C

Spec: 3 mL serum (FROZEN)
Ref: Fasting - 0.9 - 4.0 ng/mL
Stimulated - 1.5 - 9.5 ng/mL
Meth: Immunochemiluminometric Assay

Spec: 1 mL serum.
Ref: Less than 37.7 U/mL
Meth: Immunoassay

Spec: 1 mL serum.
Ref: 2 - 30 U/mL
Meth: Immunoassay
Note: This test is for investigational and/or research use ONLY. The performance characteristics of this test have not been established. CA19-9 is not to be used as a diagnostic procedure without confirmation of the diagnosis by another medically established means.

Spec: 1 mL serum.
Ref:        <2 - 35 U/mL
Meth: Immunoassay

Spec: Aliquot of a 24 hour urine. Record total volume. (Preserve with 20 mL 6N HCl)
Ref:         <15 mcg/24 hrs
Meth: Atomic Absorption Spectrometry

Spec: 2 mL Serum or Plasma Avoid EDTA or ACD anticoagulants. Avoid hemolysis
Ref: <30 U/mL
Meth: Immunoassay

Spec: 2 mL Serum or Plasma. Avoid EDTA or ACD anticoagulants. Avoid hemolysis.
Ref: See Report
Meth: Immunoassay

Spec: 2 mL of serum in each of two plastic vials. FREEZE.
Ref: 0 - 100 pg/mL
Meth: Immunoassay

Spec: 1 mL serum. PLASMA UNACCEPTABLE.
Ref: 8.4 - 10.2 mg/dL
Meth: Chemical analysis

Spec: 1 full barrier tube. Centrifuge 30 minutes after drawing.
DO NOT REMOVE STOPPER.
Ref: 4.8 - 5.5 mg%/L
Meth: Ion Selective Electrode

Spec:10 mL aliquot of 24-hr urine. Acidify to pH 3.0 or less. Record total volume.
Ref: 50 - 150 mg/24 hours
Meth: Chemical analysis

Spec: 2 ml serum. FREEZE.
Ref: Negative
Meth: Immunoassay

Spec: 2 mL serum (Do not use barrier tube)
Ref: 6 - 12 mg/mL
Toxic Range > 12.0 mg/mL
Half life (initial) 25 - 65 hours
Repeated doses 2 - 17 hours
Meth: Immunoassay

Spec: 1 full barrier tube. DO NOT REMOVE STOPPER.
Ref: 22 - 29 mmol/L
Meth: Chemical analysis

Spec: 1 green or lavender top tube
Ref: Non-smokers
Rural environment: 0.5 - 2.0%
Urban environment: 0.5 - 5.0%
Smokers
10% saturation- Headache
20% saturation- Nausea and vomiting
50% saturation- Potentially lethal
Toxic range- Greater than 25%
Meth: Spectrophotometric Analysis

Spec: 2 mL serum
Ref: Non Smokers: <3.5 ng/mL
Smokers: <5.0 ng/mL
Meth: Immunoassay

Spec: 3 mL frozen serum. Separate from cells as soon as possible. PROTECT FROM LIGHT.
Ref: 4 - 30 mg/dL
Meth: HPLC

Spec:100 mL aliquot of a 24 hr. urine. Place 25 mL of 6N HCL into container prior to collection. Record total volume.
Ref: <275 mg/24 hrs.
Meth: Liquid Chromatography

Spec:6 mL heparinized plasma. Draw in two green top tubes, separate, and transfer immediately to a plastic tube and FREEZE.
Ref:Epinephrine: 90 pg/mL or less
Dopamine: 135 pg/mL or less
Total C: 120 - 850 pg/mL
Norepinephrine: 600 pg/mL or less
Meth:Liquid Chromatography

Spec:Paraffin Tissue Block or Slides
Ref: >20% cell membrane staining, Unfavorable
<20% cell membrane staining, Favorable
Meth: Immunohistochemistry

Spec: 1 lavender top tube and peripheral blood smear.
A completely filled tube is required.
Ref: WBC: 3.4 - 11.8 x 109/L
RBC:
Male, 4.2 - 5.9 x 1012/L
Female, 3.6 - 5.5 x 1012/L
HGB:
Male, 12.3 - 17.0 gm/dL
Female, 11.5 - 15.6 gm/dL
HCT:
Male, 39.3 - 52.5 %
Female, 36.3 - 49.9%
Differential (Adults):
Neutrophil: 36 - 78%
Bands: 0 - 6%
Eosinophils: 1 - 8%
Basophils: 0 - 2%
Monocytes: 5 - 12%
Lymphocytes: 12 - 48%
MCH: 25 - 34.1 pg
MCV: 79.2 - 104.1 fL
MCHC: 30 - 34.4%
Meth: Flow-cytometry/Cytochemical analysis

Spec: 5 mL of Blood. 1 Lavender, 1 Green
DO NOT REFRIGERATE OR FREEEZE.
Ref: See Report
Meth: Flow Cytometry

CEA
See Carcinoembryonic Antigen

Spec: 5 x 50 micron shavings of Paraffin block or submit the Paraffin Block.
Ref: See Lab Report
Meth: Image Analysis

Spec: Lavender top tube with EDTA
Ref: See Report
Meth: Manual Cell Count

Spec: 1 mL CSF in sterile container
Ref: 0 - 10 mononuclear cells/mL
Meth: Manual Cell Count

Cerebrospinal Fluid
See under individual tests

Spec: 2 mL serum
Ref: 21 - 75mg/dL
Meth: Immunoassay

Spec: Swab
Ref: Negative
Meth: Immunoassay

Spec: Swab in Chlamydia transport media
Ref: Negative
Meth: Culture
Note: Test #0689, Chlamydia Antigen Immunoassay, does not rely on recovery of virus hence is more reliable than culture method. Request culture in writing if desired. (#0555)

Spec: Chlamydia Direct Antigen Slide
Ref: Negative
Meth: Direct Fluorescent Assay

Spec: Special collection transport media and swab. Call Laboratory
Ref: Negative
Meth: Gene Probe

Spec: 1 mL serum. FREEZE.
Ref: Negative
Meth: Indirect Fluorescent Assay

Spec: 15 - 20 mL of first voided urine collected in a sterile container
Ref: Negative
Meth: Ligase Chain Reaction

Spec: First voided urine in a sterile container.
Ref: None detected
Meth: Ligase Chain Reaction

Spec: 1 mL serum

Ref: 96 - 108 MMOL/L

Meth: Chemical Analysis

Spec: 10 mL aliquot of 24 hr. urine (2.0 mL minimum)
Ref: 110 - 250 meq/24 hours
Meth: Chemical Analysis

Spec: 3 mL Serum. (Do not use barrier tube).
Ref: Therapeutic Range: 0.2 - 1.0 mg/mL
Toxic Range: > 1.0 mg/mL
Meth: Chromatographic Analysis

Spec: 2 mL serum
Ref: <200 mg/dL
Meth: Enzymatic Assay

Spec: 2 mL EDTA Plasma (or Serum)
Ref: 2.5 - 7.1 IU/mL
Meth: Enzymatic Assay

Spec: 2 mL Serum or Plasma. Avoid EDTA or ACD anticoagulants. Avoid hemolysis.
Ref: <5 mIU/mL
Meth: Immunoassay

Spec: 2 mL serum plasma or whole blood (collect in royal blue tube) collected using metal-free plastic syringe. Vial and stainless steel needle supplied by laboratory.
Collection Procedure: Please note that proper collection is essential to allow accurate measurement of the very low concentration of chromium in serum.
1. Avoid all sources of external contamination.
2. Prepare venipuncture site routinely. Draw 3 mL of blood through the stainless steel needle into a regular disposable syringe. Discard syringe and blood.
3. With needle still in place, draw 3 - 4 mL of blood into the metal-free syringe.
4. Cap syringe and allow to clot for one-half hour.
5. Unscrew and discard plunger. Centrifuge specimen in syringe.
6. Pour (DO NOT TRANSFER WITH A PIPETTE) the serum into the metal-free vial.
Ref: 0.1 - 2.0 ug/mL
Meth: Atomic Absorption Spectroscopy
Note: The sensitivity of this test is not satisfactory for the evaluation of Chromium nutrition.

Spec: 10 mL random urine in metal-free container
Ref: <8 mg/24 hrs.
Meth: Atomic Absorption Spectroscopy

Spec: 2 green top tubes. In newborns and infants draw 0.5 - 1.0 mL of blood into a pediatric green top tube. Keep at room temperature. Do not refrigerate. Do not submit on Friday or Saturday. Submit only Monday to Thursday.
Ref: See laboratory report
Meth: Tissue Culture, Photomicroscopic examination.
Note: Provide detailed patient history and clinical information.

Spec: 20 - 30 mL of amniotic fluid in a sterile container. DO NOT REFRIGERATE OR FREEZE. Keep at room temperature. Do not submit on Friday or Saturday. Submit only Monday to Thursday.
Ref: See laboratory report
Meth: Tissue culture
Note: Provide detailed patient history and clinical information.

Spec:    10 gm from a random stool specimen submitted in a 16 oz container. Freeze                 specimen.
Ref: Normal: Greater than 100
Infants: Greater than 80
Older children: Greater than 40
Infants with Fibrocystic Disease: No activity at <10
Meth: Gelatin Liquefaction titer.

Spec: 5 mL Serum. WRAP IN FOIL TO PROTECT FROM LIGHT. Collect specimen 10-14 hrs. post dose
Ref: Therapeutic Range: 10 - 70 mcg/L
Toxic Range:>80 mcg/L
Half-Life: 12 - 40 hours
Meth: Chromatographic Analysis

Spec: 10 gm stool. Submit in a widemouth plastic sterile container. REFRIGERATE.
Ref: Negative for clostridium difficile toxin.
Meth: Immunoassay

Spec: 20 mL random urine
Ref:         Negative
Meth: Immunoassay

Spec: 2 mL plasma. Draw blood in a grey top tube, separate plasma. FREEZE. A 5 mL aliquot of random urine is also acceptable.
Ref: <150 ng/mL
Meth: Gas Chromatography/Mass Spectra Analysis

Spec: Barrier tube. Allow to clot at room temperature. DO NOT REFRIGERATE. Keep at room temperature.
Ref: <1:32
Meth: Precipitation at 4°C

Spec: 2mL Serum
Ref: See Report
Meth: Immunoassay

Spec: 2 mL Serum
Ref: See Report
Meth: Immunoassay

Spec: 2 mL Serum in plastic vial. FREEZE.
Ref: > 11 mg/dL
Meth: Immunological Assay

Spec: 2 mL serum in plastic vial. FREEZE
Ref:        2800-7600 U/mL
Meth: Immunological Assay

Spec: 2 mL serum
Ref: 90 - 180 mg/dL
Meth: Immunological Assay

Spec: 2 mL serum
Ref: 10 - 40 mg/dL
Meth: Immunological Assay

Spec: 2 mL serum in a plastic vial. FREEZE.
Ref: 4 - 14 mg/dL
Meth: Immunological Assay

Spec: 1 mL of EDTA plasma in each of two plastic vials. FREEZE.
Ref: 28 - 69 mg/dL
Meth: Immunological Assay

Spec: 1 mL of EDTA plasma in each of two plastic vials. FREEZE.
Ref: 27 - 74 mg/dL
Meth: Immunological Assay

Spec: 1 mL of EDTA plasma in each of two plastic vials. FREEZE.
Ref: 2.7 - 6.0 mg/dL
Meth: Immunological Assay

Spec: 1 mL of EDTA plasma in each of two plastic vials. FREEZE.
Ref: 33 - 95 mg/dL
Meth: Immunological Assay

Spec: 2 mL serum. Separate serum in a plastic vial. FREEZE.
Ref: 100 - 300 CH50 Units
Meth: Hemolytic Assay

Spec: 1 lavender top tube or red top tube (no gel). WRITE PATIENT'S FULL NAME ON TUBE.
Ref: Negative
Meth: Hemagglutination

Spec: 1 red top tube (no gel). WRITE PATIENT'S FULL NAME ON TUBE.
Ref: Negative
Meth: Hemagglutination

Spec: 1 royal blue top tube
Ref: 90 - 150 mcg/dL
Meth: Atomic Absorption Spectrophotometry

Spec: 1 mL serum (0.5mL minimum). FREEZE. Or Plasma from Royal Blue.
Ref:        70 - 155 mg/mL
Meth: Atomic Absorption Spectroscopy

Spec: 24 hour urine
Ref: <60 mcg/24 hrs
Meth: Atomic Absorption Spectrometry

Cortisol, Serum

Spec: 2 mL serum. FREEZE
Ref: 2.5 - 25 mg/dL Random
5 - 25 mg/dL AM
2 - 12.5 mg/dL PM
Meth: Immunoassay
Note: Baseline
(AM Specimen).......0066-1
10 minutes..........1851-5
Random..............0900-1
PM Specimen.........0067-9
30 Minutes..........1495-1
60 Minutes..........1496-9
AM & PM.............0374-9

Spec: 20 mL aliquot of 24-hr urine without preservative. Record volume.
Ref: 5 - 47 mcg/24 hr.
Meth: Immunoassay

Spec: 2 mL serum
Ref:         <1:8
Meth: Immunoassay

Spec: 2 mL serum
Ref:        <1:8
Meth: Immunoassay

Spec: 2 mL serum
Ref: Female: 24 - 173 mL
Male: 24 - 204 m/L
Meth: Kinetic Analysis

Spec: 2 mL serum. Record total CPK value on test request form and vial. FREEZE. Ref: CK I (BB): 0%
CK II (MB): 0 - 3%
CK III (MM): 97 - 100%
Meth: Electrophoresis

Spec: 1 mL serum
Ref: <0.5 mg/dL
Meth: Immunoassay

Spec: 1 mL serum and 10 mL aliquot of a timed 24 hr. urine. Indicate total volume on requisition and container.
Ref: 70 - 157 mL/min.
Meth: Chemical Analysis

Spec: 1 ml serum
Ref: 0.4 - 1.2 mg/dL
Meth: Chemical Analysis

Spec: 1 mL serum. DO NOT REFRIGERATE
Ref: Negative
Meth: Precipitation at 4°C

Spec: O & P Kit
Ref: None Present
Meth: Slide Stain

Spec: 1 mL serum (RF)
Ref: Not detected
Meth: Latex Particle Agglutination

Spec: 2 mL joint fluid in a plastic tube
Ref: No crystals seen
Meth: Polarization microscopy

Spec: Sputum
Ref: No acid fast bacilli seen.
Meth: Fluorochrome Stain, Gene Probe

Spec: 2 Bactec Bottles, aerobic and anaerobic. Follow instructions on the bottle or SBS or SPB yellow-top tubes.
Ref: No growth after 6 day incubation (Preliminary report given after 48 hours)
Meth: Bacteriologic Culture

Spec: Fluid in sterile plastic container and Blood Culture Media (SPB) inoculated with 1 mL of fluid.
Ref: No growth.
Meth: Culture, Colony count/Biochemical Identification.

Spec: 1 mL CSF in sterile container
Ref: No growth
Meth: Colony Count/Biochemical Identification. Aerobic and Anaerobic Culture

See Chlamydia Culture

Spec: SPC Total Count Sampler
Ref: <2,000 col/mL
Meth: Membrane Filtration

Spec: Swab in culturette
Ref: No growth
Meth: Culture, Colony Count/Biochemical Identification.

Spec: Swab in culturette
Ref: No growth
Meth: Culture, Colony Count/Biochemical Identification.

Spec: Swab in culturette. Give site. For dermatophytes send scrapings or hair in sterile tube.
Ref: No fungi isolated.
Meth: Fungal culture, incubated for four weeks before determined to be negative.

Spec: Swab in culturette. STORE AT ROOM TEMPERATURE.
Ref: No growth or normal vaginal flora.
Meth: Culture, Colony Count/Biochemical Identification.

Spec: Bring JEMBEC plate to room temperature. Inoculate JEMBEC plate with specimen on swab. Place CO2 tablet in the well and seal in ziplock bag. DO NOT REFRIGERATE. Give site.
Ref: Negative for Neisseria gonorrhoeae
Meth: Culture

Spec: Blood sample (drawn first week of disease) or urine in a yellow top blood culture tube.
Ref: No leptospira recovered
Meth: Culture

Spec: Special Mycoplasma culture media. Contact laboratory.
Ref: No growth
Meth: Culture

Spec: Swab in culturette
Ref: No growth
Meth: Culture, Biochemical Identification

Spec: 3 mL in tube with SPB (Supplemented Peptone Broth) Send 4 tubes.
Ref: No growth.
Meth: Culture, Biochemical Identification

Spec: Sputum in sputum collection container. Do not send saliva.
Ref: Normal respiratory flora
Meth: Culture, Biochemical Identification.

Spec: Swab in Culturette
Ref: Negative For enteric pathogens
Meth: Culture, Biochemical Identification

Spec: Swab in culturette
Ref: Normal pharyngeal flora
Meth: Culture, Biochemical Identification

Spec: Performed on all pathogens except Beta hemolytic, Streptococcus, S. viridans, S. pneumoniae.
Ref: See laboratory report
Meth: Culture, Biochemical identification

Spec: Urine in container with Bacteriostatic preservative. (Boricon) CANNOT USE FOR URINALYSIS. For catheter specimen collect through catheter with syringe.
Ref: No growth
Meth: Biochemical Identification

Spec: Swab in culturette. Give site.
Ref: No Growth
Meth: Culture, Biochemical identification
Note: Use swab if sufficient pus not available for aspiration (Otherwise send aspirate in sterile tube). Clean surface first with sterile saline or water to prevent contamination.

Spec: Swab in culturette. Give site.
Ref: No yeast recovered.
Meth: Incubated for seven days before determined to be negative.

Spec: 10 mL aliquot of morning urine. FREEZE.
Ref: 1.83 - 4.47 nanomoles/dL glomerules filtrate
Meth: Immunoassay, Chemical analysis.

Spec: 2 mL heparinized (green top) (EDTA also acceptable) whole blood
Ref: 100 - 400 ng/mL
Meth: Immunoassay

Spec: Direct Smears- Fix immediately with cytology spray fixative.
Cystic fluids- Add directly to 95% alcohol solution.
Ref: See laboratory report.
Meth: Microscopic examination of Papanicolaou stained smear(s).

Spec: Add directly to 95% alcohol solution.
Ref: Cytologic (Microscopic) examination of papanicolaou stained smear(s). Cell block performed- H & E stained.
Meth: See laboratory report.

Spec: Direct Smear- Fix immediately with cytology spray fixative. If tiny fragments or shreds of tissue, fix in container provided for tissue processing. Rinse needle with fixative. Label container with patient's name and age.

Spec: Cervical smear: Direct Smear- Fix immediately with cytology spray fixative.
Vaginal Smear (Hormonal evaluation, M.I.): Direct Smear- Fix immediately with cytology spray
fixative. Ref: See laboratory report.
Meth: Cytologic (Microscopic) examination of Papanicolaou stained smear(s).

Spec: Cervical and vulva smear: Direct Smear- Fix immediately with cytology spray fixative.
Vaginal Smear (Hormonal evaluation, M.I.): Direct Smear- Fix immediately with cytology spray fixative.
Endometrial Aspiration: Direct Smear- Fix immediately with cytology spray fixative.
Ref: See laboratory report.
Meth: Microscopic examination of Papanicolaou stained smears.

Spec: Recommended technique: Use broom device and place sample into Preserv Cyt Solution by pushing the broom into the bottom of the vial 10 times. Force bristles apart and then swirl vigorously. Send properly labled container with requisition.
Ref: See laboratory report.
Meth: Microscopic analysis

Note: Papnet will be run if the sample has been found to be normal by manual screening. Call laboratory for special payment instructions.

Spec: Direct Smear- Fix immediately with cytology spray fixative.
Ref: See laboratory report.
Meth: Microscopic examination

Spec: Gastro-intestinal Brushings: Direct Smear- Fix immediately with cytology spray fixative.
Gastro-intestinal Washings: Add equal quantities of 95% alcohol solution.
Ref: See laboratory report.
Meth: Microscopic examination of Papanicolau stained smear. Cell block performed on washings. H & E stained.

Spec: Direct Smears- Fix immediately with cytology spray fixative.
Fluids- Add directly to 50% alcohol
Ref: See laboratory report.
Meth: Microscopic examination of Papanicolaou stained smear.

Spec: Direct smear- fix immediately with cytology spray fixative.
Ref: See laboratory report.
Meth: Microscopic examination of Papanicolaou stained smear.

Spec: Bronchrial Brushing: Direct Smear- Fix immediately with cytology spray fixative. If smears are not made, add the aspirated material directly to equal volumes of 50% alcohol solution.
Send immediately to laboratory. Ref: See laboratory report.
Meth: Microscopic examination of papanicolaou stained smear. Cell block performed on washings.

Spec: Add directly to 50% alcohol solution.
Ref: See laboratory report
Meth: Microscopic examination of Papanicolaou stained smear.

Spec: Aspiration Biopsy: Direct Smear- Fix immediately with cytology spray fixative.
Cystic Fluid- Add directly to 95% alcohol.
Ref: See laboratory report
Meth: Microscopic examination of Papanicolaou stained smear.

Spec: Add directly to an equal volume of 50% alcohol solution.
Ref: See laboratory report
Meth: Microscopic examination of Papanicolaou stained smear.

Spec: 1 mL serum
Ref:        <15 AU/mL
Meth: Immunoassay

Spec: 2 mL serum
Ref: <0.600 Units
Meth: Immunoassay

Spec: 10 mL Hep whole blood Ambient
Ref: Negative
Meth: Virus Culture

Spec: 10 mL EDTA whole blood (ACD accepted)
Ref: None detected
Meth: PCR methodology

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