against the inside of the vial. Discard swab. Indicate source. Refrigerate. Stability:             Prior to viral inoculation: RMT - 4 hours After viral inoculation: REFT - 4 days LABS0217  CULT Identification Anaerobic *Identification will be performed if indicated at an additional fee (per organism). 87076 Submit pure isolate (less than 24 hours old) for each organism in addition to original plate. Indicate source. Record date and time on isolate plate. LABS0214  CULT Identification Fungal -Yeast or -Mold 87106 87107 Submit pure isolate. Keep at room temperature. Stability: RMT - 7 days            Room temp only LABS0215  CULT Identification of Organism From Culture Plate *Typing and/or sensitivity will be performed if indicated at an additional fee (per organism).               Anerobic Isolate (per organism)               Aerobic Isolate (per organism)               Beta lactamase               Typing (per organism) 87076 87077 87185 87147 Submit pure isolate (less than 24 hours old) for each organism in addition to original plate. Indicate source. Record date and time on isolate plate. LABS0213  CULT MRSA Confirmation From Isolate *Susceptibility will be reported. 87186 Submit pure isolate (less than 24 hours old) for each organism, in addition to original plate. Indicate source. Record date and time on isolate plate. LABS0218  CULT Sensitivity / Susceptibility Testing *Sensitivity method will be determined by the type of organism: -MIC or -Kirby Bauer or -E test 87186 or 87184 or 87181 When a pathogen is isolated from a culture, a susceptibility test will be performed, if appropriate, at an additional fee. Record date and time if sending an isolate plate. NBLD0242  CULT Viral Culture (Viral Isolation) Indicate source. Includes: -Adenovirus -Coxsackie A and B -Echovirus -Enterovirus -Herpes simplex -Influenza A and B -Parainfluenza 1, 2, 3, 4 -Polio -Respiratory Syncytial Virus -Varicella zoster 87252 Do NOT use calcium alginate or wooden shaft swabs. To inoculate viral transport media, refer to GENERAL INFORMATION Section for specific viral collection instructions. * * Virus listing with sources (in alphabetical order): **Adenovirus: CSF, eye exudate, nasopharyngeal washing, stool, throat, or urine. **Coxsackie A & B: CSF, pericardial fluid, stool, throat, or vesicular fluid **Echovirus: CSF, pericardial fluid, stool, throat, or vesicular fluid **Enterovirus: CSF, pericardial fluid, stool, throat, or vesicular fluid **Herpes simplex: Brain, CSF, eye exudate, genital, throat swab, tissue biopsy, or vesicular fluid **Influenza A & B: Nasopharyngeal washing or throat swab **Parainfluenza 1, 2, 3, 4: Nasopharyngeal (NP) swab or washing, throat swab **Polovirus: CSF, stool, or throat swab **Respiratory Syncytial Virus: Not recommended if specimen transport requires greater than 30 minutes to the laboratory. Refer to "RSV by DFA." **Varicella Zoster: CSF, lesion, or vesicular fluid * * Specimen collection requirements (in alphabetical order): For brain, eye, genital, lesion, pericardial fluid, throat, tissue biopsy, or vesicular fluid: Swab source. Inoculate viral transport media by placing swab in transport medium. Swab should remain in medium for 30 minutes. Then remove the swab by wringing out against the inside of the vial. Discard swab. Indicate source. Refrigerate. For CSF or amniotic fluid: Submit CSF or amniotic fluid in a sterile container: DO NOT place in viral transport media. Submit a minimum of 1.0 mL in a sterile container. Indicate source. Refrigerate. Stability: REFT - 4 days             For nasal washings: Place 0.5-1.0 mL in viral transport media. Indicate source. For stools: Place a pea size amount in viral transport media. Indicate source. For urine: Submit 2.0 mL urine in viral transport media and an additional 2.0-4.0 mL urine in a sterile container. Indicate source. Refrigerate. Stability: (excluding CSF or amniotic fluid) Prior to viral inoculation: RMT - 4 hours After viral inoculation: REFT - 4 days BLOD0096  Cyclic Citrullinated Peptide (CCP) Antibodies, IgG by ELiA 86200 1.0 mL frozen serum (0.5 mL minimum). Freeze. Lithium heparin, citrated, and EDTA plasma also acceptable. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALQUOT. Frozen specimen preferred. Stability: REFT - 48 hours            Frozen - 7 days BLOD0508  Cyclosporine Whole Blood Trough by Chemiluminescence *Use for liver, cardiac, and kidney transplant patients. 80158 4.0 mL EDTA whole blood (1.0 mL minimum). Preferred collection time is 30 minutes prior to next scheduled dose. NOTE: Indicate if a kidney transplant patient. Refrigerate. Stability: REFT - 7 days BLOD1134  Cystatin C by Nephelometric *Cystatic C is a highly sensitive and specific marker of GFR (renal function) and is independent of muscle mass, age, and body mass index. 82610 1.0 mL serum or heparinized plasma (0.5 mL minimum). NOTE: Overnight fasting is required. Send specimen refrigerated. Stability: RMT - 24 hours            REFT - 7 days BLOD0505  Cystic Fibrosis 97 Mutation Analysis by PCR -Interpretation & Report -Molecular Amplification -Additional Amplification -Molecular Isolation -Molecular Separation -Molecular Digestion -Molecular Identification 83912 83900 83901(22) 83891 83909 83892(2) 83914(97) 10.0 mL EDTA or acid citrate dextrose (ACD) Solution A whole blood. (5.0-7.0 mL whole blood for children.) NOTE: Please include family/patient history. Room temperature or refrigerate as noted below. Do NOT freeze! Send specimen as soon as possible! Stability: RMT - 24 hrs            REFT - > 24 hrs NBLD0047  Cystine Quantitative 24-Hour Urine by Liquid Chromatography MS/MS 82131 2.0 mL frozen aliquot of a well-mixed 24 hour urine collection (0.5 mL minimum). No preservative. Record total volume on container and requisition. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Cytomegalovirus Refer to "CMV". BLOD0665  D Dimer Quantitative by Immunological Assay 85379 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). No other anticoagulant is acceptable. Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for platelet-poor plasma. Do not store in a frost-free freezer. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0068  Depakene (Valproic Acid) Free by Fluorescence Polarization Immunoassay 80164 3.0 mL serum (1.0 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Heparinized plasma NOT acceptable. Preferred collection time is 1 hour prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 7 days BLOD0533  Depakene (Valproic Acid) Total by Enzymatic Immunoassay - Rapid City by Enzymatic - Sioux Falls 80164 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0344  Depakene (Valproic Acid) Total and Free by Immunoassay 80164(2) 3.0 mL serum (1.5 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable Heparinized plasma NOT acceptable. Preferred collection time is 1 hour prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 7 days BLOD0024  Desipramine (Norpramin) by HPLC 80160 3.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Send at room temperature.             Stability: RMT - 5 days            REFT - 7 days BLOD0169  DHEA (Dehydroepiandrosterone) Unconjugated by LC/MS/MS 82626 1.0 mL serum (0.5 mL minimum). EDTA plasma also acceptable. No gel barrier or SST tubes. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0469  DHEA Sulfate (Dehydroepiandrosterone Sulfate) by Immunoassay 82627 2.0 mL serum (0.5 mL minimum). Send refrigerated. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 6 days            Frozen - 14 days BLOD0639  Differential Automated by CELL-DYN 3200 - Rapid City by ADVIA - Sioux Falls 85004 4.0 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days BLOD0799  Differential Manual 85007 4.0 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days BLOD0585  Digoxin (Lanoxin) by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City by Enzymatic - Sioux Falls 80162 2.0 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Sodium heparin plasma also acceptable. Draw sample at least 12-24 hours after last dose. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days   Dihydroxyvitamin D 1 25 Refer to "1 25,Dihydroxyvitamin D". BLOD0030  Dilantin (Phenytoin) Free Unbound by Fluorescence Polarization Immunoassay 80186 1.0 mL serum or EDTA plasma (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma NOT acceptable. Preferred collection time is 4 hours post oral dose, or 2 hours after IV administration. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days BLOD0539  Dilantin (Phenytoin) Total by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City by Enzymatic - Sioux Falls 80185 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days BLOD0382  Dilantin (Phenytoin) Total and Free by Fluorescence Polarization Immunoassay 80186 80185 2.0 mL serum or EDTA plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is 4 hours post oral dose, or 2 hours after IV administration. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days   Dilaudid (Hydromorphone) Refer to "Drug Screen Urine". BLOD0670  Dilute Russell Viper Venom Time (DRVVT) by STAGOS Instrument 85613 2.0 mL frozen citrated platelet-poor plasma (0.5 mL minimum). Refer to the GENERAL INFORMATION Section of Coagulation for instructions to obtain platelet-poor plasma. Freeze within 30 minutes of drawing sample. DO NOT store in frost-free freezer. Correct ratio of blood to anticoagulant is critical for assay validity. Do not THAW. Testing can be performed on freshly drawn specimens within 4 hours. Stability: REFT - 4 hours            Frozen - 14 days BLOD0489  Diphtheria Toxoid IgG Antibodies Single Serum by EIA 86648 2.0 mL serum only (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0923  Direct Coombs (Antiglobulin Test) *Includes polyspecific testing; monospecific testing performed when indicated 86880 4.0 mL EDTA whole blood. Refer to GENERAL INFORMATION Section of the Catalog for Specimen Labeling Policy - Blood Bank.   DNA Antibody Refer to "Anti DNA Double Stranded Antibody"; or "Anti DNA Single Stranded Antibody". BLOD0305  DNase B Antibody by Nephelometry 86215 1.0 mL serum (0.5 mL minimum). Refrigeration preferred. Stability: RMT - 48 hrs            REFT - 8 days BLOD0385  Doxepin (Sinequan, Adapin) by HPLC-UV *Includes metabolite Desmethyldoxepin (Nordoxepin) 80166 3.0 mL serum or heparinized plasma (1.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days   Drug Allergens Search by "Allergen Drug Penicllin". NBLD0115  Drug Screen Meconium by IA, GC/MS Includes: -Amphetamines -Cocaine -Opiates -PCP (Phencyclidine) -THC Metabolite *Positive results are confirmed by GC/MS or LC/MS/MS at no additional charge. 80101(5) 82542 for each positive 1-5 grams meconium. Use sterile leak-proof container. Store refrigerated until shipped. Stability: RMT - 48 hours            REFT - 7 days NBLD0112  Drug Screen Urine Comprehensive by Colorimetric, IA, Chromatography *Confirmation by various methods Includes: Acetaminophen (Tylenol), Acetone, Alcohol (Ethyl), Alcohol (Isopropyl), Alcohol (Methyl), Amitriptyline (Elavil), Amobarbital (Amytal), Amphetamine, Barbiturates, Benzoylecgonine (Cocaine, Metabolite), Butalbital (Fiorinal), Caffeine, Carbamazepine (Tegretol), Carisoprodol (Soma), Chlordiazepoxide (Librium), Chlorpheniramine, Chlorpromazine (Thorazine), Cocaine, Codeine, Cyclobenzaprine (Flexeril), Desipramine (Norpramin), Diazepam (Valium), Dephenhydramine (Benadryl), Doxepin (Sinequan), Ethchlorvynol (Placidyl), Flurazepam (Dalmane), Glutethimide (Doriden), Hydromorphone (Dilaudid), Ibuprofen (Advil, Nuprin), Imipramine (Tofranil), Lidocaine (Xylocaine), Loxapine (Loxitane), Meperidine (Demerol), Mephobarbital (Mebaral), Meprobamate (Equanil), Methadone, Methamphetamine, Methaqualone (Quaalude), Morphine, Naproxen (Naprosyn), Nortriptyline (Aventyl), Oxazepam (Serax), Oxycodone, Phencylclidine (PCP), (Percodan), Pentazocine (Talwin), Pentobarbital (Nembutal), Phenobarbital (Luminal), Phenylpropanolomine, Phenytoin (Dilantin), Promethazine, Propoxyphene (Darvon), Propranolol (Inderal), Salicylate (Aspirin), Secobarbital (Seconal), THC Metabolite (Marijuana), Valproic Acid (Depakene) Note: This list is not necessarily inclusive of all possible drugs that could be identified. 80100 80101(8) 60 mL random urine (25 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days NBLD0010  Drugs of Abuse (SAP 5-50) by EIA, GC/MS Includes: -Amphetamines -Cocaine -Opiates -PCP (Phencylclidine) -THC Metabolite - 50 ng/mL 80101(5) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days NBLD0096  Drugs of Abuse (SAP 7-20 + Alcohol) by EIA, GC/MS Includes: -Alcohol (Ethanol) -Amphetamines -Barbiturates -Benzodiazepines -Cocaine -Opiates -PCP (Phencyclidine) -THC Metabolite - 20 ng/mL 82055 80101(7) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days NBLD0008  Drugs of Abuse (SAP 7-20) by EIA, GC/MS Includes: -Amphetamines -Barbiturates -Benzodiazepines -Cocaine -Opiates -PCP (Phencyclidine) -THC Metabolite - 20 ng/mL 80101(7) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days NBLD0097  Drugs of Abuse (SAP 7-50 + Alcohol) by EIA, GC/MS Includes: -Alcohol (Ethanol) -Amphetamines -Barbiturates -Benzodiazepines -Cocaine -Opiates -PCP (Phencyclidine) -THC Metabolite - 50 ng/mL 82055 80101(7) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days NBLD0101  Drugs of Abuse (SAP, 10-20 + Alcohol) by EIA, GC/MS Includes: -Alcohol (Ethanol) -Drug Screening Profile:               Amphetamines               Barbiturates               Benzodiazepines               Cocaine               Opiates               PCP (Phencylclidine)               Methadone               Methaqualone               Propoxyphene               THC Metabolite 82055 80101(10) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days NBLD0005  Drugs of Abuse (SAP, 10-20) by EIA, GC/MS Includes: -Amphetamines -Barbiturates -Benzodiazepines -Cocaine -Methadone -Methaqualone -Opiates -PCP (Phencyclidine) -Propoxyphene -THC Metabolite - 20 ng/mL 80101(10) 30 mL random urine (7 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 14 days   E coli O157:H7 Screen (Hemorrhagic Colitis) Refer to "CULT Bacterial Culture Stool Selected Organism" and request E coli.   Ear Culture Search by "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral).   EBV (Epstein Barr Virus) Refer to "Epstein Barr Virus". BLOD0446  Echovirus (4, 7, 9, 11, 30) Antibodies by Complement Fixation 86658(5) 1.0 mL serum only (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Echovirus (Viral Culture) Refer to "CULT Viral Culture". BLOD0384  Elavil (Amitriptyline) by HPLC *Includes metabolite Nortriptyline 80152 2.0 mL serum (1.2 mL minimum). No gel barrier or SST tubes. Also acceptable: EDTA plasma, sodium or lithium heparin plasma. Preferred collection time is immediately before the next scheduled dose or at least 12 hours after last dose. Refrigeration preferred. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0529  Electrolyte Panel by ISE -Sodium -Potassium -Chloride -Carbon Dioxide (CO2) *Note: Electrolyte Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this catalog. 80051 2.0 mL serum (0.6 mL minimum). AVOID hemolysis. Separate serum from cells within 45 minutes. Lithium heparin plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days BLOD0437  Electrophoresis Hemoglobin *Includes Hemoglobin A1, F, S, C, and A2 **Atypical hemoglobins are automatically confirmed. Additional charges may apply. 83020 83021 6.0 mL EDTA whole blood (1.0 mL pediatric minimum). If multiple draws, collect EDTA tube last. Contact Client Support to obtain necessary signed consent form. Age required. Refrigerate. Stability: REFT - 10 days NBLD0265  Electrophoresis Protein 24-Hour Urine *Includes Total Protein 84156 84166 25 mL aliquot of a well-mixed and measured 24-hour urine (10 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection. Refrigerate only. Stability: REFT - 7 days             LBAN0008  Electrophoresis Protein CSF by Electrophoresis/Biuret *Includes CSF Total Protein and Electrophoresis; and Serum Total Protein and Electrophoresis with Pathologist Interpretation. 84166 84165 4.0 mL CSF (2.5 mL minimum) AND 4.0 mL serum (2.5 mL minimum). Fasting is recommended. Plasma is NOT acceptable. Stability: CSF: REFT - 3 days            Frozen - 7 days Serum: REFT - 7 days            Refrigerate only NBLD0268  Electrophoresis Protein Random Urine by Electrophoresis *Includes Urine Total Protein 84166 25 mL of a well-mixed urine collection (10 mL minimum). Refrigerate only. Stability: REFT - 7 days BLOD1189  Electrophoresis Protein with Quantitative Free Light Chains *Includes Total Protein, Pathologist Interpretation, and Quantitative Free Light Chains **Serum free light chain measurement is of major prognostic value in almost all plasma cell proliferative disorders and may be useful in initial evaluation of patients and on monitoring treatment response. 84165 83883(2) 3.0 mL serum only (1.5 mL minimum). Plasma is NOT acceptable. AVOID hemolysis and lipemia. Refrigerate only. Stability: REFT - 7 days BLOD0784  Electrophoresis Serum *Includes Total Protein 84165 3.0 mL serum (1.0 mL minimum). Plasma is NOT acceptable. AVOID hemolysis and lipemia. Refrigerate only. Stability: REFT - 7 days             BLOD1203  Electrophoresis Serum Reflex to Immunofixation if Protein Spike Present by Electrophoresis, Immunofixation *Includes Total Protein, Pathologist Interpretation **Reflexes to an Immunofixation if Protein Spike is present on electrophoresis at an additional fee. 84165 Reflex 86334 Reflex performed at an additional fee. 4.0 mL serum only (1.5 mL minimum). Plasma is NOT acceptable. AVOID gross hemolysis. Refrigerate only. Stability: REFT - 7 days             BLOD0424  ENA Antibodies (Extractable Nuclear Antigens) by EIA *Includes Anti-RNP and Anti-Sm Antibodies 86235(2) 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0837  ENA Profile 1 *Includes Antibodies to Extractable Nuclear Antigens: -Anti-RNP and Anti-Sm (Smith) -Anti-SSA (Sjogren's) and                Anti-SSB (Sjogren's) 86235(4) 2.0 mL serum (1.4 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0839  ENA Profile 2 *Includes: -Anti-dsDNA -Includes Antibodies to Extractable Nuclear Antigens:               Anti-RNP (Ribonucleoprotein)               Anti-Sm (Smith)               Anti-SSA & Anti SSB               (Sjogren's) 86225 86235(4) 3.0 mL serum (1.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 2 days            Frozen - 14 days BLOD0840  ENA Profile 3 (ANA Expanded Profile) -Anti-dsDNA -Includes Antibodies to Extractable Nuclear Antigens:               Anti-RNP (Ribonucleoprotein)               Anti-Sm (Smith)               Anti-SSA and SSB                (Sjogren's)               Anti-Scl-70 (Scleroderma)               Anti-Jo-1 (Polymyositis) 86225 86235(6) 5.0 mL serum (3.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 2 days            Frozen - 14 days BLOD0442  Encephalitis Antibodies - St Louis IgG and IgM by IFA 86653(2) 1.0 mL serum (0.5 mL minimum). Maintain sterility. Refrigerate. Spinal fluid is NOT acceptable. Stability: REFT - 14 days BLOD0443  Encephalitis Antibodies - Western Equine IgG and IgM by IFA 86654(2) 1.0 mL serum (0.5 mL minimum). Maintain sterility. Refrigerate. Spinal fluid is NOT acceptable. Stability: REFT - 14 days BLOD0481  Endomysial IgA Antibody Screen by IFA 86255 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days   Enterovirus (Viral Culture) Refer to "CULT Viral Culture". LBOR0021  Enterovirus RNA Detection by Rapid PCR by Real-Time Polymerase Chain Reaction (PCR) 87498 1.0 mL serum preferred (0.5 mL minimum); or 1.0 mL CSF refrigerated (0.5 mL minimum) in sterile leakproof container; or 1 gram of stool frozen only. STOOL MUST BE SENT FROZEN IN ITS OWN ALIQUOT. Stability: Serum & CSF: REFT - 7 days            Frozen - 14 days Stool: Frozen only BLOD0635  Eosinophil Count Total *Also included in a CBC 85048 4.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum for pediatrics). Keep refrigerated. Stability: RMT - 8 hours            REFT - 3 days NBLD0218  Eosinophils Nasal Smear by Microscopy 89190 Two thin nasal smears on a glass slide. Air dry. Do not fix. BLOD0378  Epstein Barr Virus Antibody Comprehensive by EIA -IgM Antibody to Viral Capsid Antigen -IgG Antibody to Viral Capsid Antigen -Antibody to Nuclear Antigen *Use for Chronic Fatigue Syndrome 86665(2) 86664 2.0 mL serum (1.0 mL minimum). AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days NBLD0135  Epstein Barr Virus CSF by PCR by Real-Time PCR/DNA Probe Hybridization 87798 0.5 mL CSF (0.3 mL minimum) refrigerated. DO NOT CENTRIFUGE. Send CSF in a sterile, screw-capped tube. Refrigerate or freeze. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 7 days LBOR0020  Epstein Barr Virus DNA Quantitative PCR by Real-Time PCR 87799 1.0 mL EDTA plasma (0.5 mL minimum). Separate plasma from cells within 2 hours of collection. Also acceptable: 1.0 mL of serum, CSF, EDTA whole blood, or bone marrow in an EDTA tube. Send all specimen types refrigerated. INDICATE SAMPLE TYPE ON REQUISITION. Heparinized plasma or heparinized whole blood are NOT acceptable. Stability: RMT - 48 hours            REFT - 8 days BLOD0810  Epstein Barr Virus IgG and IgM Antibodies to Viral Capsid Antigen by Chemiluminescence Immunoassay 86665(2) 2.0 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days BLOD0686  Epstein Barr Virus IgG Antibodies to Viral Capsid Antigen by Chemiluminescence Immunoassay 86665 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days BLOD0687  Epstein Barr Virus IgM Antibodies to Viral Capsid Antigen by Chemiluminescence Immunoassay 86665 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days BLOD0319  Epstein Barr Virus Nuclear Antigen Antibody IgG (EBNA) by Chemiluminescence Immunoassay 86664 1.0 mL frozen serum (0.5 mL minimum). AVOID hemolysis and lipemia. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 14 days BLOD0201  Erythrocyte Protoporphyrin Free by Fluorometry 84202 2.0 mL EDTA whole blood or sodium heparin whole blood (0.5 mL minimum). PROTECT FROM LIGHT by wrapping in foil. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days BLOD0172  Erythropoietin (EPO) by Immunoassay 82668 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0637  ESR (Sed Rate) by Modified Westergren - Rapid City by ESR Auto Plus - Sioux Falls 85651 4.0 mL EDTA whole blood (2.2 mL minimum). Test must be performed within 24 hours of collection. Keep refrigerated. Stability: RMT - 4 hours            REFT - 24 hours BLOD0588  Estradiol (E2) Serum (17-Beta) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 82670 2.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0173  Estradiol Free by LC/MS/MS, Equilibrium Dialysis *Includes Estradiol Free, Estradiol % Free, and Estradiol 82670(2) 1.0 mL frozen serum. No serum separator or SST tubes. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days BLOD0470  Estrogen Serum Total by RIA 82672 3.0 mL serum or heparinized plasma (1.5 mL minimum). Indicate age and sex on specimen vial and requisition. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0416  Estrone (E1) Serum by LC/MS/MS 82679 1.0 mL frozen serum (0.5 mL minimum). No gel barrier or SST tubes. FREEZE. NOTE: Age and sex of patient are required for this test. Stability: REFT - 7 days            Frozen - 14 days   Ethanol (Ethyl Alcohol) Refer to "Alcohol". BLOD0025  Ethosuximide (Zarontin) by Immunoassay 80168 1.0 mL serum or EDTA plasma (0.6 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 7 days BLOD0388  Ethotoin (Peganone) by GC-FID 82491 2.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days   Eye Culture Refer to "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral). BLOD0108  Factor 2 Activity Assay by Prothrombin Clot-Based Assay 85210 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested. Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0109  Factor 5 Activity Assay by Prothrombin Clot-Based Assay 85220 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0379  Factor 5 Leiden Mutation Analysis by PCR - Light Cycler Detection Probe Technology 83891 83896(2) 83898 83912 83903 5.0 mL EDTA whole blood (2.0 mL minimum) is specimen of choice. Send refrigerated. THIS TEST REQUIRES ITS OWN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0110  Factor 7 Activity Assay by Prothrombin Clot-Based Assay 85230 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0661  Factor 8 Activity Assay by APTT-Based Assay 85240 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. NOTE: Patient must not be receiving heparin therapy. Double-spun specimens (platelet-poor plasma) are critical for accurate results. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Factor 8 Related Antigen Refer to "von Willebrand Workup". BLOD0662  Factor 9 Activity Assay by APTT Clot-Based Assay 85250 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0115  Factor, 10 Activity Assay by Prothrombin Clot Based Assay 85260 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0116  Factor, 11 Activity Assay by APTT-Clot Based Assay 85270 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0117  Factor, 12 Activity Assay by APTT-Clot Based Assay 85280 1.0 mL frozen sodium citrate platelet-poor plasma for EACH factor requested (0.5 mL minimum). Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Ship on dry ice. A minimum of 1.0 mL frozen sample in a separate tube is needed for EACH factor assay. Indicate specific factor on specimen vial and requisition. Patient must not be receiving heparin. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   FANA (Antinuclear Antibody) Refer to "ANA".   Farmers Lung Refer to "Hypersensitivity Pneumonitis". BLOD1139  Fatty Acid Profile RBC by Gas Chromatography 0111T 82544(4) Preferred specimen: 4.0 mL EDTA whole blood (1.0 mL minimum) preferrably from a first morning fasting specimen; non-fasting specimen acceptable. Stability: RMT - 5 days            REFT - 5 days NBLD0037  Fecal Fat Quantitative by Nuclear Magnetic Resonance Spectrometer 82710 Submit frozen entire 48-72 hour stool specimen. 24 hour or random specimens also acceptable. NOTE: Indicate length of collection time on requisition and sample container. Send ENTIRE collection. Freeze. Stool containers available from our Supplies Department. PATIENT PREPARATION: For 3 days prior to collection: (A) patient should be on a fat-controlled diet (100-150 gm fat per day). (B) No laxatives, mineral oil, or castor oil. (C) No synthetic fat substitutes (e.g., Olestra) or fat-blocking nutritional supplements. (D) Barium interferes with test procedure - a waiting period of 48 hours before stool collection is recommended. Send frozen. Stability: Frozen only NBLD0138  Fecal Fat Screen by Sudan Stain 82705 2 grams random stool specimen (0.5 grams minimum). Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Recommend that the specimen be sent within 24 hours. Stability: REFT - 5 days            Frozen - 14 days NBLD0238  Fecal Leukocytes 89055 Random stool specimen in clean leak-proof container. Send refrigerated. NBLD0298  Fecal Occult Blood (iFOB by Immunochemical *Diagnostic and Non-Medicare Screening 82274 Preferred sample is an occult blood cartridge with stool sample applied. Collection kits and instructions are available from our Supplies Department. Random stool is not acceptable. Submit with a General or Hospital requisition. Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic purposes. NOTE: No dietary or medication restrictions. Room temperature. Stability: RMT - 8 days NBLD0367  Fecal Occult Blood (iFOB) Medicare Screen Only by Immunochemical G0328 Preferred sample is an occult blood cartridge with stool sample applied. Collection kits and instructions are available from our Supplies Department. Random stool sample is not acceptable. Submit with a General or Hospital requisition. Clearly indicate "Screen" on the requisition along with the test code. NOTE: No dietary or medication restrictions. Room temperature. Stability: RMT - 8 days NBLD0201  Fecal pH 83986 Random stool specimen. Keep refrigerated. NBLD0192  Fecal Reducing Substances by Benedict's Copper Reduction (Clinitest) 81002 Random stool specimen. BLOD0389  Felbamate (Felbatol) by HTLC-MS/MS 80299 1.0 mL serum (0.5 mL minimum). Preferred collection time is immediately before next scheduled dose. Refrigeration preferred. Stability: REFT- 7 days            Frozen - 14 days BLOD0589  Ferritin by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 82728 2.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0978  Fetal Bleed Screening Test by Immune Rosetting *Test will automatically reflex to Fetaldex (Test Code BLOD0667) on all positive results at an additional fee. 85461 7.0 mL EDTA whole blood (3.2 mL minimum). Refrigerate. NOTE: Collect from mother approximately 1 hour after delivery or as soon as possible thereafter. NOTE: The test must be performed on the blood of a known D-negative mother of a recently delivered D-positive child. If the infant's red blood cells possess a weak D antigen, the test may not detect a feto-maternal hemorrhage exceeding 30 mL of whole blood. Stability: REFT - 24 hours NBLD0296  Fetal Fibronectin Assay by Enzyme immunoassay *A qualitative test to aid in identifying risks for premature delivery. 82731 A special collection kit is required. Please contact Client Support for kit and instructions. Refrigerate specimen. Stability: REFT - 3 days            Frozen >3 days   Fetal Hemoglobin Refer to "Hemoglobin Electrophoresis". BLOD0667  Fetaldex (also known as Kleihauer-Betke) by Erythrosine-B Stains *Useful to indicate amount of Rh Immune globulin to administer to prevent stimulation of maternal Anti-D. 85460 7.0 mL EDTA whole blood (3.0 mL minimum) collected from the mother within 24 hours of delivery. Refrigerate. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. Stability: REFT - 24 hours   Fibrin Split Products Refer to "D Dimer". BLOD0666  Fibrinogen Quantitative Functional Assay by Mechanical 85384 2.0 mL frozen sodium citrate plasma only. Refer to GENERAL INFORMATION Section of this Catalog for collection of coagulation tests and procedure for preparing platelet-poor plasma. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only NBLD0297  FISH Urovysion Bladder Cancer by Fluorescence In Situ Hybridization (FISH) *FISH analysis of urothelial cells from urine samples may be used to monitor patients with a history of urothelial carcinomas for disease recurrence. 88120 See patient instructions for collecting a urine specimen using the required kit. Kits with handling instructions can be ordered from our Supplies Department. Send refrigerated. Room temperature acceptable. Do NOT send frozen. BLOD0390  Flecainide (Tambocor) by HPLC 80299 3.0 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Room temperature preferred. Stability: RMT - 7 days NBLD0012  Flunitrazepam (Rohypnol) Urine by IA, GC/MS *Specimens screened by Immunoassay at a threshold concentration of 100 ng/mL. Any positive is confirmed by GC/MS. 80101 82542 if positive 10 mL aliquot of random or spot urine (5.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - >3 days   Fluorescent Treponemal pallidum Antibody (FTA) Refer to "FTA Antibody". BLOD0174  Folate RBC by Immunoassay 82747 3.0 mL EDTA whole blood (1.0 mL minimum). THIS TEST REQUIRES ITS OWN ALIQUOT. Send specimen ROOM TEMPERATURE in a plastic tube. Do not refrigerate or freeze since this will affect the hematocrit. FOIL WRAP SAMPLES TO PROTECT FROM LIGHT. Stability: Room Temp only - 24 hours BLOD0605  Folate Serum (Folic Acid or Vitamin B9) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 82746 1.0 mL serum only (0.6 mL minimum). AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0590  Follicle Stimulating Hormone (FSH) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 83001 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days   Food Allergens Refer to "Allergen Food" and then by the specific food name.   Food Allergy Panel 1 + Total IgE Refer to "Allergy Food Panel 1".   Food Allergy Panel 2 + Total IgE Refer to "Allergy Food Panel 2". BLOD1004  Fragile X DNA Analysis by Southern Blot Analysis/Polymerase Chain Reaction (PCR)-Based Assays -Isolation or Extraction -Enzymatic Digestion -DOT/SLOT Blot Production -Separation by Gel Electrophoresis -Nucleic Acid Probe, each -Nucleic Acid Transfer -Amplification 1st Sequencing -Separation and Identification -Interpretation and Report 83891 83892(3) 83893 83894 83896 83897 83900 83909 83912 5.0-10 mL EDTA whole blood at room temperature. DO NOT refrigerate! Lithium heparin is not acceptable. If Blood Chromosomes and Fragile X are both ordered, need 10 mL sodium heparin and 10 mL EDTA whole blood at room temperature. Also acceptable, one full yellow ACD whole blood tube at room temperature. Please contact Client Support to obtain the appropriate Genetics forms to be completed and submitted with patient specimen. Send to receive Monday through Thursday only. Stability: RMT - 48 hrs            Room temp only BLOD0131  Francisella tularensis Antibody (Tularemia) 86668 1.0 mL serum only (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD1065  Free Light Chains (Immunoglobulin)Serum Quantitative by Turbidimetric Analysis *Includes Kappa and Lambda free light chains and FLC Ratio. **Serum free light chain measurement is of major prognostic value in almost all plasma cell proliferative disorders, and may be useful in initial evaluation of patients and on monitoring treatment response. 83883(2) 1.0 mL serum (0.5 ml minimum). Refrigerate. Serum is the only acceptable specimen type. Stability: Refrigerate only BLOD1189  Free Light Chains Serum Quantitative with Protein Electrophoresis *Includes Total Protein, Pathologist Interpretation, and Quantitative Free Light Chains **Serum free light chain measurement is of major prognostic value in almost all plasma cell proliferative disorders and may be usedful in initial evaluation of patients and on monitoring treatment response. 84165 83883(2) 3.0 mL serum only (1.5 mL minimum). Plasma is NOT acceptable. AVOID hemolysis and lipemia. Refrigerate only. Stability: REFT - 7 days BLOD0600  Free T3 by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 84481 2.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days BLOD0596  Free T4 by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 84439 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 7 days   Free Testosterone Refer to "Testosterone Free". BLOD0471  Fructosamine by Colorimetric 82985 2.0 mL serum or heparinized plasma (1.0 mL minimum). Separate from cells within 60 minutes. Refrigerate. Stability: REFT - 14 days BLOD0590  FSH (Follicle Stimulating Hormone) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 83001 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0495  FTA Antibody (Fluorescent Treponemal pallidum Antibody) by Particle Agglutination 86780 1.0 mL serum (0.5 mL). Citrated, heparin, and EDTA plasma are also acceptable. Refrigeration preferred. Stability: RMT - 7 days            REFT - 14 days   Fungus Culture Blood Refer to "CULT Fungal Culture Blood".   Fungus Culture Identification Refer to "CULT Identification Fungal".   Fungus Culture Other Refer to "CULT Fungal Culture Other".   Fungus Culture Skin Hair and Nails Refer to "CULT Fungal Culture Skin Hair and Nails". BLOD0648  Fungus Panel 1 by Immunodiffusion -Aspergillus Antibody -Blastomyces Antibody -Coccidioides Antibody -Histoplasma Antibody 86606 86612 86635 86698 3.0 mL serum (1.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 14 days BLOD0178  G-6-PD, Quantitative by Kinetic 82955 1.0 mL EDTA whole blood (0.5 mL minimum). Refrigerate. DO NOT freeze. Stability: RMT - 2 days            REFT - 7 days BLOD0391  Gabapentin (Neurontin) by Gas Chromatography 80299 3.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Draw sample 2 hours after last dose at steady-state. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 12 days BLOD0052  Gabitril (Tiagabine) by LC/MS/MS 82542 3.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days   Gamma Glutamyl Transpeptidase (GGTP) Refer to "GGTP".   Garamycin (Gentamicin) Peak or Trough Refer to "Gentamicin". BLOD0176  Gastrin by Immunoassay 82941 1.0 mL frozen serum (0.7 mL minimum). No gel barrier or SST tubes. NOTE: Minimum 12-hour overnight fast is required. Plasma is not acceptable. Do NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only NBLD0267  GC / Chlamydia by BD Probe by Amplified Nucleic Acid Displacement (BD Probe) 87591 87491 25 mL of urine from a first morning void (minimum 20 mL) collected in a plastic, sterile urine container from a patient who has not urinated one hour prior to collection; OR a cervical/urethral specimen collected with a BD Probe collection kit. The special collection kits are available from our Supplies Department. NOTE: For males, use the blue collection swab; for females, use the pink collection swab. Refrigerate. Do NOT freeze urine or swab. Stability: REFT - 4 days             NBLD0277  GC / Chlamydia, Cervical and Urethral by DNA Hybridization with Chemiluminescent Detection 87590 87490 Cervical or urethral swab. Use Gen Probe urethral or cervical collection kits available from our Supplies Department. Clear exudate material from collection site to allow collecting of epithelial cells. Room temprature or refrigerate as noted below. Indicate source Stability: RMT - 7 days            REFT - 7 days   GC / Gardnerella Culture Refer to "CULT Bacterial Culture Other" then choose "Genital" source. NBLD0295  GC by BD Probe by Amplified Nucleic Acid Strand Displacement (BD Probe) 87591 25 mL of urine from a first morning void (minimum 20 mL) collected using a special transport tube (or a plastic, sterile urine container) from a patient who has not urinated one hour prior to collection; OR a cervical/urethral specimen collected with a BD Probe collection kit. The special transport tubes and collection kits are available from our Supplies Department. NOTE: For males, use the blue collection swab; for females, use the pink collection swab. Refrigerate. DO NOT FREEZE urine or swab. Stability: REFT - 4 days             NBLD0093  GC by DNA Hybridization by DNA Hybridization with Chemiluminescent Detection 87590 Cervical or urethral swab. Use Gen Probe urethral or cervical collection kits available from our Supplies Department; only use kit swabs. Clear exudate material from collection site to allow collection of epithelial cells. Indicate source. Procedure is not approved for conjunctival specimens. Stability: RMT - 7 days            REFT - 7 days   GC Culture / Screen Refer to "CULT Bacterial Culture Genital Screen for Selected Organism". Specify GC.   Genital Culture Refer to "CULT Bacterial Culture Genital Screen".   Genital Strep Culture Refer to "CULT Bacterial Culture Genital Screen for Selected Organism". BLOD0534  Gentamicin (Garamycin) Peak by Enzymatic 80170 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Preferred collection time is 30 minutes after IV infusion is complete. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days BLOD0536  Gentamicin (Garamycin) Trough by Enzymatic 80170 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days BLOD0561  GGTP (Gamma Glutamyl Transpeptidase) by Enzymatic Colorimetric - Rapid City by Enzymatic - Sioux Falls 82977 1.0 mL serum (0.6 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days NBLD0225  Giardia lamblia Antigen by ELISA 87329 5 grams of stool refrigerated, or 5 grams of stool in 10% formalin, Cary-Blair, or SAF fixative (sodium acetate-formalin) at room temperature. NOTE: The Ecofix vial used for O & P collections is not acceptable for a Giardia lamblia antigen specimen. Stability: Fresh stool:               REFT - 48 hrs            Frozen - >48 hrs Stool in Cary Blair:               REFT - 7 days BLOD1142  Giardia lamblia IgG IgA and IgM Antibody Panel by Indirect Immunofluorescence Assay 86674(3) 2.0 mL serum refrigerated (0.5 mL minimum). Stability: RMT - 7 days            REFT - 14 days BLOD0374  Gliadin (Deamidated) IgA Antibody by ELISA 83516 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - <72 hours            REFT - 7 days BLOD0375  Gliadin (Deamidated) IgG Antibody by ELISA 83516 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - <72 hours            REFT - 7 days BLOD1109  Gliadin Peptide (Deamidated) IgG and IgA Antibody Screen by ELISA *This screen includes IgG & IgA but does not differentiate. 83516 1.0 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days BLOD0187  Glomerular Basement Membrane Antibody (GBM Antibody) by Immunoassay 83520 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0559  Glucose 2-Hour Post Prandial 82947 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum) following a standard meal (containing 75-100 grams of glucose). If patient has not eaten a standard meal, give 75 grams oral glucose load. Draw specimen 2 hours after meal or glucose load. Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days NBLD0173  Glucose Body Fluid by Glucose Oxidase 82945 1.0 mL body fluid in sterile tube (0.6 mL minimum). Refrigerate. Stability: REFT - 7 days NBLD0174  Glucose CSF by Glucose Oxidase 82945 1.0 mL clear refrigerated spinal fluid (0.6 mL minimum). CSF aliquots should be centrifuged and separated from cells prior to refrigeration. NOTE: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. Stability: RMT - 24 hrs            REFT - 7 days BLOD0655  Glucose Gestational Diabetes Screening Test (1 Hour) *One specimen required. 82950 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum). Give 50 grams oral glucose load and draw specimen (serum or plasma) one hour after glucose load. Patient does not have to be fasting and test can be done at any time of the day. Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0787  Glucose Gestational Diabetes Tolerance Test (3-Hour) by Enzymatic Hexokinase - Rapid City by Glucose Oxidase - Sioux Falls *Four specimens required. 82951 82952 1.0 mL serum or 1.0 mL sodium fluoride plasma for each specimen (0.6 mL minimum). Overnight fasting is required. Draw fasting specimen. Give 100 grams oral glucose load and draw additional specimens at 1, 2, and 3 hours after glucose load. Properly label each specimen with time drawn. Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0006  Glucose Plasma or Serum by Enzymatic Hexokinase - Rapid City by Glucose Oxidase - Sioux Falls 82947 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum). Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days BLOD0178  Glucose-6-Phosphate Dehydrogenase (G-6-PD), Quantitative by Kinetic 82955 1.0 mL EDTA whole blood (0.5 mL minimum). Refrigerate. DO NOT freeze. Stability: RMT - 2 days            REFT - 7 days BLOD0629  Glycated Hemoglobin A1c by Turbidimetric Inhibition Immunoassay (TINA) - Rapid City by HPLC - Sioux Falls 83036 1.0 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days MICR0008  Gram Stain 87205 Saturate swab with exudate or other material and roll over 2 clean slides to produce a thin smear, or submit culturette at room temperature. NOTE: Gram stain requires its own culturette. Do NOT submit gel swabs. Air dry slides. Indicate source.   Grass Allergens Refer to "Allergen Grass" and then by the specific grass name.   Grass Allergy Screen Refer to "Allergy - Screen Grass". BLOD0179  Growth Hormone (HGH) by Chemiluminescent Immunoassay (CLIA) 83003 1.0 mL frozen serum (0.5 mL minimum). AVOID hemolysis. Plasma is NOT acceptable. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Send frozen Stability: REFT - 2 days            Frozen - 7 days BLOD0616  Haptoglobin by Turbidimetric 83010 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 4 days            Refrigerate only BLOD0602  HCG (Tumor Marker) Quantitative by Chemiluminescence 84702 1.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0607  HCG Screen (Human Chorionic Gonadotropin) Total Qualitative by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 84703 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0601  HCG Total Quantitative (Human Chorionic Gonadotropin) by Electrochemiluminescence Immunoassay (ECLA) - Rapid City by Chemiluminescence - Sioux Falls 84702 1.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0566  HDL (High Density Lipoprotein) by Enzymatic, Colorimetric - Rapid City by Enzymatic - Sioux Falls 83718 1.0 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days NBLD0110  Heavy Metals 3 Panel 24-hr Urine by ICP/MS *Includes Arsenic, Lead, and Mercury Arsenic Lead Mercury 82175 83655 83825 7 mL aliquot from a well mixed and measured 24-hr urine collection (5.0 mL minimum) collected in a metal free plastic container or acid-washed container. Include 24 hour total volume on the requisition and container. Note: Restrict patient from eating shellfish prior to testing. Send refrigerated. Stability: REFT - 5 days            Frozen - 14 days NBLD0393  Heavy Metals 6 Panel 24 hour Urine by Inductively Coupled Plasma Mass Spectrometry *Includes Arsenic, Cadmium, Copper, Lead, Mercury, Zinc, and Creatinine Arsenic Cadmium Copper Lead Mercury Zinc Creatinine 82175 82300 82525 83655 83825 84630 82570 50 mL aliquot from a well mixed and measured 24-hour urine collection (10 mL minimum). Sample must be collected in a plastic, acid-washed metal free container. Include 24 hour total volume on the requisition and container. Note: Patient should refrain from the following: eating shellfish, shrimp, crab, lobster, and flounder for at least 3 days before specimen collection; taking vitamins, mineral or herbal supplements at least one week before specimen collection; and smoking 3 days before specimen collection for industrial testing. Send refrigerated. Stability: RMT - 4 days            REFT- 14 days NBLD0111  Heavy Metals Quantitative Random Urine by Inductively Coupled Plasma Mass Spectrometry -Creatinine -Arsenic -Lead -Mercury 82570 82175 83655 83825 10 mL aliquot of a random urine collected in a metal-free plastic container, or an acid-washed container (3.7 mL minimum). NOTE: Patient should refrain from eating seafood for at least 3 days prior to specimen collection. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days BLOD0354  Heavy Metals Quantitative Whole Blood by Inductively Coupled Plasma Mass Spectrometry *Urine is the optimal specimen for the analysis of Arsenic in body fluids. -Arsenic -Lead -Mercury 82175 83655 83825 10 mL EDTA whole blood collected in a trace metal-free tube (5.0 mL minimum). Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. Mix well to avoid clot formation. NOTE: Patient should refrain from eating seafood and taking herbal or mineral supplements at least 3 days prior to specimen collection. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days NBLD0141  Helicobacter pylori Antigen Stool by EIA 87338 Collect 2 grams fresh stool (no preservatives) in a sterile, leak-proof container. Freeze. Specimens collected in formalin, PVA, SAF, or on swabs are not acceptable. Ship frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only - 14 days NBLD0211  Helicobacter pylori Breath Test by UBlt-1R300 Spectrophotometry 83013 Contact our Supplies Department for a "H. pylori UBT Urea Breath Collection Kit." All supplies and instructions needed to collect a patient sample and submit it to Sanford Laboratories for analysis are supplied in the kit. Stability: RMT - 3 days BLOD0780  Helicobacter pylori IgG Antibody Screen by ELISA 86677 1.0 mL serum (0.5 mL minimum). AVOID hemolysis, icteric samples, and lipemia. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hours            Frozen - 7 days BLOD1102  Helicobacter pylori IgM Antibody by Enzyme Immunoassay *Clinical utility of H. pylori IgM antibody measurement has not been clearly established and is not recommended for the diagnosis of active infection. 86677 1.0 mL serum only (0.5 mL minimum). Send refrigerated. Stability: RMT - 4 days            REFT - 7 days BLOD0646  Helper Inducer (CD4) Cells by Flow Cytometry -Total Lymphocytes -Helper-Inducer T (CD3+CD4+) 86361 One 4.0 mL EDTA whole blood (2.0 mL minimum). Keep at room temperature. Do not refrigerate or freeze. Specimen must be tested within 48 hours. Send to receive Monday through Thursday only. Stability: RMT - 2 days            Room temp only BLOD0630  Hematocrit by CELL-DYN 3200 - Rapid City by ADVIA - Sioux Falls 85014 4.0 mL EDTA whole blood (1.0 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days BLOD0365  Hemochromatosis Herediatary HFE Gene Analysis Blood by Direct Mutation Analysis by PCR -Isolation -Interpretation and report -Single primer PCR -Nucleic acid probe 83890 83912 83898(2) 83896(2) 3.0 mL yellow top ACD A or B whole blood (1.0 mL minimum). EDTA whole blood is also acceptable. Samples must be kept at room temperature and sent in the original vacutainer! NOTE: Please submit a signed Mayo Thalassemia/Hemoglobinopathy Information Sheet and the Mayo Informed Consent for Genetic Testing form with the specimen. Both forms are available through Sanford Laboratories' Client Support. Stability: RMT only - 4 days BLOD0631  Hemoglobin by CELL-DYN 3200 - Rapid City by ADVIA - Sioux Falls 85018 4.0 mL EDTA whole blood (1.0 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days BLOD0629  Hemoglobin A1c Glycated by Turbidimetric Inhibition Immunoassay (TINA) - Rapid City by HPLC - Sioux Falls 83036 1.0 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days BLOD0417  Hemoglobin A2 by HPLC 83021 5.0 mL EDTA whole blood (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0437  Hemoglobin Electrophoresis *Includes Hemoglobin A1, F, S, C, and A2 **Atypical hemoglobins are automatically confirmed. Additional charges may apply. 83020 83021 6.0 mL EDTA whole blood (1.0 mL pediatric minimum). If multiple draws, collect EDTA tube last. Contact Client Support to obtain necessary signed consent form. Age required. Refrigerate. Stability: REFT - 10 days BLOD0181  Hemoglobin Plasma by Colorimetric 83051 1.0 mL sodium heparin plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT- 7 days            Frozen - 14 days   Hemogram (includes platelets) Refer to "CBC no Differential". BLOD0323  Hemophilus Influenza B IgG Antibody by EIA 86684 1.0 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days NBLD0035  HemoQuant ™ Fecal by Fluorescence Quantitation 84126 3 grams feces from a single defication in a HemoQuant™container (1.0 grams minimum). Collection kit and instructions are available from our Supplies Department. NOTE: AVOID red meat and aspirin for 72 hours prior to collection. Refrigerate. NBLD0369  Hemosiderin Urine by Rous Method 83070 15 mL frozen random urine with no preservatives (12 mL minimum). Send specimen frozen. Stability: Frozen only BLOD0668  Heparin Anti-Xa Assay for Heparin and Low Molecular Weight Heparin Plasma by Chromogenic *Useful for assaying heparin anticoagulation therapy. 85520 2.0 mL frozen sodium citrate plasma. Remove plasma from cells within 1 hour. Refer to GENERAL INFORMATION section for collection of coagulation tests and procedure for preparing platelet-poor plasma. If unable to test within 2 hours, freeze plasma specimen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Plasma specimens ONLY - DO NOT send whole blood. Stability: REFT - 2 hours            Frozen - 7 days BLOD0456  Heparin Platelet Factor 4 (PF4) Antibodies (Heparin Induced Thrombocytopenia - HIT) by ELISA 86022 1.0 mL frozen serum (0.5 mL minimum). Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days BLOD0575  Hepatic Function Panel -Albumin, Serum -Alkaline Phosphatase -Bilirubin, Total               Bilirubin, Direct (calculated) -Bilirubin, Indirect -AST (SGOT) -ALT (SGPT) -Total Protein 80076 3.0 mL serum (0.6 mL minimum). Prompt separation of serum from cells is essential. Avoid hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days BLOD0581  Hepatitis A IgM Antibody (HAVAb-M) by Chemiluminescence *Positive results suggest acute infection with Hepatitis A virus. 86709 1.0 mL serum (0.7 mL minimum) or heparinized plasma. EDTA plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0330  Hepatitis A Total Antibody (HAVAb) by Chemiluminometric Immunoassay *Detects past and/or acute infections or immunization of Hepatitis A, but does not distinguish between IgG or IgM antibodies. 86708 1.0 mL serum or heparinized plasma (0.7 mL minimum). EDTA plasma is also acceptable. Refrigerate. Stability: RMT - 12 hrs            REFT - 7 days BLOD0132  Hepatitis B Core IgM Antibody (HBcAb-M) by Chemiluminescence Immunoassay (CEIA) *Detects acute phase of Hepatitis B. 86705 1.5 mL serum or EDTA plasma (1.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0677  Hepatitis B Core Total Antibody (HBcAb) by EIA *Detects past and/or acute phase of Hepatitis B, but does not distinguish between the two. 86704 1.0 mL EDTA plasma preferred (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0649  Hepatitis B Core Total Antibody Reflex IgM by Chemiluminescence *If HBcAb Total is positive, HBcAb IgM is performed at an additional fee. 86704 Reflex 86705 2.0 mL EDTA plasma preferred (0.7 mL minimum). Serum also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0005  Hepatitis B Surface Antibody (HBsAb) by Chemiluminescence *Includes Quantitation **Positive results suggest recovering phase of current or previous infection with Hepatitis B or a successful vaccination. ***This test should be drawn 6 weeks to 6 months after series of immunizations. 86706 2.0 mL EDTA plasma preferred (0.5 mL minimum). Serum also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0679  Hepatitis B Surface Antigen (HBsAg) by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescent - Sioux Falls *Detects acute or chronic infection with Hepatitis B virus. **If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. 87340 87341 Preferred specimen: 2.0 mL EDTA plasma (1.0 mL minimum). Send refrigerated. Specimen must be separated within 48 hours of the draw. Serum is also acceptable. AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0341  Hepatitis B Viral DNA Quantitative PCR by Real-Time PCR 87517 Draw 2 full EDTA whole blood tubes. Spin down and separate into 2 separate aliquots of 1.5 mL each of EDTA plasma and freeze. Ship frozen (1.3 mL minimum each). Serum is also acceptable. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES TWO SEPARATE FROZEN ALIQUOTS. Stability: REFT - 7 days            Frozen - 14 days BLOD0329  Hepatitis Be Antibody (HBeAb) by Immunoassay *Used in the differential diagnosis, staging, and prognosis of Hepatitis B infection. HBeAB appears in the early convalescence of Hepatitis B Virus infection. 86707 1.0 mL serum or EDTA plasma (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days BLOD0340  Hepatitis Be Antigen (HBeAg) by Immunoassay *Detects acute active Hepatitis B virus infection. 87350 1.0 mL serum or EDTA plasma (0.5 mL minimum). Room temperature or refrigerate as noted below.             Stability: RMT - 7 days            REFT - 14 days BLOD0678  Hepatitis C Antibody by Chemiluminescence 86803 1.0 mL EDTA plasma or serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0140  Hepatitis C Virus Quantitation by bDNA Serum by Branched DNA (bDNA)Assay *Recommended method for monitoring response to therapy. 87522 1.0 mL frozen serum only (0.5 mL minimum). Plasma NOT acceptable. Draw blood in a serum separator/gel tube. Serum drawn in a plain red-top clot tube is not acceptable. Spin down within 4 hours of blood draw and send 1.0 mL serum frozen. AVOID hemolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0342  Hepatitis C Virus RNA Qualitative by RT-PCR 87521 2.0 mL frozen EDTA plasma (0.6 mL minimum). Serum also acceptable. AVOID hemolysis and lipemia. Centrifuge and freeze specimen within 6 hours of collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 72 hrs            Frozen - 14 days BLOD0343  Hepatitis C Virus RNA Quantitative by RT-PCR (Real Time PCR) *Also known as Hepatitis C Viral Load or HCV Quantitation by PCR. 87522 Draw 2 full EDTA whole blood tubes. Spin down and separate into 2 separate aliquots of 1.5 mL each of EDTA plasma and freeze. Ship frozen (1.3 mL minimum each). Serum is also acceptable. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES TWO SEPARATE FROZEN ALIQUOTS. Stability: REFT - 7 days            Frozen - 14 days BLOD0139  Hepatitis C Virus RNA RT PCR Genotyping by PCR with DNA Sequencing *Note: Hepatitis C Amplification is performed initially; if negative, no genotyping is performed **If the amplification is positive, Hepatitis C Genotyping is performed. ***This test is for investigational/research use only. 87521 87902 1.5 mL frozen serum (0.75 mL minimum). Specimen MUST be drawn in a gel barrier/serum separator tube. (Serum drawn in a plain red top tube is unacceptable.) Plasma is NOT acceptable. Centrifuge and freeze serum within 4 hours. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT Stability: Frozen only BLOD0517  Hepatitis D Virus Antibody Total by EIA 86692 1.0 mL serum only (0.5 mL minimum). Room temperature and refrigerate. Stability: RMT - 7 days            REFT - 14 days BLOD0824  Hepatitis Panel 1 -A IgM Antibody -B Core Total Antibody -B Surface Antigen               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. 86709 86704 87340 5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0825  Hepatitis Panel 2 -A IgM Antibody -B Core Total Antibody -B Surface Antigen               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. -C Antibody 86709 86704 87340 86803 5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0826  Hepatitis Panel 3 -A Total Antibody -B Core Total Antibody -B Surface Antibody -B Surface Antigen               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. -C Antibody 86708 86704 86706 87340 86803 5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0783  Hepatitis Panel Acute -Hepatitis A Antibody (HAAb), IgM               Antibody -Hepatitis B Core Antibody (HbcAb), IgM               Antibody -Hepatitis B Surface Antigen (HbsAg)               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. -Hepatitis C Antibody *Note: Hepatitis Panel, Acute is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section. 80074 1.0 mL serum and 4.0 mL EDTA plasma (3.0 mL minimum). Please indicate "serum" or "plasma" on specimen tubes. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Hereditary Hemochromatosis HFE Gene Analysis Blood Refer to "Hemochromatosis Hereditary HFE Gene Analysis Blood"   Herpes simplex (HSV) Viral Culture Refer to "CULT Viral Culture".   Herpes simplex (HSV) Viral Culture with Reflex to Herpes Typing if Positive Refer to "CULT Herpes Culture Reflex to Typing". NBLD0240  Herpes simplex Antigen DFA by DFA *This test does NOT differentiate Type 1 and Type 2 87299 Obtain cellular material with sterile swab. Roll swab in a spot on each of two slides, or on one slide with two circles. Smears should not exceed 15mm diameter. Let air dry. Indicate source. Stability: RMT - 7 days            REFT - 7 days BLOD0325  Herpes simplex IgM Antibody Screen with Reflex to Titer by ELISA *If IgM antibodies are detected, a titer will be perfomed at an additional fee. 86694 Reflex 86694 1.0 mL serum (0.5 mL minimum). Plasma is NOT acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0380  Herpes simplex Type 1 and 2 IgG Antibody Titer by Chemiluminescent Immunoassay (CLIA) *Differentiates Types 1 and 2 86695 86696 1.0 mL frozen serum (0.5 mL minimum). Plasma is NOT acceptable. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: REFT - 3 days            Frozen - 14 days BLOD0326  Herpes simplex Type 1 IgG Antibody by Chemiluminescent Immunoassay (CLIA) 86695 1.0 ml frozen serum (0.5 mL minimum). Plasma is NOT acceptable. Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: REFT - 3 days            Frozen - 14 days BLOD0327  Herpes Simplex Type 2 IgG Antibody by Chemiluminescent Immunoassay (CLIA) 86696 1.0 ml frozen serum (0.5 mL minimum). Plasma is NOT acceptable. Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: REFT - 3 days            Frozen - 14 days NBLD0360  Herpes simplex Virus (HSV) and Varicella zoster Virus (VZV) by PCR by PRC/LightCycler Detection Probe Technology 87529 87798 Dermal or genital sites placed in viral transport media. Send refrigerated. Stability: REFT - 14 days NBLD0132  Herpes simplex Virus (HSV) Rapid by PCR by PCR 87529 1.0 mL cerebrospinal fluid in a sterile, screw-capped vial (0.6 mL minimum). NOTE: Do NOT put CSF in viral transport media. Send sample refrigerated. For genital and dermal sites: place in specimen in viral transport media and send refrigerated. Stability: REFT - 7 days BLOD0855  Herpes Virus 6 Antibody Panel Serum by IFA *Includes IgG and IgM 86790(2) 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Herpes zoster Refer to "Varicella zoster".   HGH (Human Growth Hormone) Refer to "Human Growth Hormone".   HIAA 5 (5 Hydroxyindoleacetic Acid) Quantitative 24 Hour Urine Refer to "5 HIAA". BLOD0566  High Density Lipoprotein (HDL) by Enzymatic, Colorimetric - Rapid City by Enzymatic - Sioux Falls 83718 1.0 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days BLOD0182  Histamine Plasma by Immunoassay 83088 1.0 mL frozen EDTA plasma (0.5 mL minimum). NOTE: Patients should avoid taking allergy causing drugs, antihistamines, oral corticosteroids and substances which block H2 receptors for at least 24 hours prior to collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hrs            Frozen - 7 days BLOD0184  Histone Antibodies by EIA 83516 1.0 mL serum (0.5 mL minimum). Overnight fasting preferred. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days BLOD0427  Histoplasma Antibody Quantitative by Complement Fixation *Includes Mycelial and Yeast 86698(2) 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days LBOR0013  Histoplasma Antigen by EIA 87385 Preferred specimen is 2.0 mL random urine (1.5 mL minimum). Refrigerate. Other acceptable sample types: 2.0 mL serum (1.5 mL minimum); 2.0 mL CSF (1.5 mL minimum); 2.0 mL bronchial lavage/wash (2.0 mL minimum); or 2.0 mL EDTA or sodium heparin plasma (1.5 mL minimum). Send refrigerated. INDICATE SOURCE on requisition and specimen container. Note: List on the requisition all antifungal agents patient is receiving. Stability: RMT - 7 days            REFT - 14 days BLOD0676  HIV 1 / HIV 2 Antibody with Reflex to Western Blot by Chemiluminescence *If positive, HIV-1 by Western Blot and HIV-2 by EIA are performed at an additional fee. **If HIV-2 by EIA is reactive, Anti-HIV-2 Western Blot will be performed at an additional fee. 86703 Reflex 86689 86702 3.0 mL EDTA plasma (1.0 mL minimum). Serum also is acceptable. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 7 days BLOD0324  HIV 1 Antibody Confirmation by Western Blot *Includes p17/p18, p24, p31/p32, p40, p51, p55, p65, gp41, gp120/160, gp160 86689 1.0 mL serum or EDTA plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 14 days            Frozen - 14 days BLOD0451  HIV 1 Drug Resistant Phenotyping by CD4 Cell Culture Assay for Phenotypic Recombinant Virus Resistance 87903 87904(11) 3.0 mL frozen EDTA plasma (1.0 mL minimum). Freeze immediately. NOTE: Include patient's most recent viral load result and collection date on the requisition. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0144  HIV 1 Genotypic Drug Resistance by RT-PCR/DNA Sequencing 87901 1.0 mL frozen EDTA plasma (0.6 mL minimum). Separate plasma from cells within 4 hours of collection. Heparinized plasma is NOT acceptable. NOTE: Include patient's most recent viral load result and collection date on the requisition. Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0143  HIV 1 RT PCR Quantitation (HIV 1 Viral Load or HIV 1 Viral Quant) by RT-PCR *Enhanced for monitoring viral load ranges from 20 to 10,000,000 copies/mL 87536 2.5 mL frozen EDTA plasma (1.2 mL minimum). *Draw two full EDTA tubes.* Separate plasma from cells within 6 hours of collection. Freeze. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only LABS0209  HIV 2 Antibody Screen by EIA *If reactive, HIV-2 Antibody by Western Blot is performed at an additional fee. 86702 1.0 mL serum (0.5 mL minimum). Plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 14 days            Frozen - 14 days BLOD0339  HLA B27 Antigen by Flow Cytometry 86812 5.0 mL whole blood sodium heparin sent at room temperature. Do not send the specimen so it arrives on a weekend or holiday. Do NOT freeze. Stability: RMT - 3 days            REFT - 3 days NBLD0362  hMPV (Human metapneumovirus) by DFA by DFA 87299 Submit 3.0-5.0 mL of nasopharyngeal (NP) aspirate in leak-proof container. Send refrigerated. Stability: RMT - 2 hours            REFT - 7 days BLOD0579  Homocysteine by Chemiluminometric Immunoassay 83090 1.0 mL EDTA plasma preferred (0.7 mL minimum). Serum also acceptable. Separate plasma from cells as soon as possible. AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Do NOT store at room temperature. Stability: REFT - 9 days            Frozen - 14 days   House Dust / Mite Allergens Refer to "Allergen House Dust / Mite" and then by the specific dust / mite name.   House Dust Allergy Screen Refer to "Allergy - Screen House Dust". NBLD0127  HPV (Human Papillomavirus) DNA Panel by DNA Hybridization, Hybrid Capture 87621(2) Submit 12 mL (4.0 mL minimum) of Cytyc Preservcyt ("Thin Prep") following instructions provided with the kit. OR submit cervical brushings, biopsies in Digene Cervical Sampler kit (available from our Supplies Department) following instructions provided with the kit. NOTE: If the sample is to be collected at the time of colposcopy, the HPV sample should be collected prior to the application of acetic acid or any other solution. Performed on Females only! Stability: Cytyc Soln: 2-30C - 30 days Digene Cervical Sampler: RMT - 14 days             NBLD0395  HPV High Risk DNA by DNA Hybridization, Hybrid Capture 87621 Submit 8.0 mL (4.0 mL minimum) of Cytyc Preservcyt ("ThinPrep") following instructions provided with the kit. OR submit cervical brushings or biopsies in Digene Cervical Sampler kit (available from our Supplies Department) following instructions provided with the kit. NOTE: If the sample is to be collected at the time of colposcopy, the HPV sample should be collected prior to the application of acetic acid, or any other solution. Performed on FEMALES ONLY! Stability: Cytyc Solution: 2-30C - 30 days Digene Cervical Sampler: RMT - 14 days   HS Omega 3 Index® Refer to "Fatty Acid Profile, RBC". BLOD0674  HTLV 1/2 by EIA by Immunoassay, Chemiluminescence *Will reflex to HTLV 1/2 Western Blot if reactive. 86790 1.0 mL serum (0.7 mL minimum). EDTA plasma also acceptable. Refrigerate. Stability: REFT - 7 days            Frozen - 14 days BLOD0607  Human Chorionic Gonadotropin (HCG) Screen Total Qualitative by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 84703 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0601  Human Chorionic Gonadotropin (HCG) Total Quantitative by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City by Chemiluminescence - Sioux Falls 84702 1.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0602  Human Chorionic Gonadotropin (HCG) Tumor Marker Quantitative by Chemiluminescence 84702 1.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0179  Human Growth Hormone (HGH) by Chemiluminescent Immunoassay (CLIA) 83003 1.0 mL frozen serum (0.5 mL minimum). AVOID hemolysis. Plasma is NOT acceptable. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Send frozen. Stability: REFT - 2 days            Frozen - 7 days NBLD0362  Human metapneumovirus (hMPV) by DFA by DFA 87299 Submit 3.0-5.0 mL of nasopharyngeal (NP) aspirate in leak-proof container. Send refrigerated. Stability: RMT - 2 hours            REFT - 7 days   Human papillomavirus Refer to "HPV".   Hydroxy Vitamin D 25 Refer to "25 Hydroxy Vitamin D." BLOD0183  Hydroxyprogesterone 17 Alpha by Liquid Chromatography Tandem Mass Spectrometry 83498 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Do not use glass tubes. EDTA and heparinized plasma also acceptable. Send refrigerated. Stability: REFT - 7 days            Frozen - 14 days BLOD0381  Hypersensitivity Pneumonitis Screen (Farmer's Lung) by Immunodiffusion -Aspergillus fumigatus -Micropolyspora faeni -Pigeon Serum -Thermoactinomyces candidus and               vulgaris -Saccharomonospora viridis 86331 86606 86609(3) 86744 2.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days   Identification of Organism From Culture Plate Refer to "CULT Identification". BLOD0613  IgA Serum by Turbidimetric 82784 1.0 mL serum. Refrigerate. Stability: RMT - 1 day            REFT - 7 days BLOD0175  IgD Serum by Nephelometry 82784 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 14 days BLOD0693  IgE Total Serum by Fluroenzymeimmunoassay 82785 1.0 mL serum (0.5 mL minimum). Refrigerate Stability: REFT - 7 days BLOD0209  IGF I (Insulin Like Growth Factor I, Somatomedin C) by Blocking RIA after Acid:Alcohol Extraction 84305 1.0 mL frozen serum (0.5 mL minimum). Centrifuge within 1 hour of draw. Specify age and sex of the patient on request form. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Send frozen. Stability: Frozen only BLOD0614  IgG Serum by Turbidimetric 82784 1.0 mL serum. Refrigerate. Stability: RMT - 1 day            REFT - 7 days BLOD1192  IgG Subclass 4 by Nephelometry *Primarily used to evaluate sinopulmonary infections and asthma. 82787 1.0 mL serum (0.5 mL minimum). Send refrigerated. Stability: RMT - 7 days            REFT - 14 days BLOD0457  IgG Subclasses by Nephelometry, Turbidimetry *Includes IgG1, IgG2, IgG3, IgG4, and Total IgG 82787(4) 82784 2.0 mL serum (1.0 mL minimum). Provide patient's age. Send refrigerated or frozen. Stability: REFT - 7 days            Frozen - 14 days LBAN0012  IgG Synthesis and Index by Nephelometry *Includes IgG CSF, Albumin CSF, IgG Serum, Albumin serum, Albumin Index, CSF IgG Index, IgG Synthesis Rate               Albumin, CSF               Albumin, Serum               IgG Synthesis Rate/Index,                            CSF/Serum 82042 82040 82784(2) 1.0 mL frozen serum (0.5 mL minimum) and 2.0 mL frozen CSF (1.0 mL minimum). Collection date and time of the CSF and serum is preferred to be the same; serum can be drawn within 12 hours of the CSF, but is NOT recommended. EACH TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0615  IgM Serum by Turbidimetric 82784 1.0 mL serum. Refrigerate. Stability: RMT - 1 day            REFT - 7 days BLOD0386  Imipramine (Tofranil) by HPLC *Includes metabolite Desipramine 80174 3.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Send at room temperature. Stability: RMT - 5 days            REFT - 7 days BLOD0640  Immune Deficiency Panel 1 by Flow Cytometry -Total Lymphocytes -Total T Cells (CD3) -Helper-Inducer T (CD3+CD4+) -Suppressor-Cytotoxic T (CD3+CD8+) -Helper/Suppressor Ratio -Total B Cells (CD19) -Natural Killer Lymphocytes               (CD3-[CD16+/CD56+]) 86357 86355 86360 86359 88187 One 4.0 mL EDTA tube at room temperature (2.0 mL minimum). Store and ship at room temperature. Specimen must be tested within 48 hours. Send to receive Monday through Thursday. No testing is performed on Fridays or holidays. Stability: RMT - 2 days             Room temp only BLOD0641  Immune Deficiency Panel 2 by Flow Cytometry -Total Lymphocytes -Total B Cells (CD19) -Total T Cells (CD3) -Helper-Inducer T (CD3+CD4+) -Suppressor-Cytotoxic T (CD3+CD8+) -Helper/Suppressor Ratio 86355 86360 86359 88187 One 4.0 mL EDTA tube at room temperature (2.0 mL minimum). Store and ship at room temperature. Specimen must be tested within 48 hours. Send to receive Monday through Thursday. No testing is performed on Fridays or holidays. Stability: RMT - 2 days             Room temp only BLOD0654  Immune Deficiency Panel 3 (T Helper Supressor) by Flow Cytometry -Total Lymphocytes -Total T Cells (CD3) -Helper-Inducer T (CD3+CD4+) -Suppressor-Cytotoxic T (CD3+CD8+) -Helper/Suppressor Ratio 86360 86359 88187 One 4.0 mL EDTA tube at room temperature (2.0 mL minimum). Store and ship at room temperature. Specimen must be tested within 48 hours. Send to receive Monday through Thursday. No testing is performed on Fridays or holidays. Stability: RMT - 2 days             Room temp only NBLD0269  Immunofixation with Electrophoresis 24-Hour Urine by Electrophoresis, Immunofixation *Includes Urine Electrophoresis, Immunofixation, Total Protein, and Pathologist Interpretation 84166 86335 100 mL aliquot of a well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate only. Stability: REFT - 7 days NBLD0271  Immunofixation without Protein Electrophoresis Urine by Immunofixation *Includes Pathologist Interpretation 86335 100 mL aliquot of a first morning urine specimen preferred or random urine specimen. Refrigerate only. Stability: REFT - 7 days             BLOD1069  Immunofixation without Serum Electrophoresis by Immunofixation *Includes Serum Immunofixation only 86334 2.0 mL serum only (1.0 mL minimum). Plasma is NOT acceptable. Refrigerate only. Stability: REFT - 7 days BLOD0628  Immunoglobulins IgG IgA and IgM by Tubidimetric 82784(3) 2.0 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days BLOD0913  Immunology Survey -Serum Protein Electrophoresis -Immunoglobulins IgA, IgG, IgM -Immunofixation, Serum 84165 82784(3) 86334 4.0 mL serum. Refrigerate only. Stability: REFT - 7 days             BLOD0926  Indirect Coombs / Antibody Screen Red Cell *If positive, antibody identification will be performed at an additional fee. 86850 10 mL EDTA whole blood or 10 mL clotted blood (sterile tube with no additives). During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. NOTE: For Obstetrics Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. BLOD0625  Infectious Mononucleosis Screen by Rapid Immunoassay *Some segments of the population who contract IM do not produce measurable levels of heterophile antibodies. Approximately 50% of children under 4 years old who have IM may test negative. 86308 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. EDTA and heparin plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 4 days            Frozen - 7 days NBLD0251  Influenza A and B (DFA) by DFA 87276 87275 3.0 to 5.0 mL of nasopharyngeal (NP) washing in sterile collection container. Refrigerate. Stability: REFT - 7 days   Influenza A and B (Viral Culture) Refer to "CULT Viral Culture". NBLD0227  Influenza A and B Rapid by Rapid Immunochromatrographic Assay *This test will differentiate Influenza A and B viral antigens in a single test. 87804(2) Recommended or preferred specimen is nasopharyngeal (NP) washings. Send refrigerated. Stable for 24 hours refrigerated. Nasopharyngeal (NP) Swabs: Use cotton, rayon, foam, or polyester flexible shaft swabs (do not use calcium alginate). Immediately after swab collection, the swab MUST be eluted into 0.5 mL saline. Eluted saline from swab samples are stable 24 hours refrigerated. Indicate source. Throat swabs are NOT acceptable specimens. Stability: REFT - 24 hours BLOD0428  Influenza A and B Virus Antibodies by Complement Fixation -Type A Antibody -Type B Antibody 86710(2) 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days NBLD0381  Influenza A/B PCR by RT-PCR 87502 3.0 to 5.0 mL of a nasopharyngeal aspirate or washings in a sterile collection container. After collection, add one vial of transport media to the aspirate or wash. Stability: REFT - 48 hours BLOD1085  Inhibin A by Immunoassay 86336 2.0 mL serum (0.5 mL minimum). Send refrigerated. Stability: RMT - 7 days            REFT - 7 days BLOD1086  Inhibin B by ELISA *Test is performed using Beckman Coulter Inhibin-B Gen II ELISA method. Values obtained from different assay methods cannot be used interchangeably. 83520 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Stability: RMT - 48 hrs            REFT - 7 days   Insect Allergens Refer to "Allergen Insect" and then by the specific insect name. BLOD0127  Insulin Antibodies by RIA 86337 1.0 mL serum (0.5 mL minimum) Send refrigerated. Stability: RMT - <72 hrs            REFT - 13 days BLOD0190  Insulin Level by Chemiluminescence 83525 1.0 mL frozen serum preferred (0.7 mL minimum). Separate serum from cells within 60 minutes after drawing sample. Patient should fast 12-14 hours. AVOID hemolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Avoid FREEZE/THAW cycles. Stability: Frozen - 7 days   Insulin Like Growth Factor I Refer to "IGF I".   Intact PTH Refer to "PTH Intact". BLOD0482  Intrinsic Factor Blocking Antibodies by RIA 86340 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 2 days            REFT - 7 days BLOD0656  Ionized Calcium by ISE 82330 2.0 mL serum. Completely FILL tube during draw. Separated serum samples must be stored and transported in a tube that minimizes exposure to room air. The transfer tube must be at least half full to prevent large pCO2 losses. **Smaller transfer tubes (2-3 mL size) are available from our Supplies Department.** Refrigerate. THIS TEST REQUIRES A SEPARATE REFRIGERATED ALIQUOT. Stability: REFT - 48 hours BLOD0973  Iron and Iron Binding Capacity Serum by FerroZine Colorimetric Complex - Rapid City by Ferrous/dye Complex - Sioux Falls *Includes Percent Saturation 83540 83550 2.0 mL serum (1.3 mL minimum). Separate serum from cells within 1 hour. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0562  Iron Total Serum by FerroZine Colorimetric Complex - Rapid City by Ferrous/dye Complex - Sioux Falls 83540 1.0 mL serum (0.5 mL minimum). Separate serum from cells within 1 hour. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days BLOD0314  Islet Cell Antibody Screen Pancreatic by Indirect Immunofluorescence Assay *If screen is positive, the test will reflex to a titer at an additional fee. 86341 Reflex 86341 2.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 2 days            REFT - 14 days BLOD0086  Itraconazole by HPLC 80299 1.5 mL frozen serum or plasma (0.5 mL minimum). No gel barrier or SST tubes. NOTE: Provide antimicrobial information concerning dosage, dosage schedule, and other antimicrobials given concurrently. Peak levels should be drawn 30 minutes after completion of infusion of an intravenous dose or 60 minutes after an intramuscular or oral dose of the antimicrobial to be assayed. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only BLOD0306  Jo-1 Antibody by Immunoassay 86235 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days NBLD0293  Joint Fluid Analysis Synovial Fluid Examination (Without Culture) -Cell Count and Differential -Crystal Exam -Glucose -RA Factor -Total Protein 89051 89060 82945 86431 84157 5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1.0 mL synovial fluid added should be submitted for accurate glucose values. Powdered EDTA is not recommended. Refrigerate. Stability: RMT - 8 hours            REFT - 3 days NBLD0293  Joint Fluid Analysis Synovial Fluid Examination With Culture -Cell Count and Differential -Crystal Exam -Glucose -RA Factor -Total Protein -Culture - *Order "Bacterial Culture Other"                           MICR0003 (specify source);               refer to "Bacterial Culture               Other" for additional CPT               code information. 89051 89060 82945 86431 84157 87070 5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1.0 mL synovial fluid added should be submitted for accurate glucose values. Powdered EDTA is not recommended. Refrigerate. Stability (excluding culture):               RMT - 8 hours            REFT - 3 days NBLD0203  Joint Fluid Cell Count and Differential by Microscopy 89051 2.0 mL joint fluid in potassium EDTA. Refrigerate. NBLD0210  Joint Fluid Crystal Exam by Microscopy 89060 1.0 mL joint fluid in sterile tube. Potassium EDTA anticoagulant is acceptable. NBLD0209  Joint Fluid Glucose by Glucose Oxidase 82945 1.0 mL joint fluid in sodium fluoride tube. Stability: RMT 24 hrs            REFT - 7 days NBLD0216  Joint Fluid RA Factor by Latex Agglutination 86431 1.5 mL joint fluid in sterile tube (1.0 mL minimum). Stability: REFT - 14 days NBLD0214  Joint Fluid Total Protein by Biuret 84157 1.0 mL joint fluid in sterile tube. AVOID hemolysis. Refrigerate. Stability: RMT - 4 hours            REFT - 3 days BLOD0045  Keppra (Levetiracetam) by TMS/HPLC 80299 1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: RMT - 24 hours            REFT - 14 days   Ketosteroids 17 Total Urine Refer to "17-Ketosteroids". BLOD0667  Kleihauer-Betke (also known as Fetaldex) Erythrosine-B Stains *Useful to indicate amount of Rh Immune Globulin to administer to preven stimulation of maternal Anti-D. 85460 7.0 mL EDTA whole blood (3.0 mL minimum) collected from the mother within 24 hours of delivery. Refrigerate specimen. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. Stability: REFT - 24 hours BLOD0017  Klonopin (Clonazepam) by HPLC 80154 2.0 mL frozen serum preferred (1.2 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days NBLD0300  KOH Prep by Wet Prep/Microscopy - Rapid City by Calcofluor White Stain - Sioux Falls *Examination for fungus on skin, hair, or nails only 87220 Scrapings from affected site submitted in a clean container. Indicate source. NBLD0212  L/S Ratio Amniotic Fluid *Includes Total L/S, Acetone Precipitation L/S, Phosphatidyl Glycerol (PG), and Interpretation 83661 10 mL frozen amniotic fluid. Centrifuge at 1000g for 5 minutes and submit frozen supernatant. Indicate if RBCs or WBCs were present. Specify weeks gestation. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hrs            Frozen - >24 hrs BLOD0563  Lactic Acid by Enzymatic 83605 2.0 mL sodium fluoride plasma. Specimen should be collected WITHOUT the use of a tourniquet. Patient should avoid hand clenching or any exercise of the arm or hand before of during collection. Draw a gray top sodium fluoride/potassium oxalate tube. Tube must be at least half full. Place on ice immediately. Centrifuge and separate from cells within 15 minutes. Send plasma refrigerated. Heparinized plasma is also acceptable. Stability: RMT - 8 hours            REFT - 14 days NBLD0423  Lactoferrin Quantitative Stool by Enzyme-Linked Immunosorbent Assay *Used for the quantitative measurement of lactoferrin concentration in stool 83631 1 gram frozen random stool (0.3 grams minimum) submitted in a sterile, plastic leakproof container. Send frozen. Do NOT add fixative or preservative. Stool must be frozen within 48 hours of collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Frozen - 14 days NBLD0422  Lactoferrin Screen Stool by Immunochromatographic Assay *Used for the qualitative detection of elevated levels of stool lactoferrin 83630 Collect undiluted stool specimen in a clean airtight container with NO preservatives. Specimens should be stored refrigerated or at room temperature up to 14 days from time of collection. Limitations: Test results should be interpreted in conjunction with breastfeeding status. Breast milk is naturally high in lactoferrin and stool samples from breast-fed infants may cause a false positive with this assay. This test may not be appropriate for immunocompromised persons (as they may not have adequate leukocytes to shed). Stability: RMT - 14 days            REFT - 14 days NBLD0421  Lamellar Body Count *It is used for predicting and assessing the risk of developing neonatal respiratory distress syndrome (RDS) when performed during 32 to 39 weeks gestation. 89050 Minimum sample volume is 2 mL of amniotic fluid obtained by transabdominal amniocentesis. Sample limitations: 1) Vaginal pooled samples should be avoided, 2) Specimens containing meconium are unacceptable, and 3) Avoid hemolysis - specimens with hematocrit >1% can not be analyzed. Samples should NOT be frozen or centrifuged. Send sample refrigerated in a sterile container. Stability: RMT - 8 hours            REFT - 5 days BLOD0406  Lamotrigine (Lamictal) by Liquid Chromatography, Tandem Mass Spectrometry 80299 1.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 5 days BLOD0932  LAP Stain (Leukocyte Alkaline Phosphatase) 85540 5 well-made peripheral smears from direct fingerstick. Slides should be air-dried, unstained, and unfixed. NOTE: Supply brief patient history, pertinent laboratory results, and suspected diagnosis. Stability: RMT - 7 days            Room temp only NBLD0175  LDH (Lactic Dehydrogenase LD) Body Fluid by Enzymatic 83615 1.0 mL body fluid (0.5 mL minimum) in sterile tube. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 7 days BLOD0798  LDH (Lactic Dehydrogenase LD) Isoenzymes Serum by Electrophoresis *Includes Total LDH 83625 83615 2.0 mL serum at room temperature (0.5 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Send at room temperature which is the only acceptable stability. Optimum specimens drawn: 1) at admission; 2) at 24 hours after admission; and 3) at 48 hours after admission. Do NOT refrigerate or freeze. Stability: RMT - 7 days BLOD0564  LDH (Lactic Dehydrogenase LD) Total Serum by Enzymatic 83615 1.0 mL serum preferred (0.5 mL minimum). Remove serum from cells within 1 hour. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 5 days BLOD0781  LDL Cholesterol Direct by Enzymatic 83721 1.0 mL serum (0.5 mL minimum). Lithium heparin and sodium heparin plasma also acceptable. Separate serum or plasma from cells within four hours after collection. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days BLOD0191  Lead Whole Blood Industrial Venous by Voltammetry *Provides reference range for monitoring industrial exposure. **Refer to current governmental regulations for exposure criteria. 83655 1 full EDTA whole blood tube or 1 full EDTA microtainer tube collected from a VENOUS draw only. Capillary draws are highly sensitive to environmental contamination and are no longer acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0192  Lead Whole Blood Venous by Voltammetry *Provides reference ranges for childhood exposure. **Refer to current governmental regulations for exposure criteria. 83655 1 full EDTA whole blood tube or 1 full EDTA microtainer tube collected from a VENOUS draw only. Capillary draws are highly sensitive to environmental contamination and are no longer acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days NBLD0232  Legionella Antigen Urine by Rapid Immunochromatographic 87450 10 mL random urine (3.0 mL minimum). Refrigerate. Stability: RMT - 1 day            REFT - 7 days   Legionella Culture Refer to "CULT Bacterial Culture Screen for Selected Organism". Specify Legionella. BLOD0334  Legionella pneumophila IgG Antibodies Serum by IFA 86713 1.0 mL serum (0.7 mL minimum). Allow specimen to clot at room temperature. Then separate serum from cells as soon as possible. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0335  Legionella pneumophila IgM Antibodies Serum by IFA 86713 1.0 mL serum (0.7 mL minimum). Allow specimen to clot at room temperature. Then separate serum from cells as soon as possible. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days BLOD0336  Leptospira Antibody Screen by Indirect Hemagglutination *If screen result is positive, then a Leptospira Antibody Titer will be performed at an additional fee. 86720 1.0 mL serum or heparinized plasma (0.5 mL minimum). Allow specimen to clot at room temperature. Separate serum from cells as soon as possible. Refrigerate.             Stability: REFT - 14 days                LBOR0008  Leukemia Diagnostic Panel Acute Leukemia by Flow Cytometry -Cell Surface Markers 88184 88185(24) 88189 5.0 mL sodium heparin whole blood and 4.0 mL EDTA whole blood OR 2.0 mL minimum heparinized bone marrow. 7.0 mL acid citrate dextrose (ACD Solution B) whole blood may be substituted for the sodium heparin. Lithium heparin is unacceptable. Please perform CBC within 6 hours of drawing specimen and send results. A freshly prepared smear (stained or unstained) is also recommended. PLEASE INCLUDE PATIENT HISTORY AND INDICATION FOR TEST. Send to receive Monday through Thursday only. Blood Stability: RMT - 2 days            Room temp only Bone Marrow Stability: REFT - 48 hours BLOD0932  Leukocyte Alkaline Phosphatase Stain 85540 5 well-made peripheral smears from direct fingerstick. Slides should be air-dried, unstained, and unfixed. NOTE: Supply brief patient history, pertinent laboratory results, and suspected diagnosis. Stability: RMT - 7 days            Room temp only NBLD0238  Leukocytes Fecal 89055 Random stool specimen in clean leak-proof container. Send refrigerated. BLOD0045  Levetiracetam (Keppra) by TMS/HPLC 80299 1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: RMT - 24 hours            REFT - 14 days BLOD0591  LH (Luteinizing Hormone) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 83002 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days BLOD0591  LH (Luteinizing Hormone) - Sioux Falls by Chemiluminescence 83002 1.0 mL serum only (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days   Light Chains - Kappa and Lambda Refer to "Free Light Chains". BLOD0565  Lipase by Enzyme Co Lipase 83690 1.0 mL serum (0.7 mL minimum). Plasma also acceptable. Hemolysis affects results. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0850  Lipid Panel -Cholesterol -Triglyceride -HDL               LDL (calculated)               VLDL (calculated)               Risk Ratio I (Chol/HDL)               (calc.)             *Note: Lipid Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80061 2.0 mL serum (1.5 mL minimum). Minimum 12-hour overnight fast is required. Heparinized plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days BLOD0090  Lipoprotein a Serum - Lp(a) by Automated Turbidimetric Immunoassay 83695 1.0 mL frozen serum (0.5 mL minimum). A 12-14 hour fast is recommended. NOTE: Because Lp(a) acts like an acute-phase protein, it should not be measured during periods of active inflammation. Lp(a) levels should not be measured for at least 1 month following a myocardial infarction or stroke. Freeze specimen. Stability: REFT - 7 days            Frozen - 14 days BLOD0537  Lithium by Enzymatic 80178 1.0 mL serum (0.5 mL minimum). AVOID hemolysis. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate or freeze. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days   Liver Profile Refer to "Hepatic Function Panel".   Long Acting Thyroid Stimulation Refer to "Thyrotropin Receptor Antibody". BLOD0019  Lorazepam (Ativan) by HPLC 80154 2.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 72 hours            REFT - 72 hours   Lupus Inhibitor Evaluation Refer to "Anti-Phospholipid Antibody Panel".               Luteinizing Hormone (LH) Refer to "LH". BLOD0488  Lyme Disease (Borrelia burgdorferi) Antibodies by EIA *Includes IgG and IgM Antibodies 86618(2) 1.0 mL serum (0.7 mL minimum). Plasma is NOT acceptable. Refrigeration preferred.             Stability: RMT - 7 days            REFT - 14 days BLOD0786  Lyme Disease (Borrelia burgdorferi) Antibody (IgG and IgM Immunoblot + Bands) by Immunoblot *Specificity/Sensitivity is variable with disease state. 86617(2) 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days NBLD0139  Lyme Disease (Borrelia burgdorferi) Antibody CSF by EIA *Includes IgG and IgM Antibodies 86618(2) 2.0 mL CSF (1.0 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days BLOD0778  Lyme Disease Antibody Total Serum by Chemiluminescent Immunoassay *This procedure tests for IgG and IgM antibodies in a combined assay and does not differentiate between the antibodies. 86618 1.0 mL serum (0.5 mL minimum). AVOID hemolysis or lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days LBOR0009  Lymphoproliferative Panel (Leukemia) - CLL/HCL/SLL by Flow Cytometry -Cell Surface Markers 88184 88185(19) 88189 4.0 mL sodium heparin whole blood and 4.0 mL EDTA whole blood OR 2.0 mL minimum heparinized bone marrow. 7.0 mL acid citrate dextrose (ACD Solution B) whole blood may be substituted for the sodium heparin. Lithium heparin is unacceptable. Please perform CBC within 6 hours of drawing specimen and send results. A freshly prepared smear (stained or unstained) is also recommended. Please include patient history and indication for test. Send to receive Monday through Thursday only. Blood Stability: RMT - 2 days Room temp only Bone Marrow Stability: REFT - 48 hours BLOD1099  Lyrica (Pregabalin) By LC-MS/MS 82542 1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days NBLD0176  Magnesium 24-Hour Urine by Colorimetric 83735 10 mL aliquot of a well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0567  Magnesium Serum by Colorimetric 83735 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0851  Malaria Smears (Blood Parasites) by Geimsa and Wright's Stain 87207 Submit 3 thick and 3 thin blood smears. For preparation of malarial smears, refer to Parasite Specimen Collection Protocol in the GENERAL INFORMATION Section. BLOD0194  Manganese Whole Blood by ICP/MS 83785 4.0 ml of whole blood collected in a trace metal-free EDTA tube (2.0 mL minimum). Trace metal-free collection tubes are available from our Supplies Department. DO NOT ALIQUOT OR TRANSFER BLOOD TO OTHER CONTAINERS OR TRANSPORT TUBES. SEND BLOOD IN THE TUBE IN WHICH IT WAS DRAWN. NOTE: Patient should refrain from taking manganese supplements at least 3 days before collection of sample. Room temperature or refrigerate as noted below. Do NOT freeze. Clotted specimens are not acceptable. Stabiltiy: RMT - 5 days            REFT - 14 days NBLD0016  Marijuana as THC Metabolite, Urine Screen - Forensic by GC/MS *THC confirmation reporting limit - 15 ng/mL 80101 50 mL random urine (15 mL minimum). Refrigerate. Stability: RMT - 5 days            REFT - 7 days BLOD0355  Maternal Serum Screen 3 (Triple Screen) by Immunoassay -Alpha-Fetoprotein -Unconjugated Estriol -HCG 82105 82677 84702 1.0 mL serum (0.5 mL minimum). Maternal date of birth, estimated date of delivery, weight, race, insulin-dependent diabetes status, and number of fetuses must be provided on the Maternal AFP requisition. Testing should be performed between 14 and 22.9 weeks gestational age (optimal period is 15-16 weeks). Submit with an accurately completed Maternal AFP requisition available from our Supplies Department. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days BLOD0356  Maternal Serum Screen 4 (Quad Screen) by ELISA, Immunochemiluminometric Assay -Alpha-Fetoprotein -Unconjugated Estriol -HCG -Inhibin A 82105 82677 84702 86336 3.0 mL serum (1.5 mL minimum). Submit with an accurately completed Maternal AFP requisition. Accurate information is required to permit accurate interpretation of results. Testing should be performed between 14-22.9 weeks gestation (optimal period is 15-16 weeks). Maternal AFP requisitions are available from our Supplies Department. Refrigerate. Stability: RMT - 7 days            REFT - 7 days   Measles Refer to "Rubella" or "Rubeola".   Meconium Drug Screen Refer to "Drug Screen Meconium". BLOD0195  Mercury Whole Blood by Inductively Coupled Plasma Mass Spectrometry 83825 4.0 mL EDTA whole blood collected in a trace metal-free tube (2.0 mL minimum). Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. NOTE: Patient should refrain from eating swordfish, tuna, or shark at least 3 days prior to specimen collection. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days NBLD0073  Metanephrines Fractionated 24-Hour Urine by LC/MS/MS *Includes Normetanephrine and Metanephrine 83835 15 mL aliquot from a well-mixed and measured 24-hour urine (5.0 mL minimum). Collect urine with 25 mL of 6N HCl at start of collection to maintain final pH of <6.0. Boric Acid is NOT an acceptable preservative. Urine without a preservative is acceptable if the pH is below 6 and sample is sent frozen. Record total volume on test request form and urine vial. Three days prior and during collection, follow PATIENT PROTOCOL: Avoid alcohol, coffee, tea, and tobacco. Prefer patient is off medications for 3 days prior to collection; however, common antihypertensives (diuretics, ace inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal interference or no interference. Medications which are alpha agonists (Aldoment), alpha blockers (Dibenzyline) should be avoided 18-24 hours before specimen collection. Room temperature or refrigerate as noted below. Stability Acidied:               RMT - 7 days            REFT - 8 days BLOD0101  Metanephrines Fractionated Free Plasma by Liquid Chromatography MS/MS *Includes Normetanephrine, Free and Metanephrine, Free 83835 2.5 mL frozen EDTA plasma only (1.1 mL minimum). THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Methadone Urine Refer to "Drugs of Abuse" or "Drug Screen".   Methamphetamine Urine Refer to "Drugs of Abuse" or "Drug Screen."   Methicillin Resistant Staph aureus Confirmation (MRSA) Refer to "CULT MRSA Confirmation".   Methicillin Resistant Staph aureus Culture (MRSA) Refer to "CULT Bacterial Culture Screen for Selected Organism (other than Genital)". BLOD0645  Methotrexate (Mexate) by FPIA 80299 1.0 mL serum. No gel barrier or SST tubes. PROTECT FROM LIGHT. Draw sample 24 hours after last dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 7 days BLOD0103  Methylmalonic Acid (MMA) Quantitative Serum by LC-MS/MS *The concentration of serum methylmalonic acid is elevated in patients with methylmalonic acidemia and patients with a nutritional deficiency of cabalimin or folic acid. 83921 1.5 mL serum only (0.8 mL minimum). Refrigeration preferred. Stability: RMT - 14 days            REFT - 14 days   Methylphenidate (Ritalin, Concerta) Refer to "Ritalin".   MIC Susceptibility Testing Refer to "CULT Sensitivity / Susceptibility." NBLD0165  Microalbumin 24-Hour Urine by Immunoturbidimetric *This highly sensitive albumin assay is used to screen early renal disease in diabetic patients. 82043 2.0 mL aliquot from a well-mixed and measured 24-hour urine (1.2 mL minimum). Do not use preservative. Record total volume on test request form and urine vial. Refrigerate. Stability: REFT - 7 days NBLD0156  Microalbumin Random Urine by Immunoturbidimetric - Rapid City by Immunoturbidimetric/Enzymatic - Sioux Falls *Includes Creatinine and Microalbumin/Creatinine Ratio 82043 82570 10 mL aliquot of a first morning random urine (2.0 mL minimum). Refrigerate. Stability: REFT - 7 days NBLD0200  Microalbumin Semiquantitative Random Urine by Dipstick 82044 20 mL random urine collected in a clean, dry container with no preservative (5.0 mL minimum). Early morning specimen is preferred. Room temperature or refrigerate. NOTE: Due to the physiological variation of albumin, collection and testing of three separate morning (midstream) urine samples within a given week is recommended. Room temperature or refrigerate as noted below. Do not freeze specimen. Stability: RMT - 3 days            REFT - 7 days NBLD0166  Microalbumin Timed Urine by Immunoturbidimetric 82043 10 mL aliquot of a timed urine collection (1.0 mL minimum). Please provide total time of collection and the volume of urine collected. Refrigerate. Stability: REFT - 7 days   Microglobulin Refer to "Beta-2 Microglobulin".   Miscellaneous Source Culture Aerobic Refer to "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral, Other). Indicate source.   Miscellaneous Source Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source. BLOD0309  Mitochondrial Antibodies (AMA) Screen with Reflex to Titer by Immunoassay *If screen is positive, a titer will be performed at an additional fee. 86255 Reflex 86256 1.0 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Mold Allergens Refer to "Allergen Mold" and then by the specific mold name.   Mold Allergy Screen Refer to "Allergy - Screen Mold".   Mold Culture Refer to "CULT Fungal Culture Other". Specify mold. BLOD0625  Mononucleosis Infectious Screen by Rapid Immunoassay *Some segments of the population who contract IM do not produce measurable levels of het