Clinical Laboratory Partners Page A-1

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2 Test Codes As Of 12/19/2015

3 Accreditations CLIA D College of American Pathologists Connecticut Dept. of Public Health... CL-0385 Federal Tax ID Medicare ID (PTAN) New York State Department of Health... PFI 7988 Rhode Island Department of Health... LCO MEDICAID ID Call Values: Critical Clinical Laboratory Partners will call critical laboratory results to the ordering physician, or designee, as soon as possible once results become available. Calls will be made twenty-four hours a day, seven days a week, including weekends and holidays. Call Values: Urgent Clinical Laboratory Partners will call clinically significant (urgent) laboratory results to the ordering physician, or designee, as soon as possible once results become available. Urgent values will be called from 9:00am to 10:00pm seven days a week including weekends and holidays. Results not called before 10:00pm will be called the next morning beginning at 9:00am. Changes in Methodologies/Fees Clinical Laboratory Partners may deem it necessary to add or change test methodologies or components. Methodologies and fees are subject to change without prior notification. We will make every effort to inform clients of any test modifications, particularly with respect to reference range changes. Client Responsibility Integrity, caring, excellence and safety are the values shared by each Clinical Laboratory Partners employee. As your laboratory of choice, we share in the service commitments to each provider and patient. As Health Care Reform is enacted, we will work together to ensure full compliance to changing regulatory requirements and guidelines. To be successful in this endeavor, the acknowledgement of shared responsibility and commitment is important. We welcome the opportunity to collaborate. Client Services Hours of Coverage: 24 hours a day/7 days a week including Holidays Our Client Services Department is staffed by knowledgeable and experienced representatives dedicated to providing you with responsive personal service. Our Client Services Representatives are available to address inquiries regarding test information, patient results, specimen collection and transport. In the event you require detailed technical information, we will gladly connect you with a member of our technical staff. Clinical Laboratory Partners Page A-1

4 Compliance Policies Clinical Laboratory Partners is committed to compliance with all applicable State and Federal guidelines for clinical laboratories. This includes the Clinical Laboratory Improvement Amendments1988 (CLIA), the Centers for Medicare & Medicaid Services (CMS) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy regulations as well as other regulatory agencies. Policies are administered throughout our organization to ensure compliance. It is our expectation that organizations utilizing our services have similar policies in place. Confidentiality The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is one of the most all-encompassing pieces of healthcare legislation ever passed. Clinical Laboratory Partners is committed to full compliance to this and all privacy standards that define the limits on use and disclosure of confidential patient information, as well as the rights of individuals with respect to health information. The security provisions of HIPAA apply to confidential patient information in both electronic and paper forms. We employ rigorous security safeguards to protect the integrity and confidentiality of patient healthcare information from unauthorized use or disclosure. Patient Service Center Patients may be referred to one of our patient service centers for specimen collection. A list of our Patient Service Centers and their hours of operation can be found on our website at under the I am a Patient section. Professional Courtesy 'Professional Courtesy' testing is strictly prohibited as stated in the Anti-kickback Statute 42 U.S.C.1320a-7b. Clinical Laboratory Partners cannot honor requests for this service. Quality Assurance Through Clinical Laboratory Partners quality management system, the Quality Assurance Department actively monitors quality performance indicators for the entire process of laboratory services. This includes specimen collection and analysis to reporting and billing. These indicators become the driving force behind the active quality improvement program. All indicators and activities are closely supervised by senior management. Referral Testing Clinical Laboratory Partners may refer to certain tests to other reference laboratories in accordance with appropriate state and federal guidelines. These reference laboratories are chosen based on quality, test menu, and cost to provide the best possible patient care. Clinical Laboratory Partners Page A-2

5 Repeat Determinations Clinical Laboratory Partners performs repeat determinations routinely as part of our ongoing quality assurance program. We will repeat a test when requested by the ordering physician or their designee. Please contact the Client Services Department at (800) (option 2). Safety Clinical Laboratory Partners mandates that all specimens will be handled using universal precautions. Every effort will be made to protect all healthcare workers from exposure to hepatitis and human immunodeficiency viruses (HIV). Clinical Laboratory Partners Safety Policies adhere to state and federal requirements. Sample Storage Any specimens not utilized in the initial testing are stored refrigerated for seven days. Depending on stability, some specimen types may be kept for shorter periods of time. When a test result is inconsistent with clinical findings, the requesting physician may have the assay repeated at no charge. Specimen Container Labeling Each specimen submitted to Clinical Laboratory Partners must be appropriately labeled with two patient identifiers at the time of collection. This label must include Patient Name (First and Last Name) that matches the test requisition and at least one additional identifier such as Date of Birth or Unique Identification Number. Specimen Requisition Labeling Refer to page 5. Telephone Numbers Main Phone Number: Client Services: Test Results and General Information... Option #2 Client Supplies... Option #7 Client / Facility Billing... Option #5 Courier Pickups... Option #3 Home Draw... Option #6 Operator... Option #8 Patient Billing... Option #4 Test Add-Ons After Submission of Specimen Our Client Services Department can arrange for add-on testing if sufficient specimen volume remains after the initial tests have been completed. Clinical Laboratory Partners is required by federal regulations to obtain written authorization for every test we perform. Our clients will receive a request for written confirmation for verbal test requests. The requesting physician must sign this written confirmation and return it to Client Services. Clinical Laboratory Partners Page A-3

6 Test Ambiguous An ambiguous test order is any order received by Clinical Laboratory Partners which does not provide sufficient information to clearly determine which test or tests should be performed. Clinical Laboratory Partners shall perform and bill for only those tests which are specifically ordered by an authorized provider or his/her authorized designee. When a request for a test is ambiguous such that the test code cannot be determined, Clinical Laboratory Partners must either 1) obtain sufficient clarification from the ordering provider or designee and adequately document such clarification or 2) when applicable, perform and bill for the default test code defined in the "Default Testing Table". Please contact your sales or service representative to obtain a current copy of the table. Test Cancellations Tests may be canceled without charge while the specimen is in transit. Tests may not be canceled once they have been performed and reported. An exception will be made if there is a laboratory error. Cancellation requests can be called to the Client Services Department at (800) (option 2). Test Not Found in Directory of Services Clinical Laboratory Partners is continually developing new tests and procedures. As a result, some tests may not be listed in the current, print edition of our Directory of Services. For more information on tests not found in the Directory of Services, please contact Client Services Department at (800) (option 2) or refer to our website, Upon entering the website, click on "I am a Healthcare Professional". At the bottom of this page is a link to open the latest PDF version of our Directory of Services which is updated daily. Toxicology Testing Clinical Laboratory Partners offers drug testing ordered by the appropriate healthcare provider for clinical purposes only. Verbal Requests Federal and State regulations require that verbal requests for clinical laboratory testing MUST be followed with a written verification of said request. Veterinary Specimens Clinical Laboratory Partners does not accept animal specimens for laboratory testing. Clinical Laboratory Partners Page A-4

7 Specimen Requisition Labeling Each specimen submitted to Clinical Laboratory Partners must be accompanied by an appropriately completed specimen requisition. Please see the example of required fields on the specimen requisition form. Complete the following fields as described: Patient Information 1. Provide name in the format of Last, First, Middle Initial 2. Provide street name and house or apartment number 3. Check Male or Female for gender 4. Provide the City, State, Zip 5. Provide in the format of Month, Day, Year 6. Provide the Telephone Number with Area Code Insurance Information 7. Check off whom to bill Insurance, Patient or Client/Doctor. Provide insurance information Courtesy (Carbon) Copy Information 8. Provide the name, street, city, state, zip of the person receiving the courtesy (carbon) copy Physician Signature 9. Physician ordering tests must sign the requisition ABN Information 10. Check Yes if ABN is enclosed or No if ABN is not enclosed ICD Diagnosis Codes 11. Provide the appropriate diagnosis codes Tests 12. Check the tests to be performed Comments 13. Use this space to provide any additional information Microbiology, Source Required 14. If applicable, provide the source of the specimen Microbiology, Site 15. If applicable, provide the site of the wound Clinical Laboratory Partners Page A-5

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10 STAT Laboratory Tests and Services Clinical Laboratory Partners offers comprehensive, routine and STAT laboratory testing services. STAT laboratory tests and services are defined as needing immediate attention to manage medical emergencies. STAT test requests are given the highest priority by our laboratory for logistics pickup, processing, analysis, and reporting. The tests listed on the STAT Test Menu are available 24 hours a day, 7 days a week. Any tests not specifically listed will require prior approval by the Laboratory Medical Director. All STAT testing will be completed within 4 hours. Your results will be delivered to you within that 4 hour time frame. To arrange for a STAT pick up please call 877-CLP-STAT ( ) Option 3 All additional questions should be directed to our Client Services Department at Clinical Laboratory Partners Page B-1

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12 Allergy Testing Allergen Testing Performed by ImmunoCap technology (Phadia, Pharmacia Diagnostics). Allergens may be ordered individually. Specimen Requirements 1 ml serum for 1-4 allergens tested, and at least 2 ml serum for 5-10 allergens tested. Allergen Interpretation Specific Allergen IgE IgE Class ku/l Antibody Level 0 < 0.35 Absent/Undetectable Low Level Moderate Level High Level Very High Level Very High Level 6 > 100 Very High Level Table 1: Animal Allergens Animal Phadia Code Test Code Canary bird feathers e Cat epithelia e Chicken feathers e Cow dander e Dog dander e Dog epithelia e Duck feathers e Ferret epithelium e Finch feathers e Goat epithelia e Goose feathers e Guinea pig epithelia e Hamster epithelia e Horse dander e Mouse epithelia e Mouse serum proteins e Mouse urine proteins e Parrot/Parakeet droppings e Parrot/Parakeet feathers e Parrot/Parakeet serum proteins e Pigeon droppings e Pigeon feathers e Rabbit epithelia e Rat epithelia e Rat serum proteins e Rat urine proteins e Sheep epithelia e Swine epithelia e Clinical Laboratory Partners Page C-1

13 Table 2: Biologics and Occupational Allergens Biologics and Occupational Phadia Code Test Code Castor bean k Cotton sead k Ethylene oxide k Green coffee bean k Insulin bovine c Insulin porcine c Isocyanate TDI k Isocyanate MDI k Isocyanate HDI k Ispahula (Psyllium) k Latex k Penicillin G c Penicillin V c Phthalic anhydride k Silk k Sunflower seed k Wild silk k Table 3: Food Allergens Food Phadia Code Test Code Almond f Alpha-lactalbumin f Apple f Apricot f Avocado f Banana f Barley f Basil f Beef f Beta-lactoglobulin f Black pepper f Blue mussel f Blueberry f Brazil nut f Broccoli f Buckwheat f Cabbage f Carrot f Casein f Cashew nut f Cauliflower f Celery f Cheddar cheese f Cheese mold type f Cherry f Chestnut f Chicken meat f Chili pepper f Cinnamon f Clam f Cocoa f Coconut f Codfish f Coffee f Corn (Maize) f Crab Clinical Laboratory Partners f Page C-2

14 Table 3: Food Allergens (con't) Food Phadia Code Test Code Cucumber f Dill f Egg mix f Egg white f Egg yolk f Eggplant f Flounder sas Garlic f Ginger f Gluten f Goat milk f Grape f Grapefruit f Green bean f Green pepper f Halibut f Hazel nut f Honey f Kiwi fruit f Lamb f Lemon f Lentils f Lettuce f Lime f Lobster f Macadamia nut f Mackerel f Malt f Mango fruit f Melons f Milk f Mushroom f Mustard f Oat f Onion f Orange f Oregano f Oyster f Paprika f Parsley f Pea f Peach f Peanut f Pear f Pecan nut f Pine nut f Pineapple f Pistachio f Plum f Pork f Potato f Rape seed f Raspberry Red kidney bean f Rice f Clinical Laboratory Partners Page C-3

15 Table 3: Food Allergens (con't) Food Phadia Code Test Code Rye f Salmon f Scallop f Sesame seed f Shrimp f Soybean f Spinach f Squid f Strawberry f Swordfish f Tea f Tomato f Tragacanth f Trout f Tuna f Turkey meat f Vanilla f Walnut f Wheat f Whey f White bean f Yeast f Table 4: Grass Allergens Grass Phadia Code Test Code Bahia grass g Bermuda grass g Brome grass g Canary grass g Common reed g Cultivated oat pollen g Cultivated rye grass g Cultivated wheat pollen g Johnson grass g June grass g Meadow fescue g Meadow foxtail g Orchard grass (cocksfoot) g Perennial rye grass g Red top grass g Sweet vernal grass g Timothy grass g Velvet grass g Wild rye g Table 5: House Dust Allergens House Dust Phadia Code Test Code House dust (Greer) h House dust (Hollister-Stier) h Clinical Laboratory Partners Page C-4

16 Table 6: House Dust and Storage Mite Allergens House Dust and Storage Mite Phadia Code Test Code Ascarus siro d Dermatophagoides farinae d Dermatophagoides pteronyssinus d Glycyphagus domesticus (Storage mite) d Lepidoglyphus destructor (Storage mite) d Table 7: Insect and Venom Allergens Insect and Venom Phadia Code Test Code Cockroach i Fire ant i Honey bee i Mosquito i Paper wasp i White-faced hornet i Yellow hornet i Yellow jacket i Table 8: Mold Allergens Mold Phadia Code Test Code Alternaria alternata m Aspergillus fumigatus m Aspergillus niger m Aureobasidium pullulans m Botryis cinerea m Candida albicans m Cephalosporium acremonium m Cladosporium herbarum m Curvularia lunata m Epicoccum purpurascens m Fusarium moniliforme m Helminthosporium halodes m Mucor racemosus m Penicillium notatum m Phoma betae m Rhizopus nigricans m Stemphylium botryosum m Trichoderma viride m Trichophyton rubrum m Table 9: Tree Allergens Tree Phadia Code Test Code Acacia t Alder t Australian pine t Beech t Birch t Cottonwood t Elm t Eucalyptus t Hazel nut t Japanese cedar t Maple t Melaleuca t Mesquite t Clinical Laboratory Partners Page C-5

17 Table 9: Tree Allergens (con't) Tree Phadia Code Test Code Mountain cedar t Oak white t Olive t Pecan/Hickory t Privet t Queen palm t Spruce t Sweet gum t Sycamore t Walnut t White ash t White mulberry t White pine t Willow t Table 10: Weed Allergens Weed Phadia Code Test Code Cocklebur w Common ragweed (short) w Dandelion w English plantain w False ragweed w Firebush w Giant ragweed (tall) w Goldenrod w Lamb's quarters (Goose foot) w Mugwort w Nettle w Oxeye daisy w Rough marsh elder w Rough pigweed w Russian thistle w Scale w Sheep sorel w Western ragweed w Wormwood w Table 11: Other Allergens Other Phadia Code Test Code Ascaris p Echinococcus p Table 12: Animal Allergy Panel Allergen Phadia Code Panel Code Cat epithelia e Cow dander e4 Dog dander e5 Horse dander e3 Clinical Laboratory Partners Page C-6

18 Table 13: Childhood Food & Environment Panel Allergen Phadia Code Panel Code Alternaria alternata m Cat epithelia e1 Cockroach i6 Codfish f3 Dermatophagoides farinae d2 Dog dander e5 Egg white f1 Milk f2 Peanut f13 Soybean f14 Wheat f4 IgE Table 14: Children's Food Screen Allergy Panel Allergen Phadia Code Panel Code Egg white f Milk f2 Peanut f13 Soybean f14 Wheat f4 Codfish f3 Table 15: Dust Allergy Panel Allergen Phadia Code Panel Code Cockroach i Dermatophagoides farinae d2 Dermatophagoides pteronyssinus d1 House dust (Greer) h1 Table 16: Food Adult Allergy Panel Allergen Phadia Code Panel Code Clam f Codfish f338 Corn/Maize f8 Egg white f1 Milk f2 Peanut f13 Scallop f338 Shrimp f24 Soybean f14 Walnut f256 Wheat f4 Clinical Laboratory Partners Page C-7

19 Table 17: Fruit Allergy Panel Allergen Phadia Code Panel Code Apple f Apricot f237 Banana f92 Cherry f242 Grape f259 Mango f91 Melon f87 Orange f33 Peach f95 Pear f94 Pineapple f210 Raspberry Strawberry f44 IgE Table 18: General Screen Allergy Panel Allergen Phadia Code Panel Code Alternaria alternata m Aspergillus fumigatus m3 Bahia grass g17 Bermuda grass g2 Birch t3 Cat dander e1 Cladosporium herbarum m2 Cockroach i6 Common ragweed (short) w1 Dermatophagoides farinae d2 Dermatophagoides pteronyssinus d1 Dog epithelia e2 Elm t8 English plantain w9 House dust (Hollistier-Stier) h2 Lamb's quarters (Goose Foot) w10 Maple (Box elder) t1 Penicillum notatum m1 Timothy grass g6 White oak t7 IgE Clinical Laboratory Partners Page C-8

20 Table 19: Grass Allergy Panel Allergen Phadia Code Panel Code June grass g Orchard grass (cocksfoot) g3 Perennial rye grass g5 Timothy grass g6 IgE Table 20: Insect Venom Allergy Panel Allergen Phadia Code Panel Code Fire ant i Honey bee i1 Paper wasp i4 White-faced hornet i2 Yellow jacket i3 Table 21: Mold Allergy Panel Allergen Phadia Code Panel Code Alternaria alternata m Aspergillus fumigatus m3 Cladosporium herbarum m2 Mucor racemosus m4 Penicillium notatum m1 IgE Clinical Laboratory Partners Page C-9

21 Table 22: New England Regional Allergy Panel Allergen Phadia Code Panel Code Alternaria alternata m Aspergillus fumigatus m3 Beech t5 Bermuda grass g2 Birch t3 Candida albicans m5 Cladosporium herbarum m2 Common ragweed (short) w1 Cultivated rye grass g12 Dermatophagoides farinae d2 Dermatophagoides pteronyssinus d1 Dandelion w8 English plantain w9 Goldenrod w12 House dust (Greer) h1 June (Kentucky blue) grass g8 Lamb's quarters (Goose Foot) w10 Maple (Box elder) t1 Mucor racemosus m4 Mugwort w6 Oak white t7 Penicillium notatum m1 Perennial rye grass g5 Sweet vernal grass g1 Timothy grass g6 Walnut t10 White pine t16 Willow t12 Table 23: Nut Allergy Panel Allergen Phadia Code Panel Code Almond f Australian pine tree t73 Brazil nut f18 Cashew nut f202 Hazel nut tree t4 Hickory/Pecan tree t22 Macadamia nut f345 Peanut f13 Pistachio nut f203 Walnut tree t10 IgE Clinical Laboratory Partners Page C-10

22 Table 24: Respiratory Region 1 Allergy Panel Allergen Phadia Code Panel Code Alternaria alternata m Aspergillus fumigatus m3 Bermuda grass g2 Birch t3 Cat dander e1 Cladosporium herbarum m2 Cockroach i6 Common ragweed (short) w1 Cottonwood t14 Dermatophagoides farinae d2 Dermatophagoides pteronyssinus d1 Dog dander e5 Elm t8 Lamb's quarters (Goose Foot) w10 Maple (Box elder) t1 Mountain cedar (Juniper) t6 Mugwort w6 Oak white t7 Orchard grass (Cocksfoot) g3 Penicillium chrysogenum m1 Rough pigweed w14 Sheep sorrel w18 Sycamore t11 Timothy grass g6 Walnut tree t10 White ash t15 White mulberry t70 IgE Table 25: Seafood Screen Allergy Panel Allergen Phadia Code Panel Code Blue mussel f Codfish f37 Salmon f41 Shrimp f24 Tuna f40 Clinical Laboratory Partners Page C-11

23 Cytopathology Services Background Information The Cytopathology Division at Clinical Laboratory Partners originated from the oldest cytology facility and school in the state of Connecticut and its founder trained directly under Dr. George Papanicolaou. The screening staff is comprised of highly skilled ASCP certified cytotechnologists. Staff cytopathologists have been trained at some of the most prestigious training programs in the country including John Hopkins, Memorial Sloan Kettering Cancer Institute, and M.D. Anderson Cancer Center. A cytopathologist is available at all times for consultations, case reviews and correlations between pap smears and biopsies. We currently offer Pap screening on conventional, ThinPrep and SurePath specimens, as well as out-of-vial testing on liquid based specimens for high risk Human Papilloma Virus (HPV), Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (Chlamydia): Conventional Pap Test Order Code Test 8001 Pap Smear Conventional ThinPrep Pap Test Order Code (with Imager) Order Code (Manual) Test 8002 ThinPrep Pap Test ThinPrep Pap Test with HPV Screen ThinPrep Pap Test with HPV Reflex ThinPrep Pap Test with GC/Chlamydia ThinPrep Pap Test w/ HPV Screen, GC/Chlamydia ThinPrep Pap Test w/ HPV Reflex, GC/Chlamydia ThinPrep Pap HPV Scr Rfx HPV 16,18/ ThinPrep Pap Rfx HPV Rfx HPV 16,18/ ThinPrep Pap GC/CT HPV Scr Rfx HPV 16,18/ ThinPrep Pap GC/CT Rfx HPV Rfx HPV 16,18/ SurePath Pap Test Order Code (with FocalPoint) Order Code (Manual) Test 8020 SurePath Pap Test SurePath Pap Test with HPV Screen SurePath Pap Test with HPV Reflex SurePath Pap Test with GC/Chlamydia SurePath Pap Test w/ HPV Screen, GC/Chlamydia SurePath Pap Test w/ HPV Reflex, GC/Chlamydia 8122 Clinical Laboratory Partners Page D-1

24 Collection of Gyn Cytology Specimens Collection should be performed according to conventional or liquid based Pap (LBP) test specification and accepted practice among clinicians. Ideally, all gynecological specimens should be collected mid-cycle if the patient is pre-menopausal or is receiving hormonal replacement therapy. In addition, the patient should not douche, use vaginal creams or have intercourse for 24 hours before the test is performed. The sample should be taken before the bimanual examination and before other tests (i.e., for GC and Chlamydia) Pap Smear Handling Requirements Note: Physician must sign all test requisitions. 1. Complete a cytology requisition with the patient s name, age and last menstrual period (LMP), test order, pertinent clinical history (including previous abnormal cytology), physical findings, and the source of the specimen. 2. Check the box associated with the test requested: Routine or Abnormal Follow Up and/or for liquid based tests (HPV screen, Reflex HPV, Digene Swab HPV or Chlamydia/N. gonorrhoeae). Include ICD9 Code. 3. For liquid based samples each specimen submitted to Clinical Laboratory Partners must be appropriately labeled with two patient identifiers at the time of collection. This label must include Patient Name (First and Last Name) that matches the test requisition and at least one additional identifier such as Date of Birth or Unique Identification Number. Vials that are not labeled properly will be rejected for processing, the physician will be notified and the specimen processed after receiving the proper information/confirmation. The vial lid should be tightened to prevent leakage in transit. Submit with requisition in a specimen bag. 4. For conventional, glass-slide based, smears, pencil the patient s name and source of the specimen onto the end of a clean slide or slides. Slides that are not labeled properly will be rejected for processing, the physician will be notified and the specimen processed after receiving the proper information/confirmation. Immediately after collection, spray-fix the specimen and place slide(s) in a clean, cardboard folder and secure. Submit with requisition in a plastic specimen bag. Clinical Laboratory Partners Page D-2

25 Bethesda System for Reporting Pap Smears The Bethesda System for GYN Cytology smear reporting is the standard format in our laboratory and throughout the United States. The following are the basic elements of a report under this system: 1. An Adequacy Statement - "Satisfactory," or "Unsatisfactory" 2. An explanation will accompany any interpretation noted as "Unsatisfactory." 3. The Cytologic Diagnosis: a. Negative for Intraepithelial Lesion or Malignancy b. The specific cytologic entity identified including: i. Infectious agents and reactive cellular changes. ii. Cellular abnormalities of undetermined significance. iii. Squamous Intraepithelial Lesions (precursors of squamous carcinoma). iv. Glandular abnormalities (precursors of adenocarcinoma). v. Cellular features of malignancy, with the type of tumor specified if possible. vi. Recommendation for follow-up of the abnormalities detected. vii. Any limiting factors such as obscuring inflammation, blood, foreign material etc. Rejection System Interpretation Cytology specimens will be rejected for testing if any of the following conditions occur: Fixed slides are received broken into small pieces. o (Every effort will be made to process the slide if it is broken into a few large pieces.) Specimen and/or requisition do not contain adequate patient identification. Mismatched last or first name on vial/requisition. No name and unique identifier on requisition or specimen. o These specimens and requisitions will be returned to the physician for resolution. In addition to rejection of the above types of specimens, a result of "Unsatisfactory" will be reported for the following reasons: No cellular material Too few cells for adequate evaluation (< 25% slide contains cells) Poor fixation and/or preservation Epithelial cells obscured by blood and/or inflammation (75% of epithelial material obscured) Cells obscured by foreign material (e.g. lubricant) (< 25 % slide visible) Excessive cytolysis/autolysis Specimen too thick for evaluation (< 25% smear visible) Insufficient squamous material (smears consist primarily of endocervical cells) No specimen received Cells obscured by bacteria Clinical Laboratory Partners Page D-3

26 Conventional Method: This method has been surpassed by liquid based Pap (LBP) tests and is no longer recommended. Cervix: Rotate spatula with good pressure over entire ectocervix Endocervix: Recommend endocervical brush; rotate ¼ to ½ turn. Spread material thinly, but rapidly, on labeled glass slide(s) and fix immediately (<10 seconds) either by immersion (95% alcohol) or with a commercial spray fixative (held at least 10 inches from slide to prevent cellular distortion). Rapid fixation is crucial to providing an adequate specimen for proper evaluation of the Pap smear. ThinPrep Collection Method: NOTE: When submitting samples using the ThinPrep Same technique, be sure to swirl the plastic spatula in the vial of PreservCyt Solution and recap the vial until collection from the endocervix. Then, rinse the Cytobrush in the same vial by rotating the device in the solution 10 times while pushing it against the wall of the vial. Swirl the device vigorously to further release the material. Discard both spatula and brush. Tighten the vial cap so that the torque line on the cap passes the torque line on the vial. Brush/Spatula Protocol 1. Obtain an adequate sampling from the ectocervix using a plastic spatula. 2. Rinse the spatula as quickly as possible into the PreservCyt solution vial by swirling the spatula vigorously in the vial 10 times. Discard the spatula. 3. Obtain an adequate sampling from the endocervix using an endocervical brush device. a. Insert the brush into the cervix until only the bottommost fibers are exposed. Slowly rotate ¼ or ½ turn in one direction. DO NOT OVER-ROTATE. 4. Rinse the brush as quickly as possible in the PreservCyt solution by rotating the device in the solution 10 times while pushing against the PreservCyt vial wall. Swirl the brush vigorously to further release material. Discard the brush. 5. Tighten the cap so that the torque line on the cap passes the torque line on the vial. 6. Record the patients name and ID number on the vial. The patient information and medical history on the cytology requisition form. 7. Place the vial and requisition in a specimen bag for transport to the laboratory. Clinical Laboratory Partners Page D-4

27 SurePath Collection Method: 1: Collect Collect the cytology sample using either a broom-like device or combination brush/spatula with detachable heads. 2: Drop Drop the detachable head into the SurePath vial 3: Tighten Place the cap on the vial and tighten. 4: Record The patients name and ID number on the vial. The patient information and medical history on the cytology requisition form. 5: Send The SurePath vial to the lab for processing. Particularly in older women, some method of detecting endometrial disease, such as a vaginal pool specimen or cervical canal aspiration, should be included. Non-Gyn Cytology Specimens Cytology specimens submitted to Clinical Laboratory Partners must be appropriately labeled with two patient identifiers at the time of collection. This label must include Patient Name (First and Last Name) that matches the test requisition and has at least one additional identifier such as Date of Birth or Unique Identification Number. If a syringe is used as a transport vehicle, the needle should be removed before submitting the specimen to the laboratory. If prepared slides are submitted, the patient s name should be written in pencil on the frosted end. For testing other than cytologic evaluation, separate samples should be sent to the appropriate laboratory along with the proper requisition form. A completed cytology requisition should accompany each specimen and include patient demographics and pertinent clinical information. Specimens not submitted promptly should be kept refrigerated to prevent cellular degeneration. Instructions For Collection 1. The sputum specimens may be submitted unfixed in sputum specimen cups or may be placed in 30 cc of Cytolyte. 2. Endoscopic specimens (bronchial & GI tract) may be submitted in several ways: a. The operator may smear material on frosted slides and then either spray fix or immerse the slides in 95% ethanol. A paper clip should be used to keep the slides from sticking together. It is essential that prepared slides have the patient s name written on them in pencil since ink will dissolve during processing. b. The tip of the brush used for sampling may be submitted in Cytolyte and slides will be prepared in the laboratory. c. Mucosal washings may be submitted in specimen s or in Cytolyte solution. Clinical Laboratory Partners Page D-5

28 3. Urine specimens should be designated as "voided" or, if obtained by instrumentation of the urinary tract, as "catheterized." If a patient has received BCG or intravesical chemotherapy, that information should be included along with the date of the most recent treatment. Fresh urine samples (do not send the first void of the day) should be sent in sterile urine cups. If more than a few hours delay in specimen submission is anticipated, 30 cc of Cytolyte should be added to preserve the sample. 4. Body cavity fluids (peritoneal, pleural, and pericardial) should not be submitted in lavender top (EDTA containing) s since those samples frequently clot which interferes with cytological evaluation. A minimum of 10 cc is recommended. If additional fluid is available, 50cc should also be sent unfixed to Surgical Pathology for a cell block since the yield of malignant diagnoses is increased with examination of both types of specimens. 5. Spinal fluid for cytology should be sent in the plastic s provided with the lumbar puncture kits. If other tests are required, separate s should be submitted to the appropriate laboratory. If leukemia or lymphoma is suspected, a specimen should be sent directly to the Hematology Laboratory. 6. Fine needle aspiration biopsies should be spread on frosted slides and fixed in 95% ethanol immediately. Even a few seconds of air-drying can make a specimen un-interpretable. It is essential that prepared slides have the patient s name written on them in pencil since ink will dissolve during processing. If small tissue fragments are retrieved, they should be submitted in formalin to Surgical Pathology along with a completed Pathology requisition. If a lymphoid neoplasm is suspected, contact the laboratory in advance so that arrangements can be made to process material for marker studies or flow cytometry. A variety of special studies including electron microscopy and cytogenetics can be performed on FNA specimens if the laboratory is notified in advance. 7. If you have any questions regarding collection technique or have questions regarding a specific biopsy to be performed, please contact our Client Services Department at Option #2. Clinical Laboratory Partners Page D-6

29 Microbiology Transport Media Please send microbiology specimens in the appropriate sterile container or transport device as displayed on the following pages. All specimens must be labeled with patient s name, date of birth, time and date of collection. The label on the specimens must match the information given on the requisition. Submit all specimens at the appropriate transport temperature to ensure organism viability. If you have any questions please call Client Services at (option 2). Clinical Laboratory Partners Page E-1

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33 Collection Instructions for Microbiology Specimens Purpose Specimens for microbiology analysis are likely to contain living organisms whose recognition depends on rapid and proper specimen management. Appropriate selection, collection and transport of specimens is essential to allow for the detection of diverse microbial pathogens. General Considerations Use the Microbiology Transport Media Guide for each test in the following tables. Use aseptic techniques when collecting specimens. Contamination from normal flora will lead to specimen rejection or may not be a true representation of the infected site. Collect an adequate amount of specimen. Inadequate sample may lead to false negative results. Identify the source or site as specifically as possible. Transport specimen to the laboratory promptly after collection at the specified temperature. Collection Instructions are Listed for the Following Specimens: Blood Cultures Body Fluid Cultures Bone Marrow Cultures Cutaneous Specimens for Fungal Cultures Ear Cultures Eye Cultures Gastrointestinal Specimens Genital Specimens Lung Aspirate Specimens Lung Tissue/Biopsy Specimens Respiratory Specimens Tissue Specimens Urine Specimens Vesicle Specimens Wound specimens Blood Cultures A total of 3 blood cultures collected within a 24 hour period are optimal for the detection of septicemia. It is important to allow the vacuum to completely fill the bottles to avoid false negative results. SPS s or routine blood culture bottles (Bactec Plus + Aerobic/F and Bactec Lytic/10 Anaerobic F) are suboptimal for the detection of Mycobacteria, Bartonella, and fungi. Bactec Myco F/Lytic bottles are the method of choice for Mycobacteria and fungi. Bartonella blood cultures should be collected in a lavender top EDTA. Blood cultures should be collected before antimicrobial therapy is initiated. All blood cultures should be collected before inoculating other vacutainer s. Clinical Laboratory Partners Page F-1

34 Bacteria 1. Swab the Bactec Plus + Aerobic/F and Bactec Lytic/10 Anaerobic F bottle caps with 70% alcohol and allow them to dry. 2. Tie the tourniquet and select the venipuncture site. Using 70% alcohol, disinfect the skin by making concentric circles in an outward direction from the intended site to about 5 centimeters. Allow to dry for 1 minute. 3. Next, use a Chlora Prep One Step applicator to disinfect the skin by making concentric circles in an outward direction from the center of the intended site to about 5 centimeters. Allow the site to dry for 1 minute. (Iodine should be used for pediatric patients under 2 years of age.) 4. If site must be re-palpated before performing venipuncture, the gloved finger must be disinfected in the same manner. 5. Do not allow the needle to come in contact with any other object prior to inoculation. 6. Allow the Bactec bottles to fill completely (8-10 ml of blood). If using a syringe, do not force blood into the bottles, but allow the vacuum to fill the bottle. 7. Mix the bottles by gently rotating 5-10 times. Do not invert bottles. 8. Record the date and time of collection on the requisition. 9. Remove the iodine from the patient s skin using an alcohol prep (some patients are sensitive to iodine). 10. Transport bottles to the laboratory at room temperature. Fungi, Mycobacteria (AFB) 1. Swab the Bactec MycoF/Lytic bottle cap with 70% alcohol and allow it to dry. 2. Tie the tourniquet and select the venipuncture site. Using 70% alcohol, disinfect the skin by making concentric circles in an outward direction from the intended site to about 5 centimeters. Allow to dry for 1 minute. 3. Next, use a Chlora Prep One Step applicator to disinfect the skin by making concentric circles in an outward direction from the center of the intended site to about 5 centimeters. Allow the site to dry for 1 minute. (Iodine should be used for pediatric patients under 2 years of age.) 4. If site must be re-palpated before performing venipuncture, the gloved finger must be disinfected in the same manner. 5. Do not allow the needle to come in contact with any other object prior to inoculation. 6. Allow the Bactec MycoF/Lytic bottle to fill completely (8-10 ml of blood). 7. Mix the by gently inverting 5-10 times. 8. Initial the requisition and record the date and time of collection on the requisition. 9. Remove the iodine from the patient s skin using an alcohol prep. 10. Transport bottles to the laboratory at room temperature. Clinical Laboratory Partners Page F-2

35 Parasites Plasmodium, Babesia, Trypanosoma, Anaplasma (Ehrlichia) 1. Select the venipuncture site. 2. Disinfect the site with 70% alcohol. 3. Collect 5 ml of blood into a lavender top EDTA. 4. Label appropriately. 5. Transport to the laboratory at room temperature immediately. Viruses CMV Early Antigen Shell Vial Culture 1. Select the venipuncture site. 2. Disinfect the site with 70% alcohol. 3. Collect 2 full green top sodium heparin or lithium heparin s. 4. Label the s appropriately. 5. Transport to the laboratory immediately on ice or refrigerated Body Fluid and CSF Cultures Bacteria, Fungi, Mycobacteria (AFB) Body Fluid: 1. Collect fluid aseptically in a sterile container or yellow top SPS and transport to the laboratory at room temperature. CSF: 1. Disinfect site with 2% iodine tincture. 2. Insert a needle with stylet at L3-L4, L4-L5 or L5-S1 interspace. 3. On reaching the subarachnoid space, remove the stylet and collect 1-2 ml of fluid in each of three leakproof s. 4. Submit the second to microbiology. If only one is collected, it should be submitted to microbiology first prior to performing other testing. 5. Transport at room temperature. Viruses Body Fluid: 1. Collect fluid aseptically in a sterile container, yellow top SPS or pink liquid viral transport media. 2. SPS and sterile container must be transported immediately to the laboratory on ice or refrigerated. CSF: 1. Disinfect site with 2% iodine tincture. 2. Insert a needle with stylet at L3-L4, L4-L5 or L5-S1 interspace. 3. On reaching the subarachnoid space, remove the stylet and collect 1-2 ml of fluid in each of three leakproof s. 4. Submit the second to microbiology. If only one is collected, it should be submitted to microbiology first, prior to performing other testing. 5. Transport, on ice or refrigerated immediately to the laboratory Clinical Laboratory Partners Page F-3

36 Bone Marrow Cultures Bacteria, Fungi, Mycobacteria (AFB), Viruses 1. Prepare site as for surgical incision. 2. Aspirate approximately 3-5 ml of bone marrow and place in a yellow top SPS. 3. For viruses, transport on ice or refrigerated immediately to the laboratory Ear Cultures Bacteria, Fungi External ear: Cultures of the external ear are of limited value since normal skin flora is found in this area. In order to obtain an adequate, significant culture there should be a visible purulent drainage. Middle ear: Cultures of the middle ear cannot be collected using a sterile transport swab. The physician must collect an aspirate from the middle ear using a syringe. The fluid should be inoculated into a yellow top SPS for transport to the laboratory. Swab specimen collection: 1. Thoroughly clean external ear with a sterile swab and saline. 2. Open transport swab pack and remove sterile swab. (The transport swab consists of a rayon swab on a plastic shaft secured to a cap. The swab contained with the cap is then inserted into a plastic transport containing Amies medium without charcoal following specimen collection. Amies medium supports the growth of both anaerobic and aerobic organisms). 3. Collect new drainage as it appears onto the swab. 4. Remove the transport of medium from package and remove cap. 5. Place swab into the medium and push the swab cap firmly onto the. 6. Label and transport to the laboratory at room temperature Eye Cultures Bacteria, Fungi Eye cultures are actually cultures of the conjunctiva. If both eyes are cultured, a separate specimen should be collected from each eye (label as left or right). 1. Using an orange cap mini-tip culture transport swab, collect conjunctival specimen. 2. Place the swab into the transport medium. 3. Label and transport immediately to the laboratory at room temperature. Viruses, Chlamydia trachomatis 1. Using the mini-tip swab, collect conjunctival specimen. 2. Remove cap from transport and place the swab into pink liquid transport media. 3. Label and transport to the laboratory at room temperature immediately Clinical Laboratory Partners Page F-4

37 Genital Specimens Affirm (Vaginitis DNA Probe) For vaginal specimen collection, use only the Affirm VPIII Ambient Temperature Transport system. Separate swabs must be used for other tests, e.g. culture or microscopic slide samples. 1. Tear open the Affirm kit and label the Sample Collection Tube (SCT) with the patient identification information, include the time the sample was collected. 2. Remove the dropper and break the ampule. 3. Remove the cap from the sample collection and dispense dropper contents into. 4. Place the patient in position for a pelvic examination, insert an Unlubricated speculum (without jelly or water) into the vagina to permit visualization of the posterior vaginal fornix. 5. Using the sterile swab, obtain a sample from the posterior vaginal fornix. Twist or roll the swab against the vaginal wall two or three times, ensuring the entire circumference of the swab has touched the vaginal wall. Swab the lateral vaginal wall. Swab the lateral vaginal wall while removing the swab. 6. Immediately place the swab into the Sample Collection Tube (SCT). 7. With the swab touching the BOTTOM of the collection, grasp the prescored handle of the swab just above the top of the and bend until the swab breaks. When the swab is fully inserted into the collection, the score mark on the swab is approximately 1 cm above the top of the collection. Discard the broken handle into an infectious waste container. 8. Place the cap over the exposed end of the swab and firmly press the cap onto the. The cap will 'snap' onto the when it is properly seated. 9. Transport to the laboratory at room temperature. Bacteria, Fungi, Trichomonas (For culture or Trichomonas wet prep) Vaginal/Cervical Swab 1. Moisten speculum with warm water; lubricants may be toxic to organisms. 2. Collect secretions from the mucosa high in the vaginal canal using a blue cap bacterial transport swab. 3. For cervical/endocervical specimens, visualize cervix and remove any mucous or vaginal material from the cervical os. 4. Gently compress the cervix with the blades of the speculum and collect the endocervical discharge with a blue cap bacterial transport swab. 5. Alternatively, insert the swab into the cervical os, allow it to remain in place for a few seconds, and then remove it. 6. Place swab in transport media and transport to the laboratory at room temperature. Vaginal/Rectal (for Group B Strep) 1. Swab the vaginal introitus and then the anorectum using one blue cap transport swab. 2. Cervical swabs are not acceptable and a speculum should not be used. 3. Place swab in transport media and transport to the laboratory at room temperature Clinical Laboratory Partners Page F-5

38 Urethral/penile 1. Place swab in transport media and transport to the laboratory. Collect specimen at least 2 hours after the patient has urinated. 2. Remove the external skin flora of the urethral meatus using sterile towelettes or soap and water. 3. Rinse with wet gauze pads. 4. Insert an orange cap flexible wire mini-tip urethrogenital swab 2-4 cm into the endourethra, gently rotate it, leave it in place for 1-2 seconds, and then withdraw it. 5. Alternatively, express exudate from the urethra and collect in on a swab. 6. Place swab in transport media and transport to the laboratory at room temperature. GC/Chlamydia by DNA (female genital) 1. Using the APTIMA cleaning swab (white shaft swab in the package with red printing), remove excess mucus from the cervical os and surrounding mucosa. Discard this swab. If excess mucus is present in the cervical os, remove with a large-tipped cleaning swab (not provided) then discard the swab. 2. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the endocervical canal. 3. Gently rotate the swab clockwise for seconds in the endocervical canal to ensure adequate sampling. 4. Place swab in APTIMA transport. 5. Transport to the laboratory at room temperature. GC/Chlamydia by DNA (male genital) 1. Collect specimen at least 2 hours after the patient has urinated. 2. Insert the specimen collection swab (blue shaft swab in the package with green printing) into the urethra, gently rotate it, leave it in place for 1-2 seconds, and then withdraw it. 3. Place swab in APTIMA transport. 4. Transport to the laboratory at room temperature. Viruses (Herpes simplex) 1. Collect specimen from vaginal/cervical/urethral area as described above using blue cap or orange cap min-tip swab. 2. Place swab in pink liquid viral transport media and transport to the laboratory at room temperature. Chlamydia trachomatis culture 1. Collect specimen from cervical/urethral area as described above using blue cap or orange cap min-tip swab. 2. Place swab in pink liquid viral transport media and transport to the laboratory at room temperature Clinical Laboratory Partners Page F-6

39 Respiratory Specimens Bronchial Brushing Bacteria and viruses 1. Tilt the patient back into a semi-fowler position. 2. Lubricate the bronchoscope with 2% xylocaine jelly, avoiding the distal tip. 3. Introduce the bronchoscope transnasally. 4. Insert the cytology brush unit into the channel opening of the scope and advance it. 5. Push the brush out of its sheath and obtain brushings. 6. Pull the brush back into the sheath and withdraw the entire brush unit. 7. Snip the brush from the unit. 8. Place the brush in a sterile container. 9. Submit specimen for bacteria to the laboratory at room temperature. Submit specimen for viruses on ice or refrigerated. Bronchoalveolar Lavage Bacteria, Fungi, Mycobacteria (AFB), Viruses and Pneumocystis jirovecii (carinii) Lavage is used to wash cells out of small airways that bronchoscopy cannot reach. 1. Tilt the patient back into a semi-fowler position. 2. Lubricate the bronchoscope with 2% xylocaine jelly, avoiding the distal tip. 3. Introduce the bronchoscope transnasally. 4. Attach a 70 ml specimen trap to the bronchoscope. 5. Forcefully instill 100 ml of sterile saline through the channel in 20 ml increments. 6. After the third or fourth instillation, replace the 70 ml trap with a 40 ml trap. 7. Submit traps to the laboratory or aseptically remove 10 ml of fluid from each trap and place the fluid in sterile s for submission. For viruses, transport on ice or refrigerated. For bacteria, fungi or mycobacteria transport at room temperature. (For pediatric patients only 1 to 2 ml/kg can be instilled. Usually, less than 10 ml is recovered in children) Bronchial Wash Bacteria, Fungus, Mycobacteria, Parasites and Viruses 1. Tilt the patient back into a semi-fowler position. 2. Lubricate the bronchoscope with 2% xylocaine jelly, avoiding the distal tip. 3. Introduce the bronchoscope transnasally. 4. Attach the Lukens trap to the bronchoscope. 5. Instill 10 ml of sterile saline through the channel opening. 6. Suction material out. 7. Seal the Lukens and submit to the laboratory at room temperature. Clinical Laboratory Partners Page F-7

40 Expectorated Sputum Bacteria, Fungi, Mycobacteria A sputum specimen is produced by a deep cough the first thing in the morning. Spit is unacceptable. 1. Instruct patient to remove dentures, if present, and rinse mouth with water. 2. Collect the exudative material brought up from the lungs following a deep, productive cough into a sterile container. 3. Submit to the laboratory at room temperature. Viruses Sputum specimens must be received refrigerated or on ice. Sputum specimens can be toxic to the cells and are not considered as sensitive as nasopharyngeal specimens. Collect sputum as for Bacterial, Fungal and Mycobacterial cultures. Induced Sputum Bacteria, Fungi, Mycobacteria The inhalation of warm, aerosolized hypertonic saline irritates the lungs enough to induce both coughing and the production of a thin watery specimen. 1. Using an ultrasonic nebulizer, have the patient inhale approximately ml of 3-10% saline. 2. Collect the exudates brought up from the lungs in a sterile container. These specimens are watery and resemble saliva therefore it is important that they are labeled as 'induced' specimens. 3. Submit specimens to the laboratory at room temperature. Nasopharyngeal aspirates Viruses 1. Pass a number 8 feeding into the nasopharynx. 2. Aspirate 2-3 ml of material using a small syringe. 3. Place tubing containing specimen in a sterile container. 4. Transport to the laboratory immediately on ice. Nasopharyngeal swabs Bordetella pertussis PCR 1. Carefully insert an orange cap mini-tip swab with flexible wire shaft through the nose and into the nasopharynx. 2. Rotate the swab and allow it to remain in place seconds to absorb organisms. 3. Place the swab into the transport medium and transport to the laboratory at room temperature. Viruses and Chlamydia trachomatis culture 1. Remove secretions or exudates from anterior nares. 2. Insert the nasal speculum if one is to be used. 3. Gently pass the swab through the nose and into the nasopharynx. 4. Rotate the swab on the nasopharyngeal membrane and allow it to remain in place for seconds to absorb organisms. 5. Remove the swab carefully and place it in pink liquid viral transport media. 6. Transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-8

41 Nasopharyngeal wash Viruses, Bordetella pertussis PCR 1. Instruct patient not to swallow during procedure. 2. Tilt patients head back to about a 70 angle and instill 3-7 ml of sterile saline until it occludes the nostril. 3. Aspirate wash using a small syringe. 4. Dispense syringe contents into pink liquid viral transport media. 5. Transport to the laboratory at room temperature. Sinus Bacteria and Fungi 1. Decontaminate the nasal cavity. 2. Obtain a needle aspirate of the sinus(es). 3. Submit the syringe without the needle or transfer contents to a sterile container or a yellow top SPS. 4. Transport to the laboratory at room temperature. Throat Bacteria 1. Depress the tongue with a tongue depressor. 2. Sample the posterior pharynx, tonsils and inflamed areas using a blue cap transport swab. Avoid the tongue, cheeks, teeth and gums. 3. Place the swab into the transport medium. 4. Transport to the laboratory at room temperature. Rapid Group A Strep Test This rapid method is not as sensitive as a Throat Culture or Group A Strep Culture. Therefore, patients negative for Group A Strep by the rapid screen but suspected of having Group A streptococcal pharyngitis must receive a throat culture for Group A Strep. A Rapid Group A Strep Reflex To Culture (Test Code 10102) Specimens should be collected as above using the red cap double swab transport media. This kit contains a red cap with 2 rayon swabs and liquid transport media. Transport media containing agar or charcoal must not be used. Calcium alginate swabs or swabs with wooden shafts cannot be used. Viruses and Chlamydia trachomatis culture 1. Using a tongue depressor, depress the tongue to prevent contamination with saliva. 2. Firmly and vigorously sample the posterior pharynx, tonsils and inflamed areas to remove a representative sample of epithelial cells. 3. Submit swab to the laboratory in pink liquid viral transport media at room temperature. Tracheal aspirates Bacteria, Fungi, and Mycobacteria 1. Carefully pass a catheter into the trachea 2. Aspirate material from the trachea using a syringe or an intermittent suction device. 3. Remove the catheter and disengage the syringe or device. 4. Transfer aspirate to a sterile container. 5. Transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-9

42 Chlamydia trachomatis culture Respiratory specimens are acceptable from infants less than 1 month old. Older infants and adults should be cultured for:chlamydia pneumoniae. 1. Carefully pass a catheter into the trachea. 2. Aspirate material from the trachea using a syringe or an intermittent suction device. 3. Remove the catheter and disengage the syringe or device. 4. Transfer aspirate to pink liquid viral transport media. 5. Transport to the laboratory at room temperature. Mycoplasma hominis/ureaplasma urealyticum (neonates only) 1. After oxygenation of the patient, attach a sterile suction catheter to a Lukens trap and introduce the catheter into the endotracheal tract until resistance is encountered. 2. Withdraw the catheter 1-2 cm and apply suction to aspirate the sample. 3. Submit aspirate to the laboratory in pink liquid viral transport media at room temperature Gastrointestinal Specimens Gastric aspirate Gastric aspirates are acceptable for Mycoplasma/Ureaplasma on neonates only. Fungi, Mycobacteria (AFB) A gastric aspirate should be considered for pediatric patients when pulmonary secretions cannot be collected. Gastric aspirates are collected in the morning before the patient rises or eats. 1. The patient should be sitting or lying on the left side with the head elevated With the patient s chin elevated, direct the Levin slightly upward and then gently push it posteriorly into the nasopharynx and esophagus. The nasopharynx may be sprayed with a local anesthetic. 3. For oral intubation, the can be chilled with ice to reduce nausea. Instruct the patient to open the mouth and project the chin forward and upward. 4. Place the tip of the on the back of the tongue, avoiding the uvula and push it into the posterior pharynx. 5. Encourage the patient to close the mouth and alternate swallowing and deep oral breathing while the is pushed intermittently during swallowing to its destination, about 55 cm from the mouth. 6. Use fluoroscopy to guide the tip into the antrum (if the patient is sitting) or into the middle of the greater curvature (if the patient is lying on the left side). 7. Aspirate by syringe or by mechanical means. 8. Place aspirate in a sterile container and transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-10

43 Gastric lavage Mycobacteria (AFB) A gastric lavage should be considered for pediatric patients when pulmonary secretions cannot be collected. Gastric lavages should be collected in the morning before the patient rises or eats. 1. Introduce a nasogastric orally or nasally into the stomach. 2. Perform lavage with ml of chilled, sterile, distilled water. 3. Recover sample and place it in a leakproof, sterile container. 4. Before removing the, release suction and clamp it. 5. Place lavage in a sterile container, and submit to the laboratory refrigerated Mouth/tongue Fungus Sample any suspicious areas with a blue cap culture transport swab Rectal swabs Bacteria Routine stool culture, E.coli 0157:H7, Yersinia, Vibrio, Aeromonas, GC or Group B Strep 1. Insert a blue cap culture transport swab about 2.5 cm into the anal canal, just inside the anal ring. 2. Move the swab from side to side and then remove it. No fecal material should be present on the swab. 3. Place the swab into the transport medium. 4. Transport to the laboratory at room temperature. Viruses, Chlamydia trachomatis culture 1. Carefully insert swab approximately 1 inch beyond anal sphincter. 2. Gently rotate swab to sample anal crypts. Fecal material should be evident on swab. 3. Place swab in pink liquid viral transport media. 4. Transport to the laboratory at room temperature Stool Specimens Bacteria Routine stool culture, E.coli 0157:H7, Yersinia, Vibrio or Aeromonas 1. Instruct patients to excrete directly into a sterile wide-mouthed, leakproof specimen cup or collection device. Never take a specimen from the water in a toilet and do not allow urine, toilet water or toilet paper to contaminate the specimen. 2. Transfer 5 ml of specimen to a Para-Pak C&S vial or a sterile specimen container for transport to the laboratory. Tighten lid securely to prevent leakage. 3. Transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-11

44 C. difficile Submit specimen in a sterile, leak proof container. Specimens preserved in Cary Blair, formalin or polyvinyl alcohol will not be processed. Formed stools will not be processed. Parasites Ova and Parasites, Cryptosporidium, Isospora, Cyclospora 1. Instruct patients to excrete directly into a sterile wide-mouthed, leak proof specimen cup or collection device. 2. Carefully open the PVA (pink) and 10% formalin (blue) vials. Do not discard the liquid. 3. Using the collection spoon built into the lid of the vials, place small scoops of stool from areas which appear bloody, slimy, watery or that contain mucus into the vials until the contents rise to the red line. Do not exceed the red line. If stool is formed and hard, take small amounts from each end and the middle. 4. Mix the contents with the spoon. 5. Twist the caps of the vials until closed tightly and then shake the vial until contents are well mixed. 6. Fill out the information on the labels of each vial. Replace the vials into the plastic bag. Wash hands thoroughly. 7. Transport vials to the laboratory at room temperature. Pinworm exam This collection should be done early in the morning before the patient has bathed or used the bathroom Clear cellophane tape collection 1. Over one end of a tongue depressor, loop a 3 X 3/4" strip of clear cellophane tape, sticky side out (do not use 'Magic' tape). 2. Spread buttocks to expose outer anal canal and press tape against right and left perianal folds, being careful to sample the area between the dry and moist areas. Do not insert the tongue depressor into the rectum. 3. After breaking the tongue depressor with the attached tape and placing it into a sterile specimen container, transport to the laboratory as soon as possible at room temperature. Pinworm paddle collection 1. The paddle is a commercially prepared plastic paddle with a sticky substance affixed to one side. 2. Spread buttocks to expose outer anal canal and press the sticky side of the pinworm paddle against the right and left perianal folds, being careful to sample the area between the dry and moist areas. Do not insert the paddle into the rectum. 3. The paddle is then placed in the plastic transport and transported to the laboratory at room temperature as soon as possible. Rotavirus 1. Collect 1 ml of stool specimen as previously described into a sterile container. Transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-12

45 Viruses 1. Instruct patients to excrete directly into a sterile wide-mouthed, leakproof specimen cup or collection device. 2. Transfer 2-4 ml of stool into pink liquid viral transport media. 3. Transport to the laboratory at room temperature Urine Specimens Acceptable specimens: clean catch, indwelling catheter, straight catheter, suprapubic aspirates or cystoscopy specimens. 24 hour pooled urines are not acceptable. First morning specimens are preferred. Urine is stored and transported at refrigerated temperatures. Bacteria, Fungi, Mycobacteria (AFB) Females, clean catch 1. Wash hands with soap and water then dry thoroughly. 2. While sitting on the toilet, spread the labia apart with one hand and hold in this position until collection is complete. 3. Using sterile towelettes (or similar disinfecting system) cleanse the inner folds and perineal area using a front to back wiping motion. 4. Pass some urine into the toilet and without interrupting the stream, pass the specimen container into the flow and capture the midstream flow. Do no touch the inside of the container. Continue to void the final portion of urine into the toilet. 5. Transfer the urine to a grey top urine preservative or sterile specimen container. 6. Transport to the laboratory refrigerated. Males, clean catch 1. Wash hands with soap and water then dry thoroughly. 2. Retract the foreskin over the head of the penis and hold in this position until collection is complete. 3. Using sterile towelettes (or similar disinfecting system) cleanse the head of the penis starting at the urethra and wiping away from it. 4. Pass the fist portion of urine into the toilet and without interrupting the flow, pass the urine container into the flow and capture the midstream flow. Do not touch the inside of the container and do not allow the penis to touch the specimen cup. Continue to void the final portion of urine into the toilet. 5. Transfer the urine to a grey top urine preservative or sterile specimen container. 6. Transport to the laboratory refrigerated. Indwelling catheter urine Do not collect urine from the drainage bag as urine is an excellent growth medium and the contents will be heavily contaminated. Urine catheter tips represent urethral contamination and will not be cultured. 1. If necessary, clamp the catheter tubing to collect urine in the but do not allow the clamp to remain in place for more than 30 minutes. 2. Clean the sampling port (or tubing site if a port is unavailable) with alcohol swabs. Clinical Laboratory Partners Page F-13

46 3. Insert the needle into the tubing port and withdraw approximately 10 ml of urine into the syringe. 4. Transfer the urine to a grey top urine preservative or sterile specimen container. 5. Transport to the laboratory refrigerated. Straight catheter 1. Thoroughly cleanse the urethral area with soap and water. 2. Rinse the area with wet gauze pads. 3. Aseptically insert a catheter into the bladder. 4. After allowing approximately 15 ml to pass, collect urine to be submitted into a sterile container. 5. Transfer the urine to a grey top urine preservative. 6. Transport to the laboratory refrigerated. Suprapubic aspirate This technique avoids contamination of urine with urethral or perineal bacteria. It is required for diagnosing anaerobic urinary tract infections and is most frequently used for pediatric patients, patients with a spinal cord injury or patients for whom a definitive culture has not been obtained. 1. Decontaminate the skin from umbilicus to the urethra. 2. Anesthetize the skin at the insertion site. 3. Introduce the needle into the full bladder at the midline between the symphysis pubis and the umbilicus, 2 cm above the symphysis. 4. Aspirate about 20 ml of urine from the bladder. 5. Transfer the urine aseptically into a sterile screw-cap specimen container. 6. Transport to the laboratory refrigerated. GC/Chlamydia by DNA: 1. The patient should not have urinated for at least one hour prior to specimen collection. 2. Female patients should not cleanse the labial area prior to providing the specimen. 3. Direct the patient to provide a first-catch urine (approximately ml of the initial urine stream) into a urine collection cup which is free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. 4. Transfer 2 ml of urine into the Aptima urine specimen transport using the disposable pipette provided. The correct volume of urine has been added when the fluid level is between the black fill lines on the urine transport label. Do not puncture the foil. 5. Recap the urine specimen transport tightly. 6. Transport specimen to the laboratory at room temperature. Viruses 1. Follow the above directions for male or female clean catch specimens. 2. Submit urine in a sterile screw-cap specimen container to the laboratory refrigerated or on ice Clinical Laboratory Partners Page F-14

47 Tissue Specimens Bacteria, Fungi, Mycobacteria (AFB) 1. Collect tissue aseptically. Include material from both the center and the periphery of the lesion. Submit the actual tissue and never a swab of the tissue surface. Place the specimen in a sterile or container. Sterile saline may be added to small samples to avoid drying. 2. Transport to the laboratory at room temperature. Viruses, Chlamydia trachomatis 1. Collect specimen as described above and submit tissue in pink liquid viral transport media. 2. Transport to the laboratory at room temperature Lung Tissue/Biopsy Specimens Bacteria, Fungi, Mycobacteria (AFB), Pneumocystis jirovecii (carinii) 1. Collect a 1-3 cm square piece of tissue, if possible. If the lesion is large or if there are multiple lesions, collect multiple specimens from representative sites. 2. Submit in a sterile container with a small amount of sterile saline to prevent drying of specimen. 3. Transport to the laboratory at room temperature Lung Aspirate Specimens Bacteria, Fungi, Mycobacteria (AFB), Pneumocystis jirovecii (carinii) 1. Locate lesion(s) by using computed tomography or other methods. 2. Disinfect the area using alcohol followed by an iodine preparation. 3. Insert a needle through the chest wall into a pulmonary infiltrate. 4. Aspirate the material from the lesion. If the lesion is large or if there are multiple lesions, collect multiple specimens from representative sites. 5. Transport to the laboratory at room temperature Wound Specimens When collecting a wound specimen, collect from the advancing margin or the base of the lesion, never the center of the lesion. The center of the lesion is the oldest and may not contain viable organisms. Bacteria 1. Decontaminate skin using a disinfectant 2. Remove the blue cap transport swab from the packaging and collect the specimen. a. Unruptured abscess: do not swab. Aspirate the abscess contents with a needle and syringe. After excising and draining, submit a portion of the abscess wall for culture. b. Open lesions and abscesses: Remove exudate and firmly sample the base or advancing margin of the lesion with a swab. Clinical Laboratory Partners Page F-15

48 c. Burn wounds: Debride the area and disinfect the wound. As exudate appears, sample it firmly with a swab. 3. Label the specimen with the anatomic site being as specific as possible. Deep wounds may contain anaerobes. A foul odor and copious amounts of pus are indications that anaerobes may be present. If suspected, an Anaerobic culture may be requested (Order code: 11406) 4. Transport to the laboratory at room temperature. Fungi, Mycobacteria 1. Remove surface exudate by wiping with sterile saline or 70% alcohol. 2. Aspirate abscess wall material with needle and syringe. 3. Aseptically transfer all material into a sterile container. 4. If it is not possible to use a syringe, use a sharp-pointed scalpel to express pus and place in a sterile container. (A swab is acceptable only on a suspected sporothrix lesion. Swab the periphery and base of lesion.) 5. Transport to the laboratory at room temperature. Viruses, Chlamydia trachomatis culture 1. Bubo, pus and aspirates, including endometrial aspirates are collected using sterile technique. 2. Submit the aspirate in viral transport media, refrigerated or placed on ice Vesicle Specimens Sample only fresh vesicles because older crusted vesicles may not contain viable virus. 1. Cleanse area with sterile saline. 2. Carefully unroof the vesicle with needle or scalpel blade. 3. Collect fluid and cellular material by vigorously sampling the base of the lesion. 4. Transport to the laboratory at room temperature. Vesicle scraping for Herpes simplex DFA 1. Be sure the rough surface of the slide provided is facing upwards. Label the frosted end of the slide with the patient name. 2. Clean the lesion with sterile saline. 3. Carefully unroof the vesicle with needle or scalpel blade. 4. Scrape the base of the lesion thoroughly. Gross bleeding should be avoided. 5. Spread the cellular material collected on the edge of the blade on both wells of the labeled glass slide. 6. Place slide in the cardboard slide holder and transport to the laboratory at room temperature. Vesicle scraping for Varicella zoster DFA 1. Collect material on glass slide as for Herpes simplex above or collect fluid and cellular material by vigorously sampling the base of the lesion with a swab. 2. Transport swab to the laboratory in pink liquid viral transport media at room temperature Clinical Laboratory Partners Page F-16

49 Cutaneous Specimens for Fungal Cultures Hair 1. Remove at least infected hairs from the roots with forceps. If possible, select hairs that fluoresce. Cut hair is not acceptable. 2. Place hair in a sterile container. Do not use stopper s because moisture accumulation may contaminate the specimen. 3. Transport to the laboratory at room temperature. Nails 1. Remove any nail polish, if present. 2. Clean nail with 70% alcohol. 3. Scrape the outer surface and discard the scrapings. 4. Then scrape the deeper portion and submit in a sterile container. Nail clippings are also acceptable; collect the whole nail or clippings and place in a sterile container, or collect debris from under the nail after trimming nail. 5. Transport to the laboratory at room temperature. Skin 1. Wipe the lesions or interspaces between the toes/fingers with an alcohol sponge or sterile water. 2. Scrape the advancing margin of the lesion or both sides of the interspaces with a sterile scalpel. Do not draw blood while scraping. 3. Place scrapings in a sterile container or between two glass slides which should then be taped together. If dermatophytes are suspected, a swab specimen may be submitted. Rub area vigorously to remove any fungal elements. 4. Transport to the laboratory at room temperature. Scalp 1. Scrape the scalp with a blunt scalpel and place scrapings in a sterile container. If dermatophytes are suspected, a swab specimen may be submitted. Rub area vigorously to remove any fungal elements. 2. Transport to the laboratory at room temperature. Clinical Laboratory Partners Page F-17

50 1,25-Dihydroxy Vitamin D See "Vitamin D, 1,25-Dihyroxy" 11-Deoxycortisol Test Code:60641 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.25 ml 1 ml lavender EDTA, green heparin plasma Alternate Container:Lavender top EDTA SST s are not acceptable. An early morning specimen is preferred. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable 11-Hydroxyandrostrone See "17-Ketogenic Steroids, w/creatinine, Urine, 24 Hr" See "17-Ketogenic Steroids w/o Creatinine, Urine, 24 Hour" See "17-Ketosteroids, w/creatinine, Urine, 24 Hour" 11-Ketoandrosterone See "17-Ketogenic Steroids, w/creatinine, Urine, 24 Hr" See "17-Ketogenic Steroids w/o Creatinine, Urine, 24 Hour" See "17-Ketosteroids, w/creatinine, Urine, 24 Hour" 17-Alpha-Hydroxyprogesterone See "17-Hydroxyprogesterone" 17-Hydroxycorticosteroids&17-Ketosteroids, Ur, 24H Test Code:60687 CPT Codes: 81050, 83491, Primary Container:24 hour urine container 40 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:20 ml urine 40 ml from a well mixed 24 hour urine. Add boric acid to maintain a ph below 3. Keep urine refrigerated during and after collection. Specify the patient's age, sex, and the total 24 hour urine volume on the specimen container. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:3-6 days Days Performed:Tuesday, Thursday Methodology:Colorimetric 17-Hydroxycorticosteroids, Creat, Urine, 24 Hr Test Code:60500 CPT Codes: 82570, Primary Container:24 hour urine container 20 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 7.5 Minimum Volume:10 ml urine 20 ml from a well mixed 24 hour urine. Add boric acid to maintain a ph below ml from a well mixed 24 hour urine, without preservative, ph below 7.5, frozen. Keep urine refrigerated during and after collection. Specify on the urine container the patient's age and sex and the total 24 hour urine volume. Submit specimen in clean, plastic, leakproof container. morning Methodology:Colorimetric 17-Hydroxypregnenolone Test Code:60501 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:0.4 ml No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable 17-Hydroxyprogesterone Test Code:60053 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Minimum Volume:0.25 ml 0.5 ml lavender EDTA, green heparin plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-6 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 1

51 17-Ketogenic Steroids, Creatinine, Urine, 24 Hr Test Code:60502 CPT Codes: 82570, Primary Container:24 hour urine container 2 aliquots are required: 100 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 7.5 AND 0.5 ml from a well mixed 24 hour collection with no preservative added. Minimum Volume:20 ml urine 2 aliquots are required: 100 ml from a well mixed 24 hour urine. Add boric acid to maintain a ph below 7.5 AND 0.5 ml from a well mixed 24 hour collection with no preservative added Specify on the urine container the patient's age and sex and the total 24 hour urine volume. Submit specimens in clean, plastic, leakproof containers. Estimated Turnaround Time:4-9 days Days Performed:Thursday Methodology:Colorimetric 17-Ketosteroids w/o Creatinine, Urine, 24 Hour Test Code:60908 CPT Code: Primary Container:24 hour urine container 20 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:10 ml urine 20 ml from a well mixed 24 hour urine. Add boric acid to maintain a ph below 3. Keep urine refrigerated during and after collection. Submit urine in a clean, plastic, leakproof container. Estimated Turnaround Time:4-7 days Days Performed:Monday-Thursday, Sunday Methodology:Colorimetric 17-Ketosteroids, Creatinine, Ur, 24 Hr Test Code:60503 CPT Codes: 82570, Primary Container:24 hour urine container 20 ml from a well mixed 24 hour urine. Add 6 N Hcl to maintain a ph below 7.5. Minimum Volume:10 ml urine 20 ml from a well mixed 24 hour urine. Add 6N Boric Acid to maintain a ph below ml from a well mixed 24 hour urine collected without preservative, ph below 7.5, frozen Keep urine refrigerated during and after collection. Specify on the urine container the patient's age and sex and the total 24 hour urine volume. Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday, Sunday Methodology:Colorimetric 25-Hydroxy Vitamin D See "Vitamin D, 25-Hydroxy" 3a-Androstanediol Glucuronide Test Code:60945 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:8-12 days Days Performed:Tuesday Methodology:Enzyme-linked Immunosorbent Assay Rejection Criteria: Hemolysis, lipemia, icterus SST s are not acceptable 5' Nucleotidase Test Code:60504 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic,, Sunday Methodology: Colorimetric Kinetic 5-Flucytosine Test Code:60750 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum, frozen immediately Minimum Volume:1 ml No SST s. Specimens collected just before or within 15 minutes of the next dose represent the trough levels. Specimens obtained within minutes after the end of I.V. infusion, minutes after an IM injection, or 90 minutes after oral intake represent the peak level. Centrifuge and immediately transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:High Performance Liquid Chromatography Rejection Criteria: Room temperature or refrigerated specimens SST s are not acceptable Body fluid specimen Clinical Laboratory Partners Page 2

52 5-HIAA (Serotonin), Creatinine, Urine, 24 Hr Test Code:60124 CPT Codes: 82570, Primary Container:24 hour urine container 10 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:5 ml urine 10 ml from a well mixed 24 hour urine, without preservative, ph below 6, frozen Keep urine refrigerated during and after collection. Patient should avoid food high in indoles: avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patients should also avoid tobacco, tea, and coffee for 3 days prior to specimen collection. Mix well before aliquotting. Submit specimen in sterile, leakproof container. Specify total 24-hour urine volume and patient's age on the urine container. *** Please note: 24 hour container should be kept refrigerated until aliquot is is stabilized with 6N HCl to maintain a ph below 3. morning Methodology:High Performance Liquid Chromatography 5-HIAA (Serotonin), Urine, Random Test Code:60135 CPT Code: Primary Container:Sterile specimen container 5 ml urine. Add 6N HCl (added dropwise) to maintain ph below 3. Minimum Volume:5 ml urine 5 ml urine collected without preservative, frozen if ph is below 6 Patient should avoid food high in indoles; avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patients should also avoid tobacco, tea, and coffee for 3 days before specimen collection. Submit specimen in clean, plastic, leakproof container. morning Methodology:High Performance Liquid Chromatography A. alternata (m6), IgE Test Code:16051 serum (1.1 ml minimum) for each 5-10 allergens tested. serum A. phagocytophilum DNA, RT-PCR,Ql Test Code:62299 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml whole blood whole blood 1 tick, submitted in plastic, leakproof container Submit lavender EDTA specimen in original collection. Estimated Turnaround Time:3-8 days Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction A1c See "Hemoglobin A1c" A1c with eag See "Hemoglobin A1c with Estimated Average Glucose" A2 Quantitation See "Hemoglobin A2, Quantitative" ABO Only Test Code:18001 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml whole blood Minimum Volume:3 ml whole blood Lavender EDTA whole blood Red top non-gel barrier GLASS Tube must be labeled with Patient Full Name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Marked hemolysis ABO, Rh and Antibody Screen (Pre-Natal) Test Code:12560 CPT Codes: 86850, 86900, Includes:ABO (Blood Group), Rh Typing and Antibody Screen. 6 ml pink EDTA whole blood Transport Temp: Refrigerated Clinical Laboratory Partners Page 3

53 ABORH Test Code:18002 CPT Codes: 86900, Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml whole blood Minimum Volume:3 ml whole blood Lavender top EDTA Red top non-gel barrier GLASS Tube must be labeled with Patient Full Name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Marked hemolysis Frozen specimen Abscess Culture See "Culture, Deep Wound" Absolute Neutrophil Count Test Code:11866 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Flow cytometry with a combination of nucleic acid fluorescence/optical, cytochemistry, and radio frequency with a reflex to manual microscopic methods Rejection Criteria:Clotted, frozen, or hemolyzed specimens Acacia (t19), IgE Test Code:60287 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Acarus siro (d70), IgE Test Code:60339 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, ACE See "Angiotensin Converting Enzyme (ACE), Serum See "Angiotensin Converting Enzyme, CSF" Acetaminophen, Quantitative Test Code:10133 CPT Code: ml serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Red top or gel barrier s are acceptable for serum collections. Separate serum from the cells immediately after clot formation. Methodology:Enzymatic Acetoacetic Acid, Qualitative Test Code:11616 CPT Code: ml serum 1 ml plasma Alternate Container:Green top lithium heparin non-gel barrier Do not open. Keep spun specimen tightly capped and refrigerated for up to 24 hours. For longer storage, centrifuge and transfer serum into clean, plastic screw-capped vial(s) and freeze at -20 degrees C. Methodology:Acetest Rejection Criteria: Room temperature specimens Refrigerated for >24 hours Specimen processed aerobically Acetone See "Acetoacetic Acid, Qualitative" Clinical Laboratory Partners Page 4

54 Acetylcholine Receptor (ACHr) Blocking Antibody Test Code:60664 CPT Code: ml serum Minimum Volume:0.1 ml 0.2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday evening Methodology:Radioimmunoassay Rejection Criteria:Body fluid other than blood Acetylcholine Receptor (ACHr) Modulating Ab Test Code:60582 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday, Sunday Methodology:Radiobinding Assay Acetylcholine Receptor Binding Antibody Test Code:60505 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, evening Methodology:Radioimmunoassay Rejection Criteria:Hemolysis, lipemia, icteric specimen Acetylsalicylic Acid See "Salicylate" Acid Phosphatase, Prostatic Test Code:60684 CPT Code: ml serum, frozen 1 ml serum from red top non-gel barrier, frozen Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen afternoon Methodology:Immunoassay Rejection Criteria: Gross hemolysis Room temperature or refrigerated specimens ACL See "Cardiolipin Antibody Panel" ACTH See "Adrenocorticotrophic Hormone (ACTH), Plasma" ACTH Stimulation Test See "Cortisol, pre Cosyn" See "Cortisol, 30 min post Cosyn" See "Cortisol, 60 min post Cosyn" Actifed See "Diphenhydramine (Benadryl)" Actin Antibody, IgG Test Code:60996 CPT Code: ml serum Minimum Volume:0.25 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Methodology:Enzyme Linked Immunosorbent Assay Clinical Laboratory Partners Page 5

55 Activated Protein C Resistance Test Code:60062 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Days Performed:Monday-Saturday morning Methodology: aptt-based Assay Clot-Based Assay Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Acute Hepatitis Panel with Reflex See "Hepatitis Panel, Acute" Acylcarnitine, Plasma Test Code:62268 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 1 ml green sodium heparin plasma, frozen immediately Minimum Volume:0.2 ml plasma 1 ml serum from red top non-gel barrier, frozen immediately Centrifuge immediately after collection and transfer plasma into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:8-12 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Room temperature, refrigerated or thawed specimens Green lithium heparin plasma Acylglycines, Quantitative, Urine Test Code:62142 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative, frozen immediately Minimum Volume:4 ml urine Alternate Container:Sterile Urine Cup Submit specimen in clean, plastic, leakproof container. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-14 days Days Performed:Monday, Wednesday, Friday Methodology:Gas Chromatography Mass Spectrometry Rejection Criteria:Room temperature specimens ADAMTS13 Activity Rflx ADAMTS Inhibitor Test Code:60871 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if ADAMTS13 Activity is <or=40 mg/ml, the ADAMTS13 Inhibitor (CPT 85335) will be performed at an additional charge. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days Days Performed:Sunday, Tuesday-Friday Methodology:Electrophoresis Rejection Criteria:Room temperature specimen Adapin See "Doxepin and Desmethyldoxepin" Clinical Laboratory Partners Page 6

56 Adenosine Deaminase, Blood Test Code:60764 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml whole blood 4 ml yellow ACD-B whole blood Alternate Container:Yellow top ACD solution B Submit whole blood specimen in clean, plastic, Estimated Turnaround Time:4-7 days Methodology: Colorimetric Kinetic Rejection Criteria:Frozen specimens Adenovirus Antibody Test Code:60575 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days morning Methodology:Complement Fixation Rejection Criteria:Hemolysis or lipemia Adenovirus DNA, RT-PCR, Qual Test Code:61070 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma 1 ml red top serum 1 ml lavender EDTA, yellow ACD whole blood 1 ml urine, sputum, bronchial lavage, CSF, tissue, stool in sterile container Alternate Container:Serum Separator Tube Centrifuge and transfer plasma into clean, plastic, Days Performed:Monday-Sunday Methodology:Real-time Polymerase Chain Reaction Rejection Criteria:Frozen whole blood ADH See "Arginine Vasopressin (ADH)" Adrenocorticotrophic Hormone (ACTH), Plasma Test Code:60636 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1.5 ml EDTA plasma drawn from a fasting patient, frozen plasma Fasting is required. Centrifuge within one hour of collection, transfer plasma into clean, plastic, screw-capped vial(s) and freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days morning Methodology:Immunoassay Rejection Criteria: Room temperature, refrigerated or thawed specimens Gross hemolysis Advanced Lipid Panel Reflex Direct LDL Test Code:62435 CPT Codes: 80061, 82172, 83695, ml serum Minimum Volume:2 ml 4 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, If Triglyceride is >400 mg/dl, a Direct LDL (CPT 83721) will be added at an additional charge. Estimated Turnaround Time:8-12 days Methodology: Enzymatic Fixed Rate Time Nephelometry Immunoturbidometric Ion Mobility Spectrophotometry Rejection Criteria: Gross hemolysis Moderate to gross icterus Aeromonas Culture See "Culture, Stool R/O Aeromonas" Affirm See "Vaginitis DNA Probe" AFP See "Alpha-Fetoprotein (AFP) Maternal" See "Alpha-Fetoprotein, Tumor Marker" AFP Quad Screen See "Maternal Quad Screen" Clinical Laboratory Partners Page 7

57 ALA See "Aminolevulinic Acid (ALA), Urine, 24 Hour" See "Aminolevulinic Acid Dehydratase, Erythrocytes" Alanine Aminotrans (ALT) Test Code:10236 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic with Pyridoxial Phosphate Rejection Criteria:Hemolyzed specimens Albumin Test Code:10211 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Dye Binding-Bromcresol Green Albumin, Body Fluid Test Code:10198 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 1 ml body fluid Minimum Volume:1 ml 1 ml body fluid in lavender EDTA 1 ml body fluid in red top non-gel barrier Alternate Container:Lavender top EDTA Label container with fluid type. Methodology:Colorimetric Rejection Criteria:Viscous specimen Alder (t2), IgE Test Code:16112 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Aldolase Test Code:60132 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Enzymatic Rejection Criteria:Hemolysis Aldosterone Test Code:60506 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy EDTA, green heparin plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Samples from upright (seated) patient should be drawn 1/2 hour after patient sits up. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Alcohol See "Ethanol, Blood" See "Ethanol, Urine" Clinical Laboratory Partners Page 8

58 Aldosterone, Creat, Urine, 24 Hr Test Code:60726 CPT Codes: 82088, Primary Container:24 hour urine container 5 ml from a well mixed 24 hour urine Minimum Volume:0.8 ml urine Random urine collected without preservative Alternate Container:Non-sterile container Keep urine refrigerated during and after collection. Record the total 24 hour urine volume on the sample container and on the test requisition. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:7-11 days Days Performed:Sunday, Tuesday Methodology: Radioimmunoassay Extraction Aldosterone/Plasma Renin Activity Ratio Test Code:62129 CPT Codes: 82088, Primary Container:Lavender top EDTA Specimen Type:Plasma 1.8 ml EDTA plasma, frozen Minimum Volume:0.8 ml plasma Do not refrigerate plasma. Centrifuge and transfer plasma into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Refrigerated specimens Alkaline Phosphatase Test Code:10212 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic Alkaline Phosphatase Isoenzymes Test Code:60063 CPT Codes: 84075, ml serum Fasting is preferred Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic,, Sunday Methodology:Electrophoresis Alkaline Phosphatase, Bone Specific Test Code:60679 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, morning Methodology: Chemiimmunoluminescent Assay Enzymatic Rejection Criteria: Room temperature specimen Gross hemolysis Allergy See Allergy Section in the front of this Directory of Services Allergy Childhood Food & Environmental Profile Test Code:60729 CPT Codes: 82785, (x11) Includes: Alternaria alternata (m6), Cockroach (i6), Codfish (f3), Dermatophagoides farinae (d2), Dog Dander (e5), Egg White (f1), Milk (f2), Peanut (f13), Soybean (f14), Wheat (f4), Cat Dancer (e1), Total IgE. 5 ml (2.7 ml minimum) serum Allergy Food Adult Profile Test Code:12811 (x11) Includes: Scallop (r338), Clam (f207), Codfish (f3), Maize/Corn (f8), Egg White (f1), Milk (f2), Peanut (f13), Shrimp (f24), Soybean (f14), Walnut (f256), Wheat (f4). 3 ml (1.5 ml minimum) serum Clinical Laboratory Partners Page 9

59 Allergy Respiratory Region 1 Profile Test Code:12812 CPT Codes: 82785, (x27) Includes: Alternaria alternata (m6), Aspergillus fumigatus (m3), Birch (t3), Cladosporium herbarum (m2), Cockroach (i6), Common (Short) Ragweed (w1), Dermatophagoides farinae (d2), Dermatophagoides pteronyssinus (d1), Dog Dander (e5), Elm (t8), Lamb's Quarters (Goosefoot) (w10), Orchard Grass (g3), White Ash (t15), Cat Dander (e1), Oak (t7), Maple (Box Elder) (t1), Timothy Grass (g6), Penicillium chrysogenum (m1), Rough pigweed (w14), Bermuda Grass (g2), Mountain Cedar (Juniper) (t6), Walnut Tree (t10), Cottonwood (t14), Mugwort (w6), Sheep Sorrel (w18), Sycamore (t11), White Mulberry (t70), Total IgE. 7 ml (3.8 ml minimum) serum Almond (f20), IgE Test Code:16003 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Alpha-1 Antitrypsin (AAT) Mutation Analysis Test Code:60765 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:2 ml whole blood 5 ml green heparin, navy EDTA, yellow ACD whole blood Alternate Container:Green top sodium heparin Submit whole blood specimen in original collection. Estimated Turnaround Time:8-12 days Days Performed:Monday, Wednesday, Friday Methodology:Fluorescent Restriction Fragment Rejection Criteria:Frozen specimens Alpha-1 Antitrypsin, Total Test Code:11623 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA, blue citrate plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidimetric Assay Alpha-1-Antitrypsin (AAT) Phenotype Test Code:61048 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday Methodology:Isoelectric Focusing Alpha-1-Antitrypsin, Feces, Random Test Code:60767 CPT Code: Primary Container:Sterile Urine Cup Specimen Type:Stool Entire collection, 10 g or 2 g portion of stool, frozen Minimum Volume:2 g stool Submit entire collection, 10 g or 2 g portion of feces collection in a plastic, leak-proof, feces container. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days Methodology:Nephelometric Rejection Criteria:Room temperature specimens Alpha-2 Antiplasmin Test Code:60710 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately Minimum Volume:0.6 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:9-14 days Days Performed:Tuesday Methodology:Chromogenic Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 10

60 Alpha-Fetoprotein (AFP), Fluid, CSF Test Code:60936 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 3 ml CSF Minimum Volume:2 ml CSF Submit specimen in a sterile, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:5-8 days Days Performed:Tuesday Methodology:Immunoassay Alpha-Fetoprotein (AFP), Maternal, Chantilly Test Code:62319 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, ; reports next day Methodology:Immunochemiluminometric Assay Rejection Criteria:Gross lipemia Alpha-Fetoprotein (AFP), Maternal, Yale Test Code:14110 CPT Code: ml serum Minimum Volume:1 ml 5 ml serum from red top non-gel barrier Must include patient data sheet. Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:1-2 weeks Methodology: Enzyme Immunoassay (ELISA) RIA Chemiluminescence Rejection Criteria:Previously frozen specimens Alpha-Fetoprotein (AFP), Tumor Marker Test Code:10673 CPT Code: ml serum 1 ml green sodium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation to separate serum from cells. Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Fluid specimens are unacceptable Alpha-Lactalbumin (f76), IgE Test Code:60203 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Alpha-Subunit Test Code:60064 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:6-15 days Days Performed:Tuesday, Friday Methodology:Radioimmunoassay Rejection Criteria:Gross hemolysis or icterus Alpha-Tocopherol See "Vitamin E (Tocopherol)" Alpha-Tumor Necrosis Factor See "Tumor Necrosis Factor-Alpha, Highly Sensitive" Clinical Laboratory Partners Page 11

61 Alprazolam, Quantitative Test Code:27680 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:2 ml 2 ml green sodium heparin plasma Alternate Container:Green top sodium heparin No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography/Electron Capture Detection Rejection Criteria:SST s are not acceptable ALT See "Alanine Aminotrans (ALT)" Aluminum Test Code:62090 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:0.7 ml serum 2 ml navy EDTA, navy heparin plasma Alternate Container:Navy blue top EDTA Do not draw navy blue first. Draw a no additive serum separator and discard if not necessary. Allow to clot in upright position. Centrifuge and transfer serum into clean, plastic, trace metal-free, screw capped vial(s). Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Amikacin Test Code:60639 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.2 ml 1 ml lavender EDTA plasma 1 ml serum from navy blue non-additive Alternate Container:Lavender top EDTA No SST s. Collect trough specimen just prior to next dose. Collect peak specimen at the end of a 60 minute infusion, 30 minutes after a 30 minute infusion, or 60 minutes after an IM dose. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Amino Acid Analysis, Quantitative, Plasma Test Code:60574 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 2 ml plasma drawn from a fasting patient, frozen plasma 2 ml EDTA, green lithium heparin plasma drawn from a fasting patient, frozen Alternate Container:Green top lithium heparin non-gel barrier Fasting is required. Patient age is required for correct interpretation. If possible, also provide a brief clinical history, tentative diagnosis, and therapy (drugs, x-rays, infant formula, diet) over the last three days. Collect specimen after an overnight fast (or at least 4 hours after a meal). Non-fasting samples are acceptable for pediatric patients. Centrifuge and transfer plasma into clean, plastic screw-capped vial(s) within 30 minutes of draw and freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:8-12 days Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria:Room temperature or thawed specimens Amino Acids, Creat, Ur, Random, Quant Test Code:60596 CPT Code: Primary Container:Non-sterile container 3 ml random urine collected without preservatives, frozen urine Do not acidify. Urine with a ph less than 2.0 is unacceptable. Do not allow specimen to thaw once it is frozen. Patient's age and sex are required for interpretation. Please provide a brief clinical history, tentative diagnosis, and the therapy over the last three days (drugs, x-ray, infant formula, diet). Submit urine in a sterile, plastic, leak-proof container. Transportation Temperature:Frozen Estimated Turnaround Time:10-14 days Days Performed:Tuesday, Thursday, Friday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria: Room temperature specimen ph less than 2.0 Aminoglycosides See Amikacin, Gentamicin, Tobramycin and Vancomycin testing Clinical Laboratory Partners Page 12

62 Aminolevulinic Acid (ALA), Urine, 24 Hour Test Code:60940 CPT Code: Primary Container:24 hour urine container 2 ml of a well mixed 24 hour urine collected without preservative, protected from light Minimum Volume:0.6 ml urine 2 ml of a well-mixed 24 hour urine, preserved with 25 ml 6N HCl, protected from light Urine without preservative is acceptable, if ph is below 6 and is shipped frozen, protected from light. Keep urine refrigerated during collection. Keep refrigerated and protected from light during and after collection. Submit urine from a well-mixed 24 hour urine collected with no preservative in a plastic, leakproof container and protect from light. Estimated Turnaround Time:4-7 days Days Performed:Monday, Wednesday, Friday Methodology:Colorimetric Rejection Criteria: Not protected from light Room temperature specimen Aminolevulinic Acid Dehydratase, Erythrocytes Test Code:22503 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 7 ml whole blood Minimum Volume:3 ml whole blood 7 ml green lithium heparin whole blood Alternate Container:Green top lithium heparin non-gel barrier No gel barrier s. Patient should abstain from alcohol for 24 hours prior to collection. Collect Monday-Friday. Friday collection must be by noon and specimen must arrive at Core by 3pm for same day shipping. Send to Core "attn lead or supervisor". Do not collect the day before a holiday. Place specimen on wet ice or refrigerate as soon as possible after collection. Submit whole blood specimen. Methodology:Enzymatic Spectrofluoremetry Rejection Criteria:Gel barrier s are not acceptable Aminophylline See "Theophylline" Amiodarone Test Code:60626 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1 ml 3 ml lavender EDTA, green heparin plasma 3 ml serum from navy non-additive Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-6 days Days Performed:Tuesday, Thursday, Saturday Methodology:High Performance Liquid Chromatography Rejection Criteria: SST s are not acceptable Hemolysis or lipemia Amitriptyline, Quantitative Test Code:60057 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml plasma Minimum Volume:1.5 ml plasma 3 ml navy blue, green heparin plasma 3 ml red top non-gel barrier, navy non-additive serum No gel barrier s. Collect as a trough or at least 12 hours after the last dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Gel barrier s are not acceptable Gross hemolysis AML1/ETO (t(8,21)) Fusion ID, RT-PCR Test Code:8142 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood or bone marrow Minimum Volume:1 ml Submit whole blood or bone marrow specimen. Deliver within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Clotted or frozen samples Clinical Laboratory Partners Page 13

63 Ammonia, Plasma Test Code:11627 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml EDTA plasma Minimum Volume:1 ml Plasma must be separated and frozen immediately at -20 degrees C or lower. Tubes should be filled completely and kept tightly stoppered at all times. Place immediately on ice and centrifuge within 10 minutes of collection. Freeze immediately at -20 degrees C or lower. If unable to process immediately, specimens may be kept submerged in an ice slurry, tightly capped, for up to 1 hour after collection. Transportation Temperature:Frozen Methodology:Glutamate Dehydrogenase Rejection Criteria: Thawed samples, samples not tested/frozen within one hour of collection when stored on ice. Amoeba See "Entamoeba histolytica Antibody" See "Entamoeba histolytica Stool Antigen" Amoxicillin (c6), IgE Test Code:60228 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Amphetamine and Metabolite, Confirm, Ur, Qt Test Code:45026 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology: Liquid Chromatography/Tamdem Mass Spectrometry Gas Chromatography/Mass Spectrometry Amphetamine Screen Rflx Semi-Quant & Conf, Urine Test Code:11224 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code CPT 80324, 80359) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Amphetamine Screen, Reflex Semi-Quantitative Test Code:12458 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:1 ml Alternate Container:Non-sterile container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Amphetamine Screen, Urine Test Code:10136 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile Urine Cup The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Clinical Laboratory Partners Page 14

64 Amphetamine Screen, Urine, Reflex Confirmation Test Code:10146 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, a confirmation (test code CPT 80324, 80359) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Ampicillin (c5), IgE Test Code:60227 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Amylase Test Code:10213 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic Amylase, Fluid Test Code:11827 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 3 ml body fluid 1 ml body fluid in red top non-gel barrier Label container with fluid type. Methodology:Colorimetric Rejection Criteria:Viscous specimen Amylase, Fractionated Test Code:60685 CPT Code: ml serum 1.5 ml green sodium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, morning Methodology:Enzymatic Rejection Criteria:Room temperature or frozen specimens Amylase, Urine, Random Test Code:11633 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:5 ml 1 ml random urine from a UAP or gray perservative Alternate Container:Sterile Urine Cup Aliquot from a well-mixed random urine collection, ph adjusted to >7 (alkaline) with NaOH. Methodology:Enzymatic ANA See "Anti-Nuclear Antibody Screen, Reflex Titer" ANA & Sjogren's Panel Reflex to ANA Titer Test Code:11625 CPT Codes: 86038, ml serum Minimum Volume:1.5 ml A positive result will reflex to ANA titer (test code CPT 86039) at an additional charge. Estimated Turnaround Time:5-7 days Methodology: Immunofluorescence (Hep-2 substrate) Enzyme Immunoassay Clinical Laboratory Partners Page 15

65 ANA Reflex RF, Rheum, C3, C4 Profile Test Code:11673 CPT Code: ml serum Minimum Volume:4 ml A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), dsdna (test code 12434, CPT 86225), Ro (test code 10524, CPT 86235), La (test code 10529, CPT 86235), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), Centromere B Ab (test code 10518, CPT 86038), C3 (test code 11642, CPT 86160), C4 (test code 11643, CPT 86160), and RF (test code 11767, CPT 86431) at an additional charge. Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolyis or lipemia ANA Reflex Rheum, C3, C4 Profile Test Code:11635 CPT Code: ml serum Minimum Volume:3 ml A positive result will reflex to: Anti-Nuclear Antibody Titer (test code 11166, CPT 86039) Double Strand DNA Ab (test code 12434, CPT 86225) Ro (SSA) Antibody (test code 10524, CPT 86235) La (SSB) Antibody (test code 10529, CPT 86235) Sm (Smith) Antibody (test code 10537, CPT 86235) Sm/RNP Antibody (test code 10538, CPT 86235) Centromere B Antibody (test code 10518, CPT 86038) Complement C3 (test code 11642, CPT 86160) Complement C4 (test code 11643, CPT 86160) at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen Reflex Titer and Comp Panel Test Code:11658 CPT Code: ml serum Minimum Volume:2.5 ml 4 ml serum from red top non-gel barrier A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), dsdna (test code 12434, CPT 86225), Ro (test code 10524, CPT 86235), La (test code 10529, CPT 86235), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), Scl-70 (test code 10540, CPT 86235), Jo-1 (test code 10539, CPT 86235), Chromatin Nucleosomal Ab (test code 60742, CPT 86235), Ribosomal P Ab (test code 61060, CPT 83516), and Centromere B Ab (test code 10518, CPT 86038) at an additional charge. Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen Reflex Titer and ENA Panel Test Code:11620 CPT Code: ml serum Minimum Volume:1.5 ml A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), dsdna (test code 12434, CPT 86225), Ro (test code 10524, CPT 86235), La (test code 10529, CPT 86235), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), Scl-70 (test code 10540, CPT 86235); and Jo-1 (test code 10539, CPT 86235) at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia Clinical Laboratory Partners Page 16

66 ANA Screen Reflex Titer and Lupus Panel Test Code:11636 CPT Code: ml serum Minimum Volume:2 ml 4 ml serum from red top non-gel barrier A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), dsdna (test code 12434, CPT 86225), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), and Chromatin Nucleosomal Ab (test code 60742, CPT 86235) at an additional charge. Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen Reflex Titer and MCTD Panel Test Code:11638 CPT Code: ml serum Minimum Volume:1.5 ml 3 ml serum from red top non-gel barrier A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), dsdna (test code 12434, CPT 86225), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), and Scl-70 (test code 10540, CPT 86235) at an additional charge. Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen Reflex Titer and Scleroderma Panel Test Code:11639 CPT Code: ml serum Minimum Volume:1.5 ml 3 ml serum from red top non-gel barrier A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), Scl-70 (test code 10540, CPT 86235), and Centromere B Ab (test code 10518, CPT 86038) at an additional charge. Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen, Reflex ANA Titer, Sm, Sm/RNP, dsdna Test Code:11624 CPT Code: ml serum Minimum Volume:1 ml A positive result will reflex to: ANA Titer (test code 11166, CPT 86039), Sm (test code 10537, CPT 86235), Sm/RNP (test code 10538, CPT 86235), and dsdna (test code 12434, CPT 86225) at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia ANA Screen, Reflex Titer and dsdna Test Code:11836 CPT Code: ml serum Minimum Volume:1 ml A positive result will reflex to: ANA Titer (test code 11166, CPT 86039) and dsdna (test code 12434, CPT 86225) at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia Anaplasma (Ehrlichia) Blood Smear Test Code:11011 CPT Codes: 87015, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:5 ml whole blood Specimen must be delivered to the lab within 12 hours of collection. Call dispatch for pickup. Place specimen in RED STAT specimen bag. Estimated Turnaround Time:1-4 days Methodology:Wright-Geimsa Stain Clinical Laboratory Partners Page 17

67 Anaplasma phagocytophilum Ab (Ehrlichia) Test Code:11195 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Test includes IgG and IgM antibodies. Estimated Turnaround Time:2-6 days Days Performed:Wednesday, Friday Methodology:Indirect Immunofluorescence Assay ANCA See "Anti-Neutrophilic Cytoplasmic Ab Vasculitides" ANCA Screen Reflex Titer Test Code:62043 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the ANCA Screen is positive, the C-ANCA Titer (CPT 86021) and/or the P-ANCA Titer (CPT 86021) and/or the Atypical P-ANCA Titer (CPT 86021) will be performed at additional charge(s). Estimated Turnaround Time:5-10 days Methodology:Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icteric specimens Androstenedione Test Code:60700 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.25 ml 1 ml lavender EDTA, green heparin plasma Alternate Container:Lavender top EDTA No SST s. An early morning specimen is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Angioneurotic Edema, Hereditary See "C1 Inhibitor, Functional" Angiotensin Converting Enzyme (ACE), Serum Test Code:60663 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from a red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Days Performed:Monday-Saturday Methodology:Kinetic Rejection Criteria:Hemolysis Angiotensin Converting Enzyme, CSF Test Code:60066 CPT Code: Primary Container:Sterile specimen container Specimen Type:Cerebrospinal fluid 1 ml CSF CSF Alternate Container:Sterile CSF Submit specimen in sterile, plastic, leakproof container. Methodology:Kinetic Angiotensin II Test Code:60981 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml plasma, frozen immediately plasma Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 30 minutes of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Tuesday Methodology:Immunoassay Rejection Criteria:Room temperature specimens Ankylosing Spondylitis See "HLA-B27, PCR" Anthrax See "Culture, Blood R/O Anthrax" See "Culture, Nose R/O Anthrax" See "Culture, Wound R/O Anthrax" Anti-Actin Antibody See "Actin Antibody IgG" Clinical Laboratory Partners Page 18

68 Anti-Adenovirus See "Adenovirus Antibody" Anti-Adrenal Antibody Screen, Reflex Titer Test Code:60508 CPT Code: ml serum 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic Please note, if screen is positive, an Adrenal titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:9-15 days Days Performed:Wednesday, Friday Methodology:Indirect Immunofluorescence Assay Anti-DNA See "Double Strand DNA Ab" Anti-DNase-B See "Dnase-B Antibody" Anti-ENA See "Sm (Smith) and Sm/RNP Antibodies" Anti-Endomysial Antibody See "Endomysial IgA Ab Screen, Reflex to Titer" Anti-GBM See "Glomerular Basement Membrane Antibody IgG" Anti-HBc, IgM See "Hepatitis B Core Antibody IgM" Anti-Hepatitis Be See "Hepatitis Be Antibody" Anti-Histamine Screen Test Code:27320 CPT Code: Primary Container:Red top non-gel barrier 5 ml serum Minimum Volume:1.5 ml 5 ml green heparin plasma 10 ml urine in non-sterile container Alternate Container:Green top sodium heparin No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography/Nitrogen Phosphorus Detection Rejection Criteria:SST s are not acceptable Anti-Histidyl-tRNA Synthetase See "Jo-1 Antibody" Anti-Insulin Antibody See "Insulin Autoantibodies" Anti-Kell See "Antibody Screen, Reflex ID" Anti-Kidd See "Antibody Screen, Reflex ID" Anti-La See "La (SSB) Antibody" Anti-LKM See "Liver Kidney Microsomal (LKM-1) IgG Antibody" Anti-Measles See "Rubeola Antibody IgG" Clinical Laboratory Partners Page 19

69 Anti-Microsomal (Thyroid) Antibody,Reflex to Titer Test Code:11745 CPT Code: ml serum Separate serum immediately. Please note, if positive a reflex to titer will be performed at an additional charge (test code 11331, CPT 86376). Please note, if the screen is positive, the Titer (test code 11331,CPT 86376) will be performed at an additional charge. Estimated Turnaround Time:1-8 days Days Performed:One day per week Methodology:Hemagglutination Rejection Criteria:Gross hemolysis or lipemia Anti-Mitochondrial Antibody, Reflex Titer Test Code:11035 CPT Code: ml serum Please note, if the screen is positive, the Titer (test code CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescent Assay Rejection Criteria:Gross hemolysis or lipemia Anti-Mullerian Hormone AssessR Test Code:62078 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday, Saturday Methodology:Chemiluminescence Rejection Criteria: Room temperature specimen Gross hemolysis, lipemia, icterus Anti-Mumps See "Mumps Antibody IgG" Anti-Myeloperoxidase See "Myeloperoxidase Antibody" Anti-Native DNA See "Double Strand DNA Ab" Anti-Nuclear Antibody Screen, Reflex Titer Test Code:11602 CPT Code: ml serum 1 ml body fluid Alternate Container:Sterile specimen container Red top or serum separator. Please note, if the screen is positive, the Titer (test code 11166, CPT 86039) will be performed at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Anti-Parietal Cell Antibody, Reflex Titer Test Code:11038 CPT Code: ml serum Please note, if the screen is positive, the Titer (test code 11163, CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Anti-Ribonucleic Protein See "Sm (Smith) and Sm/RNP Antibodies" Anti-Scleroderma Antibody See "Scl-70 Antibody" Anti-Skeletal Muscle Antibody See "Striated Muscle Antibody" Anti-Smith Antibody See "Sm (Smith) and Sm/RNP Antibodies" Anti-Myelin Basic Protein See "Myelin Basic Protein Autoantibodies" Clinical Laboratory Partners Page 20

70 Anti-Smooth Muscle Screen, Reflex Titer Test Code:11043 CPT Code: ml serum Please note, if the Screen is Positive, the Titer (test code 11164, CPT 86256) will be added at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Indirect Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Anti-SSA See "Ro (SSA) Antibody" Anti-SSA and SSB See "Sjogren's (SS-A, SS-B) Antibodies" Anti-SSB See "La (SSB) Antibody" Anti-Strep See "DNase-B Antibody" Anti-Streptolysin O Screen reflex Titer Test Code:11078 CPT Code: ml serum Minimum Volume:1 ml 3 ml serum red top non-gel barrier Please note, if the screen is positive, the Titer (test code 11079, CPT 86060) will be added at an additional charge. Estimated Turnaround Time:1-3 days Days Performed:Tuesday-Friday, Sunday Methodology:Latex Agglutination Anti-T4 See "T4 (Thyroxine) Antibody" Anti-Thyroid Antibody See "Thyroid Antibody (ATA, TPO)" Anti-Topoisomerase Antibody See "Scl-70 Antibody" Anti-TPO See "Thyroid Peroxidase Antibody" Antibody Screen, Reflex ID Test Code:18005 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml EDTA (pink top blood bank ) whole blood Minimum Volume:3 ml whole blood Lavender top EDTA Red top non-gel barrier GLASS Tube must be labeled with Patient Full Name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Please note, if the screen is positive, the Antibody Identification will be performed. Methodology:Immunohematology Rejection Criteria: Improperly Labeled Marked Hemolysis Antibody Titer Test Code:18009 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml whole blood Lavender top EDTA Red top non-gel barrier GLASS Tube must be labeled with Patient's Full Name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Marked hemolysis Frozen specimen Antiduretic Hormone See "Arginine Vasopressin (ADH)" Anti-Thyroid Microsomal Antibody See "Anti-Microsomal (Thyroid) Antibody" Anti-Thyroxine See "T4 (Thyroxine) Antibody" Clinical Laboratory Partners Page 21

71 Antigen Type Test Code:18011 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:1 ml 4 ml lavender EDTA whole blood Tube must be labeled with Patient's Full Name, Date of Birth, or Address, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Frozen specimen Antigens, Red Blood Cells See "Antigen Testing" Antithrombin III Activity Test Code:10639 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml platelet poor plasma, frozen immediately, aliquoted from 1 FULL 3.2% blue sodium citrate plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:1-3 days Days Performed:Monday - Friday Methodology:Chromogenic Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Antithrombin III Activity (AT3), Rflx AT3 Ag Test Code:60879 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if result is < the normal age-specific reference range, an Antithrombin III Antigen (CPT 85301) will be performed at an additional charge. Transportation Temperature:Frozen Estimated Turnaround Time:2-4 days Methodology: Chromogenic Immunoturbidimentric Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 22

72 Antithrombin III Antigen Test Code:60893 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen Fasting is preferred plasma Fasting is preferred. Patient should abstain from anabolic steroids, Gemfibrozil, Warfarin (Coumadin), Heparin therapy, Asparaginase, Estrogens, Gestodene, and oral contraceptives optimally for 3 days before specimen collection. DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Immunoturbidimetric Rejection Criteria:Room temperature, refrigerated or thawed specimens APC See "Activated Protein C Resistance" Apo (a) See "Lipoprotein (a)" Apo A-1 See "Apolipoprotein A-1" Apo B See "Apolipoprotein B" Apolipoprotein A-1 Test Code:60634 CPT Code: ml serum 1 ml serum from red top non-gel berrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria: Hemolysis Gross lipemia Apolipoprotein B Test Code:60890 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria: Hemolysis Gross lipemia Apolipoprotein Evaluation (A1,B, & Ratio) Test Code:60891 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria: Hemolysis Gross lipemia Clinical Laboratory Partners Page 23

73 Apple (f49), IgE Test Code:16004 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Apricot (f237), IgE Test Code:16095 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Aptima See "Neisseria gonorrhoeae (GC) by DNA" See "Chlamydia trachomatis by DNA" See "GC/Chlamydia by DNA" aptt See "Partial Thromboplastin Time" Arginine Vasopressin (ADH) Test Code:60932 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma from a pre-chilled lavender top, frozen immediately Minimum Volume:1.0 ml plasma Draw blood in a pre-chilled lavender top and keep chilled. Centrifuge immediately and transfer plasma into clean, plastic, screw-capped vial(s) immediately. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:10-20 days Days Performed:Monday, Wednesday, Friday Methodology: Extraction Radioimmunoassay Rejection Criteria:Room temperature or refrigerated specimens Aripirazole (Abilify) Test Code:62249 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum 3 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-8 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Arsenic, Blood Test Code:60913 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 7 ml whole blood Minimum Volume:2 ml whole blood 7 ml lavender EDTA whole blood 7 ml navy sodium heparin whole blood Alternate Container:Lavender top EDTA Patient should refrain from eating seafood and taking herbal supplements for at least 48 hours before specimen collection. Submit whole blood specimen in original collection. If transferring specimen, a clean, plastic, trace metal-free vial should be used. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Arsenic, Creat, Urine, Random Test Code:62264 CPT Codes: 82175, Primary Container:See specimen requirements 7 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine Minimum Volume:1 ml urine 7 ml random urine in sterile container is acceptable but not recommended. Elevated results will be reported with a message recommending resubmission using acid-washed container. Patient should refrain from eating shell fish, shrimp, crab, lobster, and bottom-feeders, such as flounder, at least 3 days prior to specimen collection. It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid washed container. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:4-8 days Days Performed:Monday,Wednesday,Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Clinical Laboratory Partners Page 24

74 Arsenic, Frac, Creat, Ur, Random Test Code:62193 CPT Codes: 82175, Primary Container:See specimen requirements 100 ml from a 2nd voided a.m. random urine collected in acid-washed container For this test, an acid-washed/trace element 24 hour urine container is also acceptable for collection of a random urine Minimum Volume:10 ml urine It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. Patient should refrain from consuming fish, shellfish and kelp for at least one week prior to testing. Submit specimen in clean, plastic, acid-washed, leakproof container. Please note, if Arsenic is >50 mcg/l, an Arsenic, Total, Inorganic, Creat, Ur (TC CPT 82175,82570) will be performed at an additional charge. Estimated Turnaround Time:6-12 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Arsenic, Gastric Fluid Test Code:35250 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 3 ml gastric fluid Minimum Volume:1 ml gastric fluid Avoid seafood consumption for 48 hours prior to sample collection. Specimen must be collected in acid washed sample bottle. Estimated Turnaround Time:5-10 days Days Performed:Monday, Thursday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Arsenic, Urine, 24 Hour Test Code:62077 CPT Code: Primary Container:Acid-washed 24 hour urine container 100 ml urine from a well mixed 24 hour acid-washed/trace element container Add 6N HCl to maintain a ph below 6 Minimum Volume:2 ml urine Fish, shellfish, and kelp should not be consumed for at least one week before specimen collection. It is recommended that patient void directly into the acidwashed/trace element container. Submit specimen in clean, plastic, acid washed/trace element, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Arylsulfatase A, Urine Test Code:60773 CPT Code: Primary Container:Sterile Urine Cup 20 ml urine Minimum Volume:8 ml urine Alternate Container:Non-sterile container Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:4-10 days Days Performed:Thursday Methodology:Enzymatic Rejection Criteria:Room temperature or frozen specimens ASCA See "Saccharomyces cerevisiae Ab (ASCA), IgG, IgA" Ascaris (p1), IgE Test Code:60288 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Ascorbic Acid See "Vitamin C (Ascorbic Acid)" Ashkenazi Panel (11 tests) Test Code:62312 CPT Codes: 81200, 81205, 81209, 81220, 81242, 81250, 81251, 81255, 81260, 81290, 81330, 83891, 83892, 83898, 83900, 83901, 83909, 83912, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 12 ml whole blood (3 lavender EDTA s, each with 4 ml) Minimum Volume:3 s, 1.5 ml WB in each 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood Submit whole blood in original collection. Test includes Cystic Fibrosis, Canavan Disease, Gaucher Disease, Fanconi Anemia, Bloom Syndrome, Tay Sachs, Familial Dysautonomia, Niemann-Pick Disease, Mucolipidosis Type IV, Glycogen Storage Disease, Maple Syrup Disease Estimated Turnaround Time:9-13 days Methodology: Polymerase Chain Reaction Allele-Specific Hybridization Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria:Frozen specimen Clinical Laboratory Partners Page 25

75 Asialo GM-1 Ab, IgG Test Code:62341 CPT Code: ml serum Overnight fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Overnight fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Asialo GM-1 Ab, IgM Test Code:62342 CPT Code: ml serum Overnight fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Overnight fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay ASO See "Anti-Streptolysin O Screen reflex Titer" Aspartate Aminotrans (AST) Test Code:10235 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic with Pyridoxial Phosphate Rejection Criteria:Hemolyzed specimens Asper. fumigatus (m3), IgE Test Code:16052 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Asper. niger (m207), IgE Test Code:16122 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Aspergillus Antibodies Test Code:61027 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-8 days Days Performed:Tuesday, Thursday, Saturday Methodology:Immunodiffusion Aspergillus Antigen Test Code:62362 CPT Code: ml serum, frozen in original collection Minimum Volume:1 ml 2 ml SST serum, aliquotted from original collection, frozen. Aliquotted specimen is stable 48 hours refrigerated and >48 hours frozen. Preferred specimen is serum which has been collected in plastic SST. Spin to separate serum from clot and freeze immediately in original collection. Transportation Temperature:Frozen Methodology:Immunoassay Rejection Criteria:Room temperature specimens Clinical Laboratory Partners Page 26

76 Aspergillus flavus, IgE* Test Code: ml serum Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-9 days Methodology:Radioallergosorbent Assay Aspergillus fumigatus, IgG* Test Code:62123 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-11 days Days Performed:Tuesday, Thursday Aspirin See "Salicylate" Aspirin Resistance, Creat, Urine Test Code:62314 CPT Codes: 82570, Primary Container:Grey top urine boric acid 4 ml random urine, collected without preservative **If collected in a non-sterile container, urine must be transferred into grey top urine boric acid within 4 hours of collection.** Minimum Volume:3 ml urine 4 ml random urine, collected without preservative **If collected in a sterile container, urine must be transferred into grey top urine boric acid within 4 hours of collection.** Alternate Container:Sterile specimen container Submit specimen in grey top urine boric acid. **Please note: It is not recommended to test individuals suffering from urinary tract infections, severe liver disease, or end stage renal disease.** Estimated Turnaround Time:4-12 days Days Performed:Thursday Methodology: Immunoassay Kinectic Alkaline Picrate Rejection Criteria: Urine with 6N NC1 Excessive sediment or blood AST & ALT Test Code:13888 CPT Codes: 84450, ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic with Pyridoxial Phosphate Rejection Criteria:Hemolyzed specimens ATA See "Thyroglobulin Antibody" Aureobasidium pu (m12), IgE Test Code:16080 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Australian Pine (t73), IgE Test Code:16088 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Aventyl Nortriptyline See "Nortriptyline" AST See "Aspartate Aminotrans (AST)" Clinical Laboratory Partners Page 27

77 Avocado (f96), IgE Test Code:60269 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, B burgdorferi See "Lyme Ab IgG/IgM Reflex Western Blot" B Cell PCR Gene Rearrange, Fresh Spec Test Code:8292 CPT Code: Primary Container:Lavender top EDTA Specimen Type:See specimen requirements 3 ml whole blood, not clotted OR 3 ml bone marrow, not clotted Minimum Volume:1 ml whole blood/bone marrow Do not freeze specimen. Transportation Temperature: Room temperature (within 1-2 days of collection) Refrigerated (more than 2 days of collection) Estimated Turnaround Time:5-7 days Methodology: Fragment Analysis Polymerase Chain Reaction Rejection Criteria: Frozen specimens Clotted specimens B Cell PCR Gene Rearrange, Paraffin Tiss Test Code:8294 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements (5) 10 micron paraffin tissue sections submitted in a red top non-gel barrier Estimated Turnaround Time:5-7 days Methodology: Fragment Analysis Polymerase Chain Reaction B Thalassemia African American Panel, DNA Test Code:8319 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements This test is reflexed from a pre-existing specimen. This is a REFLEX TEST ONLY that will be added when applicable. Methodology: Polymerase Chain Reaction Luminex B Thalassemia Asian Panel, DNA Test Code:8320 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements This test is reflexed from a pre-existing specimen. This is a REFLEX TEST ONLY that will be added when applicable. Estimated Turnaround Time:5 days Methodology: Polymerase Chain Reaction Luminex B Thalassemia Sequencing Test Code:8321 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements This test is reflexed from a pre-existing specimen. This is a REFLEX TEST ONLY that will be added when applicable. Estimated Turnaround Time:5 days Methodology: Polymerase Chain Reaction Luminex Clinical Laboratory Partners Page 28

78 B-Type Natriuretic Peptide Test Code:10013 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml lavender EDTA plasma, frozen Minimum Volume:1 ml plasma 2 ml lavender EDTA whole blood within 24 hours of collection, refrigerated 2 ml lavender EDTA plasma, refrigerated within 24 hours of collection PSC: Draw a separate lavender EDTA for BNP request. Centrifuge the whole blood specimen, aliquot cell-free plasma into an appropriately labeled plastic aliquot and store/transport frozen. Client Draw: Whole blood should be spun within 4 hours of collection and transported refrigerated. If unable to spin, must be kept refrigerated. Send specimen "Attn Specimen Processing Lead/Supervisor". Transportation Temperature:Frozen Methodology:Chemiluminescent microparticle immunoassay Rejection Criteria: Hemolysis Whole blood > 4 hours old at room temperature B1 See "Vitamin B1, Blood" B12 See "Vitamin B12" B27 See "HLA-B27, PCR" B3 See "Niacin (Vitamin B3)" B6 See "Vitamin B6" Babesia See "Blood Parasites" Babesia microti Ab IgG/IgM Titer Test Code:11206 CPT Code: ml serum Minimum Volume:0.2 ml Estimated Turnaround Time:2-5 days Days Performed:Tuesday, Friday Methodology:Indirect Immunofluorescence Assay Babesia microti DNA, Real-Time PCR Test Code:60511 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 0.7 ml yellow top ACD-B whole blood 1 live tick in sterile, screw-capped container OR 1 tick in sterile, screw-capped container with alcohol Submit whole blood specimen in original collection. Estimated Turnaround Time:7-10 days morning Methodology:Real-Time Polymerase Chain Reaction Bacterial Antigen, Group B Strep Test Code:11488 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF CSF 1 ml urine 1 ml serum Estimated Turnaround Time:1-3 days, Sunday Methodology:Latex Agglutination Bacterial Antigen, Streptococcus pneumoniae Test Code:11484 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF CSF 1 ml urine 1 ml serum Estimated Turnaround Time:1-3 days, Sunday Methodology:Latex Agglutination Bacterial Vaginosis See "Vaginitis DNA Probe" Bahia Grass (g17), IgE Test Code:16072 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 29

79 Banana (f92), IgE Test Code:16005 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Barbiturate Screen, Reflex Semi-Quantitative Test Code:12459 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:1 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Barbiturate Screen, Rflx Semi-Quant & Conf, Urine Test Code:11227 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45027, CPT 80345) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Barbiturate Screen, Urine Test Code:10132 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Barbiturate Screen, Urine, Reflex Confirm Test Code:10145 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45027, CPT 80345) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Barbiturate, Confirmation, Ur, Quant Test Code:45027 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology: Liquid Chromatography/Tandem Mass Spectrometry Gas Chromatography/Mass Spectrometry Clinical Laboratory Partners Page 30

80 Barley (f6), IgE Test Code:16006 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Bartonella Culture See "Culture, Bartonella" Bartonella henselae, IgG, IgM Rflx Titer Test Code:60067 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note if the B. henselae IgG Antibody Screen is positive, a B. henselae Titer (CPT 86611) will be performed at an additional charge. If the B.henselae IgM Antibody Screen is positive, a B. henselae Titer (CPT 86611) will be performed at an additional charge. Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Indirect Immunofluorescence Assay Bartonella henselae, quintana, IgG,IgM Rflx Titer Test Code:62183 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the B. henselae Ab screen result(s) is greater than or equal to 1:64, a titer will be performed at an additional charge. B. henselae Ab, IgG, Titer (CPT 86611) B. henselae Ab, IgM, Titer (CPT 86611) If the B. quintana Ab screen result(s) is greater than or equal to 1:20, a titer will be performed at an additional charge. B. quintana Ab, IgG, Titer (CPT 86611) B. quintana Ab, IgM, Titer (CPT 86611) Estimated Turnaround Time:4-9 days Days Performed:Tuesday, Thursday Methodology:Indirect Immunofluorescence Bartonella quintana, IgG, IgM Test Code:25181 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer into clean, plastic, Days Performed:Tuesday-Saturday Methodology:Immunofluorescence Assay Basic Metabolic Panel Test Code:10108 CPT Code: Includes: Glucose, Blood Urea Nitrogen (BUN), Creatinine, Sodium, Potassium, Chloride, Carbon Dioxide, Anion Gap (calculated), Calcium, egfr. 2 ml serum Minimum Volume:1 ml 2 ml green lithium heparin plasma Specimens must be maintained anaerobically (unopened) to avoid loss of CO2. Methodology:See individual assays Rejection Criteria:Gross hemolysis Basil (Rf269), IgE** Test Code:60292 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 31

81 Bay Leaf (Larus nobilis), IgE Test Code: ml (0.5 ml minimum) serum for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Methodology:ImmunoCAP BCR ABL Fusion Quant with Reflex to ID Test Code:8096 CPT Code: Primary Container:Lavender top EDTA Specimen Type:See specimen requirements 1 ml EDTA whole blood or bone marrow Submit whole blood or bone marrow specimen at 4 degrees C. Deliver specimen to HH Molecular within 24 hours of collection. Estimated Turnaround Time:5 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Room temperature, frozen or clotted specimens Beech (t5), IgE Test Code:16105 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Beef (f27), IgE Test Code:16007 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Beet, IgE Test Code: ml serum (0.5 ml minimum) for 1 allergen and at least 2 ml serum for 2-10 allergens Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:ImmunoCAP Benadryl See "Diphenhydramine (Benadryl)" Benzene OSHA Exposure, Urine, Random Test Code:62138 CPT Codes: 81002, Primary Container:Non-sterile container 4 ml random urine, collected at end of shift Minimum Volume:2 ml urine Alternate Container:Sterile specimen container Collect specimen at end of shift. Submit specimen in clean, plastic, leak proof container. Estimated Turnaround Time:8-15 days Days Performed:Tuesday,Thursday Methodology: Gas Chromatography Refractometric Rejection Criteria:Urine containing preservatives Benzene, Occupational Exposure, Blood Test Code:27050 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 20 ml whole blood Minimum Volume:2.5 ml whole blood Collection s should be filled to prevent loss of volatile compound. Submit whole blood specimen. Estimated Turnaround Time:8-10 days Methodology:Gas Chromatography/Flame Ionization Detection (GC/FID) Clinical Laboratory Partners Page 32

82 Benzodiazepine Screen, Rflx Semi-Quant & Conf, Ur Test Code:11228 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45025, CPT 80346) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Benzodiazepine Screen, Urine Test Code:10135 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Benzodiazepine Screen, Urine, Reflex Confirm Test Code:10144 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45025, CPT 80346) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Benzodiazepine, Confirmation, Comp Panel Test Code:58064 CPT Code: Primary Container:Non-sterile container 20 ml random urine Minimum Volume:15 ml urine Alternate Container:Sterile specimen container Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Submit specimen in clean, plastic, leakproof container. Days Performed:Tuesday-Saturday Methodology:Gas Chromatography Mass Spectrometry Benzodiazepine, Confirmation, Ur, Qt Test Code:45025 CPT Code: Primary Container:Non-sterile container 15 ml Urine Minimum Volume:5 ml Urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, leakproof container. Transportation Temperature:Room Temperature Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Benzodiazepines Screen, Reflex Semi-Quantitative Test Code:12460 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:1 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Bermuda Grass (g2), IgE Test Code:16073 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 33

83 Beta-2 Glycoprotein IgA Test Code:10780 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml citrate platelet poor plasma Serum: Red top or gel barrier s are acceptable for serum collections. Spin, separate and refrigerate serum immediately. Plasma: Double spin citrate plasma samples to minimize platelet contamination. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic, or turbid specimens are unacceptable Beta-2 Glycoprotein IgA, IgG, IgM Panel Test Code:10784 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml citrate platelet poor plasma Serum: Red top or gel barrier s are acceptable for serum collections. Spin, seperate and refrigerate serum immediately. Plasma: Double spin citrate plasma samples to minimize platelet contamination. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic, or turbid specimens are unacceptable Beta-2 Glycoprotein IgG Test Code:10781 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml citrate platelet poor plasma Serum: Red top or gel barrier s are acceptable for serum collections. Spin, separate and refrigerate serum immediately. Plasma: Double spin citrate plasma samples to minimize platelet contamination. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic, or turbid specimens are unacceptable Beta-2 Glycoprotein IgM Test Code:10782 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml citrate platelet poor plasma Serum: Red top or gel barrier s are acceptable for serum collections. Spin, separate and refrigerate serum immediately. Plasma: Double spin citrate plasma samples to minimize platelet contamination. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic, or turbid specimens are unacceptable Beta-2 Microglobulin Test Code:11637 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbimetric Beta-2 Microglobulin, Creatinine, Urine, Random Test Code:62371 CPT Codes: 82232, Primary Container:Sterile specimen container 1 ml random urine collected without preservative Fasting is preferred urine Alternate Container:None Fasting is preferred. Prior to collection, instruct patient to empty bladder. Drink a large glass of water (minimum 16 oz). Collect a urine sample within 1 hour. Check the ph of the urine and adjust ph to between 6-8 with 1.0 M NaOH before storage to avoid Beta-2 Microglobulin degradation. Submit specimen in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Fixed Rate Time Nephelometry Clinical Laboratory Partners Page 34

84 Beta-2 Microglobulin, CSF Test Code:60775 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF, frozen CSF Submit CSF in a sterile, plastic leakproof container. Transportation Temperature:Frozen Days Performed:Monday-Saturday Methodology:Nephelometric Beta-2 Transferrin, Body Fluid Test Code:60776 CPT Code: Primary Container:Sterile specimen container Specimen Type:Fluid 0.5 ml of body fluid (nasal, otic, non-csf) Minimum Volume:0.2 ml body fluid Submit body fluid in a sterile. plastic, leakproof container. Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology: Electrophoresis Immunofixation Electrophoresis Rejection Criteria:CSF specimens Beta-hCG, Qualitative Test Code:10610 CPT Code: ml serum Methodology: Roche Automated Chemistry: Chemiluminescence Immunoassay Sure-Vue: Rapid Chromatographic Immunoassay Beta-hCG, Qualitative, Reflex Quant Test Code:10509 CPT Code: ml serum 1 ml green heparin, blue citrate, or grey sodium flouride plasma Alternate Container:Green top lithium heparin non-gel barrier Please note, if positive, Beta hcg Quantitative (test code 10611, CPT 84702) will be performed at an additional charge. Methodology:Chemiluminescence Immunoassay Beta-hCG, Qualitative, Urine Test Code:20718 CPT Code: Primary Container:Non-sterile container 2 ml urine Minimum Volume:1 ml urine Urine preservative s are unacceptable for patient testing. Methodology:Monoclonal/polyclonal antibody Beta-hCG, Quantitative Test Code:10611 CPT Code: ml serum 1 ml green heparin, blue citrate, or grey sodium flouride plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Chemilumescence Immunoassay Beta-hCG, Quantitative (Non-Maternal) Test Code:10621 CPT Code: ml serum 1 ml green heparin, blue citrate, or grey sodium flouride plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Chemiluminescence Immunoassay Beta-Hydroxybutyrate Test Code:60657 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, grey sodium fluoride plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-14 days Days Performed:Sunday-Thursday Methodology:Enzymatic Clinical Laboratory Partners Page 35

85 Beta-Lactoglobulin (f77), IgE Test Code:60204 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, BHB See "Beta-Hydroxybutyrate" Bicarbonate See "Carbon Dioxide" Bile Acids, Fractionated and Total Test Code:60069 CPT Code: ml serum Fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:8-12 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Bile Acids, Total Test Code:60070 CPT Code: ml serum drawn from a fasting patient Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier, from a fasting patient Overnite fasting is required. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. morning Methodology:Enzymatic Rejection Criteria:Room temperature specimens Bilirubin, Direct Test Code:10250 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Protect from light and assay as soon as possible. Methodology:Jendrassik and Grof Diazo with Blank Rejection Criteria:Hemolysis Bilirubin, Direct & Indirect Test Code:10262 CPT Code: ml serum serum 1 ml green lithium heparin plasma Protect specimens from light, assay as soon as possible. Methodology: Diazotized sulfanilic acid Calculation Rejection Criteria: Hemolyzed or grossly lipemic specimens are not acceptable Bilirubin, Total Test Code:10214 CPT Code: ml serum 1 ml green lithium heparin plasma Protect from light and assay as soon as possible. Methodology:Diazonium Ion with Blank Rejection Criteria: Hemolysis Underfilled lithium heparin s may cause falsely elevated results Clinical Laboratory Partners Page 36

86 Bilirubin, Total and Direct Test Code:15013 CPT Codes: 82247, ml serum 1 ml serum from red top non-gel barrier 1 ml green lithium heparin plasma Protect from light and assay as soon as possible. Methodology: Diazonium Ion with Blank Jendrassik and Grof Diazo with Blank Rejection Criteria: Hemolysis Underfilled lithium heparin s may cause falsely elevated results Bilirubin, Total Reflex to Direct & Indirect Test Code:10264 CPT Code: ml serum 1 ml green lithium heparin plasma Protect from light. Please note: If the total bilirubin is resulted as >1.0, the direct and indirect bilirubin (10262, CPT 82248) will be added at an additional charge. Methodology:Wahlefeld diazo Rejection Criteria: Hemolysis Underfilled lithium heparin s may cause falsely elevated results Bilirubin, Total, Direct and Indirect Test Code:10260 CPT Codes: 82247, ml serum 1 ml lithium heparin plasma Red top or gel barrier s are acceptable for serum collections. Protect from light. Methodology: Wahlefeld diazo Jendrassik and Grof diazo Calculation Rejection Criteria: Hemolysis Underfilled lithium heparin s may cause falsely elevated Total Bilirubin results. Biotinidase Test Code:62079 CPT Code: ml serum, frozen Minimum Volume:1 ml 1 ml lavender EDTA, green heparin plasma, frozen Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean plastic, screw-capped vial(s) within 1 hour of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:6-12 days Days Performed:Tuesday,Thursday Methodology: Colorimetric Enzymatic Rejection Criteria: Whole blood specimen Room temperature or refrigerated specimen Birch (t3), IgE Test Code:16055 serum (1.1 ml minimum) for each 5-10 allergens tested. serum BK and JC Virus DNA, Qualitative, PCR Test Code:60777 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 0.7 ml EDTA plasma plasma 0.7 ml random urine 0.7 ml red top serum 0.7 ml CSF 0.7 ml lavender EDTA whole blood submitted in original collection, refrigerated Alternate Container:Serum Separator Tube Centrifuge and immediately transfer plasma into clean, plastic, screw-capped vial(s) within 2 hours of collection. Transportation Temperature:Frozen Methodology:Real-Time Polymerase Chain Reaction Clinical Laboratory Partners Page 37

87 BK Virus DNA, RT-PCR, Quantitative Test Code:60071 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 0.7 ml EDTA plasma, frozen plasma 0.7 ml red top serum, frozen 0.7 ml lavender EDTA whole blood sent in original collection, refrigerated Alternate Container:Lavender top EDTA Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 2 hours of collection. Transportation Temperature:Frozen Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen whole blood specimens Black Bass, IgE Test Code: ml serum (0.5 ml minimum) for 1 allergen and at least 2 ml serum for 2-10 allergens Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:7-10 days Methodology:Radioallergosorbent Test Black Olive (Rf342), IgE Test Code:61034 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Immunoassay Black Pepper (f280), IgE Test Code:60243 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Bladder Cancer See "UroVysion by FISH" Blastomyces Antibody, CF, ID Test Code:62442 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Methodology: Immunofixation Complement Fixation Blood Antigens See "Antigen Testing" Blood Culture See "Culture, Blood" Blood Parasites Test Code:11802 CPT Codes: 87015, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:5 ml whole blood Specimen must be delivered to the lab within 12 hours of collection. Call dispatch for pickup. Place specimen in RED STAT specimen bag. Estimated Turnaround Time:1-3 days Methodology:Wright-Geimsa Stain Blood Type and Rh See "ABO and Rh Type" Clinical Laboratory Partners Page 38

88 Blood Urea Nitrogen (BUN) Test Code:10202 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Methodology:Urease with Glutamate Dehydrogenase Blood Urea Nitrogen (BUN), Body Fluid Test Code:11844 CPT Code: Primary Container:Green top lithium heparin with gel barrier Specimen Type:Fluid 3 ml body fluid Alternate Container:Lithium Green Top Tube Estimated Turnaround Time:1-2 days Methodology:Enzymatic Bloom Syndrome, DNA Mutation Test Code:62302 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:12-18 days Days Performed:Tuesday, Saturday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Blue Mussel (f37), IgE Test Code:16008 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Blueberry (Rf288), IgE** Test Code:60262 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, BMP See "Basic Metabolic Panel" BMP w/ Ionized Calcium See "Basic Metabolic Panel with Ionized Calcium" BNP See "B-Type Natriuretic Peptide" Body Fluid Culture See "Culture, Body Fluid (includes gram stain)" Bone Specific Alkaline Phosphatase See "Alkaline Phosphatase, Bone Specific" Bordetella pertussis Ab, IgG, IgA Test Code:60864 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology:Multi-Analyte Immunodetection Clinical Laboratory Partners Page 39

89 Bordetella pertussis Antibody, IgG Test Code:60868 CPT Code: ml serum Minimum Volume:0.25 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology:Multi-Analyte Immunodetection Bordetella pertussis/parapertussis PCR Test Code:10730 CPT Code: Primary Container:Sterile specimen container Specimen Type:Nasopharyngeal 0.5 ml nasal aspirate in a feeding or nasopharyngeal washing placed in a sterile container are acceptable Blue cap liquid Amies minitip Eswab, orange cap mini-tip charcoal or non-charcoal culture transport swab, blue cap mini-tip charcoal culture transport swab Date, time, and specimen source are required. Estimated Turnaround Time:1-4 days Methodology:Polymerase Chain Reaction Boron Test Code:35050 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:0.7 ml 2 ml navy EDTA plasma Alternate Container:Navy blue top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, trace metal-free, Estimated Turnaround Time:5-12 days Days Performed:Friday morning Methodology: Inductively-Coupled Plasma/Optical Emission Spectrometry (ICP/OES) Rejection Criteria:SST s are not acceptable Borrelia burgdorferi See "Lyme Ab IgG/IgM Reflex Western Blot" Borrelia Species DNA, RT-PCR, Tick Test Code:60701 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 1 fresh intact tick Minimum Volume:1 fresh intact tick Place 1 fresh intact tick in 1-10 ml of 70% ethanol, or wrap in wet tissue. Submit in plastic,leakproof, screw-top container. Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Specimens submitted in formalin Botrytis cinerea (m7), IgE Test Code:60293 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, BRAF Gene Mutation Panel Test Code:8315 CPT Codes: 81210, Primary Container:Paraffin block and slides Specimen Type:See specimen requirements Paraffin block and/or 5 micron sections on slide and one H&E slide Sample received from Anatomic Pathology. Accessioned into appropriate systems. Case signed out by Director of Molecular Diagnostics in CoPath. Estimated Turnaround Time:5 days Methodology: Polymerase Chain Reaction Luminex Brain Natriuretic Peptide See "B-Type Natriuretic Peptide" Clinical Laboratory Partners Page 40

90 Brazil Nut (f18), IgE Test Code:16009 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Broccoli (f260), IgE Test Code:60242 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Brome Grass (g11), IgE Test Code:60178 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Bromides Test Code:61029 CPT Code: Primary Container:Navy blue top non-additive 2 ml navy serum Minimum Volume:2 ml 2 ml random urine Alternate Container:Non-sterile container Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Monday, Wednesday, Friday Methodology:Colorimetric Brucella Ab, IgG, IgM, Rflx Agglutination Test Code:62355 CPT Code: ml serum Centrifuge and transfer serum into clean, plastic, leakproof container within 1 hour of collection. Please note, if Brucella Ab, IgM is > or = 1.10, Brucella Antibody, Agglutination (CPT 86622) will be performed at an additional charge. Estimated Turnaround Time:5-9 days Days Performed:Monday, Wednesday, Friday Methodology:Immunoassay Brussel Sprouts (Rf217), IgE** Test Code:60295 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Buckwheat (f11), IgE Test Code:60205 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 41

91 Bullous Pemphigoid Antigen (BP 180) Antibody Test Code:61096 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-12 days Days Performed:Thursday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria:Gross lipemia BUN See "Blood Urea Nitrogen (BUN)" BUN Creat w/ Ratio Test Code:14959 CPT Codes: 82565, ml serum 1 ml green lithium heparin Methodology: Urease with Glutamate Dehydrogenase Kinetic Alkaline Picrate Calculation Buprenorphine Screen, Reflex Semi-Quantitative Test Code:10872 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay (CEDIA) Buprenorphine Screen, Rflx Semi-Quant & Conf, Ur Test Code:11232 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (order code 45020, CPT 80348) will be performed at an additional charge. Methodology:Homogenous Enzyme Immunoassay (CEDIA) Buprenorphine Screen, Urine Test Code:10598 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay (CEDIA) Buprenorphine Screen, Urine, Reflex Confirmation Test Code:10873 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (order code 45020, CPT 80348) will be performed at an additional charge. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay (CEDIA) Clinical Laboratory Partners Page 42

92 Buprenorphine, Confirmation, Ur, Qt Test Code:45020 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Bupropion and Metabolite Test Code:62270 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen 1 ml lavender EDTA plasma, frozen Alternate Container:Lavender top EDTA No SST s. Collect as a trough prior to next dose. Centrifuge and immediately transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-8 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Room temperature, refrigerated or thawed specimen C-ANCA See "Proteinase-3 Antibody" c-kit Mutation Analysis, PCR Test Code:62367 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 3 ml EDTA whole blood or bone marrow collected in lavender EDTA Minimum Volume:1 ml Paraffin block Cell pellet from whole blood or bone marrow collected in lavender EDTA Submit whole blood or bone marrow in original lavender EDTA. Send to reference lab as soon as possible to maintain specimen stability. Estimated Turnaround Time:11-20 days Days Performed:Monday Methodology: Polymerase Chain Reaction Sequencing Rejection Criteria:Frozen specimen C-Peptide Test Code:10173 CPT Code: ml serum Minimum Volume:0.5 1 ml green lithium heparin, lavender EDTA plasma Estimated Turnaround Time:24 hours Methodology:Electrochemiluminescence Immunoassay (ECLIA) C-Peptide, Urine, 24 hour Test Code:61068 CPT Code: Primary Container:24 hour urine container 2 ml urine from a well-mixed 24 hour urine collected with no preservative urine Do not use preservatives. Refrigerate during collection. Submit urine from a well-mixed 24 hour urine collection with no preservative, in a clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Days Performed:Tuesday-Saturday morning Methodology:Immunochemiluminometric Assay Rejection Criteria:Use of preservatives C-Reactive Protein Test Code:11640 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Particle-enhanced Immunoturbidimetric Assay C-Reactive Protein (High Sens) Test Code:11641 CPT Code: ml serum 1 ml lavender EDTA, green heparin Methodology:Particle-enhanced Immunoturbidimetric Assay C-Terminal Insulin See "C-Peptide" Clinical Laboratory Partners Page 43

93 C. difficile Toxin and NAP1 PCR Test Code:14200 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml liquid or soft stool Methodology:Polymerase Chain Reaction Rejection Criteria: Culture transport swab, pink liquid viral transport media, Para-Pak C&S vials and hard-formed stools are not acceptable. C1 Esterase See "C1 Inhibitor, Functional" C1 Inhibitor, Functional Test Code:60514 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen immediately Minimum Volume:0.2 ml No SST s. Centrifuge and transfer serum into clean, plastic, Freeze within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Friday morning Methodology:Enzyme Immunoassay Rejection Criteria: SST s are not acceptable Room temperature or refrigerated specimen Gross lipemia C1 Inhibitor, Protein Test Code:60646 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday afternoon Methodology:Nephelometric C1q Complement Component Test Code:60674 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml lavender EDTA plasma Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:7-12 days Days Performed:Monday, Wednesday Methodology:Radial Immunodiffusion Rejection Criteria:Gross hemolysis or lipemia C2 Complement Component Test Code:60073 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier 1 ml lavender EDTA plasma Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday Methodology:Radial Immunodiffusion C3 See "Complement C3" C3 Complement Component, Pericardial Fluid Test Code:60779 CPT Code: Primary Container:Sterile specimen container Specimen Type:Pericardial fluid 1 ml pericardial fluid, frozen pericardial fluid Submit fluid in sterile, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days, Sunday Methodology:Immunoturbidimetric Rejection Criteria:Gross hemolysis Clinical Laboratory Partners Page 44

94 C3 Nephritic Factor, Serum Test Code:60074 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen immediately Centrifuge and immediately transfer serum into clean, plastic, screwcapped vial(s) within 1 hour of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:18-40 days Methodology:Immunofixation Electrophoresis Rejection Criteria:Room temperature, refrigerated or thawed specimens C3, C4 Panel Test Code:14958 CPT Code: ml serum Minimum Volume:0.5mL 1 ml green heparin plasma Methodology:Turbiometric Immunoassay C3a Test Code:70578 CPT Code: Primary Container:Futhan Kit Specimen Type:See specimen requirements 1 ml lavender EDTA plasma with futhan preservative, frozen immediately A Futhan kit is required for collection of this test. Please note, futhan preservative must be added to lavender EDTA whole blood specimen immediately after collection. Prechill lavender EDTA prior to collection. Collect blood and mix well. Immediately add futhan preservative to lavender EDTA, recap and gently invert several times to mix. Centrifuge and transfer plasma into PP purple screw-capped aliquot provided in the kit. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:3-7 days Days Performed:Tuesday, Thursday Methodology:Radioimmunoassay Rejection Criteria:Room temperature or refrigerated specimens C4 See "Complement C4" C4 Binding Protein Test Code:62086 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells), leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:6-12 days Days Performed:Tuesday Methodology:Radial Immunodiffusion Rejection Criteria:Room temperature or refrigerated specimens C4a Test Code:70577 CPT Code: Primary Container:Futhan Kit Specimen Type:See specimen requirements 1 ml lavender EDTA plasma with futhan preservative, frozen immediately A Futhan kit is required for collection of this test. Please note, futhan preservative must be added to lavender EDTA whole blood specimen immediately after collection. Prechill lavender EDTA prior to collection. Collect blood and mix well. Immediately add futhan preservative to lavender EDTA, recap and gently invert several times to mix. Centrifuge and transfer plasma into PP purple screw-capped aliquot provided in the kit. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:3-6 days Days Performed:Monday, Wednesday, Friday Methodology:Radioimmunoassay Rejection Criteria:Room temperature specimen C5 See "Complement C5" C6 See "Complement C6" Clinical Laboratory Partners Page 45

95 CA 125 Test Code:11190 CPT Code: ml serum Minimum Volume:1 ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay (ECLIA) CA 15-3 Test Code:11211 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml green heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation to separate serum/plasma from cells. Estimated Turnaround Time:Daily Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Hemolysis CA 19-9 Test Code:11210 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml green heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation to separate serum/plasma from cells. Estimated Turnaround Time:Daily Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Body fluid specimens CA Test Code:60075 CPT Code: mL serum 1 ml serum from red top non-gel barrier Centrifuge 30 minutes after collection and transfer serum into clean, plastic, Methodology:Immunoassay Rejection Criteria:Hemolysis Cabbage (f216), IgE Test Code:60237 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cadmium, Blood Test Code:60515 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:2 ml whole blood 4 ml green sodium heparin whole blood Alternate Container:Green top sodium heparin Submit whole blood specimen in original collection. If transferring specimen, a clean, plastic, trace metal-free vial should be used. Estimated Turnaround Time:4-7 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Clotted specimen Clinical Laboratory Partners Page 46

96 Cadmium, Creatinine, Urine, Random Test Code:62353 CPT Codes: 82300, Primary Container:See specimen requirements 7 ml random urine collected in either an acid-washed sample bottle (125 ml) OR a 24 hour acid-washed container Minimum Volume:5 ml urine It is recommended that patient void directly into the acid-washed container whether it is a random acid-washed bottle or a 24 hour acid-washed container. Submit urine in a clean, plastic, acid-washed, leakproof vial(s). Estimated Turnaround Time:4-8 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Cadmium, Urine, 24 Hour Test Code:27102 CPT Code: Primary Container:Acid-washed 24 hour urine container 10 ml aliquot from a well mixed 24 hour acid-washed/trace element container Minimum Volume:0.2 ml urine It is recommended that patient void directly into the acid-washed/ trace element container. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:5-7 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Caffeine, Serum Test Code:60947 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.2 ml No SST s. Collect as a trough prior to next dose. Centrifuge and immediately transfer serum into clean, plastic, Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Calcitonin Test Code:60645 CPT Code: ml serum Fasting is preferred 1 ml serum from red top non-gel barrier Fasting is preferred Fasting is preferred. Centrifuge and immediately transfer serum into clean, plastic, screw capped vials(s) within 1 hour of collection. Transportation Temperature:Frozen afternoon Methodology:Immunoassay Rejection Criteria:Room temperature or refrigerated specimens Calcium Test Code:10203 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Cresolphthalein Complexone Calcium, Creatinine, Urine, 24 Hour Test Code:11230 CPT Codes: 82340, Primary Container:24 hour urine container Prepare 2 aliquots: 10 ml urine from a well-mixed 24 hour urine collected without preservative 10 ml urine from a well-mixed 24 hour urine collection. Add 6N HCl to maintain a ph <2.0. Minimum Volume:5 ml Prepare two aliquots; non-preserved for creatinine assay and acidified specimen to ph <2.0 with 6 N HCl for calcium analysis. Clearly label each aliquot as urine creat and urine calcium. Spin turbid urines at 900 RPM for 5 minutes prior to analysis. Methodology: Cresolphthalein Complexone Kinetic Alkaine Picrate Clinical Laboratory Partners Page 47

97 Calcium, Ionized Test Code:11646 CPT Code: ml serum Draw separate red top gel barrier for this test. Do not open. Methodology:Ion Selective Electrode Calcium, Ionized (mg/dl) Test Code:11651 CPT Code: ml serum Draw separate red top gel barrier for this test. Do not open. Methodology:Ion Selective Electrode Calcium, Urine, 24 Hour Test Code:10356 CPT Codes: 81050, Primary Container:24 hour urine container 10 ml urine aliquot from a well-mixed 24 hour urine collection Minimum Volume:5 ml Acidify urine collection to ph <2.0 with 6N HCl before analysis. Methodology:Cresolphthalein Complexone Calcium, Urine, Random Test Code:11845 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:1 ml 1 ml random urine from a UAP or gray perservative Alternate Container:Sterile Urine Cup Aliquot from a well mixed random urine collection. Methodology:Cresolphthalein Complexone Calprotectin, Stool Test Code:62093 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gram stool, unpreserved Minimum Volume:0.3 grams stool 1 gram liquid stool Collect stool in clean, sterile, leak proof container. Do not add fixative or preservative. Estimated Turnaround Time:5-9 days Days Performed:Monday, Friday Methodology:Immunoassay Campylobacter Culture See "Culture, Stool" Campylobacter jejuni Ab Test Code:62025 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-15 days Days Performed:Thursday Methodology:Enzyme Linked Immunosorbent Assay Rejection Criteria:SST s are not acceptable Campylobacter-Like Organism Test See "CLO Test" Canary Bird Feathers (e201), IgE Test Code:60296 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 48

98 Canary Grass (g71), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested,and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Canavan Disease, DNA Mutation Test Code:62306 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:12-18 days Days Performed:Wednesday, Friday, Sunday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Cancer Antigen See "CA 125" See "CA 15-3" See "CA 19-9" See "CA 27.29" Candida albicans (m5), IgE Test Code:16106 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Candida albicans Ab, IgG, IgA, IgM Test Code:60781 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Estimated Turnaround Time:7-10 days Methodology:Immunoassay Candida albicans Antibody, IgG Test Code:61058 CPT Code: ml serum Minimum Volume:0.1 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Monday, Thursday morning Methodology:Immunoassay Candida Antigen Detection Test Code:60782 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum within 4 hours of collection into clean, plastic, Estimated Turnaround Time:5-8 days Days Performed:Tuesday, Friday Methodology:Latex Agglutination Cannabinoid Metabolite, Confirmation, Ur, Qt Test Code:45021 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Clinical Laboratory Partners Page 49

99 Cannabinoid Screen, Reflex Semi-Quantitative Test Code:12455 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:1 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Cannabinoid Screen, Reflex to Trend Test Code:10747 CPT Codes: 80301, Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:1 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology: Kinetic Interaction of Microparticles in a Solution (KIMS) Kinetic Alkaline Picrate (Jaffe) Cannabinoid Screen, Rflx Semi-Quant & Conf, Urine Test Code:11244 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45021, CPT 80349) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Cannabinoid Screen, Urine Test Code:10137 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Cannabinoid Screen, Urine, Reflex Confirm Test Code:10143 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45021, CPT 80349) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Canrenone Test Code:35220 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.4 ml 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-12 days Days Performed:Tuesday Methodology: High Performance Liquid Chromatography/Tandem Mass Spectromety Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 50

100 Carbamazepine (Tegretol) Test Code:11274 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green sodium heparin plasma Alternate Container:Green top sodium heparin No SST s. Methodology:Cloned Enzyme Donor Immunoassay (CEDIA) Rejection Criteria:SST s are not acceptable Carbamazepine, Free Test Code:60517 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml 2 ml green sodium heparin plasma Alternate Container:Green top sodium heparin No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-6 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Carbamazepine-10, 11-Epoxide Test Code:62245 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml 2 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Carbohydrate Antigen See "CA 125" See "CA 19-9" See "CA 27.29" Carbohydrate Deficient Transferrin, Congenital Test Code:62084 CPT Code: ml serum, frozen Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier, frozen Centrifuge and transfer serum into clean, plastic, ***Confirm with ordering physician if testing is for a congenital disorder. If for congenital disorder use this test code. If testing is not for congenital disorder, use test code *** Transportation Temperature:Frozen Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday, Friday Methodology: Affinity Chromatography Mass Spectrometry Carbohydrate Deficient Transferrin, Serum Test Code:62101 CPT Codes: 82373, ml serum Fasting is preferred 1 ml serum from red top non-gel barrier Fasting is preferred Fasting is preferred. Allow specimen to clot completely. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Days Performed:Monday-Saturday Methodology:Nephelometry Rejection Criteria:Gross hemolysis, lipemia or icteric specimen Carbon Dioxide Test Code:10215 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Specimens must be maintained anaerobically (unopened) to avoid loss of CO2. If specimens must be aliquoted, tightly stopper aliquot as soon as sample is transfered. Methodology:Enzymatic Rejection Criteria: Specimens that have been exposed to air (opened). Add-on requests are not acceptable. Clinical Laboratory Partners Page 51

101 Carboxyhemoglobin Test Code:11647 CPT Code: Primary Container:See specimen requirements Specimen Type:Whole Blood Full green top non-gel barrier lithium heparin, whole blood Minimum Volume:Full Alternate Container:Syringe (no needle attached) Submit whole blood specimen. Tube must be filled. or Room temperature Methodology:Cooximetry Rejection Criteria:Air bubbles, short draw, clotted specimen Carcinoembryonic Antigen (CEA) Test Code:11652 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, blue citrate plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Carcinoembryonic Antigen (CEA), CSF Test Code:60863 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 3 ml CSF Minimum Volume:2 ml CSF CSF is the only acceptable specimen. Submit in a sterile, plastic, leak-proof CSF or vial, frozen. Transportation Temperature:Frozen Methodology:Immunoassay Carcinoid Screen See "5-HIAA (Serotonin), Urine, Random" Cardiac Muscle Antibody See "Antimyocardial Antibody with Reflex" Cardio CRP See "C-Reactive Protein (High Sens)" Cardiolipin Antibody Panel Test Code:11264 CPT Code: Includes:Cardiolipin IgA, IgG, and IgM. 1 ml serum serum 1 ml lavender EDTA, blue citrate plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) immediately after clot formation. Plasma: Do not use heparin anticoagulants. Double spin plasma samples to minimize platelet contamination (platelet poor plasma). Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic or heparinized specimens are unacceptable Cardiolipin IgA Test Code:10546 CPT Code: ml serum Minimum Volume: ml lavender EDTA, blue citrate plasma Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) immediately after clot formation. Plasma: Do not use heparin anticoagulants. Double spin plasma samples to minimize platelet contamination (platelet poor plasma). Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic or turbid specimens are unacceptable Cardiolipin IgG Test Code:10547 CPT Code: ml serum Minimum Volume: ml lavender EDTA, blue citrate plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) immediately after clot formation. Plasma: Do not use heparin anticoagulants. Double spin plasma samples to minimize platelet contamination (platelet poor plasma). Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic or heparinized specimens are unacceptable Clinical Laboratory Partners Page 52

102 Cardiolipin IgM Test Code:10548 CPT Code: ml serum Minimum Volume: ml lavender EDTA, blue citrate plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) immediately after clot formation. Plasma: Do not use heparin anticoagulants. Double spin plasma samples to minimize platelet contamination (platelet poor plasma). Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolyzed, icteric, lipemic or heparinized specimens are unacceptable Cardioquin See "Quinidine" Cardiovascular Disease Screening (Medicare Only) Test Code:11008 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection. Methodology:Enzymatic Carnitine and Acylcarnitine Test Code:62137 CPT Codes: 82017, Primary Container:Green top sodium heparin Specimen Type:Plasma 2 ml plasma, frozen immediately Minimum Volume:1 ml plasma 2 ml serum, frozen immediately Alternate Container:Serum Separator Tube It is recommended that patient should be in a well-fed state. Immediately after collection, centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) and freeze. Transportation Temperature:Frozen Estimated Turnaround Time:10-14 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Hemolysis (including pediatric specimens), room temperature, refrigerated or thawed specimens Carnitine, Free and Total Test Code:62050 CPT Code: ml serum Minimum Volume:2 ml 3 ml serum from red top non-gel barrier 3 ml green sodium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum in clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:3-6 days Days Performed:Monday, Wednesday, Friday, Saturday Methodology:Spectrophotometric Carotene Test Code:60519 CPT Code: ml serum protected from light Minimum Volume:0.7 ml 2 ml serum from red top non-gel barrier, protected from light Centrifuge and transfer serum into a clean, plastic, screw-capped vial(s). Protect from light. morning Methodology:High Performance Liquid Chromatography Rejection Criteria:Not protected from light Carrot (f31), IgE Test Code:15315 serum (1.1 ml minimum) for each 5-10 allergens tested serum Casein (f78), IgE Test Code:15318 serum (1.1 ml minimum) for each 5-10 allergens tested serum Clinical Laboratory Partners Page 53

103 Cashew Nut (f202), IgE Test Code:16010 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Castor Bean (k71), IgE Test Code:60297 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cat Dander (e1), IgE Test Code:16000 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Catecholamines, Fract, Creat, Ur, Random Test Code:60076 CPT Codes: 82384, Includes: Epinephrine, Norepinephrine, Dopamine, Total Catecholamines (calculation), Creatinine. Primary Container:Sterile specimen container 10 ml random urine, collected without preservative. Add 6N HCl to maintain a ph below 3. Minimum Volume:4.5 ml urine 10 ml random urine, collected without preservative, ph below 6, frozen Alternate Container:Non-sterile container Patient should be off medication for 3 days before specimen collection. Common antihypertension (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patients should avoid alcohol, coffee, tea, tobacco, and strenuous exercise 24 hours before collection. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Methodology:High Performance Liquid Chromatography Catecholamines, Fractionated & Total, Plasma Test Code:60613 CPT Code: Includes: Epinephrine, Norepinephrine, Dopamine, Total Catecholamines (calculation). Primary Container:Green top sodium heparin Specimen Type:Plasma 4 ml heparin plasma drawn from a fasting patient, frozen immediately Minimum Volume:2.5 ml plasma 4 ml green lithium heparin non-gel barrier plasma, drawn from a fasting patient, frozen immediately Alternate Container:Green top lithium heparin non-gel barrier Overnite fasting is required. Patients should avoid alcohol, tea, tobacco, and strenuous excercise before specimen collection. Patient should be relaxed in either a supine or upright position before blood is drawn. States of stress and anxiety can cause fluxuations in catecholamine levels. Specimen should be drawn in a pre-chilled green sodium heparin. Keep specimen in wet ice until ready to centrifuge. Centrifuge in a refrigerated centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 30 minutes or collection. Freeze specimen immediately. If a refrigerated centrifuge is not available, chill the centrifuge sleeves for 5 minutes in ice prior to centrifuging specimen. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:High Performance Liquid Chromatography Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 54

104 Catecholamines, Fractionated, Urine, 24 Hour Test Code:60041 CPT Code: Includes: Epinephrine, Norepinephrine, Dopamine, Total Catecholamines (calculation). Primary Container:24 hour urine container 10 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:5 ml urine 10 ml from a well mixed 24 hour urine, without preservative, ph below 6, frozen It is preferable for the patient to be off medication for 3 days with the exceptions of common antihypertensive as these cause minimal interferences. Patients should refrain from alcohol, coffee, tea, tobacco, and strenuous exercise before collection. Mix urine well before aliquotting. Submit specimen in sterile, leakproof container. Specify on both the requisition and the sample aliquot the total 24 hour urine volume and the length of the collection period. Estimated Turnaround Time:5-7 days morning Methodology:High Performance Liquid Chromatography Catfish (Siluriformes spp), IgE Test Code: ml (0.5 ml minimum) serum for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:6-10 days Methodology:Immunoassay Cauliflower (Rf291), IgE** Test Code:60264 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cayenne Pepper, IgE Test Code: ml (0.5 ml minimum) serum for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Methodology:Radioallergosorbent Test CBC See "Complete Blood Count, with Differential" CBCFB/MYH11 (inv(16)) Fusion ID, RT-PCR Test Code:8141 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood or bone marrow Minimum Volume:1 ml Submit whole blood or bone marrow specimen. Deliver within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Clotted or frozen samples CCP See "Cyclic Citrullinated Peptide IgG Ab" CD4 Profile Test Code:11529 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:1 ml Specimen should be collected Monday-Friday only. For Friday collections, specimen must be received at HH by 1 pm on Saturday. Whole blood collected in an EDTA should be kept at room temperature. Estimated Turnaround Time:48 hours Days Performed:Monday - Friday Methodology:Flow Cytometry Rejection Criteria:Refrigerated or frozen specimen Clinical Laboratory Partners Page 55

105 CD4/CD8 Cell Count with Ratio Test Code:11530 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:1 ml Specimen should be collected Monday-Friday only. For Friday collections, specimen must be received at HH by 1 pm on Saturday. Whole blood collected in an EDTA should be kept at room temperature. Estimated Turnaround Time:48 hours Days Performed:Monday - Friday Methodology:Flow Cytometry Rejection Criteria:Refrigerated or frozen specimen CD8-/CD57+ Lymphocytes Test Code:10026 CPT Codes: 88184, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:1 ml Submit whole blood specimen. Estimated Turnaround Time:1-3 days Days Performed:Monday-Saturday Methodology:Flow Cytometry Rejection Criteria:Clotted/frozen specimens CEA See "Carcinoembyronic Antigen (CEA)" Celery (f85), IgE Test Code:15320 serum (1.1 ml minimum) for each 5-10 allergens tested serum Cell Count, Body Fluid Test Code:11628 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Fluid 2 ml body fluid Minimum Volume:1 ml body fluid 2 ml body fluid submitted in sterile or non-sterile container 2 ml body fluid submitted in red top non-gel barrier Always send to testing lab for specimen volume evaluation Methodology:Hemocytometer or automated Cell Count, CSF Test Code:11180 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Always send to testing lab for specimen volume evaluation. Methodology:Hemocytometer Centromere Antibody Test Code:10518 CPT Code: ml serum 1 ml serum from red top non-gel barrier Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Grossly hemolyzed, lipemic, or turbid specimens Cephalosporium acremonium (m202), IgE Test Code:60180 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cerebrospinal Fluid (CSF) Culture See "Culture, Body Fluid (includes gram stain)" Ceruloplasmin Test Code:11653 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidometric Clinical Laboratory Partners Page 56

106 Cervical Culture See "Culture, Vaginal/Cervical (includes gram stain)" CF See "Cystic Fibrosis ACMG/ACOG Panel (23 mut)" See "Cystic Fibrosis Expanded Caucasian (45 mut)" See "Cystic Fibrosis Hispanic/African American (66 mut) CH50 See "Complement, Total (CH50)" Cheddar Cheese (f81), IgE Test Code:15319 serum (1.1 ml minimum) for each 5-10 allergens tested serum Cheese, Mold Type (f82), IgE Test Code:16011 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Cherry (f242), IgE Test Code:16102 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Chestnut, Sweet (f299), IgE Test Code:16092 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Chick Pea (Rf309), IgE** Test Code:60299 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Chicken Feathers (e85), IgE Test Code:60152 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Chicken Meat (f83), IgE Test Code:16012 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Chicken Pox See "Varicella Zoster (VZV) Antibody IgG" Clinical Laboratory Partners Page 57

107 Chili Pepper (Rf279), IgE** Test Code:60260 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Chlamydia Species Antibody Panel Test Code:60604 CPT Codes: 86631, ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Micro Immunofluorescence Assay Chlamydia Species Antibody, IgG Test Code:60603 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-6 days Days Performed:Monday-Saturday morning Methodology:Indirect Immunofluorescence Assay Chlamydia trachomatis by DNA Test Code:10742 CPT Code: Primary Container:Gen-Probe Aptima Specimen Type:See specimen requirements Endocervical, cervical, vaginal, urethral, penile, anal/rectal and throat specimens: Aptima swab transport media. ThinPrep and SurePath vials acceptable for endocervical, cervical and vaginal sources. Specimens from ThinPrep and SurePath vials must be aliquoted for GC/CT prior to pap testing. Urine: 2 ml in Aptima urine transport media Minimum Volume:2 ml urine Liquid Pap, BD ProbeTec, BD black top GC/CT Qx swab and urine specimens are acceptable. Urine collected in a sterile specimen container must be transported at 2-8 C and transferred to an Aptima urine transport within 24 hours of collection. Urine: Patient should not have urinated for at least 1 hour prior to specimen collection. Using the disposable pipette, transfer 2 ml urine from specimen cup to Aptima urine transport media. The fluid level must be between the two black lines on the transport media. Estimated Turnaround Time:1-3 days Methodology:Transcription Mediated Amplification Chlamydia trachomatis Culture See "Culture, Chlamydia trachomatis Shell Vial" Chlamydophila pneumoniae Antibody, IgG,IgA,IgM Test Code:60600 CPT Codes: 86631, ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Collect blood using aseptic technique. Centrifuge and transfer into clean, plastic, Estimated Turnaround Time:4-6 days Days Performed:Monday-Saturday morning Methodology:Micro Immunofluorescence Assay Chlamydia trachomatis Ab, IgG, IgA, IgM Test Code:60601 CPT Codes: 86631, ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Collect blood using aseptic technique. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-6 days Days Performed:Monday-Saturday morning Methodology:Immunofluorescence Clinical Laboratory Partners Page 58

108 Chlamydophila pneumoniae DNA, RT-PCR, Qual Test Code:62040 CPT Code: Primary Container:See specimen requirements Specimen Type:Mixed 1 ml bronchial alveolar lavage/wash 3 ml viral culture media throat swab or M-4 transport media 3 ml viral culture media nasopharyngeal swab or M-4 transport media Sputum is also acceptable BAL/wash Submit sputum in clean, plastic, leakproof sterile container Swabs: Use only sterile Dacron or rayon swabs. Estimated Turnaround Time:3-8 days Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Nasopharyngeal lavage/wash is not acceptable Chlamydophila psittaci Ab, IgM,IgG,IgA Test Code:60602 CPT Codes: 86631, ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Micro Immunofluorescence Assay Chloride Test Code:10241 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Ion-Selective Electrode Chloride, Urine, 24 Hour Test Code:10357 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collection Minimum Volume:5 ml urine Methodology:Ion-Selective Electrode Chloride, Urine, Random Test Code:11173 CPT Code: Primary Container:Non-sterile container 10 ml urine Minimum Volume:1 ml urine 1 ml random urine from a UAP or gray preservative Alternate Container:Sterile Urine Cup Methodology:Ion-Selective Electrode Cholesterol, HDL Test Code:10607 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Modified Enzymatic Cholesterol, LDL See "LDL, Direct" Cholesterol, Total Test Code:10204 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic Cholinesterase and Dibucaine Number Test Code:60672 CPT Codes: 82480, ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology: Kinetic Spectrophotometry Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 59

109 Cholinesterase, RBC & Plasma Test Code:60592 CPT Codes: 82480, Primary Container:Lavender top EDTA Specimen Type:See specimen requirements Draw 2 separate lavender EDTA s: 5 ml lavender EDTA whole blood AND 1 ml lavender EDTA plasma Minimum Volume:4 ml whole blood and 0.5 ml plasma Draw 2 separate green sodium heparin s: 5 ml green sodium heparin whole blood AND 1 ml green sodium heparin plasma Alternate Container:Green top sodium heparin Draw 2 lavender EDTA s of whole blood. Centrifuge ONE and transfer plasma into clean, plastic, screw-capped vial(s) within 30 minutes of collection. Second lavender will not be centrifuged. Send both plasma and whole blood together. Do not send packed cells. morning Methodology:Kinetic/Spectrometry Rejection Criteria: Hemolysis or lipemia Frozen specimens Chorionic Gonadotropin See "Beta-hCG, Qualitative" See "Beta-hCG, Quantitative" Chorionic Gonadotropins, Beta-Subunit, CSF Test Code:60079 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Minimum Volume:1 ml CSF Submit specimen in clean leakproof container. (cold packs) Estimated Turnaround Time:7-14 days Methodology:Electrochemiluminescent Immunoassay Rejection Criteria:Room temperature specimens or Frozen. Chromatin Nucleosomal Antibody Test Code:10064 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Chromium, Blood Test Code:62267 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:2 ml whole blood To avoid contamination, use powderless gloves. Patient should refrain from taking multivitamins and mineral supplements three days prior to specimen collection. Draw one vacutainer of blood (1-2 ml) and discard. Draw second vacutainer (2-4 ml in navy blue EDTA ) for submission. Submit whole blood specimen in original collection. Do not aliquot. Estimated Turnaround Time:4-8 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria: Gross lipemia Moderate hemolysis Clotted specimen Chromium, Creat, Urine, Random Test Code:61095 CPT Codes: 82495, Primary Container:See specimen requirements 2 ml random urine collected in acid-washed sample container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine urine It is recommended that the patient void directly into the acid-washed container whether if it is a 24 hour acid-washed/trace element container or the random acid-washed container. Submit specimen in clean, plastic, acid washed leakproof container. Estimated Turnaround Time:9-16 days Days Performed:Tuesday,Thursday Methodology:Atomic Absorption Chromium, Serum Test Code:60080 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum No SST s. Collect a full navy blue non-additive. Patient should refrain from taking vitamins, or mineral or herbal supplement s for at least 7 days prior to specimen collection. Draw one navy blue of blood and discard. Draw second navy blue. After collection, allow blood to clot in an upright position for 1 hour. Centrifuge and pour (do NOT pipet) serum into clean, plastic, trace metal-free, Estimated Turnaround Time:7-10 days Days Performed:Monday, Tuesday morning Methodology: Methodology: Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 60

110 Chromium, Urine, 24 Hour Test Code:27103 CPT Code: Primary Container:Acid-washed 24 hour urine container 10 ml aliquot from a well mixed 24 hour acid-washed/trace element container Minimum Volume:7 ml urine It is recommended that patient void directly into the acidwashed/trace element container. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Chromogenic Factor X Test Code:10659 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Days Performed:Monday - Friday Methodology:Chromogenic spectrophotometry Rejection Criteria:Room temperature or refrigerated samples Chromogranin A Test Code:62122 CPT Code: ml serum Minimum Volume:0.8 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:Electrochemiluminescence Chromosomal Microarray Analysis, Congenital Test Code:8072 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 3 ml peripheral blood in lavender EDTA or buccal swab collected with provided collection kit or POC in saline are acceptable specimen types Minimum Volume:1 ml Estimated Turnaround Time:10 days Methodology:Single Nucleotide Polymorphism Microarray Rejection Criteria:Frozen or clotted specimens Chromosomes, Amniotic Fluid Test Code:15613 CPT Codes: 88235, 88269, 88280, Primary Container:Sterile specimen container Specimen Type:See specimen requirements 20 ml amniotic fluid, collected by physician Minimum Volume:20 ml amniotic fluid Patient billing information and UCONN requisition containing patient demographics and indication for testing must accompany specimen. Collect Monday-Friday. Specimen should be sent to UCONN Health Center on the same day as collected. Clients: Please notify CLP Logistics at for a "same day priority" pick-up. ***For all amniotic fluid specimens: Upon receipt at Core, processers will Logistics and request priority same day delivery of specimen to UCONN. Logistics will deliver specimen to UCONN Health Center Specimen Processing.*** Estimated Turnaround Time:10-15 days Days Performed:Monday-Thursday Methodology: Cell Culture Chromosome Analysis Clinical Laboratory Partners Page 61

111 Chromosomes, Chorionic Villus Test Code:15612 CPT Codes: 88172, 88235, 88267, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Collected by physician Patient billing information and Uconn requisition containing patient demographics and indication for testing must accompany specimen. Draw on Monday-Friday. The specimen must be received at Core Lab no later than 1:00 pm. Call for STAT pick-up for immediate delivery to processing. Notify processing at that specimen is being sent as STAT delivery. Specimen must be delivered to Uconn no later than 4:00 pm. If delivery cannot be met, notify Uconn cytogenetics for instructions to stabilize specimen. Estimated Turnaround Time:10-15 days Methodology: Cell culture Chromosome analysis Chronic Lymphocytic Leukemia See "Hematopathology" See "Cytogenetics" Churg-Strass Syndrome See "Myeloperoxidase Antibody" Chymopapain (Rc209), IgE** Test Code:60300 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Chymotrypsin, Stool Test Code:60934 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gram random stool Minimum Volume:0.5 g stool Patients receiving pancreatic enzymes should discontinue taking the enzymes at least 5 days before the collection of the stool sample. Submit sample in a sterile, plastic, leak-proof container. Estimated Turnaround Time:3-6 days Days Performed:Thursday Methodology: Enzymatic Spectrophometric Rejection Criteria:Room temperature specimens Cinnamon (Rf220), IgE** Test Code:60254 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Ciprofloxacin (Cipro) Test Code:27280 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum, frozen immediately 2 ml green heparin plasma, frozen immediately Alternate Container:Green top sodium heparin No SST s. Centrifuge and transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology: High Performance Liquid Chromatography with Fluorescence Detection Rejection Criteria:SST s are not acceptable Citrate See "Citric Acid, Urine, 24 Hour" Citric Acid, Creatinine, Ur, 24 Hr Test Code:60018 CPT Codes: 82507, Primary Container:24 hour urine container 10 ml urine from a well mixed 24-hour urine collected without preservative Minimum Volume:1.5 ml urine Keep urine refrigerated during and after collection. Mix well before aliquotting. Submit specimen in sterile, leakproof container. Specify on the request form and on the urine container the total 24-hour urine volume. Methodology: Enzymatic Spectrophotometric Rejection Criteria:Acidified specimen Clinical Laboratory Partners Page 62

112 Citric Acid, Urine, 24 Hour Test Code:60785 CPT Code: Primary Container:24 hour urine container 10 ml urine from a 24-hour urine collected without preservative Minimum Volume:1 ml urine Keep urine refrigerated during and after collection. Submit specimen in clean, plastic, leakproof container. Please specify on the request form and on the urine container the total 24-hour urine volume. Methodology: Enzymatic Spectrophotometric Rejection Criteria:Acidified specimen CK See "Creatine Kinase (CK)" Cl See "Chloride" Clad. herbarum (m2), IgE Test Code:16053 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clam (f207), IgE Test Code:16013 serum (1.1 ml minimum) for each 5-10 allergens tested. serum CLL Hypermutation Test Code:8073 CPT Codes: 81263, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 2 ml Peripheral Blood in EDTA, shipped refrigerated. Minimum Volume:1 ml Shipped and stored refrigerated Transportation Temperature:room temperature Days Performed:Monday - Friday Methodology:Sequencing Rejection Criteria:Frozen or clotted CLO Test Test Code:11697 CPT Code: Primary Container:See specimen requirements Specimen Type:Biopsy Submit biopsy in CLO test device. Estimated Turnaround Time:1-2 days Methodology:Urease Test Clomipramine Test Code:60520 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml plasma Minimum Volume:1.5 ml serum 3 ml serum from red top non-gel barrier No SST s. Specimen should be collected >12 hours after dose. Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s). morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis Clonazepam, 7 amino Clonazepam, Ur, Qt Test Code:62348 CPT Code: Primary Container:Sterile specimen container 2 ml urine collected without preservative Minimum Volume:1 ml urine Alternate Container:Non-sterile container Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:4-7 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Clinical Laboratory Partners Page 63

113 Clonazepam, Quantitative Test Code:60081 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml plasma Minimum Volume:1.2 ml plasma 2 ml navy blue EDTA, green heparin plasma 2 ml red top non-gel barrier, navy blue non-additive serum Alternate Container:Lavender top EDTA No gel barrier s. Collect at trough concentration, immediately before next dose. Centrifuge and immediately transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:3-7 days Days Performed:Monday, Wednesday, Friday afternoon Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Gel barrier s are not acceptable Clozapine (Clozaril) Test Code:60521 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml plasma Minimum Volume:1 ml plasma 2 ml navy EDTA, green heparin plasma 2 ml red top non-gel barrier, navy blue non-additive serum No gel barrier s. Centrifuge and immediately transfer plasma into clean, plastic, Estimated Turnaround Time:3-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Gross hemolysis or lipemia Gel barrier s are not acceptable CMP See Comprehensive Metabolic Panel testing Co Q10 See "Coenzyme Q10, Serum" CO2 See "Carbon Dioxide" Coagulation Genetic Panel Test Code:8296 CPT Codes: 83890, 83900, 83901, 83909, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Testing includes: Factor V Leiden Gene Mutation Factor II Prothrombin Gene Mutation MTHFR Gene Mutation Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Luminex Rejection Criteria:Clotted and frozen specimens Cobalamine See "Vitamin B12" Cobalt, Blood Test Code:62152 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:2 ml whole blood To avoid contamination, use powderless gloves. Patient should refrain from taking mineral supplement Vitamin B12 or Vitamin B complex three days prior to specimen collection. Submit whole blood specimen in original collection. Do not aliquot. Estimated Turnaround Time:4-8 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Cobalt, S/P Test Code:62269 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Plasma 1 ml plasma plasma 1 ml serum from navy blue non additive Alternate Container:Navy blue top non-additive No SST s. Centrifuge and transfer plasma into clean, plastic, trace metal-free, screw-capped vial(s) within 30 minutes of collection. Estimated Turnaround Time:4-7 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 64

114 Cobalt, Urine, Random Test Code:62206 CPT Code: Primary Container:See specimen requirements 7 ml from a 2nd voided a.m. random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine Minimum Volume:5 ml urine It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. Patient should refrain from taking mineral supplements at least three days before sample collection. For clinical monitoring, collect second voided a.m. urine. For industrial monitoring, collect urine preshift. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:4-8 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Cocaine and Metabolites, Blood, Quant Test Code:62203 CPT Code: Primary Container:Grey top sodium fluoride Specimen Type:Whole Blood 5 ml whole blood, frozen Minimum Volume:3 ml whole blood 5 ml gray sodium fluoride plasma, frozen 5 ml serum from red top non-gel barrier Submit whole blood specimen. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days Days Performed:Monday-Saturday Methodology:Gas chromatography/mass Spectrometry Cocaine Metabolite, Confirm, Ur, Qt Test Code:45024 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Cocaine Screen, Reflex Semi-Quantitative Test Code:12353 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Cocaine Screen, Reflex to Trend Test Code:10746 CPT Codes: 80301, Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology: Kinetic Interaction of Microparticles in a Solution (KIMS) Kinetic Alkaline Picrate (Jaffe) Cocaine Screen, Rflx Semi-Quant & Conf, Urine Test Code:11245 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code CPT 80353) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Clinical Laboratory Partners Page 65

115 Cocaine Screen, Urine Test Code:10139 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Cocaine Screen, Urine, Reflex Confirm Test Code:10142 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code CPT 80353) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Coccidioides Antibody Test Code:60082 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Complement Fixation Cocklebur (w13), IgE Test Code:60402 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cockroach (i6), IgE Test Code:16048 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Cocoa (Chocolate) (f93), IgE Test Code:16014 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Coconut (f36), IgE Test Code:16094 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Codeine See "Opiate Screen, Urine" Clinical Laboratory Partners Page 66

116 Codfish (f3), IgE Test Code:16015 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Coenzyme Q10 Test Code:60884 CPT Code: ml serum drawn from a fasting patient, protected from light 1 ml serum from red top non-gel barrier, drawn from a fasting patient, protected from light Patient should fast hours before collection (can have water). Nutritional supplements do not need to be discontinued. Centrifuge and transfer serum into clean, plastic, amber, screw-capped vial(s) or foil wrap to protect from light. Freeze and ship frozen. Transportation Temperature:Frozen Methodology:High Performance Liquid Chromatography Rejection Criteria: Not protected from light Room temperature, refrigerated or thawed specimens Coffee (Rf221), IgE** Test Code:60256 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cold Agglutinin Titer Test Code:18008 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 2 ml serum No SST s. After collection, place s immediately into a 37 degree C water bath or wrap in heel warmers to maintain temperature at 37 degree C until specimen has clotted. Centrifuge at room temperature and transfer serum into clean, plastic, Methodology:Titer Rejection Criteria:SST s are not acceptable Collagen Cross Linked, Ur, Ran Test Code:60019 CPT Codes: 82523, Primary Container:Sterile specimen container 2 ml aliquot of a well mixed random urine or second morning void urine collected without preservatives Minimum Volume:1 ml urine Do not use preservatives. Random urine or second morning void urine is acceptable. Discard the first morning void. Mix well before aliquotting. Submit specimen in sterile, leakproof container. Days Performed:Monday-Saturday evening Methodology:Enhanced Chemiluminescence Rejection Criteria:Acidified specimens Collagen Cross-Linked, Creat, Ur, 24Hr Test Code:61079 CPT Codes: 82523, Primary Container:24 hour urine container 2 ml urine from a well-mixed 24 hour urine collected without preservatives Minimum Volume:1 ml urine Keep urine refrigerated during and after collection. Submit specimen in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Enhanced Chemiluminescence Rejection Criteria:Acidified specimen Clinical Laboratory Partners Page 67

117 Collagen Type I C-Telopeptide (CTx) Test Code:60982 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum drawn from a fasting patient, frozen 1 ml SST serum drawn from a fasting patient, frozen Alternate Container:Serum Separator Tube Minimum of 12 hours fasting is required. Collect specimen in the morning (8-10 am). Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Immunoassay Rejection Criteria: Non-fasting specimen Gross hemolysis or lipemia Colorectal Cancer Screening (Medicare Only) Test Code:11009 CPT Code: Primary Container:Polymedco Occult sampling kit Specimen Type:Stool 1 fecal collection kit Alternate Container:Sterile specimen container No dietary or medication restrictions. Patient should follow collection instructions on sample kit. 1. Fill in name, date of birth, and collection date on the sample bottle. 2. Place collection paper, supplied in the kit, inside the toilet bowl on top of the water. 3. Deposit stool sample on top of collection paper. 4. Complete sample collection before the stool sample touches the water. 5. Open sampling bottle by twisting and lifting the green cap. 6. Scrape the surface of the fecal sample with the sample probe covering the grooved portion of the sample probe completely with stool. 7. Close the sampling bottle by inserting the sample probe into the bottle and snapping the green cap on tightly. Do not reopen. 8. Place the sample container and requisition into the mailer, seal, and place in the mail for delivery to the laboratory. 9. The collection paper is biodegradable and can be flushed once sample collection is complete. Estimated Turnaround Time:1-2 days Methodology:Immunoassay Rejection Criteria:Liquid stool specimen unsuitable for analysis ColoVantage (methylated Septin 9) Test Code:62205 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 10 ml EDTA plasma, divided equally into each of 2 vials, frozen immediately Minimum Volume:5 ml plasma, divided equally into 2 vial Immediately centrifuge, transfer plasma into clean, plastic, screw-capped vial(s) and freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-9 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Room temperature or refrigerated specimen Common Ragweed (w1), IgE Test Code:16060 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Common Reed (g7), IgE Test Code:16113 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Complement C3 Test Code:11642 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Turbiometric Immunoassay Clinical Laboratory Partners Page 68

118 Complement C3, Peritoneal Fluid Test Code:60786 CPT Code: Primary Container:Sterile specimen container Specimen Type:Peritoneal 1 ml peritoneal fluid, frozen fluid Submit specimen in a sterile, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:2-4 days Days Performed:Monday-Sunday Methodology:Turbidimetric Complement C3, Synovial Fluid Test Code:60787 CPT Code: Primary Container:Sterile specimen container Specimen Type:Synovial fluid 2 ml synovial fluid, frozen Minimum Volume:1 ml fluid Submit specimen in a sterile, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:2-4 days Days Performed:Monday-Sunday Methodology:Turbidimetric Complement C4 Test Code:11643 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Turbiometric Immunoassay Complement C5 Test Code:60083 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. morning Methodology:Radial Immunodiffusion Complement C6 Test Code:60788 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml lavender EDTA plasma Centrifuge and transfer serum to a clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday Methodology:Radial Immunodiffusion Complement, Total (CH50) Test Code:60147 CPT Code: ml serum, frozen immediately Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier, frozen immediately Centrifuge within 1 hour of collection and immediately transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Days Performed:Monday-Saturday Methodology:Colorimetric Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Fluid specimens are unacceptable Complete Blood Count, with Differential Test Code:10039 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. If the automated differential information meets specific criteria, a full manual differential will be performed. Methodology: Photometric, flow cytometry with a combination of nucleic acid fluorescence /optical, impedence, cytochemistry, and radio frequency w a reflex to manual microscopic methods. Rejection Criteria:Clotted, frozen, or hemolyzed specimens Clinical Laboratory Partners Page 69

119 Complete Blood Count, without Differential Test Code:10038 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Photometric, flow cytometry with a combination of nucleic acid fluorescence /optical, impedence, cytochemistry, and radio frequency with a reflex to manual microscopic methods Rejection Criteria:Clotted, frozen, or hemolyzed specimens Compound S See "11-Deoxycortisol" Comprehensive Metabolic Panel Test Code:10838 CPT Code: Includes: Glucose, Blood Urea Nitrogen (BUN), Creatinine, Sodium, Potassium, Chloride, Carbon Dioxide, Anion Gap (calculated), Calcium, ALT, AST, Alkaline Phosphatase, Total Bilirubin, Total Protein, Albumin, egfr. 2 ml serum Minimum Volume:1 ml 2 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Specimens must be maintained anaerobically (unopened) to avoid loss of CO2. Methodology:See individual assays Rejection Criteria: Gross hemolysis Underfilled lithium heparin s may cause falsely elevated results Congenital Adrenal Hyperplasia (CAH 6) Test Code:62420 CPT Codes: 82157, 82533, 82626, 82634, 83498, 84143, 84144, Primary Container:Red top non-gel barrier 2 ml serum No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vials within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:7-12 days Days Performed:Tuesday, Sunday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Moderate/gross hemolysis Gross lipemia or icterus Conjugated Bilirubin See "Bilirubin, Direct" Copper Test Code:60522 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:1 ml serum 2 ml navy EDTA plasma Alternate Container:Navy blue top EDTA Centrifuge and transfer serum into clean, plastic, trace metal-free, screw-capped vial(s) within 2 hours of collection. afternoon Methodology: Atomic Spectroscopy Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Hemolysis Copper, Blood Test Code:62195 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 2 ml whole blood Minimum Volume:0.7 ml whole blood Submit whole blood specimen in original collection or transfer whole blood into clean, plastic, trace metal-free, Estimated Turnaround Time:3-7 days Days Performed:Monday, Wednesday Methodology:Inductively Coupled Plasma Optical Emission Spectrometry Rejection Criteria: Clotted specimen Collection in heparin anticoagulant Copper, Creatinine, Urine, 24 Hour Test Code:60523 CPT Codes: 82525, Primary Container:Acid-washed 24 hour urine container 7 ml from a well mixed 24 hour acid-washed/trace element container Minimum Volume:3 ml urine It is recommended that patient void directly into the acidwashed/trace element container. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. afternoon Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Clinical Laboratory Partners Page 70

120 Copper, Free Test Code:62049 CPT Code: Primary Container:Navy blue top non-additive 3 ml serum Minimum Volume:1.2 ml 3 ml navy EDTA, navy heparin plasma Alternate Container:Navy blue top EDTA Centrifuge and immediately transfer serum into clean, plastic, screw-capped, trace metal-free vial(s). Estimated Turnaround Time:5-12 days Days Performed:Thursday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Corticosteroid Binding Globulin Test Code:62421 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:3-10 days Days Performed:Monday, Thursday Methodology:Radioimmunoassay Cortisol, 30 min post Cosyn Test Code:11573 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunassay (ECLIA) Cortisol, 60 min post Cosyn Test Code:11576 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunassay (ECLIA) Cortisol, AM Test Code:11662 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Specimen should be collected between 7-9 am. Note sample collection time on. Methodology:Electrochemiluminescence Immunoassay Cortisol, Free, Creat, Ur, 24 Hr Test Code:60026 CPT Codes: 82530, Primary Container:24 hour urine container 2 ml urine from a well-mixed 24 hour urine, collected without preservative Minimum Volume:0.8 ml urine Keep urine refrigerated during and after collection. Submit specimen in sterile, leakproof container. Specify on both the requisition and the sample aliquot the total 24 hour urine volume and the length of the collection period. Estimated Turnaround Time:6-10 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Cortisol, Free, Serum Test Code:60084 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:0.7 ml 2 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, screw-capped vials within 3 hours of collection. Estimated Turnaround Time:8-11 days Days Performed:Sunday-Thursday Methodology: Equilibrium Dialysis Liquid Chromatograpy/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis Clinical Laboratory Partners Page 71

121 Cortisol, PM Test Code:11330 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Specimen should be collected between 3-5 pm. Note sample collection time on. Methodology:Electrochemiluminescence Immunoassay (ECLIA) Cortisol, pre Cosyn Test Code:11578 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay Cortisol, Random Test Code:11677 CPT Code: ml serum 1 ml green heparin, lavender EDTA Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay (ECLIA) Cortisol, Saliva Test Code:62082 CPT Code: Primary Container:Salivette collection Specimen Type:See specimen requirements 0.5 ml saliva collected with Salivette collection Minimum Volume:0.2 ml saliva in Salivette Precautions: 1. No food, fluids or smoking for 1 hour prior to sample collection. 2. Saliva should be collected at the time(s) prescribed by physician. 3. Avoid use of creams, lotions, or steroid inhaler immediately prior to collection. 4. Avoid activity, such as brushing or flossing, that may cause gums to bleed. 5. Do not use this collection on children <3 years of age. 6. Do not use on any patient that may have choking or swallowing problems. Instructions for collection: Rinse mouth thoroughly with water and discard. Do not swallow. Hold the Salivette at the rim of the suspended insert and remove the stopper. Remove swab. Place the swab under the tongue until well saturated, approximately 1 minute. Return the saturated swab to the suspended insert and close the Salivette firmly with the stopper. Do not remove the holding the insert. The Salivette, with the swab inside, will be submitted. The should be labeled with date, time of collection and patient name. **Please note: If multiple Salivette collection s are collected, submit each specimen under a separate accession, using correct collection date and time for each accession. Estimated Turnaround Time:7-10 days Methodology:Liquid Chromatography/Mass Spectrometry Cosyntropin Test See "Cortisol, pre Cosyn" See "Cortisol, 30 min post Cosyn" See "Cortisol, 60 min post Cosyn" Cotton Seed (Rk83), IgE** Test Code:60274 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 72

122 Cotton, Crude Fibers (o1), IgE Test Code:60273 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Cottonwood (t14), IgE Test Code:16084 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Cow Dander (e4), IgE Test Code:16070 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Coxsackie B(1-6) Antibody Test Code:60790 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Complement Fixation Crab (f23), IgE Test Code:16017 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Creatine Kinase (CK) Test Code:10205 CPT Code: ml serum 1 ml green lithium heparin Alternate Container:Green top lithium heparin non-gel barrier Methodology:Creatine Phosphate/NADP Rejection Criteria:Hemolysis Coxsackie A Antibody Panel Test Code:60586 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:14-21 days Days Performed:Sunday-Thursday Methodology:Complement Fixation Clinical Laboratory Partners Page 73

123 Creatine Kinase (CK) Isoenzymes Test Code:60668 CPT Codes: 82550, ml serum, frozen immediately Minimum Volume:1 ml 2 ml serum from red top non-gel barrier, frozen immediately 2 ml serum from blue non-additive, frozen immediately Alternate Container:Green top lithium heparin non-gel barrier Centrifuge and transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen, Sunday Methodology: Electrophoresis Enzymatic Rejection Criteria: Room temperature specimen Refrigerated specimen >4 hours old Creatine Kinase, Reflex to CKMB Test Code:10234 CPT Code: ml serum 2 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Please note, if the total CK is >100, CKMB (test code 11665, CPT 82553) will be performed at an additional charge. Methodology:Creatine phosphate/nadp Creatine, Creatinine, Ur, 24 Hr Test Code:60524 CPT Codes: 82540, Primary Container:24 hour urine container 3 ml urine from a well mixed 24 hour collection collected without preservative, frozen immediately Minimum Volume:2 ml urine Keep urine refrigerated during and after collection. Mix well before aliquotting and freeze immediately after aliquotting. Submit specimen in sterile, leakproof container. Specify on the request form and on the urine container the total 24-hour volume. afternoon Methodology: Colorimetric Enzymatic Creatine, Serum Test Code:60576 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) and freeze. Transportation Temperature:Frozen afternoon Methodology: Colorimetric Enzymatic Rejection Criteria:Room temperature or refrigerated specimens Creatinine Clearance Test Code:10365 CPT Code: Primary Container:Non-sterile container 10 ml urine aliquot from a well-mixed 24 hour urine collection and a red top gel barrier. serum 1 ml serum Alternate Container:Green top lithium heparin non-gel barrier 24 hour urine container and red top gel barrier. Methodology:Modified Jaffe Creatinine with egfr Test Code:10160 CPT Code: mL serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Kinetic Alkaline Picrate Creatinine, Body Fluid Test Code:11843 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 1 ml body fluid 1 ml body fluid collected in red top non-gel barrier, lavender EDTA, or green lithium heparin Alternate Container:Lithium Methodology:Kinetic Alkaine Picrate Clinical Laboratory Partners Page 74

124 Creatinine, Urine, 24 Hour Test Code:10363 CPT Code: Primary Container:24 hour urine container 10 ml urine aliquot from a well-mixed 24 hour urine collected without preservatives Minimum Volume:5 ml 10 ml urine aliquot from a well-mixed 24 hour urine collected in an acid washed container Alternate Container:Acid-washed 24 hour urine container Methodology:Kinetic Alkaine Picrate Creatinine, Urine, Random Test Code:11850 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:1 10 ml random urine from a UAP or gray perservative Aliquot from a well mixed random urine collection. Methodology:Kinetic Alkaline Picrate Crescentic Glomerulonephritis See "Myeloperoxidase Antibody" CRP See "C-Reactive Protein" CRP-hs See "C-Reactive Protein (High Sens)" Cryofibrinogen Test Code:60525 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 6 ml citrate plasma drawn from a fasting patient Minimum Volume:3 ml plasma 6 ml EDTA plasma drawn from a fasting patient Alternate Container:Lavender top EDTA Fasting is required. Collect blood into three 5 ml citrated (blue top) s. Place immediately into a 37 degree C water bath or wrap in heel warmers to maintain temperature at 37 degree C until specimens are centrifuged and separated. Centrifuge specimens in centrifuge carriers prewarmed to 37 degrees C at 3000 rpm for a minimum of 10 minutes. Maintain aliquoted specimens at room temperature at all times. Avoid refrigeration or freezing of specimens. Transportation Temperature: Specimen collection s: Wrap in heel warmers to maintain temperature at 37 degrees C. Estimated Turnaround Time:5-7 days Days Performed:Sunday-Friday afternoon Methodology:Cold Precipitation Rejection Criteria:Refrigerated or frozen specimens Cryoglobulin & Cryofibrinogen, Serum and Plasma Test Code:60526 CPT Codes: 82585, Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml lavender EDTA plasma AND 5 ml serum from red top non-gel barrier plasma & 3 ml serum Both EDTA plasma and serum are required for this test. No SST s. Tubes must remain at 37 degrees C. Place immediately into a 37 degree C water bath or wrap in heel warmers to maintain temperature at 37 degrees C until serum specimens are clotted and all specimens are centrifuged and aliquoted into plastic transport s. Centrifuge specimens in centrifuge carriers prewarmed to 37 degrees C at 3000 rpm for a minimum of 10 minutes. Clearly label each aliquot as either serum or plasma. Note, analysis cannot be performed with less than 3 ml serum AND 0.5 ml plasma. Ship plasma and serum samples together. Test includes cryoglobulin (serum) and cryofibrinogen (plasma). Please note, if the Cryoglobulin has a result other than negative, the Cryoglobulin Immunofixation (CPT 86334) will be performed at an additional charge. Estimated Turnaround Time:10-14 days Methodology: Cold Precipitation Immunotyping Rejection Criteria: Specimens not maintained at 37 degrees C until separated SST s are not acceptable Clinical Laboratory Partners Page 75

125 Cryoglobulin Screen Test Code:61044 CPT Code: Primary Container:Red top non-gel barrier 6 ml serum Minimum Volume:3 ml No SST s. Draw Monday-Friday only. Tubes must remain at 37 degrees C before and during collection. After collection, place s immediately into a 37 degree C water bath or wrap in heel warmers to maintain temperature at 37 degree C until specimen has clotted. Centrifuge specimens in centrifuge carriers prewarmed to 37 degrees C at 3000 rpm for a minimum of 10 minutes and transfer serum into a clean, plastic Estimated Turnaround Time:5-10 days Days Performed:Monday-Sunday evening Methodology:Cold Precipitation Rejection Criteria: SST s are not acceptable Gross hemolysis Lipemia Refrigerated or frozen specimens Cryoglobulin Screen, Reflex Cryoglobulin Profile Test Code:61065 CPT Code: Primary Container:Red top non-gel barrier 10 ml serum Fasting is preferred Minimum Volume:3.5 ml No SST s. Overnite fasting is preferred. Draw Monday-Thursday (morning draw only on Thursday). Specimen must be sent to reference lab same day as collected. Call Dispatch with information that specimen that must arrive at Core lab no later than 1 pm. Place specimen in RED STAT bag and label "attn. Sendouts". Specimen must arrive at reference lab within 24 hours of collection. Tubes must remain at 37 degrees C. After collection, place immediately into a 37 degrees C water bath or wrap in heel warmers for 1 hour. Centrifuge (at room temperature) and transfer serum into clean, plastic, Please note, if Cryoglobulin Screen is positive, test will reflex to Calculated % Cryocrit, Cryocrit Immunofixation, Cryocrit Immunodiffusion, Rheumatoid Factor (CPT codes 86334, 86329, 86431). Estimated Turnaround Time:7-10 days, Sunday Methodology: Electrophoresis Immunodiffusion Nephelometric Cryocrit Rejection Criteria: Refrigerated or frozen specimen SST s are not acceptable Cryptococcal Antigen Screen reflex Titer Test Code:11243 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml CSF sterile screw cap, 1 ml serum separator or non-gel barrier are acceptable. serum or CSF Please note, if the screen is positive, the Titer (test code 11238, CPT 86406) will be performed at an additional charge. Estimated Turnaround Time:1-3 days, Sunday Methodology:Latex Agglutination Cryptosporidium Stool Antigen Test Code:14122 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 g/0.5 ml liquid stool or 20 mm solid stool collected in sterile container Minimum Volume:1 gm stool Para-Pak C&S Vial Para-Pak O&P 10% Formalin Vial Estimated Turnaround Time:1-3 days Methodology:Enzyme Immunoassay Rejection Criteria:Stool received in PVA fixative Crystals, Synovial Fluid Test Code:11655 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Synovial fluid 2 ml synovial fluid 2 ml synovial fluid collected in green sodium heparin 2mL synovial fluid collected in red top non-gel barrier or sterile container Always send to testing lab for specimen volume evaluation or refrigerated Methodology:Polarized Microscopy Clinical Laboratory Partners Page 76

126 Cucumber (f244), IgE Test Code:60252 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cultiv. Rye Grass (g12), IgE Test Code:16114 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Cultivated Oat (g14), IgE Test Code:60283 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cultivated Wheat (g15), IgE Test Code:60353 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Culture, Anaerobic Test Code:11406 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Fluid, aspirate, pus or tissue specimens acceptable Yellow top SPS, syringe (no needle attached), BD ESwab Transport System, blue cap culture transport swab, red cap culture swab or sterile container acceptable for specimen transport Date, time and source required Estimated Turnaround Time:7-14 days Methodology:Culture Culture, B. pertussis/parapertussis Test Code:11520 CPT Code: Primary Container:Blue cap mini-tip ESwab Specimen Type:Nasopharyngeal Nasopharyngeal aspirate Orange cap charcoal mini-tip swab, blue cap charcoal mini-tip swab acceptable for specimen transport Date and time required. Estimated Turnaround Time:7 days Methodology:Culture Culture, Bartonella, Non Blood Test Code:11242 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Surgically collected tissue Minimum Volume:No blood Date, time and source required. Estimated Turnaround Time:21 days Methodology:Culture Culture, Blood Test Code:11407 CPT Code: Primary Container:BACTEC bottle Specimen Type:Whole Blood 2 BACTEC bottles (aerobic and anaerobic) each innoculated with 10 ml whole blood. If patient is a difficult draw, innoculate aerobic bottle only. Minimum Volume:5 ml whole blood each bottle Bactec Peds Plus/F bottle Site must be completely sterile before drawing blood. Date and time of collection required. Estimated Turnaround Time:5-7 days Methodology:Culture Clinical Laboratory Partners Page 77

127 Culture, Blood R/O Anthrax Test Code:11626 CPT Code: Primary Container:BACTEC bottle Specimen Type:Whole Blood 2 BACTEC bottles (aerobic and anaerobic) each innoculated with 10 ml of whole blood. If patient is a difficult draw, innoculate aerobic bottle only. Minimum Volume:5 ml whole blood in each bottle Site must be completely sterile before drawing. Date and time of collection required. Estimated Turnaround Time:5-7 days Methodology:Culture Culture, Body Fluid (includes gram stain) Test Code:10408 CPT Codes: 87070, Primary Container:Yellow top SPS Specimen Type:See specimen requirements All body fluids (other than blood and urine) Minimum Volume:1 ml body fluid Body fluid in a syringe (no needle attached), sterile specimen container or CSF also acceptable for specimen transport, BD ESwab Transport System, blue cap culture transport swab Date, time and source required. Estimated Turnaround Time:2-7 days Methodology:Culture Culture, CF Respiratory (with gram stain) Test Code:10448 CPT Codes: 87070, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Any respiratory source or throat swab acceptable BD ESwab transport system, blue cap culture transport swab also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:5-8 days Methodology:Culture Culture, Chlamydia trachomatis, Shell Vial Test Code:11668 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Cervix, eye, throat, urethral and rectal swabs or infant (<1month old) respiratory specimens acceptable Date, time and site of collection required. or refrigerated Days Performed:Monday, Wednesday, Friday Methodology:Shell vial culture Rejection Criteria: Culture transport swab and GenProbe swab not acceptable. Culture, Corneal Ring Test Code:10410 CPT Code: Primary Container:Sterile specimen container Specimen Type:Corneal scrapings Corneal ring Date and time required. Transportation Temperature:Room temperatue Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Ear (includes gram stain) Test Code:10409 CPT Codes: 87070, Primary Container:Blue cap mini-tip ESwab Specimen Type:Ear Ear BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab or orange cap mini-tip swab also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Environmental Test Code:10451 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Water, tub surface, all surfaces and Attests are acceptable. BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab or sterile specimen container acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Eye (includes gram stain) Test Code:10411 CPT Codes: 87070, Primary Container:Blue cap mini-tip ESwab Specimen Type:Eye Eye or conjunctiva acceptable BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab, or orange cap mini-tip swab also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Clinical Laboratory Partners Page 78

128 Culture, Fungus (Hair, Skin, and Nails) Test Code:10629 CPT Codes: 87101, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Hair, skin, nails, and scalp specimens acceptable. BD ESwab Transport System, blue cap culture transport swab also acceptable for specimen transport Date, time, and site of collection required. Estimated Turnaround Time:Smear:1-4 days/culture: 3-14 days Days Performed:Culture: Daily/Smear: Monday-Friday Methodology:Culture and Calcofluor Fluorescent Stain Culture, Fungus (includes fungal smear) Test Code:11669 CPT Codes: 87102, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Respiratory, sterile body fluid, CSF, wound, pus, exudate, tissue, ear, eye, urine, feces, hair, skin, nails and genital specimens acceptable. Sterile specimen container, BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab, yellow top SPS and syringe (no needle attached) also acceptable for specimen transport Date, time and site of collection required. Estimated Turnaround Time:Smear: 1-4 days; Culture: 3-17 days Days Performed:Culture:Daily;Fungal Smear:Monday-Friday Methodology:Culture and Calcofluor Fluorescent Stain Culture, Fungus (Includes smear & sensitivities) Test Code:10594 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Respiratory, sterile body fluid, CSF, wound, pus, exudate, tissue, ear, eye, urine, hair, skin, nails and genital specimens acceptable. Sterile specimen container, BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab, yellow top SPS and syringe (no needle attached) also acceptable for specimen transport. Date, time and site of collection required. Please note, if culture is positive for yeast, it reflexes to susceptibility (MIC) at an additional charge (CPT 87186). Estimated Turnaround Time:Smear: 1-4 days; Culture: 3-17 days Days Performed:Culture:Daily;Fungal smear:monday-friday Methodology:Culture and calcofluor fluorescent stain Culture, Fungus, Blood (Reflex Sensitivities) Test Code:11410 CPT Code: Primary Container:BACTEC Myco/F Lytic Bottle Specimen Type:Whole Blood Inoculate BACTEC Myco/F Lytic bottle with 3-5 ml whole blood. Minimum Volume:3 ml Estimated Turnaround Time:30 days Methodology:Culture Rejection Criteria:1.5 ml Isolator not acceptable Culture, GC Test Code:10401 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements Genital, eye, throat, rectal sources acceptable Orange cap mini tip culture transport swab, blue cap culture transport swab, red cap culture transport swab also acceptable for specimen transport Date, time and source required. Do not refrigerate specimen. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Genital Group B Strep Test Code:10441 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Vaginal-rectal Vaginal/rectal specimen acceptable Blue cap culture transport swab or red cap culture transport swab also acceptable for specimen transport CDC recommends collection of a vaginal/rectal specimen for optimal detection of Group B streptococcal carriers. Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Genital Group B Strep PCN Allergic Test Code:10452 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Vaginal-rectal Vaginal/rectal specimen acceptable Blue cap culture transport swab and red cap culture swab also acceptable for specimen transport CDC recommends the collection of a vaginal/rectal specimen for the optimal detection of Group B streptococcal carriers. Date, time and source required. Use this test code for penicillin allergic patients. Estimated Turnaround Time:2-5 days Methodology:Culture Clinical Laboratory Partners Page 79

129 Culture, Genital Mycoplasma Test Code:11131 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Cervical swab or infant (<1 month old) respiratory specimen acceptable Date, time and site of collection required. or refrigerated Estimated Turnaround Time:5-7 days Methodology:Culture Culture, Genital Pediatric Test Code:10665 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements Vaginal or cervical specimens acceptable Blue cap culture transport swab also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Joint Fluid (includes gram stain) Test Code:10418 CPT Codes: 87070, Primary Container:Yellow top SPS Specimen Type:Joint Joint fluid Minimum Volume:any amount Fluid in syringe (no needle attached), sterile container also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:5-7 days Methodology:Culture Culture, Joint Fluid (Propionibacterium) Test Code:10439 CPT Codes: 87070, Primary Container:Yellow top SPS Specimen Type:Joint Joint fluid Minimum Volume:any amount Fluid in syringe (no needle attached), sterile container also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:28 days Methodology:Culture Culture, Legionella Test Code:11676 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Sputum, bronchial alveolar lavage (BAL), bronchial washing, tissue and lung aspirate specimens Date, time and source required. Estimated Turnaround Time:14 days Methodology:Culture Culture, Miscellaneous Test Code:10414 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Consult with Microbiology Yellow top SPS, BD ESwab Transport System, blue cap culture transport swab, sterile container also acceptable for specimen transport Consult with Microbiology. Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, MRSA Screen Test Code:10105 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements Nose or other body sites White cap culture transport swab,blue cap culture transport swab, red cap culture transport swab, blue cap mini-tip ESwab, orange cap mini-tip culture transport swab, sterile container also acceptable Date, time and source required. Only one sample should be collected in a 24 hour perod. Estimated Turnaround Time:1-4 days Methodology:Culture Culture, Mycobacteria (includes acid fast smear) Test Code:11663 CPT Codes: 87116, Primary Container:See specimen requirements Specimen Type:See specimen requirements Pus, tissue, body fluids, bone marrow, gastric, urine, sputum or other respiratory specimens acceptable. Minimum Volume:2 ml sputum or urine Sterile container, BD ESwab Transport System, blue cap culture transport swab, CSF, yellow top SPS, syringe (no needle attached) also acceptable for specimen transport Estimated Turnaround Time:Smear: 1-4 days; Culture: 8 weeks, weekends on request Methodology:Culture and Fluorescent Acid Fast Bacilli Stain Clinical Laboratory Partners Page 80

130 Culture, Mycobacterium, Blood Test Code:11415 CPT Code: Primary Container:BACTEC Myco/F Lytic Bottle Specimen Type:Whole Blood Inoculate BACTEC Myco/F Lytic bottle with 3-5 ml whole blood. Minimum Volume:3 ml Estimated Turnaround Time:42 days Methodology:Culture Rejection Criteria:1.5 ml Isolator not acceptable Culture, Nasopharyngeal Test Code:10416 CPT Code: Primary Container:Blue cap mini-tip ESwab Specimen Type:Nasopharyngeal Nasopharyngeal swab or washing Sterile specimen container, orange cap mini-tip culture transport swab also acceptable for specimen transport Date, time, and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Nose Test Code:10417 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Nasal Nasal swab Blue cap mini tip ESwab, orange cap mini-tip culture transport swab, blue cap culture transport swab, red cap culture transport swab also acceptable for specimen transport Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Nose R/O Anthrax Test Code:11254 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Nasal Nasal specimen Blue cap mini-tip ESwab, orange cap mini-tip culture transport swab, blue cap culture transport swab also acceptable for specimen transport Date, time and source required Estimated Turnaround Time:2-3 days Methodology:Culture Culture, Quantitative BAL Test Code:11209 CPT Codes: 87071, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Bronchial alveolar lavage (BAL), bronchoscopy, protected specimen brush (PSB) and mini (blind) BAL acceptable. Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Quantitative Protected Specimen Brush Test Code:10643 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Protected specimen brush (PSB) Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Rectal Group A Strep Test Code:10668 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements Rectal swab Blue cap culture transport swab, red cap culture transport swab also acceptable Date and time required. Estimated Turnaround Time:2-3 days Methodology:Culture Culture, Respiratory (includes gram stain) Test Code:10421 CPT Codes: 87070, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Sputum, respiratory secretions, tracheal aspirate, bronchial alveolar lavage (BAL) or bronchial washings Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Clinical Laboratory Partners Page 81

131 Culture, Respiratory R/O Anthrax Test Code:11253 CPT Codes: 87070, Primary Container:Sterile specimen container Specimen Type:See specimen requirements Sputum, respiratory secretions, tracheal aspirate, bronchial alveolar lavage (BAL) or bronchial washings Test code includes gram stain. Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Sinus (includes gram stain) Test Code:10419 CPT Codes: 87070, Primary Container:Blue cap mini-tip ESwab Specimen Type:Sinus Sinus Orange cap mini-tip culture transport swab, BD ESwab Transport System, blue cap culture transport swab, red cap culture transport swab or yellow top SPS or syringe (no needle attached) also acceptable Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Stool R/O Aeromonas Test Code:10426 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool or rectal swab Minimum Volume:1 ml stool Para-Pak C&S vial, blue cap culture transport swab or BD ESwab Transport System are also acceptable for specimen transport. Date of collection required. Only one sample should be collected in a 24 hour period. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Stool R/O E.coli 0157 Test Code:11416 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool or rectal swab Minimum Volume:1 ml stool or swab Para-Pak C&S vial, blue cap culture transport swab or BD ESwab Transport System are also acceptable for specimen transport. Date and time required. Only one sample should be collected in a 24 hour period. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Stool R/O Vibrio Test Code:11693 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool or rectal swab acceptable. Minimum Volume:1 ml stool Para-Pak C&S vial, blue cap culture transport swab or BD ESwab Transport System are also acceptable for specimen transport. Date and time required. Only one sample should be collected in a 24 hour period. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Stool R/O Yersinia Test Code:11682 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool or rectal swab acceptable. Minimum Volume:1 ml stool Para-Pak C&S vial, blue cap culture swab or BD ESwab Transport System are also acceptable for specimen transport. Date and time required. Only one sample should be collected in a 24 hour period. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Stool with Shiga Toxin Test Code:10407 CPT Codes: 87045, 87046, Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool or rectal swab Minimum Volume:1 ml stool Para-Pak C&S vial, blue cap culture transport swab or BD ESwab Transport System are also acceptable for specimen transport. Date of collection required. Only one sample should be collected in a 24 hour period. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Throat Test Code:10402 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Throat Throat Blue cap culture transport swab, red cap double, single swab liquid transport media are also acceptable. Date and time required Estimated Turnaround Time:2-5 days Methodology:Culture Clinical Laboratory Partners Page 82

132 Culture, Throat Group A Strep Test Code:10405 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Throat Throat Blue cap culture transport swab, red cap double, single swab liquid transport media are also acceptable. Date and time required Estimated Turnaround Time:2-3 days Methodology:Culture Culture, Throat Group A, C, and G Strep Test Code:10406 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Throat Throat Blue cap culture transport swab, red cap double, single swab liquid transport media are also acceptable Date and time required. Estimated Turnaround Time:2-3 days Methodology:Culture Culture, Tissue Test Code:11049 CPT Codes: 87070, 87176, Primary Container:Sterile specimen container Specimen Type:Tissue Tissue Date, time and source required. Estimated Turnaround Time:2-7 days Methodology:Culture Culture, Urethral (includes gram stain) Test Code:10423 CPT Codes: 87070, Primary Container:BD ESwab Transport System Specimen Type:Urethra Urethral swab Blue cap mini-tip ESwab, orange cap mini-tip culture transport swab or blue cap culture transport swab also acceptable Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Urine Test Code:10403 CPT Code: Primary Container:Grey top urine boric acid 9 ml urine Minimum Volume:1 ml urine Sterile specimen container Alternate Container:Sterile specimen container Date, time and type of collection required. Grey top preservative must be filled to the minimum fill line. Transportation Temperature: Grey top : Room temperature; Sterile container: Refrigerated Estimated Turnaround Time:2-5 days Methodology:Culture Rejection Criteria:Grey top not filled to the minimum fill line Culture, Urine Paddle Test Code:10432 CPT Code: Primary Container:Uricult paddle Urine submitted on urine paddle Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Vaginal/Cervical (includes gram stain) Test Code:10424 CPT Codes: 87070, Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements Vaginal or cervical specimens acceptable Blue cap culture transport swab and red cap culture transport swab also acceptable Date, time and source required. Estimated Turnaround Time:2-5 days Methodology:Culture Culture, Viral, Adenovirus Test Code:10457 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal, eye, other respiratory sites, tissue, and urine acceptable Date, time and site of collection required. or refrigerated Estimated Turnaround Time:2-5 days Methodology:Shell vial culture Clinical Laboratory Partners Page 83

133 Culture, Viral, CMV Early Antigen, Shell Vial Test Code:11218 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 14 ml whole blood, 3 ml sterile body fluid or 3 ml urine Minimum Volume:10 ml blood; 1 ml urine Whole blood: 2 green top sodium heparin or lithium heparin s; Body fluids: yellow top SPS or sterile container; Urine: sterile container; Tissue and bronchial washings also acceptable. Date, time, and site of collection required. or transport on ice Estimated Turnaround Time:2-5 days Methodology:Shell vial culture Rejection Criteria:Not refrigerated or transported on ice Culture, Viral, Enterovirus Test Code:62399 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal/Nasal, throat, rectal, vesicle: swab in pink viral liquid transport media Nasopharyngeal/throat washing, bronchial lavage/wash, tracheal aspirate, stool, CSF: sterile, screw-capped container Source of collection is required. PCR is preferred test for CSF. Culture will isolate the following Enteroviruses: Echoviruses, Group B and some Group A Coxsackie viruses, Enteroviruses 68-71, and Polioviruses 1-3. A culture isolate is identified as "Enterovirus" only. Please note, specimen should not be rejected if Core receives at room temperature. Upon receiving at Core, refrigerate specimen for shipping to reference lab. or refrigerated. Estimated Turnaround Time:9-12 days Methodology:Centrifuge Enhanced Culture with Immunofluorescence Rejection Criteria:Specimen received at -20 degrees C Culture, Viral, Herpes Simplex Virus (HSV 1&2) Test Code:10454 CPT Codes: 87252, Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements All genital sites, vesicles, respiratory secretions, BAL's, tissues and body fluids are acceptable. Date, time and site of collection required. Typing will be performed at an additional charge (CPT x2). For CSF, order Herpes PCR (test code 10699). BAL's must be submitted refrigerated or on ice. or refrigerated Estimated Turnaround Time:2-5 days Methodology:Shell vial culture Culture, Viral, Respiratory, Shell Vial Test Code:10453 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal, all respiratory sites, BAL and tissues are acceptable. Green capped pink liquid viral transport media (Quest media) Sputum, BAL, fluid specimens in sterile cup (transport refrigerated or on ice) This test includes Influenzae A & B, Parainfluenzae 1,2,3, Adenovirus and RSV. Date, time, and site of collection are required. or refrigerated Estimated Turnaround Time:2-5 days Methodology:Shell vial culture Culture, Viral, Varicella Zoster (VZV), Shell Vial Test Code:10455 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Skin, lesions, vesicles, respiratory secretions, tissue and body fluid are acceptable. Date, time and site of collection required. or refrigerated Estimated Turnaround Time:3-6 days Methodology:Shell vial culture Culture, Vitreous Fluid (includes gram stain) Test Code:11048 CPT Codes: 87070, Primary Container:Sterile specimen container Specimen Type:Vitreous Fluid Vitreous Fluid Date, time and source required. Estimated Turnaround Time:7 days Methodology:Culture Culture, VRE Screen Test Code:10104 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Feces or other body sites BD ESwab Transport System, blue cap culture transport swab, red cap culture swab Date, time and source required. Only one sample should be collected in a 24 hour period. Transportation Temperature: Stools: Refrigerated; Swabs: Room temperature Estimated Turnaround Time:2-5 days Methodology:Culture Clinical Laboratory Partners Page 84

134 Culture, Wound (includes gram stain) Test Code:10404 CPT Codes: 87070, Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements All wound sites Blue cap culture transport swab and red cap culture transport swab also acceptable Date, time and site of collection required Estimated Turnaround Time:5-7 days Methodology:Culture Culture, Wound R/O Anthrax Test Code:11622 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:See specimen requirements All wound sites acceptable Blue cap culture transport swab also acceptable. Date, time and site of collection required. Estimated Turnaround Time:2-3 days Methodology:Culture Culture,CF Mycobacteria (AFB w/rflx sensitivities) Test Code:11555 CPT Codes: 87116, Primary Container:Sterile specimen container Specimen Type:Sputum Sputum, Bronchial lavage (BAL), bronchial washing, tissue and lung aspirate specimens acceptable Minimum Volume:2 ml of sputum BD Transport ESwab Transport System Alternate Container:BD ESwab Transport System Estimated Turnaround Time:Smear: 1-4 days, Culture: 8 weeks Methodology:Culture and Fluorescent Acid Fast Bacilli Stain Curry (Rf281), IgE** Test Code:60302 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Curvularia lunata (m16), IgE Test Code:60215 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Cyanide, Blood Test Code:27113 CPT Code: Primary Container:Grey top sodium fluoride Specimen Type:Whole Blood 1 ml whole blood whole blood Submit whole blood specimen. Estimated Turnaround Time:5-7 days Methodology: High Performance Liquid Chromatography with Fluorescence Detection Cyanide, Occupational Exposure, Blood Test Code:27000 CPT Code: Primary Container:Grey top sodium fluoride Specimen Type:Whole Blood 1 ml sodium fluoride whole blood Minimum Volume:1 ml whole blood Submit whole blood in clean, plastic, screw-capped vial(s). Estimated Turnaround Time:7-10 days Methodology: High Performance Liquid Chromatography with Fluorescence Detection Cyanocobalamin See "Vitamin B12" Clinical Laboratory Partners Page 85

135 Cyclic Citrullinated Peptide IgG Ab Test Code:10721 CPT Code: ml serum Minimum Volume:0.5mL 1 ml lavender EDTA or green lithium heparin plasma Separate serum from the cells immediately after clot formation. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Gross hemolysis or lipemia Turbid specimen Cyclosporine Test Code:11708 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:90% Tube Draw Volume Tube must be at least half full. Estimated Turnaround Time:1-2 Days Methodology:Fluorescence Polarization Immunoassay Rejection Criteria:Clotted CYP450-2C19 (PLAVIX) Test Code:70001 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Blood 3 ml EDTA whole blood whole blood Buccal swabs Submit whole blood in original collection. Please note: If specimen (blood or buccal swab) has exceeded stability, send to reference for evaluation. A Genomas requisition, completed by physician, is required at time of collection. Estimated Turnaround Time:14-16 days Methodology:Polymerase Chain Reaction Cystatin C Test Code:61033 CPT Code: ml serum Fasting is preferred 1 ml green heparin plasma, fasting is preferred 1 ml serum from red top non-gel barrier, fasting is preferred Alternate Container:Green top lithium heparin non-gel barrier Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria:Viscous fluids Cystic Fibrosis 139 Mutation, NGS Test Code:8144 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Estimated Turnaround Time:7 days Days Performed:Monday - Friday Methodology:Next Generation Sequencing Rejection Criteria:Clotted or frozen specimen Cystic Fibrosis ACMG/ACOG Panel (23 mut) Test Code:8040 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:1-4 days Days Performed:Monday-Thursday Methodology:Polymerase Chain Reaction Rejection Criteria:Clotted or frozen specimens Cystic Fibrosis Expanded Caucasian (45 mut) Test Code:8042 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen Estimated Turnaround Time:1-4 days Days Performed:Monday-Thursday Methodology:Polymerase Chain Reaction Rejection Criteria:Clotted or frozen specimens Clinical Laboratory Partners Page 86

136 Cystic Fibrosis Hispanic/African American (66 mut) Test Code:8325 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:1-4 days Days Performed:Monday-Thursay Methodology:Polymerase Chain Reaction Rejection Criteria:Clotted or frozen specimens Cystic Fibrosis Mycobacteria Culture See "Culture, CF Mycobacteria (AFB)" Cysticercus Antibody Test Code:60792 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.25 ml Centrifuge and immediately transfer serum to clean plastic, screw-capped vial(s). Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Cysticercus Antibody, CSF Test Code:60791 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Minimum Volume:0.1 ml CSF Alternate Container:Sterile specimen container Submit specimen in sterile, plastic, leak-proof container. Estimated Turnaround Time:5-7 days Days Performed:Tuesday-Friday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria:Room temperature specimen Cystine, Creat, Ur, Random Test Code:60897 CPT Codes: 82131, Primary Container:Sterile specimen container 1.8 ml urine collected without preservative, frozen immediately urine Alternate Container:Non-sterile container Do not use preservatives. Urine with a ph of <2.0 will be rejected. Submit random urine in a plastic, leak-proof container. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria:Room temperature or refrigerated specimens Cystine, Urine, 24 Hour Test Code:60528 CPT Code: Primary Container:24 hour urine container 2 ml urine from a well mixed 24 hour urine collected without preservative, frozen urine Keep urine refrigerated during and after collection. Patient's age is required for correct reference range. Indicate the total 24 hour volume on the sample container. Submit specimen in clean, plastic, Freeze specimen immediately after aliquotting. Estimated Turnaround Time:10-14 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria: Room temperature or refrigerated specimens Urine ph less than 2.0 Cytogenetics Test Code:8310 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Constitutional Studies: Peripheral blood (age >1 year): 5-10 ml green top sodium heparin. Peripheral blood (age <1 year): ml green top sodium heparin. Products of conception: fetal tissue placed in a sterile specimen cup with RPMI media. Neoplastic Studies: 1-5 ml of bone marrow or 5-10 ml of peripheral blood in a green top sodium heparin. FISH Studies: 1-5 ml of bone marrow or 5-10 ml peripheral blood in a green top sodium heparin. 4um thick formalin fixed, positively charged, paraffin embedded tissue slides. Deliver to HH Cytogenetics within 24 hours of collection. Keep specimen at room temperature. Transportation Temperature:Room Temperature Methodology: Cell culture for Chromosome Analysis; Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Spun or refrigerated and frozen specimens Clinical Laboratory Partners Page 87

137 Cytomegalovirus (CMV) Antibody IgG Test Code:10705 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Cytomegalovirus (CMV) Antibody IgM Test Code:10704 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Cytomegalovirus DNA, Quantitative PCR Test Code:10658 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:2 ml EDTA plasma Collect 2 full lavender top EDTA s. Centrifuge and transfer to clean, plastic, screw-capped vial within 6 hours of collection. Estimated Turnaround Time:2-5 days Days Performed:Monday, Thursday Methodology:Real Time Polymerase Chain Reaction Rejection Criteria: Specimens collected in heparin s Sources other than plasma not acceptable Cytomegalovirus DNA, RT-PCR, Qual Test Code:60793 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma 1 ml CSF, eye fluid urine, amniotic fluid, bronchial brush/wash, 3mmx3mm fresh tissue 1 ml lavender EDTA, yellow ACD- B whole blood 1 ml red top serum 1 ml yellow ACD-B plasma Plasma/Serum: Centrifuge and transfer into clear, plastic, screw-capped vial(s). CSF, urine, amniotic fluid, bronchial brush, tissue: Submit specimen in sterile, plastic, leakproof container. Ship frozen. Whole blood: Submit whole blood specimen in original collection. Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen whole blood D-Lactate Test Code:60795 CPT Code: Primary Container:Grey top sodium fluoride Specimen Type:Plasma 1 ml plasma, frozen immediately Minimum Volume:1 ml plasma Centrifuge and transfer plasma into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:6-9 days Methodology:Enzymatic Rejection Criteria:Room temperature specimens d-xylose Absorption, Blood, 1 Hour Test Code:60615 CPT Code: ml serum Minimum Volume:1 ml Children and adult patients should be kept fasting overnight and during the test period. Infants are fasted for 4 hours. Collect blood specimen 1 hour after administering d-xylose. Note time and amount of d-xylose given. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday, Thursday morning Methodology:Colorimetric Clinical Laboratory Partners Page 88

138 d-xylose Absorption, Blood, 2 Hours Test Code:60616 CPT Code: ml serum Minimum Volume:1 ml Centrifuge and transfer serum into clean, plastic, Label with time of collection postdose (2 hours). Estimated Turnaround Time:5-7 days Days Performed:Monday, Thursday morning Methodology:Colorimetric d-xylose, Urine, 5 Hour Test Code:60581 CPT Code: Primary Container:24 hour urine container 5 ml aliquot from a well mixed 5 hour urine collected without preservative. Urine is collected following Xylose ingestion. Minimum Volume:1 ml urine 5 ml aliquot from a well-mixed 24 hr urine containe with no additive Adult patients and children should be kept fasting overnight and during test period (infants are fasted for 4 hours). 1. At the start of the test, have patient empty the bladder completely and discard the urine. 2. Give 25 grams of D-Xylose (or 5 grams if instructed by physician) dissolved in 250 ml water followed immediately by an additional 250 ml water to ensure a urine flow of at least 60 ml/hour. For children, give 0.5g xylose/kg of body weight up to 25g, reducing the amount of water accordingly. Note and record starting time and the amount of D-Xylose given. 3. Collect all urine specimens for the next 5 hours including the final 5 hour void in the same container. Keep refrigerated during collection. If blood collection(s) has also been requested, collected at requested time point(s) (1 hour or 2 hour post xylose ingestation). 4. Aliquot 5 ml from the well mixed 5 hour collection and put into grey to sodium fluoride to preserve. If grey is glass, transfer urine into clean, plastic, leak-proof container. Record the total volume of the urine collection. Freeze immediately. Estimated Turnaround Time:5-7 days Days Performed:Monday, Thursday morning Methodology:Colorimetric D. farinae (d2), IgE Test Code:16049 serum (1.1 ml minimum) for each 5-10 allergens tested. serum D. pteronyssinus (d1), IgE Test Code:16050 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Dandelion (w8), IgE Test Code:16107 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Datril See "Acetaminophen" Deep Wound Culture See "Culture, Deep Wound" Delta-Aminolevulinic Acid See "Aminolevulinic Acid (ALA), Urine, 24 Hour" Dengue Fever Antibody, IgG, IgM Test Code:62454 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-9 days Methodology:Immunoassay Clinical Laboratory Partners Page 89

139 Deoxycorticosterone (DOC) Test Code:60712 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Sunday, Tuesday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Moderate hemolysis, lipemia, icterus Depakene See "Valproic Acid (Depakote)" Depakote See "Valproic Acid (Depakote)" Desipramine, Quantitative Test Code:60530 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml plasma Minimum Volume:1.2 ml plasma 3 ml navy EDTA, green heparin plasma 3 ml red top non-gel barrier, navy blue non-additive serum No gel barrier s. Collect as a trough or at least 12 hours after last dose. Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 1 hour of collection. morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Gel barrier s are not acceptable Gross hemolysis Desmoglein Antibodies (1,3) Test Code:62288 CPT Code: ml serum Fasting for 1 hour after a meal is required 1 ml serum from red top non-gel barrier Fasting for 1 hour after a meal is required A fasting sample is required. Specimen should be collected at least 1 hour after a meal. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Thursday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria:Hemolysis, lipemia or icteric specimen Desyrel See "Trazodone" Dexamethasone Test Code:62100 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.6 ml 1 ml green heparin, gray sodium fluoride plasma Alternate Container:Green top sodium heparin No SST s. Collect specimen between 8:00 a.m. and 10:00 a.m. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Dextro/LevoMethorphan, Urine, Random Test Code:62416 CPT Code: Primary Container:Non-sterile container 2 ml urine Minimum Volume:0.7 ml Alternate Container:Sterile specimen container Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography Clinical Laboratory Partners Page 90

140 DHEA Test Code:60045 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Fasting is preferred 0.5 ml lavender EDTA plasma Fasting is preferred Alternate Container:Lavender top EDTA No SST s. Overnite fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Nomday-Friday, Sunday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Hemolysis DHEA Sulfate Test Code:11039 CPT Code: ml serum 1 ml lavender EDTA, green heparin, blue citrate, gray potassium oxalate sodium fluoride plasma 1 ml serum from red top non-gel barrier Alternate Container:Lavender top EDTA Methodology:Electrochemiluminescence Immunoassay DHT See "Dihydrotestosterone (DHT)" Differential, Body Fluid Test Code:11617 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Fluid 2 ml body fluid Minimum Volume:1 ml body fluid Always send to testing lab for specimen volume evaluation Methodology:Cytospin Wright Stain Differential, Manual See "Manual Differential" Digitoxin Test Code:60670 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy blue EDTA plasma 1 ml serum from navy blue non-additive Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Digoxin, Total Test Code:11604 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin or lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Specimen must be collected at least 6-8 hours after last dose. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Rejection Criteria:SST s are not acceptable Dihydrotestosterone, Quant Test Code:60531 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.6 ml 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Sunday-Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Moderate hemolysis or lipemia Dilantin See "Phenytoin (Dilantin)" Clinical Laboratory Partners Page 91

141 Dill (Rf277), IgE** Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Diphenhydramine Scr Rflx Semi-Quant Test Code:27061 CPT Code: Primary Container:Sterile specimen container 15 ml urine Minimum Volume:10 ml urine Alternate Container:Non-sterile container Submit specimen in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Diphenhydramine, Serum Test Code:27065 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:3 ml 3 ml green sodium heparin plasma Alternate Container:Green top sodium heparin No SST s.centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography/Nitrogen Phosphorus Detection Rejection Criteria:SST s are not acceptable Diphtheria Antitoxoid Antibody Test Code:60085 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icterus Dipropylacetic Acid See "Valproic Acid (Depakote)" Disopyramide (Norpace) Test Code:60683 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma 1 ml serum from navy blue non-additive Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Immunoassay Rejection Criteria:SST s are not acceptable DNA Antibodies See "Double Strand DNA Ab" DNase-B Antibody Test Code:60532 CPT Code: ml serum Minimum Volume:0.4 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Methodology:Nephelometry DOC See "Deoxycorticosterone (DOC)" Dog Dander (e5), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested. serum Donnatal See "Phenobarbital" Clinical Laboratory Partners Page 92

142 Donor, C.trachomatis and N.gonorrhoeae, RNA, TMA Test Code:60965 CPT Codes: 87491, Primary Container:Gen-Probe Aptima Specimen Type:See specimen requirements Endocervical or urethral specimens: use APTIMA (TM) unisex swab specimen collection kit Vaginal specimens: use APTIMA (TM) vaginal swab specimen collection kit. Urine specimens: use APTIMA (TM) urine collection kit for male and female urine specimens. Minimum Volume:Aptima Urine: Patient should not have urinated for at least 1 hour prior to specimen collection. Using the disposable pipette, transfer 2 ml urine from specimen cup to Aptima urine transport media. The fluid level must be between the two black lines on the transport media. For swab collection: Follow kit instructions Methodology:Transcription Mediated-Amplification Donor, Chagas Screen Test Code:62444 CPT Code: ml serum If possible, send original along with serum aliquot. 1 ml serum from red top non-gel barrier If possible, send original along with serum aliquot. Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into clean, plastic, Place both specimens together, in a separate bag for transport. Estimated Turnaround Time:4-6 days Methodology:Enzyme-Linked Immunosorbent Assay Donor, Cytomegalovirus (CMV) Total Ab Rflx IgM Test Code:60959 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum. If possible, send original collection along with the serum aliquot. No SST s. Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Please note: If the CMV IgG Antibody is positive, a CMV IgM Antibody (CPT 86645) will be performed at an additional charge. Estimated Turnaround Time:4-9 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Donor, Cytomegalovirus (CMV) Total Antibodies Test Code:60958 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum. If possible, send original collection along with the serum aliquot. 1 ml lavender EDTA plasma. If possible, send original collection along with the plasma aliquot. Alternate Container:Lavender top EDTA No SST s. Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Methodology:Hemagglutination Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 93

143 Donor, Hepatitis B Core Antibody, Total Test Code:60962 CPT Code: ml serum. If possible, send original collection along with the serum aliquot. 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. 1 ml EDTA plasma. If possible, send original along with plasma aliquot. Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Methodology:Enzyme Immunoassay Donor, Hepatitis B Surface Ag Rflx Confirmation Test Code:60961 CPT Code: ml serum. If possible, send original collection along with the serum aliquot. 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. 1 ml lavender EDTA plasma. If possible, send original along with plasma aliquot. Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens togetherin a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Please note: If the Hepatitis B Surface Antigen is reactive, a Hepatitis B Surface Confirmation (CPT 87341) will be performed at an additional charge. Methodology:Enzyme Immunoassay Donor, Hepatitis C Ab Rflx Confirmation Test Code:62394 CPT Code: ml serum. If possible, send original collection along with the serum aliquot. 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Please note, if the Hepatitis C Antibody is reactive, a second Hepatitis C Screen (CPT 86804) will be performed at an additional charge. Methodology:Chemiluminesent Assay Donor, HIV 1/2 Ab Screen Rflx Confirmation Test Code:60963 CPT Code: ml serum. If possible, send original collection along with the serum aliquot. 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. 1 ml EDTA plasma. If possible, send original along with plasma aliquot. Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into clean, plastic, Place both specimens togetherin a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Please note, if the HIV 1/2 Antibody Screen is positive or indeterminate, HIV-1 Western Blot (CPT 86689) will be added at an additional charge. If HIV-1 Western Blot is negative, indeterminate, or uninterpretable, Donor, HIV-2 Antibody for Confirmation (CPT 86702) will be added at an additional charge. Methodology:Enzyme Immunoassay Clinical Laboratory Partners Page 94

144 Donor, HIV-1/HCV/HBV NAT Procleix w/ Reflex Test Code:61085 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 7 ml EDTA whole blood Minimum Volume:5 ml whole blood Submit whole blood specimen in original collection. Shipping: Place specimen in its own shipping bag. *Attach a Donor Testing label to the bag.* Please note, if HIV-1/HCV/HBV NAT Procleix is reactive, a Donor, HIV-1 NAT (CPT 87535), a Donor, HCV NAT (CPT 87521), and a Donor, HBV Discriminatory (CPT 87516) will be performed at additional charges. Methodology:Nucleic Acid Amplification Rejection Criteria:Frozen whole blood specimens Donor, HTLV-I/II Antibody Screen Test Code:60964 CPT Code: ml serum. If possible, send original collection along with the serum aliquot. 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. 1 ml EDTA plasma. If possible, send original along with plasma aliquot. Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Methodology:Enzyme Immunoassay Donor, Rapid Plasma Reagin (RPR) Rflx Syphilis IgG Test Code:60960 CPT Code: ml serum. If possible, send original collection along with the serum aliquot 1 ml serum from red top non-gel barrier. If possible, send original collection along with the serum aliquot. 1 ml lavender EDTA plasma. If possible, send original along with plasma aliquot Alternate Container:Lavender top EDTA Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer serum into a clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Please note,if the RPR is reactive, a Donor, Syphilis IgG Antibody (CPT 86780) will be performed at an additional charge. Methodology:Flocculation Donor, West Nile Virus NAT Test Code:61090 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma If possible, send original collection along with plasma aliquot. Minimum Volume:1.5 ml plasma Please send the original collection, if possible. Aliquot s will only be accepted if processed and labeled at the original collection site. At site of collection, centrifuge and transfer plasma into clean, plastic, Place both specimens together in a separate bag for transport. Shipping: Place both specimens together, in their own shipping bag. *Attach a Donor Testing label to the bag.* Estimated Turnaround Time:4-8 days Methodology:Nucleic Acid Amplification Double Strand DNA Antibody Test Code:12434 CPT Code: ml serum Centrifuge, separate and refrigerate immediately after clot formation. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Hemolysis or lipemia Turbid specimen Clinical Laboratory Partners Page 95

145 Douglas Fir (Rt205), IgE** Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Doxepin and Desmethyldoxepin, Qt Test Code:60694 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.5 ml 3 ml lavender EDTA, green heparin, navy EDTA plasma 3 ml navy blue non-additive serum Alternate Container:Lavender top EDTA No SST s. Collect as a trough just before next dose or at least 12 hours after last dose. Centrifuge and immediately transfer serum into a clean, plastic, Estimated Turnaround Time:4-6 days morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable DPD See "Deoxypyridinoline, Free, Urine" drvvt Screen, reflex Confirmation and 1:1 Mix Test Code:60034 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma divided equally into each of 2 vials, frozen immediately Minimum Volume:1 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Note: If the drvvt Screen is >45 seconds, the Phospholipid Neutralization (drvvt Confirmation) (CPT 85597) will be performed at an additional charge. If the drvvt confimation is positive, a drvvt 1:1 mix (CPT 85613) will be performed at an additional charge. Transportation Temperature:Frozen Methodology:Clot Detection Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens dsdna See "Double Strand DNA Ab" Duck Feathers (e86), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Duffy See "Antigen Testing" Clinical Laboratory Partners Page 96

146 E coli 0157 See "Culture, Stool R/O E.coli 0157" E. chaffeensis Antibody, IgG, IgM Test Code:60030 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Indirect Immunofluorescence Assay E. chaffeensis DNA, RT-PCR, Qual Test Code:60534 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 0.7 ml EDTA whole blood whole blood 0.7 ml yellow top ACD-B whole blood 1 tick in sterile, leakproof container with ethanol, or live Alternate Container:Yellow top ACD solution B Submit whole blood specimen in original collection. Estimated Turnaround Time:3-8 days Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction E. coli Shiga Toxins Test Code:11585 CPT Code: Primary Container:Parapak C&S vial Specimen Type:Stool 5 ml liquid stool Minimum Volume:2 ml liquid stool Sterile specimen container Alternate Container:Sterile specimen container Transportation Temperature: Para-Pak C&S: Refrigerated; Sterile container: Frozen Estimated Turnaround Time:1-4 days Methodology:Enzyme Immunoassay E2A/PBX1 (t(1,19)) Fusion ID, RT-PCR Test Code:8138 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood or bone marrow Minimum Volume:1 ml Submit whole blood or bone marrow specimen. Deliver within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Clotted or frozen samples Ear Culture See "Culture, Ear (includes gram stain)" EBV See Epstein-Barr Virus testing EBV DNA, PCR, Qualitative Test Code:60754 CPT Code: ml serum 1 ml CSF or 3 mm fresh tissue in sterile container 1 ml lavender EDTA plasma 1 ml lavender EDTA, Yellow ACD-B whole blood 1 ml bone marrow in lavender EDTA, do not separate 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw capped vial(s) within 2 hours of collection. morning Methodology:Polymerase Chain Reaction Rejection Criteria:Heparinized specimen EBV DNA, Quantitative PCR Test Code:10773 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:2 ml EDTA plasma Collect 2 full lavender top EDTA s. Centrifuge and transfer plasma into clean, plastic, screw-capped vial within 6 hours of collection. Estimated Turnaround Time:2-8 days Days Performed:Monday Methodology:Real Time Polymerase Chain Reaction Rejection Criteria: Specimens collected in heparin s Sources other than plasma not acceptable Clinical Laboratory Partners Page 97

147 Echinococcus Antibody, IgG Reflex Western Blot Test Code:62374 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Please note, if the Echinococcus Ab, IgG is positive, an Echinococcus Ab, IgG Western blot (CPT 86682) will be performed at an additional charge. Estimated Turnaround Time:5-12 days Days Performed:Tuesday, Friday Methodology:Immunoassay Echovirus Antibodies Test Code:60798 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw capped vial(s). Estimated Turnaround Time:5-7 days Methodology:Complement Fixation Ecstasy Screen, Reflex Semi-Quantitative Test Code:11246 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Competitive Inhibition Immunoassay Ecstasy Screen, Rflx Semi-Quant & Conf, Urine Test Code:11305 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive,confirmation (test code CPT 80359) will be performed at an additional charge. Methodology:Competitive Inhibition Immunoassay Ecstasy Screen, Urine Test Code:11220 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Competitive Inhibition Immunoassay Ecstasy Screen, Urine, Reflex Confirmation Test Code:10149 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if screen is positive, a confirmation (CPT 80359) will be performed at an additional charge. Methodology:Competitive Inhibition Immunoassay Clinical Laboratory Partners Page 98

148 Ecstasy, Confirmation, Ur, Qt Test Code:62214 CPT Code: Primary Container:Non-sterile container 20 ml urine collected without preservative Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:9-15 days Days Performed:Tuesday, Saturday Methodology:Mass spectrometry Effexor Test Code:27260 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1 ml 3 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Centrifuge and immediately transfer serum into clean, plastic, Methodology:High Performance Liquid Chromatography Rejection Criteria:SST s are not acceptable Egg White (f1), IgE Test Code:16018 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Egg Yolk (f75), IgE Test Code:16019 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Eggplant (Rf262), IgE** Test Code:60307 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Elavil See "Amitriptyline" Electrolytes Test Code:10216 CPT Code: Includes: Sodium, Potassium, Chloride, Carbon Dioxide, Anion Gap (calculated) 1 ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Specimens must be maintained anaerobically (unopened) to avoid loss of CO2. Methodology:Ion Select Electrode Rejection Criteria:Hemolysis Electrophoresis, Hemoglobin Test Code:11678 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:2-9 days Days Performed:Monday, Wednesday, Friday Methodology:Capillary electrophoresis Rejection Criteria:Frozen specimens Electrophoresis, Immunofixation (IFE, IMFIX) See "Immunofixation Electrophoresis, Serum, w/gam" See "Immunofixation Electrophoresis, Urine" Clinical Laboratory Partners Page 99

149 Electrophoresis, Protein, Serum (SPEP) Test Code:11679 CPT Codes: 84155, ml serum Estimated Turnaround Time:1-3 days Methodology:Electrophoresis Rejection Criteria:Gross hemolysis Electrophoresis, Protein, Urine Test Code:11680 CPT Code: Primary Container:Non-sterile container 30 ml urine, collected without preservatives Minimum Volume:12 ml urine 30 ml of a well mixed 24 hour urine collected without preservatives Alternate Container:24 hour urine container Estimated Turnaround Time:1-3 days Methodology:Electrophoresis Elm (t8), IgE Test Code:16056 serum (1.1 ml minimum) for each 5-10 allergens tested. serum ENA Antibodies See "Sm (Smith) and Sm/RNP Antibodies" Endomysial IgA Ab Screen, Reflex to Titer Test Code:10732 CPT Code: ml serum Please note, if the Screen is positive, the Titer (test code 10733, CPT 86256) will be added at an additional charge. Days Performed:Twice weekly Methodology:Indirect Immunofluorescence Assay Rejection Criteria: Grossly hemolyzed or lipemic specimens are unacceptable English Plantain (w9), IgE Test Code:16074 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Entamoeba histolytica Ab, IgG Test Code:60799 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.25 ml Alternate Container:Serum Separator Tube Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:8-12 days Days Performed:Wednesday, Saturday Methodology:Enzyme-Linked Immunosorbent Assay Entamoeba histolytica Stool Antigen Test Code:10534 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1g/0.5 ml liquid stool or 20 mm solid stool Minimum Volume:1 gm stool Do NOT place stool in preservative transport medium or on a swab. Estimated Turnaround Time:1-3 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme Immunoassay Rejection Criteria:Para-Pak C & S vial or Para-Pak O & P vial Enterobius See "Pinworm Exam" Enterovirus CSF PCR Test Code:10627 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Estimated Turnaround Time:24 hours Methodology:Real-Time Polymerase Chain Reaction Clinical Laboratory Partners Page 100

150 Enterovirus RNA, Real-Time PCR, Qual Test Code:60800 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 0.7 ml EDTA plasma plasma 0.7 ml red top serum 1 gram stool 0.7 ml swab submitted in M4-Multiuse viral transport medium 0.7 ml CSF in a sterile screw-cap container Plasma/Serum: Centrifuge and transfer serum/plasma into clean, plastic,screw-capped vial(s) within 2 hours of collection. CSF, Stool: Submit in sterile, leakproof containers. Swabs: Sumbit in M4 multiuse viral transport medium. DO NOT FREEZE! Estimated Turnaround Time:5-9 days Days Performed:Monday-Sunday Methodology: Real-Time Polymerase Chain Reaction Reverse Transcriptase-Polymerase Chain Reaction Eosinophil Cationic Protein Test Code:60150 CPT Code: Primary Container:Red top non-gel barrier serum (1.1 ml minimum) for each 5-10 allergens tested. No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Tuesday, Friday Rejection Criteria:SST s are not acceptable Eosinophil Count Test Code:11007 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections. 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Flow cytometry with a combination of nucleic acid fluorescence/optical, cytochemistry, and radio frequency with a reflex to manual microscopic methods Rejection Criteria:Clotted, frozen, or hemolyzed specimens Eosinophil Smear Test Code:11650 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Sputum, nasopharyngeal swab, urine, stool, or skin specimens acceptable. Minimum Volume:1 ml sputum or urine Blue cap culture transport swab Estimated Turnaround Time:1-4 days Methodology:Hansel's Stain Epicoccum purpur (m14), IgE Test Code:16081 serum (1.1 ml minimum) for each 5-10 allergens tested. serum EPO See "Erythropoietin (EPO)" Epstein-Barr Virus Ab, EA Test Code:20455 CPT Code: ml serum Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Epstein-Barr Virus Ab, EBNA IgG Test Code:20451 CPT Code: ml serum Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Clinical Laboratory Partners Page 101

151 Epstein-Barr Virus Ab, VCA IgG Test Code:20452 CPT Code: ml serum Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Epstein-Barr Virus Ab, VCA IgG, IgM Test Code:20461 CPT Code: ml serum Estimated Turnaround Time:1-5 days Methodology:Multiplex Flow Immunoassay Epstein-Barr Virus Ab, VCA IgM Test Code:20453 CPT Code: ml serum Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Equanil See "Meprobamate" Erythrocyte Sediment Rate (ESR) Test Code:10305 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:50 % draw volume 3 ml EDTA whole blood collected in a pediatric lavender top 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Specimen containers must be at least 50% full. Avoid exposure to heat or freezing temperatures. Estimated Turnaround Time:24 hours Methodology:Modified Westergren Rejection Criteria: Hemolyzed, clotted, frozen, specimens with insufficient quantity or hematocrit <10%. Erythropoietin (EPO) Test Code:60535 CPT Code: ml serum 1 ml serum from red top non-gel barrier Recommended collection time is between 7:30 am and noon. Centrifuge and transfer serum into clean, plastic, evening Methodology:Immunoassay Rejection Criteria:Gross hemolysis Escherichia coli 0157 See "Culture, Stool R/O E.coli 0157" Escherichia coli Shiga Toxins See "E. coli Shiga Toxins" ESR See "Erythrocyte Sediment Rate (ESR)" Estradiol Test Code:11157 CPT Code: ml serum 1 ml green heparin, blue citrate, or grey sodium flouride Methodology:Electrochemiluminescence Immunoassay Estradiol, Free Test Code:61063 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and immediately transfer serum into a clean, plastic, screw-capped vial(s) within 30 minutes of collection. Estimated Turnaround Time:8-12 days Days Performed:Monday-wednesday Methodology: Equilibrium Dialysis Liquid Chromatography/Mass Spectrometry Rejection Criteria: SST s are not acceptable Hemolysis Clinical Laboratory Partners Page 102

152 Estradiol, Pediatric Test Code:30141 CPT Code: ml serum Minimum Volume:1.2 ml serum 3 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:5-8 days Days Performed:Monday-Saturday Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry Estradiol, Ultra Sensitive Test Code:60702 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Minimum Volume:0.2 ml No SST s. Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Estriol Test Code:60802 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and transfer serum into clean plastic screw capped vial(s). Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria:SST s are not acceptable Estrogen, Total Test Code:60536 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, morning Methodology: Radioimmunoassay Extraction Rejection Criteria:Gross hemolysis or lipemia Estrogens, Fract (Estradiol, Estrone, Estriol) Test Code:60895 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:0.8 ml No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:10-15 days, Saturday Methodology: Liquid Chromatography/Mass Spectrometry Extraction Immunoassay Rejection Criteria:SST s are not acceptable Estrone Test Code:60537 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Minimum Volume:0.25 ml Alternate Container:None No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 103

153 Ethanol, Blood, Quantitative Test Code:11746 CPT Code: Primary Container:Green top lithium heparin with gel barrier Specimen Type:Plasma 1 green lithium heparin (send as whole blood, must not be opened prior to testing). 2 ml serum from red top non-gel barrier Clean venipuncture site with non-alcohol preparation (send as whole blood, must not be opened prior to testing) Methodology:Enzymatic Rejection Criteria:Hemolysis Ethanol, Urine, Quant Test Code:10128 CPT Code: Primary Container:Non-sterile container 5 ml random urine collected without preservatives Minimum Volume:1 ml Alternate Container:Sterile specimen container Urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology:Enzymatic Ethchlorvynol, Quantitative Test Code:61016 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma Minimum Volume:2 ml plasma 3 ml serum from red top non-gel barrier No SST s. Centrifuge and transfer plasma into clean, plastic, Estimated Turnaround Time:10-14 days Days Performed:Tuesday Methodology:Gas Chromatography Rejection Criteria:SST s are not acceptable Ethosuximide Test Code:60539 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma 1 ml serum from navy non-additive Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, ***Collect as trough just prior to next dose.*** Days Performed:Monday-Saturday morning Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Ethyl Glucuronide Screen, Reflex Semi-Quant Test Code:10019 CPT Code: Primary Container:Non-sterile container 10 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Enzyme Immunoassay Rejection Criteria:Urine with preservative Ethyl Glucuronide, Urine Test Code:10018 CPT Code: Primary Container:Non-sterile container 10 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Enzyme Immunoassay Rejection Criteria:Urine with preservative Clinical Laboratory Partners Page 104

154 Ethylene Glycol Test Code:27630 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum 2 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Tubes should be filled to prevent loss of volatile compound into headspace. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography/Flame Ionization Detection Rejection Criteria:SST s are not acceptable Ethylene Oxide (k78), IgE Test Code:60278 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Eucalyptus (t18), IgE Test Code:60184 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Excedrine ES See "Acetaminophen" Factor I See "Fibrinogen" Factor II Test Code:11773 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor II Prothrombin Gene Mutation Test Code:8060 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Transportation Temperature:Rerigerated Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Luminex Rejection Criteria:Clotted or frozen specimens Expanded Lipid Profile See "Advanced Lipid Panel Reflex Direct LDL" Expanded Lipid Subparticle See "Advanced Lipid Panel Reflex Direct LDL" Clinical Laboratory Partners Page 105

155 Factor IX Test Code:11683 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor IX Inhibitor Screen Test Code:34030 CPT Codes: 85250, 85335, 85730, Primary Container:Blue top sodium citrate Specimen Type:Plasma 6 ml citrate platelet poor plasma divided equally in each of 3 vials, frozen immediately Minimum Volume:3 ml divided equally in each of 3 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 Days Methodology:Clot Detection Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 106

156 Factor V Test Code:11684 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor V and Factor II Gene Mutations Test Code:8297 CPT Codes: 81240, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Luminex Rejection Criteria:Clotted or frozen specimens Factor V HR2 Gene Mutation Test Code:8322 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml lavender EDTA whole blood Minimum Volume:3 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:5 days Methodology: Polymerase Chain Reaction Luminex Rejection Criteria:Clotted or frozen specimens Factor V Leiden and HR2 Gene Mutations Test Code:8323 CPT Codes: 81241, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml lavender EDTA whole blood Minimum Volume:3 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:5 days Methodology: Polymerase Chain Reaction Luminex Rejection Criteria:Clotted or frozen specimens Factor V Leiden Gene Mutation Test Code:8058 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Luminex Rejection Criteria:Clotted or frozen specimens Factor VII Test Code:11786 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Clinical Laboratory Partners Page 107

157 Factor VIII Activity Test Code:11685 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor VIII Inhibitor Panel with Rflx Test Code:62447 CPT Codes: 85240, Primary Container:Blue top sodium citrate Specimen Type:Plasma 6 ml citrate platelet poor plasma divided equally in each of 3 vials, frozen immediately Minimum Volume:3 ml divided equally in each of 3 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ration. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. Prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma into a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma into a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as platelet poor plasma and immediately freeze. Please note, if the Factor VIII Inhibitor, EIA is positive, a Nijmegen Assay (CPT 85335) will be performed at an additional charge. Transportation Temperature:Frozen Estimated Turnaround Time:3-11 days Days Performed:Sunday, Tuesday, Thursday Methodology: Photometric Clot Enzyme Immunoassay Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 108

158 Factor X Test Code:11784 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor XI Test Code:11716 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Factor Xa Inhibition See "Anti Xa" Clinical Laboratory Partners Page 109

159 Factor XI Inhibitor Screen Test Code:34040 CPT Codes: 85270, 85335, 85730, Primary Container:Blue top sodium citrate Specimen Type:Plasma 6 ml citrate platelet poor plasma divided equally in each of 3 vials, frozen immediately Minimum Volume:3 ml divided equally in each of 3 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology:Clot Detection Rejection Criteria:Room temperature, refrigerated or thawed specimens Factor XII Test Code:11709 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology: Clot Detection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Clinical Laboratory Partners Page 110

160 Factor XII Inhibitor Screen Test Code:34050 CPT Codes: 85280, 85335, 85730, Primary Container:Blue top sodium citrate Specimen Type:Plasma 6 ml citrate platelet poor plasma divided equally in each of 3 vials, frozen immediately Minimum Volume:3 ml divided equally in each of 3 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology:Clot Detection Rejection Criteria:Room temperature, refrigerated or thawed specimens Factor XIII Antigen Test Code:11312 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Whole Blood 2 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1.0 ml DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. Transportation Temperature:Frozen Days Performed:Monday - Friday Methodology:Clot detection, photo optical Rejection Criteria: Clotted specimen. Room temperature or refrigerated specimens. False Ragweed (w4), IgE Test Code:60391 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Familial Dysautonomia, DNA Mutation Test Code:62303 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:12-18 days Days Performed:Wednesday, Friday, Sunday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Fanconi Anemia, DNA Mutation Test Code:62304 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:12-18 days Days Performed:Tuesday, Saturday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Clinical Laboratory Partners Page 111

161 Fascioliasis Antibody Test Code:60804 CPT Code: ml serum Minimum Volume:1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw capped vial(s). Estimated Turnaround Time:5-9 days Methodology:Enzyme-Linked Immunosorbent Assay Fatty Acid Profile, Essential C12-C22 Test Code:60805 CPT Code: ml serum drawn from a fasting patient, frozen immediately 1 ml serum from a red top non-gel barrier, drawn from a fasting patient, frozen immediately Overnite fasting (12-14 hours) is required. Patient should refrain from alcohol consumption for 24 hours before draw. Centrifuge and transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology:Gas Chromatography Mass Spectrometry Rejection Criteria:Room temperature or thawed specimen FDP See "Fibrin Degradation Products" Fecal Fat, Qualitative Test Code:11777 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 ml stool stool Estimated Turnaround Time:1-3 days Methodology:Sudan III Stain Fecal Globin by Immunochemistry Test Code:60875 CPT Code: Primary Container:See specimen requirements Specimen Type:Stool InSure FOBT test card Protect from direct sunlight None - If stool specimen is received in a sterile cup order Fecal Occult Blood (Immunologic/FIT). Remind patient to read kit instructions. Do not collect samples 3 days before, during or after menstrual period. Do not collect samples if there are bleeding hemorrhoids, visible blood in the urine or in the toilet bowl, or bleeding cuts on the hands. Do not collect specimens from toilet bowls containing toilet bowl cleaners, salt water, or water containing rust. Do not smear feces directly onto the specimen windows. Samples with obvious blood will be rejected. Do not refrigerate. Protect samples from direct sunlight. Days Performed:Monday-Sunday Methodology:Immunochromatography Rejection Criteria:Refrigerated or frozen specimens Fecal Immunochemical Test See "Fecal Occult Blood (FIT)" See SurePath Pap Testing Fecal Lipids, Total Test Code:62273 CPT Code: Primary Container:See specimen requirements Specimen Type:Stool Submit entire fecal collection. Use a 1 gallon, plastic, leak proof container (s) with a screw cap. Specimen should be kept refrigerated during and after collection. It is recommended that the patient be on a diet including 100 grams of fat per day for 3 days prior to collection and during collection period. Submit entire collection. Please note: 72 hour stool collection is preferable, however, 24 hour, 48 hour and random collections are acceptable. Estimated Turnaround Time:7-12 days Days Performed:Monday-Thursday Methodology:Nuclear Magnetic Resonance Spectroscopy Rejection Criteria: Thawed specimens Specimens submitted in paint cans Clinical Laboratory Partners Page 112

162 Fecal Occult Blood (FIT) Test Code:10748 CPT Code: Primary Container:Polymedco Occult sampling kit Specimen Type:Stool 1 fecal collection kit Alternate Container:Sterile specimen container No dietary or medication restrictions. Patient should follow collection instructions on sample kit. 1. Fill in name, date of birth, and collection date on the sample bottle. 2. Place collection paper, supplied in the kit, inside the toilet bowl on top of the water. 3. Deposit stool sample on top of collection paper. 4. Complete sample collection before the stool sample touches the water. 5. Open sampling bottle by twisting and lifting the green cap. 6. Scrape the surface of the fecal sample with the sample probe covering the grooved portion of the sample probe completely with stool. 7. Close the sampling bottle by inserting the sample probe into the bottle and snapping the green cap on tightly. Do not reopen. 8. Place the sample container and requisition into the mailer, seal, and place in the mail for delivery to the laboratory. 9. The collection paper is biodegradable and can be flushed once sample collection is complete. Estimated Turnaround Time:1-2 days Methodology:Immunoassay Rejection Criteria:Liquid stool specimen unsuitable for analysis Felbamate (Felbatol) Test Code:60608 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy blue EDTA plasma 1 ml navy blue non-additive serum Alternate Container:Lavender top EDTA No SST s. Optimum time to collect samples:1 hour before next dose. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Tuesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Felbatol See "Felbamate (Felbatol)" Fentanyl Scr,Ur,Random,Rflx Conf Test Code:62251 CPT Code: Primary Container:Non-sterile container 4 ml urine Minimum Volume:2 ml urine Alternate Container:Sterile specimen container Submit urine in clean, plastic, leakproof container. Please note, if the screen is positive, a confirmation (CPT 83925) will be performed at an additional charge. Estimated Turnaround Time:6-12 days Days Performed:Wednesday Methodology:Enzyme Linked Immunosorbent Assay Ferret Epithelium (Re217), IgE** Test Code:60244 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Ferritin Test Code:11688 CPT Code: ml serum serum 1 ml green heparin, blue citrate plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Chemiluminescence Immunoassay Fetal Fibronectin (ffn) Test Code:14500 CPT Code: Primary Container:Adeza Biomedical collection kit Specimen Type:Vaginal 0.5 ml cervical vaginal secretion on Dacron swab using Adeza Biomedical Collection Kit only. Forward immediately to HH for testing Methodology:Solid-Phase Immunochromatography Rejection Criteria: Specimens not collected in an Adeza Kit Specimens contaminated with lubricant, betadine, disinfectant, soap or creams, such as K-Y Jelly or Monistat cream Gross hemolysis Clinical Laboratory Partners Page 113

163 Fetal Hemoglobin See "Hemoglobin F, Quantitative" ffn See "Fetal Fibronectin (ffn)" Fibrin Degradation Products Test Code:62104 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 RPM for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Days Performed:Monday-Saturday Methodology:Latex agglutination Rejection Criteria:Room temperature specimen Fibrin Monomer Test Code:60988 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Monday Methodology:Hemagglutination Rejection Criteria:Room temperature, refrigerated or thawed specimens Fibrinogen Antigen, Nephelometry Test Code:61049 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Days Performed:Monday-Saturday afternoon Methodology:Nephelometric Rejection Criteria: Hemolysis or lipemia Room temperature, refrigerated or thawed specimen Clinical Laboratory Partners Page 114

164 Fibrinogen, Activity Based, Clauss Test Code:11691 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Clot detection, photoptical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Fibronectin, Fetal See "Fetal Fibronectin (ffn)" Filariasis, Blood See "Blood Parasites" Finch Feathers (Re214), IgE** Test Code:60308 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Fire Ant (i70), IgE Test Code:16121 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Firebush (w17), IgE Test Code:60404 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, First Trimester Screen (h-hcg, PAPP-A) Test Code:62316 CPT Codes: 82397, ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:5-8 days Days Performed:Monday-Saturday Methodology: Chemiluminescent Assay Enzyme Immunoassay FISH CLL Panel See "CLL Panel (FISH)" FISH UroVysion See "UroVysion by FISH" FIT See "Fecal Occult Blood (FIT)" FK506 See "Tacrolimus (Prograf)" Clinical Laboratory Partners Page 115

165 Flecainide (Tambocor) Test Code:60542 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum 2 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Optimum time to collect sample is 1 hour before next dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:8-12 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis or lipemia Flounder (sas), IgE Test Code:60309 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Fluorescent Treponemal Antigen See "FTA-ABS" Fluoride, Creat, Ur, Random (Occ Exp) Test Code:27640 CPT Codes: 82570, Primary Container:See specimen requirements 10 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine Minimum Volume:10 ml urine It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid washed/trace element container or the random acid-washed container. Collect specimen prior to shift or end of shift. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:6-12 days Methodology: Ion Selective Electrode Spectrophotometry Fluoride, Plasma Test Code:60901 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 4 ml plasma Minimum Volume:2.5 ml plasma Centrifuge and immediately transfer plasma into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday Methodology:Ion-specific Electrode Fluoxetine and Metabolite Test Code:62347 CPT Code: Primary Container:Red top non-gel barrier 4 ml serum Minimum Volume:2 ml No SST s. Collect specimen >12 hours after dose. Centrifuge and transfer serum to clean, plastic, screw-capped vials. Estimated Turnaround Time:4-10 days Days Performed:Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable FOBT See "Fecal Occult Blood (FIT)" Folate, RBC Test Code:10058 CPT Codes: 82747, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml lavender EDTA whole blood Minimum Volume:1 ml 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) A full lavender top collection may be shared with hematology or A1C. Please affix all labels and note shared specimen. Estimated Turnaround Time:1-3 days Methodology:Electrochemiluminescence Immunoassay (ECLIA) Folate, Serum Test Code:11606 CPT Code: ml serum serum Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 116

166 Follicle Stimulating Hormone (FSH) Test Code:11692 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Chemiluminescence Immunoassay Follicle Stimulating Hormone (FSH), Pediatric Test Code:60704 CPT Code: ml serum 0.8 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday Methodology:Electrochemiluminescence Rejection Criteria: Room temperature specimens Gross hemolysis Fragile X, DNA Test Code:8082 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml whole blood Submit whole blood specimen room temperature within 24 hours of collection. Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Capillary Electrophoresis Rejection Criteria:Clotted or frozen specimens Francisella tularensis Antibody Test Code:60543 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days morning Methodology:Direct Agglutination Free Fatty Acids Test Code:60876 CPT Code: ml serum frozen immediately Fasting is preferred Minimum Volume:0.3 1 ml lavender EDTA, navy EDTA plasma frozen immediately. Fasting is preferred 1 ml serum from red top non-gel barrier frozen immediately. Fasting is preferred Alternate Container:Navy blue top EDTA Overnight fasting is preferred. Centrifuge and immediately transfer serum to clean, plastic, screw-capped vial(s). Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology: Enzymatic Spectrophotometric Rejection Criteria:Room temperature or refrigerated specimens Free Kappa/Lambda, w/ratio, Serum Test Code:11607 CPT Code: ml serum 1 ml serum from a red top non-gel barrier Methodology:Turbidimetric Rejection Criteria:Hemolysis or lipemia Free Kappa/Lambda, w/ratio, Ur, Ran Test Code:60807 CPT Code: Primary Container:Non-sterile container 2 ml urine Minimum Volume:1 ml urine 2 ml of a 24 hour urine, collected without preservative. Alternate Container:Non-sterile container Submit urine specimen in clean, plastic, leakproof container. Estimated Turnaround Time:2-4 days Days Performed:Monday-Saturday Methodology:Nephelometric Free T3 See "T3, Free" Clinical Laboratory Partners Page 117

167 Free T3 by Dialysis with T3 Total Test Code:60606 CPT Codes: 84480, ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology: Chemiimmunoluminescent Assay Equilibrium Dialysis Free T4 See "T4, Free" Free T4 by Dialysis Test Code:60593 CPT Code: ml serum Minimum Volume:0.2 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology: Direct Equilibrium Dialysis Radioimmunoassay Fructosamine Test Code:10671 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml green lithium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation to separate serum from cells. Methodology:Colorimetric Fructose-1,6-bisphosphate See "Aldolase" FTA-ABS Test Code:60761 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw capped vial(s). Methodology:Indirect Immunofluorescence Assay Fungal Smear Test Code:11133 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Respiratory, sterile body fluid, CSF, wound, pus, exudate, tissue, ear, eye, urine, hair, skin, nails, and genital specimens acceptable. Sterile container, culture transport swab, yellow top SPS, syringe (no needle attached) or direct smear on glass slide are acceptable for specimen transport. Date, time and site of collection required. Estimated Turnaround Time:1-4 days Methodology:Calcofluor Fluorescent Stain Fungus Culture See "Culture, Fungus (includes fungal smear)" Fungus Culture, Blood See "Culture, Fungus, Blood" Fungus Culture, Skin See "Culture, Fungus (includes fungal smear)" Fusar. proliferatum (m9), IgE Test Code:16123 serum (1.1 ml minimum) for each 5-10 allergens tested. serum FSH See "Follicle Stimulating Hormone (FSH)" Clinical Laboratory Partners Page 118

168 G6PD Screen Test Code:11696 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml whole blood Minimum Volume:1 ml Submit whole blood specimen. Estimated Turnaround Time:24 hours Methodology:Enzymatic G6PD, Quantitative Test Code:60544 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 1 ml navy EDTA whole blood Alternate Container:Navy blue top EDTA Submit whole blood specimen in clean, plastic, morning Methodology:Kinetic Rejection Criteria:Frozen specimen Gabapentin Test Code:60044 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma 1 ml navy non-additive, red top non-gel barrier serum 1 ml navy EDTA, green heparin plasma Draw sample 2 hours after last dose at steady state. Immediately centrifuge and immediately transfer plasma into clean, plastic, morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Gross hemolysis Gel barrier s are not acceptable Gabitril Test Code:27118 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:0.6 ml 3 ml green heparin plasma Alternate Container:Green top sodium heparin No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable GAD-65 See "Glutamic Acid Decarboxylase (GAD-65) Antibody" Galactose-1-Phosphate Uridyltransferase Pheno Test Code:60809 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:2 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:10-14 days Days Performed:Tuesday, Friday Methodology:Isoelectric Focusing Rejection Criteria:Frozen specimen Gamma Glutamyl Trans (GGT) Test Code:10221 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic colorimetric Clinical Laboratory Partners Page 119

169 Ganglioside GD1a Antibody, IgG Test Code:62026 CPT Code: ml serum drawn from fasting patient Minimum Volume:0.2 ml serum 1 ml serum from red top non-gel barrier drawn from a fasting patient Overnite fasting is required. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Ganglioside GD1b Ab, IgG Test Code:62344 CPT Code: ml serum Overnight fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Overnight fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Ganglioside GD1b Ab, IgM Test Code:62345 CPT Code: ml serum Overnight fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Overnight fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Ganglioside GM-1 Ab, IgG, IgM Test Code:62343 CPT Code: ml serum Overnight fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Overnight fasting is preferred Overnight fasting is preferred. Centrifuge and transfer into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Ganglioside GQ1b Antibody, IgG Test Code:60810 CPT Code: ml serum Fasting is preferred Minimum Volume:0.2 ml 1 ml red top non gel barrier serum Fasting is preferred Overnite fasting is preferred. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Garlic (f47), IgE Test Code:15316 serum (1.1 ml minimum) for each 5-10 allergens tested serum Clinical Laboratory Partners Page 120

170 Gastric Analysis Test Code:60902 CPT Code: Primary Container:Sterile specimen container Specimen Type:Gastric 7 ml gastric fluid for each sample submitted Minimum Volume:5 ml gastric fluid Send gastric fluid in a sterile, screw-capped container. Methodology:Titration Gastrin Test Code:60675 CPT Code: ml serum drawn from a fasting patient, frozen immediately 1 ml serum from red top non-gel barrier, drawn from a fasting patient, frozen immediately Overnite fasting for at least 12 hours is required. Centrifuge and transfer serum to clean, plastic, Freeze immediately. If timed samples are being submitted, each timed sample must include time drawn. Transportation Temperature:Frozen evening Methodology:Immunoassay Rejection Criteria: Hemolysis Lipemia Room temperature, refrigerated or thawed specimens Gaucher Disease, DNA Mutation Test Code:62307 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Saturday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen GC/Chlamydia by DNA Test Code:10770 CPT Codes: 87491, Primary Container:Gen-Probe Aptima Specimen Type:See specimen requirements Endocervical, cervical, vaginal, urethral, penile, anal/rectal and throat specimens: Aptima swab transport media. ThinPrep and SurePath vials acceptable for endocervical, cervical and vaginal sources. Specimens from ThinPrep and SurePath vials must be aliquoted for GC/CT prior to pap testing. Urine: 2 ml in Aptima urine transport media Minimum Volume:2 ml urine Liquid Pap, BD ProbeTec, BD black top GC/CT Qx swab, Affirm and urine specimens are acceptable. Urine collected in a sterile specimen container must be transported at 2-8 C and transferred to an Aptima urine transport within 24 hours of collection. Urine: Patient should not have urinated for at least 1 hour prior to specimen collection. Using the disposable pipette, transfer 2 ml urine from specimen cup to Aptima urine transport media. The fluid level must be between the two black lines on the transport media. Estimated Turnaround Time:1-3 days Methodology:Transcription Mediated Amplification Genetic Studies, Amniotic Fluid (Incl. AFP) Test Code:15300 CPT Codes: 82106, 88235, 88269, 88280, Primary Container:Sterile specimen container Specimen Type:Amniotic fluid 30 ml amniotic fluid Minimum Volume:20 ml amniotic fluid Patient billing information and UCONN requisition containing patient demographics and indication for testing must accompany specimen. Collect Monday-Friday. (Friday collection must be received at Core Lab no later than 1 pm, delivered to UCONN by 4 pm and cannot be held until Monday). Call for STAT pick-up for immediate delivery to processing. Notify processing at that specimen is being sent as STAT delivery. Specimen must be delivered to UCONN no later than 4 pm. If delivery cannot be met, notify UCONN cytogenetics for instructions to stabilize specimen. Estimated Turnaround Time:1-3 weeks Methodology:Cell Culture and Chromosome Analysis Rejection Criteria:Frozen specimens Genital Culture See "Culture, Genital Group B Strep" See "Culture, Genital Group B Strep PCN Allergic" See "Culture, Genital Mycoplasma" GC See "Neisseria gonorrhoeae (GC) by DNA" See "GC/Chlamydia by DNA" Clinical Laboratory Partners Page 121

171 Gentamicin, Peak Test Code:11267 CPT Code: ml serum 1 ml green heparin, blue citrate, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Serum collected in either a SST or non-gel barrier is acceptable. Peak specimens are drawn at the end of a 1 hour constant infusion, 30 minutes after a 30 minute constant infusion, or 1 hour after an IM dose. Methodology:Kinetic Interaction of Microparticles in a solution (KIMS) Gentamicin, Random Test Code:11266 CPT Code: ml serum 1 ml green heparin, blue citrate, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Serum collected in either a SST or non-gel barrier is acceptable. Methodology:Kinetic Interaction of Microparticles in a solution (KIMS) Gentamicin, Trough Test Code:11265 CPT Code: ml serum serum 1 ml green heparin, blue citrate, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Draw immediately before next dose. Serum collected in either a SST or non-gel barrier is acceptable. Methodology:Kinetic Interaction of Microparticles in a solution (KIMS) Gerbil (Re209), IgE** Test Code:60271 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, German Measles See "Rubella Antibody IgG" See "Rubella Antibody IgM" GGT See "Gamma Glutamyl Trans (GGT)" GH See "Growth Hormone (hgh)" Giant Ragweed (w3), IgE Test Code:16075 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Giardia Antigen Test Code:11412 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool Fresh stool in a sterile, plastic, leakproof container. Fresh stool preserved in 10% formalin, Para-Pak C&S vial or Para-Pak O&P vials. Transportation Temperature:Sterile container: Refrigerated; 10% formalin, Para-Pak C&S, and Para-Pak O&P vials: Room temperature Estimated Turnaround Time:1-4 days Methodology:Enzyme Immunoassay Clinical Laboratory Partners Page 122

172 Giardia lamblia Ab, IgG, IgA, IgM Test Code:60874 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:Indirect Immunofluorescence Ginger (Rf270), IgE** Test Code:60259 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Gliadin (Deamidated Peptide) Ab, IgA Test Code:11372 CPT Code: ml serum Separate serum from the cells immediately after clot formation. Estimated Turnaround Time:5-7 days Days Performed:Weekly Methodology:Enzyme-Linked Immunosorbant Assay (ELISA) Rejection Criteria:Grossly hemolyzed or lipemic samples Gliadin (Deamidated Peptide) Ab, IgG Test Code:11373 CPT Code: ml serum Separate serum from the cells immediately after clot formation. Estimated Turnaround Time:5-7 days Days Performed:Weekly Methodology:Enzyme-Linked Immunosorbant Assay (ELISA) Rejection Criteria:Grossly hemolyzed or lipemic samples Gliadin IgA and IgG Ab Panel Test Code:10727 CPT Code: (x2) Includes:Gliadin IgA and IgG. 2 ml serum Gliadin IgA Antibody Test Code:10726 CPT Code: ml serum Minimum Volume:0.25 ml Separate serum from the cells immediately after clot formation. Days Performed:2 times a week Methodology:Enzyme Immunoassay Rejection Criteria: Hemolyzed, icteric, or lipemic specimens are unacceptable Gliadin IgG Antibody Test Code:10725 CPT Code: ml serum Minimum Volume:0.25 ml Separate serum from the cells immediately after clot formation. Days Performed:2 times a week Methodology:Enzyme Immunoassay Rejection Criteria: Hemolyzed, icteric, or lipemic specimens are not acceptable Glomerular Basement Membrane Ab Test Code:10065 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Clinical Laboratory Partners Page 123

173 Glucagon Test Code:60680 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma drawn from a fasting patient Minimum Volume:1.1 ml plasma Overnight fasting is required. Centrifuge and immediately transfer plasma into a clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-15 days Days Performed:Monday Methodology: Extraction Radioimmunoassay Rejection Criteria:Moderate or gross icterus Glucose Test Code:10207 CPT Code: ml serum serum 1 ml green heparin, grey sodium flouride, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Hexokinase Glucose Challenge, 1 Hour, Maternal Test Code:10200 CPT Code: ml serum 1 ml grey sodium fluoride, green heparin, lavender EDTA plasma Alternate Container:Grey top sodium fluoride Patient preparation: Fasting is not required. Administer 50g of glucola or dosage as prescribed by the physician. Instruct patient to consume within 10 minutes. Collect specimen 1 hour after glucola ingestion. Note collection time on specimen container. Separate the sample from the cells within 30 minutes of collection. Methodology:Hexokinase Rejection Criteria:Hemolysis Glucose Phosphate Isomerase, Erythrocytes Test Code:60903 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:1 ml whole blood 4 ml ACD B, lavender EDTA whole blood Alternate Container:Yellow top ACD solution B Submit whole blood. Do not transfer blood to other container. Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology: Kinetic Spectrophotometric Rejection Criteria:Room temperature or frozen specimens Glucose Tolerance (Non Maternal, 75g, 2hr) Test Code:10255 CPT Code: ml serum 1 ml sodium fluoride heparin, lavender EDTA plasma Alternate Container:Grey top sodium fluoride Patient preparation: Fasting is not required. Administer 75g glucola to the patient. Instruct patient to consume within 10 minutes. Collect specimen 2 hours after glucola ingestion. Note collection time on the sample container. Separate the sample from the cells within 30 minutes of collection. Methodology:Hexokinase Rejection Criteria:Hemolysis Glucose, Body Fluid Test Code:11811 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 1 ml body fluid Minimum Volume:1 ml 1 ml body fluid in red top non-gel barrier 1 ml body fluid lavender EDTA, gray sodium fluoride Alternate Container:Lavender top EDTA Label container with fluid type. Estimated Turnaround Time:1-2 days Methodology:Enzymatic Rejection Criteria:Viscous specimen Clinical Laboratory Partners Page 124

174 Glucose, CSF Test Code:11631 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml spinal fluid spinal fluid Send to lab immediately Methodology:Spectrophotometric Glucose, PP 2Hr Test Code:10222 CPT Code: ml serum 1 ml grey sodium fluoride, lavender EDTA plasma Alternate Container:Grey top sodium fluoride Draw specimen 2 hours following meal. Note collection time on sample container. Separate the sample from the cells within 30 minutes of collection. Methodology:Hexokinase Rejection Criteria:Hemolysis Glucose, Reflex Hemoglobin A1c Test Code:10098 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml serum AND 4 ml EDTA whole blood serum + 4 ml EDTA whole blood 1 ml green heparin, lavender EDTA, grey sodium fluoride plasma AND 4 ml EDTA whole blood Alternate Container:Green top lithium heparin non-gel barrier This reflex test requires both serum and EDTA whole blood. Both SST and LAV s must be drawn. Please note if Glucose is >110 mg/dl a Hemoglobin A1c (order code 12424, CPT 83036) will be performed at an additional charge. Methodology:Hexokinase Glucose, Urine, Random Test Code:10519 CPT Code: Primary Container:Non-sterile container 10 ml random urine Minimum Volume:1 ml urine Alternate Container:Sterile Urine Cup After collection, refrigerate specimen or place on ice. Avoid prolonged exposure to room temperature which may lower glucose result because of microbial contamination. Methodology:Hexokinase Glucose-6-Phosphate Dehydrogenase See G6PD testing Glutamic Acid Decarboxylase (GAD-65) Antibody Test Code:60545 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesay, Thursday morning Methodology:Radioimmunoassay Gluten (f79), IgE Test Code:16115 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 125

175 Gluten, IgG* Test Code:62248 CPT Code: ml serum Minimum Volume:0.2 ml 0.3 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-8 days Days Performed:Sunday, Wednesday, Friday Methodology:Immunocap Glycogen Storage Type Ia, DNA Mutation Test Code:62438 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:11-15 days Days Performed:Tuesday,Friday Methodology:Polymerase Chain Reaction Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen GlycoMark Test Code:61061 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:3-7 days Methodology: Colorimetric Enzymatic Glycosaminoglycans, Urine, Random Test Code:60812 CPT Code: Primary Container:Sterile Urine Cup 20 ml urine (early morning preferred), frozen immediately Minimum Volume:10 ml urine 20 ml urine (early morning preferred) in a non-sterile container, frozen immediately Alternate Container:Non-sterile container An early morning specimen is preferred. The patient's age is required for correct interpretation. Submit specimen in a clean, plastic leak-proof container. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-14 days Days Performed:Thursdays Methodology:Colorimetric Rejection Criteria:Room temperature or refrigerated specimens Glycosylated Albumin Test Code:60943 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma drawn from a fasting patient Minimum Volume:2 ml plasma 3 ml serum from red top, drawn from a fasting patient Overnite fasting is required. Centrifuge and immediately transfer plasma into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Wednesday Methodology:Affinity Chromatography Glycyphagus domesticus (d73), IgE Test Code:60311 serum (1.1 ml minimum) for each 5-10 allergens tested Alternate Container:Lithium Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 126

176 Goat Epithelia (e80), IgE Test Code:60312 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Goat Milk (Rf300), IgE** Test Code:60230 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Gold, Quantitative Test Code:60813 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Plasma 1 ml plasma Minimum Volume:0.4 ml plasma 1 ml serum from navy non-additive Alternate Container:Navy blue top non-additive All venipuncture should be performed using trace metal-free, dark bluetop s. Centrifuge and immediately transfer plasma into clean, plastic, acid-washed metal-free, Estimated Turnaround Time:4-9 days Days Performed:Wednesday Methodology: Graphite Furnace Atomic Absorption Spectroscopy Goldenrod (w12), IgE Test Code:16108 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Gonorrhoeae Culture See "Culture, GC" Goose Feathers (e70), IgE Test Code:60151 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Gram Stain Test Code:10428 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Respiratory, sterile body fluid, CSF, wound, tissue, ear, eye, urine, genital and fecal specimens acceptable. Sterile container, culture transport swab, yellow top SPS, or direct smear on slide are acceptable for specimen transport. Date, time and site of collection required. Estimated Turnaround Time:1-2 days Methodology:Gram stain Grape (f259), IgE Test Code:16101 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Grapefruit (f209), IgE Test Code:15323 serum (1.1 ml minimum) for each 5-10 allergens tested serum Clinical Laboratory Partners Page 127

177 Green Bean (Rf315), IgE** Test Code:60176 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Green Coffee Bean (k70), IgE Test Code:60313 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Green Pepper (Rf263), IgE** Test Code:60258 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Group B Strep See Culture, Genital Group B Strep testing Growth Hormone (hgh) Test Code:60546 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, afternoon Methodology:Immunoassay Rejection Criteria: Gross hemolysis or lipemia Plasma specimen Growth Hormone, 10 Specimens Test Code:62431 CPT Code: ml serum for each timed specimen 1 ml serum from red top non-gel barrier for each timed specimen Collect 10 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 10 timed specimens together with an elastic band in preparation for sendouts to reference lab. Methodology:Immunoassay Growth Hormone, 2 Specimens Test Code: CPT Code: ml serum for each specimen Collect 2 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 2 timed specimens together with an elastic band in preparation for sendouts to reference lab. Methodology:Immunoassay Clinical Laboratory Partners Page 128

178 Growth Hormone, 5 Specimens Test Code: CPT Code: ml serum for each timed specimen 1 ml serum from red to non-gel barrier for each timed specimen Collect 5 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 5 timed specimens together with an elastic band in preparation for sendouts to reference lab. afternoon Methodology:Immunoassay Growth Hormone, 7 Specimens Test Code:62423 CPT Code: ml serum for each timed specimen 1 ml serum from red top non-gel barrier for each timed specimen Collect 7 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 7 timed specimens together with an elastic band in preparation for sendouts to reference lab. Methodology:Immunoassay Growth Hormone, 8 Specimens Test Code:62424 CPT Code: ml serum for each timed specimen 1 ml serum from red top non-gel barrier for each timed specimen Collect 8 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 8 timed specimens together with an elastic band in preparation for sendouts to reference lab. Methodology:Immunoassay Growth Hormone, 9 Specimens Test Code:62425 CPT Code: ml serum for each timed specimen 1 ml serum from red top non-gel barrier for each timed specimen Collect 9 specimens at specified times. Clearly label each specimen with collection time in addition to standard labeling procedures. Centrifuge and transfer serum into clean, plastic, Place 9 timed specimens together with an elastic band in preparation for sendouts to reference lab. Methodology:Immunoassay Guaiac Occult Blood Test Code:10425 CPT Code: Primary Container:Hemoccult card Specimen Type:Stool Hemoccult Card with stool None - If stool specimen is received in a sterile cup order Fecal Occult Blood (Immunologic/FIT). Slides must be prepared by patient using fresh collection. See kit instructions for detailed information. If stool specimens are received in a sterile cup, order Fecal Occult Blood (Immunologic/FIT). Estimated Turnaround Time:1-2 days Methodology:Guaiac, peroxidase Guaiac Occult Blood x3 Test Code:10445 CPT Code: Primary Container:Hemoccult card Specimen Type:Stool Hemoccult card, with specimens on slides 1,2 and 3 None-If specimen is received in a sterile cup, order Fecal Occult Blood (Immunologic/FIT) Slides must be prepared by patient using fresh collection from three consecutive days. See kit instructions for detailed information. If specimen is received in a sterile cup, order Fecal Occult Blood (Immunologic/FIT). Transportation Temperature:Room Temperature Estimated Turnaround Time:1-2 days Methodology:Guaiac, peroxidase Guiac See "Occult Blood x3" Clinical Laboratory Partners Page 129

179 Guinea Pig Epithelia (e6), IgE Test Code:60164 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, H. pylori Antibody IgG Test Code:10461 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-7 days Days Performed:Monday Methodology:Enzyme Immunoassay H. pylori Breath Test Test Code:10736 CPT Code: Primary Container:Breath Tek collection kit Specimen Type:See specimen requirements Breath specimen collected using BreathTek UBT Kit. 2 breath collection bags: 1 blue bag for baseline sample 1 pink bag for post dose sample Breath test should not be performed on patients less than 3 years of age regardless of knowing age, sex, height and weight. Recommended test for patients less than 3 years of age is test code 10531, H. pylori Stool Antigen, EIA. Patient should refrain from eating, drinking, or smoking at least one hour before the test. Patient should refrain from antimicrobials, proton pump inhibitors, and bismuth preparations for 2 weeks prior to test. 1. Collect baseline sample in blue bag. 2. Prepare Pranactin-Citric mixture in cup provided. Empty Pranactin-Citric pouch into the cup provided and add water to the fill line indicated on the cup. Replace the lid an swirl the mixture up to 2 minutes to dissolve contents. (If particular matter is present after thorough mixing, the solution should not be used). 3. Instruct patient to drink all of the solution with the straw provided, without stopping. Patient should not "rinse" the inside of his/her mouth with the solution before swallowing. 4. Collect post dose sample in the pink bag 15 minutes after the ingestion of provided Pranactin-Citric water mixture. 5. Cap each sample tightly. 6. Order when collecting breath sample. Estimated Turnaround Time:1-4 days Methodology:Infrared Spectrophotometry H. pylori Stool Antigen Test Code:10531 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 g/0.5 ml liquid stool or 20 mm solid stool Minimum Volume:1 gm stool Do NOT place stool in preservative transport medium or on a swab. Estimated Turnaround Time:1-3 days Methodology:Enzyme Immunoassay Rejection Criteria:Para-Pak C&S vial or Para-Pak O&P vial Haemophilus Influenza Type B Ab, IgG Test Code:60088 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icterus Hageman Factor See "Factor XII" Haldol See "Haloperidol" Halibut (Rf303), IgE** Test Code:60265 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 130

180 Haloperidol Test Code:60548 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy EDTA, green heparin plasma 1 ml serum from navy non-additive Alternate Container:Lavender top EDTA No SST s. Collect sample hours after last dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Hamster Epithelia (e84), IgE Test Code:60219 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Haptoglobin Test Code:11700 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidimetric Assay Hazel Nut Tree (t4), IgE Test Code:16089 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Hazelnut (f17), IgE Test Code:16022 serum (1.1 ml minimum) for each 5-10 allergens tested. serum hcg See "Beta-hCG, Qualitative" See "Beta-hCG, Quantitative" HCT See "Hematocrit" HCT and HGB See "Hemoglobin and Hematocrit" HCV Genotype Test Code:10859 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml EDTA plasma Minimum Volume:2 ml plasma Draw two full lavender top EDTA s. Separate plasma from cells within 6 hours of collection. Place plasma into a plastic, green top, screw-cap and refrigerate. Estimated Turnaround Time:3-8 days Days Performed:Thursday Methodology:Genotype By Abbott m2000 Rt-PCR HCV RT-PCR Quantitative Test Code:11138 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:2 ml plasma Draw two full lavender top EDTA s. Centrifuge and separate plasma from the cells within 6 hours of collection. Place plasma into a plastic, green top, screw cap. Estimated Turnaround Time:1-4 days Days Performed:Monday, Wednesday, Friday Methodology: Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) Clinical Laboratory Partners Page 131

181 HCV RT-PCR Quantitative reflex Genotype Test Code:11132 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:2 ml plasma Draw two full lavender top EDTA s. Separate plasma from the cells within 6 hours of collection. Place plasma into a plastic, green top, screw cap. Please note, if the viral load is greater than or equal to 1,000 IU/ml, the HCV Genotype (test code 10859, CPT 83890, 83902, 83904x3, 83912) will be added at an additional charge. Estimated Turnaround Time:1-6 days Days Performed:Monday, Wednesday, Friday Methodology:Reverse Transcriptase Polymerase Chain Reaction HE4 Ovarian Cancer Monitoring Test Code:62094 CPT Code: ml serum 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday, Friday Methodology:Chemiluminescent Microparticle Assay Rejection Criteria: Gross hemolysis Lipeic or icteric specimen Heavy Metal Panel, Creat, Ur, Random Test Code:62350 CPT Codes: 82175, 82570, 83655, Primary Container:See specimen requirements 7 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine (2nd voided a.m. urine is preferred, random specimen is acceptable Minimum Volume:3.5 ml urine ***7 ml random urine in sterile container is acceptable but not recommended. Elevated results will be reported with a message recommending resubmission using acid-washed container.*** It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. Patient should refrain from eating seafood at least three days prior to specimen collection. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:7-10 days Days Performed:Monday,Wednesday,Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Heavy Metal Panel, Urine, 24 Hour Test Code:27149 CPT Codes: 82175, 83655, Primary Container:Acid-washed 24 hour urine container 10 ml aliquot from a well mixed 24 hour acid-washed/trace element container Minimum Volume:3 ml urine It is recommended that patient void directly into the acidwashed/trace element container. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:7-10 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Helicobacter pylori See H pylori testing See Lyme Testing Helminthosporium sativum/drecshlera IgE* Test Code:62099 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday-Friday Methodology:Radioallergosorbent Test Hematocrit Test Code:10044 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology:Flow cytometry with impedence Rejection Criteria:Clotted, frozen, or hemolyzed specimens Clinical Laboratory Partners Page 132

182 Hematocrit and Platelet Count Test Code:10042 CPT Codes: 85014, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Optical/Light Scatter Colorimetric Rejection Criteria:Clotted, frozen, or hemolyzed specimens Hematopathology Test Code:8131 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 10 ml whole blood submitted in lavender EDTA Minimum Volume:5 ml for whole blood 3-5 ml bone marrow submitted in lavender EDTA CSF submitted in sterile container ***Body fluid specimens require 6 green sodium heparin s*** Specimen should be collected Monday-Friday only. For Friday collections, specimen must be received at HH by 1 pm on Saturday. Recommended delivery to the performing laboratory is within 6 hours of collection. All specimens should be sent to performimg laboratory to be evaluated. Submit specimen in original EDTA. Estimated Turnaround Time:1-3 days Methodology:Flow Cytometry Rejection Criteria:Frozen specimens Hemochromatosis, DNA Test Code:11328 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:1-4 days Methodology: Multiplex Polymerase Chain Reaction Mutiplex Allele Specific Primer Extension Rejection Criteria:Frozen or clotted specimens Hemoglobin Test Code:10052 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology:Colorimetric Rejection Criteria:Clotted, frozen, or hemolyzed specimens Hemoglobin A1c Test Code:12424 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top Testing requires 1 ml whole blood. Bullet collections are not acceptable. Methodology:Turbidimetric Inhibition Hemoglobin A1c with Estimated Average Glucose Test Code:11202 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top Testing requires 1 ml whole blood. Bullet collections are not acceptable. Methodology:Turbidimetric inhibition Clinical Laboratory Partners Page 133

183 Hemoglobin A1C, Reflex GlycoMark Test Code:15163 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Both lavender EDTA whole blood and SST serum are required 4 ml lavender EDTA whole blood AND 1 ml SST serum Minimum Volume:1 ml whole blood Both lavender EDTA whole blood and SST serum are required 4 ml lavender EDTA whole blood AND 1 ml serum from red top non-gel barrier Lavender EDTA : Submit whole specimen. SST: Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). For transport, keep both specimens together with an elastic band. Serum specimen is possible GlycoMark and will be held refrigerated until further testing is determined. Please note, if Hgb A1C result is > or =6.5 and < or =8.0, a GlycoMark (CPT 84378) will be performed at an additional charge. Methodology:Turbidimetric Inhibition Hemoglobin and Hematocrit Test Code:10040 CPT Codes: 85014, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology:Photometric and flow cytometry with impedence Rejection Criteria:Clotted, frozen, or hemolyzed specimens Hemoglobin Electrophoresis See "Electrophoresis, Hemoglobin" Hemoglobin Variant See "Electrophoresis, Hemoglobin" Hemoglobin, Free, Plasma Test Code:60946 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 1 ml plasma Minimum Volume:0.2 ml plasma 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 1 hour of collection. Methodology:Colorimetric Hemoglobinopathy DNA Test Code:8092 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:1-4 days Days Performed:Monday-Thursday Methodology: Multiplex Polymerase Chain Reaction Multiplex Allele Specific Primer Extension Rejection Criteria:Clotted or frozen specimens Hemoglobinopathy Evaluation See "Electrophoresis, Hemoglobin" Hemolytic Complement See "Complement Total, (CH50)" Hemophiliac Factor See "Factor VIII" Hemosiderin, Urine, Random Test Code:62128 CPT Code: Primary Container:Non-sterile container 30 ml urine Minimum Volume:20 ml urine 30 ml urine with one boric acid tablet added Alternate Container:Sterile specimen container First morning sample is preferred. Submit urine in clean, plastic, screw-capped container. Estimated Turnaround Time:4-7 days Methodology:Microscopy Clinical Laboratory Partners Page 134

184 Hep B Virus Drug Resistance,Geno,BCP/Precore Test Code:60920 CPT Code: ml serum 1 ml lavender EDTA plasma 1 ml serum from red top non-gel barrier Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Estimated Turnaround Time:10-15 days Days Performed:Monday, Thursday Methodology:Polymerase Chain Reaction Heparin Assay (Anti Xa) Test Code:10310 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 5 ml 3.2% sodium citrate whole blood (must be received in the laboratory within 8 hours) OR 1 ml platelet poor citrate plasma, frozen 3 ml 3.2% sodium citrate whole blood (must be received in the laboratory within 8 hours), pediatric blue top DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Whole blood must be received in the laboratoy within 8 hours, otherwise platelet poor plasma must be prepared. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Whole blood: Room temperature Platelet poor plasma: Frozen Estimated Turnaround Time:1-3 days Methodology:Kinetic Chromogenic Heparin PF4 IgG Ab Scr Rfx Serotonin Release Assay Test Code:13901 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml blue top sodium citrate plasma Alternate Container:Blue top sodium citrate Serum specimens must be completely clotted before centrifuging. Separate within one hour of collection. Samples must be delivered to the Core Laboratory in Newington by 10:00 am to be resulted same day. This test will reflex to Serotonin Release Assay (test code 60889, CPT 86022) at an additional charge if indicated. Methodology:Enzyme Immunosorbent Immunoassay (EIA) Rejection Criteria: Hemolyzed specimens and grossly icteric (bilirubin >20 mg/dl) Hepatic Function Panel Test Code:10871 CPT Code: ml serum 1 ml green lithium heparin plasma Methodology: Enzymatic Enzymatic with Pyridoxial Phosphate Diazonium Ion with Blank Jendrassik and Grof Diazo with Blank Biuret Dye Binding-Bromcresol Green Hepatitis A Antibody IgG Test Code:14124 CPT Code: ml serum Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Rejection Criteria:Lavender top EDTA or blue citrate plasma Hepatitis A Antibody IgG & IgM Test Code:14127 CPT Codes: 86709, ml serum Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Rejection Criteria:Lavender EDTA or blue citrate plasma Clinical Laboratory Partners Page 135

185 Hepatitis A Antibody IgM Test Code:11704 CPT Code: ml serum Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Rejection Criteria:Lavender EDTA, green heparin, and blue citrate plasma Hepatitis B Core Antibody IgM Test Code:11187 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Estimated Turnaround Time:1-4 days Days Performed:Monday - Friday Methodology:Chemiluminescent microparticle immunoassay Hepatitis B Core Antibody Total Test Code:11707 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Estimated Turnaround Time:1-4 days Days Performed:Monday - Friday Methodology:Chemiluminescent microparticle immunoassay Hepatitis B Core Antibody Total Reflex IgM Test Code:11725 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Please note, if Hepatitis B Core Antibody, Total is positive, the Hepatitis B Core Antibody IgM (test code 11187, CPT 86705) will be performed at an additional charge. Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Hepatitis B PCR, Quantitative Test Code:10647 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml lavender EDTA plasma Minimum Volume:2 ml plasma or serum 4 ml serum from SST Alternate Container:Serum Separator Tube Draw 2 full lavender top EDTA s. Separate plasma from cells within six hours of collection. Place plasma into a green top screw-cap. Estimated Turnaround Time:1-7 days Days Performed:Tuesday Methodology:Real Time Polymerase Chain Reaction Hepatitis B Surface Ab (Quant) Test Code:11193 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier 1 ml green sodium heparin plasma Alternate Container:Lavender top EDTA Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Hepatitis B Surface Ag Scr, Reflex Confirmation Test Code:11794 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Please note, if screen is positive, the confirmation (test code 11727, CPT 87341) will be performed at an additional charge. Estimated Turnaround Time:1-3 days, Saturday Methodology:Chemiluminescent microparticle immunoassay Hepatitis B Surface Antibody Test Code:11705 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Clinical Laboratory Partners Page 136

186 Hepatitis B Virus DNA, RT-PCR, Qual Test Code:60090 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml plasma Minimum Volume:2.5 ml plasma 3 ml serum from red top Alternate Container:Serum Separator Tube Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 6 hours of collection. Transportation Temperature:Frozen morning Methodology:Real-time Polymerase Chain Reaction Rejection Criteria:Heparinized specimen Hepatitis Be Antibody Test Code:60000 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Morning Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis or lipemia Hepatitis Be Antigen Test Code:60001 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, morning Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis or lipemia Hepatitis C Antibody Test Code:11809 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green heparin, blue citrate plasma Alternate Container:Lavender top EDTA Estimated Turnaround Time:1-4 days Methodology:Chemiluminescent microparticle immunoassay Hepatitis D Virus (HDV) Antibody, IgM Test Code:61011 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-10 days Days Performed:Monday, Thursday Methodology:Immunoassay Hepatitis D Virus RNA, RT-PCR, Qual Test Code:60994 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:1 ml Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:3-8 days Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction Hepatitis Delta Antibody Test Code:60815 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology:Immunoassay Hepatitis E Antibody, IgG Test Code:60138 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge within 1 hour of collection and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology:Enzyme-linked Immunosorbent Assay Clinical Laboratory Partners Page 137

187 Hepatitis Panel Acute with Reflex Test Code:11982 CPT Code: Includes: HAV Antibody (IgM), HB Core Antibody (IgM), HB Surface Antigen Reflex Confirmation, HCV Antibody. 3 ml serum Transport temperature: Refrigerated Heptacarboxyporphyrin See "Porphyrin Profile, Urine, 24 Hour" Hereditary Hemochromatosis DNA See "Hemochromatosis, PCR" Heroin, Urine See "Opiate Screen, Urine" Herpes Simplex Culture See "Culture, Herpes Simplex Virus (HSV) Shell Vial" Herpes Simplex Virus (HSV 1&2) PCR Test Code:10699 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements CSF, genital or skin sites acceptable Minimum Volume:1 ml CSF CSF screw cap or pink liquid viral transport media Date, time and specimen source required. Please note, test code Herpes Simplex Virus (HSV) 1&2 DNA, PCR Blood is available for blood specimens. Estimated Turnaround Time:1-3 days Methodology:Polymerase Chain Reaction Rejection Criteria:Blood samples Herpes Simplex Virus (HSV) DFA Test Code:11205 CPT Codes: 87273, Primary Container:HSV/VZV Collection kit Specimen Type:See specimen requirements Vesicle scraping containing cellular material on a glass slide. Pink liquid viral transport media Date, time and site of collection required. Estimated Turnaround Time:1-4 days Methodology:Direct Fluorescent Antibody Herpes Simplex Virus 1&2 DNA, PCR, Blood Test Code:60609 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 1 ml serum 1 ml body fluid (pleural, pericardial, amniotic, vitreous, sputum, urine) in a sterile container 1 ml lavender EDTA or yellow ACD B plasma Alternate Container:Serum Separator Tube Submit whole blood specimen in original collection. Estimated Turnaround Time:6-9 days Days Performed:Monday-Saturday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Heparinized specimens Herpes Zoster See "Varicella Zoster (VZV) Antibody IgG" HerpeSelect See "HSV 1/2 IgG, HerpeSelect" Herpesvirus 6 Ab, IgG, IgM Test Code:60133 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days morning Methodology:Immunofluorescence Assay Herring (f205), IgE Test Code:60225 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Heterophile, Mono Screen See "Mononucleosis Screen" Clinical Laboratory Partners Page 138

188 Hexosaminidase A & Total, Leukocytes Test Code:22501 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 7 ml yellow ACD-A whole blood Minimum Volume:5 ml whole blood Alternate Container:Yellow top ACD solution B DO NOT FREEZE. Specimens must reach Mayo within 96 hours of collection. Collect Monday-Thursday. Do not collect the day before a holiday. ***Please note, Thursday collection must be shipped to reference lab on same day.*** Submit whole blood specimen. Estimated Turnaround Time:10-12 days Methodology: Heat Inactivation Fluorometric Semi-automated Rejection Criteria:Frozen specimen Hexosaminidase A & Total, Serum Test Code:60817 CPT Code: ml serum 1 ml serum from red top non-gel barrier Please note, this test is not valid on pregnant females. Recommended test for pregnant females is Hexosamindase A and Total, Leukocytes. Centrifuge and transfer serum into sterile, plastic, screw-capped vial(s). The name and telephone number of the requesting physician must accompany the specimen along with the completed Mayo Tay-Sachs Disease Prevention Program Questionnaire (Mayo Supply #T355). Transportation Temperature:Frozen Estimated Turnaround Time:10-15 DAYS Days Performed:Wednesday Methodology:Fluorometric HGB See "Hemoglobin" HGB and HCT See "Hemoglobin and Hematocrit" HGE See "Anaplasma phagocytophilum Ab (IgG, IgM)" Hickory/Pecan (t22), IgE Test Code:16090 serum (1.1 ml minimum) for each 5-10 allergens tested. serum High Sensitivity D-Dimer Test Code:11222 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layerjust above the red cells) leave some plasma above the cells. 3.Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Immunoturbidimetry Rejection Criteria: Gross lipemia Clotted specimen Highly Sensitive CRP See "C-Reactive Protein (High Sens)" HGH See "Growth Hormone (hgh)" Clinical Laboratory Partners Page 139

189 Histamine Release (Chronic Urticaria) Test Code:62112 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml No SST s. Patients taking calcineurin inhibitors should stop their medication 72 hours prior to collection. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday Methodology: Cell Culture Immunoassay Rejection Criteria: SST s are not acceptable Gross hemolysis, lipemia or icteric specimen Histamine, Plasma Test Code:60873 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma, frozen Minimum Volume:0.2 ml plasma Avoid taking allergy causing drugs, antihistamines, oral corticosteroids and substances which block H2 receptors for at least 24 hours before collection. Immediately centrifuge and transfer plasma into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Friday Methodology:Immunoassay Rejection Criteria:Hemolysis or lipemia Histamine, Urine, 24 Hour Test Code:60941 CPT Code: Primary Container:24 hour urine container 4 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:2 ml urine 4 ml from a well mixed 24 hour urine, without preservative, ph below 6, frozen Keep urine refrigerated during and after collection. Avoid direct sunlight. Avoid taking allergy casing drugs, antihistamines, oral corticosteroids, and substances that block H2 receptors for at least 24 hours before specimen collection. Submit urine in a clean, plastic, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Immunoassay Histone Antibody Test Code:60695 CPT Code: ml serum Fasting is preferred. 1 ml serum red top non-gel barrier Fasting is preferred. Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Enzyme Immunoassay Rejection Criteria:Hemolysis Histoplasma Antibody Panel, CF & ID, Serum Test Code:60979 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology: Immunodiffusion Complement Fixation Histoplasma galactomannan Antigen, Urine Test Code:62357 CPT Code: Primary Container:Sterile specimen container 10 ml random urine Minimum Volume:5 ml urine Submit specimen in clean, sterile, plastic, leakproof container. Estimated Turnaround Time:6-9 days Methodology:Immunoassay Rejection Criteria:Non-sterile container Clinical Laboratory Partners Page 140

190 HIV 1/2 Ag/Ab CMIA Reflex to confirmation Test Code:11200 CPT Code: ml serum Minimum Volume:3 ml 4 ml serum from red top non-gel barrier If screen is positive, the HIV 1/2 Ab ID (test code 11357, CPT & 86702) will be performed at an additional charge. If the HIV 1/2 Ab ID is negative or indeterminate, HIV 1 RNA TMA Qualitative (test code 62419, CPT 87535) will be performed at an additional charge. Estimated Turnaround Time:1-4 days, Saturday Methodology:Chemiluminescent Microparticle Immunoassay HIV Screening (Medicare Only) Test Code:11411 CPT Code: ml serum Minimum Volume:3 ml 4 ml serum from red top non-gel barrier If screen is positive, the HIV 1/2 Ab ID (test code 11357, CPT & 86702) will be performed at an additional charge. If the HIV 1/2 Ab ID is negative or indeterminate, HIV 1 RNA TMA Qualitative (test code 62419, CPT 87535) will be performed at an additional charge. Estimated Turnaround Time:1-4 days, Saturday Methodology:Chemiluminescent microparticle immunoassay HIV-1 DNA, PCR, Qual Test Code:60093 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 1 ml yellow ACD-B whole blood Alternate Container:Yellow top ACD solution B Submit whole blood specimen in original collection Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday morning Methodology:Polymerase Chain Reaction Rejection Criteria:Frozen specimen HIV-1 Genotype Test Code:60006 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:1 ml plasma Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 6 hours of collection. Estimated Turnaround Time:10-14 days morning Methodology: Real Time Polymerase Chain Reaction DNA Sequencing Rejection Criteria:Room temperature specimen HIV-1 Integrase Genotype Test Code:62271 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml plasma Minimum Volume:0.6 ml Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) and freeze within 6 hours of collection Transportation Temperature:Frozen Estimated Turnaround Time:8-12 days Days Performed:Monday Methodology: Reverse Transcriptase-Polymerase Chain Reaction Sequencing Rejection Criteria: Heparinized plasma Gross hemolysis Room temperature specimen HIV-1 RNA Viral Load reflex HIV-1 Genotype Test Code:11196 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 6 ml lavender EDTA plasma Minimum Volume:4 ml plasma Draw 3 full lavender top EDTA s. Separate plasma from cells within six hours of collection. Place plasma into 2 green top, screw cap s, 4 ml in one and 2 ml in one. Refrigerate within 6 hours of collection. Send both vials together and send to Molecular. Please note, if the viral load is greater than or equal to 2,000 copies/ml, the HIV-1 Genotype (test code 60006, CPT 87901) will be performed at an additional charge. Estimated Turnaround Time:1-14 days Days Performed:Tuesday, Thursday Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Plasma not separated within 6 hours of collection Clinical Laboratory Partners Page 141

191 HIV-1 RNA Viral Load, QN Test Code:11194 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 4 ml EDTA plasma Minimum Volume:2 ml plasma Draw 2 full lavender top EDTA s. Separate plasma from cells within six hours of collection. Place plasma into a green top, screw cap. Estimated Turnaround Time:1-6 days Days Performed:Tuesday, Thursday Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Plasma not separated within 6 hours of collection HLA - B27 Antigen Test Code:60909 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 6 ml whole blood Minimum Volume:1 ml whole blood 6 ml ACDB, green sodium heparin, lavender EDTA whole blood Submit whole blood. Estimated Turnaround Time:5-9 days Days Performed:Monday-Saturday Methodology:Flow Cytometry Rejection Criteria: Frozen specimens Hemolysis HLA - B27 PCR Test Code:8326 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:2 ml Submit whole blood specimen. Preferred delivery to the performing laboratory is within 24 hours of collection, however, specimens received later should be sent to performing laboratory to be evaluated. Estimated Turnaround Time:1-4 days Days Performed:Monday-Thursday Methodology: Polymerase Chain Reaction (PCR) and Restriction Fragment Length Polymorphism Rejection Criteria: Hemolysis Clotted specimens HLA ABC + DR/DQ Typing Test Code:36010 CPT Codes: 86813, Primary Container:Yellow top ADC solution A Specimen Type:Blood 5 ml whole blood Minimum Volume:3 ml whole blood Yellow Top ACD Solution A. Label s with patient name, DOB, and date drawn. Days Performed:Monday-Thursday Methodology:Serology/Molecular HLA Typing, Celiac Genetics Test Code:62428 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 10 ml whole blood Minimum Volume:3 ml Submit whole blood specimen. Please note: Collect Monday-Thursday. Thursday collection must be received at reference lab by Saturday. Specimens should not be shipped Saturday or the day before a holiday to ensure viability. Estimated Turnaround Time:3-13 days Days Performed:As required Methodology: Polymerase Chain Reaction Sequence Specific Oligonucleotide Probes Rejection Criteria: Unlabeled Past stability HLA, ABC (Class I) Test Code:11596 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 20 ml whole blood 20 ml lavender EDTA whole blood Alternate Container:Lavender top EDTA Label s with patient name, dob and date drawn. Days Performed:Monday-Thursday Methodology:Serology/Molecular HLA, DR/DQ (Class II) Test Code:11598 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 20 ml whole blood 20 ml lavender EDTA whole blood Alternate Container:Lavender top EDTA Label s with patient name, dob and date drawn. Methodology:Serology/Molecular Clinical Laboratory Partners Page 142

192 HLA, DR/DQ, Single Antigen Test Code:11599 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 7 ml whole blood 7 ml lavender EDTA whole blood Alternate Container:Lavender top EDTA Must specify antigen. Label s with patient name, dob and date drawn. Methodology:Serology/Molecular HLA, Single Antigen Test Code:11597 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 20 ml whole blood 20 ml lavender EDTA whole blood Alternate Container:Lavender top EDTA Must specify antigen. Label s with patient name, dob and date drawn. Methodology:Serology/Molecular HLA-A Class I DNA, PCR, Typing Test Code:61092 CPT Code: Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 14 ml whole blood Minimum Volume:5 ml whole blood 14 ml lavender EDTA whole blood 14 ml yellow ACD-B whole blood Submit whole blood specimen. **Note: This HLA typing should not be used for transplantation. The level of resolution does not meet criteria for transplantation.** Estimated Turnaround Time:10-15 days Methodology: Polymerase Chain Reaction followed by Sequence Specific Oligonucleotide Probes Rejection Criteria: Heparinized specimens Frozen specimens HLA-B Class I DNA Typing Test Code:61091 CPT Codes: 83891, 83896, 83900, Primary Container:Yellow top ADC solution A Specimen Type:Whole Blood 14 ml whole blood Minimum Volume:5 ml whole blood 14 ml yellow ACD-B whole blood 14 ml lavender EDTA whole blood Alternate Container:Yellow top ACD solution B Submit whole blood specimen. **Note: This HLA typing should not be used for transplantation. The level of resolution does not meet criteria for transplantation.** Estimated Turnaround Time:10-15 days Methodology: Polymerase Chain Reaction followed by Sequence Specific Oligonucleotide Probes Rejection Criteria: Heparinized specimens Frozen specimens HLA-DQ Class II DNA, PCR, Typing Test Code:62437 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 14 ml whole blood Pediatric volumes: 0-1 years: 3 ml 1-5 years: 5 ml 5-10 years:7 ml >10 years: 14 ml Minimum Volume:5 ml whole blood 14 ml yellow ACD whole blood Pediatric volumes: 0-1 years: 3 ml 1-5 years: 5 ml 5-10 years:7 ml >10 years: 14 ml Alternate Container:Yellow top ADC solution A Submit whole blood specimen in original collection. Estimated Turnaround Time:9-14 days Methodology: Polymerase Chain Reaction followed by Sequence Specific Oligonucleotide Rejection Criteria: Frozen specimen Heparinized or citrated Clinical Laboratory Partners Page 143

193 HLA-DR Class II DNA, PCR, Typing Test Code:62439 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 14 ml whole blood Pediatric Volumes: 0-1 years: 3 ml 1-5 years: 5 ml 5-10 years: 7 ml >10 years: 14 ml Minimum Volume:5 ml whole blood 14 ml yellow ACD whole blood Pediatric volumes: 0-1 years: 3 ml 1-5 years: 5 ml 5-10 years:7 ml >10 years: 14 ml Alternate Container:Yellow top ADC solution A Submit whole blood specimen in original collection. Estimated Turnaround Time:9-14 days Methodology: Polymerase Chain Reaction followed by Sequence Specific Oligonucleotide Rejection Criteria: Frozen specimen Heparinized or citrated Homocysteine Test Code:10140 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml lavender EDTA plasma Minimum Volume:90% draw volume 1 ml serum Alternate Container:Serum Separator Tube IMMEDIATELY centrifuge and separate from cells after collection/clot formation. Methodology:Enzymatic Rejection Criteria:Hemolyzed or grossly lipemic samples Homovanillic Acid (HVA), Urine, 24 Hour Test Code:60661 CPT Code: Primary Container:24 hour urine container 10 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:5 ml urine 10 ml from a well mixed 24 hour urine, without preservative, ph below 6, frozen. Patients should be off medications for 3 days prior to specimen collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patients should also avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Record the total 24 hour volume on the aliquot container and the requisition. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:High Performance Liquid Chromatography Homovanillic Acid, Creat, Ur, 24 Hr Test Code:62038 CPT Codes: 82570, Primary Container:24 hour urine container 10 ml urine from well mixed 24 hour collection preserved with 6N HCl to maintain a ph below 3 Minimum Volume:5 ml urine 10 ml from a well mixed 24 hour urine collected without preservative, ph below 6, frozen It is preferable for the patient to be off medications for 3 days before the specimen collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patient should avoid alcohol, coffee, tea, tobacco, and strenuous exercise before collection. Submit specimen in plastic, leak proof, container. Estimated Turnaround Time:7-10 days Days Performed:Tuesday,Thursday Methodology:High Performance Liquid Chromatography Clinical Laboratory Partners Page 144

194 Homovanillic Acid, Creat, Ur, Random Test Code:60633 CPT Codes: 82570, Primary Container:Sterile specimen container 10 ml random urine. Add 6N HCl to adjust ph below 3. Minimum Volume:5 ml urine 10 ml random urine collected without preservative is acceptable if ph is less than 6, frozen immediately Patients should be off medications for 3 days prior to specimen collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patients should also avoid alcohol, coffee, tea, tobacco, and strenuous exercise before collection. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:High Performance Liquid Chromatography Honey (Rf247), IgE** Test Code:60272 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Honey Bee (i1), IgE Test Code:16116 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Horse Dander (e3), IgE Test Code:16071 serum (1.1 ml minimum) for each 5-10 allergens tested. serum House Dust (H-Stier,h2), IgE Test Code:16047 serum (1.1 ml minimum) for each 5-10 allergens tested. serum House Dust, Greer (h1), IgE Test Code:16077 serum (1.1 ml minimum) for each 5-10 allergens tested. serum HPV DNA, High Risk (Anal-Rectal) Test Code:61040 CPT Code: Primary Container:Digene HPV II Cervical Sampler Specimen Type:See specimen requirements Brush Specimen Minimum Volume:Digene Collect specimen per instructions with the sampler kit. Methodology:Hybrid Capture HPV Genotype 16, 18/45 Test Code:11861 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml ThinPrep vial fluid Previously tested HPV Aptima Minimum Volume:1 ml Estimated Turnaround Time:7-10 days Days Performed:Tuesday Methodology:Transcription Mediated Amplification Rejection Criteria: Digene swab, frozen specimen, male specimen, Surepath vial Clinical Laboratory Partners Page 145

195 HPV TMA, High Risk Test Code:11353 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml ThinPrep vial fluid 1 ml Surepath vial fluid Estimated Turnaround Time:1-4 days Methodology:Transcription Mediated Amplification HPV TMA, High Risk Rflx Genotype 16, 18/45 Test Code:14301 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml ThinPrep vial fluid Please note, if HPV TMA, High Risk is positive, an HPV Genotype 16, 18/4 (CPT 87625) will be performed at an additional charge. Estimated Turnaround Time:1-4 days Methodology:Transcription Mediated Amplification Rejection Criteria: Digene swab Frozen specimen Male specimen Surepath vial hs-crp See "C-Reactive Protein (High Sens)" HSV 1, 2 Ab, IgM, Reflex Titer Test Code:62390 CPT Codes: 86695, ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within one hour of collection. If the HSV 1 IgM Screen is positive, an HSV 1 IgM Titer (CPT 86695) will be performed at an additional charge. If the HSV 2 Screen is positive, an HSV 2 Titer (CPT 86696) will be performed at an additional charge. Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology:Immunofluorescence Assay HSV 1/2 IgG HerpeSelect TypeSpec Ab RF/HSV2 Inhib Test Code:60968 CPT Codes: 86695, ml serum Minimum Volume:0.9 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Please note: If the screen is positive, the HSV-2 IgG Inhibition Study, EIA (CPT 86696) will be performed at an additional charge. Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis or lipemia HSV 1/2 IgM Antibody Test Code:10731 CPT Code: ml serum serum 2 ml serum from red top non-gel barrier Estimated Turnaround Time:1-5 days Days Performed:Monday, Thursday Methodology:Enzyme Immunoassay HSV-1 Antibody IgG Test Code:15621 CPT Code: ml serum Minimum Volume:1 ml Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay HSV-1/2 Antibody IgG Test Code:15623 CPT Codes: 86695, ml serum Minimum Volume:1 ml Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Clinical Laboratory Partners Page 146

196 HSV-2 Antibody IgG Test Code:15622 CPT Code: ml serum Minimum Volume:1 ml Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay HTLV 1/2 Ab Reflex Confirmation Test Code:62083 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if screen is positive, the HTLV I/II Confirmation (CPT 86689) will be performed at an additional charge. Methodology: Chemiluminescence Immunoassay HTLV I/II Confirmation Test Code:62250 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml green sodium heparin, lavender EDTA, navy EDTA, blue sodium citrate plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Days Performed:Tuesday-Friday Methodology:Line Immunoassay Hu See Neuronal Nuclear (Hu) Antibody testing See "Paraneoplastic Syndrome Ab w/ Reflex" Hu Ab Screen Rflx WB, Titer, CSF Test Code:62226 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 3 ml CSF Minimum Volume:1.5 ml CSF Submit specimen in clean, plastic, leak proof container. Please note, if the Hu Ab Screen is positive, a Western Blot (CPT 84181) will be performed at an additional charge. If the Western Blot is positive, a Titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Indirect Immunofluorescence Assay Rejection Criteria:Room temperature specimens Hu Antibody Screen Rflx WB, Titer Test Code:60866 CPT Code: ml serum Fasting is preferred 1 ml serum from red top non-gel barrier Fasting is preferred Fasting is preferred. Centrifuge and transfer serum into clean, plastic, Please note, if the Hu Ab Screen is positive, a Western Blot (CPT 84181) will be performed at an additional charge. If the Western Blot is positive, a Titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:7-12 days Days Performed:Sunday, Tuesday, Thursday Methodology:Indirect Immunofluorescence Assay HTLV I/II DNA, RT-PCR, Qualitative Test Code:60820 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood Minimum Volume:0.4 ml whole blood 1 ml ACDB whole blood Alternate Container:Yellow top ACD solution B Submit whole blood specimen in orginal collection. Estimated Turnaround Time:4-7 days Days Performed:Monday-Saturday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen specimen Clinical Laboratory Partners Page 147

197 Hu, Yo, Ri Ab Screen Rflx WB, Titer Test Code:62229 CPT Code: ml serum Fasting is preferred Minimum Volume:0.7 ml 2 ml serum from red top non-gel barrier Fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Please note, if the Hu Ab Screen is positive, a Hu Western Blot (CPT 84181) will be performed at an additional charge. If the Hu Western Blot is positive, a Hu Titer (CPT 86256) will be performed at an additional charge. If the Yo Ab Screen is positive, a Yo Western Blot (CPT 84181) will be performed at an additional charge. If the Yo Western Blot is positive, a Yo Titer (CPT 86256) will be performed at an additional charge. If the Ri Ab Screen is positive, a Ri Western Blot (CPT 84181) will be performed at an additional charge. If the Ri Western Blot is positive, a Ri Titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday, Friday Methodology:Immunofluorescence Assay Human Growth Hormone See "Growth Hormone (hgh)" Human Parvovirus See Parvovirus testing Human Placental Lactogen Test Code:62051 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:9-15 days Days Performed:Thursday Methodology:Enzyme-Linked Immunoabsorbent Assay Rejection Criteria:SST s are not acceptable Humoral Immunity Panel 3 Test Code:60095 CPT Codes: 82784, 82785, 82787, 86317, 86648, 86684, Includes: IgA, IgG, IgM, IgG Subclasses (1,2,3,4), Tetanus, Diphtheria, S pneumoniae IgG (6 Serotypes), Haemophilus influenza Type B Antibody, IgE Antibody. 4 ml serum Minimum Volume:2 ml 4 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:7-12 days Days Performed:varies with assay Methodology: Enzyme-Linked Immunosorbent Assay Multi-Analyte Immunodetection Rejection Criteria:Gross hemolysis, lipemia, icterus HVA See "Homovanillic Acid (HVA)" Hydantoin See "Phenytoin (Dilantin)" Hyperal Fluid Culture See "Culture, Hyperal Fluid" Hyperoxaluria Panel, Urine, Random Test Code:60822 CPT Code: Primary Container:Sterile specimen container 10 ml urine, frozen immediately Minimum Volume:2 ml urine Patient should be fasting hours prior to collection. Patient should void first morning specimen, then collect specimen within 2 hours of first morning void while patient continues to fast. Submit specimen in a sterile, plastic, leakproof container. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:30 days Days Performed:1 time a month Methodology:Gas Chromatography Mass Spectrometry Rejection Criteria:Room temperature or refrigerated specimens Clinical Laboratory Partners Page 148

198 Hypersensitivity Pneumonitis Screen Test Code:60125 CPT Codes: 86331, 86606, Includes: Aspergillus fumigatus, Micropolyspora faeni, Pigeon Serum, T candidus, T vulgaris, S viridis. 2 ml serum 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday-Thursday, Saturday Methodology:Immunodiffusion IA-2 Antibody Test Code:62317 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic Estimated Turnaround Time:6-12 days Days Performed:Monday, Thursday Methodology:Radiobinding Assay IBD See "Inflammatory Bowel Disease Differential Panel" IF-Blocking Antibody See "Intrinsic Factor Blocking Antibody" IFE, Serum See "Immunofixation Electrophoresis, Serum, w/gam" IFE, Urine See "Immunofixation Electrophoresis, Urine" IgA See "Immunoglobulin A (IgA)" IgA Reflex TTG IgG Test Code:10062 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma 1 ml serum from red top non-gel barrier Please note, if the IgA is less than 70 mg/dl, a Tissue Transglutaminase IgG (test code 10722, CPT 83516) will be performed at an additional charge. Methodology:Immunoturidmetric Rejection Criteria:Grossly hemolyzed specimens IgD See "Immunoglobulin D (IgD)" IgE See "Immunoglobulin E (IgE)" IGF Binding Protein-2 Test Code:60681 CPT Code: ml serum Fasting is preferred Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Fasting is preferred Fasting is preferred. Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-14 days Days Performed:Tuesday Methodology:Radioimmunoassay Rejection Criteria: Room temperature Gross hemolysis or lipemia IGF Binding Protein-3 Test Code:60705 CPT Code: ml serum 1 ml serum from a red top non-gel barrier Centrifuge and transfer serum into clean, plastic, evening Methodology:Immunoassay Rejection Criteria:Gross hemolysis or lipemia Clinical Laboratory Partners Page 149

199 IGF-1 See "Insulin-Like Growth Factor (IGF-1)" IgG See "Immunoglobulin G (IgG)" IgG Synthesis Rate Test Code:60595 CPT Codes: 82040, 82042, Primary Container:See specimen requirements Specimen Type:See specimen requirements Both CSF and Serum are required: 2 ml CSF AND 1 ml serum from SST Minimum Volume:1 ml CSF and 0.5 ml serum Both CSF and serum are required. The collection date and time must be the same for both specimens with a maximum 12 hour duration between CSF and serum collection times. Red top or gel barrier s are acceptable for serum collection. Centrifuge and transfer serum into a clean, plastic, **Do not spin down CSF specimen** CSF specimens must be crystalline clear (without visible RBC contamination). Grossly bloody, cloudy, CSF should not be sent for testing. Submit CSF in a sterile, plastic, leakproof container. Consult a supervisor if CSF acceptability is questionable. Place both specimens together with an elastic and send in the same shipping container. Days Performed:Monday-Sunday morning Methodology: Nephelometric Turbidimetric Colorimetric Rejection Criteria: Orders which do not have both serum and CSF Grossly bloody or cloudy CSF IgG, CSF Test Code:62284 CPT Code: Primary Container:Sterile specimen container Specimen Type:Cerebrospinal fluid 1 ml CSF CSF ** Do not spin down CSF specimen ** CSF specimens must be crystalline clear (without visible RBC contamination). Grossly bloody, cloudy, CSF should not be sent for testing. Submit CSF in a sterile, plastic, leakproof container. Consult a supervisor if CSF acceptability is questionable. Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria:Grossly bloody or cloudy CSF IgG/Albumin Ratio, CSF Test Code:62286 CPT Codes: 82042, Primary Container:Sterile specimen container Specimen Type:Cerebrospinal fluid 2 ml CSF Minimum Volume:1 ml CSF **Do not spin down CSF specimen** CSF specimens must be crystalline clear (without RBC contamination). Grossly bloody, cloudy, CSF should not be sent for testing. Submit CSF in a sterile, plastic, leakproof container. Consult a supervisor if CSF acceptability is questionable. Days Performed:Monday-Saturday Methodology:Nephelometric Rejection Criteria:Grossly bloody or cloudy CSF IgM See "Immunoglobulin M (IgM)" IL-6 See "Interleukin-6" IL28B Genotype, RT-PCR (AccuType) Test Code:62244 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:2 ml whole blood 5 ml yellow ACD whole blood Alternate Container:Yellow top ADC solution A Submit whole blood specimen. Estimated Turnaround Time:6-12 days Days Performed:Sunday, Tuesday, Thursday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen specimen Imipramine, Quantitative Test Code:60693 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml plasma Minimum Volume:1.5 ml plasma 3 ml navy blue EDTA plasma, green heparin plasma 3 ml red top non-gel barrier, navy blue non-additive serum No gel barier s. Collect just before next dose or 12 hours after last dose. Centrifuge and immediately transfer plasma into a clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:4-7 days morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: No gel barrier s Gross hemolysis Clinical Laboratory Partners Page 150

200 Immune Complex, C1q See "C1q Complement Component" Immune Complex, C1Q Test Code:60823 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen immediately Minimum Volume:0.2 ml 1 ml blue citrate plasma, frozen immediately Alternate Container:Blue top sodium citrate No SST s. Centrifuge and immediately transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:4-9 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Rejection Criteria: SST s are not acceptable Room temperature specimens ImmunoCAP See Allergen Evaluation testing in front of this Directory of Services Immunofixation Electrophoresis, Urine Test Code:11521 CPT Codes: 86335, Includes: Immunofixation Electrophoresis, Urine Protein Electrophoresis, Interpretation 30 ml urine collected without preservatives Immunoglobulin A (IgA), Total Test Code:11720 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma 1 ml serum from red top non-gel barrier Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturidmetric Rejection Criteria:Gross hemolysis Immunoglobulin A, Total and Subclasses Test Code:60137 CPT Codes: 82784, ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Days Performed:Monday-Saturday afternoon Methodology:Nephelometric Immunoglobulin D, Total Test Code:60549 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-6 days Days Performed:Monday-Saturday Methodology:Nephelometric Immunoglobulin E (IgE), Total Test Code:16068 CPT Code: ml serum 1 ml serum from a red top non-gel barrier 1 ml green sodium heparin plasma Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:1-3 days Methodology:Electrochemiluminescence Immunoassay (ECLIA) Immunoglobulin G (IgG), Total Test Code:11722 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma 1 ml serum from red top non-gel barrier Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidmetric Rejection Criteria:Gross hemolysis Clinical Laboratory Partners Page 151

201 Immunoglobulin G Subclasses 4 Test Code:62446 CPT Code: ml serum Overnight fasting is preferred 1 ml navy non-additive, red top non-gel barrier serum Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Nephelometry Immunoglobulin M (IgM), Total Test Code:11723 CPT Code: ml serum 1 ml lavender EDTA, green lithium heparin plasma 1 ml serum from red top non-gel barrier Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidmetric Rejection Criteria:Gross hemolysis India Ink Prep Test Code:11804 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF CSF Date, time and source required. Estimated Turnaround Time:1-2 days Methodology:India Ink Preparation Industrial Cadmium Panel Test Code:62041 CPT Codes: 82232, 82300, Primary Container:See specimen requirements Specimen Type:See specimen requirements 4 ml lavender EDTA whole blood, 7 ml urine in acid washed container, and 1.5 ml urine in sterile container Minimum Volume:2 ml (Blood) 2.7 ml (Urine) Blood: 4 ml green sodium heparin whole blood Alternate Container:Green top sodium heparin Patient should avoid shellfish for 3 days before sample collection. Blood: Submit whole blood in original collection Urine: Second A.M. void is preferred. Patient should drink large glass of water and collect specimen within 1 hour of water consumption. Collect specimen in sterile container and pour half of specimen into acid washed sample bottle. Submit both acid washed container and sterile container. Estimated Turnaround Time:5-10 days Days Performed:Tuesday-Saturday Methodology:Mass Spectrometry Infectious Mononucleosis See "Mononucleosis Screen" Inflammatory Bowel Disease Differential Panel Test Code:62056 CPT Codes: 86021, ml serum Minimum Volume:2 ml 4 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Please note, if the ANCA Screen is positive, the C-ANCA Titer (CPT 86021) and/or the P-ANCA Titer (CPT 86021) and/or the Atypical P-ANCA Titer (CPT 86021) will be performed at additional charge(s). Estimated Turnaround Time:6-10 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icterus Influenza A, B & H1N PCR Test Code:11856 CPT Codes: 87502, Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal swab or aspirate optimal Date, time and site of collection required. or refrigerated Methodology:Polymerase chain reaction Rejection Criteria: Transport media other than pink liquid viral transport media Clinical Laboratory Partners Page 152

202 Influenza A/B EIA Test Code:11014 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal swab, nasal swab or aspirate optimal. Must be collected in Pink liquid viral transport media. Green capped Pink liquid viraltransport media (Quest media) also acceptable. Date, time and site of collection required. or refrigerated Estimated Turnaround Time:1-2 days Methodology:Enzyme Immunoassay Rejection Criteria: Transport media other than pink liquid viral transport media. Throat swabs not acceptable. Influenza A/B EIA reflex Culture Test Code:11045 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal swab, nasal swab or aspirate optimal. Must be collected in Pink liquid viral transport media. Green capped Pink liquid viral transport media (Quest media) also acceptable. Please note, if screen is negative, the Culture, Viral, Respiratory (test code 10453, CPT 87254x7) will be performed at an additional charge. or refrigerated Estimated Turnaround Time:1-2 days Methodology:Enzyme Immunoassay Rejection Criteria:Throat swabs are not acceptable Influenza EIA reflex Influenza A,B & H1N PCR Test Code:11855 CPT Code: Primary Container:Pink liquid viral transport media Specimen Type:See specimen requirements Nasopharyngeal swab, nasal swab or aspirate optimal. Must be collected in Pink liquid viral transport media. Green capped Pink liquid viral transport media (Quest media) also acceptable. Date, time and site of collection required. Please note, if Influenza A/B EIA is negative, Influenza A, B & H1N PCR (test code 11856, CPT and 87503) will be performed at an additional charge. or refrigerated Methodology:Enzyme Immunoassay Rejection Criteria: Transport media other than pink liquid viral transport media. Throat swabs not acceptable. Inhibin A, Tumor Marker Test Code:60096 CPT Code: ml serum serum 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Immunoassay Rejection Criteria:Gross hemolysis or lipemia Inhibin B Test Code:60550 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:4-8 days Days Performed:Tuesday, Thursday, Saturday Methodology:Chemiluminescence Rejection Criteria:Hemolysis, lipemia or icteric specimen INR See "Prothrombin Time" Insulin Test Code:10167 CPT Code: ml serum Fasting is preferred. 1 ml green lithium heparin, lavender EDTA plasma Fasting is preferred. Alternate Container:Green top lithium heparin non-gel barrier Fasting is preferred. Samples must be separated from the cells within 30 minutes of the collection. Estimated Turnaround Time:24 hours Methodology:Electrochemilunimescence Immunoassay (ECLIA) Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 153

203 Insulin Autoantibodies Test Code:60713 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Sunday, Tuesday, Thursday Methodology:Radiobinding Assay Rejection Criteria:Gross hemolysis or lipemia Insulin, Bovine (c71), IgE Test Code:60314 serum (1.1 ml minimum) for each 5-10 allergens tested Alternate Container:Lithium Centrifuge and transfer serum into clean, plastic, Insulin, Free Test Code:62060 CPT Code: ml serum Fasting is required 1 ml serum from red top non-gel barrier 1 ml lavender EDTA plasma Fasting is required. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Monday, Wednesday, Friday Methodology:Immunoassay Insulin, Porcine (c70), IgE Test Code:60315 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Insulin-Like Growth Factor Binding Protein-2 See "IGF Binding Protein-2" Insulin-Like Growth Factor I Test Code:62102 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum **1 ml serum from SST** SST serum is acceptable but not recommended due to possible gel interference with testing. Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-12 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria:Gross hemolysis, lipemia or icteric specimen InSure See "Fecal Globin by Immunochemistry" Integrated Quad Screen, 2nd Trimester, Yale Test Code:14113 CPT Codes: 82105, 82672, 84702, ml serum Minimum Volume:1.5 ml 2 ml serum from red top non-gel barrier Must include patient data sheet and insurance information. Centrifuge and transfer serum into clean, plastic, Methodology: Calculation Enzyme Immunoassay (ELISA) Chemiluminescence Clinical Laboratory Partners Page 154

204 Integrated Scn, 1st Trim, Chantilly Test Code:62449 CPT Codes: 84163, ml serum Minimum Volume:1.2 ml 2 ml serum from red top non-gel barrier Specimen collection for this test should be 10.0 to 13.9 weeks gestation. Estimated Turnaround Time:5-10 days Days Performed:Monday-Saturday Methodology:Immunoassay Integrated Scn, 2nd Trim, Chantilly Test Code:61084 CPT Codes: 82105, 82677, 84702, ml serum Minimum Volume:1 ml 3 ml serum from red top non-gel barrier Specimen collection for this test should be between weeks gestation. Centrifuge and transfer serum into clean, plastic, ***Please note, this test should only be ordered if patient had Integrated Scn, 1st Trim, Chantilly previously performed.*** Estimated Turnaround Time:5-10 days Days Performed:Monday-Saturday Methodology:Immunoassay Interferon-Alpha Test Code:60986 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen immediately No SST s. Centrifuge and transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-12 days Days Performed:Monday Methodology:Enzyme Immunoassay Rejection Criteria: Room temperature or refrigerated specimens Gross hemolysis, lipemia, icterus SST is not acceptable Specimen type other than serum Interleukin-6 Test Code:60097 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma 1 ml red top non gel barrier Centrifuge and transfer plasma into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:10-15 days Days Performed:Thursday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria: SST s are not acceptable Moderate hemolysis, lipema, icterus Interstitial Cell Stimulating Hormone See "Luteinizing Hormone (LH)" Intrinsic Factor Blocking Antibody Test Code:60590 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Days Performed:Monday, Friday morning Methodology:Immunoassay Iodine Test Code:61026 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Plasma 1 ml plasma plasma 1 ml serum from navy blue non-additive Alternate Container:Navy blue top non-additive Centrifuge and immediately transfer plasma into a clean, plastic, trace metal free, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Frozen specimen Clinical Laboratory Partners Page 155

205 Iron Test Code:10231 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Ferrachrome w/ppr Iron Binding Capacity Profile Test Code:10219 CPT Codes: 83540, Includes:Iron, % Saturation, Total and Unsaturated Iron Binding Capacity. 2 ml serum Transport temp: Refrigerated Iron, Urine, 24 Hour Test Code:60824 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24-hour urine collected without preservative Minimum Volume:1 ml urine 10 ml of a random urine Alternate Container:Sterile specimen container Submit specimen in sterile, plastic, leakproof container. Please specify on the request form and on the urine container the total 24-hour urine volume, or indicate random urine. Estimated Turnaround Time:7-12 days Days Performed:Tuesday, Thursday Methodology:Atomic Absorption Islet Cell IgG Cytoplasmic Autoantibodies Test Code:60706 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-14 days Days Performed:Monday, Thursday morning Methodology:Indirect Immunofluorescence Assay Isocyanate HDI (k77), IgE Test Code:60279 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Isocyanate MDI (k76), IgE Test Code:60280 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Isocyanate TDI (k75), IgE Test Code:60281 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Isohemagglutinin Titer Test Code:62243 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 30 minutes after collection. Estimated Turnaround Time:6-10 days Days Performed:Tuesday, Friday Methodology:Hemagglutination Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 156

206 Isospora and Cyclospora Acid Fast Smear Test Code:14123 CPT Codes: 87015, Primary Container:Parapak O&P vials Specimen Type:Stool 1 10% formalin vial Must fill 10% formalin vial to the line. Estimated Turnaround Time:1-4 days Methodology:Modified acid fast stain Rejection Criteria:Feces received without preservative JAK 2 Mutation Test Code:8084 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:5-7 days Methodology:Polymerase Chain Reaction Rejection Criteria:Clotted or frozen specimens Janimine See "Imipramine" Japanese Cedar (t17), IgE Test Code:60163 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, JC Polyoma Virus DNA, PCR, Qual Test Code:61056 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 0.7 ml EDTA plasma plasma 0.7 ml serum from red top Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s). Transportation Temperature:Frozen Days Performed:Sunday-Saturday Methodology:Real-time Polymerase Chain Reaction Rejection Criteria:CSF or urine specimen Jo-1 Antibody Test Code:10539 CPT Code: ml serum 1 ml serum from red top non-gel barrier Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Lipemic, hemolyzed or turbid specimens Johnson Grass (g10), IgE Test Code:60350 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Joint Fluid Culture See "Culture, Joint Fluid (includes gram stain)" June Grass (g8), IgE Test Code:16044 serum (1.1 ml minimum) for each 5-10 allergens tested. serum K See "Potassium" Karyotype See Chromosome testing Kell See "Antibody Screen, Reflex ID" Clinical Laboratory Partners Page 157

207 Kidd See "Antibody Screen, Reflex ID" Kiwi Fruit (f84), IgE Test Code:15321 serum (1.1 ml minimum) for each 5-10 allergens tested serum Kleihauer Betke Test Code:18016 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 4 ml whole blood Label must contain patient full name, date of birth, date and time of collection. For testing at Midstate Medical Center: Specimen is a EDTA lavender top. Testing is performed in Hematology. Methodology:Stain Technique Rejection Criteria: Improperly labeled Frozen specimen KRAS Gene Mutation Test Code:8071 CPT Codes: 81275, Primary Container:Paraffin block and slides Specimen Type:See specimen requirements Paraffin block and/or 5 micron sections on slide and H & E slide Sample received from Anatomic Pathology. Accessioned by department in Copath and Sunquest, signed out by director in Copath and Sunquest by department. Transportation Temperature:Room Temperature Estimated Turnaround Time:5 days Days Performed:Monday - Friday Methodology:Polymerase Chain Reaction, Luminex La (SSB) Antibody Test Code:10529 CPT Code: ml serum Minimum Volume:0.5 1 ml serum from red top non gel barrier Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Lacosamide (Vimpat) Test Code:62289 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml 2 ml lavender EDTA, green sodium heparin plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Days Performed:Tuesday,Thursday,Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Lactate See "D-Lactate" Lactate Dehydrogenase (LDH) Test Code:10243 CPT Code: ml serum 1 ml green lithium heparin non-gel barrier plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Lactate to Pyruvate Clinical Laboratory Partners Page 158

208 Lactate Dehydrogenase, Body Fluid Test Code:11763 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 2 ml body fluid Minimum Volume:1 ml 2 ml body fluid in red top non-gel barrier Label container with fluid type. Methodology:Spectrophotometric Lactic Acid Test Code:11730 CPT Code: Primary Container:Grey top sodium fluoride Specimen Type:Plasma 1 ml plasma 1 ml plasma from green lithium heparin non-gel barrier 1 ml CSF collected in sterile CSF s, placed immediately on ice Alternate Container:Green top lithium heparin non-gel barrier Centrifuge and immediately transfer plasma into clean, plastic, Transportation Temperature:Frozen Methodology:Enzymatic Rejection Criteria: Hemolysis Icteric specimen Lactoferrin, Stool, Qualitative Test Code:60922 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gram of stool Minimum Volume:0.3 grams stool From collection time to the time stool is frozen must not exceed 48 hours. Patients may collect stool and hold at room temperature until it can be properly frozen. The time held at room temperature must not exceed 48 hours from time of collection. Specimens can be delivered to PSC for freezing and delivery to the laboratory. Submit specimen in clean, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Lactoferrin, Stool, Quantitative Test Code:60919 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gram of stool Minimum Volume:0.3 grams stool From collection time to the time stool is frozen must not exceed 48 hours. Patients may collect stool and hold at room temperature until it can be properly frozen. The time held at room temperature must not exceed 48 hours from time of collection. Specimens can be delivered to PSC or physician's office for freezing and delivery to the laboratory. Submit specimen in clean, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Lamb (f88), IgE Test Code:15322 serum (1.1 ml minimum) for each 5-10 allergens tested serum Lamb's Quarters (w10), IgE Test Code:16061 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 159

209 Lamotrigine (Lamictal) Test Code:60142 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy EDTA, green sodium heparin plasma Alternate Container:Lavender top EDTA No SST s. Draw 1/2 to 1 hour before next dose. Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Days Performed:Tuesday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis or lipemia Lanoxin See "Digoxin" Latex (Hevea braziliensis) (k82), IgE Test Code:60169 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-9 days LD Isoenzymes Test Code:60978 CPT Codes: 83615, ml serum 2 ml serum from red top non-gel barrier Centrifuge within 1 hour of collection and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Days Performed:Monday, Wednesday, Friday Methodology:Electrophoresis Rejection Criteria:Frozen or refrigerated specimens LDH See "Lactate Dehydrogenase (LDH)" LDL Cholesterol, Direct See "LDL, Direct" LDL Sub Fraction See "Advanced Lipid Panel Reflex Direct LDL" LDL, Direct Test Code:10258 CPT Code: ml serum 1 ml green lithium heparin non-gel barrier plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Homogeneous Lead, Creatinine, Urine, Random Test Code:62349 CPT Codes: 82570, Primary Container:See specimen requirements 7 ml random urine collected an acid-washed sample container For this test, a 24 hour acid washed/trace element urine container is also acceptable for collection of a random urine (2mL) voided a.m. urine is preferred, random specimen is acceptable) Minimum Volume:3 ml urine ***7 ml random urine in sterile container is acceptable but not recommended. Elevated results will be reported with a message recommending resubmission using acid-washed container.*** It is recommended that patient void directly into the acid-washed container whether it is a random acid-washed bottle or a 24 hour acid-washed/ trace element container. Submit urine in a clean, plastic, acid washed, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Monday,Wednesday,Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Lead, Urine, 24 Hour Test Code:27105 CPT Code: Primary Container:Acid-washed 24 hour urine container 10 ml aliquot from a well mixed 24 hour acid-washed/trace element container Minimum Volume:7 ml urine It is recommended that patient void directly into the acidwashed/trace element container. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Clinical Laboratory Partners Page 160

210 Lead,Blood Test Code:10016 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Do not aliquot Minimum Volume:1 ml whole blood 3 ml navy EDTA, green sodium heparin whole blood Do not aliquot 6 ml EDTA pink top whole blood Alternate Container:Green top sodium heparin Patient should refrain from seafood, antacids, vitamins with mineral supplements, and herbal preparations at least 3 days before specimen collection. Collect hard-vein collections and pediatric samples in lead-free micros. Collection instructions: 1. To avoid contamination, use powderless gloves. 2. Wash the site with soap and water. Dry with a clean, low-lint towel. If water is unavailable,cleanse the area with foaming soaps or alcohol prep pads. 3. Follow Universal Precautions during sample collection. 4. Capillary collections: a. Perform heel stick for children under the age of 12 months. b. There is a high potential for lead contamination of capillary specimens during collection (CDC,1985) and special precautions must be followed to minimize lead contamination which may be present on the skin. c. The finger/heel to be punctured must be free of any visible infection or wound(s). d. Massage the area to increase the circulation before collection. e. Do not allow the cleansed area to touch any article of clothing or non-cleansed skin areas before sample collection. f. Lance the skin area using routine capillary collection techniques. g. Remove the first droplet of blood using a gauze pad or other sterile blotting material. DO NOT WIPE. Blood which runs down the finger or around the fingernail is not suitable for collection. Draw blood into the capillary container maintaining a continuous flow of blood. 5. After sample collection, agitate gently (20-30 secs) to mix the blood with anticoagulant. 6. Check the identification. Do NOT aliquot the specimen. 7. If multiple s are drawn, draw last for trace elements (lead). Transport refrigerated. Estimated Turnaround Time:1-3 days Days Performed:Monday - Friday morning Methodology:Atomic Absorption Spectroscopy Legionella Culture See Culture, Legionella testing Legionella pneumophila Antibody Test Code:62373 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Days Performed:Monday, Wednesday, Friday Methodology:Immunofluorescence Assay Legionella pneumophila Antibody, IgM Test Code:62366 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within one hour of collection. Estimated Turnaround Time:3-8 days Methodology:Immunofluorescence Assay Legionella Urine Antigen Test Code:10532 CPT Code: Primary Container:Sterile specimen container 5 ml urine Minimum Volume:1 ml urine 5 ml urine in a grey top urine culture Alternate Container:Grey top urine boric acid Estimated Turnaround Time:1-3 days Methodology:Enzyme Immunoassay Leiden V Gene Mutation See "Factor V Leiden Gene Mutation" Clinical Laboratory Partners Page 161

211 Leishmania Antibody, IgG Test Code:62433 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Minimum Volume:0.2 ml Alternate Container:Serum Separator Tube Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:3-15 days Days Performed:Wednesday Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis or lipemia Lemon (f208), IgE Test Code:15308 serum (1.1 ml minimum) for each 5-10 allergens tested serum Lentils (f235), IgE Test Code:15324 serum (1.1 ml minimum) for each 5-10 allergens tested serum Leptin Test Code:61062 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Monday, Thursday Methodology:Electrochemiluminescence Rejection Criteria: Moderate hemolysis Gross lipemia or icterus Leptospira Antibody Screen, Reflex Titer Test Code:62045 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier 0.5 ml green sodium heparin, lavender EDTA, navy blue EDTA plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, Please note, if screen is positive, a titer (CPT code 86720) will be performed at an additional charge. Estimated Turnaround Time:5-10 days Methodology:Indirect Hemagglutination Lettuce (f215), IgE Test Code:16023 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Leucine Aminopeptidase Test Code:60949 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Wednesday Methodology:Colorimetric Leukemia See "Hematopathology" Leukocyte Count See "White Bood Cell Count" Leukocytes, Fecal See "Gram Stain" Clinical Laboratory Partners Page 162

212 Levetiracetam (Keppra) Test Code:60760 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, navy EDTA, green sodium heparin plasma Alternate Container:Lavender top EDTA No SST s. Collect at trough level (immediately prior to next dose). Allow blood to clot for minutes. Centrifuge and transfer serum into clean, plastic, screw capped vial(s) within 1 hour of collection. Estimated Turnaround Time:4-6 days Methodology:Liquid Chromatograpy/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable LH See "Luteinizing Hormone (LH)" Lidocaine Test Code:62067 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml serum from navy blue non-additive 1 ml plasma lavender EDTA Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Limbitrol See "Amitriptyline" Lime (Rf306), IgE** Test Code:60320 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Lipase Test Code:10252 CPT Code: ml serum Minimum Volume:0.5 ml serum 1 ml green lithium plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Enzymatic Lipid Fractionation See "Advanced Lipid Panel Reflex Direct LDL" Lipid Panel Test Code:10257 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection. Methodology:Enzymatic Lipid Panel Reflex Direct LDL Test Code:10769 CPT Codes: 82465, 83718, ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection Please note, if the Triglyceride result is 400 mg/dl or greater, a Direct LDL (test code 10258, CPT 83721) will be performed at an additional charge. Methodology:Modified Enzymatic Clinical Laboratory Partners Page 163

213 Lipid Panel w/ Direct LDL Test Code:10397 CPT Codes: 80061, ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection Methodology:Enzymatic, homogenous Lipid Panel with nonhdl Test Code:10063 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection. Methodology:Enzymatic Lipid Subparticle See "Advanced Lipid Panel Reflex Direct LDL" Lipids, Stool See "Fecal Fat, Qualitative" See "Fatty Acids, Fecal, Total (Random, 24, 48, 72 Hr)" Lipoprotein (a) Test Code:60098 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, navy EDTA plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic,, Sunday Methodology:Immunoturbidometric Rejection Criteria:Hemolysis or lipemia Lipoprotein Electrophoresis Test Code:62414 CPT Codes: 82465, 83700, ml serum Patient should be fasting 12 hours prior to collection Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Patient shouldbe fasting 12 hours prior to collection Patient should be fasting 12 hours prior to collection. Centrifuger and immediately transfer serum into clean, plastic, Estimated Turnaround Time:9-12 days Days Performed:Wednesday, Sunday Methodology:Agarose Gel Electrophoresis Lipoprotein Fractionation, Ion Mobility Test Code:62451 CPT Code: ml serum Minimum Volume:1 ml 1 ml serum from red top non-gel barrier Fasting is preferred. Non-fasting is acceptable. Centrifuge and transfer into clean, plastic, Estimated Turnaround Time:6-10 days Methodology:Ion Mobility Rejection Criteria:Gross hemolysis or lipemia Lipoprotein-Associated Phospholipase A2 Test Code:62178 CPT Code: ml serum 1 ml red top non-gel barrier serum Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Estimated Turnaround Time:5-9 days Methodology:Immunoassay Rejection Criteria: Plasma specimen Room temperature or frozen specimen Clinical Laboratory Partners Page 164

214 Listeria Antibody, Serum Test Code:62199 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Estimated Turnaround Time:5-9 days Methodology:Complement Fixation Lithium Test Code:11608 CPT Code: ml serum serum 1 ml green sodium heparin or lavender EDTA plasma Spin and separate within 4 hours of collection Methodology:Colorimetric Rejection Criteria:Green lithium heparin plasma Liver Fibrosis, FibroTest-Actitest Test Code:62453 CPT Codes: 82172, 82247, 82977, 83010, 83883, ml serum Minimum Volume:2 ml 3.5 ml serum from red top non-gel barrier Overnight fasting is preferred. Centrifuge andtransfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Please note, test is not performed on patients less than 2 years old. Transportation Temperature:Frozen Estimated Turnaround Time:4-10 days Days Performed:Tuesday-Saturday Methodology: Nephelometry Spectrophotometry Rejection Criteria: Patient <2 years old Gross hemolysis or lipemia Liver Kidney Microsomal Ab, IgG Test Code:60828 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:5-9 days Days Performed:Tuesday, Thursday Methodology:Enzyme Immunoassay Liver Panel See Hepatic Function testing LKM Antibody See "Liver Kidney Microsomal (LKM-1) IgG Antibody" Lobster (f80), IgE Test Code:16024 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Lorazepam, Quantitative Test Code:62190 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:1 ml serum 2 ml serum from red top non-gel barrier 2 ml lavender EDTA, green sodium heparin plasma Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:6-10 days Days Performed:Tuesday, Thursday Methodology:High Performance Liquid Chromatography Lower Respiratory Culture See "Culture, Respiratory Virus Shell Vial" LS Ratio See "Lecithin/Spingomyelin Ratio" Clinical Laboratory Partners Page 165

215 LSD Screen, Urine, Reflex Confirmation Test Code:10372 CPT Code: Primary Container:Sterile specimen container 20 ml urine collected without preservatives, protected from light Minimum Volume:5 ml urine Alternate Container:Non-sterile container Foil wrap to protect from light. Submit urine in clean, plastic, leakproof container. Please note, if screen is positive a confirmation test (CPT 82542) will be added at an additional charge. Methodology:Immunoassay Rejection Criteria:Not protected from light Lupus Anticoagulant Screen w/ Reflex Test Code:62068 CPT Codes: 85613, Primary Container:Blue top sodium citrate Specimen Type:Plasma 4 ml citrate platelet poor plasma Minimum Volume:2 ml citrate plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. If the drvvt screen is >45 seconds, drvvt Confirmation (Phospholipid Neutralization, CPT 85597) will be performed at an additional charge. If the drvvt Confirmation is Positive, a drvvt 1:1 mix (CPT 85613) will be performed at an additional charge. If the PTT-LA screen is >40 seconds, a Hexagonal Phase Confirmation (STACLOT-LA, CPT 85598) will be performed at an additional charge. If the Hexagonal Phase Confirmation is weakly positive, or positive, a Thrombin Clotting Time (CPT 85670) will be added at an additional charge. Transportation Temperature:Frozen Methodology:Photo-optical Clot Detection Rejection Criteria: Room temperature, refrigerated or thawed specimens Hemolysis Luteinizing Hormone (LH) Test Code:11735 CPT Code: ml serum 1 ml green heparin or grey sodium fluoride plasma Methodology:Chemiluminescence Immunoassay Luteinizing Hormone, Pediatric Test Code:30104 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Days Performed:Monday-Saturday Methodology:Electrochemiluminescent Technology Lyme Ab IgG/IgM Reflex Western Blot Test Code:10541 CPT Code: ml serum Minimum Volume:1 ml serum 2 ml serum from red top non-gel barrier Please note, if screen is positive, the Western Blot (test code 10522, CPT 86617x2) will be performed at an additional charge. Estimated Turnaround Time:1-4 days Methodology:Borrelia VlsE1/pepC10 IgG/IgM ELISA Lyme Ab, IgG, IgM, Immunoblot, CSF Test Code:60912 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Minimum Volume:0.4 ml CSF 1 ml CSF submitted in a plastic, leakproof, CSF container. Estimated Turnaround Time:8-12 days Days Performed:Monday, Wednesday, Friday Methodology:Immunoblot Rejection Criteria:Room temperature specimens Clinical Laboratory Partners Page 166

216 Lyme Antibody Western Blot IgG/IgM Test Code:10522 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier Estimated Turnaround Time:2-5 days Days Performed:Sunday, Wednesday, Friday Methodology:Western Blot Lyme Antibody, IgG, IgM, CSF Test Code:60910 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF Minimum Volume:0.2 ml CSF 1 ml CSF submitted in a sterile, plastic, leakproof CSF container. Estimated Turnaround Time:5-10 days Methodology:Indirect Immunofluorescence Assay Lyme DNA, RT-PCR, Blood Test Code:60830 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 1 ml yellow ACD whole blood Alternate Container:Yellow top ACD solution B Submit whole blood in original collection. Estimated Turnaround Time:5-9 days Days Performed:Tuesday, Thursday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen specimen Lyme DNA, RT-PCR, CSF/Synovial, Qual Test Code:60831 CPT Code: Primary Container:Sterile specimen container Specimen Type:Fluid 1 ml synovial fluid or CSF CSF or synovial fluid 1 ml synovial fluid or CSF in red top non-gel barrier Submit CSF or synovial fluid in sterile, plastic, leakproof container. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria: Glass containers Specimen in lavender EDTA Lyme IgG/IgM Antibody Screen Test Code:10514 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier Estimated Turnaround Time:1-4 days Methodology:Borrelia VlsE1/pepC10 IgG/IgM ELISA Lymphocyte Subsets Test Code:11531 CPT Codes: 86355, 86357, 86359, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:1 ml Specimen should be collected Monday-Friday only. For Friday collections, specimen must be received at HH by 1 pm on Saturday. Whole blood collected in an EDTA should be kept at room temperature. Estimated Turnaround Time:48 hours Days Performed:Monday - Friday Methodology:Flow Cytometry Rejection Criteria:Refrigerated or frozen specimen. Lymphocytic Choriomeningitis Ab, IgG, IgM Test Code:62455 CPT Code: ml serum Minimum Volume:1.5 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-9 days Days Performed:Tuesday-Saturday Methodology:Immunofluorescence Assay Lymphogranuloma Venerum Diff Ab, IgG, IgA, IgM Test Code:62168 CPT Codes: 86631, ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-9 days Methodology:Microimmunofluorescence Clinical Laboratory Partners Page 167

217 Lymphoma See "Flow Cytometry - Lym/Leuk" Lysergic Acid Diethylamide See "LSD Screen, Urine, Reflex Confirmation" Lysozyme (Muramidase) Test Code:60659 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge within 1 hour of collection and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Thursday morning Methodology:Enzymatic Lytes, BUN, Creat, w/ratio Test Code:10319 CPT Codes: 80051, 82565, ml serum 1 ml green lithium heparin plasma Specimens must be maintained anaerobically (unopened) to avoid loss of CO2. Methodology: Urease with Glutamate Dehydrogenase Kinetic Alkaline Picrate Ion Selective Electrode Enzymatic Calculation Rejection Criteria:Hemolysis M2 Antibody See "Mitochondrial M2 IgG Antibody" Macadamia Nut (Rf345) IgE Test Code:60880 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer into a clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Immunoassay Mackeral (Rf206), IgE** Test Code:60321 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Macroamylase Test Code:61057 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday Methodology:Polyethylene Glycol Precipitation Rejection Criteria:Room temperature specimen Mag See "Magnesium" MAG-SGPG Ab, IgM Test Code:60832 CPT Code: ml serum Fasting is preferred Minimum Volume:0.2 ml 1 ml serum from a red top non-gel barrier Fasting is preferred Overnight fasting is preferred. Avoid hemolysis. Centrifuge and transfer serum to clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Monday, Wednesday Methodology:Enzyme Immunoassay Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 168

218 Magnesium Test Code:10738 CPT Code: ml serum serum 1 ml green lithium heparin plasma Methodology:Modified Xylidyl Blue Colorimetric Endpoint Magnesium, RBC Test Code:60551 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml whole blood whole blood 1 ml navy EDTA whole blood Alternate Container:Navy blue top EDTA Patients should refrain from taking vitamins, or mineral or herbal supplements for at least one week before specimen collection. Submit whole blood in original collection.( Do not centrifuge) Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday afternoon Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Frozen specimens Magnesium, Urine, 24 Hour Test Code:10362 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collection Minimum Volume:5 ml urine 10 ml urine from a well-mixed 24 hour urine collection. Add 6N HCl to maintain a ph < 1.0. Methodology:Modified Xylidyl Blue Colorimetric Endpoint Magnesium, Urine, Random Test Code:11851 CPT Code: Primary Container:Non-sterile container 10 ml Urine Minimum Volume:5 ml Urine 1 ml random urine from a UAP or gray perservative Methodology:Modified Xylidyl Blue Colorimetric Endpoint Maize/Corn (f8), IgE Test Code:16016 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Malt (f90), IgE Test Code:16026 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Mango (f91), IgE Test Code:16096 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Mannose-binding Lectin Test Code:62393 CPT Code: ml serum, frozen Overnight fasting is preferred 1 ml serum from red top non-gel barrier, frozen Overnight fasting is preferred Overnight fasting is preferred. Centrifuge, transfer serum into clean, plastic, screw-capped vial(s) and freeze within 4 hours of collection. Transportation Temperature:Frozen Estimated Turnaround Time:3-9 days Days Performed:Thursday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria: Hemolysis or lipemia Room temperature, refrigerated or thawed specimen Clinical Laboratory Partners Page 169

219 Maple (Box Elder) (t1), IgE Test Code:16057 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Maple Syrup Disease (MSUD),DNA Mutation Test Code:62434 CPT Code: Primary Container:**None** Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:11-15 days Days Performed:Tuesday,Friday Methodology: Polymerase Chain Reaction Capillary Electrophoresis Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Maternal Quad Screen, 2nd Trimester, Chantilly Test Code:62301 CPT Codes: 82105, 82677, 84702, ml serum Minimum Volume:1.2 ml serum Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Afternoon Methodology: Calculation Enzyme-Linked Immunosorbent Assay Maternal Quad Screen, 2nd Trimester, Yale Test Code:14112 CPT Codes: 82105, 82677, 84702, ml serum Minimum Volume:1.5 ml 2 ml serum from red top non-gel barrier Patient data sheet and insurance information must accompany specimen. Centrifuge and transfer serum into clean, plastic, Methodology:Enzyme Immunoassay (ELISA) Maternal Screen, 1st Trimester, Yale Test Code:14111 CPT Codes: 84163, ml serum Minimum Volume:1.5 ml 2 ml serum from red top non-gel barrier Patient data sheet and insurance information must accompany specimen. Centrifuge and transfer serum into clean, plastic, Methodology:Enzyme Immmunoassay (ELISA) Maternal Triple Screen, 2nd Trimester, Chantilly Test Code:62318 CPT Codes: 82105, 82677, ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Monday-Saturday Methodology: Calculation Immunoassay Rejection Criteria:Gross lipemia Clinical Laboratory Partners Page 170

220 Maternal Triple Screen, 2nd Trimester, Yale Test Code:14119 CPT Codes: 82105, 82677, ml serum Minimum Volume:1.5 ml 2 ml serum from red top non-gel barrier. Patient data sheet and insurance information must accompany specimen. Centrifuge and transfer serum into a clean, plastic, Methodology:Enzyme Immunoassay (ELISA) Maternal, 1st Trimester, Chantilly Test Code:62300 CPT Codes: 84163, ml serum Minimum Volume:1.2 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology: Immunoassay Caculation Rejection Criteria:Gross hemolysis or lipemia MDMA See "Ecstasy, Blood" See "Ecstasy, Urine, Random" Meadow Fescue (g4), IgE Test Code:15301 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Meadow Foxtail (g16), IgE Test Code:60413 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Measles Antibody See "Rubeola Antibody IgG" Meconium Drug Abuse Screen Test Code:60100 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 g meconium Minimum Volume:1 g meconium Submit specimen in clean, plastic, leakproof container. morning Methodology:Enzyme-Linked Immunosorbent Assay Melaleuca Tree (t21), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 171

221 Melatonin Test Code:61059 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma, frozen immediately Minimum Volume:1 ml plasma For baseline specimen, patient should be drawn between 2-4 am (dark cycle). Patient should not be exposed to bright light during collection period. If possible, patient should refrain from use of steroids, ACTH or gonadotropin medication for at least 48 hours before collection. Centrifuge and immediately transfer plasma into a clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:6-15 days Days Performed:Wednesday Methodology: Extraction Enzyme Linked Immunosorbent Immunoassay Rejection Criteria:Room temperature specimens Melon (f87), IgE Test Code:16097 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Mercury, Blood Test Code:60013 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:2 ml whole blood 4 ml navy sodium heparin, green sodium heparin whole blood Alternate Container:Navy blue top sodium heparin To avoid contamination, use powderless gloves. Patient should refrain from eating seafood at least 48 hours before specimen collection. Submit whole blood specimen in original collection. If transferring specimen, a clean, plastic, trace metal-free vial should be used. Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday afternoon. Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Frozen specimens Mercury, Creat, Urine, Random Test Code:60998 CPT Codes: 82570, Primary Container:See specimen requirements 10 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine. Minimum Volume:5 ml urine ***7 ml random urine in sterile container is acceptable but not recommended. Elevated results will be reported with a message recommending resubmission using acid-washed container.*** It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. For clinical monitoring, collect second voided AM urine. For industrial monitoring, collect urine preshift. Wash hands before sample collection. Wipe hands dry with lint free paper towels. Do not use recycled paper towels. Patient should refrain from eating predatory fish (swordfish, tuna, shark) for 3 days before specimen collection. Submit specimen in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Monday, Wednesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Mercury, Urine, 24 Hour Test Code:62429 CPT Code: Primary Container:Acid-washed 24 hour urine container 10 ml urine from a well-mixed 24 hour acid-washed/trace element container Minimum Volume:3 ml ***10 ml random urine in sterile container is acceptable but not recommended. Elevated results will be reported with a message recommending resubmission using acid-washed container.*** Avoid workplace collections. Avoid seafood consumption for 48 hours prior to collection. It is recommended that patient void directly into the acid-washed/trace element container. Submit urine in clean, plastic, acid- washed/trace element, leakproof container. Estimated Turnaround Time:3-7 days Days Performed:Monday,Wednesday,Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Mescalin Test Code:35140 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:3 ml No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Days Performed:Monday-Sunday Methodology:Gas Chromatography Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 172

222 Mesquite Tree (t20), IgE Test Code:60220 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Metabolic Panels See "Basic Metabolic Panel" See "Comprehensive Metabolic Panel" Metanephrines, Fract, Creat, Urine, Random Test Code:60992 CPT Codes: 82570, Primary Container:Sterile specimen container 5 ml urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:1.5 ml urine 5 ml urine collected without preservative, ph below 6, frozen Patient should be off medication for 3 days before specimen collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patients should avoid alcohol, coffee, tea, and tobacco 24 hours before collection. Medications which are alpha antagonists (Aldomet), alpha blockers (Dibenzylin) should be avoided hours before specimen collection. Submit urine in sterile, plastic, leakproof container. Estimated Turnaround Time:5-10 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Metanephrines, Fractionated, Plasma Test Code:61001 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2.5 ml EDTA plasma, using a pre-chilled lavender EDTA Fasting is preferred Minimum Volume:1.5 ml plasma Overnite fasting is preferred. Patient should avoid alcohol, coffee, tea, and strenuous exercise before collection. Draw specimen in a pre-chilled lavender EDTA and keep on wet ice until ready to centrifuge. Centrifuge in a refrigerated centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 2 hours of collection. If a refrigerated centrifuge is not available, chill the centrifuge sleeves for 5 minutes in ice prior to centrifuging specimen. Methodology:Liquid Chromatography/Tandem Mass Spectometry Rejection Criteria:Room temperature specimens Metanephrines, Urine, 24 Hour Test Code:60552 CPT Code: Primary Container:24 hour urine container 5 ml urine from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:1.5 ml urine 5 ml from a well mixed 24 hour urine collected without preservative, ph below 6, frozen It is preferable that patients discontinue medications for 3 days prior to specimen collection. Patients should avoid tobacco, tea, coffee for 3 days before collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Medications which are alpha agonists (Aldomet), and alpha blockers (Dibenzyline) should be avoided hours before specimen collection. Mix well before aliquotting and adjusting ph. Submit specimen in sterile, plastic, leakproof container. Estimated Turnaround Time:5-7 morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Metapneumovirus DFA Test Code:11831 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 0.5 ml nasal aspirate in a feeding or nasal washing acceptable. nasal aspirate Pink liquid viral transport media Alternate Container:Pink liquid viral transport media Place #8 French feeding in a sterile container. Place container on ice after obtaining specimen. Date, time and source required. DFA available only Monday - Friday during non-respiratory season. or refrigerated Estimated Turnaround Time:1-2 days Methodology:Direct Fluorescent Antibody Methadone and Metabolite, Confirm, Ur, Qt Test Code:45023 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Clinical Laboratory Partners Page 173

223 Methadone Screen, Reflex Semi-Quantitative Test Code:12466 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Methadone Screen, Reflex to Confirmation Test Code:11256 CPT Code: Primary Container:Non-sterile container 20 ml urine Minimum Volume:10 ml Please note, if the screen is positive, the confirmation (test code 45023, CPT 80358) will be performed at an additional charge. Methodology:Fluorescence Polarization Immunoassay (FPIA) Methadone Screen, Rflx Semi-Quant & Conf., Urine Test Code: CPT Code: Primary Container:Non-sterile container 20 ml urine Minimum Volume:10 ml Please note, if the screen is positive, the confirmation (test code 45023, CPT 80358) will be performed at an additional charge. Methodology:Fluorescence Polarization Immunoassay (FPIA) Methadone Screen, Urine Test Code:10129 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Methadone, Serum, Quant Test Code:60883 CPT Code: Primary Container:Red top non-gel barrier 5 ml serum Minimum Volume:1.2 ml 5 ml serum from navy non-additve Gastric contents, bile, meconium: sterile container Alternate Container:Navy blue top non-additive No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Days Performed:Monday-Saturday Methodology:Gas Chromatography/Mass Spectrometry Rejection Criteria:SST s are not acceptable Methaqualone Screen, Urine Test Code:12722 CPT Code: Primary Container:Non-sterile container 20 ml random urine without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile Urine Cup The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Methicillin-Resistant Staphylococcus aureus See "Culture, MRSA Screen" Methotrexate Test Code:11147 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, foil wrapped to protect from light 1 ml lavender EDTA, green heparin, or grey sodium fluoride plasma, foil wrapped to protect from light Alternate Container:Lavender top EDTA Immediately foil wrap red top to protect from light. Keep specimen protected from light at all times. To accurately assess methotrexate clearance and possible toxicity, samples should be collected at specified times, usually 24, 48 or 72 hours following completion of the dose. The sampling time will be dependent on dose, duration of infusion and clinical status of the patient. Methodology:Fluorescence Polarization Immunoassay (FPIA) Rejection Criteria:Specimens not protected from light. Clinical Laboratory Partners Page 174

224 Methylenedioxymethamphetamine See "Ecstasy, Blood" See "Ecstasy, Urine, Random" Methylenetetrahydrofolate Reductase (MTHFR), DNA See "MTHFR Gene Mutation" Methylmalonic Acid Test Code:60037 CPT Code: ml serum Minimum Volume:0.6 ml 2 ml green sodium heparin plasma 2 ml serum from navy non-additive, red top non-gel barrier Alternate Container:Green top sodium heparin Centrifuge within 1 hour of collection and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Morning Methodology:Tandem Mass Spectrometry Methylmalonic Acid, Creat, Ur, Random Test Code:62333 CPT Codes: 82570, Primary Container:Sterile specimen container 2 ml random urine collected without preservative Minimum Volume:0.6 ml urine 2 ml urine from well-mixed 24 hour urine collected without preservatives Alternate Container:24 hour urine container Submit specimen in clean, sterile, plastic, leak proof container. Transportation Temperature:Frozen Estimated Turnaround Time:7-11 days Days Performed:Tuesday,Friday Methodology:Gas Chromatography Mass Spectrometry Metyrapone Response See "11-Deoxycortisol" Mexiletine Test Code:27790 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum 2 ml green heparin non-gel barrier plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Mg See "Magnesium" Mi-2 Antibody Test Code:62315 CPT Code: ml serum Minimum Volume:1 ml 3 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:12-20 days Days Performed:Tuesday Methodology:Radioimmunoprecipitation Assay Microalbumin, Creatinine, Urine, 24 Hour Test Code:10158 CPT Codes: 82043, Primary Container:24 hour urine container 10 ml urine, aliquot from a well-mixed 24 hour urine collection with no preservative Minimum Volume:1 ml Methodology: Jaffe (Rate Blanked) Immunoturbidimetric Calculation Microalbumin, Creatinine, Urine, Random Test Code:10155 CPT Codes: 82043, Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:1 ml 10 ml random urine from a UAP or gray preservative Alternate Container:Sterile specimen container Aliquot from a well-mixed random urine collection. Methodology:Immunoturbidimetric Clinical Laboratory Partners Page 175

225 Microalbumin, Urine, 24 Hour Test Code:10157 CPT Code: Primary Container:24 hour urine container 10 ml urine, aliquot from a well-mixed 24 hour urine collected without preservative Minimum Volume:1 ml Aliquot from a well-mixed 24 hour urine collection. Methodology:Immunoturbidimetric Microalbumin, Urine, Random Test Code:11754 CPT Code: Primary Container:Non-sterile container 10 ml urine Minimum Volume:1 ml 10 ml random urine from a UAP or grey preservative Alternate Container:Sterile specimen container Aliquot from a well-mixed random urine collection. Methodology:Immunoturbidimetric Microsatellite Instability Assay (MSI) Test Code:8283 CPT Codes: 81301, Primary Container:See specimen requirements Specimen Type:See specimen requirements Two 10 micron tissue sections (minimum) formalin-fixed tissue on unstained slides Keep specimen at room temperature. Estimated Turnaround Time:5 days Methodology: Methodology: Multiplex Polymerase Chain Reaction Rejection Criteria:B5 Fixed Tissue Microsomal Antibody See "Anti-Microsomal (Thyroid) Antibody" Microsporidia Detection Test Code:60834 CPT Codes: 87015, Primary Container:See specimen requirements Specimen Type:Stool 5 ml stool/duodenal aspirate fixed in 10% formalin vial from Parapak kit Other acceptable formalin vials are contained in SAF, Total Fix or Ecofix kits. Minimum Volume:2 ml fixed stool 5 ml conjuntiva aspirate, CSF, nasal wash/aspirate, tissue, urine, and bronchial brush/wash fixed in 10% formalin vial from Parapak kit Other acceptable formalin vials are contained in SAF, Total Fix or Ecofix kits. Submit specimens fixed in 10% formalin or equivalent transport medium as listed in Specimen Requirements. Estimated Turnaround Time:3-7 days Days Performed:Monday, Thursday Methodology:Microscopy Milk (f2), IgE Test Code:16027 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Milk, Goat, IgG* Test Code:42963 CPT Code: ml serum Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Methodology:Enzyme Immunoassay Mitochondrial Antibody See "Anti-Mitochondrial Antibody, Reflex Titer" Clinical Laboratory Partners Page 176

226 Mitochondrial M2 Ab, IgG Test Code:60678 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge within 1 hour of collection and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Enzyme Immunoassay Mixing Study Test Code:61072 CPT Codes: 85610, Primary Container:Blue top sodium citrate Specimen Type:Plasma 3 ml citrate platelet poor plasma Minimum Volume:2 ml plasma Do NOT draw the blue top first unless collection is PT ONLY. Draw a non-additive serum separator and discard if not needed. Blue top s must be a full draw to insure porper anticoagulant ration. Fill to mark indicated on. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma into a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells), leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma equally into 3 clean, plastic, Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the vials as plasma and immediately freeze. If the PT is > 13.5 sec, the PT Mix (CPT 85611) will be added at an additional charge. If the PTT-LA is > 40 sec, the PTT-LA Mix (CPT 85732) will be added at an additional charge. If the PTT-LA Mix corrects, an incubated PTT-LA Mix (CPT 85732) will be added at an additional charge. Transportation Temperature:Frozen Estimated Turnaround Time:3-7 days Methodology:Clot Detection Rejection Criteria:Room temperature, refrigerated or thawed specimens MLL/AF4 (t(4,11)) Fusion ID, RT-PCR Test Code:8140 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood or bone marrow Minimum Volume:1 ml Submit whole blood or bone marrow specimen. Deliver within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Clotted or frozen samples MMA See Methylmalonic Acid testing Molybdenum, Serum Test Code:35060 CPT Code: Primary Container:Navy blue top non-additive 1 ml serum Minimum Volume:1 ml serum 1 ml navy EDTA plasma Alternate Container:Navy blue top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, metal-free, Estimated Turnaround Time:3-10 days Days Performed:Thursday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:SST s are not acceptable Mononucleosis Screen Test Code:10502 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA EDTA for Monospot only, not acceptable for EBV testing. Estimated Turnaround Time:1-2 days Days Performed:Tuesday-Friday, Sunday Methodology:Latex Agglutination Mononucleosis Screen reflex EBV Panel 3 Test Code:10777 CPT Code: ml serum Minimum Volume:2 ml serum 3 ml serum from red top non-gel barrier Please note, if Mono screen is negative, Epstein-Barr Virus Antibody-3 Panel (test code 20456, CPT codes 86664, 86665x2) will be performed at an additional charge. Estimated Turnaround Time:1-5 days Days Performed:Tuesday-Friday, Sunday Methodology:Latex Agglutination Morphine See "Opiate Screen, Urine" Clinical Laboratory Partners Page 177

227 Mosquito (i71), IgE Test Code:15309 serum (1.1 ml minimum) for each 5-10 allergens tested serum Mouse Epithelia (e71), IgE Test Code:60323 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Mouse Serum Proteins (e76), IgE Test Code:60324 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Mouse Urine Proteins (e72), IgE Test Code:60325 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, MPL (W515) Mutation, Bone Marrow Test Code:8317 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Bone Marrow 3 ml EDTA bone marrow Minimum Volume:1 ml bone marrow Estimated Turnaround Time:5 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen or clotted specimens MPL (W515) Mutation, Peripheral Blood Test Code:8316 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood Minimum Volume:1 ml whole blood Submit whole blood specimen. Estimated Turnaround Time:5 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen or clotted specimens MPO See "Myeloperoxidase Antibody" MRSA PCR Qualitative Test Code:10779 CPT Code: Primary Container:Red Cap double swab Copan Specimen Type:Nasal Nasal specimens only. Date, time and source required. Estimated Turnaround Time:1-2 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria: Blue cap or orange cap culture transport swab. Red cap swabs from non-nasal sources. BD Red cap double swabs White cap single swabs MRSA Screen, Culture See "Culture, MRSA Screen" Clinical Laboratory Partners Page 178

228 Mt Cedar/Juniper (t6), IgE Test Code:16082 serum (1.1 ml minimum) for each 5-10 allergens tested. serum MTHFR Gene Mutation Test Code:8054 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4.5 ml EDTA whole blood Minimum Volume:3 ml Submit whole blood specimen. Estimated Turnaround Time:5-7 days Days Performed:Monday-Thursday Methodology:Luminex Rejection Criteria:Clotted or frozen specimens Mucin Clot, Synovial Fluid Test Code:62262 CPT Code: Primary Container:Red top non-gel barrier Specimen Type:Synovial fluid 3 ml synovial fluid Minimum Volume:1 ml fluid Please note, recommended delivery to the performing laboratory is within 48 hours of collection, however, all specimens should be sent to performing laboratory to be evaluated. Performing lab will determine sample integrity prior to testing. Submit specimen in red top non-gel barrier. Estimated Turnaround Time:2-5 days Methodology:Acetic Acid Rejection Criteria: Specimen submitted in heparin or EDTA Frozen specimen Mucolipidosis Type IV, DNA Mutation Test Code:62305 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:12-18 days Days Performed:Tuesday, Saturday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Mucor racemosus (m4), IgE Test Code:16079 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Mugwort (w6), IgE Test Code:16078 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Mullerian Hormone Antibody See "Anti-Mullerian Hormone (AMH)" Clinical Laboratory Partners Page 179

229 Mumps Antibody IgG Test Code:10503 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Mumps Antibody, IgM Test Code:62023 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Days Performed:Tuesday, Thursday Methodology:Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Mumps, Measles, Rubella See "MMR Panel Reflex Titer" Muramidase See "Lysozyme (Muramidase)" Mushroom (Rf212), IgE** Test Code:60253 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Mustard (f89), IgE Test Code:60211 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Myasthenia Gravis Panel 3 Test Code:60676 CPT Codes: 83519, Includes: Acetylcholine Receptor Binding Antibody, Acetylcholine Receptor Blocking Antibody, Acetylcholine Receptor Modulating Antibody. 2 ml serum Minimum Volume:0.8 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if striated muscle antibody screen is positive, striated muscle antibody titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:6-12 days Days Performed:Monday, Thursday morning Methodology: Indirect Immunofluorescence Assay Radiobinding Assay Mycobacterium Culture See Culture, Mycobacteria (includes acid fast smear)" Mycophenolic Acid Test Code:60835 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma 1 ml green sodium heparin plasma Alternate Container:Lavender top EDTA No SST s. Optimum time to collect sample is 0.5 to 1 hour before next dose(trough) at steady state (3-5 days after treatment with oral doses). Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 30 minutes of collection. Estimated Turnaround Time:4-6 days Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 180

230 Mycoplasma hominis and Ureaplasma Culture See "Culture, Genital Mycoplasma" Mycoplasma pneumoniae Ab IgG, IgM Test Code:60836 CPT Code: ml serum 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:2-4 days Methodology:Enzyme Immunoassay Mycoplasma pneumoniae Ab, IgM Test Code:60654 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, morning Methodology:Enzyme Immunoassay Mycoplasma pneumoniae Antibody, IgG Test Code:60553 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge within 1 hour of collection and transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Enzyme Immunoassay Myelin Basic Protein, CSF Test Code:60591 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF CSF Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:5-12 days Days Performed:Sunday, Wednesday Methodology:Radioimmunoassay Myeloperoxidase (MPO) Antibody Test Code:10066 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Myocardial Antibody Screen Reflex Titer Test Code:60770 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clear, plastic, Please note if screen is positive, a Myocardial titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:7-12 days Days Performed:Tuesday-Friday Methodology:Indirect Immunofluorescence Assay Myoglobin Test Code:11329 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay Clinical Laboratory Partners Page 181

231 Myoglobin, Urine, Random Test Code:11748 CPT Code: Primary Container:Sterile specimen container 10 ml random urine collected without presevative Minimum Volume:1 ml Do not centrifuge urine specimen. Test must be performed within 2 hours of collection or may be stored refrigerated for up to 7 days. Serum specimen should accompany the urine specimen or should be collected within 8 hours of time of urine collection. Methodology:Electrochemiluminescence Immunoassay Myositis AssessR Plus Jo-1 Autoantibodies Test Code:60838 CPT Codes: 83516, Includes:PL-7, PL-12, Mi-2, Ku, EJ, OJ, SRP, Jo-1 Autoantibodies. Primary Container:Red top non-gel barrier 3 ml serum in each of 2 aliquots Minimum Volume:1.5 ml in each of 2 s No SST s. Centrifuge and transfer 3 ml serum into each of 2 clean, plastic, screw-capped vial(s) within 4 hours of collection. Estimated Turnaround Time:3-20 days Days Performed:Tuesday Methodology: Radioimmunoprecipitation Assay Enzyme Immunoassay Rejection Criteria:SST s are not acceptable N-Acetyl-P-Aminophenol See "Acetaminophen" Na See "Sodium" NAPA See "Procainamide (Pronestyl) w/napa" Nasopharyngeal Culture See "Culture, Nasopharyngeal" Native DNA See "Double Strand DNA Ab" Neisseria gonorrhoeae (GC) by DNA Test Code:10743 CPT Code: Primary Container:Gen-Probe Aptima Specimen Type:See specimen requirements Endocervical, cervical, vaginal, urethral, penile, anal/rectal and throat specimens: Aptima swab transport media. ThinPrep and SurePath vials acceptable for endocervical, cervical and vaginal sources. Specimens from ThinPrep and SurePath vials must be aliquoted for GC/CT prior to pap testing. Urine: 2 ml in Aptima urine transport media Minimum Volume:2 ml urine Liquid Pap, BD ProbeTec, BD black top GC/CT Qx swab and urine specimens are acceptable Urine collected in a sterile specimen container must be transported at 2-8C and transferred to an Aptima urine transport within 24 hours of collection. Urine: Patient should not have urinated for at least 1 hour prior to specimen collection. Using the disposable pipette, transfer 2 ml urine from specimen cup to Aptima urine transport media. The fluid level must be between the two black lines on the transport media. Estimated Turnaround Time:1-3 days Methodology:Transcription Mediated Amplification Neisseria gonorrhoeae Antibody Test Code:62058 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-10 days Methodology:Complement Fixation Neisseria gonorrhoeae Culture See "Culture, GC" Nembutal See "Pentobarbital" Neoral See "Cyclosporine" Clinical Laboratory Partners Page 182

232 Nettle (w20), IgE Test Code:60406 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Neuromyelitis Optica (NMO) Ab, IgG Test Code:22878 CPT Code: ml serum 1 ml serum from a red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:3-6 days Methodology:Indirect Immunofluorescence Assay Neuron Specific Enolase, CSF Test Code:60839 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 2 ml CSF Minimum Volume:0.7 ml CSF Submit specimen in a sterile, plastic, leak proof container. Estimated Turnaround Time:11-19 days Methodology:Immunoassay Neuron Specific Enolase, Serum Test Code:62095 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:6-10 days Days Performed:Tuesday,Friday Methodology:Enzyme Immunoassay Rejection Criteria: Hemolysis Plasma specimens Neurontin See "Gabapentin" Neutrophil Antibody, Flow Cytometry Test Code:62096 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.1 ml No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-9 days Days Performed:Tuesday, Friday Methodology:Flow Cytometry Rejection Criteria:SST s are not acceptable NH3 See "Ammonia, Plasma" Niacin (Vitamin B3) Test Code:62346 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum, frozen immediately Minimum Volume:1 ml 2 ml lavender EDTA plasma, frozen immediately Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:4-10 days Days Performed:Tuesday,Thursday Methodology:Liquid Chromatography Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Nickel, Serum Test Code:27120 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:2 ml 2 ml navy EDTA plasma Alternate Container:Navy blue top EDTA Centrifuge and transfer serum into clean, plastic, trace metal free, Estimated Turnaround Time:5-7 days Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Clinical Laboratory Partners Page 183

233 Nickel, Urine, Random Test Code:27710 CPT Code: Primary Container:See specimen requirements 10 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine urine It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Nicotine, Cotinine, Serum, Quantitative Test Code:62387 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Serum separator s are not acceptable Gross hemolysis Nicotine, Cotinine, Ur, Qt Test Code:62275 CPT Code: Primary Container:Non-sterile container 1 ml urine Minimum Volume:1 ml urine Alternate Container:Sterile specimen container Submit specimen in clean, plastic, leak proof container. Estimated Turnaround Time:4-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Niemann-Pick Disease, DNA Mutation Test Code:62308 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:7-12 days Days Performed:Tuesday, Thursday, Saturday Methodology: Polymerase Chain Reaction Allele-Specific Hybridization Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen Nitroblue Tetrazolium (NBT) Test Code:14121 CPT Code: Primary Container:Red top non-gel barrier Specimen Type:See specimen requirements 7 ml unspun red top non-gel barrier Collection must be full. Minimum Volume:3 ml (in 3 ml ) No SST s. Do not centrifuge red top non-gel barrier. Collect specimen Monday-Thursday only. Send specimen to Core "attn supervisor or lead processor." Core lab: Notify Yale, prior to sending, at Submit unspun to Yale within 24 hours of collection. Estimated Turnaround Time:7-14 days Methodology:NBT Dye Reduction Rejection Criteria: SST s are not acceptable Refrigerated or frozen specimens Nitrogen Balance See "Urea Nitrogen, Urine, 24 Hour" Clinical Laboratory Partners Page 184

234 Nitrogen, Feces Test Code:22560 CPT Code: Primary Container:See specimen requirements Specimen Type:Stool Timed stool collection (48, 72, or 96 hours) Send entire collection Minimum Volume:10 g stool Submit entire collection in plastic, leakproof, screw-top stool container. Transportation Temperature:Frozen Methodology:Dumas Combustion NMP-22 See "Nuclear Matrix Proteins (NMP 22), Urine" NMR Lipo Profile Test Code:58300 CPT Codes: 80061, Primary Container:Red top non-gel barrier 2 ml serum Fasting is recommended Minimum Volume:1 ml No SST s. Overnite fasting for hours is recommended. Allow to clot for 30 minutes. Centrifuge and transfer serum into clean, plastic, Specimen must be shipped within 4 days of draw. Estimated Turnaround Time:5-10 days Methodology:Nuclear Magnetic Resonance Rejection Criteria: SST s are not acceptable Room temperature or frozen specimens Gross hemolysis Non Gyn Cytology Test Code:8133 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 20 ml preferred (any volume accepted) Minimum Volume:0.2 ml UAP (preservative ) Alternate Container:Grey top urine boric acid No gel barrier s. Indicate voided or catheterized specimen. Indicate BCG or Chemotherapy treatment, include date of treatment. Estimated Turnaround Time:2-4 days Methodology:Microscopic exam Rejection Criteria: Frozen specimen Gel barrier s are not acceptable Norovirus Antigen Detection, Stool Test Code:60882 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 2 grams stool, unpreserved, freshly collected Minimum Volume:1 g stool 2 grams random stool submitted in a sterile, leak-proof container. Transportation Temperature:Frozen Estimated Turnaround Time:8-15 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme Immunoassay Rejection Criteria:Room temperature specimens Norovirus PCR Test Code:11438 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 ml stool Minimum Volume:1 ml Submit specimen in clean, plastic, sterile container. Estimated Turnaround Time:24 hours Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria: Formed stool Room temperature specimens Norpace See "Disopyramide (Norpace)" Norpramine See "Desipramine, Serum" See "Norovirus PCR, Stool" Nortriptyline, Quantitative Test Code:60058 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.5 ml 3 ml lavender EDTA, navy EDTA, green heparin plasma 3 ml navy non-additive serum Alternate Container:Lavender top EDTA No SST s. Collect just before next dose or at least 12 hours after last dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:3-6 morning Methodology:Liquid Chromatography Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis Norwalk Virus See "Norovirus Antigen Detection, Stool" See "Neuron Specific Enolase, Serum" Clinical Laboratory Partners Page 185

235 NRAS Gene Mutations Test Code:8143 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Paraffin Blocks and or 1 stained H&E stained slide and 2 unstained slides Room temperature: indefinitely Estimated Turnaround Time:5 days Days Performed:Monday - Friday Methodology: Sanger Sequencing PCR NSE See "Neuron Specific Enolase, CSF" Nuclear Matrix Proteins (NMP 22), Urine Test Code:60579 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 10 ml stablilized urine. A special collection kit / stabilizing kit is required and must be obtained in advance. Urine samples properly stabilized should be blue/green in color. Minimum Volume:7 ml Collect Monday-Thursday using NMP 22 Urine Collection Kit. Collect a single void of urine between midnight and noon. Urine samples must be collected and STABILIZED immediately using the Matritech NMP 22 Urine Collection Kit. All other collection methods are unacceptable. Urine samples properly stabilized should be blue/green in color. Do not use other preservatives. Keep sample away from direct sunlight. For specimen <96 hours old: Specimen can be kept at room temperature or refrigerated. For specimen >96 hours old: Transfer total contents of stabilized specimen into aliquot (s). Centrifuge for minutes, transfer supernatant into clean, plastic, screw-capped vial(s) and refrigerate. Please note: Test should not be performed on persons with total cystectomy. Urine specimen should be collected at least 5 days after invasive procedures such as cystoscopy or catherization. Estimated Turnaround Time:10-15 days Days Performed:Wednesday Methodology:Immunoassay Rejection Criteria:Specimens which have not been stabilized properly Nucleophosmin (NPM1) Gene Mutation Test Code:8284 CPT Code: Primary Container:Lavender top EDTA Specimen Type:See specimen requirements 3 ml peripheral whole blood OR 1 ml bone marrow Specimen should be kept refrigerated. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Room temperature or frozen specimens O and P See "Ova and Parasites" Oak (t7), IgE Test Code:16059 serum (1.1 ml minimum) for each 5-10 allergens tested. Oat (f7), IgE Test Code:16028 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Obstetric Panel Test Code:10935 CPT Code: Includes: CBC with Differential, Syphilis Screen Reflex RPR Titer and Confirmation, Rubella Antibody IgG, Blood Goup (ABO) and Rh, Antibody Screen Reflex Identification and Titer, Hepatitis B Surface Antigen Reflex to Confirmation. 4 ml EDTA whole blood 4 ml serum 6 ml pink EDTA whole blood Occult Blood Immunochemical See "Fecal Occult Blood (FIT)" Clinical Laboratory Partners Page 186

236 Olanzapine Test Code:62179 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:2 ml No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) Estimated Turnaround Time:5-7 days Days Performed:Monday, Tuesday, Thursday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Oligoclonal Bands, CSF Test Code:60597 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Both CSF and serum are required: 1 ml CSF AND 1 ml serum from SST Minimum Volume:CSF: 0.5 ml and Serum: 0.5 ml Both CSF and serum are required. Collection date and time must be the same for both specimens with a maximum 24 hour duration between CSF and serum collection times. Centrifuge serum within 1 hour of collection and transfer into a clean, plastic, **Do not spin down CSF specimen** CSF must be crystalline clear (without visible RBC contamination). Specimens that are clear with slight pink color (hemolysis) are acceptable. Grossly bloody, cloudy CSF should not be sent for testing. Submit CSF in a sterile, plastic, leakproof container. Consult with a supervisor if a CSF acceptability is questionable. Place both specimens together with an elastic and send in the same shipping container. Estimated Turnaround Time:6-10 days morning Methodology:Isoelectric Focusing Rejection Criteria: Specimens received room temperature Grossly bloody, cloudy CSF should not be sent for analysis Olive Tree (t9), IgE Test Code:60188 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, oncofish Cerv Test Rflx if ASCUS and HPV POS Test Code:8308 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from PAP results of ASCUS and HPV POS Transportation Temperature:Room Temperature Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen oncofish Cerv Test Rflx if ASCUS,LSIL or HPV POS Test Code:8307 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from PAP results of ASCUS, LSIL or HPV POS Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen oncofish Cervical Test Test Code:81000 CPT Codes: 88367, Primary Container:Thin prep vial Specimen Type:See specimen requirements 3 ml of liquid based collection from ThinPrep or SurePath vial Minimum Volume:2 ml Alternate Container:Surepath Pap Kit Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) oncofish Cervical Test Reflex if ASCUS Test Code:8302 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is perfomed only as a reflex from PAP results of ASCUS Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen Clinical Laboratory Partners Page 187

237 oncofish Cervical Test Reflex if ASCUS or LSIL Test Code:8304 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from PAP results of ASCUS or LSIL Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen oncofish Cervical Test Reflex if HPV POS Test Code:8303 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from a PAP with a positive HPV Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen oncofish Cervical Test Reflex if HPV POS or LSIL Test Code:8306 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from PAP results of LSIL or HPV POS Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen oncofish CX Rflx/ASCUS AND HPV POS or LSIL Test Code:8309 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep: 10 ml of liquid based collection SurePath: submit total remnant in and vial Minimum Volume:5 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from PAP results of ASCUS and HPV POS or LSIL Transportation Temperature:Room Temperature Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimen Onion (f48), IgE Test Code:15317 serum (1.1 ml minimum) for each 5-10 allergens tested serum Opiate Screen, Reflex Semi-Quantitative Test Code:12366 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative. Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) oncofish Cervical Test Reflex if LSIL Test Code:8301 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements 3 ml of liquid based collection from ThinPrep or SurePath vial Minimum Volume:2 ml Alternate Container:Surepath Pap Kit Test is performed only as a reflex from a PAP result of LSIL Estimated Turnaround Time:4-6 days Methodology:Fluorescence In-Situ Hybridization (FISH) Clinical Laboratory Partners Page 188

238 Opiate Screen, Rflx Semi-Quant & Conf, Urine Test Code:11247 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45022, CPT 80361) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Opiate Screen, Urine Test Code:10138 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Opiate Screen, Urine, Reflex Confirm Test Code:10141 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45022, CPT 80361) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Opiate, Extended, Conf, Ur, Qt Test Code:45022 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Orange (f33), IgE Test Code:16029 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Orchard Grass (g3), IgE Test Code:16045 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Oregano (Rf283), IgE** Test Code:60276 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 189

239 Organic Acids, Creat, Ur, Random, Qual Test Code:62283 CPT Codes: 82570, Primary Container:Sterile specimen container 13 ml well-mixed random urine, collected without preservative, frozen immediately. Mark as "Organic Acids". AND 13 ml well-mixed random urine, collected without preservative, frozen immediately. Mark as "Creatinine". Minimum Volume:4 ml in each of 2 s Submit both urine aliquots in clean, sterile, plastic, leakproof containers. Send both samples together. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:9-14 days Days Performed:Tuesday, Friday Methodology:Gas Chromatography Mass Spectrometry Rejection Criteria:Room temperature, refrigerated or thawed specimen Organic Acids, Creat, Ur, Random, Quan Test Code:62130 CPT Codes: 82570, Primary Container:Sterile specimen container 13 ml well mixed random urine, collected without preservative, frozen immediately. Mark as "Organic Acids". AND 13 ml well mixed random urine, collected without preservative, frozen immediately. Mark as "Creatinine". Minimum Volume:4 ml in each of 2 s Submit both urine aliquots in clean, sterile, plastic, leakproof containers. Send both samples together. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:14-20 days Days Performed:Tuesday-Friday Methodology:Gas Chromatography/Mass Spectrometry Rejection Criteria:Room temperature, refrigerated or thawed specimens Osmolality, Serum/Plasma Test Code:11751 CPT Code: ml serum serum 1 ml green heparin plasma Methodology:Freezing Point Osmolality, Urine Test Code:11752 CPT Code: Primary Container:Non-sterile container 5 ml urine, random or timed collection, collected without preservative Minimum Volume:0.2 ml Alternate Container:24 hour urine container Random or timed unpreserved collections are acceptable. Urine that has been previously adjusted for ph is not acceptable. Aliquot urine from a well mixed timed (2 hour, 4 hour,24 hour, etc.) specimen collected without preservative. Do not centrifuge urine before analysis. Methodology:Freezing Point Depression Osteocalcin Test Code:62118 CPT Code: ml serum, frozen immediately 1 ml serum from red top non-gel barrier, frozen immediately Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Sunday, Tuesday, Thursday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria: Hemolysis Room temperature specimen Ova And Parasites Test Code:11420 CPT Codes: 87177, Primary Container:Parapak O&P vials Specimen Type:Stool For stool: one (1) PVA vial and one (1) 10% formalin vial For urine or sputum: Sterile container Para-Pak SAF vial, Total Fix vial Must fill 10% formalin and PVA vials to the line. Estimated Turnaround Time:2-4 days Methodology:Formalin Concentrate and Trichrome Stain Rejection Criteria:Feces received without preservative Clinical Laboratory Partners Page 190

240 Ovalbumin (f232), IgE Test Code:60326 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Ovarian Antibody Screen, Reflex Titer Test Code:62360 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if Ovarian Antibody Screen is positive, a titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:5-12 days Days Performed:Wednesday Methodology:Immunofluorescence Assay Ovomucoid (f233), IgE Test Code: ml serum Minimum Volume:0.2 ml Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-9 days Methodology:Immunoassay Ox-eye Daisy (w7), IgE Test Code:60322 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Oxalic Acid, Creat, Ur, 24 Hr Test Code:60020 CPT Codes: 82570, Primary Container:24 hour urine container 10 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:2 ml urine Patient should refrain from taking excessive amounts of ascorbic acid or oxalate-rich foods such as spinach, coffee, tea, chocolate, and rhubarb for at least 48 hours before the collection period. Mix well before aliquotting. Submit specimen in sterile, leakproof container. Specify on both the requisition and the sample aliquot the total 24 hour urine volume and the length of the collection period. Morning Methodology:Spectrophotometric Oxazepam, Quantitative Test Code:60950 CPT Code: Primary Container:Red top non-gel barrier 2.5 ml serum Minimum Volume:1 ml 2.5 ml lavender EDTA, green heparin plasma Alternate Container:Lavender top EDTA No SST s. Specimen should be collected just before next dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Tuesday, Thursday Methodology:High Performance Liquid Chromatography Rejection Criteria:SST s are not acceptable Oxcarbazepine Metabolite Test Code:60102 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday-Saturday afternoon Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 191

241 Oxycodone and Oxymorphone, Serum, Quant Test Code:62456 CPT Code: Primary Container:Red top non-gel barrier 5 ml serum Minimum Volume:3 ml serum No SST s. Centrifuge and transfer serum into clean, plastic, screwcapped vial(s). Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Oxycodone Screen Reflex to Confirmation Test Code:11259 CPT Code: Primary Container:Non-sterile container 30 ml random urine collected without preservatives Minimum Volume:15 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45022, CPT 80365) will be performed at an additional charge. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay Oxycodone Screen, Reflex Semi-Quantitative Test Code:10869 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay Oxycodone Screen, Rflx Semi-Quant & Conf, Urine Test Code:11248 CPT Code: Primary Container:Non-sterile container 30 ml random urine collected without preservatives Minimum Volume:15 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 45022, CPT 80361) will be performed at an additional charge. Methodology:Homogenous Enzyme Immunoassay Oxycodone Screen, Urine Test Code:10596 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology:Homogenous Enzyme Immunoassay Oyster (f290), IgE Test Code:16030 serum (1.1 ml minimum) for each 5-10 allergens tested. serum P-ANCA See "Anti-Neutrophilic Cytoplasmic Ab Vasculitides" PAI-1 See "Plasminogen Activator Inhibitor (PAI-1) Antigen" Pamelor See "Nortriptyline" Clinical Laboratory Partners Page 192

242 Panadol See "Acetaminophen" Pancreatic Elastase-1, Stool Test Code:60757 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gram stool, frozen Minimum Volume:0.3 g stool Submit stool in sterile, plastic, leakproof container. Estimated Turnaround Time:5-15 days Days Performed:Tuesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Pancreatic Polypeptide Test Code:60997 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml plasma, drawn from a fasting patient Minimum Volume:0.6 ml plasma Fasting is required. Centrifuge and immediately transfer plasma into a clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Tuesday Methodology: Extraction Radioimmunassay Rejection Criteria:Room temperature specimens Pap See Cytopathology Services Section in the front of this Directory of Services PAP SMEAR Test Code:8001 CPT Code: Primary Container:Glass slide Specimen Type:See specimen requirements 2 slides Spray-fix smear immediately after collection with cytology fixative. Do not air dry. Label smear(s) with Patient's name and DOB. See Cytogenetic testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology:Papanicolaou staining Paper Wasp (i4), IgE Test Code:16118 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Paprika (f218), IgE Test Code:60327 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Parainfluenza Virus (1,2,3) Antibodies Test Code:62124 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Methodology:Complement Fixation Parasite Identification Test Code:11241 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Transport organism in sterile container. Estimated Turnaround Time:1-4 days Methodology:Microscopic Exam Parathyroid Hormone See "PTH, Intact" Clinical Laboratory Partners Page 193

243 Parietal Cell Antibody See "Anti-Parietal Cell Antibody, Reflex Titer" Paroxetine Test Code:27340 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:2 ml 3 ml green heparin plasma Alternate Container:Green top sodium heparin No SST s. Centrifuge and transfer serum onto clean, plastic, Estimated Turnaround Time:3-6 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Parrot Australian Serum Proteins, IgE Test Code: ml serum Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-8 days Methodology:Radioimmunoassay Parrot/Parakeet Drop (e77), IgE Test Code:15306 serum (1.1 ml minimum) for each 5-10 allergens tested serum Parrot/Parakeet Feath (e78), IgE Test Code:15305 serum (1.1 ml minimum) for each 5-10 allergens tested serum Parsley (f86), IgE Test Code:60329 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Partial Thromboplastin Time (PTT) Test Code:10303 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2.7 ml (full ) 3.2% sodium citrate whole blood in plastic collection (must be received in the laboratory within 24 hours). Minimum Volume:90% draw volume 1 ml platelet poor sodium citrate plasma, frozen. For heparin monitoring specimens must be separated (platelet poor plasma) and frozen within one hour of collection. Do NOT draw the blue top first. Draw a no additive serum separator and discard if not needed. Blue top s must be a full draw to ensure proper anticoagulant ratio. Fill to mark indicated on the. Invert gently to mix. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid distrubing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature: Refrigerated if delivered within 24 hours of collection and patient is not receiving heparin therapy. Platelet poor plasma should be Methodology: Optical Centrifugal Analyzer Clot Wave Analysis Rejection Criteria: Underfilled s, hemolyzed, clotted, frozen (citrated whole blood), or specimens received outside of the acceptable stability periods. Clinical Laboratory Partners Page 194

244 Parvovirus Ab B19, IgG Test Code:10713 CPT Code: ml serum Minimum Volume:0.25 ml 0.5 ml serum from red top non-gel barrier 0.5 ml green lithium heparin, lavender EDTA, blue citrate plasma 0.5 ml serum from red top non-gel barrier Alternate Container:Lavender top EDTA Allow sample to clot at room temperature. Centrifuge for 10 minutes avoiding hemolysis. Aliquot into a plastic and refrigerate. Estimated Turnaround Time:1-7 days Days Performed:Tuesday Methodology:Enzyme Immunoassay Rejection Criteria:Hemolysis Parvovirus Ab B19, IgM Test Code:10714 CPT Code: ml serum Minimum Volume:0.25 ml 0.5 ml serum from red top non-gel barrier 0.5 ml plasma from green top lithium heparin, lavender top EDTA or blue top sodium citrate Alternate Container:Lavender top EDTA Allow sample to clot at room temperature. Centrifuge for 10 minutes avoiding hemolysis. Aliquot into a plastic and refrigerate. Estimated Turnaround Time:1-7 days Days Performed:Tuesday Methodology:Enzyme Immunoassay Rejection Criteria:Hemolysis Parvovirus B19 DNA, RT-PCR, Qual Test Code:60753 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml plasma plasma 1 ml lavender EDTA whole blood, sent in original collection 1 ml serum from red top non gel barrier 1 ml bone marrow in lavender EDTA 1 ml urine, amniotic fluid in sterile container 3mm x 3mm tissue in sterile container(frozen) Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 2 hours of collection. Estimated Turnaround Time:4-7 days morning Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria: Heparinized specimens Frozen whole blood or bone marrow specimens Freeze/thaw cycle CSF or synovial fluid specimen Parvovirus B19 IgG/IgM EIA Test Code:10712 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml green lithium heparin, lavender EDTA, blue citrate plasma Alternate Container:Lavender top EDTA Allow sample to clot at room temperature. Centrifuge for 10 minutes avoiding hemolysis. Aliquot into a plastic and refrigerate. Estimated Turnaround Time:1-7 days Days Performed:Tuesday Methodology:Enzyme Immunoassay Rejection Criteria:Hemolyzed specimens Pathology Smear Review, CSF Test Code:10162 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF The following information must be forwarded to HH Hematology: 1) Completed CSF worksheet with reason/criteria for review. 2) SLAB demographic screen to include ordering physician's phone number/contact information. 3) Sunquest IRA report. 4) CSF specimen for additional testing, if indicated. Estimated Turnaround Time:1-3 days Methodology:Manual Microscopy Paxil See "Paroxetine" PCB Screen Reflex Confirmation Test Code:27127 CPT Code: Primary Container:Red top non-gel barrier 5 ml serum Minimum Volume:2 ml No SST s. Centrifuge and transfer serum into clean, plastic, screw-cappped vial(s). Please note, if screen is positive, a confirmation (CPT 82542) will be performed at an additional charge. Estimated Turnaround Time:5-9 days Methodology:Gas Chromatography/Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 195

245 PCP Screen, Reflex Confirmation Test Code:11255 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation 45028, CPT 83992, will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) PCP Screen, Reflex Semi-Quantitative Test Code:12464 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) PCP Screen, Reflex to Trend Test Code:10739 CPT Codes: 80301, Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:1 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Estimated Turnaround Time:24 hours Methodology: Kinetic Interaction of Microparticles in a Solution (KIMS) Rate blanked and compensated kinetic Alkaline Picrate PCP Screen, Rflx Semi-Quant & Conf, Urine Test Code:11249 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code CPT 83992) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) PCP Screen, Urine Test Code:10147 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Pea (f12), IgE Test Code:15314 serum (1.1 ml minimum) for each 5-10 allergens tested serum Peach (f95), IgE Test Code:16031 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 196

246 Peanut (f13), IgE Test Code:16032 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Peanut Component Panel Test Code: ml serum Minimum Volume:0.6 ml Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Immunoassay Pear (f94), IgE Test Code:16098 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Pecan Nut (f201), IgE Test Code:16033 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Pen. chrysogenum (m1), IgE Test Code:16054 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Penicillin G (c1), IgE Test Code:60193 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Penicillin V (c2), IgE Test Code:60194 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Penta Screen Test Code:62320 CPT Codes: 82105, 82397, 82677, 84702, ml serum Minimum Volume:1.5 ml 4 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Demographic data must be provided by the ordering physician. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days Days Performed:Monday-Saturday Methodology:Immunoassay Clinical Laboratory Partners Page 197

247 PEP and Immunofixation, Serum See "SPEP & Immunofixation Panel" Perennial Rye (g5), IgE Test Code:16076 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Perphenazine, Quantitative Test Code:61055 CPT Code: Primary Container:Red top non-gel barrier 5 ml serum Minimum Volume:2.2 ml 5 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Wednesday, Friday Methodology:Gas Chromatography Rejection Criteria: SST s are not acceptable Room temperature specimen Pertussis See "Bordetella pertussis PCR" ph, Body Fluid Test Code:11829 CPT Code: Primary Container:See specimen requirements Specimen Type:Fluid 3 ml body fluid in green lithium or sodium heparin non-gel barrier, on ice OR 3 ml body fluid in syringe (no needle attached), on ice Minimum Volume:1.5 ml fluid 3 ml body fluid in red top non-gel barrier, on ice Green top must be filled completely and on ice. Syringe collection must not contain air bubbles, be tightly capped and on ice. Transportation Temperature: Submit specimen on ice. Deliver immediately to laboratory. Methodology:Ion Selective Electrode Rejection Criteria:Exposed to air, viscous specimen ph, Fecal Test Code:60860 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 5 grams liquid or soft stool, frozen immediately Minimum Volume:1 g liquid or soft stool Submit specimen in sterile, leakproof container. Freeze immediately. Transportation Temperature:Frozen Methodology:Potentiometric Rejection Criteria:Solid or formed stool Phencyclidine (PCP), Conf, Ur, Qt Test Code:45028 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:5 ml urine This is for add-on request only. Submit urine in clean, plastic, leakproof container. Days Performed:Monday-Saturday Methodology: Liquid Chromatography/Tandem Mass Spectrometry Gas Chromatography/Mass Spectrometry Phencyclidine, Serum Test Code:61012 CPT Code: Primary Container:Navy blue top non-additive 5 ml serum Minimum Volume:1 ml 5 ml lavender EDTA plasma Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:Gas Chromatography Mass Spectrometry Phenobarbital Test Code:11609 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin or lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Gel barrier s (SST) are not acceptable. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Clinical Laboratory Partners Page 198

248 Phenylalanine Test Code:60631 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 2 ml plasma Fasting is preferred Minimum Volume:0.2 ml plasma 2 ml lavender EDTA,green lithium heparin plasma Alternate Container:Lavender top EDTA Overnight fasting is preferred. Non-fasting samples are acceptable for pediatric patients. Patients age and sex are required for correct reference range interpretation. Please provide a brief clinical history, tentative diagonsis, and therapy over the last three days (drugs, x-ray, infant formula, diet). Centrifuge and transfer plasma into a clean, plastic, screw-capped vial(s) immediately after collection. Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Room temperature or thawed specimens Phenylpropranolamine, Serum Test Code:35160 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:1 ml 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday, Wednesday, Friday Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Phenytoin, Free Test Code:11830 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Do not order this code: Profile code must be used to order this test Estimated Turnaround Time:1-2 days Methodology:Ultrafiltration and Fluorescence Polarization Rejection Criteria:SST s are not acceptable Phenytoin, Total Test Code:11605 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Rejection Criteria:SST s are not acceptable Pheochromocytoma Evaluation Test Code:20019 CPT Codes: 82382, 82570, Primary Container:24 hour urine container 14 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:5 ml urine 14 ml from a well mixed 24 hour urine collected without preservative, ph below 6, frozen. It is preferable for the patient to be off medications for three days prior to collection. Patient should avoid tobacco, tea, and coffee for three days prior to specimen collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided hours prior to specimen collection. Mix urine thoroughly before aliquotting. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:6-10 days Methodology: High Performance Liquid Chromatography Liquid Chromatography Tandem Mass Spectrometry Kinetic Alkaline Picrate Philadephia Chromosome See "BCR ABL Fusion Quant with Reflex to ID" Phoma betae (m13), IgE Test Code:60217 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Phosphate See "Phosphorus" Clinical Laboratory Partners Page 199

249 Phosphatidyl Inositol Ab, IgG, IgA, IgM Test Code:60771 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-12 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Phosphatidylcholine Ab, IgG, IgA, IgM Test Code:62132 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Tuesday,Thursday Methodology:Immunoassay Phosphatidylethanolamine Ab,IgG,IgA,IgM Test Code:60772 CPT Code: ml serum,frozen 1 ml serum from red top non-gel barrier, frozen Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection and freeze. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday Methodology:Immunoassay Phosphatidylserine Ab, IgG, IgM, IgA Test Code:60737 CPT Code: Includes:Phosphatidylserine IgA, IgG and IgM. 1 ml serum 1 ml serum from red top non-gel barrier 1 ml blue citrate plasma Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Enzyme Immunoassay Phosphatidylserine Antibody, IgA Test Code:60738 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml blue citrate plasma Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Enzyme Immunoassay Phosphatidylserine Antibody, IgG Test Code:60739 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml blue citrate plasma Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Immunoassay Clinical Laboratory Partners Page 200

250 Phosphatidylserine Antibody, IgM Test Code:60740 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml blue citrate plasma Centrifuge and transfer serum to clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Immunoassay Phospholipids Test Code:60614 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:4-7 days Days Performed:Tuesday, Thursday morning Methodology:Spectrophotometric Rejection Criteria: Lipemia Plasma specimen Phosphorus Test Code:10232 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Phosphormolybdate Phosphorus, Urine, 24 hour Test Code:10358 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 urine collection Minimum Volume:5 ml 10 ml urine from a well-mixed 24 hour urine collection. Add 6N HCl to maintain a ph < 3.0 Methodology:Phosphomolybdate Phosphorus, Urine, Random Test Code:11175 CPT Code: Primary Container:Non-sterile container 10 ml urine Minimum Volume:1 ml urine 1 ml random urine from a UAP or gray preservative Alternate Container:Sterile Urine Cup Methodology:Phosphomolybdate UV Phthalic Anhydride (k79), IgE Test Code:60277 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Pigeon Droppings (e7), IgE Test Code:60330 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Pigeon Feathers (Re215), IgE** Test Code:60331 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 201

251 Pine Nut (Rf253) IgE Test Code:60914 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Immunoassay Pineapple (f210), IgE Test Code:16099 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Pinworm Exam Test Code:11758 CPT Code: Primary Container:Pinworm preparation kit Specimen Type:Rectal Submit specimen in Pinworm Prep Kit. Scotch tape preparation using clear tape only also acceptable. Alternate Container:See specimen requirements Patient instructions: The sticky side of the paddle should be pressed to the perianal folds before the patient rises first thing in the morning. Do not insert paddle into anus. Do not cover paddle with stool. Place the paddle back into the plastic, cap tightly, and leave at room temperature after collection. Date and time of collection required. Estimated Turnaround Time:1-4 days Methodology:Microscopic Examination Rejection Criteria:Frosted tape preparation Pistachio (f203), IgE Test Code:16091 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Plasma Renin Activity Test Code:62089 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma, frozen plasma Do not refrigerate plasma. Centrifuge and transfer plasma into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Refrigerated specimen Plasma Thromboplastin See "Factor XI" Plasminogen Activity Test Code:60841 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen Minimum Volume:1 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Chromogenic Rejection Criteria:Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 202

252 Platelet Antibody, Direct Test Code:62029 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Please note, if platelet count is known to be less than 20,000 per cubic mm, submit 7-10 ml EDTA whole blood Minimum Volume:1 ml whole blood Submit whole blood specimen in original collection. Estimated Turnaround Time:5-7 days Days Performed:Monday-Sunday Methodology:Flow Cytometry Rejection Criteria:Refrigerated or frozen specimens Platelet Antibody, Indirect Test Code:62126 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum, frozen immediately Minimum Volume:1 ml 3 ml lavender EDTA, yellow ACD plasma, frozen immediately Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:5-9 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria: Room temperature or refrigerated specimens SST s are not acceptable Platelet Count Test Code:10043 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 4 ml citrate whole blood 6 ml EDTA pink top whole blood Alternate Container:Blue top sodium citrate Avoid exposure to heat or freezing temperatures Methodology:Flow cytometry with impedence and/or optical Rejection Criteria:Clotted,frozen, or hemolyzed specimens Platelet Count, Citrate Test Code:11865 CPT Code: Primary Container:See specimen requirements Specimen Type:Whole Blood 2.7 ml blue citrate whole blood AND 4mL lavender whole blood 2.7 ml Blue cutrate whole blood AND 4 ml lavender whole blood when ordered with a CBC or a CBCAD Minimum Volume:1 ml Avoid exposure to heat or freezing temperatures Both a lavender and a blue top must be submitted for testing Methodology:Flow cytometry, optical Rejection Criteria:Clotted, frozen or hemolyzed specimens Platelet Function Assay Test Code:10638 CPT Code: Primary Container:PNC Coag Specimen Type:Whole Blood 2 ml whole blood collected into a special PNC blue top coagulation Minimum Volume:2 ml Outpatients MUST be sent to one of the following drawing stations: 100 Retreat Ave. Suite 304 or 85 Seymour St. Suite 215 during business hours. Only fresh whole blood is suitable for analysis. Please draw a discard prior to drawing the blood for this assay. The blood must incubate at room temperature a minimum of 10 minutes after collection prior to the assay. Courier should deliver specimen directly to Hartford Hospital for testing. Estimated Turnaround Time:4 Hours Days Performed:Monday-Sunday Methodology:Light Transmittance (Spectrophotometry) Rejection Criteria:Refrigerated, frozen or centrifuged specimens PLT Count See "Platelet Count" Plum (f255), IgE Test Code:15307 serum (1.1 ml minimum) for each 5-10 allergens tested serum Transportation Temperature:Rerigerated Clinical Laboratory Partners Page 203

253 PM-Scl Antibody Test Code:62098 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Tuesday, Thursday Methodology:Immunodiffusion Rejection Criteria:SST s are not acceptable PML/RARA Fusion ID, RT-PCR Test Code:8299 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml lavender EDTA whole blood OR 1 ml lavender EDTA bone marrow Specimen must be delivered within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria: Room temperature or frozen specimens Spun specimen PML/RARA Fusion Quantification, RT-PCR Test Code:8298 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements 1 ml lavender EDTA whole blood OR 1 ml lavender EDTA bone marrow Specimen must be delivered within 12 hours of collection, maintained at 4 degrees C at all times. Order this test only if this transcript has been identified on this patient and the patient is being treated. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria: Room temperature or frozen specimen Spun specimen Pneumocystis jirovecii (carinii) DFA Test Code:11421 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Bronchoalveolar lavage, bronchial washing, induced sputum or lung aspirate acceptable Minimum Volume:1 ml bronchial or lung specimen Estimated Turnaround Time:1-4 days Methodology:Direct Fluorescent Antibody Rejection Criteria:Sputum specimen is unacceptable Pneumonitis Hypersensitivity See "Hypersensitivity Pneumonitis Screen" PNH Panel Test Code:10061 CPT Codes: 88184, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:1.5 ml Do not draw on Saturday. Estimated Turnaround Time:3 days Methodology:Flow cytometry Rejection Criteria: Specimens greater than 24 hours old Refrigerated or frozen specimens Poliovirus Ab Neutralization Test Code:60104 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:10-14 days Methodology:Neutralization Clinical Laboratory Partners Page 204

254 Polychlorinated Biphenyls, Total Test Code:62080 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.2 ml 3 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Monday,Wednesday,Friday Methodology:Gas Chromatography Rejection Criteria:SST s are not acceptable Pork (f26), IgE Test Code:16034 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Porphobilinogen Deaminase, Erythrocytes Test Code:22504 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 7 ml whole blood Minimum Volume:3 ml whole blood 7 ml green lithium heparin whole blood Alternate Container:Green top lithium heparin non-gel barrier No gel barrier s. Patient should abstain from alcohol for 24 hours prior to collection. Place specimen on wet ice or refrigerate as soon as possible after collection. Submit whole blood specimen. Methodology:Enzymatic Spectrofluorometry Rejection Criteria:Gel barrier s are not acceptable Porphobilinogen, Urine, 24 Hr, Quant Test Code:62382 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collected without preservative, protected from light Minimum Volume:5 ml urine 10 ml urine from a well mixed 24 hour urine collection preserved with 5g sodium carbonate, protected from light Keep urine refrigerated during and after collection. Wrap aliquot to protect from light. Indicate total urine volume on the specimen container. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:3-6 days Days Performed:Tuesday, Friday Methodology:Colorimetric Rejection Criteria: Room temperature specimens Not protected from light Porphyrins, Fractionated, Plasma Test Code:62377 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 2 ml plasma, protected from light, frozen Minimum Volume:0.4 ml plasma 2 ml lavender EDTA plasma, protected from light, frozen 2 ml serum from red top non-gel barrier, protected from light, frozen Alternate Container:Lavender top EDTA Protect from light at all times. Centrifuge and transfer plasma into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:7-15 days Days Performed:Tuesday,Thursday Methodology:High Performance Liquid Chromatography Rejection Criteria: Not protected from light Room temperature, refrigerated or thawed specimens greater than 8 hours Hemolysis Porphyrins, Fractionated, Urine, 24 Hour Test Code:62332 CPT Code: Primary Container:24 hour urine container 2 ml urine from a well-mixed 24 hour urine collected without preservative, protected from light Minimum Volume:1 ml urine, protect from light Keep urine refrigerated during and after collection. Wrap aliquot to protect from light. Optimum ph is >4. If needed, adjust ph with sodium carbonate (boric acid) to bring ph to >4. Submit specimen in plastic, leakproof container. Estimated Turnaround Time:7-10 days Days Performed:Sunday, Tuesday-Friday Methodology:High Performance Liquid Chromatography Rejection Criteria: Not protected from light ph < 4 Room temperature specimen Clinical Laboratory Partners Page 205

255 Porphyrins, Fractionated, Urine, Random, Qn Test Code:62331 CPT Code: Primary Container:Non-sterile container 2 ml random urine collected without preservative, protected from light Minimum Volume:1.5 ml urine, protect from light Alternate Container:Sterile specimen container Optimum ph is >4. If needed, adjust ph with sodium carbonate (boric acid) to bring ph to >4. Foil wrap to protect from light. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Sunday, Tuesday-Friday Methodology:High Performance Liquid Chromatography Posaconazole Level Test Code:62097 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:1 ml No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:4-8 days Days Performed:Monday, Wednesday, Friday Methodology:High Performance Liquid Chromatography Rejection Criteria:SST s are not acceptable Potassium Test Code:10208 CPT Code: ml serum 1 ml green lithium plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Ion-Selective Electrode Rejection Criteria:Gross hemolysis Potassium, Fecal (Random, 24, 48, 72 Hours) Test Code:60843 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 10 ml of a 24-hour liquid stool Minimum Volume:3 ml of a liquid stool 10 ml of a 48-hour liquid stool, submitted in a plastic, leak-proof, feces container, frozen. 10 ml of a 72-hour liquid stool, submitted in a plastic, leak-proof, feces container, frozen. 10 ml of a random liquid stool, submitted in a plastic, leak-proof, feces container, frozen. Keep specimen refrigerated during collection. Liquid stool is the only acceptable specimen for this test. The measurement of fecal potassium is only significant during bouts of diarrhea where significant loss of electrolytes occurs. Submit specimen in a plastic, leak-proof container. Methodology:Flame Photometric Rejection Criteria:Formed stool Potassium, RBC Test Code:62196 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:1.5 ml whole blood 4 ml green sodium heparin whole blood Alternate Container:Green top sodium heparin No green gel barrier s. Collect specimen Monday-Thursday by noon. Specimen must arrive in the processing department by 3 p.m. DO NOT collect the day before a holiday. Call for "STAT" courier pick-up and send specimen "attn. specimen processing lead or supervisor". Specimen must be received at reference lab within 24 hours of collection and should be sent out same day as collected. Submit whole blood specimen. Estimated Turnaround Time:5-10 days Days Performed:Tuesday-Saturday Methodology:Ion-Specific Electrode Rejection Criteria:Gel barrier s Potassium, Urine, 24 Hour Test Code:10359 CPT Code: Primary Container:24 hour urine container 10 ml urine Aliquot from a well-mixed 24 urine collection. Minimum Volume:5 ml urine Methodology:Ion-Selective Electrode Clinical Laboratory Partners Page 206

256 Potassium, Urine, Random Test Code:11171 CPT Code: Primary Container:Non-sterile container 10 ml urine Minimum Volume:5 ml 1 ml random urine from a UAP or grey preservative Alternate Container:Sterile Urine Cup Methodology:Ion-Selective Electrode Potato (f35), IgE Test Code:16035 serum (1.1 ml minimum) for each 5-10 allergens tested. serum PR-3 See "Proteinase-3 Antibody" Prader-Willi/Angelman DNA Methylation Test Code:8327 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood Submit whole blood specimen. Estimated Turnaround Time:5 days Methodology:Methylation Specific Polymerase Chain Reaction Rejection Criteria:Frozen or clotted specimens Prealbumin Test Code:11828 CPT Code: ml serum Methodology:Immunoturbidimetric Assay Pregabalin Test Code:62170 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, green sodium heparin, blue sodium citrate plasma Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-9 days Days Performed:Tuesday,Thursday,Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Pregnenolone Test Code:60556 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Minimum Volume:0.2 ml No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Sunday-Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Moderate or gross hemolysis SST s are not acceptable Prenatal Type And Screen (If Rhogam May Be Needed) Test Code:18004 CPT Codes: 86850, 86900, Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml whole blood Lavender top EDTA Red top non-gel barrier GLASS Alternate Container:Lavender top EDTA Tube must be labeled with Patient's full name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Marked hemolysis Clinical Laboratory Partners Page 207

257 Primidone and Phenobarbital Test Code:62415 CPT Codes: 80184, Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, green heparin plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge an transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Privet (t210), IgE Test Code:60161 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, probnp, N-terminal Test Code:10177 CPT Code: ml serum 1 ml green heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Centrifuge to separate cells and refrigerate immediately after specimen collection. Estimated Turnaround Time:24 hours Methodology:Enzyme immunoassay Rejection Criteria:Citrate or oxalate specimens are unacceptable Procainamide (Pronestyl) w/napa Test Code:62033 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.2 ml 1 ml lavender EDTA, green heparin, gray sodium fluoride plasma 1 ml serum from navy blue non-additive Alternate Container:Lavender top EDTA No SST s. Collect as a trough just before next dose. Centrifuge and immediately transfer serum into clean, plastic, Assay includes N-Acetylprocainamide Days Performed:Monday-Saturday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Procalcitonin Test Code:62103 CPT Code: ml serum, frozen immediately 2 ml serum from red top non-gel barrier, frozen immediately 2 ml green heparin plasma, frozen immediately Alternate Container:Green top lithium heparin non-gel barrier Centrifuge and transfer serum into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:4-7 days Days Performed:Tuesday, Friday Methodology:Immunofluorescence Assay Rejection Criteria:Room temperature or refrigerated specimen Proconvertin See "Factor VII" Progesterone Test Code:11360 CPT Code: ml serum 1 ml green heparin or grey sodium flouride plasma Methodology:Electrochemiluminescence Immunoassay Prograf See "Tacrolimus (Prograf)" Clinical Laboratory Partners Page 208

258 Proinsulin Test Code:60051 CPT Code: ml serum, drawn from a fasting patient Minimum Volume:0.8 ml 1 ml EDTA plasma, drawn from a fasting patient 1 ml serum from red top non-gel barrier, drawn from a fasting patient Alternate Container:Lavender top EDTA Overnight fasting is required. Centrifuge and transfer into clean, plastic, screw-capped vial(s) within 1 hour of collection. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Monday, Thursday Methodology:Immunoassay Prolactin Test Code:11764 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay Prolactin, Pediatric Test Code:60716 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Sunday Methodology:Immunoassay Prolactin, Total, Monomeric Test Code:62105 CPT Code: ml serum Minimum Volume:0.4 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-12 days Days Performed:Wednesday morning Methodology: Immunoassay PEG Precipitation Properdin Factor B Test Code:60977 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 2 hours of collection. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday, Saturday Methodology:Nephelometric Propoxyphene and Norpropoxyphene, Quant Test Code:27720 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:2 ml 2 ml green sodium heparin plasma Alternate Container:Green top sodium heparin No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:9-12 days Methodology:Gas Chromatography/ Nitrogen Phosphorus Detection Rejection Criteria:SST s are not acceptable Propoxyphene Screen, Reflex Confirmation Test Code:11258 CPT Code: Primary Container:Non-sterile container 20 ml urine collected without preservative Minimum Volume:15 ml Alternate Container:Sterile specimen container Please note, if the screen is positive, the confirmation (test code 62166, CPT 80367) will be performed at an additional charge. Methodology:Kinetic interaction of microparticles (KIMS) Propoxyphene Screen, Reflex Semi-Quantitative Test Code:12502 CPT Code: Primary Container:Non-sterile container 20 ml urine collected without preservative Minimum Volume:15 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Clinical Laboratory Partners Page 209

259 Propoxyphene Screen, Rflx Semi-Quant & Conf, Ur Test Code:11275 CPT Code: Primary Container:Non-sterile container 20 ml urine collected without preservative Minimum Volume:15 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Please note, if the screen is positive, the confirmation (test code 62166, CPT 80367) will be performed at an additional charge. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Propoxyphene Screen, Urine Test Code:10127 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container Urine should be collected in a clean, dry container. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Urine collected at any time of day may be used. Estimated Turnaround Time:24 hours Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Propoxyphene, Conf, Ur, Quant Test Code:62166 CPT Code: Primary Container:Non-sterile container 15 ml urine Minimum Volume:15 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:6-12 days Days Performed:Monday, Wednesday, Friday Methodology:Gas Chromatography/Mass Spectrometry (GC/MS) Prostaglandins D2 (PG D2) Test Code:60667 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1 ml 3 ml lavender EDTA plasma Alternate Container:Lavender top EDTA Aspirin, Indomethacin, and some other medications strongly suppress the production and release of Prostaglandins. For baseline determinations, these medications should be discontinued, if possible, for at least 48 hours before specimen collection. Centrifuge and immediately transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:14-21 days Methodology:Radioimmunoassay Rejection Criteria:Room temperature or refrigerated specimen Prostaglandins D2, Urine, 24 hour Test Code:62024 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collected without preservative Minimum Volume:5 ml urine Keep urine refrigerated during and after collection. Aspirin, Indomethacin, and some other medications strongly suppress the production and release of prostaglandins. For baseline determinations, these medications should be discontinued, if possible, for at least 48 hours before specimen collection. Submit specimen in clean, plastic, leak-proof container. Estimated Turnaround Time:10-15 days Days Performed:Varies Methodology:Radioimmunassay Prostate Cancer Screening (Medicare Only) Test Code:11409 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay Prostate Specific Antigen See "PSA, Annual Screening" Clinical Laboratory Partners Page 210

260 Protein C Activity Test Code:10640 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately, aliquoted from 1 FULL 3.2% blue sodium citrate DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma into two labeled aliquot s. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:1-3 days Methodology:Chromogenic Rejection Criteria: Hemolysis Room temperature, refrigerated, or thawed specimens Protein C Activity Reflex Protein C Antigen Test Code:60987 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 4 ml citrate platelet poor plasma divided equally in each of 2 vials, frozen immediately Minimum Volume:1 ml in each of 2 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if the Protein C Activity is less than 70%, a Protein C Antigen (CPT 85302) will be performed at an additional charge. Transportation Temperature:Frozen Methodology:Clotting Assay Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 211

261 Protein C Antigen Test Code:60025 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately Minimum Volume:0.4 ml plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Morning Methodology:Enzyme Immunoassay Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Protein S Activity (Functional) Test Code:60042 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Clotting Assay Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Protein C Resistance See "Activated Protein C Resistance" Protein Electrophoresis, CSF See "Protein, Total, Electrophoresis, Protein, CSF" Protein Electrophoresis, Serum See "Electrophoresis, Protein, Serum" Protein Electrophoresis, Urine See "Electrophoresis, Protein, Urine" Clinical Laboratory Partners Page 212

262 Protein S Activity Reflex Protein S Antigen(Total) Test Code:62176 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 3 ml citrate platelet poor plasma divided equally in each of 2 vials, frozen immediately Minimum Volume:1 ml plasma in each of 2 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if Protein S Activity result is below the normal reference range, Protein S Antigen (Total) (CPT 85305) will be performed at an additional charge. Transportation Temperature:Frozen Methodology:Clotting Assay Rejection Criteria:Room temperature, refrigerated or thawed specimens Protein S Activity Rflx Protein S Ag, Total/Free Test Code:60993 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma divided equally into each of 2 vials, frozen immediately plasma in each of 2 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. If Protein S Activity result is below the normal reference range, a Protein S Antigen (Total and Free, CPT 85305, 85306) will be performed at an additional charge. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday Methodology:Clotting Assay Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimen Clinical Laboratory Partners Page 213

263 Protein S Antigen (Total) Test Code:60008 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen morning Methodology:Immunoturbidimetric Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens Protein S Antigen, Free Test Code:62085 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells), leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Methodology:Immunoturbidimetric Protein, Body Fluid Test Code:11772 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 1 ml body fluid Minimum Volume:1 ml 1 ml body fluid in red top non-gel barrier 1 ml body fluid in lavender EDTA Alternate Container:Lavender top EDTA Label container with fluid type. Methodology:Colorimetric Rejection Criteria:Viscous specimen Protein, Creatinine, Urine, 24 Hour Test Code:11225 CPT Codes: 82570, Primary Container:24 hour urine container 10 ml urine from a 24 hour urine collected without preservative Minimum Volume:5 ml Methodology: Kinetic Alkaine Picrate Turbidimetric Protein, CSF Test Code:11765 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml spinal fluid spinal fluid Methodology:Turbidimetric Protein, Total Test Code:10233 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma 1 ml serum from red top non-gel barrier Alternate Container:Green top lithium heparin non-gel barrier Methodology:Biuret Rejection Criteria:Gross hemolysis Clinical Laboratory Partners Page 214

264 Protein, Total, Electrophoresis, Protein, CSF Test Code:62287 CPT Codes: 84157, Primary Container:Sterile specimen container Specimen Type:Cerebrospinal fluid 6 ml CSF Minimum Volume:3 ml CSF **Do not spin down CSF specimen** CSF specimens must be crystalline clear (without RBC contamination). Grossly bloody, cloudy, CSF should not be sent for testing. Submit CSF in a sterile, plastic, leakproof container. Consult a supervisor if CSF acceptability is questionable. Estimated Turnaround Time:3-6 days Days Performed:Monday-Saturday Methodology:Electrophoresis Rejection Criteria:Grossly bloody or cloudy CSF Protein, Urine, 24 Hour Test Code:10354 CPT Code: Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collected without preservative Minimum Volume:5 ml urine Methodology:Turbidimetric Protein, Urine, Random Test Code:11235 CPT Code: Primary Container:Non-sterile container 10 ml urine Minimum Volume:1 ml 1 ml random urine from a UAP or grey perservative Alternate Container:Sterile specimen container Methodology:Turbidimetric Proteinase-3 (PR3) Antibody Test Code:10067 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Prothrombin See "Factor II" Prothrombin Antibody, IgG, IgM Test Code:60878 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml citrate platelet poor plasma Alternate Container:Blue top sodium citrate Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Wednesday Methodology:Enzyme Immunoassay Protein/Creatinine Ratio Panel,Urine Test Code:15011 CPT Codes: 82570, Primary Container:Non-sterile container 5 ml urine Minimum Volume:1 ml 5 ml urine collected in sterile urine container 1 ml random urine from a UAP or grey perservative Methodology: Turbidimetric Kinetic Alkaline Picrate Calculation Clinical Laboratory Partners Page 215

265 Prothrombin Fragment 1.2 Test Code:60989 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:7-10 days Days Performed:Wednesday Methodology:Enzyme Immunoassay Rejection Criteria: Room temperature or refrigerated >4 hours Thawed specimens Prothrombin Gene Mutation See "Factor II Prothrombin Gene Mutation" Prothrombin Time (PT) Test Code:10304 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2.7 ml (full ) 3.2% sodium citrate whole blood in plastic collection (must be received in the laboratory within 24 hours). Minimum Volume:90% draw volume 1 ml platelet poor sodium citrate plasma, frozen. Do NOT draw the blue top first unless collection is PT ONLY. Blue top s must be a full draw to ensure proper anticoagulant ratio. Invert gently to mix. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid distrubing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature: Refrigerated if delivered within 24 hours of collection Frozen for platelet poor plasma Methodology: Optical Centrifugal Analyzer Clot Wave Analysis Rejection Criteria: Underfilled s, hemolyzed, clotted, frozen (citrated whole blood), or specimens received outside of the acceptable stability periods Protriptyline Test Code:61067 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.2 ml 3 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-11 days Methodology:Gas Chromatography Rejection Criteria:SST s are not acceptable Prozac See "Fluoxetine (Prozac)" Clinical Laboratory Partners Page 216

266 PSA, Annual Screening Test Code:11017 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay PSA, Established Diagnosis Test Code:11018 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay (ECLIA) PSA, Free Test Code:11020 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Specimens should not be drawn immediately after Digital Rectal Examination (DRE), Prostate massage or Trans rectal ultrasound. PSA sample should not be done for at least 6 weeks after prostatic biopsy. Ideally, the Total PSA should be between ng/ml when ordering the Free PSA. Total and Free PSA requests should be from same collection and should be completed on same testing platform to accurately calculate the Percent Free result. Reference range is applied to the Percent Free PSA result. Methodology:Electrochemiluminescence Immunoassay (ECLIA) PSA, Post Prostatectomy Test Code:11374 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml green lithium plasma Estimated Turnaround Time:24 hours Methodology:Electrochemiluminescence Immunoassay (ECLIA) PSA, Total, Reflex PSA, Free Test Code:11031 CPT Code: ml serum Minimum Volume:1 ml 2 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Specimens should not be drawn immediately after Digital Rectal Examination (DRE), Prostate massage or Trans rectal ultrasound. PSA sample should not be done for at least 6 weeks after prostatic biopsy. If PSA is between 4.0 and 10.0 ng/ml, a Free PSA will be performed (test code 11020, CPT 84154) at an additional charge. Days Performed:daily Methodology:Electrochemiluminescence Immunoassay (ECLIA) Pseudocholinesterase See "Cholinesterase and Dibucaine Number" Psyllium Seed (k72), IgE Test Code:60316 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, PT See "Prothrombin Time" PTH Related Protein (PTH-RP) Test Code:60648 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 1.5 ml sodium heparin plasma sodium heparin plasma Immediately after collection, centrifuge for at least 15 minutes and transfer plasma into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday-Thursday Methodology:Immunoassay Rejection Criteria:PTHrp cocktail collection Clinical Laboratory Partners Page 217

267 PTH, Intact Test Code:11355 CPT Code: ml serum Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Hemolyzed specimen PTH-RP See "PTH Related Protein (PTH-RP)" PTT See "Partial Thromboplastin Time" PTT-LA Rflx Hexagonal Phase Test Code:62430 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1 ml plasma DO NOT draw the blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top must be a full draw to ensure prope anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500g for 15 minutes. 2. Using a plastic transfer pipet, tranfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if the PTT-LA is >40 seconds, a Hexagonal Phase Confirmation (STACLOT-LA, CPT 85598) will be performed at an additional charge. Transportation Temperature:Frozen Methodology:Clot detection Rejection Criteria:Room temperature, refrigerated or thawed specimens Pumpkin (f225), IgE Test Code:60332 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Purkinje Cell Cytoplasmic Antibody See "Yo Antibody Screen Reflx WB, Titer" Pyridoxal See "Vitamin B6" Pyruvate See "Pyruvic Acid (Pyruvate)" Pyruvate Kinase, RBC Test Code:60673 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml whole blood 4 ml yellow ACD-B Alternate Container:Yellow top ACD solution B Do not transfer blood to another container. Submit specimen in original. Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday morning Methodology:Spectrophotometry Rejection Criteria: Room temperature or frozen specimen Frozen specimens Clinical Laboratory Partners Page 218

268 Pyruvic Acid (Pyruvate) Test Code:60658 CPT Code: Primary Container:Lavender top EDTA Specimen Type:See specimen requirements 4 ml EDTA whole blood This test requires special handling - have courier hand deliver to processing area for immediate attention. Minimum Volume:2 ml supernatant CALL CORE FOR STAT PICKUP before drawing patient. This test requires special handling-have courier hand deliver to processing area for immediate attention. CALL PROCESSING ( )to notify that stat pyruvate will be delivered. Core-Immediately add a minimum of 4 ml whole blood from a lavender top to EQUAL volume of COLD 7-8% perchloric acid (if less than 4 ml of blood is collected, mix equal (1:1) volume of whole blood with perchloric acid). Mix well for 30 seconds. Let stand for 10 minutes. Centrifuge and transfer supernatant into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Enzymatic Rejection Criteria:Room temperature specimens Q Fever Antibody Screen, IgG, IgM, Reflex Titer Test Code:62335 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the Q Fever Phase I Ab Scr, IgG is positive, a titer (CPT 86638) will be performed at an additional charge. If the Q Fever Phase I Ab Scr, IgM is positive, a titer (CPT 86638) will be performed at an additional charge. If the Q Fever Phase II Ab Scr, IgG is positive, a titer (CPT 86638) will be performed at an additional charge. If the Q Fever Phase II Ab Scr, IgM is positive, a titer (CPT 86638) will be performed at an additional charge. Estimated Turnaround Time:3-8 days Methodology:Indirect Immunofluorescence Assay Quad See Maternal Quad Screen testing See "Theophylline" Quandrinal See "Phenobarbital" Quantiferon TB ELISA Test Code:10720 CPT Code: Primary Container:IN-TUBE Specimen Type:Whole Blood Using In- Quantiferon set (3), collect 1 ml whole blood in each. Collect blood in the following order: grey 1st, red 2nd, purple 3rd. If other labs are to be drawn at the same time, collect the In-s first. Immediately after filling s, firmly shake them ten (10) times. Do NOT spin. Collection time must be included. Minimum Volume:3 ml whole blood for In-s. Specimen must be delivered to the lab within 12 hours of collection. Call dispatch for pickup. Place specimen in RED STAT specimen bag. This test is not FDA approved for children <17 years old. Estimated Turnaround Time:1-5 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme-Linked ImmunoSorbent Assay Rejection Criteria:Lithium heparin green top Queen Palm (t72), IgE Test Code:60364 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Quetiapine (Seroquel) Test Code:61005 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.4 ml No SST s. Centrifige and transfer serum into clean, plastic, Collect as trough prior to next dose. Estimated Turnaround Time:5-9 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Quibron See "Theophylline" Quinidex See "Quinidine" Clinical Laboratory Partners Page 219

269 Quinidine Test Code:62031 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml serum from navy blue non-additive 1 ml lavender EDTA, green sodium heparin, blue sodium citrate plasma Alternate Container:Lavender top EDTA No SST s. Collect just before next dose. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable RA Quantitative See "Rheumatoid Factor" Rabbit Epithelia (e82), IgE Test Code:60165 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Rabies Titer - Response Test Code:62069 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:23-30 days Days Performed:Monday, Thursday Methodology: Fluorescent Antibody Serum Neutralization and (Fluorescent) Immunofluorescence Rejection Criteria:Room temperature specimen Rapamycin See "Sirolimus (Rapamycin)" Rape Seed (Rf316), IgE** Test Code:60333 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Rapid Group A Strep EIA Test Code:10460 CPT Code: Primary Container:Red cap double swab liquid transport media Specimen Type:Throat Throat Date and time of collection required. Estimated Turnaround Time:1-2 days Methodology:Lateral Flow Immunoassay Rejection Criteria:Blue cap culture transport swab Rapid Group A Strep EIA reflex Culture Test Code:10102 CPT Code: Primary Container:Red cap double swab liquid transport media Specimen Type:Throat Throat Please note, if screen is negative, the throat culture (test code 10405, CPT 87081) will be performed at an additional charge. Estimated Turnaround Time:1-2 days Methodology:Lateral Flow Immunoassay Rejection Criteria:Blue cap culture transport swab Rapid HIV 1/2 Ab EIA reflex to confirmation Test Code:11344 CPT Code: ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier If screen is positive, the HIV 1/2 Ab/Ag (test code 11200, CPT 87389) will be performed at an additional charge. Methodology:Lateral Flow Immunoassay Rejection Criteria: Do not use to test blood donor or transplant donor specimens Clinical Laboratory Partners Page 220

270 Rapid Plasmin Reagin See "Syphilis EIA reflex RPR Titer & FTA" Raspberry, IgE Test Code:60881 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Methodology:Immunoassay Rat Epithelia (e73), IgE Test Code:60251 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Rat Serum Proteins (e75), IgE Test Code:60334 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Rat Urine Proteins (e74), IgE Test Code:60335 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, RBC Antibody See "Antibody Screen, Reflex ID" RBC Antigen See "Antigen Testing" RBC Fragility (Incubated) Test Code:60858 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 5 ml whole blood Minimum Volume:3 ml whole blood 5 ml whole blood from a green lithium heparin non-gel barrier Alternate Container:Green top lithium heparin non-gel barrier No gel barrier s. Collect Monday-Friday. Call for STAT courier pickup for immediate delivery to processing. Submit original collection. Do not open original. Samples must be received at reference laboratory as soon as possible after collection. Days Performed:Monday-Sunday Methodology:Spectrophotometric Rejection Criteria: Frozen specimen Clotted specimen Hemolysis Gel barrier s are not acceptable Red Blood Cell Count Test Code:10315 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:90% draw volume 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures Methodology:Optical/Light Scatter Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 221

271 Red Blood Cell Profile Test Code:10041 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:90% draw volume 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Methodology:Optical/Light Scatter Rejection Criteria:Hemolysis Red Cedar (Rt57) IgE** Test Code: ml (0.5 ml minimum) serum for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday Methodology:ImmunoCAP Red Kidney Bean (Rf287), IgE** Test Code:60261 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Red Top (Bent) Grass (g9), IgE Test Code:60400 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Reducing Substances, Stool Test Code:62385 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 10 grams fresh stool Minimum Volume:3 grams stool Collect fresh stool in a plastic, leakproof container. Stool specimen should not be contaminated with urine. Transportation Temperature:Frozen Estimated Turnaround Time:3-7 days Methodology:Benedicts Solution Reducing Substances, Urine Test Code:62386 CPT Code: Primary Container:Urinalysis Preservative 10 ml urine submitted in UAP container Minimum Volume:1 ml urine 10 ml unpreserved urine submitted in sterile urine container Alternate Container:Sterile Urine Cup Collect urine in sterile container and transfer into UAP container Estimated Turnaround Time:2-5 days Methodology:Manual Rejection Criteria:Frozen urine Renin See "Plasma Renin Activity" Respiratory Culture See "Culture, Respiratory (includes gram stain)" Respiratory Syncytial Virus (RSV) DFA Test Code:11832 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 0.5 ml nasal aspirate in a feeding or nasal washing acceptable. nasal aspirate Pink liquid viral transport media Alternate Container:Pink liquid viral transport media Place #8 French feeding in a sterile container. Place container on ice after obtaining specimen. Date, time and source required. DFA available only Monday - Friday during non-respiratory season. or refrigerated Estimated Turnaround Time:1-2 days Methodology:Direct Fluorescent Antibody Clinical Laboratory Partners Page 222

272 Respiratory Syncytial Virus (RSV) EIA Test Code:11016 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 0.5 ml nasal aspirate in a feeding, nasal washing or nasopharyngeal swab in pink liquid viral transport media acceptable. nasal aspirate Place #8 French feeding in a sterile container. Place container on ice after obtaining specimen. Date, time and source required. Estimated Turnaround Time:1-2 days Methodology:Enzyme Immunoassay Rejection Criteria:Bloody specimens not acceptable for EIA. Respiratory Syncytial Virus (RSV) EIA reflex DFA Test Code:11015 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements 0.5 ml nasal aspirate in a feeding, nasal washing or nasopharyngeal swab in pink liquid viral transport media acceptable. nasal aspirate Place #8 French feeding in a sterile container. Place container on ice after obtaining specimen. Date, time and source required. DFA is only performed Monday - Friday during non-respiratory season. Please note, if EIA is negative, the DFA (test code 11832, CPT 87280) will be performed at an additional charge. Estimated Turnaround Time:1-2 days Methodology:Enzyme Immunoassay and Direct Fluorescent Antibody Rejection Criteria:Bloody specimens are not acceptable for EIA. Respiratory Syncytial Virus Ab, Serum Test Code:62125 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-8 days Methodology:Complement Fixation Reticulin IgA/IgG Ab, Rflx to Titer Test Code:10734 CPT Code: ml serum Please note, if the Screen is positive, the Titer (test code 10735, CPT 86256) will be added at an additional charge. Days Performed:Twice weekly Methodology:Indirect Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Reticulocyte Count Test Code:10316 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:50% draw volume 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Specimen containers must be at least 50% full. Avoid exposure to heat or freezing temperatures. Methodology: Flow Cytometry, Optical reflex to methylene blue stain Rejection Criteria:Clotted, frozen, or hemolyzed specimens Reticulocyte with Index Test Code:15015 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA lavender top whole blood Minimum Volume:1.0 ml 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Speciment containers must be at least 50% full. Avoid exposure to heat or freezing temperatures This test request is a calculated parameter which requires both a Hct and Reticulocyte result for calculation. Estimated Turnaround Time:24 hrs Methodology: Flow cytometry with nucleic acid fluorescence/optical with a reflex to methylene blue stain Rejection Criteria:Clotted, frozen, or hemolyzed specimens. Retinol See "Vitamin A (Retinol)" Clinical Laboratory Partners Page 223

273 Retinol Binding Protein Test Code:61015 CPT Code: ml serum drawn from a fasting patient 2 ml serum from red top non-gel barrier, drawn from a fasting patient Fasting for 12 hours before collection is required. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Nephelometric Rejection Criteria:Hemolysis RF See "Rheumatoid Factor" RH Only Test Code:18003 CPT Code: Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml pink EDTA whole blood 6 ml lavender EDTA whole blood Specimen must be labeled with the Patient's Full Name, Date of Birth, SSN or Address, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Frozen specimen Rheumatoid Factor Test Code:11767 CPT Code: ml serum serum 1 ml green lithium heparin, lavender EDTA, navy sodium heparin, navy EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidmetric Immunoassay Rheumatoid Factor Ab, IgG, IgA, IgM Test Code:60967 CPT Code: ml serum Minimum Volume:0.9 ml 1.8 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:4-8 days Days Performed:Tuesday,Thursday Methodology:Enzyme-linked Immunosorbent Assay Rheumatoid Factor Scr Rflx Titer, Synovial Fluid Test Code:62410 CPT Code: Primary Container:Sterile specimen container Specimen Type:Fluid 1 ml synovial fluid Minimum Volume:0.6 ml 1 ml synovial fluid Synovial fluid is the only acceptable body fluid. Submit specimen in clean, plastic, leakproof container. Please note, if screen is positive, a titer (CPT 86431) will be performed at an additional charge. Estimated Turnaround Time:5-9 days Days Performed:Tuesday, Friday Methodology:Latex agglutination Rejection Criteria: Specimens other than synovial fluid Gross hemolysis Visible particulate matter Specimen in lavender EDTA Rhizopus nigricans (m11), IgE Test Code:60196 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 224

274 Ri Antibody Screen Rflx WB, Titer Test Code:62220 CPT Code: ml serum Fasting is preferred 1 ml serum from red top non-gel barrier Fasting is preferred Overnite fasting is preferred. Centrifuge and transfer serum into clean, plastic, Please note, if the Ri Ab Screen is positive, a Western Blot (CPT 84181) will be performed at an additional charge. If the Western Blot is positive, a Titer (CPT86256) will be performed at an additional charge. Estimated Turnaround Time:7-12 days Days Performed:Monday, Wednesday, Friday Methodology:Indirect Immunofluorescence Assay Ribosomal P Antibody Test Code:10068 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:SUnday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Rice (f9), IgE Test Code:15313 serum (1.1 ml minimum) for each 5-10 allergens tested serum Rickettsial Disease Panel Test Code:62340 CPT Codes: 86638, ml serum Minimum Volume:0.9 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the RMSF Ab Scr, IgG is positive, a RMSF Ab Titer, IgG (CPT 86757) will be performed at an additional charge. If the RMSF Ab Scr, IgM is positive, a RMSF Ab Titer, IgM (CPT 86757) will be performed at an additional charge. If the R. typhi Ab Scr, IgG is positive, a R. typhi Ab Titer, IgG (CPT 86757) will be performed at an additional charge. If the R. typhi Ab Scr, IgM is positive, a R. typhi Ab Titer, IgM (CPT 86757) will be performed at an additional charge. If the Q Fever Phase I Ab Scr, IgG is positive, a Q Fever Phase I Ab Titer, IgG (CPT 86638) will be performed at an additional charge. If the Q Fever Phase I Ab Scr, IgM is positive, a Q Fever Phase I Ab Titer, IgM (CPT 86638) will be performed at an additional charge. If the Q Fever Phase II Ab Scr, IgG is positive, a Q Fever Phase II Ab Titer, IgG (CPT 86638) will be performed at an additional charge. If the Q Fever Phase II Ab Scr, IgM is positive, a Q Fever Phase II Ab Titer, IgM (CPT 86638) will be performed at an additional charge. Estimated Turnaround Time:3-8 days Methodology: Indirect Immunofluorescence Assay Immunofluorescence Assay Rejection Criteria:Gross hemolysis, lipemia Rifampin, Serum Test Code:35150 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen Minimum Volume:1 ml 1 ml navy EDTA plasma, frozen Alternate Container:Navy blue top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:3-10 days Days Performed:Friday Methodology:High Performance Liquid Chromatography Rejection Criteria:SST s are not acceptable Risperidone and Metabolite Test Code:60607 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.5 ml No SST s. Draw 1/2 hour before next dose at steady state Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:6-9 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography /Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 225

275 Ristocetin Cofactor Activity Test Code:60035 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:3-6 days Methodology:Platelet Agglutination Rejection Criteria:Hemolysis RMSF See "Rocky Mountain Spotted Fever" RMSF Ab Scr, IgG, IgM, Rflx Titer Test Code:62253 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the RMSF Ab Scr, IgG is positive, a Titer (CPT 86757) will be performed at an additional charge. If the RMSF Ab Scr, IgM is positive, a Titer (CPT 86757) will be performed at an additional charge. Estimated Turnaround Time:3-6 days Days Performed:Monday - Friday Methodology:Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia RNA Polymerase III Antibody Test Code:62169 CPT Code: ml serum 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-9 days Days Performed:Wednesday,Saturday Methodology:Immunoassay RNP Antibody Test Code:10069 CPT Code: ml serum 1 ml lavender EDTA, green heparin plasma Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Mulitplex Flow Immunoassay Rejection Criteria:Hemolyzed samples are not acceptable Ro (SSA) Antibody Test Code:10524 CPT Code: ml serum Minimum Volume:0.5 Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed, or turbid specimens are unacceptable Ro and La See "Sjogren's (SS-A, SS-B) Antibodies" Clinical Laboratory Partners Page 226

276 Rotavirus Stool Antigen Test Code:11454 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 gm fresh stool Minimum Volume:0.5 gm stool Estimated Turnaround Time:1-4 days Methodology:Enzyme Immunoassay Rejection Criteria: Culture transport swab, pink liquid viral transport media and Para-Pak C&S vials not accepted. Rough Marsh Elder (w16), IgE Test Code:60403 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Rough Pigweed (w14), IgE Test Code:16062 serum (1.1 ml minimum) for each 5-10 allergens tested. serum RPR See "Syphilis EIA reflex RPR Titer & FTA" Rubella Antibody IgG Test Code:10508 CPT Code: ml serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Rubella Antibody IgM Test Code:10591 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Rubeola Antibody IgG Test Code:10512 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Rubeola Antibody, IgM Test Code:61089 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Days Performed:Tuesday, Thursday Methodology:Immunofluorescence Assay Russian Thistle (w11), IgE Test Code:15304 serum (1.1 ml minimum) for each 5-10 allergens tested serum Clinical Laboratory Partners Page 227

277 Rye (f5), IgE Test Code:16036 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Saccharomyces cerevisiae Ab (ASCA), IgA Test Code:60956 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:3-7 days Days Performed:Tuesday, Thursday Methodology:Enzyme-Linked Immunosorbent Assay Saccharomyces cerevisiae Ab (ASCA), IgG Test Code:60955 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:3-7 days Days Performed:Tuesday, Thursday Methodology:Enzyme-Linked Immunosorbent Assay Saccharomyces cerevisiae Ab (ASCA), IgG, IgA Test Code:60106 CPT Code: ml serum Minimum Volume:0.6 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Methodology:Enzyme-Linked Immunosorbent Assay Salicylate, Quantitative Test Code:10134 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Lavender top EDTA Methodology:Enzymatic Salmon (f41), IgE Test Code:16103 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Salmonella, Shigella, Capylobacter Stool Culture See "Culture, Stool" Sandimmune See "Cyclosporine" Scale (w15), IgE Test Code:60268 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 228

278 Scallop (R338), IgE Test Code:16037 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Schistosomiasis Antibody, IgG Test Code:60844 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:8-12 days Days Performed:Wednesday, Saturday Methodology:Fluorescent Microsphere Immunoassay Scl-70 Antibody Test Code:10540 CPT Code: ml serum Minimum Volume:0.5 Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Scleroderma Antibody See "Scl-70 Antibody" Sed Rate See "Erythrocyte Sediment Rate (ESR)" See "5-HIAA (Serotonin), Urine, Random" Selenium Test Code:60558 CPT Code: Primary Container:Navy blue top non-additive 2 ml serum Minimum Volume:1 ml 2 ml navy EDTA, heparin plasma 2 ml dialysis water collected in an acid-washed, metal free container Alternate Container:Navy blue top EDTA Patient should stop taking vitamins or mineral supplements at least 3 days prior to specimen collection. Centrifuge and transfer serum into clean, plastic, trace-metal free, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Atomic Spectroscopy Selenium, Blood Test Code:62413 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Whole Blood 2 ml navy EDTA whole blood Minimum Volume:1 ml whole blood 2 ml green sodium heparin, lavender EDTA, navy blue sodium heparin whole blood Alternate Container:Green top sodium heparin Submit whole blood specimen in clean, plastic, metal free, screw-capped vial(s) or in original collection. Estimated Turnaround Time:5-9 days Days Performed:Tuesday, Friday Methodology:Inductively Coupled Plasma/Mass Spectrometry (ICP-MS) Selenium, Creat, Urine, Random Test Code:60870 CPT Codes: 82570, Primary Container:See specimen requirements 3 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine Minimum Volume:2 ml urine It is recommended that patient void directly into the acid-washed container whether it is a 24 hour acid-washed/trace element container or the random acid-washed container. Collect specimen at end-of-shift. Submit urine in clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Clinical Laboratory Partners Page 229

279 Semen Analysis, Complete Test Code:11435 CPT Code: Primary Container:Sterile specimen container Specimen Type:Semen Semen Deliver immediately to laboratory. Protect from temperature extremes or sudden changes. Transportation Temperature:Room Temperature Estimated Turnaround Time:1 Day Methodology:Microscopy Semen Analysis, Post Vasectomy Test Code:11441 CPT Code: Primary Container:Sterile specimen container Specimen Type:Semen Minimum Volume:None Protect from temperature extremes or sudden changes. Transportation Temperature:35-98 degrees F Methodology:Microscopy Seminal Fructose Test Code:60845 CPT Code: Primary Container:Sterile specimen container Specimen Type:Semen 1 ml fresh semen, frozen immediately semen Submit specimen in a plastic, leak proof container. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:3-10 days Days Performed:Tuesday Methodology:Spectrophotometric Rejection Criteria:Room temperature, refrigerated or thawed specimen Serotonin 5-HIAA See "5-HIAA (Serotonin) w/creatinine, Urine 24 Hour" Serotonin, Blood Test Code:62081 CPT Code: Primary Container:Serotonin kit Specimen Type:See specimen requirements ***Call CLP specimen processing for Serotonin kit*** Instructions: Draw 4 ml lavender EDTA whole blood and immediately transfer into plastic bottle containing 35 mg ascorbic acid. Mix well by gentle inversion. Freeze immediately. Minimum Volume:1 ml Patient should avoid foods high in indoles: avocado, banana, tomato, plum, walnut, pineapple and eggplant. Patient should avoid tobacco, tea, and coffee for 3 days before specimen collection. Transportation Temperature:Frozen Estimated Turnaround Time:4-8 days Methodology:High Performance Liquid Chromatography Rejection Criteria:Room temperature, refrigerated or thawed specimen Serotonin, Serum Test Code:60846 CPT Code: ml serum, frozen immediately Minimum Volume:1 ml 1 ml serum from red top non-gel barrier, frozen immediately Centrifuge and transfer serum specimens into clean, plastic, screw-capped vial(s) within 2 hours of collection. Freeze immediately. Patient should avoid foods high in indoles: avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patient should also avoid tobacco, tea, and coffee for 3 days before specimen collection. Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology:High Performance Liquid Chromatography Rejection Criteria:Room temperature, refrigerated or thawed specimens Sertraline (Zoloft) Test Code:60649 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.2 ml 3 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 230

280 Sesame Seed (f10), IgE Test Code:16093 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Setomelanomma rostrata (m8), IgE Test Code:60408 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Sex Hormone Binding Globulin Test Code:10649 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Refrigerated Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria:Gross hemolysis or lipemia SGOT See "Aspartate Aminotrans (AST)" SGPT See "Alanine Aminotrans (ALT)" SHBG See "Sex Hormone Binding Globulin" Sheep Epithelia (e81), IgE Test Code:60284 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Sheep Sorrel (w18), IgE Test Code:16085 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Shiga Toxins See "E. coli Shiga Toxins" See "Shiga Toxin & E. coli 0157 Screen" Shiga Toxins and Culture, Stool See "Culture, Stool with Shiga Toxin" Shrimp (f24), IgE Test Code:16038 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 231

281 Sickle Cell Screen Test Code:10318 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:90% draw volume 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Specimen containers must be at least 50% full. Avoid exposure to heat or freezing temperatures. Methodology:Dithionite Solubility Tube Test Rejection Criteria:Clotted, frozen, or hemolyzed specimens Sickle Cell Screen Reflex to Hgb Electrophoresis Test Code:10702 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:90 % draw volume 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Specimen containers must be at least 50% full. Avoid exposure to heat or freezing temperatures. Please note, if sickle screen is positive, the Hemoglobin Electrophoresis (test code 11678, CPT 83020) will be performed at an additional charge. Estimated Turnaround Time:2-9 days Methodology:Dithionite Solubility Tube Test Rejection Criteria:Clotted, frozen, or hemolyzed specimens Silk (k74), IgE Test Code:15312 serum (1.1 ml minimum) for each 5-10 allergens tested serum Single Strand DNA (ssdna) Ab, IgG Test Code:60040 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday Methodology:Enzyme Immunoassay Sirolimus (Rapamycin) Test Code:40012 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood DO NOT CENTRIFUGE the specimen. Specimens received before 10:30 am (at Hartford Hospital) will be tested that day. Specimens received after 10:00 am will be stored refrigerated and reported the next day. Estimated Turnaround Time:1-3 days Methodology:Microparticle Enzyme Immunoassay Sjogren's (SS-A, SS-B) Antibodies Test Code:10544 CPT Code: ml serum Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Sinequan See "Doxepin and Desmethyldoxepin" Clinical Laboratory Partners Page 232

282 Sm (Smith) and Sm/RNP Antibodies Test Code:10545 CPT Code: ml serum Minimum Volume:1 ml Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Sm (Smith) Antibody Test Code:10537 CPT Code: ml serum Minimum Volume:0.5 Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Sm/RNP Antibody Test Code:10538 CPT Code: ml serum Minimum Volume:0.5 Allow blood to clot. Separate and refrigerate serum immediately. Estimated Turnaround Time:2-3 days Days Performed:Sunday-Friday Methodology:Multiplex Flow Immunoassay Rejection Criteria: Lipemic, hemolyzed or turbid specimens are unacceptable Smear, Fungal See "Fungal Smear" Smith Antibodies See "Sm (Smith) and Sm/RNP Antibodies" Smooth Muscle Antibodies See "Anti-Smooth Muscle Screen, Reflex Titer" Sodium Test Code:10238 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Ion-Selective Electrode Sodium, Creatinine, Urine, 24 Hour Test Code:11237 CPT Codes: 82570, Primary Container:24 hour urine container 10 ml urine from a well-mixed 24 hour urine collected without preservative Minimum Volume:5 ml Methodology: Ion-Selective Electrode Kinetic Alkaline Picrate (Jaffe) Sodium, Fecal, (Random, 24, 48, 72 Hours) Test Code:60847 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 10 ml of a 24-hour liquid stool Minimum Volume:3 ml liquid stool 10 ml of a 48-hour liquid stool 10 ml of a 72-hour liquid stool 10 ml of a random liquid stool Keep specimen refrigerated during collection. Submit specimen in a plastic, leak proof container. Liquid stool is the only acceptable specimen. Methodology:Flame Photometric Rejection Criteria:Formed stool Sodium, Urine, 24 Hour Test Code:10355 CPT Code: Primary Container:24 hour urine container 10 ml from a well-mixed 24 hour urine collected without preservative Minimum Volume:5 ml urine Aliquot from a well-mixed 24 hour urine collection Methodology:Ion-Selective Electrode Clinical Laboratory Partners Page 233

283 Sodium, Urine, Random Test Code:11172 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:1 ml urine Alternate Container:Sterile Urine Cup Methodology:Ion-Selective Electrode Soluble Liver Antigen (SLA) Auto-Ab Test Code:61009 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday Methodology:Enzyme-Linked Immunosorbent Assay Soluble Transferrin Receptor Test Code:60055 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma 1 ml serum from red top non-gel barrier Alternate Container:Lavender top EDTA Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-9 days Days Performed:Wednesday, Friday, Sunday Methodology:Nephelometric Rejection Criteria:Hemolysis Somatomedin C See "Insulin-Like Growth Factor (IGF-1)" Somatostatin Test Code:62066 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1.6 ml EDTA plasma drawn in a pre-chilled, frozen Minimum Volume:0.6 ml plasma Pre-chill prior to collection. Centrifuge and transfer plasma into clean, plastic, Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:9-16 days Days Performed:Tuesday Methodology: Extraction Radioimmunoassay Rejection Criteria: Refrigerated or thawed specimens Gross lipemia or icterus Sotalol, Serum/Plasma Test Code:62246 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST is not acceptable Soybean (f14), IgE Test Code:16039 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 234

284 Sperm Antibody, IgA, IgG Test Code:60859 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Wednesday, Friday Methodology:Immunobeads Rejection Criteria:Frozen specimen in glass s Spinach (f214), IgE Test Code:60235 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Spotted Fever Typhus See "Rocky Mountain Spotted Fever" Spruce (Rt201), IgE** Test Code:60360 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Sputum Bacterial Culture See "Culture, Respiratory (includes gram stain)" Squid (Rf258), IgE Test Code:60224 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, SRP Antibody Test Code:62322 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:19-26 days Days Performed:Tuesday Methodology:Radioimmunoprecipitation Assay ssdna See "Single Strand DNA (ssdna) IgG Antibody" Staph Screen PCR Test Code:10876 CPT Codes: 87640, Primary Container:Red Cap double swab Copan Specimen Type:Nasal Date, time and source required. Estimated Turnaround Time:1-2 days Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria: Blue or orange cap culture transport swab Red cap swab from non-nasal source BD red cap double swab White cap single swab Staphylococcus aureus Culture See "Culture, MRSA Screen" Clinical Laboratory Partners Page 235

285 Stemphylium herbarum (m10), IgE Test Code:60411 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Stone Analysis Test Code:62087 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Dry kidney stone(s) Minimum Volume:Dry kidney stone(s) Dry stones from gall bladder, urinary bladder, salivary, prostate **Urine in sterile, plastic, leak-proof container**-see Handling/Draw Instructions Submit dry stone specimens in sterile, plastic, leak-proof container. **If urine is submitted, consult with processing supervisor for further instructions.** Estimated Turnaround Time:6-10 days Days Performed:Monday-Saturday Methodology: Fourier Transform Infrared Spectroscopy (FTIR) Gravimetric Rejection Criteria: Wet specimens Specimens submitted on tape Stool Blood See "Fecal Occult Blood (FIT)" Stool Hemoglobin See "Fecal Occult Blood (FIT)" See "Norovirus PCR, Stool" Stool Norovirus See "Norovirus Antigen Detection, Stool" Stool Osmolality Test Code:60848 CPT Code: Primary Container:Sterile specimen container Specimen Type:Stool 1 ml liquid stool, frozen immediately Minimum Volume:0.2 ml liquid stool Submit specimen in a plastic, leak-proof container. Liquid stool is the only acceptable specimen. Transportation Temperature:Frozen Methodology:Freezing Point Depression Rejection Criteria: Formed stools Room temperature or refrigerated specimens Stool Ova and Parasites See "Ova and Parasites" Stool Profile 01 Test Code:13162 CPT Codes: 87045, (x2), 87177, Includes:Ova and Parasites, CultureStool with Shiga Toxin 5 ml stool in Parapak C&S vial or rectal swab 1 PVA vial and 1 10% formalin vial (Parapak O&P) Stool Reducing Substances See "Reducing Substances, Stool" See "DNase-B Antibody" Storage Mite (d71), IgE Test Code:60318 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 236

286 Strawberry (f44), IgE Test Code:16100 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Strep A See "Anti-Streptolysin O Screen reflex Titer" Strep A DNA Amplification Test Code:14303 CPT Code: Primary Container:BD ESwab Transport System Specimen Type:Throat Liquid Amies swabs without charcoal, red cap double liquid Stuart swabs and single swab liquid transport media Date and time of collection required. Methodology:Loop Mediated Isothermal Amplification Rejection Criteria:Agar gel culture transport swabs Strep B See "Culture, Genital Group B Strep" Streptococcus Group A Culture See "Culture, Throat Group A Strep" Streptococcus Group B Culture See "Culture, Genital Group B Strep" Streptococcus Group B Culture, Maternal/Neonatal See "Culture, Genital Group B Strep PCN Allergic" Streptococcus pneumoniae Ab, IgG (14 Serotypes) Test Code:60887 CPT Code: ml serum Minimum Volume:0.25 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:3-7 days Days Performed:Monday-Saturday Methodology:Multi-Analyte Immunodetection Streptococcus pneumoniae Ab, IgG (7 Serotypes) Test Code:60842 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum specimens into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:3-7 days Days Performed:Monday-Saturday Methodology:Immunochemiluminometric Assay Rejection Criteria:Hemolysis,lipemic or icteric specimen Streptozyme Screen reflex Titer Test Code:10663 CPT Code: ml serum 1 ml serum from red top non-gel barrier Please note, if the screen is positive, the Titer (test code 10664, CPT 86406) will be performed at an additional charge. Estimated Turnaround Time:1-4 days Methodology:Agglutination Clinical Laboratory Partners Page 237

287 Striated Muscle Ab Scr Rflx Titer Test Code:62198 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the screen is positive, a titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:7-12 days Morning Methodology:Indirect Immunofluorescence Assay Strongyloides Antibody, IgG Test Code:60849 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:5-9 days Days Performed:Monday, Wednesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Sulfonylurea Hypoglycemics Panel Test Code:60107 CPT Code: Includes: Acetohexamide (Dymelor), Chlorpropamide (Diabinese), Glimepiride (Amaryl), Glipizide (Glucotrol), Glyburide (Micronase), Nateglinide (Starlix), Repaglinide (Prandin), Tolazamide (Tolinase), Tolbutamide (Orinase) Primary Container:Red top non-gel barrier 1 ml serum 1 ml gray sodium fluoride plasma Alternate Container:Grey top sodium fluoride No SST s. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-10 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Sunflower Seed (k84), IgE Test Code: ml serum (0.3 ml minimum for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested. serum SurePath Pap Test (FocalPoint) Test Code:8020 CPT Code: Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements SurePath vial See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting BD FocalPoint Slide Imaging SurePath Pap Test (FocalPoint) w/hpv Rfx, GC/CT Test Code:8036 CPT Codes: 87591, 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 4 ml SurePath vial fluid Minimum Volume:3 ml There must be a minimum of 1 ml of SurePath vial fluid remaining to perform the HPV testing after the PAP test has been prepared. Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification BD FocalPoint Slide Imaging Clinical Laboratory Partners Page 238

288 SurePath Pap Test (FocalPoint) w/hpv Scr, GC/CT Test Code:8034 CPT Codes: 87491, 87591, 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 4 ml SurePath vial fluid Minimum Volume:3 ml See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification BD FocalPoint Slide Imaging SurePath Pap Test (FocalPoint) with GC/Chlamydia Test Code:8032 CPT Codes: 87491, 87591, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:1 ml There must be a minimum of 1 ml of SurePath vial fluid remaining for the GC/Chlamydia testing after the PAP test has been prepared. See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting Transcription Mediated Amplification BD FocalPoint Slide Imaging SurePath Pap Test (FocalPoint) with HPV Reflex Test Code:8024 CPT Code: Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:2 ml There must be a minimum of 1 ml of SurePath vial fluid remaining for the HPV screen after the PAP test has been prepared. Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting BD FocalPoint Slide Imaging SurePath Pap Test (FocalPoint) with HPV Screen Test Code:8022 CPT Codes: 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:2 ml There must be a minimum of 1 ml of SurePath vial fluid remaining to perform the HPV screen after the PAP test has been prepared. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification BD FocalPoint Slide Imaging SurePath Pap Test (Manual) Test Code:8112 CPT Code: Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements SurePath vial See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Transportation Temperature:Room Temperature Days Performed:Monday - Friday Methodology:Papanicolaou Staining / Bethesda System for Reporting SurePath Pap Test (Manual) w/hpv Rfx, GC/CT Test Code:8122 CPT Codes: 87591, 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 4 ml SurePath vial fluid Minimum Volume:3 ml There must be a minimum of 1 ml of SurePath vial fluid remaining to perform the HPV testing after the PAP test has been prepared. Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Clinical Laboratory Partners Page 239

289 SurePath Pap Test (Manual) w/hpv Scr, GC/CT Test Code:8120 CPT Codes: 87491, 87591, 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 4 ml SurePath vial fluid Minimum Volume:3 ml There must be a minimum of 1 ml of SurePath vial fluid remaining to perform the HPV screen after the PAP test has been prepared. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification SurePath Pap Test (Manual) with GC/Chlamydia Test Code:8118 CPT Codes: 87491, 87591, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:1 ml There must be a minimum of 1 ml of SurePath vial fluid remaining for the GC/Chlamydia testing after the PAP test has been prepared. See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting Transcription Mediated Amplification SurePath Pap Test (Manual) with HPV Reflex Test Code:8116 CPT Code: Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:2 ml There must be a minimum of 1 ml of SurePath vial fluid remaining for the HPV screen after the PAP test has been prepared. Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Transportation Temperature:Room Temperature Methodology:Papanicolaou Staining/Bethesda System for Reporting SurePath Pap Test (Manual) with HPV Screen Test Code:8114 CPT Codes: 87621, Primary Container:Surepath Pap Kit Specimen Type:See specimen requirements 2 ml SurePath vial fluid Minimum Volume:2 ml There must be a minimum of 1 ml of SurePath vial fluid remaining to perform the HPV screen after the PAP test has been prepared. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Surgical Pathology Test Code:8130 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Tissue Specimens must be in fixative: A) 10% buffered Formalin for regular Histological studies B) Zeus or Mitchell Solution for Immunofluorescence studies C) Glutaraldehyde for Electron Microscopy studies Tissue unpreserved or in saline solution Fresh tissue in saline solution (if received within 4 hours); should be transported on wet ice. If specimens are not received in any of the above mentioned fixatives (A, B or C), that is unpreserved and/or in saline solution these must be refrigerated. Transportation Temperature: Room temperature Fixed: Room temperature Days Performed:Monday-Saturday Sweet Gum (Rt211), IgE** Test Code:60266 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 240

290 Sweet Vernal (g1), IgE Test Code:16109 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Swine Epithelia (e83), IgE Test Code:60340 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Swordfish (Rf312), IgE Test Code:60341 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Sycamore (t11), IgE Test Code:16086 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Synthetic Cannabinoids, Urine Test Code:10028 CPT Code: Primary Container:Non-sterile container 10 ml random urine collected without preservatives Minimum Volume:5 ml urine Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Enzyme Immunoassay Rejection Criteria:Urine with preservative Syphilis MIA reflex RPR Titer and TPPA Test Code:12734 CPT Code: ml serum Minimum Volume:1 ml A positive result will reflex to RPR Titer (test code 10530, CPT 86593) and TPPA (test code 10164, CPT 86780) at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay T Cell PCR Gene Rearrange, Fresh Spec Test Code:8291 CPT Code: Primary Container:Lavender top EDTA Specimen Type:See specimen requirements 3 ml whole blood, not clotted OR 3 ml bone marrow, not clotted Minimum Volume:1 ml whole blood/bone marrow Do not freeze specimen. Transportation Temperature: Room temperature (within 1-2 days of collection) Refrigerated (more than 2 days of collection) Estimated Turnaround Time:5-7 days Methodology: Fragment Analysis Polymerase Chain Reaction Rejection Criteria: Frozen specimens Clotted specimens Synovial Fluid Culture See "Culture, Joint Fluid (includes gram stain)" Clinical Laboratory Partners Page 241

291 T Cell PCR Gene Rearrange, Paraffin Tiss Test Code:8293 CPT Codes: 81342, Primary Container:See specimen requirements Specimen Type:See specimen requirements (5) 10 u paraffin tissue sections collected in a red top non-gel barrier Estimated Turnaround Time:5-7 days Methodology: Fragment Analysis Polymerase Chain Reaction T3 (Triiodothyronine) Antibody Test Code:60983 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:8-14 days Days Performed:Wednesday, Sunday Methodology:Immunoassay Rejection Criteria:Gross hemolysis or lipemia T3 Uptake, T4 & T7 (FTI) Test Code:10906 CPT Codes: 84436, ml serum 1 ml green heparin, navy EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:CEDIA T3, Free See "Free T3" T3, Free Test Code:10672 CPT Code: ml serum 1 ml green sodium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation to separate serum from cells. Methodology:Electrochemiluminescence Immunoassay (ECLIA) T3, Free and Total Test Code:10327 CPT Codes: 84480, ml serum 1 ml green sodium heparin, lavender EDTA plasma Centrifuge immediately after clot formation to separate serum from cells. Methodology:Electrochemiluminescence Immunoassay (ECLIA) T3, Free, Dialysis See "Free T3 by Dialysis with T3 Total" T3, Reverse Test Code:60108 CPT Code: ml serum 1 ml lavender EDTA, green sodium heparin plasma Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 24 hours of collection. Methodology:Liquid Chromatograpy/Tandem Mass Spectrometry Rejection Criteria:Green lithium heparin plasma T3, Total Test Code:11779 CPT Code: ml serum serum 1 ml green heparin, lavender EDTA, grey sodium fluoride plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay T3, Uptake Test Code:10776 CPT Code: ml serum 1 ml green lithium heparin, navy sodium heparin, navy EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Cloned-Enzyme Donor Immunoassay (CEDIA) Clinical Laboratory Partners Page 242

292 T4 (Thyroxine) Test Code:10612 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Cloned-Enzyme Donor Immunoassay (CEDIA) T4 (Thyroxine) Antibody Test Code:60984 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into a clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Wednesday, Sunday Methodology:Radiobinding Assay Rejection Criteria:Gross hemolysis or lipemia T4, Free See "Free T4" T4, Free Test Code:11778 CPT Code: ml serum 1mL green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay T4, Reflex Thyroid Stimulating Hormone Test Code:10615 CPT Code: ml serum serum 1 ml green lithium plasma Alternate Container:Green top lithium heparin non-gel barrier Please note, if the patient's age is greater than 17 years old and the T4 result is less than 4.0 ug/dl or greater than 12.0 ug/dl, the TSH (test code 11661, CPT 84443) will be added at an additional charge. Methodology:Homogeneous Enzyme Immunoassay Tacrolimus (Prograf) Test Code:40010 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:1 ml Estimated Turnaround Time:1-3 days Methodology:Fluorescence Polarization Immunoassay (FPIA) Tambocor See "Flecainide (Tambocor)" Tapentadol, Confirmation, Urine Test Code:62351 CPT Code: Primary Container:Non-sterile container 20 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:5-8 days Days Performed:Tuesday, Thursday, Saturday Methodology:Liquid Chromatography/Tandem Mass Spectrometry T4, Free, Dialysis See "Free T4 by Dialysis" Clinical Laboratory Partners Page 243

293 Tay Sachs DNA, Mutation Analysis Test Code:62309 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml whole blood Minimum Volume:3 ml whole blood 4 ml green sodium heparin, yellow ACD, navy EDTA whole blood ml amniotic fluid in sterile container mg chorionic villi in sterile container Amniotic fluid submitted in 2 flasks containing culture medium Chorionic villi submitted in 2 flasks containing culture medium Submit whole blood in original collection. Estimated Turnaround Time:9-15 days Days Performed:Tuesday, Saturday Methodology: Polymerase Chain Reaction Allele specific primer extension Fluorescent detection/color coded microspheres Rejection Criteria: Refrigerated or frozen amniotic fluid or chorionic villi specimen TB ELISA See "Quantiferon TB ELISA" TBG See "Thyroxine Binding Globulin (TBG)" TBII See "Thyrotropin Binding Inhibitory Immunoglobulin" TBII Test Code:62265 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Tuesday,Friday Methodology:Radioreceptor Assay Rejection Criteria: Gross hemolysis Gross or moderate lipemia or icterus Tea (Rf222), IgE** Test Code:60412 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, TEL/AML1 (t(12,21)) Fusion ID, RT-PCR Test Code:8139 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood or bone marrow Minimum Volume:1 ml Submit whole blood or bone marrow specimen. Deliver within 12 hours of collection, maintained at 4 degrees C at all times. Estimated Turnaround Time:5 days Methodology:Reverse Transcriptase Polymerase Chain Reaction Rejection Criteria:Clotted or frozen samples Testosterone, Total Test Code:11783 CPT Code: ml serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay (ECLIA) Testosterone, Total (Children) Test Code:60720 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum Minimum Volume:0.2 ml No SST s. Allow blood to clot for minutes. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 30 minutes of collection. Estimated Turnaround Time:5-7 days evening Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis Clinical Laboratory Partners Page 244

294 Tetanus Antitoxoid Antibody Test Code:60116 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into sterile, plastic, screw-capped vial(s). Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday afternoon Methodology:Enzyme Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icterus Tetracarboxyprophyrin See "Porphyrin Profile, Urine, 24 Hour" Thallium Test Code:60850 CPT Code: Primary Container:Navy blue top non-additive 1 ml serum Minimum Volume:0.4 ml 1 ml navy EDTA plasma Alternate Container:Navy blue top EDTA No gel barrier/serum separator s. Centrifuge and immediately transfer serum into clean, plastic, trace metal-free, Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Friday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Gel barrier/serum separator s Thallium, Creatinine, Urine, Random Test Code:62354 CPT Codes: 82570, Primary Container:See specimen requirements 7 ml random urine collected in acid-washed container For this test, a 24 hour acid-washed/trace element urine container is also acceptable for collection of a random urine Minimum Volume:7 ml urine It is recommended that patient void directly into the acid-washed container whether it is a random acid-washed bottle or a 24 hour acid-washed/trace element container. Submit urine in a clean, plastic, acid-washed/trace element, leakproof container. Estimated Turnaround Time:4-8 days Days Performed:Tuesday, Thursday, Saturday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Thallium, Urine, 24 Hour Test Code:62426 CPT Code: Primary Container:Acid-washed 24 hour urine container 7 ml urine from a well-mixed 24 hour acid-washed/trace element container Minimum Volume:3 ml urine Avoid work-site collection. It is recommended that patient void directly into the acid washed bottle. Submit specimen in clean, plastic, acid washed/trace element, leakproof container. Estimated Turnaround Time:5-10 days Days Performed:Tuesday,Thursday,Saturday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Theophylline Test Code:11613 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Methodology:Kinetic Interaction of Microparticles in a Solution (KIMS) Rejection Criteria:SST s are not acceptable Thiamine See "Vitamin B1, Blood" ThinPrep Pap (Manual) Rfx HPV Rfx HPV 16,18/45 Test Code:8337 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep Pap vial fluid Minimum Volume:6 ml Please note, if atypical cells are found, HPV TMA, High Risk (CPT 87624) will be performed at an additional charge. If HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology:Papanicolaou Staining/Bethesda System for Reporting Clinical Laboratory Partners Page 245

295 ThinPrep Pap Test (Imager) Test Code:8002 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep PAP vial See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting Image-guided ThinPrep ThinPrep Pap Test (Imager) with GC/Chlamydia Test Code:8026 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 1 ml ThinPrep PAP vial fluid Minimum Volume:1 ml Aliquot 1 ml of well-mixed PreservCyt solution to a green Aptima for GC/Chlamydia testing. Send the remaining PreservCyt solution to cytology for testing. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting Transcription Mediated Amplification, Image-guided ThinPrep ThinPrep Pap Test (Imager) with HPV Reflex Test Code:8018 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep PAP vial fluid Minimum Volume:6 ml Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Image-guided ThinPrep ThinPrep Pap Test (Imager) with HPV Reflex, GC/CT Test Code:8030 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep PAP vial fluid Minimum Volume:7 ml Please note, if atypical cells are found, the HPV test (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep ThinPrep Pap Test (Imager) with HPV Screen Test Code:8016 CPT Codes: 87621, Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep PAP vial fluid Minimum Volume:6 ml See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep ThinPrep Pap Test (Imager) with HPV Screen, GC/CT Test Code:8028 CPT Codes: 87491, 87591, 87621, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep PAP vial fluid Minimum Volume:7 ml Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep Clinical Laboratory Partners Page 246

296 ThinPrep Pap Test (Manual) Test Code:8037 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements ThinPrep PAP vial See Cytology testing specimen collection instructions in the front of this Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology:Papanicolaou Staining / Bethesda System for Reporting ThinPrep Pap Test (Manual) with GC/Chlamydia Test Code:8104 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep Pap vial fluid Minimum Volume:6 ml Aliquot 1 ml of well-mixed PreservCyt Solution to a green Aptima for GC/Chlamydia testing. Send the remaining PreservCyt Solution to cytology for testing. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining / Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap Test (Manual) with HPV Reflex Test Code:8102 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep Pap vial fluid Minimum Volume:6 ml Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Transportation Temperature:Room Temperature Methodology:Papanicolaou Staining/Bethesda System for Reporting ThinPrep Pap Test (Manual) with HPV Reflex, GC/CT Test Code:8108 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep pap vial fluid Minimum Volume:7 ml Please note, if atypical cells are found, the HPV (CPT 87621) will be performed at an additional charge. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap Test (Manual) with HPV Screen Test Code:8100 CPT Codes: 87621, Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep Pap vial fluid Minimum Volume:6 ml See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Transportation Temperature:Room Temperature Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap Test (Manual) with HPV Screen, GC/CT Test Code:8106 CPT Codes: 87491, 87591, 87621, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep Pap vial fluid Minimum Volume:7 ml Please note, if atypical cells are found, the HPV test (CPT 87621) will be performed at an additional charge. See Cytology testing specimen collection instructions in the front of the Directory of Services. Expected TAT for negative paps with no other out of vial testing is 48 hours. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap(Imager) HPV Scr Rfx HPV 16,18/45 Test Code:8335 CPT Codes: 87624, Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep PAP vial fluid Minimum Volume:6 ml Please note, if HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep Clinical Laboratory Partners Page 247

297 ThinPrep Pap(Imager) Rfx HPV Rfx HPV 16,18/45 Test Code:8333 CPT Code: Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep PAP vial fluid Minimum Volume:6 ml Please note, if atypical cells are found, HPV TMA, High Risk (CPT 87624), will be performed at an additional charge. If HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Image-guided ThinPrep ThinPrep Pap(Imager)GC/CT HPV Scr Rfx HPV 16,18/45 Test Code:8336 CPT Codes: 87491, 87591, 87624, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep PAP vial fluid Minimum Volume:7 ml Please note, if HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep ThinPrep Pap(Imager)GC/CT Rfx HPV Rfx HPV 16,18/45 Test Code:8334 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep PAP vial fluid Minimum Volume:7 ml Please note, if atypical cells are found, HPV TMA, High Risk (CPT 87624), will be performed at an additional charge. If HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Image-guided ThinPrep ThinPrep Pap(Manual) HPV Scr Rfx HPV 16,18/45 Test Code:8339 CPT Codes: 87624, Primary Container:Thin prep vial Specimen Type:See specimen requirements 6 ml ThinPrep Pap vial fluid Minimum Volume:6 ml Please note, if HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap(Manual)GC/CT HPV Scr Rfx HPV 16,18/45 Test Code:8340 CPT Codes: 87491, 87591, 87624, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep Pap vial fluid Minimum Volume:7 ml Please note, if HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. S Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification ThinPrep Pap(Manual)GC/CT Rfx HPV Rfx HPV 16,18/45 Test Code:8338 CPT Codes: 87491, 87591, Primary Container:Thin prep vial Specimen Type:See specimen requirements 7 ml ThinPrep pap vial fluid Minimum Volume:7 ml Please note, if atypical cells are found, HPV TMA, High Risk (CPT 87624) will be performed at an additional charge. If HPV TMA, High Risk is positive, HPV Genotype 16,18/45 (CPT 87625) will be performed at an additional charge. Methodology: Papanicolaou Staining/Bethesda System for Reporting Transcription Mediated Amplification Thiocyanate Test Code:60948 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1.5 ml 3 ml lavender EDTA, navy EDTA plasma 3 ml serum from navy non-additive Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday Methodology:Colorimetric Rejection Criteria:SST s are not acceptable Throat Culture See "Culture, Throat" Clinical Laboratory Partners Page 248

298 Thrombin Clotting Time w/reflex to Mixing Study Test Code:62450 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 4 ml citrate platelet poor plasma divided equally in each of 2 vials, frozen immediately Minimum Volume:1 ml in plasma each of 2 vials DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 12 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Please note, if the Thrombin Time is abnormal, a Mixing Study (CPT 85675) will be performed at an additional charge. Transportation Temperature:Frozen Methodology:Clot Detection Rejection Criteria:Room temperature, refrigerated, or thawed specimens Thrombin Time Test Code:11391 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 2 ml citrate platelet poor plasma, frozen immediately DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:1-2 days Methodology: Clot Dectection Photo Optical Rejection Criteria: Hemolysis Room temperature or refrigerated specimens Clinical Laboratory Partners Page 249

299 Thrombin-Antithrombin (TAT) Complex Test Code:60990 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:7-14 days Days Performed:Wednesday Methodology:Enzyme Linked Immunosorbent Assay Rejection Criteria:Room temperature, refrigerated or thawed specimens Thrombophilia Mutation See "Coagulation Genetic Panel" Thrombotic Genetic Panel See "Coagulation Genetic Panel" Thyme (Rf273), IgE** Test Code:60342 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Thyroglobulin Test Code:62064 CPT Code: ml serum Minimum Volume:0.8 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Methodology:Immunoassay Thyroglobulin Antibody Test Code:10175 CPT Code: ml serum 1 ml green sodium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Centrifuge immediately after clot formation and maintain refrigerated. Estimated Turnaround Time:4 days Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria: Lithium heparin or sodium citrate plasma is unacceptable Thyroglobulin Panel Test Code:60698 CPT Codes: 84432, Includes:Thyrogblobulin, Thyroglobulin Antibody 2 ml serum Minimum Volume:1 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum to clean, plastic, evenings Methodology:Immunoassay Thyroid Antibody (ATA, TPO) Test Code:10176 CPT Codes: 86376, Includes:Thyroglobulin Antibody, Thyroid Peroxidase Antibody. 2 ml serum Clinical Laboratory Partners Page 250

300 Thyroid Cascade Panel Test Code:10613 CPT Code: ml serum Minimum Volume:0.5 ml serum 1 ml green heparin, blue citrate, grey sodium fluoride plasma Alternate Container:Green top lithium heparin non-gel barrier Please note, if the TSH is less than 0.27 or greater than 4.20 miu/ml, the Free T4 (test code 10634, CPT 84439) will be performed at an additional charge. If the TSH is low and the Free T4 is low or normal, a Free T3 (test code 10672, CPT 84481) will be performed at an additional charge. If the TSH is high and the Free T4 is normal, a Thyroid Peroxidase Antibody (test code 10174, CPT 86376) will be performed at an additional charge. Methodology:Electrochemiluminescence Immunoassay (ECLIA) Thyroid Peroxidase Antibody Test Code:10174 CPT Code: ml serum 1 ml green heparin, blue citrate, lavender EDTA plasma Alternate Container:Lavender top EDTA Days Performed:3-5 days Methodology:Electrochemiluminescence immunoasay (ECLIA) Thyroid Receptor Antibody See "Thyroid Stimulating Immunoglobulin (TSI)" Thyroid Stimulating Hormone See "TSH, Highly Sensitive" Thyroid Stimulating Hormone Reflex to Free T4 See "TSH Reflex to T4, Free" Thyroid Stimulating Immunoglobulin (TSI) Test Code:60109 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Days Performed:Monday-Saturday morning Methodology:Immunoassay Rejection Criteria:Gross hemolysis, lipemia, icterus Thyroxine Binding Globulin (TBG) Test Code:60563 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, evening Methodology:Chemiimmunoluminescent Assay Tick Borne Disease Profile 01 Test Code:12049 CPT Codes: 86618, (x2), (x2) Includes: Lyme Screen Reflex Western Blot, Babesia microti IgG and IgM, Anaplasma phagocytophilum IgG and IgM. 5 ml serum Tick ID Rflx B. burgdorferi DNA, RT-PCR, Tick Test Code:10646 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Tick in sterile container Submit specimen in sterile container. If tick identification is Ixodes scapularis, Borrelia burgdorferi DNA RT PCR, Tick (test code 60701, CPT 87476) will be performed at an additional charge. Estimated Turnaround Time:1-11 days Methodology:Microscopic Exam Tick Identification Test Code:10644 CPT Code: Primary Container:Sterile specimen container Specimen Type:See specimen requirements Tick in sterile container Submit specimen in sterile container. Estimated Turnaround Time:1-4 days Methodology:Microscopic Exam Clinical Laboratory Partners Page 251

301 Timothy Grass (g6), IgE Test Code:16046 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Tissue Transglutaminase IgA Ab Test Code:10723 CPT Code: ml serum Minimum Volume:0.25 ml Separate serum from the cells immediately after clot formation. Days Performed:2 times a week Methodology:Enzyme Immunoassay Rejection Criteria: Hemolyzed, icteric, or lipemic specimens are not acceptable Tissue Transglutaminase IgA and IgG Ab Panel Test Code:10724 CPT Code: (x2) Includes:Tissue Transglutaminase IgA and IgG. 2 ml serum Tissue Transglutaminase IgG Ab Test Code:10722 CPT Code: ml serum Minimum Volume:0.25 ml Separate serum from the cells immediately after clot formation Days Performed:2 days a week Methodology:Enzyme Immunoassay Rejection Criteria: Hemolyzed, icteric, or lipemic specimens are not acceptable Tobacco Leaf (Ro201), IgE** Test Code:60267 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Tobramycin, Peak Test Code:11273 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Peak specimens are drawn at the end of a 1 hour constant infusion, 30 minutes after a 30 minute constant infusion, or 1 hour after an IM dose. Methodology:Homogeneous Enzyme Immunoassay Tobramycin, Random Test Code:11271 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Methodology:Homogeneous Enzyme Immunoassay TNF See "Tumor Necrosis Factor-Alpha, Highly Sensitive" Clinical Laboratory Partners Page 252

302 Tobramycin, Trough Test Code:11272 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Draw immediately before next dose. Methodology:Homogeneous Enzyme Immunoassay Tofranil See "Imipramine" Toluene as Hippuric Acid, Urine, Random(Occ Expos) Test Code:27500 CPT Codes: 82570, Primary Container:Sterile specimen container 10 ml urine Minimum Volume:1 ml urine Alternate Container:Non-sterile container Collect at end of shift. Urine container/ should be filled to prevent loss of volatile compound into headspace. Submit specimen in clean, plastic, leakproof container. Estimated Turnaround Time:7-10 days Methodology:Gas Chromatography/Flame Ionization Detection Toluene, Occupational Exposure, Blood Test Code:27051 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 20 ml whole blood Minimum Volume:2.5 ml whole blood Tubes should be filled to prevent loss of volatile compound into headspace. Submit whole blood specimen. Methodology:Gas Chromatography Tomato (f25), IgE Test Code:16066 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Topiramate Test Code:60564 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin plasma 1 ml navy non-additive serum Alternate Container:Green top lithium heparin non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday-Saturday morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Total Glycohemoglobin, Blood Test Code:60005 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood whole blood Submit whole blood specimen. Morning Methodology:High Performance Liquid Chromatography Rejection Criteria:Frozen specimens Toxocara Antibody Test Code:60852 CPT Code: ml serum Minimum Volume:0.1 ml 1 ml serum from red top non-gel barrier Centrifuge and immediately transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Friday Methodology:Enzyme-Linked Immunosorbent Assay Clinical Laboratory Partners Page 253

303 Toxoplasma Ab IgM reflex Confirmation Test Code:11452 CPT Code: ml serum Minimum Volume:0.5 ml serum 1 ml serum red top non-gel barrier Please note, if screen is positive, the confirmation (test code 11540, CPT 86778) will be performed at an additional charge. Estimated Turnaround Time:1-7 days Days Performed:Monday Methodology:Enzyme Immunoassay Toxoplasma Antibody IgG Test Code:11451 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Toxoplasma gondii Ab, IgG, CSF Test Code:60759 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 0.5 ml CSF Minimum Volume:0.25 CSF Submit CSF in a sterile, plastic,leakproof container. Estimated Turnaround Time:7-10 days Methodology:Enzyme-Linked Immunosorbent Assay Toxoplasma gondii DNA, RT-PCR, Quant Test Code:62055 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma 1 ml amniotic fluid or CSF in sterile container 1 ml yellow ACD-B plasma 1 ml lavender EDTA, yellow ACD-B whole blood Centrifuge and transfer plasma into clean, plastic, Estimated Turnaround Time:3-8 days Days Performed:Monday, Wednesday, Friday Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen whole blood specimen Toxoplasma IgG Reflex to IgM Test Code:11457 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Please note, if screen is positive, the Toxoplasma Antibody IgM (test code 11452, CPT 86778) will be performed at an additional charge. Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay TPO See "Thyroid Peroxidase Antibody" Tragacanth (Rf298), IgE Test Code:60343 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Tramadol, Urine, Random Test Code:62177 CPT Code: Primary Container:Non-sterile container 30 ml urine Minimum Volume:5 ml urine Alternate Container:Sterile specimen container Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:3-7 days Days Performed:Sunday-Thursday Methodology:Gas chromatography/mass Spectrometry (GC/MS) Transferrin Test Code:11788 CPT Code: ml serum serum 1 ml green lithium heparin plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Immunoturbidimetric Assay Clinical Laboratory Partners Page 254

304 Transferrin, Carbohydrate Deficient See "Carbohydrate Deficient Transferrin" Trazodone Test Code:60861 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, screw capped vial(s) within 1 hour of collection. Estimated Turnaround Time:7-12 days Days Performed:Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Treponema pallidum (TP-PA) Test Code:10164 CPT Code: ml serum 1 ml serum from red top non-gel barrier 1 ml lavender EDTA, blue citrate plasma Estimated Turnaround Time:1-3 days, Sunday Methodology:Treponema pallidum particle agglutination Treponemal pallidum See "Treponema pallidum (TP-PA)" See "Syphilis MIA Reflex RPR Titer and TPPA" Trichinosis Antibody, IgG Test Code:60853 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml serum Alternate Container:Serum Separator Tube Centrifuge within 1 hour of collection and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:Enzyme-Linked Immunosorbent Assay Trichoderma viride (m15), IgE Test Code:60344 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Trichomonas vaginalis TMA Test Code:14302 CPT Code: Primary Container:Gen-Probe Aptima Specimen Type:See specimen requirements Urine: 2 ml in Aptima GenProbe Urine Transport Vaginal, endocervical and urethral swab: Aptima Unisex Swab Collection Kit ThinPrep vial Minimum Volume:2 ml urine Urine collection: The patient should not urinate for at least 1 hour before specimen collection. Patient should collect first ml of the initial urine stream into a preservative free specimen cup. Collection of larger volume of urine may result in specimen dilution. Keep urine refrigerated until 2 ml is transferred into Aptima Gen-Probe urine transport. Urine should be transferred into Aptima within 24 hours. Vaginal, endocervical and urethral swabs: Collect using instructions in the Aptima Unisex Swab Specimen Collection Kit. ThinPrep vial: Prior to performing the PAP, transfer 1 ml of the ThinPrep liquid cytology specimen into an Aptima Specimen Transfer Tube. Transportation Temperature:Urine cup: refrigerated All Aptima Collection Kits: room temperature Estimated Turnaround Time:1-8 days Days Performed:Wednesday Methodology:Transcription Mediated Amplification Rejection Criteria: Urine not transferred to Aptima within 24 hours of collection. PAP performed prior to aliquoting ThinPrep vial to Aptima Specimen Transfer Tube. SurePath vials Trichophyton rubrum (m205), IgE Test Code:60162 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 255

305 Tricyclic Screen, Reflex Semi-Quantitative Test Code:12461 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservative Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Fluorescence Polarization Immunoassay (FPIA) Tricyclic Screen, Urine Test Code:10148 CPT Code: Primary Container:Non-sterile container 20 ml random urine collected without preservatives Minimum Volume:5 ml Alternate Container:Sterile specimen container The urine should be collected in a clean, dry container. Urine collected at any time of day may be used. Urine specimens containing visible particles should be centrifuged, filtered, or allowed to settle to obtain a clear specimen for testing. Methodology:Competitive Inhibition Immunoassay Tricyclic, Confirmation, Ur, Qt Test Code:62162 CPT Code: Primary Container:Non-sterile container 20 ml urine Minimum Volume:7 ml urine Alternate Container:Sterile specimen container This is for add-on request only. Submit urine in clean, plastic, leakproof container. Estimated Turnaround Time:5-9 days Methodology:Mass Spectrometry Triglyceride, Fluid Test Code:11564 CPT Code: Primary Container:Green top lithium heparin non-gel barrier Specimen Type:Fluid 3 ml body fluid 3 ml body fluid in red top non-gel barrier 3 ml body fluid in lavender EDTA 3 ml body fluid in sterile specimen container Label container with fluid type. Methodology:Enzymatic Triglycerides Test Code:10209 CPT Code: ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection. Methodology:Enzymatic Triglycerides, Reflex to LDL Test Code:11221 CPT Code: ml serum Minimum Volume:0.5 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier Patient should be fasting 8-10 hours prior to collection. Please note, if the Triglyceride is greater than or equal to 400, the LDL, Direct(test code 10258, CPT 83721) will be added at an additional charge. Methodology:Enzymatic Triple Screen See "Maternal Triple Screen, 2nd Trimester, Chantilly" Clinical Laboratory Partners Page 256

306 Troponin I Test Code:10178 CPT Code: ml serum 1 ml lithium or sodium heparin 1 ml serum from red top non-gel barrier Red top or gel barrier s are acceptable for serum collections. Separate serum from cells immediately after clot formation, freeze immediately for tranport. Transportation Temperature:Frozen Estimated Turnaround Time:24 hours Methodology:Electrochemiluminescence Immunoassay (ECLIA) Rejection Criteria: EDTA, citrate, and oxalate plasma specimens are unacceptable Troponin T Test Code:11028 CPT Code: ml serum 1 ml green sodium heparin plasma Alternate Container:Green top sodium heparin Methodology:Electrochemiluminescence Immunoassay Rejection Criteria:Hemolysis Trout (f204), IgE Test Code:15325 serum (1.1 ml minimum) for each 5-10 allergens tested serum Trypanosoma cruzi Antibody Test Code:62330 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-10 days Days Performed:Monday, Thursday Methodology:Immunoassay Trypsin Test Code:60565 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-12 days Days Performed:Sunday, Wednesday Methodology:Radioimmunoassay Tryptase Test Code:60113 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA plasma 1 ml navy non-additive serum Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday morning Rejection Criteria:SST s are not acceptable TSH Antibody Test Code:60985 CPT Code: ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Days Performed:Wednesday, Sunday Methodology:Radioimmunoassay TSH, Highly Sensitive Test Code:11661 CPT Code: ml serum 1 ml green heparin, blue citrate, grey sodium fluoride plasma Alternate Container:Green top lithium heparin non-gel barrier Methodology:Electrochemiluminescence Immunoassay Clinical Laboratory Partners Page 257

307 TSH, Reflex to Free T4 Test Code:11619 CPT Code: ml serum Minimum Volume:0.5 ml serum 1 ml green heparin, blue citrate, grey sodium fluoride plasma Alternate Container:Green top lithium heparin non-gel barrier Please note, if the TSH is less than 0.27 or greater than 4.20 miu/l, the Free T4 (test code 11778, CPT 84439) will be added at an additional charge. Methodology:Electrochemiluminescence Immunoassay (ECLIA) TSI See "Thyroid Stimulating Immunoglobulin (TSI)" ttg See "Tissue Transglutaminase IgA and IgG Ab Panel" Tumor Necrosis Factor-Alpha, Highly Sensitive Test Code:60980 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum, frozen immediately No SST s. Centrifuge and transfer serum into a clean, plastic, screw-capped vial(s) within 30 minutes of collection. Freeze immediately. Transportation Temperature:Frozen Estimated Turnaround Time:7-15 days Days Performed:Monday Methodology:Enzyme Linked Immunosorbent Assay Rejection Criteria: SST s are not acceptable Room temperature or refrigerated specimens Gross hemolysis, lipemia, icterus Tuna (f40), IgE Test Code:16104 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Turkey Meat (f284), IgE Test Code:15311 serum (1.1 ml minimum) for each 5-10 allergens tested serum Tylenol See "Acetaminophen" Type and Screen Test Code:18000 CPT Codes: 86850, 86900, Primary Container:Pink top EDTA (Blood Bank) Specimen Type:Whole Blood 6 ml whole blood Lavender top EDTA Red top non-gel barrier GLASS Alternate Container:Lavender top EDTA Tube must be labeled with Patient's full name, Date of Birth, Date and Time of Collection, and Phlebotomist Identification. Methodology:Immunohematology Rejection Criteria: Improperly labeled Marked hemolysis Must be tested within 48 hours of collection Frozen specimen Typhus Fever Ab Scr, IgG, IgM, Rflx Titer Test Code:62258 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Please note, if the Typhus Fever Ab Scr, IgG is positive, a Titer (CPT 86757) will be performed at an additional charge. If the Typhus Fever Ab Scr, IgM is positive, a Titer (CPT 86757) will be performed at an additional charge. Estimated Turnaround Time:3-6 days Days Performed:Monday - Friday Methodology:Immunofluorescence Assay Rejection Criteria:Gross hemolysis or lipemia Clinical Laboratory Partners Page 258

308 Tyrosine Test Code:61031 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Plasma 0.4 ml sodium heparin plasma, drawn from a fasting patient Minimum Volume:0.2 ml sodium heparin plasma 0.4 ml EDTA plasma, drawn from a fasting patient Alternate Container:Lavender top EDTA Overnight fasting is required for adults only. Non-fasting samples are acceptable for pediatric patients. Centrifuge within 30 minutes collection and immediately transfer plasma into a clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-12 days morning Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Room temperature specimens Unsaturated Iron Binding Capacity Test Code:11006 CPT Code: ml serum Methodology:FerroZine Urea Clearance Test Code:10392 CPT Code: Primary Container:**None** 10 ml urine aliquot from a well-mixed 24 hour urine collection collected without preservative and 1 ml serum Minimum Volume:1 ml Both urine and serum are required for completing Urea clearance calculation Methodology:Urease with Glutamate Dehydrogenase Urea Nitrogen, Urine, 24 Hour Test Code:10360 CPT Code: Primary Container:24 hour urine container 10 ml urine aliquot from a well-mixed 24 hour urine collected without preservatives Minimum Volume:5 ml Methodology:Urease with Glutamate Dehydrogenase Urea Nitrogen, Urine, Random Test Code:11176 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:1 ml 1 ml random urine from a UAP or gray perservative Alternate Container:Sterile Urine Cup Aliquot from a well mixed random urine collection. Methodology:Urease with Glutamate Dehydrogenase Ureaplasma/Mycoplasma Culture See "Culture, Genital Mycoplasma" Uric Acid Test Code:10210 CPT Code: ml serum 1 ml green heparin Alternate Container:Green top lithium heparin non-gel barrier Methodology:Uricase Urea Nitrogen, Blood See "Blood Urea Nitrogen (BUN)" Clinical Laboratory Partners Page 259

309 Uric Acid, Creatinine, Urine, 24 Hour Test Code:11233 CPT Codes: 82570, Primary Container:24 hour urine container Creatinine aliquot: 10 ml urine from a well-mixed 24 hour urine collected without preservatives Uric Acid aliquot: 10 ml from a well-mixed 24 hour urine collected without preservatives. Add NaOH to maintain ph greater than 8.0 Minimum Volume:5 ml Prepare aliquot for Creatinine. Adjust ph of remaining 24 hour collection with NaOH to achieve a ph >8.0. Prepare a second aliquot for the uric acid analysis. Clearly indicate the ph on the aliquot and note "URIC ACID". Rubber band two aliquots together and deliver to laboratory. Methodology:Jaffe (Rate Blanked) Uric Acid, Synovial Fluid Test Code:60944 CPT Code: Primary Container:Sterile specimen container Specimen Type:Synovial fluid 1 ml synovial fluid synovial fluid Submit specimen in a sterile, plastic, leakproof container. Days Performed:Monday-Sunday Methodology: Colorimetric Enzymatic Uric Acid, Urine, 24 Hour Test Code:10361 CPT Code: Primary Container:24 hour urine container 10 ml urine aliquot from a well-mixed 24 hour urine collection Minimum Volume:5 ml Adjust entire 24 hour collection with NaOH to ph >8.0 before preparing aliquot. Methodology:Uricase Uric Acid, Urine, Random Test Code:11174 CPT Code: Primary Container:Non-sterile container 10 ml random urine, collected without preservative Minimum Volume:5 ml urine 1 ml random urine from a UAP or gray preservative Alternate Container:Sterile Urine Cup Adjust ph to >8.0 with NaOH. Centrifuge samples containing precipitates before performing the assay. Methodology:Uricase Urinalysis with Microscopic Test Code:10526 CPT Code: Includes: Color, Clarity, Dipstick (Specific Gravity, ph, Leukocyte Esterase, Nitrite, Protein, Glucose, Ketone, Urobilinogen, Bilirubin, Hemoglobin) and Microscopic Examination. Primary Container:Non-sterile container 8 ml urine transferred to a UAP (preservative) Minimum Volume:6 ml 8 ml urine collected in a sterile urine cup, refrigerated Alternate Container:Sterile Urine Cup First morning collection preferred. : Sterile urine cup Room temperature: Grey, Yellow and Red Top Tube (UAP) Methodology:Reflectance Spectrophotometry Urinalysis with Reflex to Culture Test Code:10528 CPT Code: Includes: Color, Clarity, Dipstick (Specific Gravity, ph, Leukocyte Esterase, Nitrite, Protein, Glucose, Ketone, Urobilinogen, Bilirubin, Hemoglobin) and Microscopic Examination. Primary Container:Sterile specimen container 8 ml urine transferred to a UAP (preservative) AND 4 ml urine transferred to a grey top boric acid preservative Minimum Volume:6 ml 12 ml urine collected in a sterile urine cup, refrigerated Alternate Container:Grey top urine boric acid First morning specimen preferred. If leukocyte esterase is > trace, nitrate is positive or if WBC is > or equal to 5/hpf, a culture (test code 10403, CPT 87086) will be added at an additional charge. : Sterile urine cup Room temperature: Grey, Yellow and Red Top Tube (UAP) Methodology: Reflectance Spectrophotometry and Microscopic Examination Clinical Laboratory Partners Page 260

310 Urinalysis with Reflex to Microscopic Test Code:10515 CPT Code: Includes: Color, Clarity, Dipstick (Specific Gravity, ph, Leukocyte Esterase, Nitrite, Protein, Glucose, Ketone, Urobilinogen, Bilirubin, Hemoglobin). Primary Container:Non-sterile container 8 ml urine transferred to a UAP (preservative) Minimum Volume:6 ml 8 ml urine collected in a sterile urine cup, refrigerated Alternate Container:Grey top urine boric acid First morning collection preferred. If leukocyte esterase is >trace, nitrate is positive, protein is > trace, glucose is >99, blood is >trace or ketones is >trace, a microscopic examination (test code 10527, CPT 81015) will be added at a additional charge. : Sterile urine cup Room temperature: UAP (preservative) Methodology:Reflectance Spectrophotometry Urinalysis without Microscopic Test Code:10535 CPT Code: Primary Container:Non-sterile container 8 ml urine transferred to a UAP (preservative) Minimum Volume:2 ml 8 ml urine collected in a sterile urine cup, refrigerated Alternate Container:Sterile Urine Cup First morning collection preferred. : Sterile urine cup Room temperature: Grey, Yellow and Red Top Tube (UAP) Methodology:Reflectance Spectophotometry Urine Culture See "Culture, Urine" Urine Immunofixation Electrophoresis See "Immunofixation Electrophoresis, Urine" Urine Microscopic Exam Test Code:10527 CPT Code: Primary Container:Non-sterile container 8 ml urine transfered to a UAP (preservative) Minimum Volume:2 ml 8 ml urine collected in a sterile urine cup, refrigerated Alternate Container:Sterile Urine Cup First morning collection preferred. : Sterile urine cup Room temperature: Grey, Yellow and Red Top Tube (UAP) Methodology:Microscopic Examination Urine Protein Electrophoresis See "Electrophoresis, Protein, Urine" UroVysion by FISH Test Code:8048 CPT Code: Primary Container:Sterile specimen container 30mL random urine without preservative Will accept smaller volumes - call laboratory with questions or to request UroVysion kits Alternate Container:None Transfer freshly voided urine into a 120 ml UroVysion collection device. The container has 40 ml of PreservCyte. DO NOT GIVE THE UROVYSION SAMPLE CONTAINER TO THE PATIENT. The PreservCyte is toxic. Instruct the patient to use sterile technique to fill 75 % of the sterile urine cup. Office personnel must then transfer the urine to the UroVysion container with the preservative up to the 120 ml mark. ***Please note: If UroVysion collection device (with PreservCyte) is not available, specimen must be received at HH Cytogenetics within 24 hours of collection. Keep specimen refrigerated. Estimated Turnaround Time:2-10 days Methodology:Fluorescence In-Situ Hybridization (FISH) Rejection Criteria:Frozen specimens Vaginal/Cervical Culture See "Culture, Vaginal/Cervical (includes gram stain)" Vaginitis DNA Probe Test Code:10710 CPT Codes: 87480, 87510, Primary Container:Affirm VPIII transport system Specimen Type:Vaginal Vaginal specimen submitted in Affirm VPIII Ambient Temperature Transport System. Alternate Container:None Testing includes: Gardnerella vaginalis, Trichomonas vaginalis Candida species Estimated Turnaround Time:1-3 days Methodology:DNA Probe Valproic Acid, Free Test Code:60855 CPT Code: Primary Container:Red top non-gel barrier 3 ml serum Minimum Volume:1 ml 3 ml lavender EDTA, navy EDTA plasma 3 ml navy non-additive serum Alternate Container:Lavender top EDTA No SST s. Avoid contact of samples with plasticizers, varnishes, paint fumes and fatty acids. Optimum time to collect is 1 hour before next dose. Centrifuge and immediately transfer serum into clean, plastic, Days Performed:Monday-Saturday Methodology:Immunoassay Rejection Criteria:SST s are not acceptable Clinical Laboratory Partners Page 261

311 Valproic Acid, Total Test Code:11793 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml green heparin, lavender EDTA plasma Alternate Container:Green top lithium heparin non-gel barrier No SST s. Specimens should be drawn just prior to dose, preferably in the fasting state. More frequent monitoring may be necessary when administering valproic acid in the presence or during the withdrawl of other antiepileptic agents. Methodology:Homogenous Enzyme Immunoassay Rejection Criteria:SST s are not acceptable Vancomycin, Peak Test Code:11270 CPT Code: ml serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Peak collections (post dose) should be collectd 2 hours after the completion of infusion. Methodology:Homogeneous Enzyme Immunoassay Vancomycin, Random Test Code:11268 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Methodology:Homogeneous Enzyme Immunoassay Vancomycin, Trough Test Code:11269 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA, or blue citrate plasma Alternate Container:Green top sodium heparin Serum collected in either a SST or non-gel barrier is acceptable. Trough (pre dose) collections should be drawn immediately before dose is administered. Methodology:Homogeneous Enzyme Immunoassay Vanilla (Rf234), IgE** Test Code:60257 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Vanillylmandelic Acid (VMA), Urine, 24 Hour Test Code:60027 CPT Code: Primary Container:24 hour urine container 10 ml from a well mixed 24 hour urine. Add 6N HCl to maintain a ph below 3. Minimum Volume:5 ml urine 10 ml from a well mixed 24 hour urine, without preservative, ph below 6, frozen Patients should be off medications for 3 days before specimen collection. However, common antihypertensives (diuretics, ACE inhibitors,calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patients should avoid alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits, and strenuous exercise before collection. Mix well before aliquotting. Submit specimen in sterile, leakproof container. Specify on both the requisition and the sample aliquot the total 24 hour urine volume and the length of the collection period. Morning Methodology:High Performance Liquid Chromatography Clinical Laboratory Partners Page 262

312 Vanillylmandelic Acid,(VMA), Creat, Ur, Random Test Code:60571 CPT Codes: 82570, Primary Container:Non-sterile container 10 ml random urine. Add 6N HCl to maintain ph below 3. Minimum Volume:5 ml urine 10 ml random urine collected without preservative if ph is less than 6, frozen immediately Alternate Container:Sterile Urine Cup Adjust ph of specimen with 6N HCL to a ph less than 3. It is preferable for the patient to be off medications for 3 days prior to specimen collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers alpha and beta blockers) cause minimal or no interference. Patients should avoid alcohol, coffee, tea, tobacco (including the use of nicotine patch), bananas, citrus fruits, and strenuous exercise before collection. Submit specimen in clean, plastic, leakproof container. morning Methodology:High Performance Liquid Chromatography Varicella Zoster (VZV) Antibody IgG Test Code:10525 CPT Code: ml serum serum 1 ml serum red top non-gel barrier Estimated Turnaround Time:1-3 days Methodology:Multiplex Flow Immunoassay Varicella Zoster (VZV) Antibody IgM Test Code:10549 CPT Code: ml serum serum 1 ml serum from red top non-gel barrier Estimated Turnaround Time:1-7 days Days Performed:Monday Methodology:Enzyme Immunoassay Varicella Zoster DNA, RT-PCR, Qual Test Code:60856 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 1 ml EDTA whole blood whole blood 1 ml navy EDTA whole blood 1 ml yellow ACD B whole blood 1 ml bronchial brush/wash 1 ml CSF 1 ml eye, nasopharyngeal, lesion (vesicle), throat, aspirate/swab Whole blood: Submit whole blood specimen in original collection Bronchial brush/wash/csf: Submit in sterile, leak proof container Swabs/Aspirates: Submit in either sterile container(s) or in M4 transport Eye, nasopharyngeal, Lesion (vesicle), throat: Sterile container or M4 transport medium Methodology:Real-Time Polymerase Chain Reaction Rejection Criteria:Frozen whole blood Varicella Zoster Virus (VZV) DFA Test Code:11207 CPT Code: Primary Container:HSV/VZV Collection kit Specimen Type:See specimen requirements Vesicle scraping containing cellular material on a glass slide. Pink liquid transport media Date, time and site of collection required. Transportation Temperature:Glass slide: Room temperature, Pink liquid: Refrigerated Estimated Turnaround Time:1-4 days Methodology:Direct Fluorescent Antibody Vascular Endothelial Growth Factor Test Code:62202 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma plasma Centrifuge and transfer plasma into clean, plastic, Transportation Temperature:Frozen Estimated Turnaround Time:7-15 days Days Performed:Wednesday Methodology:Enzyme-linked Immunosorbent Assay Rejection Criteria: Gross hemolysis, lipemia, icterus Room temperature, refrigerated or thawed specimens Clinical Laboratory Partners Page 263

313 Vasoactive Intestinal Polypeptide (VIP) Test Code:60697 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma Minimum Volume:1.1 ml plasma Centrifuge and transfer plasma into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:8-12 days Days Performed:Tuesday, Friday afternoon Methodology: Extraction Radioimmunoassay Rejection Criteria:Lipemia Vasopressin See "Arginine Vasopressin (ADH)" VDRL See "Syphilis MIA Reflex RPR Titer & TPPA" VDRL, CSF Test Code:60682 CPT Code: Primary Container:Sterile CSF Specimen Type:Cerebrospinal fluid 1 ml CSF CSF Alternate Container:Sterile specimen container Submit specimen in clean, plastic, leakproof container. Days Performed:Monday-Saturday morning, night Methodology:Slide Micro-Flocculation Rejection Criteria:Hemolysis, lipemia Velvet Grass (g13), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested, and at least 2 ml serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Venom, Bumble Bee (B.terrestrus),IgE Test Code: ml (0.5 ml minimum) serum for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Methodology:ImmunoCAP Very Long Chain Fatty Acids Test Code:62280 CPT Code: Primary Container:Red top non-gel barrier 0.5 ml serum Overnight fasting is recommended No SST s. Overnight fasting is recommended. Avoid alcohol consumption for 24 hours prior to collection. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:6-12 days Days Performed:Tuesday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria: SST s are not acceptable Gross hemolysis Lipemia or icterus Room temperature specimens Vibrio Culture See "Culture, Stool R/O Vibrio" VIP See "Vasoactive Intestinal Polypeptide (VIP)" Viral Culture See "Culture, Viral testing" Clinical Laboratory Partners Page 264

314 Viscosity, Serum Test Code:62053 CPT Code: ml serum Minimum Volume:1.2 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Methodology:Kinematic Viscometer Vitamin A (Retinol) Test Code:60566 CPT Code: ml serum, protected from light Fasting is preferred Minimum Volume:1 ml 2 ml serum from red top non-gel barrier, protected from light Fasting is preferred Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Protect from light. Estimated Turnaround Time:5-7 days morning Methodology:High Performance Liquid Chromatography Rejection Criteria: Plasma specimen Not protected from light Vitamin B1, Plasma/Serum Test Code:60568 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml EDTA plasma, frozen immediately, protected from light Minimum Volume:1 ml plasma 2 ml serum from red top non gel barrier,frozen immediately, protected from light Immediately centrifuge and transfer plasma into clean, plastic, screw-capped vials, freeze and protect from light. Specimen must be processed within 4 hours of collection. **If unable to process immediately, specimen should be kept unspun, protected from light, and refrigerated, up to 4 hours.** Transportation Temperature:Frozen Estimated Turnaround Time:5-7 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: Lipemia or hemolysis Not protected from light Vitamin B1, Whole Blood Test Code:60567 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 3 ml EDTA whole blood, frozen immediately Specimen that is frozen but not protected from light, is acceptable Overnight fasting is recommended Minimum Volume:1.1 ml whole blood Overnight fasting is recommended. Transfer whole blood into clean, plastic, Freeze immediately. Specimen that is frozen but not protected from light, is acceptable. **If specimen is unable to be frozen within 72 hours, it is acceptable if specimen is protected from light and refrigerated. Once specimen is frozen, it is no longer necessary to protect from light.** Transportation Temperature:Frozen Estimated Turnaround Time:3-6 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Vitamin B12 Test Code:11614 CPT Code: ml serum serum 1 ml green sodium heparin, lavender EDTA plasma Alternate Container:Green top sodium heparin Methodology:Electrochemiluminescence Immunoassay Vitamin B12 Binding Capacity Test Code:60569 CPT Code: ml serum Minimum Volume:0.2 ml 1 ml serum from red top non-gel barrier Centrifuge transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Tuesday, Thursday night Methodology:Radiobinding Assay Clinical Laboratory Partners Page 265

315 Vitamin B2 Test Code:60896 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 2 ml EDTA plasma protected from light, frozen immediately Specimen that is frozen, but not protected from light, is acceptable plasma, protect from light Centrifuge and immediately transfer plasma into clean, plastic, Protect from light and freeze immediately. Specimen that is frozen, but not protected from light, is acceptable. **If specimen is unable to be centrifuged and frozen within 4 hours after collection, it is acceptable if specimen is protected from light and refrigerated (for up to 24 hours). Once specimen is frozen, it is no longer necessary to protect from light.** Transportation Temperature:Frozen Estimated Turnaround Time:5-9 days Days Performed:Tuesday-Saturday Methodology: Fluorometric High Performance Liquid Chromatography Vitamin B3 See "Niacin (Vitamin B3)" Vitamin B6 Test Code:60570 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 1 ml EDTA plasma drawn from a fasting patient, protected from light, frozen immediately plasma, protect from light Overnight fasting is required and patient must be restricted alcohol and vitamins for at least 24 hours before sample collection. Draw blood into light protected EDTA. Immediately centrifuge and transfer plasma into clean, plastic, screwcapped vial(s). Protect from light and freeze immediately. **If specimen is unable to be centrifuged and frozen within 6 hours after collection, it is acceptable if protected from light and refrigerated (for up to 6 hours.) Protect from light at all times.** Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Tuesday, Thursday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Not protected from light Vitamin D See "Vitamin D, 25-Hydroxy" Vitamin D, 1,25-Dihydroxy Test Code:62076 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum from red top non-gel barrier Minimum Volume:1.1 ml **2 ml serum from SST** SST is acceptable but not recommended due to possible gel interference with testing. Recollection, using preferred red top non-gel barrier, may be required. Alternate Container:Serum Separator Tube Centrifuge and transfer serum into clean, plastic, screw-capped vial(s). Estimated Turnaround Time:5-9 days Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:Lipemic, icteric or hemolysis Vitamin D, 25-Hydroxy Test Code:10711 CPT Code: ml serum 1 ml green lithium heparin, lavender EDTA plasma Alternate Container:Lavender top EDTA Red top or gel barrier s are acceptable for serum collections. Separate serum from the cells immediately after clot formation. Estimated Turnaround Time:1-3 days Days Performed:Monday-Saturday Methodology:Electrochemiluminescence Rejection Criteria:Hemolysis Vitamin E (Tocopherol) Test Code:60688 CPT Code: ml serum, protected from light. Fasting is preferred. 2 ml serum from red top non-gel barrier, protected from light. Fasting is preferred. Overnight fasting is preferred. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Protect from light. Estimated Turnaround Time:6-8 days morning Methodology:High Performance Liquid Chromatography Rejection Criteria:Not protected from light Clinical Laboratory Partners Page 266

316 Vitamin K Test Code:60644 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Plasma 3 ml EDTA plasma, frozen immediately Specimen that is frozen but not protected from light, is acceptable Overnight fasting is preferred Minimum Volume:1.5 ml plasma, protect from light 3 ml green heparin plasma, protected, frozen immediately Specimen that is frozen but not protected from light, is acceptable Overnight fasting is preferred Alternate Container:Green top lithium heparin non-gel barrier Overnight fasting is preferred. Centrifuge immediately and transfer plasma into clean, plastic, screw-capped vial(s) collection. Specimen that is frozen, but not protected from light, is acceptable. Transportation Temperature:Frozen Estimated Turnaround Time:4-14 days Days Performed:Tuesday morning Methodology:High Performance Liquid Chromatography Rejection Criteria:Room temperature, refrigerated or thawed specimens Vitreous Fluid Culture See "Culture, Vitreous Fluid" VKORC1 Genotype See "Warfarin/Coumadin Sensitivity" See "Vanillylmandelic Acid (VMA) w/creat,ur, Random" VMA See "Vanillylmandelic Acid (VMA), Urine, 24 Hour" Von Willebrand Factor Activity Test Code:10637 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1 ml DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:24-48 hours Methodology:Turbidimetric Rejection Criteria: Hemolysis Room temperature, refrigerated, or thawed specimens Voltage-Gated Calcium Channel Ab Test Code:62028 CPT Code: ml serum Minimum Volume:0.2 ml serum 1 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-12 days Days Performed:Wednesday Methodology:Radiobinding assay Clinical Laboratory Partners Page 267

317 Von Willebrand Factor Antigen Test Code:10636 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately Minimum Volume:1 ml DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 1500 g for 15 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 1500 g for 15 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:24-48 hours Methodology:Turbidometric Rejection Criteria: Hemolysis Room temperature, refrigerated or thawed specimens von Willebrand Factor Collagen Binding Assay Test Code:60758 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor plasma: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-15 days Days Performed:Tuesday Methodology:Enzyme-Linked Immunosorbent Assay Rejection Criteria:Room temperature, refrigerated or thawed specimens von Willebrand Factor Multimeric Analysis Test Code:60709 CPT Code: Primary Container:Blue top sodium citrate Specimen Type:Plasma 1 ml citrate platelet poor plasma, frozen immediately plasma DO NOT draw blue citrate first. Draw a non-additive SST as first. Discard SST unless orders include tests requiring serum. Blue top s must be a full draw to ensure proper anticoagulant ratio. A full draw is 90% or more of the labeled volume. Allow the blood to fill the until the vacuum is exhausted. Combining s is unacceptable. Invert gently to mix. Specimen must be processed within 2 hours. To prepare platelet poor: 1. Spin the blue top at 3400 rpm for 10 minutes. 2. Using a plastic transfer pipet, transfer the plasma to a labeled aliquot. To avoid disturbing the buffy coat layer (white layer just above the red cells) leave some plasma above the cells. 3. Spin the citrate plasma (aliquot) at 3400 rpm for 10 minutes. 4. Using another plastic pipet, transfer the citrate plasma to a labeled aliquot. Avoid disturbing any platelets that may be at the bottom of the by staying away from the bottom of the and leaving a small amount of plasma in the. 5. Label the as plasma and immediately freeze. Transportation Temperature:Frozen Estimated Turnaround Time:5-10 days Days Performed:Monday-Thursday Methodology:Electrophoresis Rejection Criteria: Room temperature, refrigerated, or thawed specimen Hemolysis Vysis UroVysion See "UroVysion by FISH" WA1 Antibody, IgG Test Code:62171 CPT Code: ml serum Minimum Volume:0.2 ml 0.5 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. Estimated Turnaround Time:5-7 days Methodology:Indirect Immunofluorescence Assay Clinical Laboratory Partners Page 268

318 Walnut (f256), IgE Test Code:16040 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Walnut Black Food (J. nigra), IgE* Test Code:62110 serum (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Methodology:Radioallergosorbent Test Rejection Criteria:Frozen specimen Walnut Food English (J. regia), IgE Test Code: ml serum (0.3 ml minimum) for 1-4 allergens tested and at least 2 ml (1.1 ml minimum) for each 5-10 allergens tested. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:3-7 days Methodology:Radioallergosorbent Test Rejection Criteria:Frozen specimen Walnut Tree (t10), IgE Test Code:16083 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Watermelon (Rf329), IgE Test Code: ml (0.3 ml minimum) for 1-4 allergens tested and at least 2 ml (1.1 ml minimum) serum for 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday-Saturday Methodology:Immunoassay WBC See "White Blood Cell Count" WBC & Platelet Count with Differential Test Code:10011 CPT Codes: 85004, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Avoid exposure to heat or freezing temperatures. Methodology: Flow cytometry with a combination of nucleic acid fluorescence/optical, cytochemistry, and radio frequency with a reflex to manual microscopic methods Rejection Criteria:Clotted, frozen, or hemolyzed specimens WBC Stool Test Code:10642 CPT Code: Primary Container:See specimen requirements Specimen Type:See specimen requirements Fecal specimens acceptable Sterile container, Parapak C&S vial, culture transport swab or direct smear on slide are acceptable for specimen transport. Date and time of collection required. Estimated Turnaround Time:1-2 days Methodology:Gram stain Clinical Laboratory Partners Page 269

319 West Nile Virus Antibody, IgG, IgM Test Code:60038 CPT Codes: 86788, ml serum Minimum Volume:0.7 ml 2 ml serum from red top non-gel barrier Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-7 days Days Performed:Monday, Wednesday, Friday morning Methodology:Enzyme-Linked Immunosorbent Assay Western Ragweed (w2), IgE Test Code:60171 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Wet Prep for Trichomonas Test Code:10430 CPT Code: Primary Container:Blue cap culture transport swab Specimen Type:See specimen requirements Vaginal, penile or genital specimens acceptable. Saline wash delivered to lab within 2 hours of collection or orange cap mini-tip culture transport swab. Alternate Container:See specimen requirements Deliver to lab as soon as possible after collection. Date, time and collection site required. Estimated Turnaround Time:1-2 days Methodology:Wet Prep smear Wheat (f4), IgE Test Code:16041 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Whey (Rf236), IgE** Test Code:60345 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Whey, IgG* Test Code:42962 CPT Code: ml serum Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:4-7 days Methodology:Enzyme Immunoassay White Ash (t15), IgE Test Code:16058 serum (1.1 ml minimum) for each 5-10 allergens tested. serum White Bean (f15), IgE Test Code:60229 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Clinical Laboratory Partners Page 270

320 White Blood Cell and Differential Test Code:10048 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Flow cytometry with a combination of nucleic acid fluorescence/optical, cytochemistry, and radio frequency with a reflex to manual microscopic methods Rejection Criteria:Clotted, frozen, or hemolyzed specimens White Blood Cell Count Test Code:10046 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 4 ml EDTA whole blood Minimum Volume:1 ml 3 ml EDTA whole blood collected in a pediatric lavender top or 0.5 ml EDTA whole blood collected in a lavender top microtainer for infant collections. 6 ml EDTA pink top whole blood Alternate Container:Pink top EDTA (Blood Bank) Avoid exposure to heat or freezing temperatures. Methodology: Flow cytometry with nucleic acid fluorescence/optical and impedence Rejection Criteria:Clotted, frozen, or hemolyzed specimens White Mulberry (t70), IgE Test Code:16087 serum (1.1 ml minimum) for each 5-10 allergens tested. serum White Pine (t16), IgE Test Code:16110 serum (1.1 ml minimum) for each 5-10 allergens tested. serum White-Faced Hornet (i2), IgE Test Code:16117 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Whitefish, IgE Test Code: ml serum (0.5 ml minimum) for 1 allergen and at least 2 ml serum for 2-10 allergens 1 ml (0.5 ml minimum) lavender EDTA, green heparin plasma for 1 allergen and at least 2 ml for 2-10 allergens Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:5-10 days Methodology:ImmunoCAP Whole Egg (f245), IgE Test Code:16042 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Whooping Cough See "Bordetella pertussis PCR" Clinical Laboratory Partners Page 271

321 Wild Rye Grass (g70), IgE Test Code:60348 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Wild Silk (k73), IgE Test Code:60336 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Willow (t12), IgE Test Code:16111 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Wormwood (w5), IgE Test Code:60202 serum (1.1 ml minimum) for each 5-10 allergens tested Centrifuge and transfer serum into clean, plastic, Wound Culture See "Culture, Wound (includes gram stain)" Wound Culture r/o Anthrax See "Culture, Wound r/o Anthrax" Xanax See "Alprazolam (Xanax)" Xylene, Occupational Exposure, Blood Test Code:27052 CPT Code: Primary Container:Green top sodium heparin Specimen Type:Whole Blood 20 ml green sodium heparin whole blood Minimum Volume:2.5 ml whole blood 20 ml green heparin non-gel barrier whole blood Alternate Container:Green top lithium heparin non-gel barrier Collect at end of shift or end of exposure. Tubes should be filled to prevent loss of volatile compound into headspace. Submit whole blood specimen. Estimated Turnaround Time:10-15 days Methodology:Headspace Gas Chromatography/Flame Ionization Detection Xylocaine See "Lidocaine (Xylocaine)" See "d-xylose Absorption, Blood, 1 Hour" Xylose See "d-xylose, Urine, 5 Hour" Y Chromosome Microdeletions See "Chromosome Y Microdeletions" Yeast (f45), IgE Test Code:16043 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Clinical Laboratory Partners Page 272

322 Yellow Hornet (i5), IgE Test Code:16119 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Yellow Jacket (i3), IgE Test Code:16120 serum (1.1 ml minimum) for each 5-10 allergens tested. serum Yo Antibody Screen Rflx WB, Titer Test Code:62223 CPT Code: ml serum Fasting is preferred 1 ml serum from red top non-gel barrier Fasting is preferred Fasting is preferred. Centrifuge and transfer serum into clean, plastic, screw-capped vial(s) within 1 hour of collection. If the Yo Ab Screen is positive, a Western Blot (CPT 84181) will be performed at an additional charge. If the Western Blot is positive, a Titer (CPT 86256) will be performed at an additional charge. Estimated Turnaround Time:7-12 days Days Performed:Sunday,Tuesday,Thursday Methodology:Indirect Immunofluorescence Assay ZAP 70 Test Code:62359 CPT Codes: 88184, Primary Container:Lavender top EDTA Specimen Type:Whole Blood 5 ml EDTA whole blood Minimum Volume:1 ml whole blood 5 ml bone marrow in green sodium heparin (do not spin ) 5 ml whole blood in green sodium heparin, yellow ACD B Alternate Container:Green top sodium heparin Specimen must be shipped and arrive at reference lab within 24 hours of collection. Collect Monday-Thursday (morning draw only.) Call for "STAT" courier pick-up and send specimen "attn specimen processing supervisor/lead processor." SUBMIT WHOLE BLOOD SPECIMEN. Specimen should be sent to reference lab same day as collected. Estimated Turnaround Time:4-7 days Methodology:Flow Cytometry Rejection Criteria:Refrigerated or frozen specimens Zarontin See "Ethosuximide" Zinc Test Code:60651 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:Plasma 2 ml navy EDTA plasma Minimum Volume:0.7 ml plasma 2 ml navy non-additive serum Alternate Container:Navy blue top non-additive Patients should refrain from taking vitamin or mineral supplements for at least 3 days prior to specimen collection. Use powderless gloves when handling the specimen. Centrifuge and transfer plasma into clean, plastic, trace metal-free, screw-capped vial(s) within 2 hours of collection. Days Performed:Monday-Saturday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria:Hemolysis Clinical Laboratory Partners Page 273

323 Zinc Protoporphyrin Test Code:60573 CPT Code: Primary Container:Lavender top EDTA Specimen Type:Whole Blood 2 ml EDTA whole blood, protected from light whole blood, protect from light 2 ml navy EDTA, green sodium heparin whole blood, protected from light Alternate Container:Green top sodium heparin Submit whole blood. Protect from light. Label both the primary and the wrapping. ***Specimen is acceptable up to 24 hours if exposed to indoor lighting.*** morning Methodology:Hematoflurometry Rejection Criteria: Frozen or clotted specimen Hemolysis Zinc, RBC Test Code:61064 CPT Code: Primary Container:Navy blue top EDTA Specimen Type:See specimen requirements 0.5 ml Red Blood Cells Red Blood Cells L-EDTA (lavender top), sodium heparin (dark blue-top), sodium heparin leadfree (tan-top), sodium or lithium heparin (green-top) Alternate Container:Lavender top EDTA Centrifuge and separate RBC's into an acid washed plastic screw cap vial within two hours of collection. Estimated Turnaround Time:5-10 days Days Performed:Tuesday to Saturday Methodology:Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) Rejection Criteria: Moderate hemolysis Clotted Zolpidem Test Code:62276 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum 1 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria:SST s are not acceptable Zonisamide Test Code:60115 CPT Code: Primary Container:Red top non-gel barrier 1 ml serum 1 ml lavender EDTA, green sodium heparin plasma Alternate Container:Lavender top EDTA No SST s. Draw sample 1/2 to 1 hour before next dose. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:6-10 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Tandem Mass Spectrometry Rejection Criteria: SST s are not acceptable Hemolysis or lipemia ZPP See "Zinc Protoporphyrin" Ziprasidone Test Code:61032 CPT Code: Primary Container:Red top non-gel barrier 2 ml serum Minimum Volume:0.4 ml 2 ml lavender EDTA plasma Alternate Container:Lavender top EDTA No SST s. Centrifuge and immediately transfer serum into clean, plastic, Estimated Turnaround Time:7-10 days Days Performed:Monday, Wednesday, Friday Methodology:Liquid Chromatography/Mass Spectrometry Rejection Criteria:SST s are not acceptable Zoloft See "Sertraline (Zoloft)" Clinical Laboratory Partners Page 274

324 Index by Test Name Test Name Page Test Name Page 1 11-Deoxycortisol Alpha-Hydroxyprogesterone See "17-Hydroxyprogesterone" Hydroxycorticosteroids&17-Ketosteroids, Ur, 24H Hydroxycorticosteroids, Creat, Urine, 24 Hr Hydroxypregnenolone Hydroxyprogesterone Ketogenic Steroids, Creatinine, Urine, 24 Hr Ketosteroids w/o Creatinine, Urine, 24 Hour Ketosteroids, Creatinine, Ur, 24 Hr Hydroxy Vitamin D See "Vitamin D, 25-Hydroxy" a-Androstanediol Glucuronide ' Nucleotidase Flucytosine HIAA (Serotonin), Creatinine, Urine, 24 Hr HIAA (Serotonin), Urine, Random... 3 A A. alternata (m6), IgE... 3 A. phagocytophilum DNA, RT-PCR,Ql... 3 A1c See "Hemoglobin A1c" A1c with eag See "Hemoglobin A1c with Estimated Average Glucose" ABO Only... 3 ABO, Rh and Antibody Screen (Pre-Natal)... 3 ABORH... 4 Absolute Neutrophil Count... 4 Acacia (t19), IgE... 4 Acarus siro (d70), IgE... 4 ACE See "Angiotensin Converting Enzyme (ACE), Serum See "Angiotensin Converting Enzyme, CSF" Acetaminophen, Quantitative... 4 Acetoacetic Acid, Qualitative... 4 Acetone See "Acetoacetic Acid, Qualitative"... 4 Acetylcholine Receptor (ACHr) Blocking Antibody... 5 Acetylcholine Receptor (ACHr) Modulating Ab... 5 Acetylcholine Receptor Binding Antibody... 5 Acid Phosphatase, Prostatic... 5 ACL See "Cardiolipin Antibody Panel" ACTH See "Adrenocorticotrophic Hormone (ACTH), Plasma"... 7 ACTH Stimulation Test See "Cortisol, pre Cosyn" See "Cortisol, 30 min post Cosyn" See "Cortisol, 60 min post Cosyn" Actin Antibody, IgG... 5 Activated Protein C Resistance... 6 Acylcarnitine, Plasma... 6 Acylglycines, Quantitative, Urine... 6 ADAMTS13 Activity Rflx ADAMTS Inhibitor... 6 Adenosine Deaminase, Blood... 7 Adenovirus Antibody... 7 Adenovirus DNA, RT-PCR, Qual... 7 ADH See "Arginine Vasopressin (ADH)" Adrenocorticotrophic Hormone (ACTH), Plasma... 7 Advanced Lipid Panel Reflex Direct LDL... 7 Aeromonas Culture See "Culture, Stool R/O Aeromonas" Affirm See "Vaginitis DNA Probe" ALA See "Aminolevulinic Acid (ALA), Urine, 24 Hour" See "Aminolevulinic Acid Dehydratase, Erythrocytes" Alanine Aminotrans (ALT)... 8 Albumin... 8 Albumin, Body Fluid... 8 Alder (t2), IgE... 8 Aldolase... 8 Aldosterone... 8 Aldosterone, Creat, Urine, 24 Hr... 9 Aldosterone/Plasma Renin Activity Ratio... 9 Alkaline Phosphatase... 9 Alkaline Phosphatase Isoenzymes... 9 Alkaline Phosphatase, Bone Specific... 9 Allergy Childhood Food & Environmental Profile... 9 Allergy Food Adult Profile... 9 Allergy Respiratory Region 1 Profile Almond (f20), IgE Alpha-1 Antitrypsin (AAT) Mutation Analysis Alpha-1 Antitrypsin, Total Alpha-1-Antitrypsin (AAT) Phenotype Alpha-1-Antitrypsin, Feces, Random Alpha-2 Antiplasmin Alpha-Fetoprotein (AFP), Fluid, CSF Alpha-Fetoprotein (AFP), Maternal, Chantilly Alpha-Fetoprotein (AFP), Maternal, Yale Alpha-Fetoprotein (AFP), Tumor Marker Alpha-Lactalbumin (f76), IgE Alpha-Subunit Alpha-Tocopherol See "Vitamin E (Tocopherol)" Alpha-Tumor Necrosis Factor See "Tumor Necrosis Factor-Alpha, Highly Sensitive" Alprazolam, Quantitative ALT See "Alanine Aminotrans (ALT)"... 8 Aluminum Amikacin Amino Acid Analysis, Quantitative, Plasma Amino Acids, Creat, Ur, Random, Quant Aminolevulinic Acid (ALA), Urine, 24 Hour Aminolevulinic Acid Dehydratase, Erythrocytes Aminophylline See "Theophylline" Amiodarone Amitriptyline, Quantitative AML1/ETO (t(8,21)) Fusion ID, RT-PCR Ammonia, Plasma See "Entamoeba histolytica Stool Antigen" Amoxicillin (c6), IgE Amphetamine and Metabolite, Confirm, Ur, Qt Amphetamine Screen Rflx Semi-Quant & Conf, Urine Amphetamine Screen, Reflex Semi-Quantitative Amphetamine Screen, Urine Clinical Laboratory Partners Page G-1

325 Index by Test Name Test Name Page Test Name Page Amphetamine Screen, Urine, Reflex Confirmation Ampicillin (c5), IgE Amylase Amylase, Fluid Amylase, Fractionated Amylase, Urine, Random ANA See "Anti-Nuclear Antibody Screen, Reflex Titer" ANA & Sjogren's Panel Reflex to ANA Titer ANA Reflex RF, Rheum, C3, C4 Profile ANA Reflex Rheum, C3, C4 Profile ANA Screen Reflex Titer and Comp Panel ANA Screen Reflex Titer and ENA Panel ANA Screen Reflex Titer and Lupus Panel ANA Screen Reflex Titer and MCTD Panel ANA Screen Reflex Titer and Scleroderma Panel ANA Screen, Reflex ANA Titer, Sm, Sm/RNP, dsdna ANA Screen, Reflex Titer and dsdna Anaplasma (Ehrlichia) Blood Smear Anaplasma phagocytophilum Ab (Ehrlichia) ANCA Screen Reflex Titer Androstenedione Angioneurotic Edema, Hereditary See "C1 Inhibitor, Functional" Angiotensin Converting Enzyme (ACE), Serum Angiotensin Converting Enzyme, CSF Angiotensin II Anthrax See "Culture, Blood R/O Anthrax" See "Culture, Nose R/O Anthrax" See "Culture, Wound R/O Anthrax" Anti-Adenovirus See "Adenovirus Antibody"... 7 Anti-Adrenal Antibody Screen, Reflex Titer Anti-DNase-B See "Dnase-B Antibody" Anti-ENA See "Sm (Smith) and Sm/RNP Antibodies" Anti-Endomysial Antibody See "Endomysial IgA Ab Screen, Reflex to Titer" Anti-HBc, IgM See "Hepatitis B Core Antibody IgM" Anti-Hepatitis Be See "Hepatitis Be Antibody" Anti-Histamine Screen Anti-Histidyl-tRNA Synthetase See "Jo-1 Antibody" Anti-Insulin Antibody See "Insulin Autoantibodies" Anti-Kell See "Antibody Screen, Reflex ID" Anti-Kidd See "Antibody Screen, Reflex ID" Anti-La See "La (SSB) Antibody" Anti-Measles See "Rubeola Antibody IgG" Anti-Microsomal (Thyroid) Antibody,Reflex to Titer Anti-Mitochondrial Antibody, Reflex Titer Anti-Mullerian Hormone AssessR Anti-Mumps See "Mumps Antibody IgG" Anti-Nuclear Antibody Screen, Reflex Titer Anti-Parietal Cell Antibody, Reflex Titer Anti-Ribonucleic Protein See "Sm (Smith) and Sm/RNP Antibodies" Anti-Scleroderma Antibody See "Scl-70 Antibody" Anti-Smith Antibody See "Sm (Smith) and Sm/RNP Antibodies" Anti-Smooth Muscle Screen, Reflex Titer Anti-SSA See "Ro (SSA) Antibody" Anti-SSA and SSB See "Sjogren's (SS-A, SS-B) Antibodies" Anti-SSB See "La (SSB) Antibody" Anti-Strep See "DNase-B Antibody" Anti-Streptolysin O Screen reflex Titer Anti-T4 See "T4 (Thyroxine) Antibody" Anti-Thyroid Antibody See "Thyroid Antibody (ATA, TPO)" Anti-Thyroxine See "T4 (Thyroxine) Antibody" Anti-Topoisomerase Antibody See "Scl-70 Antibody" Anti-TPO See "Thyroid Peroxidase Antibody" Antibody Screen, Reflex ID Antibody Titer Antiduretic Hormone See "Arginine Vasopressin (ADH)" Antigen Type Antithrombin III Activity Antithrombin III Activity (AT3), Rflx AT3 Ag Antithrombin III Antigen APC See "Activated Protein C Resistance"... 6 Apo (a) See "Lipoprotein (a)" Apo A-1 See "Apolipoprotein A-1" Apo B See "Apolipoprotein B" Apolipoprotein A Apolipoprotein B Apolipoprotein Evaluation (A1,B, & Ratio) Apple (f49), IgE Apricot (f237), IgE Aptima See "Neisseria gonorrhoeae (GC) by DNA" See "Chlamydia trachomatis by DNA" See "GC/Chlamydia by DNA" Arginine Vasopressin (ADH) Aripirazole (Abilify) Arsenic, Blood Arsenic, Creat, Urine, Random Arsenic, Frac, Creat, Ur, Random Arsenic, Gastric Fluid Arsenic, Urine, 24 Hour Arylsulfatase A, Urine ASCA See "Saccharomyces cerevisiae Ab (ASCA), IgG, IgA" Ascaris (p1), IgE Ashkenazi Panel (11 tests) Asialo GM-1 Ab, IgG Asialo GM-1 Ab, IgM ASO See "Anti-Streptolysin O Screen reflex Titer" Aspartate Aminotrans (AST) Asper. fumigatus (m3), IgE Asper. niger (m207), IgE Aspergillus Antibodies Aspergillus Antigen Aspergillus flavus, IgE* Aspergillus fumigatus, IgG* Aspirin Resistance, Creat, Urine AST Clinical Laboratory Partners Page G-2

326 Index by Test Name Test Name Page Test Name Page See "Aspartate Aminotrans (AST)" AST & ALT ATA See "Thyroglobulin Antibody" Aureobasidium pu (m12), IgE Australian Pine (t73), IgE Avocado (f96), IgE B B burgdorferi See "Lyme Ab IgG/IgM Reflex Western Blot" B Cell PCR Gene Rearrange, Fresh Spec B Cell PCR Gene Rearrange, Paraffin Tiss B Thalassemia African American Panel, DNA B Thalassemia Asian Panel, DNA B Thalassemia Sequencing B-Type Natriuretic Peptide B12 See "Vitamin B12" B3 See "Niacin (Vitamin B3)" B6 See "Vitamin B6" Babesia See "Blood Parasites" Babesia microti Ab IgG/IgM Titer Babesia microti DNA, Real-Time PCR Bacterial Antigen, Group B Strep Bacterial Antigen, Streptococcus pneumoniae Bacterial Vaginosis See "Vaginitis DNA Probe" Bahia Grass (g17), IgE Banana (f92), IgE Barbiturate Screen, Reflex Semi-Quantitative Barbiturate Screen, Rflx Semi-Quant & Conf, Urine Barbiturate Screen, Urine Barbiturate Screen, Urine, Reflex Confirm Barbiturate, Confirmation, Ur, Quant Barley (f6), IgE Bartonella henselae, IgG, IgM Rflx Titer Bartonella henselae, quintana, IgG,IgM Rflx Titer Bartonella quintana, IgG, IgM Basic Metabolic Panel Basil (Rf269), IgE** Bay Leaf (Larus nobilis), IgE BCR ABL Fusion Quant with Reflex to ID Beech (t5), IgE Beef (f27), IgE Beet, IgE Benzene OSHA Exposure, Urine, Random Benzene, Occupational Exposure, Blood Benzodiazepine Screen, Rflx Semi-Quant & Conf, Ur Benzodiazepine Screen, Urine Benzodiazepine Screen, Urine, Reflex Confirm Benzodiazepine, Confirmation, Comp Panel Benzodiazepine, Confirmation, Ur, Qt Benzodiazepines Screen, Reflex Semi-Quantitative Bermuda Grass (g2), IgE Beta-2 Glycoprotein IgA Beta-2 Glycoprotein IgA, IgG, IgM Panel Beta-2 Glycoprotein IgG Beta-2 Glycoprotein IgM Beta-2 Microglobulin Beta-2 Microglobulin, Creatinine, Urine, Random Beta-2 Microglobulin, CSF Beta-2 Transferrin, Body Fluid Beta-hCG, Qualitative Beta-hCG, Qualitative, Reflex Quant Beta-hCG, Qualitative, Urine Beta-hCG, Quantitative Beta-hCG, Quantitative (Non-Maternal) Beta-Hydroxybutyrate Beta-Lactoglobulin (f77), IgE BHB See "Beta-Hydroxybutyrate" Bicarbonate See "Carbon Dioxide" Bile Acids, Fractionated and Total Bile Acids, Total Bilirubin, Direct Bilirubin, Direct & Indirect Bilirubin, Total Bilirubin, Total and Direct Bilirubin, Total Reflex to Direct & Indirect Bilirubin, Total, Direct and Indirect Biotinidase Birch (t3), IgE BK and JC Virus DNA, Qualitative, PCR BK Virus DNA, RT-PCR, Quantitative Black Bass, IgE Black Olive (Rf342), IgE Black Pepper (f280), IgE Bladder Cancer See "UroVysion by FISH" Blastomyces Antibody, CF, ID Blood Culture See "Culture, Blood" Blood Parasites Blood Urea Nitrogen (BUN) Blood Urea Nitrogen (BUN), Body Fluid Bloom Syndrome, DNA Mutation Blue Mussel (f37), IgE Blueberry (Rf288), IgE** BMP See "Basic Metabolic Panel" BNP See "B-Type Natriuretic Peptide" Body Fluid Culture See "Culture, Body Fluid (includes gram stain)" Bone Specific Alkaline Phosphatase See "Alkaline Phosphatase, Bone Specific"... 9 Bordetella pertussis Ab, IgG, IgA Bordetella pertussis Antibody, IgG Bordetella pertussis/parapertussis PCR Boron Borrelia burgdorferi See "Lyme Ab IgG/IgM Reflex Western Blot" Borrelia Species DNA, RT-PCR, Tick Botrytis cinerea (m7), IgE BRAF Gene Mutation Panel Brain Natriuretic Peptide See "B-Type Natriuretic Peptide" Brazil Nut (f18), IgE Broccoli (f260), IgE Brome Grass (g11), IgE Bromides Brucella Ab, IgG, IgM, Rflx Agglutination Brussel Sprouts (Rf217), IgE** Buckwheat (f11), IgE Bullous Pemphigoid Antigen (BP 180) Antibody BUN See "Blood Urea Nitrogen (BUN)" BUN Creat w/ Ratio Buprenorphine Screen, Reflex Semi-Quantitative Buprenorphine Screen, Rflx Semi-Quant & Conf, Ur Buprenorphine Screen, Urine Buprenorphine Screen, Urine, Reflex Confirmation Clinical Laboratory Partners Page G-3

327 Index by Test Name Test Name Page Test Name Page Buprenorphine, Confirmation, Ur, Qt Bupropion and Metabolite C c-kit Mutation Analysis, PCR C-Peptide C-Peptide, Urine, 24 hour C-Reactive Protein C-Reactive Protein (High Sens) C-Terminal Insulin See "C-Peptide" C. difficile Toxin and NAP1 PCR C1 Esterase See "C1 Inhibitor, Functional" C1 Inhibitor, Functional C1 Inhibitor, Protein C1q Complement Component C2 Complement Component C3 See "Complement C3" C3 Complement Component, Pericardial Fluid C3 Nephritic Factor, Serum C3, C4 Panel C3a C4 See "Complement C4" C4 Binding Protein C4a C5 See "Complement C5" C6 See "Complement C6" CA CA CA CA Cabbage (f216), IgE Cadmium, Blood Cadmium, Creatinine, Urine, Random Cadmium, Urine, 24 Hour Caffeine, Serum Calcitonin Calcium Calcium, Creatinine, Urine, 24 Hour Calcium, Ionized Calcium, Ionized (mg/dl) Calcium, Urine, 24 Hour Calcium, Urine, Random Calprotectin, Stool Campylobacter jejuni Ab Campylobacter-Like Organism Test See "CLO Test" Canary Bird Feathers (e201), IgE Canary Grass (g71), IgE Canavan Disease, DNA Mutation Cancer Antigen See "CA 125" See "CA 15-3" See "CA 19-9" See "CA 27.29" Candida albicans (m5), IgE Candida albicans Ab, IgG, IgA, IgM Candida albicans Antibody, IgG Candida Antigen Detection Cannabinoid Metabolite, Confirmation, Ur, Qt Cannabinoid Screen, Reflex Semi-Quantitative Cannabinoid Screen, Reflex to Trend Cannabinoid Screen, Rflx Semi-Quant & Conf, Urine Cannabinoid Screen, Urine Cannabinoid Screen, Urine, Reflex Confirm Canrenone Carbamazepine (Tegretol) Carbamazepine, Free Carbamazepine-10, 11-Epoxide Carbohydrate Antigen See "CA 125" See "CA 19-9" See "CA 27.29" Carbohydrate Deficient Transferrin, Congenital Carbohydrate Deficient Transferrin, Serum Carbon Dioxide Carboxyhemoglobin Carcinoembryonic Antigen (CEA) Carcinoembryonic Antigen (CEA), CSF Carcinoid Screen See "5-HIAA (Serotonin), Urine, Random"... 3 Cardio CRP See "C-Reactive Protein (High Sens)" Cardiolipin Antibody Panel Cardiolipin IgA Cardiolipin IgG Cardiolipin IgM Cardioquin See "Quinidine" Cardiovascular Disease Screening (Medicare Only) Carnitine and Acylcarnitine Carnitine, Free and Total Carotene Carrot (f31), IgE Casein (f78), IgE Cashew Nut (f202), IgE Castor Bean (k71), IgE Cat Dander (e1), IgE Catecholamines, Fract, Creat, Ur, Random Catecholamines, Fractionated & Total, Plasma Catecholamines, Fractionated, Urine, 24 Hour Catfish (Siluriformes spp), IgE Cauliflower (Rf291), IgE** Cayenne Pepper, IgE CBC See "Complete Blood Count, with Differential" CBCFB/MYH11 (inv(16)) Fusion ID, RT-PCR CCP See "Cyclic Citrullinated Peptide IgG Ab" CD4 Profile CD4/CD8 Cell Count with Ratio CD8-/CD57+ Lymphocytes Celery (f85), IgE Cell Count, Body Fluid Cell Count, CSF Centromere Antibody Cephalosporium acremonium (m202), IgE Cerebrospinal Fluid (CSF) Culture See "Culture, Body Fluid (includes gram stain)" Ceruloplasmin Cervical Culture See "Culture, Vaginal/Cervical (includes gram stain)" CF See "Cystic Fibrosis ACMG/ACOG Panel (23 mut)" See "Cystic Fibrosis Expanded Caucasian (45 mut)" See "Cystic Fibrosis Hispanic/African American (66 mut) CH50 See "Complement, Total (CH50)" Cheddar Cheese (f81), IgE Cheese, Mold Type (f82), IgE Cherry (f242), IgE Chestnut, Sweet (f299), IgE Clinical Laboratory Partners Page G-4

328 Index by Test Name Test Name Page Test Name Page Chick Pea (Rf309), IgE** Chicken Feathers (e85), IgE Chicken Meat (f83), IgE Chicken Pox See "Varicella Zoster (VZV) Antibody IgG" Chili Pepper (Rf279), IgE** Chlamydia Species Antibody Panel Chlamydia Species Antibody, IgG Chlamydia trachomatis Ab, IgG, IgA, IgM Chlamydia trachomatis by DNA Chlamydophila pneumoniae Antibody, IgG,IgA,IgM Chlamydophila pneumoniae DNA, RT-PCR, Qual Chlamydophila psittaci Ab, IgM,IgG,IgA Chloride Chloride, Urine, 24 Hour Chloride, Urine, Random Cholesterol, HDL Cholesterol, LDL See "LDL, Direct" Cholesterol, Total Cholinesterase and Dibucaine Number Cholinesterase, RBC & Plasma Chorionic Gonadotropin See "Beta-hCG, Qualitative" See "Beta-hCG, Quantitative" Chorionic Gonadotropins, Beta-Subunit, CSF Chromatin Nucleosomal Antibody Chromium, Blood Chromium, Creat, Urine, Random Chromium, Serum Chromium, Urine, 24 Hour Chromogenic Factor X Chromogranin A Chromosomal Microarray Analysis, Congenital Chromosomes, Amniotic Fluid Chromosomes, Chorionic Villus Chronic Lymphocytic Leukemia See "Hematopathology" See "Cytogenetics" Chymopapain (Rc209), IgE** Chymotrypsin, Stool Cinnamon (Rf220), IgE** Ciprofloxacin (Cipro) Citrate See "Citric Acid, Urine, 24 Hour" Citric Acid, Creatinine, Ur, 24 Hr Citric Acid, Urine, 24 Hour CK See "Creatine Kinase (CK)" Cl See "Chloride" Clad. herbarum (m2), IgE Clam (f207), IgE CLL Hypermutation CLO Test Clomipramine Clonazepam, 7 amino Clonazepam, Ur, Qt Clonazepam, Quantitative Clozapine (Clozaril) CO2 See "Carbon Dioxide" Coagulation Genetic Panel Cobalamine See "Vitamin B12" Cobalt, Blood Cobalt, S/P Cobalt, Urine, Random Cocaine and Metabolites, Blood, Quant Cocaine Metabolite, Confirm, Ur, Qt Cocaine Screen, Reflex Semi-Quantitative Cocaine Screen, Reflex to Trend Cocaine Screen, Rflx Semi-Quant & Conf, Urine Cocaine Screen, Urine Cocaine Screen, Urine, Reflex Confirm Coccidioides Antibody Cocklebur (w13), IgE Cockroach (i6), IgE Cocoa (Chocolate) (f93), IgE Coconut (f36), IgE Codeine See "Opiate Screen, Urine" Codfish (f3), IgE Coenzyme Q Coffee (Rf221), IgE** Cold Agglutinin Titer Collagen Cross Linked, Ur, Ran Collagen Cross-Linked, Creat, Ur, 24Hr Collagen Type I C-Telopeptide (CTx) Colorectal Cancer Screening (Medicare Only) ColoVantage (methylated Septin 9) Common Ragweed (w1), IgE Common Reed (g7), IgE Complement C Complement C3, Peritoneal Fluid Complement C3, Synovial Fluid Complement C Complement C Complement C Complement, Total (CH50) Complete Blood Count, with Differential Complete Blood Count, without Differential Compound S See "11-Deoxycortisol"... 1 Comprehensive Metabolic Panel Congenital Adrenal Hyperplasia (CAH 6) Conjugated Bilirubin See "Bilirubin, Direct" Copper Copper, Blood Copper, Creatinine, Urine, 24 Hour Copper, Free Corticosteroid Binding Globulin Cortisol, 30 min post Cosyn Cortisol, 60 min post Cosyn Cortisol, AM Cortisol, Free, Creat, Ur, 24 Hr Cortisol, Free, Serum Cortisol, PM Cortisol, pre Cosyn Cortisol, Random Cortisol, Saliva Cosyntropin Test See "Cortisol, pre Cosyn" See "Cortisol, 30 min post Cosyn" See "Cortisol, 60 min post Cosyn" Cotton Seed (Rk83), IgE** Cotton, Crude Fibers (o1), IgE Cottonwood (t14), IgE Cow Dander (e4), IgE Coxsackie A Antibody Panel Coxsackie B(1-6) Antibody Crab (f23), IgE Creatine Kinase (CK) Creatine Kinase (CK) Isoenzymes Creatine Kinase, Reflex to CKMB Creatine, Creatinine, Ur, 24 Hr Creatine, Serum Creatinine Clearance Creatinine with egfr Creatinine, Body Fluid Clinical Laboratory Partners Page G-5

329 Index by Test Name Test Name Page Test Name Page Creatinine, Urine, 24 Hour Creatinine, Urine, Random CRP See "C-Reactive Protein" CRP-hs See "C-Reactive Protein (High Sens)" Cryofibrinogen Cryoglobulin & Cryofibrinogen, Serum and Plasma Cryoglobulin Screen Cryoglobulin Screen, Reflex Cryoglobulin Profile Cryptococcal Antigen Screen reflex Titer Cryptosporidium Stool Antigen Crystals, Synovial Fluid Cucumber (f244), IgE Cultiv. Rye Grass (g12), IgE Cultivated Oat (g14), IgE Cultivated Wheat (g15), IgE Culture, Anaerobic Culture, B. pertussis/parapertussis Culture, Bartonella, Non Blood Culture, Blood Culture, Blood R/O Anthrax Culture, Body Fluid (includes gram stain) Culture, CF Respiratory (with gram stain) Culture, Chlamydia trachomatis, Shell Vial Culture, Corneal Ring Culture, Ear (includes gram stain) Culture, Environmental Culture, Eye (includes gram stain) Culture, Fungus (Hair, Skin, and Nails) Culture, Fungus (includes fungal smear) Culture, Fungus (Includes smear & sensitivities) Culture, Fungus, Blood (Reflex Sensitivities) Culture, GC Culture, Genital Group B Strep Culture, Genital Group B Strep PCN Allergic Culture, Genital Mycoplasma Culture, Genital Pediatric Culture, Joint Fluid (includes gram stain) Culture, Joint Fluid (Propionibacterium) Culture, Legionella Culture, Miscellaneous Culture, MRSA Screen Culture, Mycobacteria (includes acid fast smear) Culture, Mycobacterium, Blood Culture, Nasopharyngeal Culture, Nose Culture, Nose R/O Anthrax Culture, Quantitative BAL Culture, Quantitative Protected Specimen Brush Culture, Rectal Group A Strep Culture, Respiratory (includes gram stain) Culture, Respiratory R/O Anthrax Culture, Sinus (includes gram stain) Culture, Stool R/O Aeromonas Culture, Stool R/O E.coli Culture, Stool R/O Vibrio Culture, Stool R/O Yersinia Culture, Stool with Shiga Toxin Culture, Throat Culture, Throat Group A Strep Culture, Throat Group A, C, and G Strep Culture, Tissue Culture, Urethral (includes gram stain) Culture, Urine Culture, Urine Paddle Culture, Vaginal/Cervical (includes gram stain) Culture, Viral, Adenovirus Culture, Viral, CMV Early Antigen, Shell Vial Culture, Viral, Enterovirus Culture, Viral, Herpes Simplex Virus (HSV 1&2) Culture, Viral, Respiratory, Shell Vial Culture, Viral, Varicella Zoster (VZV), Shell Vial Culture, Vitreous Fluid (includes gram stain) Culture, VRE Screen Culture, Wound (includes gram stain) Culture, Wound R/O Anthrax Culture,CF Mycobacteria (AFB w/rflx sensitivities) Curry (Rf281), IgE** Curvularia lunata (m16), IgE Cyanide, Blood Cyanide, Occupational Exposure, Blood Cyanocobalamin See "Vitamin B12" Cyclic Citrullinated Peptide IgG Ab Cyclosporine CYP450-2C19 (PLAVIX) Cystatin C Cystic Fibrosis 139 Mutation, NGS Cystic Fibrosis ACMG/ACOG Panel (23 mut) Cystic Fibrosis Expanded Caucasian (45 mut) Cystic Fibrosis Hispanic/African American (66 mut) Cysticercus Antibody Cysticercus Antibody, CSF Cystine, Creat, Ur, Random Cystine, Urine, 24 Hour Cytogenetics Cytomegalovirus (CMV) Antibody IgG Cytomegalovirus (CMV) Antibody IgM Cytomegalovirus DNA, Quantitative PCR Cytomegalovirus DNA, RT-PCR, Qual D D-Lactate d-xylose Absorption, Blood, 1 Hour d-xylose Absorption, Blood, 2 Hours d-xylose, Urine, 5 Hour D. farinae (d2), IgE D. pteronyssinus (d1), IgE Dandelion (w8), IgE Delta-Aminolevulinic Acid See "Aminolevulinic Acid (ALA), Urine, 24 Hour" Dengue Fever Antibody, IgG, IgM Deoxycorticosterone (DOC) Desipramine, Quantitative Desmoglein Antibodies (1,3) Desyrel See "Trazodone" Dexamethasone Dextro/LevoMethorphan, Urine, Random DHEA DHEA Sulfate Differential, Body Fluid Digitoxin Digoxin, Total Dihydrotestosterone, Quant Dill (Rf277), IgE** Diphenhydramine Scr Rflx Semi-Quant Diphenhydramine, Serum Diphtheria Antitoxoid Antibody Disopyramide (Norpace) DNase-B Antibody DOC See "Deoxycorticosterone (DOC)" Dog Dander (e5), IgE Donnatal See "Phenobarbital" Clinical Laboratory Partners Page G-6

330 Index by Test Name Test Name Page Test Name Page Donor, C.trachomatis and N.gonorrhoeae, RNA, TMA Donor, Chagas Screen Donor, Cytomegalovirus (CMV) Total Ab Rflx IgM Donor, Cytomegalovirus (CMV) Total Antibodies Donor, Hepatitis B Core Antibody, Total Donor, Hepatitis B Surface Ag Rflx Confirmation Donor, Hepatitis C Ab Rflx Confirmation Donor, HIV 1/2 Ab Screen Rflx Confirmation Donor, HIV-1/HCV/HBV NAT Procleix w/ Reflex Donor, HTLV-I/II Antibody Screen Donor, Rapid Plasma Reagin (RPR) Rflx Syphilis IgG Donor, West Nile Virus NAT Double Strand DNA Antibody Douglas Fir (Rt205), IgE** Doxepin and Desmethyldoxepin, Qt drvvt Screen, reflex Confirmation and 1:1 Mix Duck Feathers (e86), IgE E E coli 0157 See "Culture, Stool R/O E.coli 0157" E. chaffeensis Antibody, IgG, IgM E. chaffeensis DNA, RT-PCR, Qual E. coli Shiga Toxins E2A/PBX1 (t(1,19)) Fusion ID, RT-PCR Ear Culture See "Culture, Ear (includes gram stain)" EBV DNA, PCR, Qualitative EBV DNA, Quantitative PCR Echinococcus Antibody, IgG Reflex Western Blot Echovirus Antibodies Ecstasy Screen, Reflex Semi-Quantitative Ecstasy Screen, Rflx Semi-Quant & Conf, Urine Ecstasy Screen, Urine Ecstasy Screen, Urine, Reflex Confirmation Ecstasy, Confirmation, Ur, Qt Effexor Egg White (f1), IgE Egg Yolk (f75), IgE Eggplant (Rf262), IgE** Electrolytes Electrophoresis, Hemoglobin See "Immunofixation Electrophoresis, Urine" Electrophoresis, Protein, Serum (SPEP) Electrophoresis, Protein, Urine Elm (t8), IgE ENA Antibodies See "Sm (Smith) and Sm/RNP Antibodies" Endomysial IgA Ab Screen, Reflex to Titer English Plantain (w9), IgE Entamoeba histolytica Ab, IgG Entamoeba histolytica Stool Antigen Enterobius See "Pinworm Exam" Enterovirus CSF PCR Enterovirus RNA, Real-Time PCR, Qual Eosinophil Cationic Protein Eosinophil Count Eosinophil Smear Epicoccum purpur (m14), IgE EPO See "Erythropoietin (EPO)" Epstein-Barr Virus Ab, EA Epstein-Barr Virus Ab, EBNA IgG Epstein-Barr Virus Ab, VCA IgG Epstein-Barr Virus Ab, VCA IgG, IgM Epstein-Barr Virus Ab, VCA IgM Erythrocyte Sediment Rate (ESR) Erythropoietin (EPO) Escherichia coli 0157 See "Culture, Stool R/O E.coli 0157" Escherichia coli Shiga Toxins See "E. coli Shiga Toxins" ESR See "Erythrocyte Sediment Rate (ESR)" Estradiol Estradiol, Free Estradiol, Pediatric Estradiol, Ultra Sensitive Estriol Estrogen, Total Estrogens, Fract (Estradiol, Estrone, Estriol) Estrone Ethanol, Blood, Quantitative Ethanol, Urine, Quant Ethchlorvynol, Quantitative Ethosuximide Ethyl Glucuronide Screen, Reflex Semi-Quant Ethyl Glucuronide, Urine Ethylene Glycol Ethylene Oxide (k78), IgE Eucalyptus (t18), IgE Expanded Lipid Profile See "Advanced Lipid Panel Reflex Direct LDL"... 7 Expanded Lipid Subparticle See "Advanced Lipid Panel Reflex Direct LDL"... 7 F Factor II Factor II Prothrombin Gene Mutation Factor IX Factor IX Inhibitor Screen Factor V Factor V and Factor II Gene Mutations Factor V HR2 Gene Mutation Factor V Leiden and HR2 Gene Mutations Factor V Leiden Gene Mutation Factor VII Factor VIII Activity Factor VIII Inhibitor Panel with Rflx Factor X Factor XI Factor XI Inhibitor Screen Factor XII Factor XII Inhibitor Screen Factor XIII Antigen False Ragweed (w4), IgE Familial Dysautonomia, DNA Mutation Fanconi Anemia, DNA Mutation Fascioliasis Antibody Fatty Acid Profile, Essential C12-C FDP See "Fibrin Degradation Products" Fecal Fat, Qualitative Fecal Globin by Immunochemistry Fecal Immunochemical Test See "Fecal Occult Blood (FIT)" Fecal Lipids, Total Fecal Occult Blood (FIT) Felbamate (Felbatol) Felbatol See "Felbamate (Felbatol)" Fentanyl Scr,Ur,Random,Rflx Conf Ferret Epithelium (Re217), IgE** Clinical Laboratory Partners Page G-7

331 Index by Test Name Test Name Page Test Name Page Ferritin Fetal Fibronectin (ffn) ffn See "Fetal Fibronectin (ffn)" Fibrin Degradation Products Fibrin Monomer Fibrinogen Antigen, Nephelometry Fibrinogen, Activity Based, Clauss Fibronectin, Fetal See "Fetal Fibronectin (ffn)" Filariasis, Blood See "Blood Parasites" Finch Feathers (Re214), IgE** Fire Ant (i70), IgE Firebush (w17), IgE First Trimester Screen (h-hcg, PAPP-A) FISH UroVysion See "UroVysion by FISH" FIT See "Fecal Occult Blood (FIT)" FK506 See "Tacrolimus (Prograf)" Flecainide (Tambocor) Flounder (sas), IgE Fluorescent Treponemal Antigen See "FTA-ABS" Fluoride, Creat, Ur, Random (Occ Exp) Fluoride, Plasma Fluoxetine and Metabolite FOBT See "Fecal Occult Blood (FIT)" Folate, RBC Folate, Serum Follicle Stimulating Hormone (FSH) Follicle Stimulating Hormone (FSH), Pediatric Fragile X, DNA Francisella tularensis Antibody Free Fatty Acids Free Kappa/Lambda, w/ratio, Serum Free Kappa/Lambda, w/ratio, Ur, Ran Free T3 See "T3, Free"... 0 Free T3 by Dialysis with T3 Total Free T4 See "T4, Free"... 0 Free T4 by Dialysis Fructosamine Fructose-1,6-bisphosphate See "Aldolase"... 8 FSH See "Follicle Stimulating Hormone (FSH)" FTA-ABS Fungal Smear Fungus Culture See "Culture, Fungus (includes fungal smear)" Fungus Culture, Skin See "Culture, Fungus (includes fungal smear)" Fusar. proliferatum (m9), IgE G G6PD Screen G6PD, Quantitative Gabapentin Gabitril GAD-65 See "Glutamic Acid Decarboxylase (GAD-65) Antibody" Galactose-1-Phosphate Uridyltransferase Pheno Gamma Glutamyl Trans (GGT) Ganglioside GD1a Antibody, IgG Ganglioside GD1b Ab, IgG Ganglioside GD1b Ab, IgM Ganglioside GM-1 Ab, IgG, IgM Ganglioside GQ1b Antibody, IgG Garlic (f47), IgE Gastric Analysis Gastrin Gaucher Disease, DNA Mutation GC See "Neisseria gonorrhoeae (GC) by DNA" See "GC/Chlamydia by DNA" GC/Chlamydia by DNA Genetic Studies, Amniotic Fluid (Incl. AFP) Genital Culture See "Culture, Genital Group B Strep" See "Culture, Genital Group B Strep PCN Allergic" See "Culture, Genital Mycoplasma" Gentamicin, Peak Gentamicin, Random Gentamicin, Trough Gerbil (Re209), IgE** German Measles See "Rubella Antibody IgG" See "Rubella Antibody IgM" GGT See "Gamma Glutamyl Trans (GGT)" GH See "Growth Hormone (hgh)" Giant Ragweed (w3), IgE Giardia Antigen Giardia lamblia Ab, IgG, IgA, IgM Ginger (Rf270), IgE** Gliadin (Deamidated Peptide) Ab, IgA Gliadin (Deamidated Peptide) Ab, IgG Gliadin IgA and IgG Ab Panel Gliadin IgA Antibody Gliadin IgG Antibody Glomerular Basement Membrane Ab Glucagon Glucose Glucose Challenge, 1 Hour, Maternal Glucose Phosphate Isomerase, Erythrocytes Glucose Tolerance (Non Maternal, 75g, 2hr) Glucose, Body Fluid Glucose, CSF Glucose, PP 2Hr Glucose, Reflex Hemoglobin A1c Glucose, Urine, Random Glutamic Acid Decarboxylase (GAD-65) Antibody Gluten (f79), IgE Gluten, IgG* Glycogen Storage Type Ia, DNA Mutation GlycoMark Glycosaminoglycans, Urine, Random Glycosylated Albumin Glycyphagus domesticus (d73), IgE Goat Epithelia (e80), IgE Goat Milk (Rf300), IgE** Gold, Quantitative Goldenrod (w12), IgE Gonorrhoeae Culture See "Culture, GC" Goose Feathers (e70), IgE Gram Stain Grape (f259), IgE Grapefruit (f209), IgE Green Bean (Rf315), IgE** Green Coffee Bean (k70), IgE Clinical Laboratory Partners Page G-8

332 Index by Test Name Test Name Page Test Name Page Green Pepper (Rf263), IgE** Growth Hormone (hgh) Growth Hormone, 10 Specimens Growth Hormone, 2 Specimens Growth Hormone, 5 Specimens Growth Hormone, 7 Specimens Growth Hormone, 8 Specimens Growth Hormone, 9 Specimens Guaiac Occult Blood Guaiac Occult Blood x Guinea Pig Epithelia (e6), IgE H H. pylori Antibody IgG H. pylori Breath Test H. pylori Stool Antigen Haemophilus Influenza Type B Ab, IgG Hageman Factor See "Factor XII" Haldol See "Haloperidol" Halibut (Rf303), IgE** Haloperidol Hamster Epithelia (e84), IgE Haptoglobin Hazel Nut Tree (t4), IgE Hazelnut (f17), IgE hcg See "Beta-hCG, Qualitative" See "Beta-hCG, Quantitative" HCT See "Hematocrit" HCT and HGB See "Hemoglobin and Hematocrit" HCV Genotype HCV RT-PCR Quantitative HCV RT-PCR Quantitative reflex Genotype HE4 Ovarian Cancer Monitoring Heavy Metal Panel, Creat, Ur, Random Heavy Metal Panel, Urine, 24 Hour Helminthosporium sativum/drecshlera IgE* Hematocrit Hematocrit and Platelet Count Hematopathology Hemochromatosis, DNA Hemoglobin Hemoglobin A1c Hemoglobin A1c with Estimated Average Glucose Hemoglobin A1C, Reflex GlycoMark Hemoglobin and Hematocrit Hemoglobin Electrophoresis See "Electrophoresis, Hemoglobin" Hemoglobin Variant See "Electrophoresis, Hemoglobin" Hemoglobin, Free, Plasma Hemoglobinopathy DNA Hemoglobinopathy Evaluation See "Electrophoresis, Hemoglobin" Hemosiderin, Urine, Random Hep B Virus Drug Resistance,Geno,BCP/Precore Heparin Assay (Anti Xa) Heparin PF4 IgG Ab Scr Rfx Serotonin Release Assay Hepatic Function Panel Hepatitis A Antibody IgG Hepatitis A Antibody IgG & IgM Hepatitis A Antibody IgM Hepatitis B Core Antibody IgM Hepatitis B Core Antibody Total Hepatitis B Core Antibody Total Reflex IgM Hepatitis B PCR, Quantitative Hepatitis B Surface Ab (Quant) Hepatitis B Surface Ag Scr, Reflex Confirmation Hepatitis B Surface Antibody Hepatitis B Virus DNA, RT-PCR, Qual Hepatitis Be Antibody Hepatitis Be Antigen Hepatitis C Antibody Hepatitis D Virus (HDV) Antibody, IgM Hepatitis D Virus RNA, RT-PCR, Qual Hepatitis Delta Antibody Hepatitis E Antibody, IgG Hepatitis Panel Acute with Reflex Heroin, Urine See "Opiate Screen, Urine" Herpes Simplex Virus (HSV 1&2) PCR Herpes Simplex Virus (HSV) DFA Herpes Simplex Virus 1&2 DNA, PCR, Blood Herpes Zoster See "Varicella Zoster (VZV) Antibody IgG" Herpesvirus 6 Ab, IgG, IgM Herring (f205), IgE Heterophile, Mono Screen See "Mononucleosis Screen" Hexosaminidase A & Total, Leukocytes Hexosaminidase A & Total, Serum HGB See "Hemoglobin" HGB and HCT See "Hemoglobin and Hematocrit" HGH See "Growth Hormone (hgh)" Hickory/Pecan (t22), IgE High Sensitivity D-Dimer Highly Sensitive CRP See "C-Reactive Protein (High Sens)" Histamine Release (Chronic Urticaria) Histamine, Plasma Histamine, Urine, 24 Hour Histone Antibody Histoplasma Antibody Panel, CF & ID, Serum Histoplasma galactomannan Antigen, Urine HIV 1/2 Ag/Ab CMIA Reflex to confirmation HIV Screening (Medicare Only) HIV-1 DNA, PCR, Qual HIV-1 Genotype HIV-1 Integrase Genotype HIV-1 RNA Viral Load reflex HIV-1 Genotype HIV-1 RNA Viral Load, QN HLA - B27 Antigen HLA - B27 PCR HLA ABC + DR/DQ Typing HLA Typing, Celiac Genetics HLA, ABC (Class I) HLA, DR/DQ (Class II) HLA, DR/DQ, Single Antigen HLA, Single Antigen HLA-A Class I DNA, PCR, Typing HLA-B Class I DNA Typing HLA-DQ Class II DNA, PCR, Typing HLA-DR Class II DNA, PCR, Typing Homocysteine Homovanillic Acid (HVA), Urine, 24 Hour Homovanillic Acid, Creat, Ur, 24 Hr Homovanillic Acid, Creat, Ur, Random Honey (Rf247), IgE** Honey Bee (i1), IgE Horse Dander (e3), IgE Clinical Laboratory Partners Page G-9

333 Index by Test Name Test Name Page Test Name Page House Dust (H-Stier,h2), IgE House Dust, Greer (h1), IgE HPV DNA, High Risk (Anal-Rectal) HPV Genotype 16, 18/ HPV TMA, High Risk HPV TMA, High Risk Rflx Genotype 16, 18/ hs-crp See "C-Reactive Protein (High Sens)" HSV 1, 2 Ab, IgM, Reflex Titer HSV 1/2 IgG HerpeSelect TypeSpec Ab RF/HSV2 Inhib HSV 1/2 IgM Antibody HSV-1 Antibody IgG HSV-1/2 Antibody IgG HSV-2 Antibody IgG HTLV 1/2 Ab Reflex Confirmation HTLV I/II Confirmation HTLV I/II DNA, RT-PCR, Qualitative Hu Ab Screen Rflx WB, Titer, CSF Hu Antibody Screen Rflx WB, Titer Hu, Yo, Ri Ab Screen Rflx WB, Titer Human Growth Hormone See "Growth Hormone (hgh)" Human Placental Lactogen Humoral Immunity Panel Hyperoxaluria Panel, Urine, Random Hypersensitivity Pneumonitis Screen I IA-2 Antibody IBD See "Inflammatory Bowel Disease Differential Panel" IF-Blocking Antibody See "Intrinsic Factor Blocking Antibody" IFE, Urine See "Immunofixation Electrophoresis, Urine" IgA Reflex TTG IgG IGF Binding Protein IGF Binding Protein IgG Synthesis Rate IgG, CSF IgG/Albumin Ratio, CSF IL-6 See "Interleukin-6" IL28B Genotype, RT-PCR (AccuType) Imipramine, Quantitative Immune Complex, C1q See "C1q Complement Component" Immune Complex, C1Q Immunofixation Electrophoresis, Urine Immunoglobulin A (IgA), Total Immunoglobulin A, Total and Subclasses Immunoglobulin D, Total Immunoglobulin E (IgE), Total Immunoglobulin G (IgG), Total Immunoglobulin G Subclasses Immunoglobulin M (IgM), Total India Ink Prep Industrial Cadmium Panel Infectious Mononucleosis See "Mononucleosis Screen" Inflammatory Bowel Disease Differential Panel Influenza A, B & H1N PCR Influenza A/B EIA Influenza A/B EIA reflex Culture Influenza EIA reflex Influenza A,B & H1N PCR Inhibin A, Tumor Marker Inhibin B Insulin Insulin Autoantibodies Insulin, Bovine (c71), IgE Insulin, Free Insulin, Porcine (c70), IgE Insulin-Like Growth Factor Binding Protein-2 See "IGF Binding Protein-2" Insulin-Like Growth Factor I InSure See "Fecal Globin by Immunochemistry" Integrated Quad Screen, 2nd Trimester, Yale Integrated Scn, 1st Trim, Chantilly Integrated Scn, 2nd Trim, Chantilly Interferon-Alpha Interleukin Interstitial Cell Stimulating Hormone See "Luteinizing Hormone (LH)" Intrinsic Factor Blocking Antibody Iodine Iron Iron Binding Capacity Profile Iron, Urine, 24 Hour Islet Cell IgG Cytoplasmic Autoantibodies Isocyanate HDI (k77), IgE Isocyanate MDI (k76), IgE Isocyanate TDI (k75), IgE Isohemagglutinin Titer Isospora and Cyclospora Acid Fast Smear J JAK 2 Mutation Japanese Cedar (t17), IgE JC Polyoma Virus DNA, PCR, Qual Jo-1 Antibody Johnson Grass (g10), IgE Joint Fluid Culture See "Culture, Joint Fluid (includes gram stain)" June Grass (g8), IgE K K See "Potassium" Kell See "Antibody Screen, Reflex ID" Kidd See "Antibody Screen, Reflex ID" Kiwi Fruit (f84), IgE Kleihauer Betke KRAS Gene Mutation L La (SSB) Antibody Lacosamide (Vimpat) Lactate See "D-Lactate" Lactate Dehydrogenase (LDH) Lactate Dehydrogenase, Body Fluid Lactic Acid Lactoferrin, Stool, Qualitative Lactoferrin, Stool, Quantitative Lamb (f88), IgE Clinical Laboratory Partners Page G-10

334 Index by Test Name Test Name Page Test Name Page Lamb's Quarters (w10), IgE Lamotrigine (Lamictal) Latex (Hevea braziliensis) (k82), IgE LD Isoenzymes LDH See "Lactate Dehydrogenase (LDH)" LDL Cholesterol, Direct See "LDL, Direct" LDL Sub Fraction See "Advanced Lipid Panel Reflex Direct LDL"... 7 LDL, Direct Lead, Creatinine, Urine, Random Lead, Urine, 24 Hour Lead,Blood Legionella pneumophila Antibody Legionella pneumophila Antibody, IgM Legionella Urine Antigen Leiden V Gene Mutation See "Factor V Leiden Gene Mutation" Leishmania Antibody, IgG Lemon (f208), IgE Lentils (f235), IgE Leptin Leptospira Antibody Screen, Reflex Titer Lettuce (f215), IgE Leucine Aminopeptidase Leukemia See "Hematopathology" Leukocytes, Fecal See "Gram Stain" Levetiracetam (Keppra) LH See "Luteinizing Hormone (LH)" Lidocaine Lime (Rf306), IgE** Lipase Lipid Fractionation See "Advanced Lipid Panel Reflex Direct LDL"... 7 Lipid Panel Lipid Panel Reflex Direct LDL Lipid Panel w/ Direct LDL Lipid Panel with nonhdl Lipid Subparticle See "Advanced Lipid Panel Reflex Direct LDL"... 7 Lipids, Stool See "Fecal Fat, Qualitative" Lipoprotein (a) Lipoprotein Electrophoresis Lipoprotein Fractionation, Ion Mobility Lipoprotein-Associated Phospholipase A Listeria Antibody, Serum Lithium Liver Fibrosis, FibroTest-Actitest Liver Kidney Microsomal Ab, IgG Lobster (f80), IgE Lorazepam, Quantitative LSD Screen, Urine, Reflex Confirmation Lupus Anticoagulant Screen w/ Reflex Luteinizing Hormone (LH) Luteinizing Hormone, Pediatric Lyme Ab IgG/IgM Reflex Western Blot Lyme Ab, IgG, IgM, Immunoblot, CSF Lyme Antibody Western Blot IgG/IgM Lyme Antibody, IgG, IgM, CSF Lyme DNA, RT-PCR, Blood Lyme DNA, RT-PCR, CSF/Synovial, Qual Lyme IgG/IgM Antibody Screen Lymphocyte Subsets Lymphocytic Choriomeningitis Ab, IgG, IgM Lymphogranuloma Venerum Diff Ab, IgG, IgA, IgM Lysergic Acid Diethylamide See "LSD Screen, Urine, Reflex Confirmation" Lysozyme (Muramidase) Lytes, BUN, Creat, w/ratio M Macadamia Nut (Rf345) IgE Mackeral (Rf206), IgE** Macroamylase Mag See "Magnesium" MAG-SGPG Ab, IgM Magnesium Magnesium, RBC Magnesium, Urine, 24 Hour Magnesium, Urine, Random Maize/Corn (f8), IgE Malt (f90), IgE Mango (f91), IgE Mannose-binding Lectin Maple (Box Elder) (t1), IgE Maple Syrup Disease (MSUD),DNA Mutation Maternal Quad Screen, 2nd Trimester, Chantilly Maternal Quad Screen, 2nd Trimester, Yale Maternal Screen, 1st Trimester, Yale Maternal Triple Screen, 2nd Trimester, Chantilly Maternal Triple Screen, 2nd Trimester, Yale Maternal, 1st Trimester, Chantilly Meadow Fescue (g4), IgE Meadow Foxtail (g16), IgE Measles Antibody See "Rubeola Antibody IgG" Meconium Drug Abuse Screen Melaleuca Tree (t21), IgE Melatonin Melon (f87), IgE Mercury, Blood Mercury, Creat, Urine, Random Mercury, Urine, 24 Hour Mescalin Mesquite Tree (t20), IgE Metabolic Panels See "Basic Metabolic Panel" See "Comprehensive Metabolic Panel" Metanephrines, Fract, Creat, Urine, Random Metanephrines, Fractionated, Plasma Metanephrines, Urine, 24 Hour Metapneumovirus DFA Methadone and Metabolite, Confirm, Ur, Qt Methadone Screen, Reflex Semi-Quantitative Methadone Screen, Reflex to Confirmation Methadone Screen, Rflx Semi-Quant & Conf., Urine Methadone Screen, Urine Methadone, Serum, Quant Methaqualone Screen, Urine Methicillin-Resistant Staphylococcus aureus See "Culture, MRSA Screen" Methotrexate Methylenetetrahydrofolate Reductase (MTHFR), DNA See "MTHFR Gene Mutation" Methylmalonic Acid Methylmalonic Acid, Creat, Ur, Random Metyrapone Response See "11-Deoxycortisol"... 1 Mexiletine Mg See "Magnesium" Clinical Laboratory Partners Page G-11

335 Index by Test Name Test Name Page Test Name Page Mi-2 Antibody Microalbumin, Creatinine, Urine, 24 Hour Microalbumin, Creatinine, Urine, Random Microalbumin, Urine, 24 Hour Microalbumin, Urine, Random Microsatellite Instability Assay (MSI) Microsporidia Detection Milk (f2), IgE Milk, Goat, IgG* Mitochondrial Antibody See "Anti-Mitochondrial Antibody, Reflex Titer" Mitochondrial M2 Ab, IgG Mixing Study MLL/AF4 (t(4,11)) Fusion ID, RT-PCR Molybdenum, Serum Mononucleosis Screen Mononucleosis Screen reflex EBV Panel Morphine See "Opiate Screen, Urine" Mosquito (i71), IgE Mouse Epithelia (e71), IgE Mouse Serum Proteins (e76), IgE Mouse Urine Proteins (e72), IgE MPL (W515) Mutation, Bone Marrow MPL (W515) Mutation, Peripheral Blood MRSA PCR Qualitative MRSA Screen, Culture See "Culture, MRSA Screen" Mt Cedar/Juniper (t6), IgE MTHFR Gene Mutation Mucin Clot, Synovial Fluid Mucolipidosis Type IV, DNA Mutation Mucor racemosus (m4), IgE Mugwort (w6), IgE Mumps Antibody IgG Mumps Antibody, IgM Muramidase See "Lysozyme (Muramidase)" Mushroom (Rf212), IgE** Mustard (f89), IgE Myasthenia Gravis Panel Mycobacterium Culture See Culture, Mycobacteria (includes acid fast smear)" Mycophenolic Acid Mycoplasma hominis and Ureaplasma Culture See "Culture, Genital Mycoplasma" Mycoplasma pneumoniae Ab IgG, IgM Mycoplasma pneumoniae Ab, IgM Mycoplasma pneumoniae Antibody, IgG Myelin Basic Protein, CSF Myeloperoxidase (MPO) Antibody Myocardial Antibody Screen Reflex Titer Myoglobin Myoglobin, Urine, Random Myositis AssessR Plus Jo-1 Autoantibodies N Na See "Sodium" NAPA See "Procainamide (Pronestyl) w/napa" Nasopharyngeal Culture See "Culture, Nasopharyngeal" Neisseria gonorrhoeae (GC) by DNA Neisseria gonorrhoeae Antibody Neisseria gonorrhoeae Culture See "Culture, GC" Neoral See "Cyclosporine" Nettle (w20), IgE Neuromyelitis Optica (NMO) Ab, IgG Neuron Specific Enolase, CSF Neuron Specific Enolase, Serum Neurontin See "Gabapentin" Neutrophil Antibody, Flow Cytometry NH3 See "Ammonia, Plasma" Niacin (Vitamin B3) Nickel, Serum Nickel, Urine, Random Nicotine, Cotinine, Serum, Quantitative Nicotine, Cotinine, Ur, Qt Niemann-Pick Disease, DNA Mutation Nitroblue Tetrazolium (NBT) Nitrogen Balance See "Urea Nitrogen, Urine, 24 Hour" Nitrogen, Feces NMP-22 See "Nuclear Matrix Proteins (NMP 22), Urine" NMR Lipo Profile Non Gyn Cytology Norovirus Antigen Detection, Stool Norovirus PCR Norpace See "Disopyramide (Norpace)" Nortriptyline, Quantitative Norwalk Virus See "Norovirus Antigen Detection, Stool" See "Neuron Specific Enolase, Serum" NRAS Gene Mutations NSE See "Neuron Specific Enolase, CSF" Nuclear Matrix Proteins (NMP 22), Urine Nucleophosmin (NPM1) Gene Mutation O O and P See "Ova and Parasites" Oak (t7), IgE Oat (f7), IgE Obstetric Panel Occult Blood Immunochemical See "Fecal Occult Blood (FIT)" Olanzapine Oligoclonal Bands, CSF Olive Tree (t9), IgE oncofish Cerv Test Rflx if ASCUS and HPV POS oncofish Cerv Test Rflx if ASCUS,LSIL or HPV POS oncofish Cervical Test oncofish Cervical Test Reflex if ASCUS oncofish Cervical Test Reflex if ASCUS or LSIL oncofish Cervical Test Reflex if HPV POS oncofish Cervical Test Reflex if HPV POS or LSIL oncofish Cervical Test Reflex if LSIL oncofish CX Rflx/ASCUS AND HPV POS or LSIL Onion (f48), IgE Opiate Screen, Reflex Semi-Quantitative Opiate Screen, Rflx Semi-Quant & Conf, Urine Opiate Screen, Urine Opiate Screen, Urine, Reflex Confirm Opiate, Extended, Conf, Ur, Qt Orange (f33), IgE Orchard Grass (g3), IgE Clinical Laboratory Partners Page G-12

336 Index by Test Name Test Name Page Test Name Page Oregano (Rf283), IgE** Organic Acids, Creat, Ur, Random, Qual Organic Acids, Creat, Ur, Random, Quan Osmolality, Serum/Plasma Osmolality, Urine Osteocalcin Ova And Parasites Ovalbumin (f232), IgE Ovarian Antibody Screen, Reflex Titer Ovomucoid (f233), IgE Ox-eye Daisy (w7), IgE Oxalic Acid, Creat, Ur, 24 Hr Oxazepam, Quantitative Oxcarbazepine Metabolite Oxycodone and Oxymorphone, Serum, Quant Oxycodone Screen Reflex to Confirmation Oxycodone Screen, Reflex Semi-Quantitative Oxycodone Screen, Rflx Semi-Quant & Conf, Urine Oxycodone Screen, Urine Oyster (f290), IgE P Pancreatic Elastase-1, Stool Pancreatic Polypeptide PAP SMEAR Paper Wasp (i4), IgE Paprika (f218), IgE Parainfluenza Virus (1,2,3) Antibodies Parasite Identification Parathyroid Hormone See "PTH, Intact" Parietal Cell Antibody See "Anti-Parietal Cell Antibody, Reflex Titer" Paroxetine Parrot Australian Serum Proteins, IgE Parrot/Parakeet Drop (e77), IgE Parrot/Parakeet Feath (e78), IgE Parsley (f86), IgE Partial Thromboplastin Time (PTT) Parvovirus Ab B19, IgG Parvovirus Ab B19, IgM Parvovirus B19 DNA, RT-PCR, Qual Parvovirus B19 IgG/IgM EIA Pathology Smear Review, CSF Paxil See "Paroxetine" PCB Screen Reflex Confirmation PCP Screen, Reflex Confirmation PCP Screen, Reflex Semi-Quantitative PCP Screen, Reflex to Trend PCP Screen, Rflx Semi-Quant & Conf, Urine PCP Screen, Urine Pea (f12), IgE Peach (f95), IgE Peanut (f13), IgE Peanut Component Panel Pear (f94), IgE Pecan Nut (f201), IgE Pen. chrysogenum (m1), IgE Penicillin G (c1), IgE Penicillin V (c2), IgE Penta Screen Perennial Rye (g5), IgE Perphenazine, Quantitative ph, Body Fluid ph, Fecal Phencyclidine (PCP), Conf, Ur, Qt Phencyclidine, Serum Phenobarbital Phenylalanine Phenylpropranolamine, Serum Phenytoin, Free Phenytoin, Total Pheochromocytoma Evaluation Philadephia Chromosome See "BCR ABL Fusion Quant with Reflex to ID" Phoma betae (m13), IgE Phosphate See "Phosphorus" Phosphatidyl Inositol Ab, IgG, IgA, IgM Phosphatidylcholine Ab, IgG, IgA, IgM Phosphatidylethanolamine Ab,IgG,IgA,IgM Phosphatidylserine Ab, IgG, IgM, IgA Phosphatidylserine Antibody, IgA Phosphatidylserine Antibody, IgG Phosphatidylserine Antibody, IgM Phospholipids Phosphorus Phosphorus, Urine, 24 hour Phosphorus, Urine, Random Phthalic Anhydride (k79), IgE Pigeon Droppings (e7), IgE Pigeon Feathers (Re215), IgE** Pine Nut (Rf253) IgE Pineapple (f210), IgE Pinworm Exam Pistachio (f203), IgE Plasma Renin Activity Plasma Thromboplastin See "Factor XI" Plasminogen Activity Platelet Antibody, Direct Platelet Antibody, Indirect Platelet Count Platelet Count, Citrate Platelet Function Assay PLT Count See "Platelet Count" Plum (f255), IgE PM-Scl Antibody PML/RARA Fusion ID, RT-PCR PML/RARA Fusion Quantification, RT-PCR Pneumocystis jirovecii (carinii) DFA Pneumonitis Hypersensitivity See "Hypersensitivity Pneumonitis Screen" PNH Panel Poliovirus Ab Neutralization Polychlorinated Biphenyls, Total Pork (f26), IgE Porphobilinogen Deaminase, Erythrocytes Porphobilinogen, Urine, 24 Hr, Quant Porphyrins, Fractionated, Plasma Porphyrins, Fractionated, Urine, 24 Hour Porphyrins, Fractionated, Urine, Random, Qn Posaconazole Level Potassium Potassium, Fecal (Random, 24, 48, 72 Hours) Potassium, RBC Potassium, Urine, 24 Hour Potassium, Urine, Random Potato (f35), IgE Prader-Willi/Angelman DNA Methylation Prealbumin Pregabalin Pregnenolone Prenatal Type And Screen (If Rhogam May Be Needed) Primidone and Phenobarbital Clinical Laboratory Partners Page G-13

337 Index by Test Name Test Name Page Test Name Page Privet (t210), IgE probnp, N-terminal Procainamide (Pronestyl) w/napa Procalcitonin Proconvertin See "Factor VII" Progesterone Prograf See "Tacrolimus (Prograf)" Proinsulin Prolactin Prolactin, Pediatric Prolactin, Total, Monomeric Properdin Factor B Propoxyphene and Norpropoxyphene, Quant Propoxyphene Screen, Reflex Confirmation Propoxyphene Screen, Reflex Semi-Quantitative Propoxyphene Screen, Rflx Semi-Quant & Conf, Ur Propoxyphene Screen, Urine Propoxyphene, Conf, Ur, Quant Prostaglandins D2 (PG D2) Prostaglandins D2, Urine, 24 hour Prostate Cancer Screening (Medicare Only) Prostate Specific Antigen See "PSA, Annual Screening" Protein C Activity Protein C Activity Reflex Protein C Antigen Protein C Antigen Protein C Resistance See "Activated Protein C Resistance"... 6 Protein Electrophoresis, CSF See "Protein, Total, Electrophoresis, Protein, CSF" Protein Electrophoresis, Urine See "Electrophoresis, Protein, Urine" Protein S Activity (Functional) Protein S Activity Reflex Protein S Antigen(Total) Protein S Activity Rflx Protein S Ag, Total/Free Protein S Antigen (Total) Protein S Antigen, Free Protein, Body Fluid Protein, Creatinine, Urine, 24 Hour Protein, CSF Protein, Total Protein, Total, Electrophoresis, Protein, CSF Protein, Urine, 24 Hour Protein, Urine, Random Protein/Creatinine Ratio Panel,Urine Proteinase-3 (PR3) Antibody Prothrombin See "Factor II" Prothrombin Antibody, IgG, IgM Prothrombin Fragment Prothrombin Gene Mutation See "Factor II Prothrombin Gene Mutation" Prothrombin Time (PT) Protriptyline PSA, Annual Screening PSA, Established Diagnosis PSA, Free PSA, Post Prostatectomy PSA, Total, Reflex PSA, Free Pseudocholinesterase See "Cholinesterase and Dibucaine Number" Psyllium Seed (k72), IgE PTH Related Protein (PTH-RP) PTH, Intact PTH-RP See "PTH Related Protein (PTH-RP)" PTT-LA Rflx Hexagonal Phase Pumpkin (f225), IgE Pyridoxal See "Vitamin B6" Pyruvate See "Pyruvic Acid (Pyruvate)" Pyruvate Kinase, RBC Pyruvic Acid (Pyruvate) Q Q Fever Antibody Screen, IgG, IgM, Reflex Titer See "Theophylline" Quandrinal See "Phenobarbital" Quantiferon TB ELISA Queen Palm (t72), IgE Quetiapine (Seroquel) Quibron See "Theophylline" Quinidex See "Quinidine" Quinidine R RA Quantitative See "Rheumatoid Factor" Rabbit Epithelia (e82), IgE Rabies Titer - Response Rapamycin See "Sirolimus (Rapamycin)" Rape Seed (Rf316), IgE** Rapid Group A Strep EIA Rapid Group A Strep EIA reflex Culture Rapid HIV 1/2 Ab EIA reflex to confirmation Raspberry, IgE Rat Epithelia (e73), IgE Rat Serum Proteins (e75), IgE Rat Urine Proteins (e74), IgE RBC Antibody See "Antibody Screen, Reflex ID" RBC Fragility (Incubated) Red Blood Cell Count Red Blood Cell Profile Red Cedar (Rt57) IgE** Red Kidney Bean (Rf287), IgE** Red Top (Bent) Grass (g9), IgE Reducing Substances, Stool Reducing Substances, Urine Renin See "Plasma Renin Activity" Respiratory Culture See "Culture, Respiratory (includes gram stain)" Respiratory Syncytial Virus (RSV) DFA Respiratory Syncytial Virus (RSV) EIA Respiratory Syncytial Virus (RSV) EIA reflex DFA Respiratory Syncytial Virus Ab, Serum Reticulin IgA/IgG Ab, Rflx to Titer Reticulocyte Count Reticulocyte with Index Retinol See "Vitamin A (Retinol)" Retinol Binding Protein RF See "Rheumatoid Factor" RH Only Rheumatoid Factor Clinical Laboratory Partners Page G-14

338 Index by Test Name Test Name Page Test Name Page Rheumatoid Factor Ab, IgG, IgA, IgM Rheumatoid Factor Scr Rflx Titer, Synovial Fluid Rhizopus nigricans (m11), IgE Ri Antibody Screen Rflx WB, Titer Ribosomal P Antibody Rice (f9), IgE Rickettsial Disease Panel Rifampin, Serum Risperidone and Metabolite Ristocetin Cofactor Activity RMSF Ab Scr, IgG, IgM, Rflx Titer RNA Polymerase III Antibody RNP Antibody Ro (SSA) Antibody Ro and La See "Sjogren's (SS-A, SS-B) Antibodies" Rotavirus Stool Antigen Rough Marsh Elder (w16), IgE Rough Pigweed (w14), IgE Rubella Antibody IgG Rubella Antibody IgM Rubeola Antibody IgG Rubeola Antibody, IgM Russian Thistle (w11), IgE Rye (f5), IgE S Saccharomyces cerevisiae Ab (ASCA), IgA Saccharomyces cerevisiae Ab (ASCA), IgG Saccharomyces cerevisiae Ab (ASCA), IgG, IgA Salicylate, Quantitative Salmon (f41), IgE Sandimmune See "Cyclosporine" Scale (w15), IgE Scallop (R338), IgE Schistosomiasis Antibody, IgG Scl-70 Antibody Scleroderma Antibody See "Scl-70 Antibody" Sed Rate See "Erythrocyte Sediment Rate (ESR)" See "5-HIAA (Serotonin), Urine, Random"... 3 Selenium Selenium, Blood Selenium, Creat, Urine, Random Semen Analysis, Complete Semen Analysis, Post Vasectomy Seminal Fructose Serotonin, Blood Serotonin, Serum Sertraline (Zoloft) Sesame Seed (f10), IgE Setomelanomma rostrata (m8), IgE Sex Hormone Binding Globulin SGOT See "Aspartate Aminotrans (AST)" SGPT See "Alanine Aminotrans (ALT)"... 8 SHBG See "Sex Hormone Binding Globulin" Sheep Epithelia (e81), IgE Sheep Sorrel (w18), IgE Shiga Toxins See "E. coli Shiga Toxins" Shiga Toxins and Culture, Stool See "Culture, Stool with Shiga Toxin" Shrimp (f24), IgE Sickle Cell Screen Sickle Cell Screen Reflex to Hgb Electrophoresis Silk (k74), IgE Single Strand DNA (ssdna) Ab, IgG Sirolimus (Rapamycin) Sjogren's (SS-A, SS-B) Antibodies Sm (Smith) and Sm/RNP Antibodies Sm (Smith) Antibody Sm/RNP Antibody Smear, Fungal See "Fungal Smear" Smith Antibodies See "Sm (Smith) and Sm/RNP Antibodies" Smooth Muscle Antibodies See "Anti-Smooth Muscle Screen, Reflex Titer" Sodium Sodium, Creatinine, Urine, 24 Hour Sodium, Fecal, (Random, 24, 48, 72 Hours) Sodium, Urine, 24 Hour Sodium, Urine, Random Soluble Liver Antigen (SLA) Auto-Ab Soluble Transferrin Receptor Somatostatin Sotalol, Serum/Plasma Soybean (f14), IgE Sperm Antibody, IgA, IgG Spinach (f214), IgE Spruce (Rt201), IgE** Sputum Bacterial Culture See "Culture, Respiratory (includes gram stain)" Squid (Rf258), IgE SRP Antibody Staph Screen PCR Staphylococcus aureus Culture See "Culture, MRSA Screen" Stemphylium herbarum (m10), IgE Stone Analysis Stool Blood See "Fecal Occult Blood (FIT)" Stool Hemoglobin See "Fecal Occult Blood (FIT)" Stool Norovirus See "Norovirus Antigen Detection, Stool" Stool Osmolality Stool Ova and Parasites See "Ova and Parasites" Stool Profile Stool Reducing Substances See "Reducing Substances, Stool" See "DNase-B Antibody" Storage Mite (d71), IgE Strawberry (f44), IgE Strep A See "Anti-Streptolysin O Screen reflex Titer" Strep A DNA Amplification Strep B See "Culture, Genital Group B Strep" Streptococcus Group A Culture See "Culture, Throat Group A Strep" Streptococcus Group B Culture See "Culture, Genital Group B Strep" Streptococcus Group B Culture, Maternal/Neonatal See "Culture, Genital Group B Strep PCN Allergic" Streptococcus pneumoniae Ab, IgG (14 Serotypes) Streptococcus pneumoniae Ab, IgG (7 Serotypes) Streptozyme Screen reflex Titer Striated Muscle Ab Scr Rflx Titer Strongyloides Antibody, IgG Sulfonylurea Hypoglycemics Panel Clinical Laboratory Partners Page G-15

339 Index by Test Name Test Name Page Test Name Page Sunflower Seed (k84), IgE SurePath Pap Test (FocalPoint) SurePath Pap Test (FocalPoint) w/hpv Rfx, GC/CT SurePath Pap Test (FocalPoint) w/hpv Scr, GC/CT SurePath Pap Test (FocalPoint) with GC/Chlamydia SurePath Pap Test (FocalPoint) with HPV Reflex SurePath Pap Test (FocalPoint) with HPV Screen SurePath Pap Test (Manual) SurePath Pap Test (Manual) w/hpv Rfx, GC/CT SurePath Pap Test (Manual) w/hpv Scr, GC/CT SurePath Pap Test (Manual) with GC/Chlamydia SurePath Pap Test (Manual) with HPV Reflex SurePath Pap Test (Manual) with HPV Screen Surgical Pathology Sweet Gum (Rt211), IgE** Sweet Vernal (g1), IgE Swine Epithelia (e83), IgE Swordfish (Rf312), IgE Sycamore (t11), IgE Synovial Fluid Culture See "Culture, Joint Fluid (includes gram stain)" Synthetic Cannabinoids, Urine Syphilis MIA reflex RPR Titer and TPPA T T Cell PCR Gene Rearrange, Fresh Spec T Cell PCR Gene Rearrange, Paraffin Tiss T3 (Triiodothyronine) Antibody T3 Uptake, T4 & T7 (FTI) T3, Free See "Free T3"... 0 T3, Free T3, Free and Total T3, Free, Dialysis See "Free T3 by Dialysis with T3 Total" T3, Reverse T3, Total T3, Uptake T4 (Thyroxine) T4 (Thyroxine) Antibody T4, Free See "Free T4"... 0 T4, Free T4, Free, Dialysis See "Free T4 by Dialysis" T4, Reflex Thyroid Stimulating Hormone Tacrolimus (Prograf) Tambocor See "Flecainide (Tambocor)" Tapentadol, Confirmation, Urine Tay Sachs DNA, Mutation Analysis TB ELISA See "Quantiferon TB ELISA" TBG See "Thyroxine Binding Globulin (TBG)" TBII Tea (Rf222), IgE** TEL/AML1 (t(12,21)) Fusion ID, RT-PCR Testosterone, Total Testosterone, Total (Children) Tetanus Antitoxoid Antibody Thallium Thallium, Creatinine, Urine, Random Thallium, Urine, 24 Hour Theophylline ThinPrep Pap (Manual) Rfx HPV Rfx HPV 16,18/ ThinPrep Pap Test (Imager) ThinPrep Pap Test (Imager) with GC/Chlamydia ThinPrep Pap Test (Imager) with HPV Reflex ThinPrep Pap Test (Imager) with HPV Reflex, GC/CT ThinPrep Pap Test (Imager) with HPV Screen ThinPrep Pap Test (Imager) with HPV Screen, GC/CT ThinPrep Pap Test (Manual) ThinPrep Pap Test (Manual) with GC/Chlamydia ThinPrep Pap Test (Manual) with HPV Reflex ThinPrep Pap Test (Manual) with HPV Reflex, GC/CT ThinPrep Pap Test (Manual) with HPV Screen ThinPrep Pap Test (Manual) with HPV Screen, GC/CT ThinPrep Pap(Imager) HPV Scr Rfx HPV 16,18/ ThinPrep Pap(Imager) Rfx HPV Rfx HPV 16,18/ ThinPrep Pap(Imager)GC/CT HPV Scr Rfx HPV 16,18/ ThinPrep Pap(Imager)GC/CT Rfx HPV Rfx HPV 16,18/ ThinPrep Pap(Manual) HPV Scr Rfx HPV 16,18/ ThinPrep Pap(Manual)GC/CT HPV Scr Rfx HPV 16,18/ ThinPrep Pap(Manual)GC/CT Rfx HPV Rfx HPV 16,18/ Thiocyanate Throat Culture See "Culture, Throat" Thrombin Clotting Time w/reflex to Mixing Study Thrombin Time Thrombin-Antithrombin (TAT) Complex Thrombophilia Mutation See "Coagulation Genetic Panel" Thrombotic Genetic Panel See "Coagulation Genetic Panel" Thyme (Rf273), IgE** Thyroglobulin Thyroglobulin Antibody Thyroglobulin Panel Thyroid Antibody (ATA, TPO) Thyroid Cascade Panel Thyroid Peroxidase Antibody Thyroid Receptor Antibody See "Thyroid Stimulating Immunoglobulin (TSI)" Thyroid Stimulating Hormone See "TSH, Highly Sensitive" Thyroid Stimulating Immunoglobulin (TSI) Thyroxine Binding Globulin (TBG) Tick Borne Disease Profile Tick ID Rflx B. burgdorferi DNA, RT-PCR, Tick Tick Identification Timothy Grass (g6), IgE Tissue Transglutaminase IgA Ab Tissue Transglutaminase IgA and IgG Ab Panel Tissue Transglutaminase IgG Ab TNF See "Tumor Necrosis Factor-Alpha, Highly Sensitive" Tobacco Leaf (Ro201), IgE** Tobramycin, Peak Tobramycin, Random Tobramycin, Trough Toluene as Hippuric Acid, Urine, Random(Occ Expos) Toluene, Occupational Exposure, Blood Tomato (f25), IgE Topiramate Total Glycohemoglobin, Blood Toxocara Antibody Toxoplasma Ab IgM reflex Confirmation Toxoplasma Antibody IgG Toxoplasma gondii Ab, IgG, CSF Toxoplasma gondii DNA, RT-PCR, Quant Toxoplasma IgG Reflex to IgM TPO See "Thyroid Peroxidase Antibody" Tragacanth (Rf298), IgE Tramadol, Urine, Random Transferrin Clinical Laboratory Partners Page G-16

340 Index by Test Name Test Name Page Test Name Page Trazodone Treponema pallidum (TP-PA) Treponemal pallidum See "Treponema pallidum (TP-PA)" See "Syphilis MIA Reflex RPR Titer and TPPA" Trichinosis Antibody, IgG Trichoderma viride (m15), IgE Trichomonas vaginalis TMA Trichophyton rubrum (m205), IgE Tricyclic Screen, Reflex Semi-Quantitative Tricyclic Screen, Urine Tricyclic, Confirmation, Ur, Qt Triglyceride, Fluid Triglycerides Triglycerides, Reflex to LDL Triple Screen See "Maternal Triple Screen, 2nd Trimester, Chantilly" Troponin I Troponin T Trout (f204), IgE Trypanosoma cruzi Antibody Trypsin Tryptase TSH Antibody TSH, Highly Sensitive TSH, Reflex to Free T TSI See "Thyroid Stimulating Immunoglobulin (TSI)" ttg See "Tissue Transglutaminase IgA and IgG Ab Panel" Tumor Necrosis Factor-Alpha, Highly Sensitive Tuna (f40), IgE Turkey Meat (f284), IgE Type and Screen Typhus Fever Ab Scr, IgG, IgM, Rflx Titer Tyrosine U Unsaturated Iron Binding Capacity Urea Clearance Urea Nitrogen, Blood See "Blood Urea Nitrogen (BUN)" Urea Nitrogen, Urine, 24 Hour Urea Nitrogen, Urine, Random Ureaplasma/Mycoplasma Culture See "Culture, Genital Mycoplasma" Uric Acid Uric Acid, Creatinine, Urine, 24 Hour Uric Acid, Synovial Fluid Uric Acid, Urine, 24 Hour Uric Acid, Urine, Random Urinalysis with Microscopic Urinalysis with Reflex to Culture Urinalysis with Reflex to Microscopic Urinalysis without Microscopic Urine Culture See "Culture, Urine" Urine Immunofixation Electrophoresis See "Immunofixation Electrophoresis, Urine" Urine Microscopic Exam Urine Protein Electrophoresis See "Electrophoresis, Protein, Urine" UroVysion by FISH V Vaginal/Cervical Culture See "Culture, Vaginal/Cervical (includes gram stain)" Vaginitis DNA Probe Valproic Acid, Free Valproic Acid, Total Vancomycin, Peak Vancomycin, Random Vancomycin, Trough Vanilla (Rf234), IgE** Vanillylmandelic Acid (VMA), Urine, 24 Hour Vanillylmandelic Acid,(VMA), Creat, Ur, Random Varicella Zoster (VZV) Antibody IgG Varicella Zoster (VZV) Antibody IgM Varicella Zoster DNA, RT-PCR, Qual Varicella Zoster Virus (VZV) DFA Vascular Endothelial Growth Factor Vasoactive Intestinal Polypeptide (VIP) Vasopressin See "Arginine Vasopressin (ADH)" VDRL, CSF Velvet Grass (g13), IgE Venom, Bumble Bee (B.terrestrus),IgE Very Long Chain Fatty Acids Vibrio Culture See "Culture, Stool R/O Vibrio" VIP See "Vasoactive Intestinal Polypeptide (VIP)" Viscosity, Serum Vitamin A (Retinol) Vitamin B1, Plasma/Serum Vitamin B1, Whole Blood Vitamin B Vitamin B12 Binding Capacity Vitamin B Vitamin B3 See "Niacin (Vitamin B3)" Vitamin B Vitamin D See "Vitamin D, 25-Hydroxy" Vitamin D, 1,25-Dihydroxy Vitamin D, 25-Hydroxy Vitamin E (Tocopherol) Vitamin K VMA See "Vanillylmandelic Acid (VMA), Urine, 24 Hour" Voltage-Gated Calcium Channel Ab Von Willebrand Factor Activity Von Willebrand Factor Antigen von Willebrand Factor Collagen Binding Assay von Willebrand Factor Multimeric Analysis Vysis UroVysion See "UroVysion by FISH" W WA1 Antibody, IgG Walnut (f256), IgE Walnut Black Food (J. nigra), IgE* Walnut Food English (J. regia), IgE Walnut Tree (t10), IgE Watermelon (Rf329), IgE WBC See "White Blood Cell Count" WBC & Platelet Count with Differential WBC Stool West Nile Virus Antibody, IgG, IgM Western Ragweed (w2), IgE Clinical Laboratory Partners Page G-17

341 Index by Test Name Test Name Page Test Name Page Wet Prep for Trichomonas Wheat (f4), IgE Whey (Rf236), IgE** Whey, IgG* White Ash (t15), IgE White Bean (f15), IgE White Blood Cell and Differential White Blood Cell Count White Mulberry (t70), IgE White Pine (t16), IgE White-Faced Hornet (i2), IgE Whitefish, IgE Whole Egg (f245), IgE Wild Rye Grass (g70), IgE Wild Silk (k73), IgE Willow (t12), IgE Wormwood (w5), IgE Wound Culture See "Culture, Wound (includes gram stain)" Wound Culture r/o Anthrax See "Culture, Wound r/o Anthrax" X Xylene, Occupational Exposure, Blood See "d-xylose Absorption, Blood, 1 Hour" Xylose See "d-xylose, Urine, 5 Hour" Y Yeast (f45), IgE Yellow Hornet (i5), IgE Yellow Jacket (i3), IgE Yo Antibody Screen Rflx WB, Titer Z ZAP Zarontin See "Ethosuximide" Zinc Zinc Protoporphyrin Zinc, RBC Ziprasidone Zoloft See "Sertraline (Zoloft)" Zolpidem Zonisamide ZPP See "Zinc Protoporphyrin" Clinical Laboratory Partners Page G-18

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