Catalog > Search Results > Search Detail Full Test Directory CODE TEST CPT CODE SPECIMEN REQUIREMENTS / REFERENCE RANGES 7146, BLOD0171  1 25 Dihydroxyvitamin D by Liquid Chromatography/Tandem Mass Spectrometry *Note: Reports Total, D2, and D3 of 1 25 Dihydroxyvitamin D 82652 2.0 mL serum (1.1 mL minimum). Room temperature. Stability: RMT - 14 days            REFT - 14 days 7771, 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. Send refrigerated. Stability: REFT - 7 days            Frozen - 14 days 7763, NBLD0039  17 Ketosteroids Total 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 2487, BLOD0409  25 Hydroxy Vitamin D by Chemiluminescence Immunoassay 82306 1 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 5253, 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 mL minimum). Collect urine with 25 mL of 6N HCl during collection to maintain pH below 3. 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   5 Hydroxyindoleacetic Acid (5 HIAA) Quantitative 24 Hour Urine Refer to "5 HIAA". 7961, BLOD0102  5 Nucleotidase by Enzyme Kinetic 83915 1 mL frozen serum (0.5 mL minimum). Patient should be fasting at least 4 hours prior to collection. AVOID hemolysis. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   6 Monoacetylmorphine Refer to "Drugs of Abuse" or "Drug Screen". 7699, 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 4651, BLOD0918  ABO Blood Group 86900 3 mL EDTA whole blood or 3 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. 2701, BLOD0919  ABO Blood Group and Rh Type 86900 86901 3 mL EDTA whole blood or 3 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. 7201, BLOD0154  ACE (Angiotensin 1 Converting Enzyme) by Kinetic 82164 1 mL serum (0.5 mL minimum). Stability: RMT - 5 days            REFT - 7 days 4410, BLOD0548  Acetaminophen (Tylenol) by Colorimetric 82003 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. For overdose, obtain level 4 hours post-ingestion (or as soon as possible after 4 hours). Refrigerate. Stability: REFT - 7 days 3005, LBOR0019  Acetone (Blood Ketone) Qualitative by Nitroprusside Reaction (Acetest) 82009 1 mL frozen serum (0.7 mL minimum). THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 6304, BLOD0472  Acetylcholine Receptor Binding Antibody by RIA 83519 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days 6302, BLOD0473  Acetylcholine Receptor Blocking Antibody (ACHR) by RIA 83519 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 6306, BLOD0205  Acetylcholine Receptor Modulating Antibody by RIA 83519 2 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 Smear Refer to "CULT Acid Fast Bacilli Smear".   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". 7211, 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 1610, BLOD0673  Activated Partial Thromboplastin Time (APTT) by Clot Detection 85730 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). 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 8110, BLOD0664  Activated Protein C Resistance (APC Resistance, Factor V Abnormality) by APTT-Based Assay Clot-Based 85307 2 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 3800, BLOD0783  Acute Hepatitis Panel - Rapid City 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 mL serum and 4 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 5040, BLOD0783  Acute Hepatitis Panel - Sioux Falls 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 mL serum and 4 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". 7215, BLOD0217  ADH - Antidiuretic Hormone, Arginine Vasopressin by RIA/Extraction 84588 4 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 1190, 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 Smear". 3034, BLOD0849  AFP (Alpha Fetoprotein) Serum Maternal by Immunochemiluminometric *(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 3010, 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 - 48 hours            Frozen - 7 days 7217, NBLD0048  ALA (Aminolevulinic Acid) 24 Hour Urine by Colorimetric *Includes Urine Creatinine 82135 2 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". 6901, BLOD0549  Albumin Serum - Rapid City by BCG 82040 1 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 3015, BLOD0549   Albumin Serum - Sioux Falls by BCG 82040 1 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 3100, BLOD0550  Alcohol Ethanol Blood by Enzymatic 82055 1 mL lithium heparin plasma. Fill tube completely. To minimize exposure to air, spin samples with cap on. Separate plasma from cells. Transfer plasma to a plastic tube and immediately cap tube tightly. Send refrigerated. 0341, LABS0221  Alcohol Ethanol Legal Blood by Enzymatic Spectrometry, GC-FID *Requires Chain-of-Custody Form 82055 4 mL sodium fluoride whole blood (1.0 mL minimum). Tubes should be filled to prevent loss of volatile compound into headspace. Refrigerate. Stability: RMT - 24 hours            REFT - 14 days 7223, BLOD0147  Aldolase by Enzymatic 82085 2 mL serum (1.2 mL minimum). AVOID hemolysis. Submit in separate plastic vial. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 4027, NBLD0044  Aldosterone 24 Hour Urine by Hydrolysis, 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 7225, BLOD0148  Aldosterone Serum by LC/MS/MS 82088 1 mL serum (0.7 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Separate from cells within 30 minutes. Refrigerate. Indicate "supine" or "upright" position during sample collection. Stability: REFT - 7 days 5176, BLOD0568  Alkaline Phosphatase - Rapid City by Colorimetric 84075 1 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 3285, BLOD0568  Alkaline Phosphatase - Sioux Falls by Enzymatic 84075 1 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 7701, BLOD0200  Alkaline Phosphatase Isoenzymes by Agarose Electrophoresis, Enzymatic *Includes Total Alkaline Phosphatase and Isoenzymes: Intestinal, Bone, Liver, & Placental 84080 84075 2 mL serum (1.0 mL minimum). Overnight fasting preferred. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 2508, BLOD0709  Allergen Animal Cat Dander by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2568, BLOD0718  Allergen Animal Cow Dander by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2583, BLOD0723  Allergen Animal Dog Dander by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3066, BLOD0240  Allergen Animal Ferret Epithelia by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2616, BLOD0245  Allergen Animal Goose Feathers by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2619, BLOD0249  Allergen Animal Guinea Pig Epithelium by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2638, BLOD0730  Allergen Animal Horse Dander by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2941, BLOD0265  Allergen Animal Parrot / Parakeet Droppings (Budgerigar) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2944, BLOD0266  Allergen Animal Parrot / Parakeet Feathers (Budgerigar) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3052, BLOD0273  Allergen Animal Rabbit Epithelia by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3056, BLOD0279  Allergen Animal Turkey Feathers by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2131, BLOD0805  Allergen Drug Penicillin Allergy Panel by ImmunoCAP Specific IgE *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 2287, BLOD0694  Allergen Food Almond by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2288, BLOD0695  Allergen Food Alpha lactalbumin by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2318, BLOD0697  Allergen Food Apple by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2916, BLOD0230  Allergen Food Avocado by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2919, BLOD0699  Allergen Food Banana by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2347, BLOD0700  Allergen Food Barley by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2354, BLOD0701  Allergen Food Beef by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2382, BLOD0703  Allergen Food Beta lactoglobulin by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2414, BLOD0231  Allergen Food Brazil Nut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2922, BLOD0232  Allergen Food Broccoli by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2539, BLOD0713  Allergen Food Cacao (Cocoa) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2495, BLOD0707  Allergen Food Carrot by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2502, BLOD0705  Allergen Food Casein by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2925, BLOD0708  Allergen Food Cashew Nut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3018, BLOD0234  Allergen Food Celery by ImmunoCAP(TM) Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2514, BLOD0235  Allergen Food Cheese Cheddar by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2519, BLOD0236  Allergen Food Cheese Mold by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2526, BLOD0710  Allergen Food Chicken Meat by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2928, BLOD0237  Allergen Food Cinnamon by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2031, BLOD0288  Allergen Food Clam by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2539, BLOD0713  Allergen Food Cocoa Tested as "Cacao" by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2543, BLOD0239  Allergen Food Coconut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2546, BLOD0714  Allergen Food Codfish by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2561, BLOD0716  Allergen Food Corn (maize) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2572, BLOD0719  Allergen Food Crab by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2591, BLOD0724  Allergen Food Egg White by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2594, BLOD0725  Allergen Food Egg Yolk by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2606, BLOD0242  Allergen Food Garlic by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2609, BLOD0243  Allergen Food Gluten by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3037, BLOD0246  Allergen Food Grape by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2934, BLOD0247  Allergen Food Grapefruit by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3069, BLOD0248  Allergen Food Green Bean by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2629, BLOD0250  Allergen Food Hazelnut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2087, BLOD0289  Allergen Food Kiwi Fruit by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2685, BLOD0254  Allergen Food Lamb / Mutton by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3077, BLOD0255  Allergen Food Lemon by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2242, BLOD0256  Allergen Food Lettuce by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2691, BLOD0257  Allergen Food Lobster by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2700, BLOD0258  Allergen Food Melon by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2704, BLOD0737  Allergen Food Milk by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2938, BLOD0260  Allergen Food Mushroom by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2723, BLOD0261  Allergen Food Mustard by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2729, BLOD0741  Allergen Food Oat by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2732, BLOD0262  Allergen Food Onion by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2735, BLOD0742  Allergen Food Orange by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3022, BLOD0264  Allergen Food Paprika by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2746, BLOD0267  Allergen Food Pea by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2947, BLOD0268  Allergen Food Peach by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2750, BLOD0744  Allergen Food Peanut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2951, BLOD0269  Allergen Food Pear by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2753, BLOD0270  Allergen Food Pecan Nut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2954, BLOD0271  Allergen Food Pineapple by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2957, BLOD0272  Allergen Food Pistachio by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2762, BLOD0749  Allergen Food Pork by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2765, BLOD0750  Allergen Food Potato by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2071, BLOD0290  Allergen Food Psyllium by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2768, BLOD0752  Allergen Food Rice by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2779, BLOD0274  Allergen Food Rye by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2079, BLOD0291  Allergen Food Salmon by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2989, BLOD0754  Allergen Food Scallops by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2076, BLOD0292  Allergen Food Sesame Seed by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2783, BLOD0755  Allergen Food Shrimp by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2786, BLOD0756  Allergen Food Soybean by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2789, BLOD0757  Allergen Food Strawberry by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2274, BLOD0275  Allergen Food Sunflower Seed by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2963, BLOD0276  Allergen Food Sweet Potato by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2795, BLOD0759  Allergen Food Tomato by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2798, BLOD0278  Allergen Food Tuna by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3062, BLOD0280  Allergen Food Turkey Meat by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2966, BLOD0760  Allergen Food Walnut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2858, 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. 2907, BLOD0764  Allergen Food Yeast by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3496, BLOD0763  Allergen Grass Alfalfa by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2359, BLOD0702  Allergen Grass Bermuda by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2466, BLOD0233  Allergen Grass Brome by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2679, BLOD0253  Allergen Grass Johnson by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2682, BLOD0732  Allergen Grass Kentucky Blue June by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2697, BLOD0728  Allergen Grass Meadow Fescue by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2738, BLOD0743  Allergen Grass Orchard Grass (Cocksfoot) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2235, BLOD0751  Allergen Grass Redtop Bentgrass by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2759, BLOD0747  Allergen Grass Rye Perennial by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2792, BLOD0758  Allergen Grass Timothy by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2576, BLOD0720  Allergen House Dust / Mite Dermatophagoides farinae by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2171, BLOD0721  Allergen House Dust / Mite Dermatophagoides microceras by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate. 2579, BLOD0722  Allergen House Dust / Mite Dermatophagoides pteronyssinus by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2675, BLOD0731  Allergen House Dust / Mite Housedust (Hollister-stier) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2536, BLOD0712  Allergen Insect Cockroach (Blatella germanica) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2603, BLOD0241  Allergen Insect Fire Ant by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2635, BLOD0252  Allergen Insect Honey Bee by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2743, BLOD0263  Allergen Insect Paper Wasp by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2901, BLOD0282  Allergen Insect Whitefaced Hornet by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2910, BLOD0286  Allergen Insect Yellow Hornet by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2913, BLOD0287  Allergen Insect Yellow Jacket (Common wasp) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2299, BLOD0696  Allergen Mold Alternaria alternata by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2335, BLOD0698  Allergen Mold Aspergillus fumigatus by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2489, BLOD0706  Allergen Mold Candida albicans by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2529, BLOD0711  Allergen Mold Cladosporium herbarum (Hormodendrum) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3662, BLOD1077  Allergen Mold Epicoccum purpurascens by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2632, BLOD0251  Allergen Mold Helminthosporium halodes by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2713, BLOD0738  Allergen Mold Mucor racemosus by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2756, BLOD0746  Allergen Mold Penicillium notatum by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2969, BLOD0734  Allergen Occupational Latex by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2895, BLOD0762  Allergen Tree Ash (White) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2390, BLOD0704  Allergen Tree Birch Common silver by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2694, BLOD0735  Allergen Tree Boxelder / Maple by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2564, BLOD0717  Allergen Tree Cottonwood by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2597, BLOD0726  Allergen Tree Elm American by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2709, BLOD0259  Allergen Tree Mountain Cedar Juniper by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2726, BLOD0740  Allergen Tree Oak White by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2197, BLOD0745  Allergen Tree Pecan Hickory by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2996, BLOD0277  Allergen Tree Sycamore by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2821, BLOD0281  Allergen Tree Walnut by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2898, BLOD0283  Allergen Tree White Pine by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2904, BLOD0284  Allergen Tree Willow by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2533, BLOD0238  Allergen Weed Cocklebur by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2549, BLOD0715  Allergen Weed Common Ragweed by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2600, BLOD0727  Allergen Weed English Plantain (Ribwort) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2931, BLOD0729  Allergen Weed Firebush / Kochia by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2613, BLOD0244  Allergen Weed Goldenrod by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2688, BLOD0733  Allergen Weed Lambs Quarter (Goosefoot) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2776, BLOD0736  Allergen Weed Marshelder Rough by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2720, BLOD0739  Allergen Weed Mugwort by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2999, BLOD0748  Allergen Weed Pigweed Rough Common by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2960, BLOD0753  Allergen Weed Russian Thistle (Saltwort) by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 3014, BLOD0285  Allergen Weed Wormwood by ImmunoCAP Specific IgE 86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate. 2972, BLOD0690  Allergy - Screen Animal * *Includes but does not differentiate between the following allergens: Cat Dander Horse Dander Cow Dander Dog Dander 86005 1 mL serum. Refrigerate. Stability: REFT - 7 days 2977, BLOD0691  Allergy - Screen House Dust * *Includes but does not differentiate between the following allergens: Housedust (Hollister-Stier) Dermatophagoides pteronyssinus Dermatophagoides farinae Cockroach (Blatella germanica) 86005 1 mL serum. Refrigerate. Stability: REFT - 7 days 2973, BLOD0692  Allergy - Screen Mold * *Includes but does not differentiate between the following allergens: Penicillin notatum Cladosporium herbarum Aspergillus fumigatus Alternaria alternata 86005 1 mL serum. Refrigerate. Stability: REFT - 7 days 3199, BLOD0693  Allergy - Total IgE Serum by ImmunoCAP™ 82785 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days 3222, BLOD0770  Allergy CHAMP Panel (Childhood Allergy March) + Total IgE by ImmunoCAP Specific IgE * Recommended for children 3 months - 4 years. Milk Soybean Codfish Dermatophagoides farinae Dog dander Alternaria alternata Egg white Wheat Peanut Cat dander Cockroach Total IgE 86003(11) 82785 2.5 mL serum. Refrigerate. Stability: REFT - 7 days 2993, BLOD0891  Allergy Food Panel 1 + Total IgE Scallop Codfish Corn Egg white Milk Peanut Shrimp Soybean Wheat Walnut food Total IgE 86003(10) 82785 3 mL serum. Refrigerate. Stability: REFT - 7 days 2994, BLOD0892  Allergy Food Panel 2 + Total IgE Barley Cashew nut Cacao (Cocoa) 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 mL serum. Refrigerate. Stability: REFT - 7 days 3087, BLOD0804  Allergy Pediatric Food Panel Codfish Corn Egg white Milk Peanut Soybean Wheat 86003(7) 3 mL serum. Refrigerate. Stability: REFT - 7 days 3086, BLOD0894  Allergy Pediatric Food Panel + Total IgE Codfish Corn Egg white Milk Peanut Soybean Wheat Total IgE 86003(7) 82785 3 mL serum. Refrigerate. Stability: REFT - 7 days 2991, BLOD0889  Allergy Pediatric Panel + Total IgE *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 mL serum. Refrigerate. Stability: REFT - 7 days 3085, BLOD0769  Allergy Upper Respiratory Disease Panel Central Midwest States + Total IgE *For upper and lower respiratory disease **Recommended for persons 4 years and older. Alernaria alternata Aspergillus fumigatus Box-Elder / Maple Cat Dander Cladosporium herbarum               (Hormodendrum) Cockroach Common Ragweed Cottonwood Dog Dander Dust Mite (Dermatophagoides farinae) Elm, American Kentucky Blue Grass, June Oak, White Pigweed, Common (Rough) Russian Thistle (Saltwort) Total IgE 86003(15) 82785 4 mL serum (3.0 mL minimum). Refrigerate. Stability: REFT - 7 days 3589, BLOD1072  Allergy Western Respiratory Disease Panel + Total IgE *For upper and lower respiratory disease Alternaria alternata Aspergillus fumigatus Box-Elder / Maple Cat Dander Cladosporium herbarum               (Hormodendrum) Common Ragweed Cottonwood Dog Danger Dust Mite (Dermatophagoides farinae) Firebush / Kochia Kentucky Blue Grass, June Mountain Juniper (Cedar) Mugwort Penicillium notatum Total IgE 86003(14) 82785 4 mL serum (3.0 mL minimum). Refrigerate. Stability: REFT - 7 days 7235, BLOD0149  Alpha 1 Antitrypsin Phenotype by Isoelectric Focusing 82104 1 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 14 days            Froz - 14 days 2491, BLOD0007  Alpha 1 Antitrypsin Quantitation by Turbidimetric 82103 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days 3034, BLOD0849  Alpha Fetoprotein (AFP) Serum Maternal by Immunochemiluminometric *(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 3010, 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 - 48 hours            Frozen - 7 days 6903, BLOD0573  ALT (SGPT) Alanine Aminotransferase - Rapid City by UV 84460 1 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 3020, BLOD0573  ALT (SGPT) Alanine Aminotransferase - Sioux Falls by Enzymatic 84460 1 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 7245, BLOD0150  Aluminum by Inductively Coupled Plasma-Mass Spectrometry (ICPMS) 82108 2 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 4432, BLOD0015  Amikacin (Amikin) Peak by Immunoassay 80150 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Collect peak at end of 60 minute IV infusion, or 30 minutes after end of 30 minute infusion, or 60 minutes after IM dose. Send refrigerated. Stability: RMT - 5 days            REFT - 7 days 4427, BLOD0016  Amikacin (Amikin) Trough by Immunoassay 80150 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Collect trough just before next scheduled dose. Send refrigerated. Stability: RMT - 5 days            REFT - 7 days 7217, NBLD0048  Aminolevulinic Acid (ALA) 24 Hour Urine by Colorimetric *Includes Urine Creatinine 82135 2 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 5389, BLOD0541  Aminophylline (Theophylline) - Rapid City by Fluorescence Polarization 80198 1 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 4550, BLOD0541  Aminophylline (Theophylline) - Sioux Falls by Enzymatic 80198 1 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 7259, BLOD0399  Amiodarone (Cordarone) by HPLC *Includes metabolite Desalkylamiodarone 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 4440, BLOD0384  Amitriptyline (Elavil) by HPLC *Includes metabolite Nortriptyline 80152 2 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. Send refrigerated. Stability: RMT - 3 days            REFT - 3 days 3023, BLOD0551  Ammonia by Enzymatic 82140 2 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". 4275, NBLD0168  Amylase Body Fluid by Enzymatic 82150 1 mL body fluid in sterile tube. Refrigerate. 8269, BLOD0797  Amylase Isoenzymes by Kinetic Spectrophotometry *Includes Total Amylase and Isoenzymes: Pancreatic & Salivary Isoamylase, Macroamylase 82150(3) 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 6936, BLOD0552  Amylase Serum - Rapid City by Enzymatic Colorimetric 82150 1 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 7 days            REFT - 7 days 3025, BLOD0552  Amylase Serum - Sioux Falls by Enzymatic 82150 1 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 7 days            REFT - 7 days 4025, 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 7004, BLOD0773  ANA - 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 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". 7383, BLOD0400  Anafranil (Clomipramine) by HPLC *Includes metabolite Desmethylclomipramine 83789 2 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. Send refrigerated. Stability: RMT - 3 days            REFT - 3 days 6309, BLOD0293  ANCA MPO Only - Myeloperoxide Antibody Semiquantitative 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). Overnight fasting required. AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 6307, 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). Overnight fasting required. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7311, 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). Overnight fasting required. Send refrigerated. Stability: RMT - 4 days            REFT - 7 days 7275, BLOD0153  Androstenedione by Liquid Chromatography Tandem Mass Spectrometry 82157 1 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 6950, BLOD0838  Anemia Panel - Rapid City 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 mL EDTA whole blood (1.5 mL minimum). PROTECT SPECIMEN FROM LIGHT. AVOID hemolysis. Serum Stability:               REFT - 48 hours            Froz >48 hours Whole Blood Stability:               RMT - 8 hours            REFT - 3 days 0333, BLOD0838  Anemia Panel - Sioux Falls 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 mL EDTA whole blood (1.5 mL minimum). PROTECT SPECIMEN FROM LIGHT. AVOID hemolysis. Serum Stability:               REFT - 48 hours            Froz >48 hours Whole Blood Stability:               RMT - 8 hours            REFT - 3 days 7201, BLOD0154  Angiotensin 1 Converting Enzyme (ACE) by Kinetic 82164 1 mL serum (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". 7215, BLOD0217  Anti Diuretic Hormone (ADH, Arginine Vasopressin) by RIA/Extraction 84588 4 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 2407, BLOD0775  Anti DNA Double Stranded Antibody by EIA 86225 1 mL serum (0.7 mL minimum). 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 7289, BLOD0460  Anti DNA Single Stranded Antibody by EIA 86226 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7285, BLOD0305  Anti DNase B Antibody by Tube Test 86215 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7291, BLOD0424  Anti ENA Antibody by EIA *Includes Anti-RNP and Anti-Sm Antibodies 86235(2) 1 mL serum (0.7 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 Profile".   Anti Gliadin Antibodies Refer to "Gliadin Peptide" or "Gliadin (Deamidated)". 7299, BLOD0187  Anti Glomerular Basement Membrane (GBM Antibody) by EIA 83520 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7301, BLOD0184  Anti Histone Antibodies by EIA 83516 1 mL serum (0.7 mL minimum). Overnight fasting preferred. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days   Anti Islet Cell Antibody Refer to "Pancreatic Islet Cell Antibody". 7305, BLOD0306  Anti Jo 1 by EIA 86235 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7309, BLOD0309  Anti Mitochondrial Antibody (AMA) Screen by Immunoassay *If screen is positive, a titer will be performed at an additional fee. 86255 Reflex 86256 1 mL serum (0.5 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7311, 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). Overnight fasting required. Send refrigerated. Stability: RMT - 4 days            REFT - 7 days   Anti Nuclear Antibody (Expanded) Profile Refer to "ENA Profile 3". 7004, 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 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: REFT- 2 days            Frozen - 7 days 7317, BLOD0310  Anti Parietal Cell Antibody by ELISA 83516 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days            Frozen -14 days 7310, BLOD0680  Anti Phospholipid Antibody Panel (formerly Lupus Inhibitor Screen) *Includes Cardiolipin Antibodies IgG, IgM, & IgA; Anti-Beta 2 Glycoprotein-1 Antibodies IgG, IgM, & IgA; and Lupus Anticoagulant Screen - PTT and Dilute Russell Viper Venom test. *Confirmatory testing will be performed if necessary at an additional fee. 86147(3) 86146(3) 85730 85732 85613 85613 (if indicated for confirmatory testing) 6 mL 3.2% sodium citrate platelet-poor plasma split into 2 separate plasma aliquots (1.5 mL minimum each) and 4 mL serum (3.0 mL minimum each) split into 2 separate aliquots (1.5 mL minimum each). Label tubes appropriately as "plasma" and "serum." Freeze immediately. DO NOT FREEZE/THAW. THIS TEST REQUIRES 4 SEPARATE FROZEN ALIQUOTS (2 plasma aliquots and 2 serum aliquots). Refer to GENERAL INFORMATION Section for collection of Coagulation tests and platelet-poor plasma. Stability: Frozen only   Anti Platelet Antibody (Indirect) Refer to "Platelet Indirect IgG Antibodies".   Anti Platelet Associated IgG Antibody (Direct) Refer to "Platelet Direct IgG Antibodies". 7333, BLOD0308  Anti Scleroderma Antibody (Anti Scl 70) by Immunoassay 86235 1 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 Skeletal Muscle (Striated) Refer to "Skeletal Muscle (Striated) Antibodies".   Anti Sm (Smith) and Anti RNP Refer to "ENA Antibodies". 7341, BLOD0185  Anti Smooth Muscle Antibody (ASMA) by Enzyme Linked Immunosorbent Immunoassay 83516 1 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". 7010, BLOD0620  Anti Streptolysin O (ASO) Quantitative by Turbidimetric 86060 1 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days   Anti Striated (Skeletal) Muscle Antibody Refer to "Skeletal Muscle". 7349, BLOD0222  Anti Thrombin III Antigen by Immunoturbidimetric 85301 1 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). 3.8% sodium citrate plasma is NOT acceptable. Centrifuge specimen immediately and transfer to plastic vial. Heparin may cause decreased values. PATIENT PREPERATION: Patient should abstain from anabolic steroids, Gemfibrozil, Warfarin (Coumadin®), heparin therapy, asparaginase, estrogens, gestodene, and oral contraceptives optimally for 3 days prior to specimen collection. Overnight fasting is preferred. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 1000, BLOD0663  Anti Thrombin III Functional by Colorimetric 85300 1.0 mL frozen 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 7355, BLOD0413  Anti Thyroglobulin Antibodies by Chemiluminescence 86800 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 7707, BLOD0376  Anti Thyroid Antibodies Panel by Chemiluminescence Thyroglobulin Antibodies Thyroid Peroxidase Antibodies 86800 86376 3.0 mL serum (1.0 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 7359, BLOD0315  Anti Thyroid Peroxidase Antibodies (TPO) by Chemiluminescence 86376 1.0 mL serum (0.5 mL minimum). Refrigerate. Stabilty: REFT - 7 days            Frozen - 7 days 4654, 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 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. 7279, 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 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. 4653, 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. 7280, 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.   Arginine Vasopressin Refer to "Anti Diuretic Hormone". 7371, BLOD0157  Arsenic - Blood by Inductively Coupled Mass Spectrometry 82175 7 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".   Ascorbic Acid Plasma (Vitamin C) Refer to "Vitamin C". 7010, BLOD0620  ASO Titer (Anti Streptolysin O) Quantitative by Turbidimetric 86060 1 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days 4520, BLOD0540  Aspirin (Salicylates) by Enzymatic 80196 2 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 6904, BLOD0572  AST (Aspartate Aminotransferase) (SGOT) - Rapid City by UV 84450 1 mL serum (0.6 mL minimum). Separate serum within 1 hour. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days 3030, BLOD0572  AST (Aspartate Aminotransferase) (SGOT) - Sioux Falls by Enzymatic 84450 1 mL serum (0.6 mL minimum). Separate serum within 1 hour. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days 6755, BLOD0019  Ativan (Lorazepam) by HPLC 80154 2 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". 5242, BLOD0604  B12 (Vitamin B12, Cyanocobalamin) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 82607 1.0 mL frozen serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hrs            Freeze - >48 hrs 3375, BLOD0604  B12 (Vitamin B12, Cyanocobalamin) - Sioux Falls by Chemiluminescence 82607 1.0 mL serum (0.5 mL minimum). Heparinized and EDTA plasma not 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 1550, BLOD0464  Bartonella henselae IgG and IgM Antibodies by IFA *B. henselae is the test for Cat Scratch Disease 86611(2) 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 7 days 9115, BLOD0528  Basic Metabolic Panel - Rapid City Sodium Potassium Chloride Carbon Dioxide (CO2) Calcium Creatinine Glucose Urea Nitrogen (BUN) 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 mL serum (0.6 mL minimum). Minimum 12-hour fast is recommended. AVOID hemolysis. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 3503, BLOD0528  Basic Metabolic Panel (Kidney) - Sioux Falls Sodium Potassium Chloride Carbon Dioxide (CO2) Calcium Creatinine Glucose Urea Nitrogen (BUN) 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 mL serum (0.6 mL minimum). Minimum 12-hour fast is recommended. AVOID hemolysis. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days   Bence Jones Protein, Kappa and Lambda Light Chains, Qualitative Refer to "Immunofixation Electrophoresis", then choose Urine. 1085, BLOD0498  Beta 2 Glycoprotein I IgG IgM and IgA Autoantibodies (Beta 2 GPI) by EIA *Beta-2-GPI autoantibodies are found in patients with antiphospholipid syndrome (APS) and are associated with increased risk of venous and arterial thrombosis and thrombocytopenia. Beta-2-GPI autoantibodies are found only in patients with autoimmune diseases, while cardiolipin autoantibodies can be transiently found in infectious diseases. **Also see Antiphospholipid Antibody Panel 86146(3) 3.0 mL serum or citrated plasma (1.5 mL minimum). Refrigerate. Also acceptable: citrated plasma Stability: RMT - 5 days            REFT - 14 days 7405, BLOD0158  Beta 2 Microglobulin Serum by Nephelometry 82232 1 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 7407, 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 9251, BLOD0089  Beta Hydroxybutyrate Serum by Photommetric, B-Hydroxbutyrate Dehydrogenase *Useful for monitoring diabetic ketoacidosis. 82010 2.0 mL frozen serum (0.5 mL minimum). Frozen specimen preferred. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days 1480, 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 8390, 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 6905, BLOD0578  Bilirubin Direct - Rapid City by Diazotization *Test result is a direct assay. 82248 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hrs            REFT - 7 days 3041, BLOD0578  Bilirubin Direct - Sioux Falls by Jendrassik/Grof *Test result is a calculation based on the performance of the Indirect Bilirubin test. 82248 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 6906, BLOD0527  Bilirubin Total - Rapid City by Diazonium Ion 82247 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 3040, BLOD0527  Bilirubin Total - Sioux Falls by Jendrassik/Grof 82247 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 1510, LBOR0012  Blastomyces dematitidis Antigen by EIA 87749 Preferred specimen is 5 mL random urine (2.0 mL minimum). Other acceptable sample types: 2 mL serum or plasma (sodium heparin or sodium citrate) (0.5 mL minimum); or 2 mL CSF (0.5 ml minimum); or 2 mL brochoscopy specimen or body fluid (0.5 mL minimum). THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT.   Bleeding Time Refer to "Platelet Function Assay".   Blood Culture Refer to "CULT" and select culture type.   Blood Culture Acid Fast Refer to "CULT Acid Fast Culture Blood".   Blood Profile Refer to "Hemogram (includes platelets)".   BMP Refer to "Basic Metabolic Panel". 5251, BLOD0004  BNP (Brain or B-Type Natriuretic Peptide) - Rapid City by Fluorescent Immunoassay 83880 2 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 0200, BLOD0004  BNP (Brain or B-Type Natriuretic Peptide) - Sioux Falls by Fluorescent Immunoassay 83880 2 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 5466, NBLD0205  Body Fluid Cell Count and Differential - Rapid City 89051 2-3 mL body fluid in an EDTA tube. Keep refrigerated. 7833, NBLD0205  Body Fluid Cell Count and Differential - Sioux Falls 89051 2-3 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. 4004, NBLD0204  Body Fluid pH 83986 3 mL body fluid in a sterile tube with minimal exposure to air. Keep refrigerated.   Bone Marrow Culture Refer to "CULT Bacterial Culture Other". 5118, BLOD0487  Bordetella pertussis Antibodies IgG by MAID (Multi-Analyte Immunodiffusion) 86615(2) 1.0 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7825, BLOD1117  Bordetella pertussis Antibodies IgG and IgA by MAID (Multi-Analyte Immunodiffusion) 86615(4) 1.0 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 5251, BLOD0004  Brain Natriuretic Peptide (B type or BNP) - Rapid City by Fluorescent Immunoassay 83880 2 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 0200, BLOD0004  Brain Natriuretic Peptide (B type or BNP) - Sioux Falls by Fluorescent Immunoassay 83880 2 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 7416, BLOD0426  Brucella abortus Antibodies IgG and IgM by Enzyme Linked Immunosorbent Assay 86622(2) 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 3392, NBLD0184  BUN (Blood Urea Nitrogen) 24 Hour Urine Quantitative by Urease 84540 10 mL aliquot of a well-mixed and measured 24-hour urine. Refrigerate during and after collection. Record total volume on test request form and urine vial. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 6907, BLOD0001  BUN (Blood Urea Nitrogen) Serum - Rapid City by Urease 84520 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 5 days 3365, BLOD0001  BUN (Blood Urea Nitrogen) Serum - Sioux Falls by Urease 84520 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 5 days   C difficile Refer to "Clostridium difficile". 7499, BLOD0221  C Peptide Serum or Plasma by Immunoassay 84681 1 mL serum preferred (0.7 mL minimum). An overnight fast is preferred. Heparinized plasma also acceptable. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 4 days            Frozen - 7 days 5200, BLOD0622  C Reactive Protein (CRP) High Sensitive (CRP Cardiac) - Rapid City by Turbidimetric 86141 0.5 mL serum. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 7100, BLOD0622  C Reactive Protein (CRP) High Sensitive (CRP Cardiac) - Sioux Falls by Turbidimetric 86141 0.5 mL serum. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 5299, BLOD0621  C Reactive Protein (CRP) Quantitative - Rapid City by Turbidimetric *For inflammation 86140 1 mL serum (0.7 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 7090, BLOD0621  C Reactive Protein (CRP) Quantitative - Sioux Falls by Turbidimetric *For inflammation 86140 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 7415, BLOD0303  C1 Esterase Inhibitor Functional by EIA 86161 1 mL frozen serum (0.5 mL minimum). No gel barrier or SST tubes. AVOID hemolysis. Freeze within 1 hour of drawing. Do NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 7417, BLOD0300  C1 Esterase Inhibitor Quantitation (Non-Functional) by Nephelometry 86160 1 mL serum (0.7 mL minimum). No gel barrier or SST tubes. AVOID hemolysis. Collect on ice. Pleural and synovial fluid are NOT acceptable specimens. Overnight fasting is preferred. Refrigerate or freeze as noted below. Stability: REFT - 8 days            Frozen - 14 days   C3, C4 Refer to "Complement". 7425, BLOD0608  CA 125 (Ovarian Cancer) by Chemiluminescence 86304 1 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 7427, BLOD0311  CA 15-3 (Breast Cancer) by Chemiluminescence 86300 1 mL serum (0.7 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 7429, BLOD0312  CA 19-9 (Pancreatic Cancer) by Immunoassay 86301 1 mL serum only (0.5 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days 7431, BLOD0603  CA 27.29 (Breast Cancer) by Immunoassay 86300 1 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Avoid FREEZE/THAW cycles. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hours            Frozen - 7 days 7065, NBLD0052  Cadmium 24 Hour Urine by Inductively-Coupled Plasma/Mass Spectrometry 82300 7 mL aliquot from a 24-hour urine collection (5 mL minimum) collected in a metal-free plastic container or an acid washed container. NOTE: Patient should avoid eating shellfish 3 days prior to collection. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 7 days 7437, BLOD0403  Caffeine by EIA, HPLC 83520 1 mL serum (0.7 minimum). Heparinized plasma is NO LONGER acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate or freeze as noted below. Stability: REFT - 14 days            Frozen - 14 days 7439, BLOD0160  Calcitonin by Immunoassay 82308 1 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 4028, NBLD0164  Calcium 24 Hour Urine by Arsenazo III Complex 82340 10 mL aliquot of well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate. Stability: REFT - 7 days 3050, BLOD0656  Calcium Ionized by ISE 82330 2 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. Stability: REFT - 48 hours 6908, BLOD0553  Calcium Total - Rapid City by O-Cresolpthalein Complexone 82310 1 mL serum (0.6 mL minimum). Overnight fasting is preferred. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: REFT - 7 days 3045, BLOD0553  Calcium Total - Sioux Falls by Arsenazo III Complex 82310 1 mL serum (0.6 mL minimum). Overnight fasting is preferred. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: REFT - 7 days 2469, NBLD0125  Calculi Analysis Stone by Fourier Transform Infra-Red Spectrophotometry (FTIR) 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 - Indefinitely   Campylobacter Stool Culture Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Campylobacter.   Cannabinoids (Marijuana or THC Screen) Refer to "Marijuana". 7450, BLOD0022  Carbamazepine (Tegretol) Free - Unbound by Immunoassay 80157 3 mL serum (1 mL minimum). No gel barrier or SST tubes. Preferred collection time 30 minutes prior to next scheduled dose. Room temperature of refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days 5214, BLOD0532  Carbamazepine (Tegretol) Total -Rapid City by Fluorescence Polarization 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 4460, BLOD0532  Carbamazepine (Tegretol) Total -Sioux Falls by Enzymatic 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 1943, BLOD0397  Carbamazepine 10 11 Epoxide (Tegretol Metabolite) by HPLC/MS/MS *This test does not include a total Tegretol. 83789 2 mL serum (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. Specimen may also be frozen. Stability: RMT - 14 days            REFT - 14 days 6926, BLOD0554  Carbon Dioxide (CO2) - Rapid City by PEP 82374 2 mL fresh serum (0.6 mL minimum). Heparinized plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 3055, BLOD0554  Carbon Dioxide (CO2) - Sioux Falls by Enzymatic 82374 2 mL fresh serum (0.6 mL minimum). Heparinized plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 4463, BLOD0657  Carbon Monoxide Quantitation (Carboxyhemoglobin) by Co-oximeter 82375 4 mL EDTA whole blood. Fill tube completely and keep tightly sealed. Refrigerate. 4637, 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 7283, BLOD0907  Cardiolipin Antibodies by EIA *Includes IgG, IgA, and IgM Antibodies 86147(3) 3 mL serum (1.5 mL minimum) for all three Cardiolipin antibodies. AVOID lipemic and hemolyzed specimens. Citrated plasma also acceptable. Room temperature or refrigerate. Stability: RMT - 4 days            REFT - 7 days 6601, BLOD0297  Cardiolipin Antibody IgA by EIA 86147 1 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 6600, BLOD0298  Cardiolipin Antibody IgG by EIA 86147 1 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 6602, BLOD0299  Cardiolipin Antibody IgM by EIA 86147 1 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   Cardioquin Refer to "Quinidine". 7453, BLOD0093  Carnitine Free and Total by Tandem Mass Spectrometry (MS/MS) 82379 1 mL frozen sodium heparin plasma (0.5 mL minimum). No gel barrier or SST tubes. Spin down and transfer plasma to a plastic tube. Freeze. Sex and age of patient is required for age-dependent reference ranges. Heparin is the only acceptable anticoagulant. Serum is also acceptable. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 7455, BLOD0373  Carotene by HPLC 82380 2 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 4035, 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 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: 8-12 hours prior to collection, avoid alcohol, coffee, tea, tobacco, and strenuous exercise. Prefer patient be off medications for 18-24 hours prior to collection. Drugs which may cause interference: alpha & beta blockers, bromocriptine, bronchodilators, calcium channel blockers, clonidine, dexamethasone, L-dopa, labetelol, mandelamine, methyldopa, MAO inhibitors, nitroglycerine, phenothiazines, reserpine, sympathomimetic amines, and tricyclic antidepressants. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 6619, BLOD0161  Catecholamines Fractionated and Total Plasma by HPLC, Electrochemical Detection *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 5160, BLOD0008  CBC with Differential (Complete Blood Count) - Rapid City by CELL-DYN 3200 *Includes WBC, RBC, Hgb, HCT, MCV, MCH, MCHC, RDW, Platelet, and Differential 85025 4 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 3586, BLOD0008  CBC with Differential (Complete Blood Count) - Sioux Falls by ADVIA *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, Platelet, and Differential 85025 4 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 5153, BLOD0632  CBC without Differential (Hemogram includes platelet) - Rapid City by CELL-DYN 3200 *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, and Platelet 85027 4 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 3600, BLOD0632  CBC without Differential (Hemogram includes Platelet) - Sioux Falls by ADVIA *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, and Platelet 85027 4 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   CCP Antibodies Refer to "Cyclic Citrullinated Peptide". 7465, BLOD0646  CD4 Count (T Helper Lymph Marker) by Flow Cytometry Total Lymphocytes Helper-Inducer T (CD3+CD4+) 86361 One 4 mL EDTA whole blood (2 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 4637, BLOD0587  CEA - Carcinoembryonic Antigen by Chemiluminescence 82378 1 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 (Citralpram) Refer to "Citalopram". 4984, 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). Freeze. THIS TEST REQUIRES 2 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". 8163, BLOD0087  Cellcept (Mycophenolic Acid) by LC/MS/MS *Cellcept is an immunosuppressive drug used in organ transplants. 80299 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Plasma is no longer 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 FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days   Cerebrospinal Fluid Analysis Refer to "CSF". 7473, BLOD0162  Ceruloplasmin by Nephelometry 82390 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days 1614, BLOD1125  CGH (Comparative Genomic Hybridization) Whole Genome Constitutional by Affymetrix Cytogenetics Whole Genome Array 83891 88386(3) 3 mL sodium heparin whole blood (2 mL minimum) and 3 mL EDTA whole blood (2 mL minimum) in original vacutainers. Do not collect on Fridays; must be received at Sanford Laboratories within 48-72 hours of blood draw and by Thursday. Send room temperature. Indicate reason for this test. Stability: Room temperature preferred 3222, BLOD0770  CHAMP Allergy Panel (Childhood Allergy March) + Total IgE by ImmunoCAP Specific IgE *Recommended for children 3 months - 4 years. Milk Soybean Codfish Dermatophagoides farinae Dog Dander Alternaria alternata Egg White Wheat Peanut Cat Dander Cockroach Total IgE 86003(11) 82785 2.5 mL serum. Refrigerate. Stability: REFT - 7 days 8329, 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. Stability: REFT - 4 days 2338, 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. Stability: RMT - 7 days            REFT - 7 days   Chlamydia Culture Refer to "CULT Chlamydia Culture". 3711, 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 2339, BLOD0377  Chlamydia Species 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 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 6581, BLOD0351  Chlamydia trachomatis Antibodies IgG IgM and IgA by Microimmunofluorescent Assay 86631(2) 86632 1.0 mL serum (0.5 mL minimum). Room tempeature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 8324, 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. REFT - 4 days             2413, 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 2336, NBLD0091  Chlamydia trachomatis Cervical and Urethral by DNA Probe 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 2200, 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 5873, NBLD0260  Chloride 24 Hour Urine - Rapid City by ISE Indirect 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 4048, NBLD0260  Chloride 24 Hour Urine - Sioux Falls by ISE 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 6909, BLOD0555  Chloride Serum - Rapid City by ISE Indirect 82435 1 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 7 days 3060, BLOD0555  Chloride Serum - Sioux Falls by ISE 82435 1 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 7 days 6910, BLOD0002  Cholesterol Total - Rapid City by Enzymatic Colorimetric 82465 1 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 7 days 3065, BLOD0002  Cholesterol Total - Sioux Falls by Enzymatic 82465 1 mL serum (0.6 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 7 days 7449, 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 0338, BLOD0352  Cholinesterase RBC and Plasma by Kinetic Spectrophotometric 82482 82480 5 mL EDTA whole blood (4 mL minimum) and 2 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 4417, 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 0679, BLOD0060  Chromium Whole Blood by Graphite Furnace Atomic Absorption Spectroscopy 82495 2.0 mL EDTA whole blood (1.0 mL minimum) collected in an EDTA trace metal-free tube. Trace metal-free collection tubes are available from our Supplies Department. Room temperature, refrigerate or freeze as noted below. Stability: RMT - 14 days            REFT - 14 days 5337, BLOD0126  Chromogranin A 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 3405, BLOD1011  Chromosome Analysis - Blood Tissue Culture, Lymphocyte Chromosome 2 Karotypes 88230 88262 5-10 mL sodium heparin whole blood only (Infant minimum 1-2 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 3406, 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. Note: Requires a completed "Sanford Genetics Laboratory Form" sent with specimen. Contact Client Support for form. Send to receive Monday through Thursday only. 3402  Chromosome and Fragile X Southern Blot Analysis/Polymerase Chain Reaction (PCR)-Based Assays *Includes Chromosome Analysis and Nuclear Molecular Analysis               Chromosome blood culture               Karyotype               Extraction               Digestion               DOT/SLOT Blot Production               Separation               Nucleic acid probe each               Nucleic acid transfer               Amplification multiplex               Separation & ident by high res               Interpretation and report 88230 88262 83891 83892(3) 83893 83894 83896 83897 83900 83909 83912 10 mL EDTA whole blood and 5-10 mL sodium heparin whole blood. Keep at room temperature. Note: Requires a completed "Sanford Genetics Laboratory Form" sent with specimen providing patient's history and clinical information. Call Client Support for appropriate forms. Send to receive Monday through Thursday only. Room temperature only. Stability: RMT - 48 hours 3407, NBLD0326  Chromosome Study for Hematologic Malignancy - Bone Marrow Includes Philadelphia Chromosome Tissue Culture, Bone Marrow or Blood Chromosome 2 Karyotypes 88237 88262 2-3 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. 0441, 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 7717, NBLD0057  Citrate Acid 24 Hour Urine by Spectrophotometry, Enzymatic 82507 10 mL aliquot of well-mixed and measured 24-hour urine (5 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 2417, 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 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            Frozen >72 hrs 6813, BLOD0556  CK (CPK) Total - Rapid City by NADPH 82550 2 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate. Stability: RMT - 4 hours            REFT - 5 days 3070, BLOD0556  CK (CPK) Total - Sioux Falls by Enzymatic 82550 2 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate. Stability: RMT - 4 hours            REFT - 5 days 7383, BLOD0400  Clomipramine (Anafranil) by HPLC-UV *Includes metabolite Desmethylclomipramine 83789 2 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. Send refrigerated. Stability: RMT - 3 days            REFT - 3 days 7457, 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 7387, BLOD0018  Clorazepate (Tranxene) by HPLC *Measured as metabolite Desmethyldiazepam 80154 2 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 5250, NBLD0224  Clostridium difficile Toxin A/B - Rapid City by EIA *Rapid Screening 87324 2-3 grams of fresh, unpreserved stool in a clean, leak-proof container free of soap residue. Refrigerate. Stability: REFT - 72 hrs            Freeze - >72 hrs 2285, NBLD0224  Clostridium difficile Toxin A/B - Sioux Falls by EIA *Rapid Screening 87324 2-3 grams of fresh, unpreserved stool in a clean, leak-proof container free of soap residue. Refrigerate. Stability: REFT - 72 hrs            Freeze - >72 hrs 6118, BLOD0468  Clozapine (Clozaril) by LC/MS/MS *Includes Norclozapine 83789 2 mL serum;or heparinized or EDTA plasma (1 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".   CMV Refer to "Cytomegalovirus". 6926, BLOD0554  CO2 (Carbon Dioxide) - Rapid City by PEP 82374 2 mL fresh serum (0.6 mL minimum). Heparinized plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 3055, BLOD0554  CO2 (Carbon Dioxide) - Sioux Falls by Enzymatic 82374 2 mL fresh serum (0.6 mL minimum). Heparinized plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 7721, BLOD0317  Coccidioides Antibody Serum by Complement Fixation, EIA 86635 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Codeine Screen Refer to "Drug Screen". 4970, 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 7020, BLOD0779  Cold Agglutinins (Cold Hemagglutinins) by Hemagglutination 86157 3 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 6035, NBLD0058  Collagen Cross Linked N Telopeptide (NXT) Urine by Enhanced Chemiluminescence 82523 2 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 1740, 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 1614, BLOD1125  Comparative Genomic Hybridization (CGH) by Affymetrix Cytogenetics Whole Genome Array 83891 88386(3) 3 mL sodium heparin whole blood (2 mL minimum) and 3 mL EDTA whole blood (2 mL minimum) in original vacutainers. Do not collect on Fridays; must be received at Sanford Laboratories within 48-72 hours of blood draw and by Thursday. Send room temperature. Indicate reason for test. Stability: Room temperature preferred 7393, BLOD0301  Complement C2 by Radial Immunodiffusion 86160 1 mL serum (0.5 mL minimum) refrigerated. EDTA plasma also acceptable. AVOID hemolysis and lipemia. Refrigerate. Stability: RMT - 48 hours            REFT - 14 days 7025, BLOD0623  Complement C3 by Turbidimetric 86160 1 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 7479, BLOD0909  Complement C3 and C4 Group by Turbidimetric 86160(2) 1 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen-7 days 7026, BLOD0624  Complement C4 by Turbidimetric 86160 1 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 7489, BLOD0304  Complement, Total CH50 by Colorimetric 86162 1 mL frozen serum (0.5 mL minimum). AVOID hemolysis. Allow specimen to clot at room temperature at least 1 hour. Within 2 hours 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 9110, BLOD0530  Comprehensive Metabolic Panel (CMP) - Rapid City Albumin Alkaline Phosphatase Bilirubin, Total Calcium Carbon Dioxide (CO2) Chloride Creatinine Glucose Potassium Sodium SGOT (AST) SGPT (ALT) Total Protein Urea Nitrogen (BUN) 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 mL serum (0.6 mL minimum). Minimum 12-hour fast is recommended. AVOID hemolysis. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 3502, BLOD0530  Comprehensive Metabolic Panel (CMP) - Sioux Falls Albumin Alkaline Phosphatase Bilirubin, Total Calcium Carbon Dioxide (CO2) Chloride Creatinine Glucose Potassium Sodium SGOT (AST) SGPT (ALT) Total Protein Urea Nitrogen (BUN) 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 mL serum (0.6 mL minimum). 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 Antiglobulin Test".   Coombs Indirect Refer to "Indirect Coombs". 4055, 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 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 7493, 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". 7259, 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 7497, NBLD0061  Cortisol Free 24 Hour Urine by Liquid Chromatography MS/MS 82530 2 mL aliquot of a 24-hour urine (1 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 7731, 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 8422, 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. 4639, BLOD0582  Cortisol Total Serum 4 p.m. Sample by Chemiluminescence *4 p.m. Sample 82533 2 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 3075, BLOD0583  Cortisol Total Serum 8 a.m. Sample by Chemiluminescence *8 a.m. Sample 82533 2 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". 2346, BLOD0444  Coxsackie A Virus (2, 4, 7, 9, 10, 16) Antibodies by Complement Fixation 86658(6) 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 14 days 2348, BLOD0445  Coxsackie B Virus (1-6) Antibodies by Complement Fixation 86658(6) 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 14 days 2417, 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 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 6813, BLOD0556  CPK (CK) Total - Rapid City by NADPH 82550 2 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate.             Stability: RMT - 4 hours            REFT - 5 days 3070, BLOD0556  CPK (CK) Total - Sioux Falls by Enzymatic 82550 2 mL lithium heparin plasma (0.6 mL minimum). AVOID hemolysis. Serum also acceptable. Refrigerate. Stability: RMT - 4 hours            REFT - 5 days 5134, NBLD0327  Creatinine 24 Hour Urine - Rapid City by Jaffee, Compensated 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 3530, NBLD0327  Creatinine 24 Hour Urine - Sioux Falls by Enzymatic 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 5135, LBAN0004  Creatinine Clearance - Rapid City by Jaffee, Compensated *Includes Serum Creatinine 82575 2 mL serum (0.5 mL minimum) and 10 mL aliquot (5 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 2425, LBAN0004  Creatinine Clearance - Sioux Falls by Enzymatic *Includes Serum Creatinine 82575 2 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 6911, BLOD0558  Creatinine Serum - Rapid City by Jaffe, Compensated 82565 2 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 3080, BLOD0558  Creatinine Serum - Sioux Falls by Enzymatic 82565 2 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 5200, BLOD0622  CRP High Sensitive (CRP Cardiac) - Rapid City by Turbidimetric 86141 0.5 mL serum. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 7100, BLOD0622  CRP High Sensitive (CRP Cardiac) - Sioux Falls by Turbidimetric 86141 0.5 mL serum. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 5299, BLOD0621  CRP Quantitative - Rapid City by Turbidimetric *For inflammation 86140 1 mL serum (0.7 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 3 days            Frozen - 7 days 7090, BLOD0621  CRP Quantitative - Sioux Falls by Turbidimetric *For inflammation 86140 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 3 days            Frozen-7 days 7040, BLOD0612  Cryoglobulins Qualitative *Percent precipitate is reported for all positives. 82595 4 mL serum. Clot blood at 37C. No gel barrier or SST tubes. Do not refrigerate. Stability: RMT - 3 days            Room temp only 7503, NBLD0334  Cryptococcus Antigen Screen CSF -Reflex to Titer by Latex Agglutination 86403 Reflex 86406 1 mL cerebrospinal fluid (0.7 mL minimum). Refrigerate. Stability: RMT - 2 hours            REFT - 3 days 4643, BLOD0683  Cryptococcus Antigen Screen Serum - Reflex to Titer by Latex Agglutination 86403 Reflex 86406 1 mL serum (0.7 mL minimum). Refrigerate. Stability: RMT - 2 hours            REFT - 3 days 2803, NBLD0221  Cryptosporidia / Cyclospora Smear 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. Stability: RMT - 7 days            Room temp only   CSF Acid Fast Culture Refer to "CULT Acid Fast Culture". 6818, NBLD0272  CSF Cell Count and Differential 89051 1 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. 4535, NBLD0174  CSF Glucose by Glucose Oxidase 82945 1 mL clear frozen spinal fluid. Frozen CSF aliquots should be centrifuged and separated from cells prior to freezing. NOTE: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. 1003, NBLD0273  CSF Profile 1 Cell Count and Differential Glucose Total Protein 89051 82945 84157 4 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.** 3529, NBLD0180  CSF Total Protein by Copper-Azo Dye Complex 84157 1 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 8195, NBLD0202  CSF VDRL by Floculation/Agglutination *Positive results will be titered. 86592 1 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". 2202, MICR0014  CULT Acid Fast Bacilli Smear by Fluorochrome 87206 Submit specimen in a sterile screw cap leak-proof container. Indicate source. Refrigerate. Stability: RMT - 2 hours            REFT - 2 days 2222, 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. 2201, 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 mL of specimen (5 mL for sputum or bronchial washings) in a sterile container. 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. 6053, MICR0009  CULT Bacterial Culture Anaerobic - Rapid City *Must be ordered separately. Only included in Bacterial Culture, Blood. **Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism). 87075 Submit specimens in Anaerobic culturette. Indicate source. NOTE: IUD specimen should include anaerobic swab for Actinomyces. 2203, MICR0009  CULT Bacterial Culture Anaerobic - Sioux Falls *Must be ordered separately. Only included in Bacterial Culture, Blood. **Identification, typing, and/or sensitivity testing 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. 5001, 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". 5893, MICR0004  CULT Bacterial Culture Genital Screen for Selected Organism - Rapid City Specify selected organism. Group B Streptococcus Group B Streptococcus, Penicillin               Allergic GC Yeast *Identification, typing, and/or sensitivity 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 - Microbiology Specimen collection 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. 5024, MICR0004  CULT Bacterial Culture Genital Screen for Selected Organism - Sioux Falls *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. 5919, MICR0003  CULT Bacterial Culture Other - Rapid City *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). If Anaerobic Culture is performed on IUD 87070 87075 Body fluid: Submit fluid in sterile, leak-proof container. Do not submit syringe. Bone marrow: Submit in sterile container. CSF: Submit all of the cerebrospinal fluid in a sterile container. Ear, Eye, Genital: Submit culturette at room temperature.                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. 5022, MICR0003  CULT Bacterial Culture Other - Sioux Falls *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). If Anaerobic Culture is performed on IUD 87070 87075 Body fluid: Submit fluid in sterile, leak-proof container. Do not submit syringe. Bone marrow: Submit in sterile container. CSF: Submit all of the cerebrospinal fluid in a sterile container. Ear, Eye, Genital: Submit culturette at room temperature.                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. 7685, MICR0001  CULT Bacterial Culture Respiratory - Rapid City *Bronchial washings, nasal, sputum, throat Indicate source. **Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per orgranim) 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. 5027, MICR0001  CULT Bacterial Culture Respiratory - Sioux Falls *Bronchial washings, nasal, sputum, throat 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. 6555, MICR0005  CULT Bacterial Culture Screen for Selected Organism (other than Genital) - Rapid City *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 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. 5026, MICR0005  CULT Bacterial Culture Screen for Selected Organism (other than Genital) - Sioux Falls *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 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. 2254, 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. 5023, MICR0002  CULT Bacterial Culture Stool 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. 2253, MICR0026  CULT Bacterial Culture Stool 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. 7649, MICR0013  CULT Bacterial Culture Urine - Rapid City 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 catherized urine specimen in sterile container or urine culture transport system. Refrigerate after collection. Indicate source (clean cath, midstream, or catherized). Refer to GENERAL INFORMATION Section for urine collection instructions. 5005, MICR0013  CULT Bacterial Culture Urine - Sioux Falls 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. 2208, 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. Calcium alginate or wooden shaft swabs may be inhibitory to Chlamydia. Extract specimen from swab and discard. Freeze. Indicate source. Refer to "Microbiology Specimen Collection Protocol" in GENERAL INFORMATION section for Chlamydia collection information. 2209, NBLD0322  CULT Cytomegalovirus (CMV) 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. Indicate source. Refrigerate. 2252, LABS0218  CULT E Test By MIC *May include testing for up to six antibiotics on isolates. **Identification will be performed if indicated at an additional fee.               Number of CPT code units               dependent upon isolate/agent 87181 Fresh isolate. Include source information and identification (if available). Record date and time if sending an isolate plate. Stability: RMT - 12 hours if organism is viable               and growing 2233, 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. 2223, 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 2231, 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 7652, MICR0008  CULT Gram Stain - Rapid City 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. Do NOT submit gel swabs. Air dry slides. Indicate source. 2289, MICR0008  CULT Gram Stain - Sioux Falls 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. Do NOT submit gel swabs. Air dry slides. Indicate source. 6571, LABS0217  CULT Identification Anaerobic - Rapid City *Typing, and/or sensitivity testing 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. 2192, LABS0217  CULT Identification Anaerobic - Sioux Falls *Typing, and/or sensitivity testing 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. 2383, LABS0214  CULT Identification Fungal              Yeast               or               Mold 87106 87107 Submit pure isolate. Keep at room temperature. Stability: RMT - 7 days            Room temp only 2245, LABS0215  CULT Identification of Organism From Culture Plate - Sioux Falls *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. 2224, 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. 2241, NBLD0241  CULT Mycoplasma / Ureaplasma Culture 87109 For urethral or cervical swab, urine, semen, or tissue: Use Chlamydia (2SP) transport media available from our Supplies Department.                For urine: Submit 1-2 mL of first morning void into Chlamydia media.             Submit nasopharyngeal (NP) aspirate for respiratory specimens from neonates and infants less than 6 months of age. Indicate source. Freeze. Stability: REFT - 24 hrs            Freeze >24 hrs 2251  CULT Sensitivity / Susceptibility Testing *Sensitivity method will be determined by the type of organism: MIC or Kirby Bauer or E test **Refer to E Test for additional CPT/billing information. 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. 2265, 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 * * 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: Submit CSF in sterile container, not in transport media. Indicate source. Refrigerate. For urine: Submit 2 mL urine in viral trasport media and an additional 2 mL urine in a sterile container. Indicate source. Refrigerate. Refer to GENERAL INFORMATION Section for viral collection instructions. 6109, NBLD0256  CULT Viral Culture with Reflex to Herpes Typing if Positive 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 *If Herpes is positive, Herpes typing will be performed at an additional fee. 87252 Reflex 87253(2) Brain, CSF, eye exudate, genital, throat, tissue biopsy, urine, or vesicular fluid. For brain, eye exudate, genital, throat, tissue biopsy, or vesicular fluid: Swab source. Inoculate viral transport media by placing swab in viral 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: Submit CSF in a sterile container, not in transport media. Indicate source. Refrigerate. Refer to GENERAL INFORMATION Section for viral specimen collection instructions. Refrigerate immediately. Stability: REFT - 4 days 8418, BLOD0096  Cyclic Citrullinated Peptide (CCP) Antibodies IgG by ELiA 86200 1 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 1899, BLOD0508  Cyclosporine Whole Blood Trough by Monoclonal Whole Blood, FPIA *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 1570, BLOD1134  Cystatic 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 7521, 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 mL EDTA or acid citrate dextrose (ACD) Solution A whole blood. 5-7 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 7474, NBLD0047  Cystine Quantitative 24 Hour Urine by Liquid Chromatography MS/MS 82131 2 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 2117, BLOD0880  Cytomegalovirus (CMV) Antibodies by Chemiluminescence Immunoassay *Includes IgG and IgM Antibodies 86644 86645 1 mL frozen serum (0.7 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Frozen specinen preferred. Stability: REFT - 2 days            Frozen - 7 days 2118, BLOD0684  Cytomegalovirus (CMV) Antibody IgG by Chemiluminescence Immunoassay 86644 1 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 2119, BLOD0685  Cytomegalovirus (CMV) Antibody IgM by Chemiluminescence Immunoassay 86645 1 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 6197, BLOD0982  Cytomegalovirus (CMV) 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 tubes of EDTA whole blood (4 mL minimum) at room temperature. **WBC of 800 K/uL or greater is required.** Tubes should be kept on mixer or rocker until sent. NOTE: PLEASE CALL CLIENT SUPPORT PRIOR TO COLLECTION; performing laboratory requires specimen receipt within 24 hours of specimen collection. Do not refrigerate. Keep samples at room temperature only. Stability: RMT - 24 hours Send to receive Monday - Friday (by 3 pm) 8147, LBOR0004  Cytomegalovirus (CMV) by Rapid 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 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. Blood collected with heparin anticoagulant is NOT acceptable. NOTE: Do NOT spin spinal fluid specimens. Do NOT freeze whole blood. Send refrigerated. Submit specimen in a sterile leak proof container. Indicate source. Stability: RMT - 48 hours            REFT - 8 days   Cytomegalovirus (CMV) Rapid Culture Refer to "CULT Cytomegalovirus (CMV) Rapid Culture". 7733, BLOD0665  D Dimer Quantitative by Immunological Assay 85379 1 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 6636, BLOD0068  Depakene (Valproic Acid) Free by Immunoassay 80164 3 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 5246, BLOD0533  Depakene (Valproic Acid) Total - Rapid City by Fluorescence Polarization 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 4560, BLOD0533  Depakene (Valproic Acid) Total - Sioux Falls by Enzymatic 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 7531, BLOD0344  Depakene (Valproic Acid) Total and Free by Immunoassay 80164(2) 3 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 7533, BLOD0024  Desipramine (Norpramin) by HPLC-UV 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 4075, BLOD0169  DHEA (Dehydroepiandrosterone) by LC/MS/MS 82626 1 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 7537, BLOD0469  DHEA Sulfate (Dehydroepiandrosterone Sulfate) by ICMA 82627 2.0 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 14 days 5168, BLOD0639  Differential Automated - Rapid City by CELL-DYN 3200 85004 4 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days 3616, BLOD0639  Differential Automated - Sioux Falls by ADVIA 85004 4 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days 5141, BLOD0799  Differential Manual - Rapid City 85007 4 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days 3440, BLOD0799  Differential Manual - Sioux Falls 85007 4 mL EDTA whole blood refrigerated and 2 unstained blood smears. Stability: RMT - 8 hours            REFT - 3 days 5254, BLOD0585  Digoxin (Lanoxin) - Rapid City by Kinetic Interaction of Microparticles in Solution (KIMS) 80162 2 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 dose. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 4470, BLOD0585  Digoxin (Lanoxin) - Sioux Falls by Enzymatic 80162 2 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". 7518, BLOD0030  Dilantin (Phenytoin) Free Unbound by Fluorescence Polarization Immunoassay 80186 2 mL serum or EDTA plasma (0.7 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 5201, BLOD0539  Dilantin (Phenytoin) Total - Rapid City by Fluorescence Polarization 80185 1 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 4500, BLOD0539  Dilantin (Phenytoin) Total - Sioux Falls by Enzymatic 80185 1 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 7543, BLOD0382  Dilantin (Phenytoin) Total and Free by Microparticle Enzyme Immunoassay 80186 80185 2 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". 7705, BLOD0489  Diphtheria Toxoid IgG Antibodies, Single Serum by EIA 86648 2.0 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7397, BLOD0923  Direct Antiglobulin Test (DAT) (Direct Coombs) *Includes polyspecific testing; monospecific testing performed when indicated 86880 4 mL EDTA whole blood. Refer to GENERAL INFORMATION Section of the Catalog for Specimen Labeling Policy - Blood Bank. 7551, BLOD0404  Disopyramide (Norpace) by Immunoassay 80299 1 mL serum (0.7 mL minimum). EDTA plasma also acceptable. No gel barrier or SST tubes. Heparinized plasma NOT acceptable. 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   DNA Antibody Refer to "Anti DNA Double Stranded Antibody"; or "Anti DNA Single Stranded Antibody". 7285, BLOD0305  DNase B Antibody by Tube Test 86215 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7739, BLOD0385  Doxepin (Sinequan, Adapin) by HPLC *Includes metabolite Desmethyldoxepin (Nordoxepin) 80166 3 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". 6782, 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. Store refrigerated until shipped. 1829, BLOD0383  Drug Screen Serum by IA, GC-FID, Confirmation by various methods Includes: Acetaminophen (Tylenol), Acetone, Alcohol (Ethyl), Alcohol (Isopropyl), Alcohol (Methyl), Alprazolam (Xanax), Amitriptyline (Elavil), Amobarbital (Amytal), Butabarbital (Butisol), Butalbital (Fiorinal), Caffeine, Carbamazepine (Tegretol), Carisoprodol (Soma), Chlordiazepoxide (Librium), Chlorpheniramine, Cyclobenzaprine (Flexeril), Desipramine (Norpramin), Desmethyldiazepam, Diazepam (Valium), Doxepin (Sinequan), Ethchlorvynol (Placidyl), Ethosuximide (Zarontin), Glutethimide (Doriden), Ibuprofen (Advil, Nuprin), Imipramine (Tofranil), Mephobarbital (Mebaral), Meprobamate (Equanil), Methaqualone (Quaalude), Methyprylon (Noludar), Naproxen (Naprosyn), Nortriptyline (Aventyl), Pentobarbital (Nembutal), Phenobarbital (Luminal), Primidone (Mysoline), Phenytoin (Dilantin), Promethazine, Propoxyphene (Darvon), Propranolol (Inderal), Salicylate (Aspirin), Secobarbital (Seconal), Valproic Acid (Depakene) Note: This list is not necessarily inclusive of all possible drugs that could be identified. 80101(5) 80100 82055 5 mL serum or heparinized plasma (1.2 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days 1922, NBLD0112  Drug Screen Urine 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 0952, 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 0597, 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 1202, 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 0501, 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 0500, 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 1001, 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. Room temperature or refrigerate as noted below. 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.   E Test Refer to "CULT E Test".   Ear Culture Search by "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral). 2356, 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". 4440, BLOD0384  Elavil (Amitriptyline) by HPLC *Includes metabolite Nortriptyline 80152 2 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. Send refrigerated. Stability: RMT - 3 days            REFT - 3 days 5205, BLOD0529  Electrolyte Panel 2 - Rapid City by ISE Sodium Potassium Chloride Carbon Dioxide (CO2) Note: Electrolyte Panel 2 is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80051 2 mL serum (0.6 mL minimum). AVOID hemolysis. Separate serum from cells within 45 minutes. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 2499, BLOD0529  Electrolyte Panel 2 - Sioux Falls by ISE Sodium Potassium Chloride Carbon Dioxide (CO2) Note: Electrolyte Panel 2 is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this catalog. 80051 2 mL serum (0.6 mL minimum). AVOID hemolysis. Separate serum from cells within 45 minutes. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 5507, NBLD0265  Electrophoresis 24 Hour Urine Includes Total Protein 84156 84166 25 mL aliquot of a well-mixed and measured 24-hour urine. Record total volume on test request form and urine vial. Keep refrigerated during collection. Stability: REFT - 7 days            Frozen - 7 days 7559, BLOD0437  Electrophoresis Hemoglobin *Includes Hemoglobin A1, F, S, C, and A2 **Atypical hemoglobins are automatically confirmed. Additional charges may apply. 83020 83021 6 mL EDTA whole blood (1.0 mL minimum). If multiple draws, collect EDTA tube last. Age required. Refrigerate. Stability: REFT - 7 days 2427, BLOD0784  Electrophoresis Serum *Includes Total Protein 84165 3 mL serum (1 mL minimum). AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7291, BLOD0424  ENA Antibodies (Extractable Nuclear Antigens) by EIA *Includes Anti-RNP and Anti-Sm Antibodies 86235(2) 1 mL serum (0.7 mL minimum). AVOID hemolysis and lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 0439, 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 mL serum (1.4 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 0462, BLOD0839  ENA Profile 2 Anti-dsDNA Includes Antibodies to Extractable Nuclear Antigens:               Anti-RNP (Ribonucleoprotein)               Anti-Sm (Smith)               Anti-SSA & Anti SSB (Sjogren's) 86225 86235(4) 3 mL serum (2.1 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 2 days            Frozen - 14 days 0465, 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 mL serum (4.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 2 days            Frozen - 14 days 8529, 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 8193, 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 4967, BLOD0481  Endomysial IgA Antibodies Screen by IFA 86255 1 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".                7308, LBOR0021  Enterovirus RNA Detection by Rapid PCR by Real-Time Polymerase Chain Reaction (PCR) 87498 1.0 mL serum preferred (0.3 mL minimum); or 1.0 mL CSF refrigerated (0.3 mL minimum) in sterile leakproof container; or 1 gram of stool frozen only. Stability: Serum: REFT - 7 days Frozen - 14 days Stool: Frozen only 1102, BLOD0635  Eosinophil Count Total *Also included in a CBC 85048 4 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum for pediatrics). Keep refrigerated. Stability: RMT - 8 hours            REFT - 3 days 7563, NBLD0218  Eosinophils Nasal Smear by Microscopy 89190 Two thin nasal smears on a glass slide. Air dry. Do not fix. 6421, 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 8171, 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 2229, 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 2113, 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 2116, 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 0762, BLOD0201  Erythrocyte Protoporphyrin by Fluorometry 84202 2 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 7581, BLOD0172  Erythropoietin (EPO) by Immunoassay 82668 1 mL serum (0.5 mL minimum). AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 5198, BLOD0637  ESR (Sedimentation Rate) - Rapid City by Modified Westergren 85651 4 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 1155, BLOD0637  ESR (Sedimentation Rate) - Sioux Falls by ESR Auto Plus 85651 4 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 6898, BLOD0588  Estradiol (E2) Serum (17-Beta) - Rapid City by Chemiluminescence 82670 2 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 3363, BLOD0588  Estradiol (E2) Serum (17-Beta) - Sioux Falls by Chemiluminescence 82670 2 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7591, BLOD0470  Estrogen Serum Total by RIA 82672 3 mL serum or heparinized plasma (1.5 mL minimum). Indicate age and sex on specimen vial. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7599, 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". 4610, BLOD0025  Ethosuximide (Zarontin) by Immunoassay 80168 1 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 7603, BLOD0388  Ethotoin (Peganone) by GC-FID 82491 2 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). 1521, BLOD0108  Factor II Activity Assay by Prothrombin Time-Based Clotting Assay 85210 1 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 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. Stability: Frozen only 1525, BLOD0662  Factor IX Activity Assay by APTT-Based Assay 85250 1 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 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. Stability: Frozen only 1522, BLOD0109  Factor V Activity Assay by Prothrombin Clot-Based Assay 85220 1 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 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. Stability: Frozen only 3556, BLOD0379  Factor V 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 1523, BLOD0110  Factor VII Activity Assay by Prothrombin Clot-Based Assay 85230 1 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 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. Stability: Frozen only 1524, BLOD0661  Factor VIII Activity Assay by APTT-Based Assay 85240 1 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 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. Stability: Frozen only   Factor VIII Related Antigen Refer to "von Willebrand Workup". 1526, BLOD0115  Factor X Activity Assay by Prothrombin Clot Based Assay 85260 1 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 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. Stability: Frozen only 1527, BLOD0116  Factor XI Activity Assay by APTT-Clot Based Assay 85270 1 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 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. Stability: Frozen only 1528, BLOD0117  Factor XII Activity Assay by APTT-Clot Based Assay 85280 1 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 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. Stability: Frozen only 8882, BLOD0118  Factor XIII Activity Assay by Solubility 85291 2 mL frozen sodium citrate platelet-poor plasma (1.0 mL minimum). Draw on wet ice. Use refrigerated centrifuge to spin. NOTE: AVOID Coumadin therapy for two weeks and heparin therapy for two days prior to specimen collection. Ship on dry ice. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   FANA (Antinuclear Antibody) Refer to "ANA".   Farmers Lung Refer to "Hypersensitivity Pneumonitis". 7607, NBLD0138  Fecal Fat Qualitative by Light Microscopy 82705 5 grams random stool specimen. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7609, 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 7613, NBLD0238  Fecal Leukocytes 89055 Random stool specimen in clean leak-proof container. Send refrigerated. 7167, NBLD0298  Fecal Occult Blood (iFOB) - Rapid City 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 5592, NBLD0298  Fecal Occult Blood (iFOB)- Sioux Falls 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 4281, NBLD0367  Fecal Occult Blood (iFOB) Medicare Screen Only - Rapid City 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. NOTE: No dietary or medication restrictions. Room temperature. Stability: RMT - 8 days 4279, NBLD0367  Fecal Occult Blood (iFOB) Medicare Screen Only - Sioux Falls 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. NOTE: No dietary or medication restrictions. Room temperature. Stability: RMT - 8 days 7615, NBLD0201  Fecal pH 83986 Random stool specimen. 7611, NBLD0192  Fecal Reducing Substances by Benedict's Copper Reduction (Clinitest) 81002 Random stool specimen. 3368, BLOD0389  Felbamate (Felbatol) by HPLC 80299 2 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 60 minutes prior to next scheduled dose. Refrigeration preferred. Room temperature not acceptable. Stability: REFT- 14 days 5195, BLOD0589  Ferritin - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 82728 2 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 3130, BLOD0589  Ferritin - Sioux Falls by Chemiluminescence 82728 2 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4578, BLOD0978  Fetal Bleed Screening Test by Immune Rosetting *Test will automatically reflex to Fetaldex (Test Code 7617) on all positive results at an additional fee. 85461 7 mL EDTA whole blood (3.2 mL minimum). Refrigerate. NOTE: Collect from mother approximately 1 hour after delivery or as soon as possible. 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 1330, 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". 1177, NBLD0217  Fetal Lung Maturity *Due to the viability of this specimen type, an L/S Ratio is recommended if unable to transport specimen to Sanford Laboratories within 72 hours. 83663 10 mL amniotic fluid. DO NOT SPIN specimen. Specimen must be received within 72 hours of collection. Refrigerate. Stability: REFT - 72 hours 7617, BLOD0667  Fetaldex by Erythrosine-B Stains *Useful to indicate amount of Rh Immune globulin to administer to prevent stimulation of maternal anti-D. 85460 7 mL EDTA whole blood collected from the mother within 24 hours of delivery. Refrigerate. Specimen is stable for 24 hours. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. Stability: REFT - 24 hours   Fibrin Split Products Refer to "D Dimer". 3135, BLOD0666  Fibrinogen Quantitative Functional Assay by Mechanical 85384 2 mL frozen sodium citrate plasma. 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 7621, 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 0437, 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 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - >3 days 7112, BLOD0495  Fluorescent Treponemal pallidium Antibody (FTA) by Particle Agglutination 86780 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 7 days            REFT - 14 days 3144, BLOD0174  Folic Acid RBC by Chemiluminescence 82747 3.0 mL frozen EDTA whole blood (1.0 mL minimum). Send specimen frozen in a plastic tube. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT.             Stability: REFT - < 8 hrs            Frozen > 8 hrs 3145, BLOD0605  Folic Acid Serum by Chemiluminescence 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 5227, BLOD0590  Follicle Stimulating Hormone (FSH) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 83001 1.0 mL serum only (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4095, BLOD0590  Follicle Stimulating Hormone (FSH) - Sioux Falls by Chemiluminescence 83001 1.0 mL serum only (0.5 mL minimum). 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". 3402  Fragile X and Chromosome Southern Blot Analysis/Polymerase Chain Reaction (PCR)-Based Assays *Includes Chromosome Analysis and Nuclear Molecular Analysis               Chromosome blood culture               Karyotype               Extraction               Digestion               DOT/SLOT Blot Production               Separation               Nucleic acid probe each               Nucleic acid transfer               Amplification multiplex               Separation & ident by high res               Interpretation and report 88230 88262 83891 83892(3) 83893 83894 83896 83897 83900 83909 83912 10 mL EDTA whole blood and 5-10 mL sodium heparin whole blood. Keep specimens at room temperature. NOTE: Requires a completed "Sanford Genetics Laboratory Form" sent with specimen providing patient's history, and clinical information. Call Client Support for appropriate forms. Send to receive Monday through Thursday only. Stability: RMT - 48 hours            Room temp only   Francisella tularensis Antibody (Tularemia) Refer to "Tularemia Antibody". 5273, BLOD0600  Free T3 - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84481 2 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days 7627, BLOD0600  Free T3 - Sioux Falls by Chemiluminescence 84481 2 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days 5274, BLOD0596  Free T4 - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84439 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 6 days 3340, BLOD0596  Free T4 - Sioux Falls by Chemiluminescence 84439 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 6 days   Free Testosterone Refer to "Testosterone Free". 7631, BLOD0471  Fructosamine by Kinetic Spectrophotometry 82985 2.0 mL serum or heparinized plasma (1.0 mL minimum). Separate from cells within 60 minutes. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 5227, BLOD0590  FSH (Follicle Stimulating Hormone) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 83001 1 mL serum only (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4095, BLOD0590  FSH (Follicle Stimulating Hormone) - Sioux Falls by Chemiluminescence 83001 1 mL serum only (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7112, BLOD0495  FTA Antibody (Fluorescent Treponemal pallidium Antibody) 86780 1.0 mL serum (0.5 mL). Room temperature or refrigerate as noted below. 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". 7635, BLOD0648  Fungus Panel 1 by Immunodiffusion Aspergillus Antibody Blastomyces Antibody Coccidioides Antibody Histoplasma Antibody 86606 86612 86635 86698 3 mL serum (1.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 72 hours            Frozen - 7 days 7637, BLOD0178  G 6 PD Quantitative by Kinetic 82955 1 mL EDTA whole blood (0.5 mL minimum). Refrigerate. DO NOT freeze. Stability: RMT - 2 days            REFT - 7 days 4450, 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 1300, BLOD0052  Gabitril (Tiagabine) by LC/MS/MS 82542 3 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". 7639, BLOD0176  Gastrin by Immunoassay 82941 1 mL frozen serum (0.7 mL minimum). No gel barrier or SST tubes. Minimum 12-hour overnight fast is required. Plasma is not acceptable. Do NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 8329, 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. Stability: REFT - 4 days             2338, 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. Stability: RMT - 7 days            REFT - 7 days   GC / Gardnerella Culture Refer to "CULT Bacterial Culture Other" then choose "Genital" source. 8326, 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. Stability: REFT - 4 days             2337, 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. 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". 5301, BLOD0534  Gentamicin (Garamycin) Peak - Rapid City by Fluorescence Polarization 80170 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes after IV infusion is complete. AVOID hemolysis. Refrigerate or freeze immediately. Stability: REFT - 7 days            Frozen - 7 days 4602, BLOD0534  Gentamicin (Garamycin) Peak - Sioux Falls by Enzymatic 80170 1 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 5305, BLOD0536  Gentamicin (Garamycin) Trough - Rapid City by Fluorescence Polarization 80170 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. AVOID hemolysis. Refrigerate or freeze immediately. Stability: REFT - 7 days            Frozen - 7 days 4601, BLOD0536  Gentamicin (Garamycin) Trough - Sioux Falls by Enzymatic 80170 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Preferred collection time is 30 minutes priot to next scheduled dose. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 6912, BLOD0561  GGTP (Gamma Glutamyl Transpeptidase) - Rapid City by Enzymatic Colorimetric 82977 1 mL serum (0.6 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 3150, BLOD0561  GGTP (Gamma Glutamyl Transpeptidase) - Sioux Falls by Enzymatic 82977 1 mL serum (0.6 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 2309, NBLD0225  Giardia lamblia Antigen by EIA 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 6726, BLOD1142  Giardia lamblia IgG, IgA, and IgM Antibody Panel Indirect Immunofluorescence Assay 86674(3) 2.0 mL serum refrigerated (0.5 mL minimum). Stability: RMT - 7 days            REFT - 14 days 6605, 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 6604, 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 4993, BLOD1109  Gliadin Peptide (Deamidated) IgG and IgA Antibody Screen by ELISA *This screen includes IgG & IgA but does not differentiate. 83516 1 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days 7299, BLOD0187  Glomerular Basement Membrane Antibody (GBM Antibody) by EIA 83520 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 5399, BLOD0559  Glucose 2 Hour Post Prandial - Rapid City 82947 1 mL serum or 1 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 7647, BLOD0559  Glucose 2 Hour Post Prandial - Sioux Falls 82947 1 mL serum or 1 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 7637, BLOD0178  Glucose 6 Phosphate Dehydrogenase (G 6 PD) Quantitative by Kinetic 82955 1 mL EDTA whole blood (0.5 mL minimum). Refrigerate. DO NOT freeze. Stability: RMT - 2 days            REFT - 7 days 3327, NBLD0173  Glucose Body Fluid by Glucose Oxidase 82945 1 mL body fluid in sterile tube (0.6 mL minimum). Refrigerate. Stability: REFT - 7 days 4535, NBLD0174  Glucose CSF by Glucose Oxidase 82945 1 mL clear frozen spinal fluid. Frozen CSF aliquots should be centrifuged and separated from cells prior to freezing. NOTE: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. 7203, BLOD0655  Glucose Gestational Diabetes Screening Test (1 Hour) - Rapid City *One specimen required. 82950 1 mL serum or 1 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 with 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 7641, BLOD0655  Glucose Gestational Diabetes Screening Test (1 Hour) - Sioux Falls *One specimen required. 82950 1 mL serum or 1 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 5124, BLOD0787  Glucose Gestational Diabetes Tolerance Test (3 Hour) - Rapid City by Enzymatic Hexokinase *Four specimens required. 82951 82952 1 mL serum or 1 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 0464, BLOD0787  Glucose Gestational Diabetes Tolerance Test (3 Hour) - Sioux Falls *Four specimens required. 82951 82952 1 mL serum or 1 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 6913, BLOD0006  Glucose Plasma or Serum - Rapid City by Enzymatic Hexokinase 82947 1 mL serum or sodium fluoride plasma (0.6 mL minimum). Heparinized plasma also acceptable. Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 3160, BLOD0006  Glucose Plasma or Serum - Sioux Falls by Glucose Oxidase 82947 1 mL sodium fluoride plasma or 1 mL serum (0.6 mL minimum). Separate serum/plasma from cells within 1 hour. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 5131, BLOD0629  Glycated Hemoglobin A1c - Rapid City by Immunoturbidimetric 83036 1 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days 4631, BLOD0629  Glycated Hemoglobin A1c - Sioux Falls by HPLC 83036 1 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days 7652, MICR0008  Gram Stain - Rapid City 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. Do NOT submit gel swabs. Air dray slides. Indicate source. 2289, MICR0008  Gram Stain - Sioux Falls 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. Do NOT submit gel swabs. Air dray slides. Indicate source.   Grass Allergens Refer to "Allergen Grass" and then by the specific grass name. 7651, 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                7655, BLOD0026  Haldol (Haloperidol) by LS/MS/MS 80173 3 mL serum (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 3180, BLOD0616  Haptoglobin by Turbidimetric 83010 1 mL serum. Refrigerate. Stability: REFT - 4 days            Refrigerate only 3032, BLOD0602  HCG (Tumor Marker) Quantitative by Chemiluminescence 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5234, BLOD0607  HCG Screen (Human Chorionic Gonadotropin) Total Qualitative - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84703 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4635, BLOD0607  HCG Screen (Human Chorionic Gonadotropin) Total Qualitative - Sioux Falls by Chemiluminescence 84703 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5235, BLOD0601  HCG Total Quantitative (Human Chorionic Gonadotropin) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4633, BLOD0601  HCG Total Quantitative (Human Chorionic Gonadotropin) - Sioux Falls by Chemiluminescence 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5180, BLOD0566  HDL (High Density Lipoprotein) - Rapid City by Enzymatic, Colorimetric 83718 1.5 mL serum or heparinized plasma (1.0 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 4622, BLOD0566  HDL (High Density Lipoprotein) - Sioux Falls by Enzymatic 83718 1.5 mL serum or heparinized plasma (1.0 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 7665, BLOD0354  Heavy Metals Quantitative Blood by Inductively Coupled Plasma Mass Spectrometry Arsenic Lead Mercury 82175 83655 83825 10.0 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 - 14 days            REFT - 14 days 7667, 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 3434, NBLD0211  Helicobacter pylori Antigen Breath Test - Urea 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. 3888, 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 7669, BLOD0780  Helicobacter pylori IgG Antibody by ELISA 86677 1 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 8471, BLOD1102  Helicobacter pylori IgM Antibody by ELISA *Clinical utility of H. pylori IgM antibody measurement has not been clearly established. 86677 1 mL serum only (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7465, BLOD0646  Helper Inducer (CD4) Cells by Flow Cytometry Total Lymphocytes Helper-Inducer T (CD3+CD4+) 86361 One 4 mL EDTA whole blood (2 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 5138, BLOD0630  Hematocrit - Rapid City by CELL-DYN 3200 85014 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 1013, BLOD0630  Hematocrit - Sioux Falls by ADVIA 85014 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 5137, BLOD0631  Hemoglobin - Rapid City by CELL-DYN 3200 85018 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 1012, BLOD0631  Hemoglobin - Sioux Falls by ADVIA 85018 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 5131, BLOD0629  Hemoglobin A1c Glycated - Rapid City by Immunoturbidimetric 83036 1 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days 4631, BLOD0629  Hemoglobin A1c Glycated - Sioux Falls by HPLC 83036 1 mL EDTA whole blood (0.7 mL minimum). Refrigerate. Submit a separate EDTA tube for additional tests ordered. Stability: REFT - 7 days 7699, 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 7559, BLOD0437  Hemoglobin Electrophoresis *Includes Hemoglobin A1, F, S, C, and A2 **Atypical hemoglobins are automatically confirmed. Additional charges may apply. 83020 83021 6 mL EDTA whole blood (1.0 mL minimum). If multiple draws, collect EDTA tube last. Age required. Refrigerate. Stability: REFT - 7 days 3185, BLOD0181  Hemoglobin Plasma by Colorimetric 83051 1 mL sodium heparin plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT- 7 days            Frozen - 14 days 5153, BLOD0632  Hemogram (includes platelets) - Rapid City by CELL-DYN 3200 *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, and Platelet 85027 4 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 3600, BLOD0632  Hemogram (includes platelets) - Sioux Falls by ADVIA *Includes WBC, RBC, Hgb, Hct, MCV, MCH, MPV, MCHC, RDW, and Platelet 85027 4 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 6331, BLOD0323  Hemophilus Influenza B IgG Antibody by EIA 86684 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7757, NBLD0035  HemoQuant ™ Feces by Fluorescence Quantitation 84126 3 grams feces 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. 8590, NBLD0369  Hemosiderin Urine by Rous Method 83070 15 mL frozen random urine with no preservatives (12 mL minimum). Send specimen frozen. Stability: Frozen only 1234, BLOD0668  Heparin Anti-Xa Assay for Heparin and Low Molecular Weight Heparin - Plasma by Chromogenic *Useful for assaying heparin anticoagulation therapy. 85520 2 mL frozen sodium citrate plasma. 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 5990, 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 5133, BLOD0575  Hepatic Function Panel - Rapid City Albumin, Serum Alkaline Phosphatase Bilirubin, Total Bilirubin, Direct               Bilirubin, Indirect (calculated) SGOT (AST) SGPT (ALT) Total Protein 80076 3 mL serum (0.6 mL minimum). Avoid hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 3001, BLOD0575  Hepatic Function Panel - Sioux Falls Albumin, Serum Alkaline Phosphatase Bilirubin, Total               Bilirubin, Direct (calculated) Bilirubin, Indirect SGOT (AST) SGPT (ALT) Total Protein 80076 3 mL serum (0.6 mL minimum). Avoid hemolysis. PROTECT FROM LIGHT. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 2180, BLOD0581  Hepatitis A IgM Antibody (HAVAb-M) by Chemiluminescence *Positive results suggest acute infection with Hepatitis A virus. 86709 1 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 7055, BLOD0330  Hepatitis A Total Antibody (HAVAb) by Immunoassay *Detects past and/or acute infections of Hepatitis A, but does not distinguish between the two. 86708 1 mL serum or heparinized plasma (0.7 mL minimum). EDTA plasma is also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days 2435, BLOD0132  Hepatitis B Core IgM Antibody (HBcAb-M) by Chemiluminescence Immunoassay (CEIA) *Detects acute phase of Hepatitis B. 86705 2 mL serum or EDTA plasma (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days 2190, 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 mL EDTA plasma preferred(0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 2195  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 1 mL EDTA plasma preferred (0.7 mL minimum). Serum also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 2169, 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 mL EDTA plasma preferred (0.5 mL minimum). Serum also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7066, BLOD0679  Hepatitis B Surface Antigen (HBsAg) by EIA *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 3 mL EDTA plasma preferred (2.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 8500, BLOD0341  Hepatitis B Virus DNA PCR Quantitative 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 2437, BLOD0329  Hepatitis Be Antibody (HBeAb) by EIA *Negative during acute infection. Positive in convalescent phase of Hepatitis B infection. 86707 1 mL serum or EDTA plasma (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days 2439, BLOD0340  Hepatitis Be Antigen (HBeAg) by EIA *Detects acute active Hepatitis B infection. 87350 1.5 mL serum or EDTA plasma (1.0 mL minimum). Room temperature or refrigerate as noted below.             Stability: RMT - 14 days            REFT - 14 days 2170, BLOD0678  Hepatitis C Antibody by EIA 86803 1 mL EDTA plasma or serum (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 2185, BLOD0138  Hepatitis C Antibody (RIBA) by Recombinant ImmunoAssay (RIBA) 86804 1 mL serum (0.5 mL minimum) or EDTA plasma. Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 14 days 2158, BLOD0651  Hepatitis C Antibody by EIA with Reflex to RIBA HCV *If the Hepatitis C Antibody is positive, a Hepatitis C Antibody by RIBA is performed at an additional fee. 86803 Reflex 86804 1.5 mL EDTA plasma or serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 7 days 8113, BLOD0140  Hepatitis C Virus Quantitation by bDNA Serum by Branched Chain DNA *Recommended method for monitoring response to therapy. 87522 1.0 mL frozen serum only (0.5 mL minimum). Plasma is no longer 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. Plasma is NO LONGER acceptable. AVOID hemolysis. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 8321, BLOD0342  Hepatitis C Virus RNA Qualitative by RT-PCR 87521 1.0 mL frozen EDTA plasma preferred (0.5 mL minimum). Serum also acceptable. Centrifuge and freeze serum within 6 hours of collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 72 hours            Frozen - 14 days 4980, 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 3 mL frozen EDTA plasma (1.1 mL minimum). Samples should be spun within 6 hours of collection. Separate plasma and freeze. Serum or ACD plasma samples are also acceptable. Sodium heparin plasma is NOT acceptable. Patient should NOT be on heparin therapy. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days 6803, 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. 87521 87902 1 mL frozen serum preferred (0.7 mL minimum). Specimen MUST be drawn in a gel barrier/serum separator tube. (Serum drawn in a plain red top tube is unacceptable.) EDTA plasma is NO LONGER acceptable. Centrifuge and freeze serum within 4 hours. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 9209, BLOD0517  Hepatitis D Virus Antibody by EIA 86692 1 mL serum only (0.5 mL minimum). Room temperature and refrigerate. Stability: RMT - 7 days            REFT - 14 days 5010, 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 mL EDTA plasma preferred (3.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5020, 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 mL EDTA plasma preferred (3 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5033, 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 mL EDTA plasma preferred (3 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 3800, BLOD0783  Hepatitis Panel Acute - Rapid City 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 mL serum and 4 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 5040, BLOD0783  Hepatitis Panel Acute - Sioux Falls 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 mL serum and 4 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 8150, BLOD0365  Hereditary Hemochromatosis 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 mL yellow top ACD A or B whole blood (3 mL minimum). EDTA whole blood is also acceptable. Samples must be kept at room temperature! NOTE: A Mayo Clinic Molecular Genetics Congenital form should be submitted with pertinent clinical and family history/reason for referral. Call Sanford Laboratories' Client Support for the form. Stability: RMT only - 4 days   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 Viral Culture". 2140, BLOD0380  Herpes simplex 1 and 2 IgG Antibody Titer by Chemiluminescent Immunoassay (CLIA) *Differentiates Types 1 and 2 86695 86696 1 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days 4290, NBLD0240  Herpes simplex Antigen, DFA by DFA *This test does NOT differentiate Type I and Type II 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 2142, BLOD0325  Herpes simplex IgM Antibody Screen by EIA *Titer performed at an additional fee. 86694 Reflex 86694 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 1530, 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 8575, NBLD0132  Herpes simplex Virus (HSV) 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 8041, BLOD0855  Herpes Virus 6 Antibody Panel, Serum by IFA *Includes IgG and IgM 86790(2) 1 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". 5180, BLOD0566  High Density Lipoprotein (HDL) - Rapid City by Enzymatic, Colorimetric 83718 1.5 mL serum or heparinized plasma (1.0 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 4622, BLOD0566  High Density Lipoprotein (HDL) - Sioux Falls by Enzymatic 83718 1.5 mL serum or heparinized plasma (1.0 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 7301, BLOD0184  Histone Antibodies by EIA 83516 1 mL serum (0.7 mL minimum). Overnight fasting preferred. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7681, BLOD0427  Histoplasma Antibody, Quantitative by Complement Fixation *Includes Mycelial and Yeast 86698(2) 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 3444, LBOR0013  Histoplasma Antigen by EIA 87385 Preferred specimen is 2 mL random urine (1.5 mL minimum). Refrigerate. Other acceptable sample types: 2 mL serum (1.5 mL minimum); 2 mL CSF (1.5 mL minimum); 2 mL bronchial lavage/wash (2 mL minimum); or 2 mL EDTA or sodium heparin plasma (1.5 mL minimum). Send refrigerated. INDICATE SOURCE on requisition and specimen container. Stability: RMT - 7 days            REFT - 14 days 2134, BLOD0676  HIV 1 / HIV 2 Antibody with Reflex to Western Blot by EIA *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 mL EDTA plasma (1.0 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 6662, BLOD0324  HIV 1 Antibody Confirmation by Western Blot *Includes p17/p18, p24, p31/p32, p40, p51, p55, p65, gp41, gp120/160, gp160 86689 1 mL serum or EDTA plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 6323, BLOD0451  HIV 1 Drug Resistant Phenotyping by PCR 87903 87904(10) 3 mL frozen EDTA plasma. 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 6811, BLOD0144  HIV 1 Genotypic Drug Resistance by RT-PCR/DNA Sequencing 87901 3 mL frozen EDTA plasma. Separate within 4 hours of collection. 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 7686, BLOD0143  HIV 1 RT PCR Quantitation (HIV 1 Viral Load or HIV 1 Viral Quant) by Quantitative Reverse Transcription PCR (RT-PCR) *Enhanced for monitoring viral load ranges from 48 to 10,000,000 copies/mL 87536 2 mL frozen EDTA plasma (1.2 mL minimum). Separate plasma from cells as soon as possible. Freeze within 6 hours of collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 7081, LABS0209  HIV 2 Antibody Screen by EIA **If reactive, HIV-2 Antibody by Western Blot is performed at an additional fee. 86702 1 mL serum (0.5 mL minimum). Plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7085, BLOD0339  HLA B27 Antigen by Flow Cytometry 86812 Preferred specimen is 6.0 mL ACD-B whole blood (1.0 mL minimum) at room temperature. Also acceptable: 6 mL ACD-A whole blood, sodium heparin whole blood, or EDTA whole blood (1.0 mL minimum) 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 5886, NBLD0362  hMPV (Human metapneumovirus) by DFA - Rapid City by DFA 87299 Submit 3-5 mL of nasopharyngeal (NP) aspirate in leak-proof container. Send refrigerated. Stability: RMT - 2 hours            REFT - 7 days 7304, NBLD0362  hMPV (Human metapneumovirus) by DFA - Sioux Falls by DFA 87299 Submit 3-5 mL of nasopharyngeal (NP) aspirate in leak-proof container. Send refrigerated. Stability: RMT - 2 hours            REFT - 3 days 9160, BLOD0579  Homocysteine, Plasma 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 - 48 hrs            Frozen >48 hrs   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". 4229, NBLD0127  HPV (Human Papillomavirus) Profile by DNA Hybridization 87621(2) Submit specimen only in Digene specimen collection kit available from our Supplies Department. NOTE: This test is approved for endocervical swabs, brushes, scrapings, and biopsies. Complete instructions are provided with the collection kit. If additional information is needed, call Client Support. Room temperature or refrigerate as noted below. Performed on Females only! Stability: RMT - 14 days            REFT - 14 days 9899, BLOD1139  HS Omega 3 Index® by Gas Chromatography 0111T Preferred specimen: 4 mL EDTA whole blood (1.0 mL minimum) from a first morning fasting specimen; non-fasting specimen acceptable. Stability: RMT - 5 days            REFT - 5 days 5234, BLOD0607  Human Chorionic Gonadotropin (HCG) Screen Total Qualitative - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84703 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4635, BLOD0607  Human Chorionic Gonadotropin (HCG) Screen Total Qualitative - Sioux Falls by Chemiluminescence 84703 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 5235, BLOD0601  Human Chorionic Gonadotropin (HCG) Total Quantitative - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 4633, BLOD0601  Human Chorionic Gonadotropin (HCG) Total Quantitative - Sioux Falls by Chemiluminescence 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 3032, BLOD0602  Human Chorionic Gonadotropin (HCG) Tumor Marker Quantitative by Chemiluminescence 84702 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7651, 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 5886, NBLD0362  Human metapneumovirus (hMPV) by DFA - Rapid City by DFA 87299 Submit 3-5 mL of nasopharyngeal (NP) aspirate in leak-proof container. Send refrigerated. Stability: RMT - 2 hours            REFT - 7 days 7304, NBLD0362  Human metapneumovirus (hMPV) by DFA - Sioux Falls by DFA 87299 Submit 3-5 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." 7771, BLOD0183  Hydroxyprogesterone 17 Alpha by Liquid Chromatography Tandem Mass Spectrometry 83498 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Do not use glass tubes. Send refrigerated. Stability: REFT - 7 days            Frozen - 14 days 7779, BLOD0381  Hypersensitivity Pneumonitis (Farmer's Lung, Precipitins) by Immunodiffusion Aspergillus fumigatus Micropolyspora faeni Pigeon Serum Thermoactinomyces candidus and               vulgaris Saccharomonospora viridis 86331 86606 86609(3) 86744 2 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days   Identification of Organism From Culture Plate Refer to "CULT Identification". 3196, BLOD0613  IgA Serum by Turbidimetric 82784 1 mL serum. Refrigerate. Stability: REFT - 7 days 3198, BLOD0175  IgD Serum by Nephelometry 82784 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 14 days 3199, BLOD0693  IgE Total Serum by ImmunoCAP™ 82785 1 mL serum (0.5 mL minimum). Refrigerate Stability: REFT - 7 days 7785, BLOD0209  IGF I (Insulin Like Growth Factor I, Somatomedin C) by Blocking RIA after Acid:Alcohol Extraction 84305 1 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: REFT - 2 days            Frozen - 14 days 3195, BLOD0614  IgG Serum by Turbidimetric 82784 1 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 7797, BLOD0457  IgG Subclasses by Nephelometry *Includes IgG1, IgG2, IgG3, IgG4, and Total IgG 82787(4) 82784 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 8558, 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 mL frozen serum (0.5 mL minimum) and 2 mL frozen CSF preferred (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 3197, BLOD0615  IgM Serum by Turbidimetric 82784 1 mL serum. Refrigerate. Stability: REFT - 7 days 4478, 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 just before next scheduled dose. Send at room temperature. Stability: RMT - 5 days            REFT - 7 days 6210, 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 mL EDTA tube at room temperature (2 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 6212, 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 mL EDTA tube at room temperature (2 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 6214, 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 mL EDTA tube at room temperature (2 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 4194, NBLD0269  Immunofixation Electrophoresis, 24-Hour Urine by Agarose Gel Electrophoresis *Includes Total Urine Protein Electrophoresis with Pathologist Interpretation 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. Stability: REFT - 7 days 6667, NBLD0271  Immunofixation Electrophoresis, Random Urine by Agarose Gel Electrophoresis *Includes Pathologist Interpretation 86335 100 mL aliquot of a first morning urine specimen preferred or random urine specimen. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 4190, BLOD0809  Immunofixation Electrophoresis, Serum by Agarose Gel Electrophoresis *Includes Serum Protein Electrophoresis with Pathologist Interpretation 86334 2 mL serum. Refrigerate. Stability: REFT - 7 days 2443, BLOD0628  Immunoglobulins IgG, IgA, and IgM by Tubidimetric 82784(3) 2 mL serum. Refrigerate. Stability: REFT - 7 days 7807, BLOD0913  Immunology Survey Serum Protein Electrophoresis Immunoglobulins IgA, IgG, IgM Immunofixation, Serum 84165 82784(3) 86334 4 mL serum. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 4653, 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. 5166, BLOD0625  Infectious Mononucleosis Screen - Rapid City 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 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 7110, BLOD0625  Infectious Mononucleosis Screen - Sioux Falls 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 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 5706, NBLD0251  Influenza A and B (DFA) - Rapid City by DFA 87276 87275 3 to 5 mL of nasopharyngeal (NP)washing in sterile collection container. Refrigerate. Stability: REFT - 7 days 7694, NBLD0251  Influenza A and B (DFA) - Sioux Falls by DFA 87276 87275 3 to 5 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". 5164, NBLD0227  Influenza A and B Direct - Rapid City by Rapid Immunochromatographic Assay *This test will differentiate Influenza A and B viral antigens in a single test. 87400(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 1241, NBLD0227  Influenza A and B Direct - Sioux Falls by Rapid Immunochromatrographic Assay *This test will differentiate Influenza A and B viral antigens in a single test. 87400(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   Influenza A Subtyping with Reflex to Respiratory DFA 2 Refer to "PCR A Subtype with Reflex". 2395, BLOD0428  Influenza Antibodies by Complement Fixation Type A Antibody Type B Antibody 86710(2) 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days   Influenza PCR A Subtype Refer to "PCR A Subtype". 4452, BLOD1085  Inhibin A by EIA 86336 2.0 mL serum (0.5 mL minimum). Frozen specimen is preferred. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days   Insect Allergens Refer to "Allergen Insect" and then by the specific insect name. 7813, BLOD0127  Insulin Antibodies by RIA 86337 1 mL serum (0.7 mL minimum) drawn in plain red clot tube. No gel barrier or SST tubes. Send refrigerated. Stability: RMT - 3 days            REFT - 14 days 4699, BLOD0190  Insulin Level - Rapid City by Electrochemiluminescence (ECLIA) 83525 1 mL frozen serum (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 2445, BLOD0190  Insulin Level - Sioux Falls by Chemiluminescence 83525 1 mL frozen serum (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". 3679, LABS0248  Interferon Beta Antibody (IFNB) Neutralization Assay by Tissue Culture/Neutralization 86849 1.0 mL serum (0.5 mL minimum). NOTE: Indicate on requisition the specific drug being used to treat the patient. Send specimen refrigerated. Stability: RMT - 5 days            REFT - 14 days 3758, BLOD0475  Interferon Beta IgG Antibodies (IFNB) with Reflex to Antibody Neutralization Assay by MAID (Multi-Analyte Immunodetection *This assay screens for IgG Interferon-Beta (IFNB) antibodies. **If the IFNB antibodies are detected, the Interferon-Beta Neutralization Assay will be performed at an additional fee. 83520 1.5 mL serum (0.5 mL minimum). NOTE: Indicate on requisition the specific drug being used to treat the patient. Send specimen refrigerated. Stability: RMT - 5 days            REFT - 14 days 7823, BLOD0482  Intrinsic Factor Blocking Antibodies by RIA 86340 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 7 days 3050, BLOD0656  Ionized Calcium by ISE 82330 2 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. Stability: REFT - 48 hours 5244, BLOD0973  Iron and Iron Binding Capacity Serum - Rapid City by Guanidine/Ferrozine *Includes Percent Saturation 83540 83550 2 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 2449, BLOD0973  Iron and Iron Binding Capacity Serum - Sioux Falls by Ferrous/dye Complex *Includes Percent Saturation 83540 83550 2 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 6914, BLOD0562  Iron Serum - Rapid City by Guanidine/Ferrozine 83540 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Separate serum from cells within 1 hour. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 3200, BLOD0562  Iron Serum - Sioux Falls by Ferrous/dye Complex 83540 1 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 7303, BLOD0314  Islet Cell Antibody Pancreatic by Immunofluorescence 86341 2 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 14 days 8130, BLOD0086  Itraconazole by HPLC 80299 1.5 mL frozen serum or plasma. 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. Indicate if sample is "serum" or "plasma" on the tube and requisition. EDTA, heparin, or citrate plasma are acceptable. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 7305, BLOD0306  Jo 1 Antibody by EIA 86235 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7829, 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 mL aspirate in sterile tube and 2 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1 mL synovial fluid added should be submitted for accurate glucose values. Powdered EDTA is not recommended. Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 7829, 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" (specify source); Refer to "Bacterial Culture Other" for additional CPT code information. 89051 89060 82945 86431 84157 87070 5 mL aspirate in sterile tube and 2 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1 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 5480, NBLD0203  Joint Fluid Cell Count and Differential - Rapid City by Microscopy 89051 2 mL joint fluid in EDTA. Refrigerate. 7891, NBLD0203  Joint Fluid Cell Count and Differential - Sioux Falls by Microscopy 89051 2 mL joint fluid in EDTA. Refrigerate. 7835, NBLD0210  Joint Fluid Crystal Exam by Microscopy 89060 1 mL joint fluid in sterile tube. 7837, NBLD0209  Joint Fluid Glucose by Glucose Oxidase 82945 1 mL joint fluid in sodium fluoride tube. 7841, NBLD0216  Joint Fluid RA Factor by Latex Agglutination 86431 1 mL joint fluid in sterile tube. 7845, NBLD0214  Joint Fluid Total Protein by Biuret 84157 1 mL joint fluid in sterile tube. AVOID hemolysis. Refrigerate. Stability: RMT - 4 hours            REFT - 3 days 0440, BLOD0045  Keppra (Levetiracetam) by TMS/HPLC 80299 2 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. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days   Ketosteroids 17 Total Urine Refer to "17 Ketosteroids". 7457, 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: RMT - 3 days            Frozen - 14 days 5149, NBLD0300  KOH Prep - Rapid City by Wet Prep/Microscopy *Examination for fungus on skin, hair, or nails 87220 Scrapings from affected site submitted in a clean container. Indicate source. 2291, NBLD0300  KOH Prep - Sioux Falls by Calcofluor White Stain *Examination for fungus on skin, hair, or nails 87220 Scrapings from affected site submitted in a clean container. Indicate source. 7263, 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 3210, BLOD0563  Lactic Acid by Enzymatic 83605 2 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 3329, NBLD0175  Lactic Dehydrogenase (LD, LDH) Body Fluid by Enzymatic 83615 1 mL body fluid (0.5 mL minimum) in sterile tube. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 7 days 3215, BLOD0564  Lactic Dehydrogenase (LD, LDH) Serum by Enzymatic 83615 1 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 2455, BLOD0798  Lactic Dehydrogenase Isoenzymes Serum by Electrophoresis *Includes Total LDH 83625 83615 1 mL serum (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 0158, BLOD0406  Lamotrigine (Lamictal) by Liquid Chromatography, Tandem Mass Spectrometry 80299 2 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 3614, BLOD0932  LAP Stain (Score) (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 8229, BLOD0781  LDL Cholesterol Direct by Enzymatic 83721 1 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 4479, BLOD0192  Lead 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 2610, BLOD0191  Lead Industrial (Blood), 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 1532, NBLD0232  Legionella Antigen Urine by Rapid Immunochromatographic 87450 10 mL random urine (3 mL minimum). Refrigerate. Stability: RMT - 1 day            REFT - 7 days   Legionella Culture Refer to "CULT Bacterial Culture Screen for Selected Organism". Specify Legionella. 2182, BLOD0334  Legionella pneumophila IgG Antibodies Serum by IFA 86713 1 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 2183, BLOD0335  Legionella pneumophila IgM Antibodies Serum by IFA 86713 1 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 - 2 days            Frozen - 14 days 0983, BLOD0336  Leptospira Antibodies by Indirect Hemagglutination 86720 1 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 or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7861, LBOR0008  Leukemia Diagnostic Panel - Acute Leukemia Panel by Flow Cytometry Cell Surface Markers 88184 88185(24) 88189 5 mL sodium heparin whole blood and 4 mL EDTA whole blood OR 2 mL minimum heparinized bone marrow. 7 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 3614, BLOD0932  Leukocyte Alkaline Phosphatase Stain (Score) 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 0440, BLOD0045  Levetiracetam (Keppra) by TMS/HPLC 80299 2 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prio to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 24 hours            REFT - 14 days 5228, BLOD0591  LH (Luteinizing Hormone) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 83002 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 4115, BLOD0591  LH (Luteinizing Hormone) - Sioux Falls by Chemiluminescence 83002 1 mL serum only (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days   Light Chains - Kappa and Lambda Refer to "Immunofixation". 3225, BLOD0565  Lipase by Enzyme Co Lipase 83690 1 mL serum (0.7 mL minimum). Hemolysis affects results. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 5216, BLOD0850  Lipid Panel 2 - Rapid City Cholesterol Triglyceride HDL               LDL (calculated)               VLDL (calculated)               Risk Ratio I (Chol/HDL)               (calc.)             Note: Lipid Panel 2 is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80061 2 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            Frozen - 7 days 3623, BLOD0850  Lipid Panel 2 - Sioux Falls Cholesterol Triglyceride HDL               LDL (calculated)               VLDL (calculated)               Risk Ratio I (Chol/HDL)               (calc.)             Note: Lipid Panel 2 is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80061 2 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 8155, BLOD0090  Lipoprotein a Serum by Automated Turbidimetric Immunoassay 83695 1 mL frozen serum (0.5 mL minimum). A 12-14 hour fast is recommended. NOTE: Testing should not be performed during periods of active inflammation or for at least 1 month following a myocardial infarction or stroke. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT <3 days            Frozen >3 days 3235, BLOD0537  Lithium by Enzymatic 80178 1 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". 6755, BLOD0019  Lorazepam (Ativan) by HPLC 80154 2 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". 7887, BLOD0488  Lyme Disease Antibodies (Borrelia burgdorferi) by EIA *Includes IgG and IgM Antibodies 86618(2) 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7889, BLOD0786  Lyme Disease Antibody (IgG and IgM Immunoblot + Bands) by Immunoblot *Specificity/Sensitivity is variable with disease state. 86617(2) 2.0 mL serum (1.2 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 7 days 8118, NBLD0139  Lyme Disease Antibody CSF by EIA *Includes IgG and IgM Antibodies 86618(2) 2 mL CSF (1.0 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days 2457, 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 mL serum (0.5 mL minimum). AVOID hemolysis or lipemia. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 7863, LBOR0009  Lymphoproliferative Panel (Leukemia) - CLL/HCL/SLL by Flow Cytometry *Cell Surface Markers 88184 88185(19) 88189 4 mL sodium heparin whole blood and 4 mL EDTA whole blood OR 2 mL minimum heparinized bone marrow. 7 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 1173, 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 4120, 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 6928, BLOD0567  Magnesium Serum - Rapid City by Colorimetric 83735 1 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 3240, BLOD0567  Magnesium Serum - Sioux Falls by Colorimetric 83735 1 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 4199, BLOD0851  Malaria Smears (Blood Parasites) 87207 Submit three thick and thin blood smears. For preparation of malarial smears, refer to Parasite Specimen Collection Protocol in the GENERAL INFORMATION Section. 7426, 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 1872, NBLD0121  Marijuana as THC Metabolite Urine Quantitative - Forensic by IA, GC/MS *Reported to Limit of Quantitation 80101 10 mL random urine (5 mL minimum). Refrigerate. Stability: RMT - 5 days            REFT - 7 days 1870, 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 5206, BLOD0355  Maternal Serum Screen 3 (Triple Screen) by Immunoassay Alpha-Fetoprotein Unconjugated Estriol HCG 82105 82677 84702 1 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. Testing should be performed between 14 and 22 weeks gestational age (optimal period is 15-16 weeks). Submit with a Maternal AFP requisition available from our Supplies Department. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 5275, 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 weeks gestation (optimal period is 15-16 weeks). Maternal AFP requisitions are available from our Supplies Department. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days   Measles Refer to "Rubeola".   Mebaral (Mephobarbital) Refer to "Phenobarbital".   Meconium Drug Screen Refer to "Drug Screen Meconium".   Mephobarbital (Mebaral) Refer to "Phenobarbital". 7901, BLOD0195  Mercury Blood by Inductively Coupled Plasma Spectrometry 83825 4 mL EDTA whole blood collected in a trace metal-free tube (2.5 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 2459, 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 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 1609, BLOD0101  Metanephrines Free Plasma Fractionated 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)". 7915, BLOD0645  Methotrexate (Mexate) by FPIA 80299 1 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 8289, BLOD0103  Methylmalonic Acid by LC-MS/MS 83921 2 mL frozen serum (0.7 mL minimum). THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days   Methylphenidate (Ritalin, Concerta) Refer to "Ritalin".   MIC Susceptibility Testing Refer to "CULT Sensitivity / Susceptibility." 5221, NBLD0165  Microalbumin 24 Hour Urine - Rapid City by Immunoturbidimetric *This highly sensitive albumin assay is used to screen early renal disease in diabetic patients. 82043 2 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 7221, NBLD0165  Microalbumin 24 Hour Urine - Sioux Falls by Immunoturbidimetric *This highly sensitive albumin assay is used to screen early renal disease in diabetic patients. 82043 2 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 5146, NBLD0156  Microalbumin Random Urine - Rapid City by Immunoturbidimetric/Enzymatic *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 7219, NBLD0156  Microalbumin Random Urine - Sioux Falls by Immunoturbidimetric/Enzymatic *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 1533, 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 4685, NBLD0166  Microalbumin Timed Urine - Rapid City 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 7927, NBLD0166  Microalbumin Timed Urine - Sioux Falls 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. 7309, BLOD0309  Mitochondrial Antibodies (AMA) Screen by Immunoassay *If screen is positive, a titer will be performed at an additional fee. 86255 Reflex 86256 1 mL serum (0.5 mL minimum). AVOID hemolysis. 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. 5166, BLOD0625  Mononucleosis Infectious Screen - Rapid City 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 of age who have IM may test negative. 86308 1 mL serum (0.5 mL minimum). AVOID hemolysis. EDTA and heparin plasma are also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 4 days            Frozen - 7 days 7110, BLOD0625  Mononucleosis Infectious Screen - Sioux Falls 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 of age who have IM may test negative. 86308 1 mL serum (0.5 mL minimum). AVOID hemolysis. EDTA and heparin plasma are also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 4 days            Frozen - 7 days   MPO ANCA (Myeloperoxidase Antibody) Semiquantitative Refer to "ANCA MPO".   MRSA Confirmation Refer to "CULT MRSA Confirmation".   MRSA Culture Refer to "CULT Bacterial Culture Screen for Selected Organism (other than Genital)". Specify MRSA. 0492, LBAN0003  Multiple Sclerosis Panel 2 Comprehensive Albumin, CSF Albumin, Serum IgG, CSF and Serum, IgG Synthesis               Rate/Index Oligoclonal Bands, CSF Myelin Basic Protein 82042 82040 82784(2) 83916 83873 4 mL frozen CSF (2 mL minimum) and 2 mL frozen serum preferred (1 mL minimum). The collection date and time of the CSF and the serum is preferred to be the same; serum can be drawn within 48 hours of the CSF but is NOT recommended. Clearly record specimen type (CSF or serum) on each specimen tube. EACH SPECIMEN TYPE REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 5 days            Frozen - 14 days 2397, BLOD0448  Mumps IgG and IgM Antibodies Serum by EIA *Includes IgG and IgM 86735(2) 1 mL serum (0.5 mL minimum). Refrigerate. 8243, BLOD0133  Mumps IgG Screen by EIA *For determination of IgG class antibodies to mumps after immunization with the vaccine to this virus. 86735 1.0 mL serum (0.5 mL minimum). Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days 0495, BLOD0854  Myasthenia Gravis Panel by RIA, EIA Acetylcholine Receptor Binding Antibody Anti-Striated Muscle Antibody (Skeletal               Muscle) 83519 86255 2 mL serum or heparinized plasma (1.0 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days   Mycobacteria Refer to "CULT Acid Fast". 8163, BLOD0087  Mycophenolic Acid (Cellcept) by LC/MS/MS *Mycophenolic Acid is an immunosuppressive drug used in organ transplants. 80299 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Plasma is no longer acceptable. Preferred collection time is 30 minutes prior to next scheduled dose. Send refrigerated or frozen as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 7 days   Mycoplasma / Ureaplasma Culture Refer to "CULT Mycloplasma / Ureaplasma". 2416, BLOD0886  Mycoplasma Antibodies by EIA *Includes IgG and IgM Antibodies 86738(2) 2.0 mL serum (0.7 mL minimum). Send frozen Stability: REFT - 7 days            Frozen - 7 days 2401, BLOD0688  Mycoplasma Antibody IgG by EIA 86738 1 mL serum (0.7 mL minimum). Send frozen. Stability: REFT - 7 days            Frozen - 7 days 2402, BLOD0689  Mycoplasma Antibody IgM by EIA 86738 1 mL serum (0.7 mL minimum). Send frozen Stability: REFT - 7 days            Frozen - 7 days 7937, NBLD0075  Myelin Basic Protein CSF by RIA *Also see Multiple Sclerosis Panel, Comprehensive 83873 1 mL frozen cerebrospinal fluid preferred (0.7 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: RMT - 7 days            REFT - 14 days 6309, BLOD0293  Myeloperoxidase Antibody (MPO) Only Semiquantitative 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). Overnight fast required. AVOID hemolysis and lipemia. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7941, NBLD0124  Myoglobin Random Urine by Nephelometry 83874 3 mL frozen random urine preferred with no preservative (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen - 14 days 7939, BLOD0580  Myoglobin Serum or Plasma by Chemiluminometric Immunoassay 83874 1 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 72 hours            Frozen - 7 days 2461, BLOD0887  Mysoline (Primidone) and Phenobarbital by Chemiluminescence, EIA 80188 80184 2 mL serum or heparinized plasma (1.5 mL minimum). No gel barrier or SST tubes. Centrifuge and remove from cells within 4 hours. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigerate. Stability: RMT - 48 hours            REFT - 7 days 4505, BLOD0031  Mysoline (Primidone) Only by Immunoassay 80188 1 mL serum or EDTA plasma (0.6 mL minimum). No gel barrier or SST tubes. Heparinized plasma NOT acceptable. 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 6035, NBLD0058  N Telopeptide Collagen Cross Linked (NXT) - Urine by Enhanced Chemiluminescence 82523 2 mL of the second morning void urine (1.0 mL minimum). Discard first morning void and collect second morning void. DO NOT use preservatives. DO NOT acidify. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days   Nasal Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, or Other). 7563, NBLD0218  Nasal Smear for Eosinophils by Microscopy 89190 Two thin nasal smears on a glass slide. Air dry. Do not fix.   Nebcin (Tobramycin) Peak or Trough Refer to "Tobramycin", Peak or Trough. 4450, BLOD0391  Neurontin (Gabapentin) 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 1897, NBLD0028  Nicotine and Cotinine Screen Urine by Immunoassay 80101 25 mL random urine (3 mL minimum). Refrigerate. Stability: RMT - 7 days            REFT - 14 days 7551, BLOD0404  Norpace (Disopyramide) by Immunoassay 80299 1 mL serum (0.7 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Heparinized plasma NOT acceptable. 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 7533, BLOD0024  Norpramin (Desipramine) by HPLC-UV 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 4485, BLOD0028  Nortriptyline by HPLC 80182 3.0 mL serum or plasma (1.0 mL minimum). No gel barrier or SST tubes. Draw trough level right before next scheduled dose or at least 12 hours after last dose. Stability: RMT - 5 days            REFT - 7 days   Nucleotidase 5 Refer to "5 Nucleotidase". 5390, BLOD0782  Obstetrics Panel 1 - Rapid City ABO Blood Group Rh Type Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. CBC Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. Note: Obstetric Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this catalog. 80055 10-14 mL EDTA whole blood, 2 unstained blood smears, and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2501, BLOD0782  Obstetrics Panel 1 - Sioux Falls ABO Blood Group Rh Type Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. CBC Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. Note: Obstetric Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80055 10-14 mL EDTA whole blood, 2 unstained blood smears, and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 8585, BLOD0832  Obstetrics Panel 10 ABO Blood Group Rh Type Antibody Screen               If positive, antibody               identification will be performed               at an additonal fee. Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. HIV 1/HIV 2 Antibody               If positive, a Western Blot test               is performed for confirmation at               an additional fee. 86900 86901 86850 86762 86592 87340 86703 12-14 mL EDTA whole blood tubes and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2555, BLOD0833  Obstetrics Panel 11 Obstetric Panel ABO Blood Group Rh Type Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. CBC HIV 1/HIV 2 Antibody               If positive, a Western Blot test               is performed for confirmation at               an additional fee. 80055 86703 12-14 mL EDTA whole blood, 2 unstained blood smears, and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2503, BLOD0827  Obstetrics Panel 2 ABO Blood Group Rh Type Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. 86900 86901 86850 86762 86592 87340 10-14 mL EDTA whole blood and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2530, BLOD0828  Obstetrics Panel 3 Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. CBC HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. Syphilis Serology 86850 85025 87340 86592 10-14 mL EDTA whole blood, 2 unstained blood smears, and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2550, BLOD0830  Obstetrics Panel 5 Antibody Screen               If positive, antibody               identification will be performed               at an additional fee. HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. Syphilis Serology 86850 87340 86592 10-14 mL EDTA whole blood and 1 red top serum tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 2590, BLOD0831  Obstetrics Panel 9 Rubella Antibody Syphilis Serology HBsAg               If HbsAg is positive,                           confirmation testing by               neutralization will be               performed at an additional fee. 86762 86592 87340 4-7 mL EDTA whole blood tube and 1 red top tube (or 2 mL serum). NOTE: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to GENERAL INFORMATION Section for "Specimen Labeling Policy - Blood Bank." Refrigerate. 7167, NBLD0298  Occult Blood Fecal (iFOB) - Rapid City by Immunochemical *Diagnostic and Non-Medicare Screening 82274 Preferred sample is the 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 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 5592, NBLD0298  Occult Blood Fecal (iFOB) - Sioux Falls by Immunochemical *Diagnostic and Non-Medicare Screening 82274 Preferred sample is the 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 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 4281, NBLD0367  Occult Blood Fecal (iFOB) Medicare Screen Only - Rapid City by Immunochemical G0328 Preferred sample is the 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 4279, NBLD0367  Occult Blood Fecal (iFOB) Medicare Screen Only - Sioux Falls by Immunochemical G0328 Preferred sample is the 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   Occupational Allergen Search by "Allergen Occupational Latex". 7965, LBAN0013  Oligoclonal Bands by Isoelectric Focusing *For detection of Oligoclonal Bands only. **Also see Multiple Sclerosis Panel. 83916 1.0 mL frozen cerebrospinal fluid (0.7 mL minimum) AND 1.0 mL frozen serum preferred (0.7 mL minimum). Collection date and time of the CSF and the serum is preferred to be the same; serum can be drawn up to 48 hours after the CSF, but is NOT recommended. AVOID hemolysis. EACH SPECIMEN TYPE REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 5 days            Frozen - 14 days 9899, BLOD1139  Omega 3 Index® HS Gas Chromatography 0111T Preferred specimen: 4 mL EDTA whole blood (1.0 mL minimum) from a first morning fasting specimen; non fasting is acceptable. Stability: RMT - 5 days            REFT - 5 days   Opiates Refer to "Drugs of Abuse". 8619, NBLD0041  Organic Acids Screen Urine by Gas Chromatography/Mass Spectrometry 83919 10 mL frozen random urine (3 mL minimum). Put in plastic container and freeze. NOTE: Patient's age is required. Include any family history, clinical condition, diet, and drug therapy information. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Organism Identification From Culture Plate Refer to "CULT Identification of Organism". 3250, BLOD0617  Osmolality Serum or Plasma by Freeze Point Depression 83930 1 mL serum or heparinized plasma (0.8 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 4130, NBLD0190  Osmolality Urine by Freeze Point Depression 83935 5 mL aliquot of random urine (0.8 mL minimum). Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 2301, MICR0011  Ova and Parasites Stool *Includes Concentrate and Trichrome Stain 87177 87209 Fresh stool in the O & P fixative vial (Ecofix) 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. NOTE: The Ecofix vial used for O & P collection is not acceptable for Giardia lamblia antigen. Stability: RMT - 7 days            Room temp only 7971, NBLD0076  Oxalate 24 Hour Urine by Spectrophotometry 83945 10 mL aliquot of a well-mixed and measured 24-hour urine (2 mL minimum). NOTE: Refrain from ascorbic acid or oxalate-rich foods for 48 hours prior to test (e.g., spinach, coffee, tea, chocolate, rhubarb). Collect urine with 25 mL of 6N HCl and adjust final pH to less than 3.0 with additional 6N HCl. Record total volume on test request form and urine vial. Refrigerate or freeze as noted below. Stability: RMT - 7 days            REFT - 14 days   Oxcarbazepine Refer to "Trileptal". 0088, BLOD0348  Oxycodone (Percodan, Percocet) Serum or Plasma Quantitation 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 7303, BLOD0314  Pancreatic Islet Cell Antibody by Immunofluorescence 86341 2 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 2 days            REFT - 14 days 4630, BLOD0198  PAP (Prostatic Acid Phosphatase) by DPC Chemiluminescent Immunoassay 84066 1 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Papilloma Virus (HPV) Refer to "HPV".   Parainfluenza 1, 2, 3, 4 (Viral Culture) Refer to "CULT Viral Culture". 2500, MICR0035  Parasite Identification - Sioux Falls *Parasite only 87169 Submit parasite in sterile container. DO NOT submit raw stool. 5173, NBLD0336  Parasite Identification (Scabies / Lice only) - Rapid City 87168 Scraping from affected site submitted in a sterile container. Indicate source.   Parathyroid Hormone Refer to "PTH". 7317, BLOD0310  Parietal Cell Antibody by ELISA 83516 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days            Frozen - 14 days 1610, BLOD0673  Partial Thromboplastin Time Activated (APTT) by Clot Detection 85730 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Centrifuge, separate, and freeze plasma within 30 minutes of drawing. Do not store in 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 7983, BLOD0914  Parvovirus B-19 Antibodies IgG and IgM by EIA *Includes IgG and IgM Antibodies 86747(2) 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days                7979, BLOD0429  Parvovirus B-19 IgG Antibody by EIA 86747 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 7981, BLOD0430  Parvovirus B-19 IgM Antibody by EIA 86747 1 mL serum (0.7 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 1700, NBLD0377  PCR A Subtype by Real-Time PCR *Tests for presence of H1 seasonal, H3 seasonal, and the 2009 H1N1 Influenza A viral nucleic acids. 87798(3) 3 to 5 mLs of a nasopharyngeal aspirate or washings in a sterile collection container. Refrigerate. REFT - 48 hours 1325, NBLD0378  PCR A Subtype, with Reflex to Respiratory DFA 2 by Real-Time PCR *Tests for presence of H1 and H3 seasonal, and the 2009 H1N1 Influenza A. **Negative reflexes to "Respiratory DFA Battery 2 (3997, NBLD0370) - Sioux Falls) or (4340, NBLD0370) - Rapid City) If ALL are negative, additional tests for Influenza A & B, Adenovirus, human Metapneumovirus, RSV, and Parainfluenza types 1,2,3,& 4 are performed by DFA at an additional charge. 87798(3) If reflex testing is performed, additional CPT codes apply. 3 to 5 mLs of nasopharyngeal aspirate or washings in a sterile collection container. Refrigerate. REFT - 48 hours   Pediatric Allergy Screen + Total IgE Refer to "Allergy Pediatric Panel + Total IgE".   Pediatric Food Allergy Panel Refer to "Allergy Pediatric Food Panel".   Pediatric Food Allergy Panel + Total IgE Refer to "Allergy Pediatric Food Panel + Total IgE". 7603, BLOD0388  Peganone (Ethotoin) by GC-FID 82491 2 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   Percodan (Oxycodone) Quantitation Refer to "Oxycodone".   Percodan (Oxycodone) Screen Refer to "Drugs of Abuse".   Peripheral Smear by Pathologist 4 mL EDTA whole blood refrigerated and 2 unstained, well-made blood smears; or CBC results and 2 unstained, well-made blood smears. NOTE: This service is performed, reported, and billed by LCM Pathologists, P.C.   Peroxidase Thyroid Antibodies Refer to "Thyroid Peroxidase Antibodies".   Pertussis Refer to "Bordetella pertussis". 4004, NBLD0204  pH Body Fluid 83986 3 mL body fluid in a sterile tube with minimal exposure to air. Keep refrigerated. 5411, BLOD0538  Phenobarbital - Rapid City by Fluorescence Polarization 80184 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized or EDTA plasma also acceptable. Centrifuge and remove from cells within 4 hours. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 48 hours            REFT - 7 days 4495, BLOD0538  Phenobarbital - Sioux Falls by EIA 80184 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized or EDTA plasma also acceptable. Centrifuge and remove from cells within 4 hours. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 48 hours            REFT - 7 days 5201, BLOD0539  Phenytoin (Dilantin) Total - Rapid City by Fluorescence Polarization 80185 1 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 4500, BLOD0539  Phenytoin (Dilantin) Total - Sioux Falls by Enzymatic 80185 1 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 7543, BLOD0382  Phenytoin (Dilantin) Total and Free by Microparticle Enzyme Immunoassay 80186 80185 2 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 5176, BLOD0568  Phosphatase Alkaline - Rapid City by Colorimetric 84075 1 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 3285, BLOD0568  Phosphatase Alkaline - Sioux Falls by Enzymatic 84075 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 4 days 7701, BLOD0200  Phosphatase Alkaline Isoenzymes by Agarose, Electrophoresis, Enzymatic *Includes Total Alkaline Phosphatase and Isoenzymes: Intestinal, Bone, Liver, & Placental 84080 84075 2 mL serum (1.0 mL minimum). Overnight fasting preferred. AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 3630, NBLD0258  Phosphorus 24 Hour Urine by Ammonium Phosphomolybdate 84105 10 mL frozen aliquot of a well-mixed and measured 24-hour urine. Record total volume on test request form and urine vial. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT Stability: REFT - 2 days            Frozen > 2 days 6916, BLOD0569  Phosphorus Serum - Rapid City by Phosphomolybdate/UV 84100 1 mL serum (0.5 mL minimum). Separate serum within 2 hours of collection. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days 3290, BLOD0569  Phosphorus Serum - Sioux Falls by Ammonium Molybdate 84100 1 mL serum (0.5 mL minimum). Separate serum within 2 hours of collection. Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate.             Stability: RMT - 72 hours            REFT - 7 days 5167, NBLD0220  Pinworm Examination on Paddle - Rapid City 87172 Submit paddle. Refer to GENERAL INFORMATION section for pinworm collection instructions. 2303, NBLD0220  Pinworm Examination on Paddle - Sioux Falls 87172 Submit paddle. Refer to GENERAL INFORMATION section for Pinworm collection instructions. 5139, BLOD0638  Platelet Count - Rapid City by CELL-DYN 3200 85049 4 mL EDTA whole blood (2 mL minimum/0.7 mL minimum for pediatrics). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 1018, BLOD0638  Platelet Count - Sioux Falls by ADVIA 85049 4 mL EDTA whole blood (2 mL minimum/0.7 mL minimum for pediatrics). Refrigerate. Stability: RMT - 8 hours            REFT - 3 days 7325, BLOD0121  Platelet Direct IgG Antibodies - Cell Bound Platelet Autoantibody by Enzyme-Linked Immunoassay 86022 10 mL EDTA whole blood (5 mL minimum). NOTE: Patients must have a platelet count above 5,000 mm3. Room temperature or refrigerate. Do not freeze. 6870, BLOD0795  Platelet Function Assay by Collagen Coated Membrane-Dade PFA 100 *Very effective test in identifying aspirin or aspirin-like effect and has increased sensitivity in identifying true platelet disorders. 85576(2) 4 mL EDTA whole blood and one 5 mL tube 3.2% sodium citrate whole blood. Stability: RMT - 4 hours 7327, BLOD0296  Platelet Indirect IgG Antibodies by Microtiter 86022 3.0 mL frozen EDTA plasma preferred (1.0 mL minimum). THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 2 days            Frozen- 14 days 3286, BLOD0484  Pneumococcal IgG Strep Antibodies - 14 Sterotypes by ImmunoArray Assay *Includes 14 Sterotypes: Type 1, Type 3, Type 4, Type 5, Type 6B, Type 7F, Type 8, Type 9N, Type 9V, Type 12F, Type 14, Type 18C, Type 19F, and Type 23F 86317(14) 2.0 mL serum (1.0 mL minimum). NOTE: Also helpful in determining the immunization efficiency of Pneumococcal vaccination. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 1677, BLOD0462  Pneumococcal IgG Strep Antibodies - 7 Sterotypes by Immunoarray Assay *Includes 7 Serotypes: Type 4, Type 6B, Type 9V, Type 14, Type 18C, Type 19F, and Type 23F. 86317(7) 2 mL serum (1.0 mL minimum).Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Poliovirus (Viral Culture) Refer to "CULT Viral Culture". 2377, BLOD0447  Poliovirus Antibodies by Complement Fixation *Includes Types 1, 2, and 3 86658(3) 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days 6373, NBLD0077  Porphobilinogen 24 Hour Urine by Colorimetric 84110 Collect a 24 hour specimen with no preservatives. Refrigerate during and after collection. Send 10 mL urine aliquot (5 mL minimum) of a well-mixed and measured 24-hour urine. PROTECT FROM LIGHT. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days 6113, NBLD0078  Porphyrins Fractionated 24 Hour Urine by HPLC *Includes Uroporphyrin, Hepatocarboxyporphyrin, Hexacarboxyporphyrin, Pentacarboxyporphyrin, Coproporphyrin, and Total 84120 Submit 10 mL urine aliquot of a well-mixed and measured 24-hour urine (2.0 mL minimum) collected without any preservative. Refrigerate during and after collection. PROTECT FROM LIGHT by wrapping tube in foil or use amber tube. Record 24 hour volume on test requisition and on container. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days 5855, NBLD0177  Potassium 24 Hour Urine - Rapid City by ISE 84133 10 mL aliquot of a well-mixed and measured 24-hour urine (5 mL minimum). Record total volume on test request form and urine vial. Room temperature or refrigerated as noted below. Stability: RMT - 4 days            REFT - 7 days 4148, NBLD0177  Potassium 24 Hour Urine - Sioux Falls by ISE 84133 10 mL aliquot of a well-mixed and measured 24-hour urine (5 mL minimum). Record total volume on test request form and urine vial. Room temperature or refrigerate as noted below. Stabilty: RMT - 4 days            REFT - 7 days 6917, BLOD0570  Potassium Serum - Rapid City by ISE Indirect 84132 2 mL serum (0.5 mL minimum). Hemolysis is NOT acceptable. Heparinized plasma also acceptable. Separate serum from cells within 45 minutes of collection. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 3300, BLOD0570  Potassium Serum - Sioux Falls by ISE 84132 2 mL serum (0.5 mL minimum). Hemolysis is NOT acceptable. Heparinized plasma also acceptable. Separate serum from cells within 45 minutes of collection. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days   PR3 ANCA (Proteinase 3 Antibody)Semiquantitative Refer to "Proteinase 3 Antibody". 5000, BLOD0618  Prealbumin by Turbidimetric 84134 2 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days 1173, BLOD1099  Pregabalin (Lyrica) 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 5218, NBLD0199  Pregnancy Screen Urine Qualitative (HCG) - Rapid City by Immunoassay 81025 10 mL aliquot urine (2 mL minimum). First morning specimen is preferred. Refrigerate. If specimen cannot be tested within 72 hours, freeze. Stability: RMT - 8 hours            REFT - 72 hours 4634, NBLD0199  Pregnancy Screen Urine Qualitative (HCG) - Sioux Falls by Immuno Enzymetric 81025 10 mL aliquot urine. First morning specimen is preferred. Refrigerate. If specimen cannot be tested within 72 hours, freeze.   Primidone (Mysoline) and Phenobarbital Refer to "Mysoline (Primidone) and Phenobarbital". 5229, BLOD0592  Progesterone - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84144 1.0 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 3181, BLOD0592  Progesterone - Sioux Falls by Chemiluminescence 84144 1.0 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 6121, BLOD0203  Proinsulin by Immunoassay 84206 1.0 mL frozen serum (0.8 mL minimum). OVERNIGHT FASTING IS REQUIRED. EDTA plasma also acceptable. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days 5230, BLOD0593  Prolactin - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84146 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 3305, BLOD0593  Prolactin - Sioux Falls by Chemiluminescence 84146 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 7 days 1950, BLOD0395  Propafenone (Rythmol) by HPLC 80299 3 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Patient must have been receiving propafenone for at least 3 days. Draw just before administration of next dose. Room temperature or refrigerate as noted below. Stability: RMT - 6 days            REFT - 14 days 5231, BLOD0594  Prostate Specific Antigen (PSA) Total - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) - Roche Diagnostic and Non-Medicare Screening 84153 1 mL frozen serum or heparinized plasma (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic purposes. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 3500, BLOD0594  Prostate Specific Antigen (PSA) Total - Sioux Falls by Chemiluminescence *Diagnostic and Non-Medicare Screening 84153 1 mL frozen serum only (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic purposes. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 3134, BLOD0422  Prostate Specific Antigen (PSA) Total and Free by Immunoassay 84153 84154 2.0 mL frozen serum (0.7 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 4216, BLOD1124  Prostate Specific Antigen (PSA) Total Medicare Screen Only - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) - Roche G0103 1 mL frozen serum or heparinized plasma (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate "Screen" on the requisition along with the Test Code. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 4271, BLOD1124  Prostate Specific Antigen (PSA) Total Medicare Screen Only - Sioux Falls by Chemiluminescence G0103 1 mL frozen serum only (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate "Screen" on the requisition. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 4630, BLOD0198  Prostatic Acid Phosphatase (PAP) by DPC Chemilluminescent Immunoassay 84066 1 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 6125, BLOD0223  Protein C Antigenic by EIA 85302 1.0 mL frozen sodium citrate platelet-poor plasma (0.5 mL minimum). Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. Freeze immediately. DO NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 14 days 6127, BLOD0224  Protein C Functional Activity by Clotting Assay 85303 1.0 mL frozen sodium citrate platelet-poor plasma (0.7 mL minimum). Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. DO NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 14 days   Protein Electrophoresis Serum and Urine Refer to "Electrophoresis", then Serum or Urine. 6129, BLOD0225  Protein S Antigenic by Immunoturbidimetric 85305 1.0 mL frozen sodium citrate platelet-poor plasma (0.7 mL minimum). Avoid hemolysis. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. Freeze immediately. DO NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 14 days 6131, BLOD0226  Protein S Functional Activity by Clotting Assay 85306 1.0 mL frozen sodium citrate platelet-poor plasma (0.7 mL minimum). NOTE: Patients receiving Warfarin therapy should discontinue medication for 2 weeks before testing. Patients receiving heparin therapy should discontinue medication for 2 days. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. DO NOT THAW. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 14 days 5116, NBLD0153  Protein Total 24 Hour Urine Quantitative - Rapid City by Pyrocatechol Violet Dye 84156 25 mL aliquot of well-mixed and measured 24-hour urine (2.0 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection and transport. Do NOT freeze because protein may precipitate and lower the result. Stability: RMT - 4 hours            REFT - 3 days 2005, NBLD0153  Protein Total 24 Hour Urine Quantitative - Sioux Falls by Pyrocatechol Violet Dye 84156 25 mL aliquot of well-mixed and measured 24-hour urine (2.0 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection and transport. Do NOT freeze because protein may precipitate and lower the result. Stability: RMT - 4 hours            REFT - 3 days 3325, NBLD0181  Protein Total Body Fluid by Biuret 84157 1 mL body fluid in sterile tube. Refrigerate. 3529, NBLD0180  Protein Total CSF by Copper-Azo Dye Complex 84157 1 mL CSF (0.5 mL minimum). If CSF is frozen, centrifuge and separate from any cells present 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 7845, NBLD0214  Protein Total Joint Fluid (Synovial Fluid) by Biuret 84157 1 mL synovial fluid in sterile tube. AVOID hemolysis. Refrigerate. Stability: RMT - 4 hours            REFT - 3 days 6919, BLOD0525  Protein Total Serum - Rapid City by Colorimetric 84155 1 mL serum (0.5 mL minimum). Centrifuge and remove cells from serum within 2 hours. Refrigerate as noted below. Stability: RMT - 4 hours            REFT - 3 days 3310, BLOD0525  Protein Total Serum - Sioux Falls by Biuret 84155 1 mL serum (0.5 mL minimum). Centrifuge and remove cells from serum within 2 hours. Refrigerate as noted below. Stability: RMT - 4 hours            REFT - 3 days 6307, BLOD0295  Proteinase 3 Antibody Only (PR3) 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). Overnight fast required. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 8174, BLOD0364  Prothrombin G20210A Gene Mutation by PCR - Light Cycler Detection Probe Technology 83891 83898 83896(2) 83903 83912 5 mL EDTA whole blood (2 mL minimum). Refrigerate. NOTE: This test is not affected by patient receiving heparin or coumadin therapy. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 7 days            Frozen - 14 days 5255, BLOD0669  Prothrombin Time (PT) - Rapid City by Clot Detection 85610 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Fill tube completely. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 3415, BLOD0669  Prothrombin Time (PT) - Sioux Falls by Clot Detection 85610 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Fill tube completely. Refer to the GENERAL INFORMATION Section of this Catalog for collection of Coagulation tests. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 0762, BLOD0201  Protoporphyrin Erythrocyte by Fluorometry 84202 2 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 7741, BLOD1090  Protoporphyrin Zinc by Fluorometric 84202 2 mL sodium heparin or EDTA whole blood (0.5 mL minimum). AVOID hemolysis. PROTECT FROM LIGHT by wrapping in foid.            Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days 5231, BLOD0594  PSA (Prostate Specific Antigen) Total - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) - Roche * Diagnostic and Non-Medicare Screening 84153 1 mL frozen serum or heparinized plasma (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic purposes. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 3500, BLOD0594  PSA (Prostate Specific Antigen) Total - Sioux Falls by Chemiluminescence * Diagnostic and Non-Medicare Screening 84153 1 mL frozen serum only (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic purposes. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 3134, BLOD0422  PSA (Prostate Specific Antigen) Total and Free by Immunoassay 84153 84154 2.0 mL frozen serum (0.7 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT Stability: REFT - 24 hours            Frozen - 7 days 4216, BLOD1124  PSA (Prostate Specific Antigen) Total Medicare Screen Only - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) - Roche G0103 1 mL frozen serum or heparinized plasma (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate "Screen" on the requisition. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 4271, BLOD1124  PSA (Prostate Specific Antigen) Total Medicare Screen Only - Sioux Falls by Chemiluminescence G0103 1 mL frozen serum only (0.5 mL minimum). SPECIMEN MUST BE DRAWN BEFORE ANY MANIPULATION OF THE PROSTATE. Clearly indicate "Screen" on the requisition along with the Test Code. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 24 hours            Frozen - 7 days 7449, BLOD0163  Pseudocholinesterase Plasma by Kinetic/Spectrophotometric *Use for preanesthesia testing and monitoring pesticide/organophosphate exposure. 82480 1.0 mL EDTA plasma (0.5 mL minimum). Separate plasma from cells immediately. Refrigerated sample preferred. Stability: RMT - 14 days             REFT - 14 days 5255, BLOD0669  PT (Prothrombin Time) - Rapid City by Clot Detection 85610 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Fill tube completely. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 3415, BLOD0669  PT (Prothrombin Time) - Sioux Falls by Clot Detection 85610 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Fill tube completely. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 2463, BLOD0793  PTH Intact (ICMA) + Calcium by Chemiluminometric Immunoassay * Includes Total Calcium **The Intact (ICMA) PTH is the recommended initial assay for the differential diagnosis of calcium-related abnormalities. 83970 82310 2 mL serum (1.2 mL minimum). Overnight fasting is preferred. No gel barrier or SST tubes. Avoid hemolysis. Spin and separate serum immediately. Avoid FREEZE/THAW cycles. If specimen is sent frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hours            Frozen - 7 days 1610, BLOD0673  PTT (Partial Thromboplastin Time Activated) by Clot Detection 85730 2 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). 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 the GENERAL INFORMATION Section for collection of Coagulation tests. Send frozen. Stability: Frozen only   Pyridoxine Refer to "Vitamin B6". 6167, BLOD0466  Q Fever Antibodies, IgG, IgM, and IgA (Coxiella burnetti) by IFA * Includes Phase I and Phase II of IgG, IgM, & IgA 86638(6) 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 48 hours            REFT - 7 days 5275, BLOD0356  Quad Screen (Maternal Serum Screen 4) 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 weeks gestation (optimal period is 15-16 weeks). Maternal AFP requisitions are available from our Supplies Department. Refrigerate. Stability: RMT - 72 hours            REFT - 7 days 7470, BLOD1145  Quantiferon Gold TB Test In-Tube Method 86480 Obtain special collection kits, including instructions, from Sanford Laboratories. Use of the 3 (1 mL) Quantiferon TB Gold collection tubes is required. Special handling is required. Contact Client Support for additional information. Stability: RMT - 72 hrs            REFT - 72 hrs   Quetiapine (Seroquel) Refer to "Seroquel". 4603, BLOD0032  Quinidine (Cardioquin, Quinaglute, Quinidex, Quinora) by Fluorescence Polarization Immunoassay 80194 1 mL serum (0.5 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 - 4 days            REFT - 7 days 5252, BLOD0626  RA Factor Qualitative - Rapid City by Immunoturbidimetric 86430 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 4640, BLOD0626  RA Factor Qualitative - Sioux Falls by Turbidimetric 86430 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 5300, BLOD0627  RA Factor Quantitative - Rapid City by Immunoturbidimetric 86431 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 4950, BLOD0627  RA Factor Quantitative - Sioux Falls by Turbidimetric 86431 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 6169, BLOD0516  Rabies Antibodies by Fluorescent Antibody, Neutralization, and Fluorescent Immunofluoresence 86317 2 mL serum (1.0 mL minimum). NOTE: Specify if post-vaccine or post-bite and date of immunization or bite. Post vaccine specimen should be drawn 4-6 weeks after vaccination. Refrigerate. Stability: REFT - 14 days   Rapamycin (Sirolimus) Refer to "Sirolimus". 5171, NBLD0234  Rapid Direct Strep Screen with Reflex to Culture - Rapid City *If negative, a culture is performed at an additional fee. 87880 Reflex 87070 2 culturettes at room temperature. Source: throat. 2260, NBLD0234  Rapid Direct Strep Screen with Reflex to Culture - Sioux Falls *If negative, a culture is performed at an additional fee. 87880 Reflex 87070 2 culturettes at room temperature. Source: throat.   RAST Testing Refer to "Allergen", "Allergy Panel" or "Allergy - Screen". 5140, BLOD0634  RBC (Red Blood Count) - Rapid City by CELL-DYN 3200 85041 4 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum for pediatrics). Refrigerate. Stability: REFT - 3 days 1014, BLOD0634  RBC (Red Blood Count) - Sioux Falls by ADVIA 85041 4 mL EDTA whole blood (1.2 mL minimum/0.7 minimum for pediatrics). Refrigerate. Stability: REFT - 3 days 0338, BLOD0352  RBC Cholinesterase (Acetyl) and Plasma Cholinesterase by Kinetic Spectrophotometric 82482 82480 5 mL EDTA whole blood (4 mL minimum) and 2 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 4678, LABS0195  Red Cell Antigen Testing by Agglutination 86905 10 mL clotted blood (sterile tube with no additives) or 4 mL EDTA whole blood (3.2 mL minimum). No gel barrier or SST tubes. Room temperature. NOTE: Please indicate on the requisition which specific antigen(s) is to be tested. Refer to the GENERAL INFORMATION Section for Specimen Labeling Policy - Blood Bank. 7611, NBLD0192  Reducing Substances Fecal by Benedict's Copper Reduction (Clinitest) 81002 Random stool specimen. 5197, BLOD0531  Renal Function Panel - Rapid City Albumin Calcium Carbon Dioxide (CO2) Chloride Creatinine Glucose Phosphorus, Inorganic Potassium Sodium Urea Nitrogen (BUN) Note: Renal Function Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80069 3 mL serum (0.6 mL minimum). AVOID hemolysis. Minimum 12-hour fast is recommended. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 3090, BLOD0531  Renal Function Panel - Sioux Falls Albumin Calcium Carbon Dioxide (CO2) Chloride Creatinine Glucose Phosphorus, Inorganic Potassium Sodium Urea Nitrogen (BUN) Note: Renal Function Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog. 80069 3 mL serum (0.6 mL minimum). AVOID hemolysis. Minimum 12-hour fast is recommended. Refrigerate. Stability: RMT - 24 hours            REFT - 3 days 8158, BLOD0499  Renin Activity, Plasma by LC/MS/MS 84244 1.0 mL frozen EDTA plasma (0.5 mL minimum). Draw, centrifuge, and separate blood at room temperature. AVOID refrigeration to eliminate cryoactivation of prorenin to renin. AVOID hemolysis. Send specimen frozen in a plastic tube. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Collection Notes: Patient should refrain from taking medications, preferably 3 weeks before draw. Patient should be ambulatory for 30 minutes before draw. Patient should be on a moderate sodium diet during collection. Stability: Frozen only 5327, NBLD0257  Respiratory DFA Battery 1 - Rapid City by DFA Includes: Adenovirus Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus 87260 87276 87275 87279(4) 87280 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container. Refrigerate. Indicate source. Stability: RMT - 2 hours            REFT - 7 days 2247, NBLD0257  Respiratory DFA Battery 1 - Sioux Falls by DFA Includes: Adenovirus Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus 87260 87276 87275 87279(4) 87280 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container. Refrigerate. Indicate source. Stability: RMT - 2 hours            REFT - 7 days 4340, NBLD0370  Respiratory DFA Battery 2 - Rapid City by DFA Includes: Adenovirus Human Metapneumovirus (hMPV) Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus 87260 87299 87276 87275 87279(4) 87280 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container. Refrigerate. Indicate source. Stability: RMT - 2 hours            REFT - 7 days 3997, NBLD0370  Respiratory DFA Battery 2 - Sioux Falls by DFA Includes: Adenovirus Human Metapneumovirus (hMPV) Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus 87260 87299 87276 87275 87279(4) 87280 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container.Refrigerate. Indicate source Stability: RMT - 2 hours            REFT - 7 days 5455, NBLD0255  Respiratory DFA Comprehensive 1 with Reflex to Viral Culture - Rapid City Includes: Adenovirus Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus *If DFA is negative a Viral Culture will be performed at an additional fee. 87260 87276 87275 87279(4) 87280 Reflex 87252 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container, plus nasopharyngeal (NP) washing in viral transport media. Indicate source. Refrigerate. 2320, NBLD0255  Respiratory DFA Comprehensive 1 with Reflex to Viral Culture - Sioux Falls Includes: Adenovirus Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus *If DFA is negative a Viral Culture will be performed at an additional fee. 87260 87276 87275 87279(4) 87280 Reflex 87252 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container, plus nasopharyngeal (NP) washing in viral transport media. Indicate source. Refrigerate. 4594, NBLD0371  Respiratory DFA Comprehensive 2 with Reflex to Viral Culture - Rapid City Includes: Adenovirus Human Metapneumovirus (hMPV) Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus *If DFA is negative a Viral Culture will be performed at an additional fee. 87260 87299 87276 87275 87279(4) 87280 Reflex 87252 Submit nasopharyngeal (NP) washing or NP aspirate in a leak-proof container, plus nasopharyngeal (NP) washing in viral transport media. Indicate source. Refrigerate. 4593, NBLD0371  Respiratory DFA Comprehensive 2 with Reflex to Viral Culture - Sioux Falls by DFA Includes: Adenovirus Human Metapneumovirus (hMPV) Influenza A Influenza B Parainfluenza 1, 2, 3, 4 Respiratory Syncytial Virus *If DFA is negative a Viral Culture will be performed at an additional fee. 87260 87299 87276 87275 87279(4) 87280 Reflex 87252 Submit nasopharyngeal (NP) washing in a leak-proof container, plus nasopharyngeal (NP) washing in viral transport media. Indicate source. Refrigerate. 3085, BLOD0769  Respiratory Disease Allergy Panel + Total IgE Central Midwest States *For upper and lower respiratory disease. **Recommended for persons 4 and older. Alternaria alternata Aspergillus fumigatus Box-elder/Maple Cat Dander Cladosporium herbarum               (Hormodendrum) Cockroach Common Ragweed Cottonwood Dog Dander Dust Mite (Dermatophagoides farinae) Elm, American Kentucky Blue Grass, June Oak, White Pigweed, Common (Rough) Russian Thistle (Saltwort) Total IgE 86003(15) 82785 4 mL serum (3.0 mL minimum). Refrigerate. Stability: REFT - 7 days 3589, BLOD1072  Respiratory Disease Western Allergy Panel + Total IgE Western South Dakota *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 Juniper (Cedar) Mugwort Penicillium notatum Total IgE 86003(14) 82785 4 mL serum (3.0 mL minimum). Refrigerate. Stability: REFT - 7 days 1806, NBLD0375  Respiratory PCR Battery by Real-Time PCR Includes: Influenza A, Influenza B, RSV nucleic acids If positive for Influenza A: Subtyping will be performed including H1 seasonal, H3 seasonal and the H1N1 2009 Influenza A viral nucleic acids. 87798(3) 3 to 5 mLs of a nasopharyngeal aspirate or washing in a sterile collection container. Refrigerate. 7660, NBLD0376  Respiratory PCR Battery with Reflex by Real Time PCR Negative reflexes to Respiratory DFA Battery. Includes: Influenza A, Influenza B, RSV nucleic acids If positive for Influenza A: Subtyping will be performed including H1 seasonal, H3 seasonal and the H1N1 2009 Influenza A viral nucleic acids. If ALL are negative, additional tests for Influenza A & B, Adenovirus, human Metapneumovirus, RSV, and Parainfluenza types 1,2,3,&4 are performed by DFA at an additional charge. 87798(3) If reflex testing performed, additional CPT codes apply. 3 to 5 mLs of nasopharyngeal aspirate or washings in a sterile collection container. Refrigerate. 5328, NBLD0246  Respiratory Syncytial Virus (RSV) - Rapid City by DFA 87280 Submit nasopharyngeal (NP) aspirate, or nasal washings. Refrigerate. Stability: RMT - 2 hours            REFT - 7 days 7697, NBLD0246  Respiratory Syncytial Virus (RSV) - Sioux Falls by DFA 87280 Submit nasopharyngeal (NP) aspirate, or nasal washings. Refrigerate. Stability: RMT - 2 hours            REFT - 7 days 2249, NBLD0229  Respiratory Syncytial Virus (RSV) Rapid by Rapid Immunochromatographic * This methodology is approved for patients 0-5 years old only. 87807 Recommended specimen: 3.5 mL nasopharyngeal (NP) washings or aspirate in a sterile leak-proof container. Send refrigerated. Stable 24 hours refrigerated.             Acceptable specimen: A nasopharyngeal swab - use cotton, rayon, or foam; or polyester flexible shaft swabs. (Do NOT use calcium alginate.) Immediately after swab collection, the swab MUST be eluted into 0.5-3.0 mL saline. Eluted saline from swab samples are stable 24 hours refrigerated. Indicate source. Throat swabs are not acceptable specimens. Stability: REFT - 24 hours 1150, BLOD0660  Reticulocyte Count by ADVIA 85045 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: REFT - 3 days 4417, BLOD1027  Reticulocyte Hemoglobin Content (CHr) by Flow Cytometry *Includes a Reticulocyte Count and Reticulocyte Hemoglobin 85046 1.0 mL EDTA whole blood (0.5 mL minimum). Refrigerate. Stability: REFT - 72 hours   Retinol (Vitamin A) Refer to "Vitamin A". 4652, BLOD0920  Rh Type 86901 2 mL EDTA whole blood or 2 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. 2701, BLOD0919  Rh Type / ABO Blood Group 86901 86900 3 mL EDTA whole blood or 3 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. 4640, BLOD0626  Rheumatoid Factor (RA Factor) Qualitative - Sioux Falls by Turbidimetric 86430 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 5252, BLOD0626  Rheumatoid Factor (RA Factor) Qualitative - Rapid City by Immunoturbidimetric 86430 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 5300, BLOD0627  Rheumatoid Factor (RA Factor) Quantitative - Rapid City by Immunoturbidimetric 86431 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 4950, BLOD0627  Rheumatoid Factor (RA Factor) Quantitative - Sioux Falls by Turbidimetric 86431 1 mL serum. Refrigerate or freeze as noted below. Stability: REFT - 3 days            Frozen - 7 days 6177, BLOD0493  Rickettsial IgG and IgM Antibodies by IFA * Includes Rocky Mountain Spotted Fever and Murine Typhus 86757(4) 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 5 days            Frozen - 14 days 4262, BLOD0112  Ristocetin Cofactor Plasma by Aggregation of Washed Normal Platelets 85245 1 mL frozen sodium citrate platelet-poor plasma (0.5 mL minimum). AVOID hemolysis. Refer to GENERAL INFORMATION Section for collection of Coagulation tests. Stability: Frozen only 4488, BLOD0396  Ritalin (Methylphenidate, Concerta) Serum by LC/MS/MS 82542 2 mL frozen serum or heparin plasma (0.6 mL minimum). No gel barrier or SST tubes. Peak level is 1-3 hours after last dose. Trough levels often not detectable. Freeze immediately. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only   Rocky Mountain Spotted Fever Refer to "Rickettsial IgG and IgM Antibodies". 0437, NBLD0012  Rohypnol (Flunitrazepam) 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 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - >3 days 2305, NBLD0231  Rotavirus by EIA 87425 2-4 grams of unpreserved stool placed in a sterile container free of soap residue. Freeze. Stability: RMT - 2 hours            Frozen - 7 days 7155, BLOD0647  RPR (Syphilis Serology) by RPR 86592 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days 5328, NBLD0246  RSV (Respiratory Syncytial Virus) - Rapid City by DFA 87280 Submit nasopharyngeal (NP) aspirate, or nasal washings. Refrigerate. Stability: RMT - 2 hours            REFT - 7 days 7697, NBLD0246  RSV (Respiratory Syncytial Virus) - Sioux Falls by DFA 87280 Submit nasopharyngeal (NP) aspirate, or nasal washings. Refrigerate. Stability: RMT - 2 hours            REFT - 7 days 2249, NBLD0229  RSV (Respiratory Syncytial Virus), Rapid by Rapid Immunochromatographic * This methodology is approved for patients 0-5 years old only 87807 Recommended specimen: 3.5 mL nasopharyngeal (NP) washings or aspirate in a sterile leak-proof container. Send refrigerated. Stable 24 hours refrigerated. Acceptable specimen: A nasopharyngeal swab - use cotton, rayon, or foam; or polyester flexible shaft swabs. (Do NOT use calcium alginate.) Immediately after swab collection, the swab MUST be eluted into 0.5-3.0 mL saline. Eluted saline from swab samples are stable 24 hours refrigerated. Indicate source. Throat swabs are not acceptable specimens. Stability: REFT - 24 hours 2216, BLOD0881  Rubella Antibodies IgG and IgM by Immunassay, Chemiluminescense 86762(2) 2 mL serum (1.0 mL minimum). Room temperature of refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 2154, BLOD0337  Rubella Antibody IgG by Chemiluminescense 86762 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 2156, BLOD0338  Rubella Antibody IgM by Immunoassay 86762 1 mL serum (0.6 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7160, BLOD0584  Rubella Antibody Screen, IgG by Chemiluminescence *Immune Status 86762 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 2412, BLOD0449  Rubeola (Measles) IgG and IgM Antibodies Serum by ELISA, IFA * Includes IgG and IgM Antibodies 86765(2) 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days 2410, BLOD0135  Rubeola IgG Antibody by EIA *Immune Status 86765 1 mL serum (0.5 mL minimum). Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 14 days 1950, BLOD0395  Rythmol (Propafenone) by HPLC 80299 3 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Patient must have been receiving Rythmol for at least 3 days. Draw just before administration of next dose. Room temperature or refrigerate as noted below. Stability: RMT - 6 days            REFT - 14 days 1475, BLOD0491  Saccharomyces cerevisiae IgG and IgA Antibodies (ASCA) by EIA 86671(2) 1.0 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 4520, BLOD0540  Salicylates (Aspirin) by Enzymatic 80196 2 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   Salmonella / Shigella, Stool Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Salmonella/Shigella.   Sandimmune Refer to "Cyclosporine".   Scabies - Lice Refer to "Parasite Identification (Scabies Lice Only)". 7333, BLOD0308  Scleroderma Antibody (Scl 70) by Immunoassay 86235 1 mL serum (0.7 mL minimum). AVOID hemolysis. Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 5198, BLOD0637  Sedimentation Rate (ESR) - Rapid City by Modified Westergren 85651 4 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 1155, BLOD0637  Sedimentation Rate (ESR) - Sioux Falls by ESR Auto Plus 85651 4 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 6670, BLOD0084  Selenium Serum by Atomic Spectroscopy 84255 2 mL serum collected in trace metal-free tube with no additive (0.7 mL minimum). No gel barrier or SST tubes. Patient should refrain from taking vitamins or mineral supplements at least 3 days prior to specimen collection. Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 14 days            Frozen - 14 days 5884, NBLD0280  Semen Analysis - Rapid City Color Liquification Volume Viscosity pH Motility Grade/Speed Sperm Count Morphology *Used for fresh samples. 89322 Collect entire semen specimen directly into a sterile plastic container following a 3-day abstinence. Keep warm. Note time of collection. Specimen needs to be at the laboratory within 1 hour of collection. Contact Client Support for patient instructions. 2507, NBLD0280  Semen Analysis - Sioux Falls Color Liquification Volume Viscosity pH Motility Grade/Speed Sperm Count Morphology *Used for fresh samples. 89322 Collect entire semen specimen directly into a sterile plastic container following a 3-day abstinence. Keep warm. Note time of collection. Specimen needs to be at the laboratory within 1 hour of collection. Contact Client Support for patient instructions. 5869, LABS0220  Semen Analysis Modified - Rapid City pH Sperm Count Morphology *Used for samples shipped in. 89321 Collect entire semen specimen directly into a sterile plastic container following a 3-day abstinence. Note time of collection. Specimen should be received within 24 hours of collection. 2521, LABS0220  Semen Analysis Modified - Sioux Falls pH Sperm Count Morphology *Used for samples shipped in. 89321 Collect entire semen specimen directly into a sterile plastic container following a 3-day abstinence. Note time of collection. Specimen should be received within 24 hours of collection.   Sensitivity Refer to "CULT Sensitivity / Suceptability". 5423, BLOD0051  Seroquel (Quetiapine) by HPLC-UV 82491 3 mL serum (0.6 mL minimum). Preferred collection time is 30 minutes prior to next scheduled dose. Heparinized plasma is also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days 5253, NBLD0067  Serotonin Metabolite (5 HIAA) 24 Hour Urine Quantitative by HPLC 83497 10 mL aliquot of a well-mixed and measured 24-hour urine (5 mL minimum). Collect urine with 25 mL of 6N HCl during collection to maintain pH below 3. 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 and beta blockers, atenolol, bromocriptine, brochodilators, 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 6679, BLOD0206  Serotonin Whole Blood (5 Hydroxytryptamine) by HPLC 84260 Call our Supplies Department for special transfer container. Draw 4 mL EDTA whole blood sample. Mix thoroughly and transfer 4 mL EDTA whole blood into the special vial which contains 35 mg ascorbic acid available from our Supplies Department. Mix well and freeze immediately. Submit vial frozen on dry ice. DIETARY RESTRICTIONS: Avoid avacado, banana, tomato, plum, walnut, pineapple, eggplant, tobacco, tea, and coffee three days prior to specimen collection. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 6680, BLOD0207  Sex Hormone Binding Globulin by Immunoassay 84270 1.0 mL serum (0.7 mL minimum). Patient's age and sex are required. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 6904, BLOD0572  SGOT (AST) Aspartate Aminotransferase - Rapid City by UV 84450 1 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 3030, BLOD0572  SGOT (AST) Aspartate Aminotransferase - Sioux Falls by Enzymatic 84450 1 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 6903, BLOD0573  SGPT (ALT) Alanine Aminotransferase - Rapid City by UV 84460 1 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 3020, BLOD0573  SGPT (ALT) Alanine Aminotransferase - Sioux Falls by Enzymatic 84460 1 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 1993, NBLD0249  Shiga-Like Toxin on Stool by EIA 87427 2 grams stool in Cary-Blair Stool Culture Transport media. Keep refrigerated. Transport media is available from our Supplies Department. Stability: REFT - 3 days 4657, BLOD0671  Sickle Cell Screen *Positives should be followed by Hemoglobin Electrophoresis. 85660 4 mL EDTA whole blood (1 mL minimum). Refrigerate. Not recommended screening method for children younger than 6 months of age. Stability: REFT - 7 days 7739, BLOD0385  Sinequan (Doxepin) by HPLC-UV *Includes metabolite Desmethyldoxepin (Nordoxepin) 80166 3 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 0817, BLOD0088  Sirolimus (Rapamycin) by Chemiluminescence Microparticle Immunoassay (CMIA) 80195 3 mL EDTA whole blood (1 mL minimum). Refrigerate. Stability: REFT - 7 days 6610, BLOD0425  Sjogrens Syndrome Antibodies by EIA *Includes SS-A/Ro and SS-B/La 86235(2) 1 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 4 days            REFT - 7 days 7347, BLOD0454  Skeletal Muscle (Striated) Antibodies by IFA 86255 1.0 mL serum (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 48 hours            REFT - 7 days   Sm and RNP Antibodies Refer to "ENA Antibodies". 7341, BLOD0185  Smooth Muscle Antibody (ASMA) by Enzyme Linked Immunosorbent Immunoassay 83516 1 mL serum (0.7 mL minimum). AVOID hemolysis. Refrigerate. Stability: REFT - 14 days 5833, NBLD0182  Sodium 24 Hour Urine - Rapid City by ISE 84300 10 mL aliquot of well-mixed and measured 24-hour urine. Refrigerate during collection. Record total volume on test request form and urine vial. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 4072, NBLD0182  Sodium 24 Hour Urine - Sioux Falls by ISE 84300 10 mL aliquot of well-mixed and measured 24-hour urine. Refrigerate during collection. Record total volume on test request form and urine vial. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 6918, BLOD0571  Sodium Serum - Rapid City by ISE Indirect 84295 2 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days 3315, BLOD0571  Sodium Serum - Sioux Falls by ISE 84295 2 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate. Stability: RMT - 4 days            REFT - 7 days 7785, BLOD0209  Somatomedin C (IGF I Insulin Like Growth Factor I) by Blocking RIA after Acid:Alcohol Extraction 84305 1 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: REFT - 2 days            Frozen - 14 days 5175, NBLD0332  Sperm Count Post Vasectomy - Rapid City by Microscopy 89321 Collect entire semen specimen in a clean container. Motility will be evaluated on specimens received within 1 hour of collection. 9245, NBLD0332  Sperm Count Post Vasectomy - Sioux Falls by Microscopy 89321 Collect entire semen specimen in a clean container. Motility will be evaluated on specimens received within 1 hour of collection.   Spinal Fluid (CSF) Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, Other). Indicate source.   Spinal Fluid Profile Refer to "CSF Profile 1".   Sputum Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, Other) 2469, NBLD0125  Stone Analysis by Fourier Transform Infra-Red Spectrophotometry (FTIR) 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 - Indefinitely   Stool Campylobacter Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Campylobacter.   Stool Culture Refer to "CULT Bacterial Culture Stool".   Stool E coli O157:H7 Screen Refer to "CULT Bacterial Culture Stool Selected Organism". Specify E coli. 7607, NBLD0138  Stool for Fat Qualitative by Light Microscopy 82705 5 grams random stool specimen. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 7609, NBLD0037  Stool for Fat Quantitative by Nuclear Magnetic Resonance Spectrometer 82710 Submit frozen entire 48-72 hour stool specimen. 24 hour or random specimen 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   Stool Salmonella / Shigella Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Salmonella/Shigella.   Stool Yersinia Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Yersinia.   Strep Genital Culture Refer to "CULT Bacterial Culture Genital Screen for Selected Organism". Specify selected organism. 5171, NBLD0234  Strep Group A Rapid Direct Screen Reflex to Culture - Rapid City *If negative, a culture is performed at an additional fee. 87880 Reflex 87070 2 culturettes at room temperature. Source: Throat. 2260, NBLD0234  Strep Group A Rapid Direct Screen Reflex to Culture - Sioux Falls *If negative, a culture is performed at an additional fee. 87880 Reflex 87070 2 culturettes at room temperature. Source: Throat.   Strep Screen Culture Refer to "CULT Bacterial Culture Respiratory" OR "CULT Bacterial Culture Genital Screen for Selected Organism" -- dependent on source. 3286, BLOD0484  Streptococcus pneumoniae IgG Antibodies - 14 Serotypes by ImmunoArray Assay * Includes 14 Serotypes: Type 1, Type 3, Type 4, Type 5, Type 6B, Type 7F, Type 8, Type 9N, Type 9V, Type 12F, Type 14, Type 18C, Type 19F, and Type 23F 86317(14) 2.0 mL serum (1.0 mL minimum). NOTE: Also helpful in determining the immunization efficiency of Pneumococcal vaccination. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 1677, BLOD0462  Streptococcus pneumoniae IgG Antibodies - 7 Serotypes by ImmunoArray Assay * Includes 7 Serotypes: Type 4, Type 6B, Type 9V, Type 14, Type 18C, Type 19F, and Type 23F 86317(7) 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   Substance Abuse Panels Refer to "Drugs of Abuse".   Susceptibility / Sensitivity Testing Refer to "CULT Sensitivity / Susceptibility". 7829, NBLD0293  Synovial Fluid Examination With Culture Cell Count and Differential Crystal Exam Glucose RA Factor Total Protein Culture - Order               "Bacterial Culture, Other"               (specify source); refer to               "Bacterial Culture,               Other" for additional CPT               code information. 89051 89060 82945 86431 84157 87070 5 mL aspirate in sterile tube and 2 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1 mL of synovial fluid should be submitted for accurate glucose values. Powdered EDTA is not recommended. Refrigerate. Stability (excluding culture):               RMT - 8 hours            REFT - 3 days 7829, NBLD0293  Synovial Fluid Examination Without Culture Cell Count and Differential Crystal Exam Glucose RA Factor Total Protein 89051 89060 82945 86431 84157 5 mL aspirate in sterile tube and 2 mL fluid in EDTA tube. NOTE: A separate sodium fluoride tube with 1 mL of synovial fluid should be submitted for accurate glucose values. Powdered EDTA is not recommended. Refrigerate. Stability: RMT - 8 hrs            REFT - 3 days   Syphilis IgG and IgM Refer to "FTA Antibody". 7155, BLOD0647  Syphilis Serology by RPR 86592 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 7 days   T Helper Lymph Marker (CD4 Count) Refer to "CD4 Count".   T Helper Suppressor (Immune Deficiency Panel 3) Refer to "Immune Deficiency Panel 3". 2525, BLOD0598  T Uptake (Indirect TBG) by Chemiluminescence 84479 1 mL serum only (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 5273, BLOD0600  T3 Free - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84481 2 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days 7627, BLOD0600  T3 Free - Sioux Falls by Chemiluminescence 84481 2 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days 6693, BLOD0215  T3 Reverse by RIA 84482 1 mL serum (0.5 minimum). Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 3335, BLOD0599  T3 Total (Triiodothyronine) by Chemiluminescence 84480 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 6 days            Frozen - 7 days 5274, BLOD0596  T4 (Free Unbound) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84439 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 6 days 3340, BLOD0596  T4 (Free Unbound) - Sioux Falls by Chemiluminescence 84439 1 mL serum only (0.5 mL minimum). Refrigerate or freeze as noted below. Stability: REFT - 6 days            Frozen - 6 days 3342, BLOD0595  T4 Total (Thyroxine) by Chemiluminescence 84436 1 mL serum only (0.5 mL minimum). Refrigerate. Stability: REFT - 6 days            Frozen - 6 days 4465, BLOD0681  Tacrolimus (FK 506, Prograf) by Chemiluminescent Microparticle Immunoassay (CMIA) 80197 2 mL EDTA whole blood (0.5 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days 7621, BLOD0390  Tambocor (Flecainide) 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             3345, BLOD0213  TBG (Thyroxine Binding Globulin) by Chemiluminescence 84442 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Room temperature or refrigerate as noted below Stability: RMT - 7 days            REFT - 7 days 2525, BLOD0598  TBG Assessment (T Uptake) by Chemiluminescence 84479 1.0 mL serum only (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 5214, BLOD0532  Tegretol (Carbamazepine) Total - Rapid City by Fluorescence Polarization 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 4460, BLOD0532  Tegretol (Carbamazepine) Total - Sioux Falls by Enzymatic 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   Tegretol Metabolite - Carbamazepine 10 11 Epoxide Refer to "Carbamazepine 10 11 Epoxide". 6710, BLOD0476  Testosterone Free by RIA 84402 1.0 mL serum (0.7 mL minimum). PATIENT'S AGE AND SEX MUST BE PROVIDED. Grossly hemolyzed samples are unacceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 5232, BLOD0606  Testosterone Total - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 84403 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. PATIENT'S AGE AND SEX MUST BE PROVIDED. Grossly hemolyzed samples unacceptable. Refrigerate or freeze as noted below. Stability: REFT - 48 hours            Frozen - 7 days 3320, BLOD0606  Testosterone Total - Sioux Falls by Chemiluminescence 84403 1 mL serum only (0.5 mL minimum). PATIENT'S AGE AND SEX MUST BE PROVIDED. Grossly hemolyzed samples unacceptable. Refrigerate or freeze as noted below. Stability: REFT - 48 hours            Frozen - 7 days 2473, BLOD0414  Testosterone Total and Free by Liquid Chromatography Tandem Mass (LC/MS/MS), Equilibrium Dialysis 84402 84403 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. PATIENT'S AGE AND SEX MUST BE PROVIDED. Grossly hemolyzed samples are unacceptable. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 6717, BLOD0494  Tetanus Antibodies by EIA 86774 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days   THC (Marijuana) Refer to "Marijuana as THC". 5389, BLOD0541  Theophylline (Aminophylline) - Rapid City by Fluorescence Polarization 80198 1 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 4550, BLOD0541  Theophylline (Aminophylline) - Sioux Falls by Enzymatic 80198 1 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   Thiamine (Vitamin B1) Refer to "Vitamin B1". 8029, BLOD0100  Thiopurine Methyltransferase (TPMT) Erythrocytes by Enzymatic End-Point Liquid Chromatography-MS/MS 83789 5.0 mL sodium or lithium heparinized whole blood (5.0 mL minimum). AVOID hemolysis. Refrigerate only. Stability: REFT - 6 days   Throat Culture Refer to "CULT Bacterial Culture Respiratory" OR "CULT Viral Culture".   Thyrocalcitonin Refer to "Calcitonin". 7355, BLOD0413  Thyroglobulin Antibodies by Chemiluminescence 86800 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 6731, BLOD0423  Thyroglobulin Quantitative Level by Immunoassay *Includes Thyroglobulin Antibody 84432 86800 2 mL serum (1.0 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 14 days            REFT - 14 days 7707, BLOD0376  Thyroid Antibodies Panel by Chemiluminescecence Thyroglobulin Antibodies Thyroid Peroxidase Antibodies 86800 86376 3.0 mL serum (1.0 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 7359, BLOD0315  Thyroid Peroxidase Antibodies (TPO) by Chemiluminescence 86376 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 7 days            Frozen - 7 days 5277, BLOD0597  Thyroid Stimulating Hormone 3rd Generation (TSH) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) *Low end sensitivity = 0.005 uIU/mL 84443 1 mL serum (0.7 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 3350, BLOD0597  Thyroid Stimulating Hormone 3rd Generation (TSH) - Sioux Falls by Chemiluminescence *Low end sensitivity = 0.01 uIU/mL 84443 1 mL serum (0.7 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 6719, BLOD0214  Thyroid Stimulating Immunoglobulin (TSI) by Bioassay 84445 1 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 14 days            Frozen 14 days                8176, BLOD0106  Thyrotropin Receptor Antibody (TRAb) by Electrochemiluminescence Immunoassay (ECLIA) *This test is used to evaluated patients suspected of Graves Disease. 83519 1.0 mL serum (0.5 mL minimum). NOTE: This test should not be performed on patients who have recently received radioisotopes therapeutically or diagnostically. Refrigerate or freeze as noted below. Avoid FREEZE/THAW cycles. Stability: REFT - 7 days            Frozen - 7 days 3342, BLOD0595  Thyroxine (T4 Total) by Chemiluminescence 84436 1 mL serum only (0.5 mL minimum). Refrigerate. Stability: REFT - 6 days            Frozen - 6 days 3345, BLOD0213  Thyroxine Binding Globulin (TBG) by Chemiluminescence 84442 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 1300, BLOD0052  Tiagabine (Gabitril) by LC/MS/MS 82542 3 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Preferred specimen is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below. Stability: RMT - 3 days            REFT - 14 days 4996, BLOD0989  Tissue Transglutaminase IgA Antibody by ELISA 83516 1.0 mL frozen serum (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 7 days 8770, BLOD1107  Tissue Transglutaminase IgG Antibody by EIA 83516 1.0 mL serum (0.5 mL minimum). Send refrigerated. Stability: RMT - 4 days            REFT - 7 days 5285, BLOD0543  Tobramycin (Nebcin) Peak - Rapid City by Fluorescence Polarization 80200 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes after infusion is complete. AVOID hemolysis. Refrigerate or freeze immediately. Stability: RMT - 2 hours            REFT - 7 days 4604, BLOD0543  Tobramycin (Nebcin) Peak - Sioux Falls by Enzymatic 80200 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Draw peak level 30 minutes after infusion is complete. AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate immediately. Stability: RMT - 2 hours            REFT - 7 days 5289, BLOD0542  Tobramycin (Nebcin) Trough - Rapid City by Fluorescence Polarization 80200 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. AVOID hemolysis. Refrigerate or freeze immediately. Stability: RMT - 2 hours            REFT - 7 days 4605, BLOD0542  Tobramycin (Nebcin) Trough - Sioux Falls by Enzymatic 80200 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate immediately. Stability: RMT - 2 hours            REFT - 7 days   Tocopherol Refer to "Vitamin E". 4478, BLOD0386  Tofranil (Imipramine) 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   Topamax (Topiramate) Refer to "Topiramate". 4435, BLOD0033  Topiramate (Topamax) by Fluorescence Polarization Immunoassay 80201 1 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 - 7 days            REFT - 14 days 3673, BLOD1141  Toxocara Antibody by ELISA 86682 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 5 days            REFT - 14 days 2300, BLOD0882  Toxoplasmosis Antibodies by Enzyme Linked Fluorescent Antibody *Includes IgG and IgM Antibodies 86777 86778 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days 2302, BLOD0136  Toxoplasmosis Antibodies, IgG by Enzyme Linked Fluorescent Antibody 86777 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days 2304, BLOD0137  Toxoplasmosis Antibodies, IgM by Enzyme Linked Fluorescent Antibody 86778 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 14 days   TPO (Thyroid Peroxidase) Antibodies Refer to "Thyroid Peroxidase Antibodies".   Transcobalamin Refer to "Vitamin B12 Binding Capacity Unsaturated". 5500, BLOD0619  Transferrin by Turbidimetric 84466 1 mL serum (0.7 mL minimum). Refrigerate. Stability: REFT - 3 days            Refrigerate only 7387, BLOD0018  Tranxene (Clorazepate) by HPLC *Measured as metabolite Desmethyldiazepam 80154 2 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   Tree Allergens Refer to "Allergen Tree" and then the specific tree name. 7112, BLOD0495  Treponema pallidium Antibody by Particle Agglutination 86780 1.0 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 7 days            REFT - 14 days 6920, BLOD0574  Triglyceride - Rapid City by GPO/PAP 84478 2 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Minimum 12-hour overnight fast is required. Refrigerate. Stability: RMT - 3 days            REFT - 7 days 3360, BLOD0574  Triglyceride - Sioux Falls by Enzymatic 84478 2 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Minimum 12-hour overnight fast is required. Refrigerate. Stability: RMT - 3 days            REFT - 7 days 3335, BLOD0599  Triiodothyronine (T3 Total) by Chemiluminescence 84480 1 mL serum (0.5 mL minimum). Refrigerate. Stability: REFT - 6 days            Frozen - 7 days 5273, BLOD0600  Triiodothyronine (T3) Free - Rapid City by Electrochemiluminesce Immunoassay (ECLIA) 84481 2 mL serum (0.5 mL minimum). Refrigerate Stability: RMT - 8 hours            REFT - 6 days 7627, BLOD0600  Triiodothyronine (T3) Free - Sioux Falls by Chemiluminescence 84481 2 mL serum (0.5 mL minimum). Refrigerate. Stability: RMT - 8 hours            REFT - 6 days 6693, BLOD0215  Triiodothyronine (T3) Reverse by RIA 84482 1 mL serum (0.5 minimum). Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 0432, BLOD0053  Trileptal (Oxcarbazepine) by Liquid Chromatography/TMS 83789 1 mL serum or EDTA plasma (0.5 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. Stablity: RMT - 3 days            REFT - 14 days 5206, BLOD0355  Triple Screen Maternal by Immunoassay Alpha-Fetoprotein Unconjugated Estriol HCG 82105 82677 84702 1 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. Testing should be performed between 14 and 22 weeks gestation (optimal period is 15-16 weeks). Submit with a Maternal AFP requisition available from our Supplies Department. Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 7 days 5281, BLOD0610  Troponin I Ultra - Rapid City by Fluorescence Immunoassay 84484 2 mL EDTA plasma ONLY (0.5 mL minimum). NOTE: DO NOT interchange specimen types (serum or plasma) on the same patient when monitoring at intervals. If testing cannot be completed within 4 hours, separate plasma and store at -20C until tested. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: RMT/REFT - 4 hrs            Froz - 7 days 8095, BLOD0610  Troponin I Ultra - Sioux Falls by Chemiluminescence 84484 2 mL frozen heparinized plasma preferred (0.7 mL minimum). Serum is acceptable. NOTE: DO NOT interchange serum or plasma specimen type on the same patient when monitoring at intervals. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 72 hours            Frozen - 7 days 0044, BLOD0189  Tryptase Total by Fluorenzyme Immunoassay *This test includes alpha and beta tryptase which is reported as total tryptase. 83520 1.0 mL serum (0.7 mL minimum). It is suggested that the serum sample be collected between 15 minutes and 3 hours after the suspected event causing mast cell activation. Serum is the preferred sample, but EDTA plasma is also acceptable. No gel barrier or SST tubes. Do not interchange serum or plasma specimen type on the same patient. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 5277, BLOD0597  TSH 3rd Generation (Thyroid Stimulating Hormone) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) *Low end sensitivity = 0.005 uIU/mL 84443 1 mL serum (0.7 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days 3350, BLOD0597  TSH 3rd Generation (Thyroid Stimulating Hormone) - Sioux Falls by Chemiluminescence *Low end sensitivity = 0.01 uIU/mL 84443 1 mL serum (0.7 mL minimum). AVOID hemolysis. Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 8 hours            REFT - 7 days   TSH Receptor Antibody Refer to "Thyrotropin Receptor Antibody". 6719, BLOD0214  TSI (Thyroid Stimulating Immunoglobulin) by Bioassay 84445 1 mL serum (0.5 mL minimum). AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 14 days            Frozen 14 days 6783, BLOD0131  Tularemia Antibody (Francisella tularensis) by Direct Agglutination 86668 1 mL serum (0.7 mL minimum). Room temperature or refrigerate as noted below. Stability: RMT - 7 days            REFT - 14 days 4410, BLOD0548  Tylenol (Acetaminophen) by Colorimetric 82003 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. For overdose, obtain level 4 hours post-ingestion (or as soon as possible after 4 hours). Refrigerate. Stability: REFT - 7 days 3392, NBLD0184  Urea Nitrogen 24 Hour Urine Quantitative by Urease 84540 10 mL aliquot of a well-mixed and measured 24-hour urine. Refrigerate during and after collection. Record total volume on test request form and urine vial. Refrigerate. Stability: RMT - 24 hours            REFT - 7 days 6907, BLOD0001  Urea Nitrogen Serum (BUN) - Rapid City by Urease 84520 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 5 days 3365, BLOD0001  Urea Nitrogen Serum (BUN) - Sioux Falls by Urease 84520 1 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate. Stability: RMT - 24 hours            REFT - 5 days 4182, NBLD0259  Uric Acid 24 Hour Urine by Uricase 84560 10 mL aliquot of a well-mixed and measured 24-hour urine. Specify total volume on test request form and urine vial. Refrigerate during collection and transport. Stability: RMT - 3 days            REFT - 7 days 6921, BLOD0576  Uric Acid Serum - Rapid City by Uricase/PAP 84550 1 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 72 hrs            REFT - 5 days 4480, BLOD0576  Uric Acid Serum - Sioux Falls by Uricase 84550 1 mL serum (0.6 mL minimum). Herparinized plasma also acceptable. Room temperature or refrigerate as noted below. Stability: RMT - 72 hours            REFT - 5 days 5187, NBLD0001  Urinalysis Complete - Rapid City Macroscopic and Microscopic Color Clarity pH Specific Gravity Protein Glucose Ketone Bilirubin Occult Blood Nitrite Leukocyte Esterase Urobilinogen Microscopic Exam 81001 10 mL random urine from a first morning clean-catch void. Refrigerate. NOTE: No additional charge when reflexed to microscopic. 2515, NBLD0001  Urinalysis Complete - Sioux Falls Macroscopic and Microscopic Color Clarity pH Specific Gravity Protein Glucose Ketone Bilirubin Occult Blood Nitrite Leukocyte Esterase Urobilinogen Microscopic Exam 81001 10 mL random urine from a first morning clean-catch void. Refrigerate. NOTE: No additional charge when reflexed to microscopic. 5170, NBLD0194  Urinalysis Complete with Reflex to Culture - Rapid City Macroscopic and Microscopic performed. *Reflex culture will 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). 81001 Culture Reflex 87086 10 mL midstream urine from a first morning clean-catch void. Use a urine collection transport vial available from our Supplies Department. Refrigerate. 6961, NBLD0194  Urinalysis Complete with Reflex to Culture - Sioux Falls Macroscopic and Microscopic performed. *Reflex culture will 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). 81001 Culture Reflex 87086 10 mL midstream urine from a first morning clean-catch void. Use a urine collection transport vial available from our Supplies Department. Refrigerate. 5151, NBLD0195  Urinalysis Macroscopic / Dipstick Only - Rapid City by Dipstick Color Clarity pH Specific Gravity Protein Glucose Ketone Bilirubin Occult Blood Nitrite Leukocyte Esterase Urobilinogen 81003 10 mL random urine from a first morning clean-catch void. Refrigerate. 2859, NBLD0195  Urinalysis Macroscopic / Dipstick Only - Sioux Falls by Dipstick Color Clarity pH Specific Gravity Protein Glucose Ketone Bilirubin Occult Blood Nitrite Leukocyte Esterase Urobilinogen 81003 10 mL random urine from a first morning clean-catch void. Refrigerate. 5410, NBLD0196  Urinalysis Macroscopic with Reflex to Microscopic Exam - Rapid City by Dipstick, Automated *If indicated by dipstick, a Microscopic will be performed. Macroscopic 81003 Reflex Complete 81001 10 mL random urine from a first morning clean-catch void. Refrigerate. 2513, NBLD0196  Urinalysis Macroscopic with Reflex to Microscopic Exam - Sioux Falls by Dipstick, Automated *If indicated by dipstick, a Microscopic will be performed. Macroscopic 81003 Reflex Complete 81001 10 mL random urine from a first morning clean-catch void. Refrigerate. 5185, NBLD0198  Urinalysis Microscopic Exam Only - Rapid City by Microscopy 81015 10 mL random urine from a first morning clean-catch void. Refrigerate. If mailing, use a urine culture transport vial. 6964, NBLD0198  Urinalysis Microscopic Exam Only - Sioux Falls by Microscopy 81015 10 mL random urine from a first morning clean-catch void. Refrigerate. If mailing, use a urine culture transport vial.   Urine Culture Refer to "CULT" and select culture type (e.g., Acid Fast, Bacterial, Fungal, Viral, Other).   Urine Pregnancy Screen Refer to "Pregnancy Screen Urine".   Uroporphyrin Refer to "Porphyrins". 8197, NBLD0297  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. 88368(4) 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. 1456, NBLD0373  Vaginitis Probe by Automated DNA Probe Sandwich Assay Gardnerella Trichomonas Yeast 87510 87660 87480 Vaginal fluid swab placed in Affirm VPIII Ambient Transport System available from our Supplies Department. Room temperature only. Stability: RMT - 72 hours 6636, BLOD0068  Valproic Acid (Depakene) Free by Immunoassay 80164 3 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. Stablity: RMT - 2 days            REFT - 7 days 5246, BLOD0533  Valproic Acid (Depakene) Total - Rapid City by Fluorescence Polarization 80164 1 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 4560, BLOD0533  Valproic Acid (Depakene) Total - Sioux Falls by Enzymatic 80164 1 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 7531, BLOD0344  Valproic Acid (Depakene) Total and Free by Immunoassay 80164(2) 3 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 5279, BLOD0545  Vancomycin (Vancocin) Peak - Rapid City by Fluorescence Polarization 80202 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Draw 60 minutes following completion of infusion. AVOID hemolysis. Refrigerate or freeze immediately. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 3550, BLOD0545  Vancomycin (Vancocin) Peak - Sioux Falls by Enzymatic 80202 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA plasma is acceptable. Heparinized plasma is NOT acceptable. Draw 60 minutes following completion of infusion. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 5282, BLOD0546  Vancomycin (Vancocin) Trough - Rapid City by Fluorescence Polarization 80202 1 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. AVOID hemolysis. Refrigerate or freeze immediately. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days 3545, BLOD0546  Vancomycin (Vancocin) Trough - Sioux Falls by Enzymatic 80202 1 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. 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 FROZEN ALIQUOT. Stability: REFT - 3 days            Frozen - 7 days   Vancomycin Resistant Enterococcus Culture (VRE) Refer to "CULT Bacterial Culture Screen for Selected Organism". Specify VRE. 6626, NBLD0083  Vanillylmandelic Acid (VMA) 24 Hour Urine by HPLC 84585 10 mL aliquot of well-mixed and measured 24-hour urine (5 mL minimum). Collect 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. Three days prior to collection, follow PATIENT PROTOCOL: Avoid alcohol, coffee, tea, tobacco, bananas, citrus fruits, and stenuous excercise prior to collection. Preferable for patient to be off medications for 3 days. Common antihypertensives cause minimal interference. INTERFERING DRUGS L-dopa, reserprine, salicylates, clonidine, methocarbamol, and monoamine oxidase inhibitors. Room temperature or refrigerate as noted below. Stability: RMT - 10 days            REFT - 14 days 8394, BLOD0450  Varicella zoster IgG and IgM Qualitative Serum by ELISA, Indirect IFA *Differentiates IgG and IgM 86787(2) 1.0 mL serum (0.7 mL minimum). Refrigerate 1530, NBLD0360  Varicella zoster Virus (VZV) and Herpes simplex Virus (HSV) by PCR by PCR/LightCycler Detection Probe Technology 87798 87529 Dermal or genital sites placed in viral transport media. Send refrigerated. Stability: REFT - 14 days 1747, NBLD0361  Varicella zoster Virus (VZV) by PCR by PCR/LightCycler Detection Probe *This viral infection causes chickenpox and shingles. 87798 Place dermal sites/skin lesion in viral transport media. Send refrigerated. Stability: REFT - 14 days 8194, NBLD0042  Varicella zoster Virus (VZV) CSF by PCR by Real-Time PCR/DNA Probe Hybridization 87798 2.0 mL spinal fluid ONLY (0.5 mL minimum). Do NOT centrifuge. Send refrigerated in a sterile vial. NOTE: Specimens grossly contaminated with blood may cause false negative results. Use sterile transfer pipets for aliquoting specimen. Dedicate the first tube of spinal fluid collection for PCR testing. Place PCR specimen in its own bag for transport. (It is important that there is NO specimen-to-specimen contact.) This test requires its own tube and specimen bag. Indicate source as "CSF" on the specimen and requisition. 2270, BLOD0682  Varicella zoster Virus (VZV) Screen by IFA *Detects IgG only; for immunity status 86787 1 mL serum (0.5 mL minimum). Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 3 day            Freeze >3 days 6787, BLOD0216  Vasoactive Intestinal Polypeptide (VIP) by Extraction, RIA 84586 3.0 mL EDTA plasma (1.3 mL minimum). AVOID hemolysis and lipemia. Promptly separate the plasma from cells. Send specimen refrigerated. Stability: RMT - 72 hours             REFT - 7 days   Vasopressin (Arginine Vasopressin) Refer to "Anti Diuretic Hormone". 8195, NBLD0202  VDRL CSF by Flocculation/Agglutination *Positive results will be titered. 86592 1 mL frozen CSF (0.5 mL minimum). Send frozen in a plastic vial. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT.   Vicodin (Hydrocodone) Refer to "Drugs of Abuse".   VIP Refer to "Vasoactive Intestinal Polypeptide".   Viral Culture (Viral Isolation) Refer to "CULT Viral Culture".   Viral Culture with Reflex to Herpes Typing if Positive Refer to "CULT Viral Culture with Reflex". 6791, BLOD0120  Viscosity Serum by Sonoclot Coagulation Analyzer 85810 2.0 mL serum (0.7 mL minimum). No gel barrier or SST tubes. NOTE: Keep specimen at 37C until centrifugation and separated from cells. Refrigerate. Stability: REFT - 7 days 6175, BLOD0980  Vitamin A (Retinol) by HPLC 84590 2 mL serum (0.8 mL minimum) in a plastic vial. Overnight fasting is preferred. PROTECT FROM LIGHT by wrapping in foil. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 6723, BLOD0477  Vitamin B1 (Thiamine) by Fluorimetry 84425 6 mL frozen serum or heparinized plasma (3 mL minimum) split into two aliquots of 3.0 mL each in a plastic vial before freezing. Submit in amber vial or wrap in foil to PROTECT FROM LIGHT. Send frozen. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOTS. Stability: Frozen only 5242, BLOD0604  Vitamin B12 (Cyanocobalamin) - Rapid City by Electrochemiluminescence Immunoassay (ECLIA) 82607 1.0 mL frozen serum (0.5 mL minimum). Heparinized plasma also acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. If frozen, THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 48 hours            Freeze >48 hrs 3375, BLOD0604  Vitamin B12 (Cyanocobalamin) - Sioux Falls by Chemiluminescence 82607 1.0 mL serum (0.5 mL minimum). Heparinized and EDTA plasma not acceptable. AVOID hemolysis. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 3376, BLOD0168  Vitamin B12 Binding Capacity Unsaturated (Transcobalamin) by Radiobinding Assay 82608 1 mL frozen serum only (0.5 mL minimum). Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen - 14 days 6799, BLOD0204  Vitamin B6 (Pyridoxine) by Liquid Chromatography MS/MS 84207 1 mL frozen EDTA plasma (0.7 mL minimum). Overnight fasting required. No alcohol or vitamins for at least 24 hours prior to collection. Submit in amber vial or wrap in foil to PROTECT FROM LIGHT. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: REFT - 12 hours            Frozen - 6 days 7375, BLOD0091  Vitamin C (Ascorbic Acid), Plasma by HPLC 82180 2 mL frozen heparinized plasma (1.0 mL minimum). Overnight (12-14 hour) fast is required. Place tube on wet ice immediately. NOTE: Patient must not consume any vitamin supplements for 24 hours before the specimen is drawn. Spin down heparinized whole blood and place plasma in plastic vial. Freeze specimen immediately and PROTECT FROM LIGHT. Send specimen frozen and PROTECTED FROM LIGHT. Avoid FREEZE/THAW cycles. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 7146, BLOD0171  Vitamin D 1 25 dihydroxy Serum by Liquid Chromatography/Tandem Mass Spectrometry *Note: Reports Total, D2, and D3 of 1,25 Dihydroxyvitamin D 82652 2.0 mL serum (1.1 mL minimum). Room temperature. Stability: RMT - 14 days            REFT - 14 days 2487, BLOD0409  Vitamin D 25 hydroxy by Chemilluminescence Immunoassay (CLIA) 82306 1.0 mL serum (0.5 mL minimum). EDTA and heparinized plasma also acceptable. Refrigerate or freeze as noted below. Stability: REFT - 5 days            Frozen - 14 days 6861, BLOD1009  Vitamin E (Tocopherol) by HPLC *Reported as Alpha-tocopherol and Beta-gammatocopherol 84446 84591 2 mL serum (0.7 mL minimum). Overnight fasting is preferred. PROTECT FROM LIGHT by wrapping in foil. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 3685, BLOD0219  Vitamin K Plasma (Vitamin K1) by HPLC 84597 3.0 mL frozen heparinized plasma (1.5 mL minimum). Overnight fasting is preferred. PROTECT FROM LIGHT by wrapping in foil. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 6626, NBLD0083  VMA (Vanillylmandelic Acid) 24 Hour Urine by HPLC 84585 10 mL aliquot of well-mixed and measured 24-hour urine (5 mL minimum). Collect 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. Three days prior to collection follow PATIENT PROTOCOL: Avoid alcohol, coffee, tea, tobacco, bananas, citrus fruits, and stenuous excercise prior to collection. Preferable for patient to be off medications for 3 days. Common antihypertensives cause minimal interference. INTERFERING DRUGS: L-dopa, reserprine, salicylates, clonidine, methocarbamol, and monoamine oxidase inhibitors. Room temperature or refrigerate as noted below. Stability: RMT - 10 days            REFT - 14 days 9051, BLOD0113  von Willebrand Factor Antigen Plasma by Latex Immunoassay 85246 1.0 mL frozen sodium citrate platelet-poor plasma in plastic vial. Refer to GENERAL INFORMATION section for collection of Coagulation tests and preparation of platelet-poor plasma. Freeze. THIS TEST REQUIRES ITS OWN FROZEN ALIQUOT. Stability: Frozen only 6863, BLOD0371  von Willebrand Workup Coagulation Factor VIII Activity Assay Factor VIII Related Antigen Ristocetin-Willebrand Factor *von Willebrand Multimers are performed if appropriate at an additional charge. **Useful for diagnosis (or exclusion) of von Willebrand disease. A von Willebrand Factor Multimer will be performed if Factor VIII Related Antigen or Ristocetin-Willebrand Factor is decreased. 85240 85246 85245 80500 3 mL frozen sodium citrate platelet-poor plasma into 3 separate plastic vials (1 mL in each vial). Glass vials are not acceptable. Separate and freeze plasma immediately. THIS TEST REQUIRES 3 FROZEN ALIQUOTS. NOTE: Patient should not be receiving Coumadin™ or heparin; if so, please note on requisition. Refer to the GENERAL INFORMATION Section for collection of Coagulation tests. 5156, BLOD0636  WBC (White Blood Count) - Rapid City by CELL-DYN 3200 85048 4 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum for pediatrics). Refrigerate. Stability: REFT - 3 days 1011, BLOD0636  WBC (White Blood Count) - Sioux Falls by ADVIA 85048 4 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum for pediatrics). Refrigerate. Stability: REFT - 3 days   Weed Allergens Refer to "Allergen Weed" and then by the specific weed name. 6056, NBLD0133  West Nile Virus Antibody CSF IgG and IgM by ELISA 86789 86788 0.5 mL CSF refrigerated (0.3 mL minimum). Send CSF in a sterile screw-capped tube. Refrigerate or freeze as noted below. Stability: REFT - 7 days            Frozen - 14 days 4084, BLOD0771  West Nile Virus Serum IgG by EIA 86789 1.0 mL serum (0.5 mL minimum). Refrigerate. Samples are best collected 10 days after onset of symptoms. Refrigerate or freeze as noted below. Staiblity: REFT - 48 hours            Frozen - 7 days 4171, BLOD0808  West Nile Virus Serum IgG and IgM by EIA 86789 86788 1.0 mL serum (0.5 mL minimum). Refrigerate. Samples are best collected 10 days after onset of symptoms. Refrigerate or freeze as noted below. Stability: REFT - 48 hours            Frozen - 7 days 4157, BLOD0772  West Nile Virus Serum IgM by EIA 86788 1.0 mL serum (0.5 mL minimum). Refrigerate. Samples are best collected 10 days after onset of symptoms. Refrigerate or freeze as noted below. Stability: REFT - 48 hours            Frozen - 7 days   Western Region Repiratory Disease Allergy Panel + Total IgE Refer to "Allergy Western Respiratory Disease Panel + Total IgE". 5150, NBLD0305  Wet Prep - Rapid City Includes Yeast, Trichomonas, and Clue Cells 87210 Collect on culturette. Do NOT use gel swabs. Specimen must be received for testing within 24 hours.Trichomonas will be evaluated only if the specimen is less than 1 hour old. 2423, NBLD0305  Wet Prep - Sioux Falls Includes Yeast, Trichomonas, and Clue Cells 87210 Collect on culturette. Do NOT use gel swabs. Specimen must be received for testing within 24 hours. Trichomonas will be evaluated only if the specimen is less than 1 hour old.   Wound Culture Aerobic Refer to "CULT Bacterial Culture Other".   Wound Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source.   Yersinia Stool Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Yersinia. 4610, BLOD0025  Zarontin (Ethosuximide) by Immunoassay 80168 1 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 6871, BLOD0220  Zinc Plasma or Serum by Atomic Spectroscopy 84630 Preferred specimen is 2.0 mL EDTA plasma (0.7 mL minimum) collected in a trace metal-free dark blue top EDTA tube. Separate plasma from cells within 2 hours. Transfer plasma to a trace metal-free transfer vial. Also acceptable is 2.0 mL serum collected in a trace metal-free tube with no additive. Transfer serum to a trace metal-free transfer vial. Trace metal-free collection tubes and transfer tubes are available from our Supplies Department; specify which tubes are needed. Hemolysis is NOT acceptable. Transfer to a trace metal-free transfer tube for shipping. Note: Patient should refrain from taking vitamins or mineral supplements at least three days prior to specimen collection. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 10 days 7741, BLOD1090  Zinc Protoporphyrins (ZPP) by Fluorometric 84202 2 mL sodium heparin or EDTA whole blood (0.5 mL minimum). AVOID hemolysis. PROTECT FROM LIGHT by wrapping in foil. Room temperature or refrigerate as noted below. Stability: RMT - 5 days            REFT - 14 days 7946, NBLD0085  Zinc Urine 24 Hour by Atomic Spectroscopy 84630 7 mL urine (3 mL minimum) aliquot of a 24 hour urine collection with no preservative. Record total volume on requisition and container. Note: Patient should refrain from taking vitamins or minerals at least 3 days prior to collection. Refrigerate or freeze as noted below. Stability: RMT - 5 days            REFT - 14 days 0135, BLOD0055  Zonisamide (Zonegran) by HPLC - UV 80299 2 mL serum or heparinized 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. Stabilty: RMT - 3 days            REFT - 7 days Back To List | New Search