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CODE TEST CPT CODE SPECIMEN REQUIREMENTS / REFERENCE RANGES
BLOD0171  1 25,Dihydroxy Vitamin D
by Liquid Chromatography/Tandem Mass Spectrometry

*Note: Meaures only the Total 1,25 Dihydroxyvitamin D; measures the bio-active form of Vitamin D.
**This test is also used in the differential diagnosis of hypocalcemia and to monitor patients with renal osteodystrophy or chronic renal failure.
82652 1.5 mL serum (0.7 mL minimum). Patient should be fasting (4 hour fast preferred but not required.) Send refrigerated.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 28 days
  10 Hydroxycarbazepine Refer to "Trileptal".
BLOD0183  17 Hydroxyprogesterone
by LC-MS/MS
83498 1.0 mL serum from a red top tube (0.5 mL minimum). Plasma NOT acceptable. Send refrigerated. No gel barrier or SST tubes. Do not use glass tubes.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
NBLD0039  17-Ketosteroids Total 24-hr Urine
by Colorimetric with Modified Zimmerman Reaction

*Includes Creatinine
83586 20 mL aliquot (10 mL minimum) of a well-mixed and measured 24-hour urine. Add 25 mL of 50% acetic acid; or add 10 grams boric acid; or 30 mL of 6N HCl to container at start of collection to maintain a pH below 7.5. Keep refrigerated during collection. Contact Client Support for alternative shipping if preservative is unavailable. Record total volume on test request form and urine vial.
Stability: RMT - 8 hours            REFT - 7 days
              Frozen 30 days
BLOD0409  25-Hydroxy Vitamin D Total
by Chemiluminescence
82306
0.5 mL serum (0.5 mL minimum). Heparinized plasma is acceptable. Send refrigerated. Avoid hemolyzed, lipemic, and icteric specimens.            
Stability: RMT - 72 hours            
              REFT - 12 days            
              Frozen - 3 months
  5 Hydroxyindoleacetic Acid (5-HIAA) Quantitative 24-Hour Urine Refer to "5 HIAA".
NBLD0067  5-HIAA (5 Hydroxyindoleacetic Acid) 24-Hour Urine
by LC-MS/MS
83497 5 mL aliquot of a well-mixed and measured 24-hour urine (1.0 mL minimum). Collect with 25 mL of 50% Acetic Acid or 6 N HCl to maintain a pH between 1-5. (Use 15 mL of 50% Acetic Acid for children <5 years old.) Preservative may be added after collection. Keep refrigerated during collection. Record 24 hour total volume on test request form AND urine container. If preservative is not available, send 50 mL of urine (10 mL minimum) without preservative but frozen. Note Diet Protocol: Patient should not eat avocados, bananas, butternuts, cantaloupe, dates, egg plant, grapefruit, hickory nuts, honeydew, kiwi, melons, nuts, pineapple, plantains, plums, or tomatoes for 48 hours before or during collection.
Stability: With Preservative: REFT - 56 days
              Frozen - 1 year
              Without Preservative:            
                          Frozen Only - 7 days
  6 Monoacetylmorphine Refer to "Drugs of Abuse" or "Drug Screen".
BLOD0417   A2 Hemoglobin
by Cation Exchange/HPLC

*Includes Hemoglobin A2 and F
**Blood transfusions within the last 4 months may affect results.
83021 3.0 mL EDTA whole blood (1.0 mL minimum). Heparin and ACD whole blood are also acceptable. Send in original tube. Submit a Mayo Thalassemia/Hemoglobinopathy Information Sheet available from our Client Support. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT - 7 days
BLOD0918  ABO Blood Group 86900 3.0 mL EDTA (pink top tube preferred) whole blood. Draw in 4-7 mL capacity tubes. EDTA lavendar top whole blood acceptable. EDTA pink top tubes available from our Supplies Department. Avoid hemolysis. Refer to "General Information" Section for Specimen Labeling Policy - Blood Bank.
Stability: REFT - 3 days
BLOD0919  ABO Blood Group and Rh Type 86900
86901
4.0-7.0 mL EDTA (pink top tube preferred) whole blood. Draw in 4-7 mL capacity tubes (3.0 mL minimum). EDTA lavendar top tubes also acceptable. Pink top tubes available from our Supplies Department. Avoid hemolysis. Refer to "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0154  ACE (Angiotensin-1 Converting Enzyme)
by Spectrophotometry

82164 1.0 mL serum only (0.5 mL minimum). Red top or gel tubes acceptable. EDTA plasma not acceptable. Note: The use of angiotensin converting enzyme (ACE)-inhibiting antihypertensive drugs will cause decreased ACE values. Samples with visible hemolysis, lipemia, or icterus will be rejected. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            
              Frozen - 6 months
BLOD0548  Acetaminophen (Tylenol)
by Colorimetric
80302 AMA
G6039 Medicare
1.0 mL serum (0.5 mL minimum). Lithium heparin and EDTA plasma also acceptable. For trough, collect just before next dose. For overdose, obtain level 4 hours post-ingestion (or as soon as possible after 4 hours).
Stability: RMT - 14 days            REFT - 14 days
              Frozen - Unacceptable
BLOD0472  Acetylcholine Receptor Binding Antibody
by RIA

*This is the primary test for Myasthenia Gravis.
83519 2.0 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - 72 hours            
              REFT - 28 days            
              Frozen - 28 days
BLOD0473  Acetylcholine Receptor Blocking Antibody (ACHR)
by RIA
83519 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT-14 days            REFT-14 days
              Frozen-30 days
BLOD0205  Acetylcholine Receptor Modulating Antibody
by Radiobinding Assay

83519 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT-14 days            REFT-14 days
              Frozen-30 days
  Acetylcholinesterase RBC Refer to "Cholinesterase RBC and Plasma".
  Acid Fast Bacilli Stain Refer to "CULT Acid Fast Bacilli Stain".
  Acid Fast Culture Refer to "CULT Acid Fast Culture Indicate Source".
  Acid Fast Culture Blood Refer to "CULT Acid Fast Culture Blood".
  Acid Fast Culture Other
Refer to "CULT Acid Fast Culture Indicate Source".
  Acid Phosphatase Prostatic Refer to "Prostatic Acid Phosphatase".
BLOD0146  ACTH Plasma (Adrenocorticotrophic Hormone)
by Automated Chemiluminescent Immunometric Assay
82024 1.0 mL EDTA plasma frozen (0.5 mL minimum/0.25 mL pediatric minimum). Draw in an ice-cooled EDTA lavender top tube. Spin down in a refrigerated centrifuge; immediately separate from cells and freeze plasma. Note: Morning (6 a.m.-10:30 a.m.) specimen is desirable. Reference ranges apply to morning draws. No established reference values for p.m. draws. This test requires its own frozen aliquot.
Stability: Frozen Only
  Actin Antibody Refer to "Anti-Smooth Muscle Antibody IgG".
BLOD0664  Activated Protein C Resistance (APC Resistance (APC Resistance)
by APTT-Based Assay Clot-Based
85307 2.0 mL sodium citrate platelet-poor plasma frozen (0.7 mL minimum). For procedure to prepare platelet-poor plasma, use this link: Click Here
Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: Frozen Only
  Activated Thromboplastin Time (APTT) Refer to "APTT".
BLOD0783  Acute Hepatitis Panel
-Hepatitis A Antibody (HAAb), IgM
              Antibody
-Hepatitis B Core Antibody (HbcAb), IgM
              Antibody
-Hepatitis B Surface Antigen (HbsAg)
              If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-Hepatitis C Antibody

*Note: Acute Hepatitis Panel is one of the Medicare approved Clinically Relevant Panels. Please refer to the MEDICAL NECESSITY section of this Catalog.
80074

1.0 mL serum and 4.0 mL EDTA plasma (3.0 mL minimum). Please indicate "serum" or "plasma" on specimen tubes.
Stability: RMT - 3 days            
              REFT - 7 days            
              Frozen >7 days
  Acute Leukemia Panel Refer to "Leukemia Diagnostic Panel".
  Adapin (Doxepin/Sinequan) Refer to "Doxepin".
BLOD0316  Adenovirus Antibody
by Complement Fixation
86603 1.0 mL serum (0.5 mL minimum). CSF is not acceptable for this test.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0217  ADH - Antidiuretic Hormone (Arginine Vasopressin - AVP)
by RIA
84588
2.0 mL platelet-poor plasma (lavendar top tube) (1.2 mL minimum). Send Frozen. Patient must fast and thirst for 6 hours (no liquids, including water, are allowed). Draw 5-10 mLs of blood in Pre-chilled EDTA lavendar top tubes. Spin down in a refrigerated centrifuge (2000 rpm) for 10 minutes. Separate plasma, carefully avoiding the platelet/buffy coat. Send the Platelet-poor EDTA plasma frozen. This test requires its own frozen aliquot. Note: This test should not be requested on patients who have recently received radioactive material.
Stability: RMT - Unacceptable
              REFT - 24 hrs            Frozen - 14 days
BLOD0480  Adrenal Total Antibodies
by IFA

*Used to evaluate Adrenal insufficiency and Addison's Disease.
86255 1.0 mL serum (0.5 mL minimum).
Stability: RMT - 48 hours            REFT - 7 days
              Frozen - 60 days
  Adrenocorticotropic Hormone Refer to "ACTH".
  AFB Stain Refer to "CULT Acid Fast Bacilli Stain".
BLOD0849  AFP (Alpha Fetoprotein) Serum Maternal
by Two-Site Immunoenzymatic (Sandwich Assay)

*Prenatal Screening for Open Neural Tube Defect
82105 1.0 mL serum (0.5 mL minimum). Collection Instructions: 1. Do not draw specimen after amniocentesis as this could affect results. 2. Immediately spin down. Avoid hemolysis. Submit with a special AFP requisition available from our Supplies Department. All information must be completed on the Maternal-AFP Requisition. Test must be performed at 15 - 22 weeks, 6 days gestation. Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 90 days
BLOD0586  AFP (Alpha Fetoprotein) Tumor Marker
by Immunometric Immunoassay
82105 1.0 mL serum (0.7 mL minimum) from a gold or red top tube.
Stability: RMT - Unacceptable
              REFT - 5 days            
              Frozen 30 days
NBLD0048  ALA (Aminolevulinic Acid) 24-Hour Urine
by Colorimetric

*Includes Urine Creatinine
82135 2.0 mL aliquot of well-mixed and measured 24-hour urine (0.6 mL minimum) with no preservative. Record total volume on test request form and urine vial. Protect from light. Send frozen.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
  Albumin 24-Hour Urine - Microalbumin Refer to "Microalbumin 24 Hour Urine".
  Albumin Random Urine - Microalbumin Refer to "Microalbumin Random Urine".
BLOD0549   Albumin Serum
by BCG
82040 1.0 mL serum (0.5 mL minimum). Fasting is preferred specimen. Avoid hemolysis and lipemia. Heparinized plasma also acceptable.
Stability: RMT - 7 days            REFT - 30 days
              Frozen >30 days
BLOD0550  Alcohol Blood
by Enzymatic
80301 AMA
G6040 Medicare
Patient Preparation: Do not cleanse the sample draw site with alcohol or other volatile disinfectants. Only use aqueous disinfectants.

1.0 mL lithium heparin plasma preferred. Also acceptable serum, plasma from sodium heparin and potassium oxalate/sodium fluoride.* Must keep tightly capped. To minimize exposure to air, spin samples with cap on, transfer to plastic transfer tube within 3 hours, and cap immediately. Avoid hemolysis. Send refrigerated.
Stability: RMT - 2 days            REFT - 7 days
              Frozen - Not Acceptable

Note: *Sodium Fluoride has a tendency to hemolyze samples.
LABS0221  Alcohol Ethanol Legal Blood
by Enzyme Immunoassay, GC/MS

*Requires Chain-of-Custody Form
**Use Betadyne as skin preparation for drawing specimens. Do not use alcohol or alcohol containing solutions.
80320 AMA
G6040 Medicare
4.0 mL sodium fluoride whole blood (1.0 mL minimum). Tubes should be filled to prevent loss of volatile compound into headspace. Gently mix well. Refrigerate.
Stability: RMT - 14 days            REFT - 6 months
              Frozen 1 year
BLOD0147  Aldolase
by Ultraviolet, Kinetic
82085 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
NBLD0044  Aldosterone 24-Hour Urine
by LC-MS/MS
82088 10.0 mL aliquot (6.0 mL minimum) of a well mixed 24 hour urine. Collect with 25 mL of 50% acetic acid to maintain a pH between approximately 2 and 4. Use 15 mL of 50% acetic acid for children < 5 years old. Boric acid may be used in place of acetic acid. (Preservative may be added after collection.) Refrigerate during and after collection. Record total volume on 24 hour container and requisition. Send sample refrigerated. If preservative is not available and pH is >4, send sample refrigerated to Sanford Laboratories noting on order "Preservative needed, pH >4".
Stability: RMT 7 days            REFT - 7 days
              Frozen - 7 days
BLOD1357  Aldosterone Serum
by LC-MS/MS
82088 1.2 mL frozen serum from a red top or gel tube (0.6 mL minimum). Note: Indicate if patient drawn is upright or supine position. 8 a.m. draw time (after patient is active for 2 hours) is recommended, preferably no later than 10 a.m. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 30 days
BLOD0148  Aldosterone With Tanner Stages
by LC/MS/MS
82088 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. Separate from cells within 30 minutes. Refrigerate. Draw upright samples at least 1/2 hour after patient sits up. Indicate "supine" or "upright" position during sample collection. Send refrigerated.
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 28 days
BLOD0568  Alkaline Phosphatase
by Enzymatic
by Colorimetric - Rapid City
84075 1.0 mL serum (0.5 mL minimum). Avoid hemolysis. Heparinized plasma also acceptable.
Stability: RMT - 4 days            REFT - 4 days
              Frozen - 4 days
BLOD0200  Alkaline Phosphatase Isoenzymes
by Isoenzymes by Electrophoresis; Alk Phos Total by Photometric, p-Nitrophenol Phosphate

*Includes Total Alkaline Phosphatase and Isoenzymes: Intestinal, Bone, Liver, & Placental
84080
84075
2 aliquots of 0.5 mL (0.3 mL minimum) serum in each of the tubes. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
              (Send 2 Separate Aliquots)
BLOD0709  Allergen Animal Cat Dander
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0718  Allergen Animal Cow Dander
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0723  Allergen Animal Dog Dander
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0240  Allergen Animal Ferret Epithelia
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0245  Allergen Animal Goose Feathers
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0249  Allergen Animal Guinea Pig Epithelium
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD1135  Allergen Animal Hamster
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0730  Allergen Animal Horse Dander
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0265  Allergen Animal Parrot / Parakeet Droppings (Budgerigar)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0273  Allergen Animal Rabbit Epithelia
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0279  Allergen Animal Turkey Feathers
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum (0.3 ml minimum)for first allergen with 0.25 mL serum required for each additional allergen. Refrigerate.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0805  Allergen Drug Penicillin Allergy Panel
by Fluoroallergrosorbent

*Includes Penicilloyl G, Penicilloyl V, Amoxicilloyl, & Ampicilloyl
**Tests for all four major determinates of Penicillin.
***The time for Penicilloyl testing is no sooner than 3 weeks and no longer than 6 months after Penicillin exposure. It is recommended to test for all four: Penicilloyl G and V, Ampicilloyl and Amoxicilloyl; therefore, these allergens are not available separately.
86003(4) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0694  Allergen Food Almond
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0695  Allergen Food Alpha lactalbumin
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0697  Allergen Food Apple
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0230  Allergen Food Avocado
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0699  Allergen Food Banana
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0700  Allergen Food Barley
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1424  Allergen Food Basil
by Fluorescence Enzyme Immunoassay (FEIA)
86003 0.5 mL (0.3 mL minimum) serum. Send refrigerated.
Stability: RMT - NA            REFT - 14 days
              Frozen - 14 days
BLOD0701  Allergen Food Beef
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0703  Allergen Food Beta lactoglobulin
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0231  Allergen Food Brazil Nut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0232  Allergen Food Broccoli
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0713  Allergen Food Cacao (Cocoa)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0707  Allergen Food Carrot
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0705  Allergen Food Casein
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0708  Allergen Food Cashew Nut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0234  Allergen Food Celery
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0235  Allergen Food Cheese Cheddar
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0236  Allergen Food Cheese Mold Type
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0710  Allergen Food Chicken Meat
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0237  Allergen Food Cinnamon
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0288  Allergen Food Clam
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0713  Allergen Food Cocoa
Tested as "Cacao"
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0239  Allergen Food Coconut
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0714  Allergen Food Codfish
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0716  Allergen Food Corn (maize)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0719  Allergen Food Crab
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0724  Allergen Food Egg White
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0725  Allergen Food Egg Yolk
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1272  Allergen Food Flaxseed
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0242  Allergen Food Garlic
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0243  Allergen Food Gluten
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0246  Allergen Food Grape
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0247  Allergen Food Grapefruit
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0248  Allergen Food Green Bean
by Fluorescence Enzyme Immunoassay (FEIA)
86003 0.5 mL (0.3 mL minimum) serum. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0250  Allergen Food Hazelnut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0289  Allergen Food Kiwi Fruit
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0254  Allergen Food Lamb / Mutton
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum (0.3 ml minimum) for first allergen with 0.25 mL serum required for each additonal allergen. Refrigerate.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0255  Allergen Food Lemon
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0256  Allergen Food Lettuce
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0257  Allergen Food Lobster
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1136  Allergen Food Macadamia Nut
by ImmunoCAP (FEIA)
86003 0.5 mL (0.5 mL minimum) serum. Send refrigerated.
Stability: RMT - 28 days            
              REFT - 28 days            
              Frozen - 28 days
BLOD1342  Allergen Food Mango
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum (0.3 mL minimum) for first allergen with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0258  Allergen Food Melon
by Fluorescence Enzyme Immunoassay (FEIA)
86003 0.5 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0737  Allergen Food Milk
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0260  Allergen Food Mushroom
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0261  Allergen Food Mustard
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0741  Allergen Food Oat
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0262  Allergen Food Onion
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0742  Allergen Food Orange
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0264  Allergen Food Paprika
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0267  Allergen Food Pea
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0268  Allergen Food Peach
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0744  Allergen Food Peanut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0269  Allergen Food Pear
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0270  Allergen Food Pecan Nut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0271  Allergen Food Pineapple
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0272  Allergen Food Pistachio
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0749  Allergen Food Pork
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0750  Allergen Food Potato
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0290  Allergen Food Psyllium (Ispaghula)
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0752  Allergen Food Rice
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0274  Allergen Food Rye
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0291  Allergen Food Salmon
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0754  Allergen Food Scallops
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0292  Allergen Food Sesame Seed
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0755  Allergen Food Shrimp
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0756  Allergen Food Soybean
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD01403  Allergen Food Squash
by Fluorescence Enzyme Immunoassay
86603 0.5 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0757  Allergen Food Strawberry
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0275  Allergen Food Sunflower Seed
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0276  Allergen Food Sweet Potato
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0759  Allergen Food Tomato
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0278  Allergen Food Tuna
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0280  Allergen Food Turkey Meat
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1402  Allergen Food Vanilla
by Fluorescence Enzyme Immunoassay
86003 0.5 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0760  Allergen Food Walnut
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0761  Allergen Food Wheat
by ImmunoCAP Specific IgE
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0764  Allergen Food Yeast
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1476  Allergen Grass Barley
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0702  Allergen Grass Bermuda
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0233  Allergen Grass Brome
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0253  Allergen Grass Johnson
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0732  Allergen Grass Kentucky Blue June
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0728  Allergen Grass Meadow Fescue
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0743  Allergen Grass Orchard Grass (Cocksfoot)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0751  Allergen Grass Redtop Bentgrass
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0747  Allergen Grass Rye Perennial
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0758  Allergen Grass Timothy
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1485  Allergen Grass Wheat
by Fluorallergrosorbent
86003 1.0 mL (0.2 mL minimum) serum. Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1480  Allergen Grass Wild Rye
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0731  Allergen House Dust (Hollister-stier)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0720  Allergen House Dust / Mite Dermatophagoides farinae
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0721  Allergen House Dust / Mite Dermatophagoides microceras
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additonal allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0722  Allergen House Dust / Mite Dermatophagoides pteronyssinus
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0712  Allergen Insect Cockroach (Blatella germanica)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0241  Allergen Insect Fire Ant
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0252  Allergen Insect Honey Bee
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1474  Allergen Insect Mosquito
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0263  Allergen Insect Paper Wasp
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0282  Allergen Insect Whitefaced Hornet
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0286  Allergen Insect Yellow Hornet
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0287  Allergen Insect Yellow Jacket (Common wasp)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0696  Allergen Mold Alternaria alternata
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0698  Allergen Mold Aspergillus fumigatus
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1472  Allergen Mold Aureobasidium Pullulans
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1470  Allergen Mold Botrytis Cinerea
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0706  Allergen Mold Candida albicans
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0711  Allergen Mold Cladosporium herbarum (Hormodendrum)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1477  Allergen Mold Curvularia Lunata
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1077  Allergen Mold Epicoccum purpurascens
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1306  Allergen Mold Fusarium Moniliforme
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0251  Allergen Mold Helminthosporium halodes
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0738  Allergen Mold Mucor racemosus
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0746  Allergen Mold Penicillium notatum
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0734  Allergen Occupational Latex
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1331  Allergen Occupational Tobacco Leaf
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum (0.3 mL minimum.) Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0762  Allergen Tree Ash (White)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0704  Allergen Tree Birch Common silver
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0735  Allergen Tree Boxelder / Maple
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0717  Allergen Tree Cottonwood
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1471  Allergen Tree Cypress
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0726  Allergen Tree Elm American
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0259  Allergen Tree Mountain Cedar Juniper
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1171  Allergen Tree Mulberry
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0740  Allergen Tree Oak
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0745  Allergen Tree Pecan Hickory
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0283  Allergen Tree Pine (White)
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003
0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0281  Allergen Tree Walnut
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0284  Allergen Tree Willow
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0238  Allergen Weed Cocklebur
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0715  Allergen Weed Common Ragweed
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0727  Allergen Weed English Plantain (Ribwort)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0729  Allergen Weed Firebush / Kochia
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0244  Allergen Weed Goldenrod
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0733  Allergen Weed Lambs Quarter (Goosefoot)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0736  Allergen Weed Marshelder Rough
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0739  Allergen Weed Mugwort
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1172  Allergen Weed Nettle
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0748  Allergen Weed Pigweed Rough Common
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD0753  Allergen Weed Russian Thistle (Saltwort)
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1478  Allergen Weed Scale/Lenscale
by Fluorallergrosorbent
86003 1.0 mL serum (0.2 mL minimum per allergen). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1173  Allergen Weed Sheep Sorrel
by Fluoroallergrosorbent
86003 0.5 mL serum for first allergen with 0.2 mL serum required for each additional allergen. Refrigerate.
Stability: REFT - 7 days            Frozen >7 days
BLOD1475  Allergen Weed Western Ragweed
by Fluorallergrosorbent
86003 1.0 mL (0.2 mL minimum) serum. Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0285  Allergen Weed Wormwood
by Fluorescence Enzyme Immunoassay (FEIA) - IgE
86003 0.5 mL serum for first allergen (0.3 mL minimum) with 0.25 mL serum required for each additional allergen. Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD1520  Allergy - Egg White Allergen Component Panel
by Fluoroallergrosorbent

-Ovalbumin
-Ovomucoid
86003(2) 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1519  Allergy - Egg White Allergen Reflex to Component
by Fluoroallergrosorbent

*If egg white allergen is positive, will reflex to 2 components (Ovalbumin and Ovomucoid) at an additional fee.
86003 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1518  Allergy - Milk Allergen Component Panel
by Fluoroallergrosorbent

-Alphalactalbumin
-Betalactoglobulin
-Casein
86003(3) 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1517  Allergy - Milk Allergen Reflex to Component
by Fluoroallergrosorbent

*If milk allergen is positive, will reflex to 3 components (Alphalactalbumin, Betalactoglobulin, and Casein) at an additional fee.
86003 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1516  Allergy - Peanut Allergen Component Panel
by Fluoroallergrosorbent

-ARA H1
-ARA H2
-ARA H3
-ARA H8
-ARA H9
86003(5) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1515  Allergy - Peanut Allergen Reflex to Component Panel
by Fluoroallergrosorbent

*If peanut allergen is positive, will reflex to 5 components (ARA H1, ARA H2, ARA H3, ARA H8, and ARA H9) at an additional fee.
86003 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD0693  Allergy - Total IgE Serum
by Fluroenzymeimmunoassay
82785 1.0 mL serum (0.6 mL minimum). Refrigerate.
Stability: REFT - 7 days
BLOD0770  Allergy CHAMP Panel (Childhood Allergy March) + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*Recommended for children 3 months - 4 years.

-Alternaria alternata
-Cat Dander
-Cladosporium herbarum            
              (Hormodendrum)
-Cockroach
-Codfish
-Dermatophagoides farinae
-Dermatophagoides pteronyssinus
-Dog Dander
-Egg White
-Milk
-Mouse Urine
-Peanut
-Shrimp
-Soybean
-Walnut
-Wheat
-Total IgE
86003(16)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0800  Allergy Food Panel 1
by Fluoroallergrosorbent

-Almond
-Cashew Nut
-Codfish
-Corn
-Egg White
-Hazelnut
-Milk
-Peanut
-Salmon
-Scallop
-Sesame Seed
-Shrimp
-Soybean
-Tuna
-Walnut Food
-Wheat
86003(15) 3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0891  Allergy Food Panel 1 + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay
-Almond
-Cashew Nut
-Codfish
-Egg White
-Hazelnut
-Milk
-Peanut
-Salmon
-Scallop
-Sesame Seed
-Shrimp
-Soybean
-Tuna
-Walnut food
-Wheat
-Total IgE
86003(15)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0801  Allergy Food Panel 2
by Fluoroallergrosorbent

-Barley
-Cacao (Cocoa)
-Cashew Nut
-Chicken Meat
-Codfish
-Corn
-Egg White
-Milk
-Oats
-Orange
-Peanut
-Pork (food)
-Potato
-Scallops
-Shrimp
-Soybean
-Tomato
-Walnut (food)
-Wheat
-Yeast
86003(20) 4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0892  Allergy Food Panel 2 + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay
-Barley
-Cacao (Cocoa)
-Cashew nut
-Chicken meat
-Codfish
-Corn
-Egg white
-Milk
-Oat
-Orange
-Peanut
-Pork (food)
-Potato
-Scallop
-Shrimp
-Soybean
-Tomato
-Walnut (food)
-Wheat
-Yeast
-Total IgE
86003(20)
82785
4.0 mL serum (2.0 mL minimum. Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1500  Allergy Indoor Panel
by Fluorallergrosorbent
-Aureobasidium pullulans
-Dermatophagoides farina
-Dermatophagoides pteronyssinus
-Mucor racemosus
-Penicillium chrysogenum
86003(5) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1498  Allergy Insect and Dander Panel
by Fluorallergrosorbent
-Cockroach
-Mosquito
-Cat Dander
-Cow Dander
-Horse Dander
-Rabbit Epithelia
86003(7) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1501  Allergy Mold Panel
by Fluorallergrosorbent
-Alternaria alternata
-Botrytis cinera
-Candida albicans
-Cladosporium herbarum
-Curvularia lunata
-Epicoccum purpur
-Fusarium moiliforme
-Setomelanomma rostrata
86003(8) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0803  Allergy North Central Panel
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Cat Dander
-Cladosporium herbarum
              (Hormodendrum)
-Common Ragweed
-Dermatophagoides farinae
-Elm Tree
-Kentucky Blue Grass, June
-Lambs Quarters
-Marshelder Rough
-Oak Tree
-Orchard Grass
-Penicillium notatum
-Russian Thistle
86003(14) 3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0890  Allergy North Central Panel + Total IgE
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Cat Dander
-Cladosporium herbarum
              (Hormodendrum)
-Common Ragweed
-Dermatophagoides farinae
-Elm Tree
-Kentucky Blue Grass, June
-Lambs Quarters
-Marshelder Rough
-Oak Tree
-Orchard Grass
-Penicillium notatum
-Russian Thistle
-Total IgE
86003(14)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0804  Allergy Pediatric Food Panel
by Fluoroallergrosorbent
-Codfish
-Corn
-Egg white
-Milk
-Peanut
-Soybean
-Wheat
86003(7) 2.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0894  Allergy Pediatric Food Panel + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay
-Codfish
-Corn
-Egg white
-Milk
-Peanut
-Soybean
-Wheat
-Total IgE
86003(7)
82785
2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1205  Allergy Region X Respiratory Profile + Total IgE
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Bermuda Grass
-Birch Tree
-Cat Dander
-Cladosporium herbarum
-Cockroach
-Common Ragweed
-Cottonwood
-Dermatophagoides farinae
-Dermatophagoides pteronyssinus
-Dog Dander
-Elm Tree
-Maple Tree
-Marsh Elder
-Mountain Cedar
-Mulberry
-Nettle
-Oak Tree
-Pecan Hickory Tree
-Penicillium notatum
-Pigweed
-Sheep Sorrel
-Timothy Grass
-White Ash Tree
-Total IgE
86003(25)
82785
4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1455  Allergy Respiratory Panel Region 9 (KS, ND, NE, SD) + IgE
by Fluoroallergrosorbent

-Derm. pteronyssinus
-Derm. farinae
-Cat dander
-Dog dander
-Bermuda grass
-Timothy grass
-Cockroach
-Penicillin notatum
-Cladosporium herbarum
-Aspergillus fumigatus
-Alternaria alternata
-Box Elder
-Mountain Cedar
-Oak
-Elm
-Cottonwood
-Ash (White)
-Mulberry
-Common Ragweed
-Russian thistle
-Sheep Sorrel
-Nettle
-Total IgE
86003(22)
82785
4 mL serum (2.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD1497  Allergy SW MT Seasonal Panel B
by Fluorallergrosorbent
-Bermuda Grass
-English Plantain
-Firebush (Koshia)
-Lamb's Quarters
-Mountain Cedar
-Oak
-Timothy Grass
86003(7) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD1496  Allergy SW MT Seasonal Panel C
by Fluorallergrosorbent
-Barley Grass
-Pigweed Rough
-Russian Thistle
-Scale/Lenscale
-Sheep Sorrel Red
-Western Ragweed
-Wild Rye Grass
86003(7) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
BLOD0769  Allergy Upper Respiratory Disease Panel Central Midwest States + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*For upper and lower respiratory disease
**Recommended for persons 4 years and older.

-Alternaria alternata
-Ash Tree
-Aspergillus fumigatus
-Bermuda Grass
-Boxelder Maple
-Cat Dander
-Cladosporium herbarum            
              (Hormodendrum)
-Cockroach
-Common Ragweed
-Cottonwood
-Dermatophagoides pteronyssinus
-Dog Dander
-Dust Mite (Dermatophagoides farinae)
-Elm, American
-Kentucky Blue Grass, June
-Mountain Cedar Juniper
-Mouse Urine
-Mulberry Tree
-Nettle
-Oak Tree
-Penicillium notatum
-Pigweed, Common (Rough)
-Russian Thistle (Saltwort)
-Sheep Sorrel
-Total IgE
86003(24)
82785
4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1073  Allergy Western Panel
by Fluorallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Boxelder Maple Tree
-Cat Dander
-Cladosporium herbarum
              (Hormodendrum)
-Common Ragweed
-Cottonwood Tree
-Dog Dander
-Dust Mite (Dermatophagoides
              farinae)
-Firebush/Kochia
-Kentucky Blue Grass, June
-Mountain Juniper (Cedar)
-Mugwort
-Penicillium notatum
86003(14) 3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1072  Allergy Western Respiratory Disease Panel + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*For upper and lower respiratory disease.

-Alternaria alternata
-Aspergillus fumigatus
-Box Elder/Maple
-Cat Dander
-Cladosporium herbarum            
              (Hormodendrum)
-Common Ragweed
-Cottonwood
-Dog Dander
-Dust Mite (Dermatophagoides farinae)
-Firebush/Kochia
-Kentucky Blue Grass, June
-Mountain Cedar Juniper
-Mugwort
-Penicillium notatum
-Total IgE
86003(14)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0849  Alpha Fetoprotein (AFP) Serum Maternal
by Two-Site Immunoenzymatic (Sandwich Assay)

*Prenatal Screening for Open Neural Tube Defect
82105 1.0 mL serum (0.5 mL minimum). Collection Instructions: 1. Do not draw specimen after amniocentesis as this could affect results. 2. Immediately spin down. Avoid hemolysis. Submit with a special AFP requisition available from our Supplies Department. All information must be completed on the Maternal-AFP Requisition. Test must be performed at 15 - 22 weeks, 6 days gestation. Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 90 days
BLOD0586  Alpha Fetoprotein (AFP) Tumor Marker
by Immunometric Immunoassay
82105 1.0 mL serum (0.7 mL minimum) from a gold or red top tube.
Stability: RMT - Unacceptable
              REFT - 5 days            
              Frozen - 30 days
BLOD0149  Alpha-1 Antitrypsin Phenotype
by Isoelectric Focusing

*Does not include total quantitation; phenotype only.
82104 1.0 mL serum (0.5 mL minimum). Avoid moderate to gross hemolysis.            
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 30 days
BLOD0007  Alpha-1 Antitrypsin Quantitation
by Turbidimetric
82103 1.0 mL serum (0.7 mL minimum). Avoid lipemia. Preferred specimen is frozen.
Stability: REFT - 48 hrs            Frozen >48 hrs
BLOD0573  ALT (SGPT) Alanine Aminotransferase
by Enzymatic
84460 1.0 mL serum (0.6 mL minimum). Avoid hemolysis. Heparinized and EDTA plasma also acceptable.            
Stability: RMT - 3 days            REFT - 7 days
              Frozen - Unacceptable
BLOD0150  Aluminum
by Dynamic Reaction Cell-Inductively Coupled Plasma Mass Spectrometry (DRC-ICP-MS)
82108 Special blood collection tubes (7 mL Monoject royal blue top trace elements free with no additive) are required for aluminum testing. Must be drawn in a 7 mL Monoject royal blue top trace elements free with no additive. These tubes are available from our Supplies Department. Allow blood to clot. Centrifuge and transfer 1.2 mL (0.3 mL minimum) serum to a Trace Metal Free transport tube. Send refigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 7 days
BLOD0015  Amikacin (Amikin) Peak
by Kinetic Interaction of Microparticles in Solution
80150 0.5 mL serum (0.25 mL minimum). Serum is acceptable from either gel tubes or red top tubes. Specimen should be centrifuged and aliquoted within 2 hours of collection. Plasma is not acceptable. Collect peak 30 minutes after IV infusion; or 60 minutes after an IM dose. Send refrigerated.
Stability: RMT - 72 hours
              REFT - 14 days
              Frozen - 28 days            
BLOD0016  Amikacin (Amikin) Trough
by Kinetic Interaction of Microparticles in Solution
80150 0.5 mL serum (0.25 mL minimum). Serum from either gel tubes or red top tubes is acceptable. Specimen should be centrifuged and aliquoted within 2 hours of collection. Collect blood immediately before the next scheduled dose. Send refrigerated.
Stability: RMT - 72 hours            
              REFT - 14 days            
              Frozen - 28 days
BLOD0796  Amino Acid Quantitative Plasma
by LC-MS/MS
82139 1.0 mL frozen heparinized plasma (0.5 mL minimum). Freeze. Note: Patient should be fasting at least 4 hours. Include family history, clinical condition, diet, drug therapy, and patient's age and sex. This test requires its own frozen aliquot.
Stability: Frozen only
NBLD0048  Aminolevulinic Acid (ALA) 24-Hour Urine
by Colorimetric

*Includes Urine Creatinine
82135 2.0 mL aliquot of well-mixed and measured 24-hour urine (0.6 mL minimum) with no preservative. Record total volume on test request form and urine vial. Protect from light. Send frozen.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
BLOD0541  Aminophylline (Theophylline)
by Enzymatic THEO-PUR
by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City
80198 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Avoid hemolysis. Heparinized and EDTA plasma also acceptable. Draw 1-2 hour after dose for "intermittent release" form; and 5-9 hours after "sustained release" form. Collect trough levels within 30 minutes prior to next dose. Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 60 days
BLOD0399  Amiodarone (Cordarone)
by High-Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)

*Includes metabolite Desethylamiodarone
82542 3.0 mL frozen serum only (0.5 mL minimum). Plasma is not acceptable. No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 24 hours            REFT - 3 days
              Frozen - 14 days
BLOD0384  Amitriptyline (Elavil)
by LC-MS/MS

*Includes metabolite Nortriptyline
80335 AMA
G6030 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Draw specimen immediately before the next scheduled dose (or at a minimum of 12 hours after last dose.) Spin down within 2 hours of draw. Do not draw in serum separator tubes. Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0551  Ammonia
by Colorimetric
82140 2.0 mL frozen EDTA plasma. Lithium and sodium heparin plasma are also acceptable. It is crucial to fill the tube to capacity. Mix well, then immediately spin down. Separate plasma from cells and freeze plasma. If unable to spin down and separate, send the EDTA whole blood on wet ice within 1 hour to the testing laboratory. Avoid hemolysis. Note: Capillary specimens are not acceptable. This test requires its own frozen aliquot. Note: Draw specimen at appropriate time to ensure testing within 24 hours. Contact Client Support for questions regarding stability.
Stability: RMT/REFT - Unacceptable
              Frozen - 24 hours
  Amniotic Fluid L/S Ratio Refer to "L/S Ratio Amniotic Fluid".
  Amphetamines Refer to "Drugs of Abuse".
NBLD0168  Amylase Body Fluid
by Enzymatic
82150 1.0 mL body fluid in sterile tube (0.3 mL minimum). Refrigerate. Acceptable body fluid types include: Amniotic, BAL, Bile, Cyst, Gastric, Jackson-Pratt, Pericardial, Peritoneal Dialysis Fluid, Peritoneal/Ascites, Pleural, and Vitreous/Eye. Avoid freezing.
Stability: RMT - 7 days            REFT - 30 days
              Frozen - Unacceptable.
BLOD0797  Amylase Isoenzymes
by Quantitative Enzymatic

*Includes Amylase Total, Pancreatic Isoenzyme, and Salivary Isoenzyme
82150(2) 1.0 mL serum (0.5 mL minimum). Sodium or lithium heparin plasma is also acceptable. Avoid gross hemolysis. Send refrigerated.
Stability: RMT - 7 days            REFT - 30 days
              Frozen - 30 days
BLOD0552  Amylase Serum
by Enzymatic
by Enzymatic, Colorimetric - Rapid City
82150 1.0 mL serum (0.3 mL minimum). Refrigerate. Avoid hemolysis and lipemia. Heparinized plasma also acceptable. Note: Plasma concentrations may be higher than serum concentrations.
Stability: RMT - 7 days            REFT - 30 days
              Frozen - Unacceptable
NBLD0161  Amylase Timed-Urine
by Enzymatic
82150 10 mL aliquot of a well-mixed and measured "timed" urine specimen. Record duration of collection time and the total volume on the requisition. Avoid freezing specimen.
Stability: RMT - 7 days            REFT - 30 days
BLOD0773  ANA - FANA - Antinuclear Antibody Screen Serum - Reflex to titer and pattern if positive
by EIA

*ANA screen must be performed before an ANA titer is performed. Titer and pattern performed at an additional fee.
86038
Reflex
86039
1.0 mL frozen serum (0.7 mL minimum). Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 24 hrs            Frozen - 14 days
  Anaerobic Culture Refer to "CULT Bacterial Culture Anaerobic".
  Anaerobic Identification Refer to "CULT Identification Anaerobic".
BLOD0400  Anafranil (Clomipramine)
by LC-MS/MS

*Includes metabolite Desmethylclomipramine
80335 AMA
G0480 Medicare
1.0 mL serum (0.25 mL minimum). No gel barrier or SST tubes. Draw specimen immediately before next scheduled dose (or at a minimum 12 hours after the last dose). Spin down and separate serum from cells within 2 hours of drawing. Not affected by hemolysis or lipemia. Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0294  ANCA Antibody with MPO and PR3 - Reflex to ANCA Titer (Anti- Neutrophil Cytoplasmic Antibodies)
by Chemiluminescence Immunoassay/ Indirect Immunofluorescence

*Positive ANCA Screens reflex to pattern and titer at an additional fee.
**The MPO and PR3 will always be performed with this test.
86021(1) 3.0 mL frozen serum (2.0 minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
BLOD0293  ANCA MPO Only - Myeloperoxidase Antibody
by Chemiluminescence Immunoassay

*For patients who have previously had a positive P-ANCA and are being followed/monitored for disease remission/progression.
86021 1.0 mL frozen serum (0.5 mL minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
BLOD0295  ANCA PR3 Only - Proteinase-3 Antibody
by Chemiluminescence Immunoassay

*For patients who have previously had a positive C-ANCA and are being followed/monitored for disease remission/progression.
86021 1.0 mL frozen serum (0.5 mL minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
BLOD0153  Androstenedione
by LC-MS/MS
82157 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. No gel barrier or SST tubes. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
BLOD0838  Anemia Panel
-Ferritin
-Iron
-Iron Binding Capacity
-Reticulocyte Count
-Vitamin B12
-Folic Acid, Serum
82728
83540
83550
85046
82607
82746
4.0 mL refrigerated serum (3.0 mL minimum) and 4.0 mL EDTA whole blood (1.5 mL minimum). Protect specimen from light. Avoid hemolysis.
Serum Stability:
              REFT - 7 days            Frozen >48 hrs
Whole Blood Stability:
              RMT - 8 hours            REFT - 3 days
BLOD0154  Angiotensin-1 Converting Enzyme (ACE)
by Spectrophotometry
82164 1.0 mL serum only (0.5 mL minimum). Red top or gel tubes acceptable. EDTA plasma not acceptable. Note: The use of angiotensin converting enzyme (ACE)-inhibiting antihypertensive drugs will cause decreased ACE values. Samples with visible hemolysis, lipemia, or icterus will be rejected. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            
              Frozen - 6 months
  Animal Allergens Refer to "Allergen Animal" and then by specific animal name.
  Animal Allergy Screen Refer to "Allergy - Screen Animal".
BLOD0926  Antibody (Atypical) Screen Red Cell (Indirect Coombs)
*If positive, antibody identification will be performed at an additional fee.
86850 10 mL EDTA (pink top preferred) whole blood drawn in two 2 separate 5-7 mL tubes. Pink top tubes are available from our Supplies Department. EDTA lavendar top tubes also acceptable. Specimen must be less than 3 days old. During extremely cold or hot weather, separate plasma from cells and send both. Note: For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0922  Antibody Identification - Red Cell
*If antibody is significant, a titer will be performed at an additional fee.
86870 10-15 mL clotted blood (2 sterile tubes with no additives) and 5-7 mL EDTA whole blood. EDTA lavendar top tubes acceptable. EDTA pink top tubes available from our Supplies Department. During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. Note: If previous screen was positive, please include phase of reaction, results, and method used. "Compatibility/Antibody Identification Form" available from Client Support. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability - 3 days
BLOD0921  Antibody Titer Red Cell
*Order if need titer of previously identified antibody (during this pregnancy). Specify antibody to be titered on the requisition.
86886 10-15 mL clotted blood (2 sterile tubes with no additives) and 5-7 mL EDTA (pink top preferred) whole blood. Draw in 5-7 mL capacity tubes. EDTA lavendar top tubes acceptable. Pink top tubes are available from our Supplies Department. Note: Specify antibody to be titered on the requisition. During extremely cold or hot weather, separate serum from cells and send both. No gel barrier or SST tubes. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0217  Anti-Diuretic Hormone (ADH - Arginine Vasopressin)
by RIA
84588
2.0 mL platelet-poor plasma (lavendar top tube) (1.2 mL minimum). Send Frozen. Patient must fast and thirst for 6 hours (no liquids, including water, are allowed). Draw 5-10 mLs of blood in pre-chilled EDTA lavendar top tubes. Spin down in a refrigerated centrifuge (2000 rpm) for 10 minutes. Separate plasma, carefully avoiding the platelet/buffy coat. Send the Platelet-poor EDTA plasma frozen. This test requires its own frozen aliquot. Note: This test should not be requested on patients who have recently received radioactive material.
Stability: RMT - Unacceptable
              REFT - 24 hrs            Frozen - 14 days
BLOD0775  Anti-DNA Double Stranded Antibody
by EIA

*Used in diagnosis of systemic lupus erythematosus.
86225 1.0 mL frozen serum (0.7 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Freeze. Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: REFT - 24 hrs            Frozen - 14 days
BLOD0460  Anti-DNA Single Stranded Antibody
by EIA
86226 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 60 days
BLOD0305  Anti-DNase B Antibody
by Nephelometry
86215 1.0 mL serum (0.5 mL minimum). Send refrigerated. Fasting preferred but not required.
Stability: RMT - 7 days            REFT - 14 days            
              Frozen - 14 days
BLOD0424  Anti-ENA Antibodies
by Multiple Flow Immunoassay

*Includes Anti-RNP and Anti-Sm (Smith) Antibodies
86235(2) 1.0 mL serum (0.8 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
  Anti-Extractable Nuclear Antigens Refer to "ENA Profiles".
BLOD0524  Anti-GAD 65 Antibodies (Glutamic Acid Decarboxylase Antibodies)
by RIA

*Useful in distinguishing between type 1 and type 2 diabetes, assessing susceptibility to autoimmune Diabetes Mellitus and related endocrine disorders.
86341 1.0 mL serum (0.75 mL minimum). Send refrigerated.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - 28 days
BLOD0310  Anti-Gastric Parietal Cell Antibodies
by ELISA

*Useful for evaluating patients suspected of having pernicious anemia or immune-mediated deficiency of Vitamin B12 with or without megaloblastic anemia.
83516 1.0 mL serum (0.5 mL minimum). Send refrigerated. Stability: RMT -Unacceptable
              REFT -21 days            Frozen - 21 days
  Anti-Gliadin Antibodies Refer to "Gliadin Peptide" or "Gliadin (Deamidated)".
BLOD0187  Anti-Glomerular Basement Membrane Antibodies IgG
by Multiplex Flow Immunoassay
83520 0.5 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            Frozen - 21 days
BLOD0184  Anti-Histone Antibodies
by ELISA

*Useful for evaluating patients suspected of having drug-induced lupus (LE).
83516 0.5 mL serum (0.35 mL minimum). Red top tube or gel tubes are acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
  Anti-Islet Cell Antibody Refer to "Islet Cell Antibody".
BLOD0306  Anti-Jo-1
by Multiplex Flow Immunoassay
86235 0.7 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
BLOD0309  Anti-Mitochondrial Antibody
by EIA

*Useful for diagnosis of PBS (primary biliary cirrhosis).
83516
1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            Frozen - 21 days
BLOD1157  Anti-Mullerian Hormone (AMH)
by Enzyme-Linked Immunosorbent Assay (ELISA)
83520 0.5 mL serum (0.1 mL minimum pediatrics). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            
              Frozen - 90 days
BLOD0294  Anti-Neutrophil Cytoplasmic Antibodies with MPO and PR3 Reflex to ANCA Titer
by Chemiluminescence Immunoassay/ Indirect Immunofluorescence

*Positive ANCA Screens reflex to pattern and titer at an additional fee.
**The MPO and PR3 will always be performed with this test.
86021(1) 3.0 mL frozen serum (2.0 minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
  Anti-Nuclear Antibody (Expanded) Profile Refer to "ENA Profile 3".
BLOD0773  Anti-Nuclear Antibody Screen - ANA - Serum Reflex to titer and pattern if positive
by EIA

*ANA screen must be performed before an ANA titer is performed. Titer and pattern performed at an additional fee.
86038
Reflex
86039
1.0 mL frozen serum (0.7 mL minimum). Send frozen. This test requires its own frozen aliquot.
Stability: REFT- 24 hrs            Frozen - 14 days
  Anti-Parietal Cell Antibody Refer to "Anti-Gastric Parietal Cell Antibodies".
BLOD0680  Anti-Phospholipid Antibody Panel - (with Lupus Inhibitor Screen)
*Includes:
Cardiolipins IgG & IgM;
Beta 2 Glycoprotein Antibodies;
DRVVT(reflex to confirmation);
Lupus Inhibitor Screen Intrinsic Pathway

**Confirmation testing will be performed at an additional fee.
86146(2)
86147(2)
85613
85612
85598
3 - 2 mL aliquots (1 mL minimum per aliquot) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires 3 separate frozen aliquots. Avoid hemolysis. Serum is also acceptable for the Cardiolipin Antibodies and B2GPs. Send this aliquot frozen and label "serum".
Stability: RMT & REFT - Unacceptable
              Frozen Only
  Anti-Platelet Antibody (Indirect) Refer to "Platelet Antibody Indirect Circulating".
  Anti-Platelet IgG Antibody (Direct) Refer to "Platelet Antibody Direct Platelet Bound".
BLOD0308  Anti-Scleroderma Antibody
(Anti-Scl 70)

by Multiplex Flow Immunoassay
86235 0.8 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
  Anti-Sjogrens Syndrome Refer to "Sjogrens Syndrome Antibodies".
  Anti-Sm (Smith) and Anti-RNP Refer to "ENA Antibodies".
BLOD0185  Anti-Smooth (Actin) Muscle Antibody IgG
by Indirect Immunofluorescence
86255 0.5 mL serum (0.2 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
  Anti-SSA/Ro and Anti-SSB/La Refer to "Sjogrens Syndrome Antibodies".
BLOD0620  Anti-Streptolysin O (ASO) Quantitative
by Agglutination Absorbance

*Provides valuable information regarding past streptococcal infection.
86060 1.0 mL serum (0.5 mL minimum). Separate from cells within 2 hours of collection. Avoid hemolysis.
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 60 days
BLOD0454  Anti-Striational Muscle Antibody
by RIA
83520 0.7 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - 28 days
BLOD0222  Anti-Thrombin III Antigen
by Automated Latex Assay
85301 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Overnight fasting is preferred. 3.8% sodium citrate plasma is NOT acceptable. Centrifuge specimen immediately and transfer to plastic vial. Note: Heparin may cause decreased values. Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: Frozen only - 21 days
BLOD0663  Anti-Thrombin III Functional
by Colorimetric
85300 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Double spin citrated plasma. Refer to "General Information" Section for collection of coagulation tests and procedure for preparing platelet-poor plasma. Avoid hemolysis. Send frozen. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD0413  Anti-Thyroglobulin Antibodies
by Two-Step Immunoassay
86800 1.0 mL serum (0.5 mL minimum). EDTA and heparinized plasma also acceptable. If specimen is not received into the testing laboratory within 3 days, the sample should be sent frozen. If frozen, this test requires its own frozen aliquot.
Stability: RMT - 8 hours            
              REFT - 3 days            
              Frozen - 30 days
BLOD0376  Anti-Thyroid Antibodies Panel 2 (Includes Thyroid Peroxidase Antibody and Thyroglobulin Antibodies)
by Two-Step Immunoassay
-Thyroglobulin Antibodies (BLOD0413)
-Thyroid Peroxidase Antibodies (BLOD0315)
86800
86376
2.0 mL serum (1.0 mL minimum). EDTA and heparinized plasma also acceptable. Avoid hemolysis. Separate from cells as soon as possible. Send refrigerated.
Stability: RMT - 8 hours            
              REFT - 3 days            
              Frozen - 30 days
BLOD0315  Anti-Thyroid Peroxidase Antibodies (TPO)
by Two-Step Immunoassay
86376 1.0 mL serum (0.5 mL minimum). EDTA and heparinized plasma also acceptable. Avoid hemolysis. Separate from cells as soon as possible. If specimen is not received into the testing laboratory within 3 days, the sample needs to be sent frozen. If frozen, this test requires its own frozen aliquot.
Stability: RMT - 8 hours            
              REFT - 3 days            
              Frozen - 30 days
BLOD0673  APTT (Activated Partial Thromboplastin Time)
by Mechanical Clot Detection
85730 2.0 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Avoid hemolysis. Preferred Sample: 3.2% sodium citrate plasma. The 3.2% sodium citrate tube must be filled to appropriate volume to acquire the 9:1 blood to anticoagulant ratio. The appropriate volume is critcal in obtaining valid results. This test requires its own frozen aliquot. Refer to the "General Information" Section for collection of Coagulation tests. Send frozen.
Stability:
Whole Blood: Unspun whole blood collected in 3.2% sodium citrate plasma is acceptable for 4 hours at RMT or REFT.
Separated Plasma: Separated citrated plasma needs to be tested within 4 hours of frozen. Frozen stability - 14 days
  Arginine Vasopressin Refer to "Anti-Diuretic Hormone".
NBLD0123  Arsenic 24 Hour Urine
by ICP-MS
82175 10 mL aliquot of a well mixed and measured 24 hour urine (2.0 mL minimum). Collect in a Metal Free plastic container, keeping refrigerated during collection. Transfer aliquot into a metal free container and send refrigerated. Both containers are available from our Supplies Department. Record the total volume on both the container and the request form. Note: Patient should not eat seafood for a 48 hour period prior to start. High concentration of gadolinium and iodine are known to interfere with most metals. If either gadolinium or iodine containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 28 days            REFT - 28 days
              Frozen 28 days
BLOD0157  Arsenic Whole Blood
by Inductively Coupled Mass Spectrometry (ICP-MS)
82175 Full EDTA trace metal free tube (royal blue top) whole blood (0.3 mL minimum). Send refrigerated in the original tube. Trace metal free tubes are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 21 days            REFT - 21 days
              Frozen - 21 days
  ASCA Refer to "Saccharomyces cerevisiae".
BLOD0091  Ascorbic Acid Plasma (Vitamin C)
by Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
82180 1.0 mL heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Place tube on wet ice and process within 4 hours of collection by centrifuging at 4 degrees C. Overnight fast is required. Send frozen and protected from light. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - Unacceptable
              Frozen - 14 days
Caution: Vitamin supplementation and nonfasting specimens may result in elevated vitamin concentration.
BLOD0620  ASO Titer (Anti Streptolysin O) Quantitative
by Agglutination Absorbance

*Provides valuable information regarding past streptococcal infection.
86060 1.0 mL serum (0.5 mL minimum). Separate from cells within 2 hours of collection. Avoid hemolysis.
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 60 days
BLOD0987  Aspergillus Antigen Serum
by EIA
87305 1.5 mL (1.0 mL minimum) serum. Draw in plastic serum separator/gel barrier tube. Spin down and send in the original tube. Do not open the lid or pour sample into another tube as opening the lid can cause contamination. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0540  Aspirin (Salicylates)
by Enzymatic
80302 AMA
G6038 Medicare
2.0 mL serum (0.6 mL minimum). Lithium and sodium heparin also acceptable.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 6 months
BLOD0572  AST (Aspartate Aminotransferase) (SGOT)
by Enzymatic
84450 1.0 mL serum (0.6 mL minimum). Separate serum from clot/cells within 1 hour. Heparinized plasma also acceptable. EDTA plasma, citrate plasma, and fluoride oxalate plasma are not acceptable. Avoid hemolysis. Refrigerate.
Stability: RMT - 3 days            REFT - 7 days
              Frozen - 90 days
BLOD0019  Ativan (Lorazepam)
by HPLC
80346 AMA
G6031 Medicare
2.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately prior to the next scheduled dose.            
Stability: RMT - 72 hrs            REFT - 72 hrs
  AVP Refer to "Anti-Diuretic Hormone".
BLOD0604  B12 (Vitamin B12 Cyanocobalamin)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
82607 1.0 mL frozen serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis. This test requires its own frozen aliquot.
Stability: RMT - 3 days            
              REFT - 7 days            
              Frozen >7 days
BLOD1228  Babesia microti Antibodies (IgG & IgM)
by IFA
86753(2) 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 48 hrs            REFT - 7 days
              Frozen - 2 months
BLOD1231  Bartonella henselae & quintana IgG & IgM
by IFA

*Bartonella henselae is associated with Cat Scratch Disease.
86611(2) 0.7 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
NBLD0516  Basic Enteric Pathogen Panel, NAD
by Muliples Nucleic Acid Amplification

*This assay tests for the following enteric pathogens: Salmonella, Shigella, Campylobacter, Vibrio, Yersinia entercolitica, Shiga Toxins 1 and 2, Rotavirus, and Norovirus

**Specimens positive for Salmonella or Shigella will automatically reflex to the appropriate culture at an additional fee.
87506 Collect specimen in a clean or sterile container. Transfer stool sample to Cary-Blair media within 2 hours of collection. Send refrigerated.
Rectal swabs, specimens contaminated with urine or diapers are unacceptable.
Wait 7-10 days before collecting a specimen following a barium and/or Bismuth radiological examination.
Stability: RMT - NA            REFT - 48 hours
              Frozen - NA
BLOD0528  Basic Metabolic Panel (Kidney)
-Sodium
-Potassium
-Chloride
-Carbon Dioxide (CO2)
-Calcium
-Creatinine
-Glucose
-Urea Nitrogen (BUN)
-eGFR (>18 years old)
-Anion Gap
-BUN/Creatinine Ratio

*Note: Basic Metabolic Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the Medical Necessity Section of this catalog.
80048 2.0 mL serum (Pediatric patients only - 0.5 mL minimum). Lithium heparin also acceptable. Prompt separation of serum from cells is essential. Avoid hemolysis and lipemia. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
  Bence Jones - Protein Kappa and Lambda Light Chains Refer to "Free Light Chains".
BLOD1187  Beta 2 Glycoprotein I IgG and IgM Antibodies
by Chemiluminescent Immunoassay

*Beta-2-GPI antibodies are found in patients with antiphospholipid syndrome (APS) and are associated with increased risk of venous and arterial thrombosis and thrombocytopenia. Beta-2-GPI antibodies are found only in patients with autoimmune diseases, while cardiolipin antibodies can be transiently found in infectious diseases.
86146(2) 2.0 mL frozen citrated plasma (1.0 mL minimum). Serum is also acceptable. Avoid hemolysis and lipemia. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD1332  Beta 2 Glycoprotein IgG
by Chemiluminescent Immunoassay

*Beta-2-GPI antibodies are found in patients with antiphospholipid syndrome (APS) and are associated with increased risk of venous and arterial thrombosis and thrombocytopenia. Beta-2-GPI antibodies are found only in patients with autoimmune diseases, while cardiolipin antibodies can be transiently found in infectious diseases.
86146 2.0 mL (1.0 mL minimum) citrated plasma. Serum is also acceptable. Send frozen. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD1333  Beta 2 Glycoprotein IgM
by Chemiluminescent Immunoassay

*Beta-2-GPI antibodies are found in patients with antiphospholipid syndrome (APS) and are associated with increased risk of venous and arterial thrombosis and thrombocytopenia. Beta-2-GPI antibodies are found only in patients with autoimmune diseases, while cardiolipin antibodies can be transiently found in infectious diseases.
86146 2.0 mL (1.0 mL minimum) citrated plasma. Serum is also acceptable. This test requires its own frozen aliquot. Send frozen.
Stability: Frozen only
BLOD1188  Beta-2 GPI Antibody IgA
by ELISA
86146 0.5 mL serum (0.4 mL minimum). Send refrigerated.            
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
BLOD0158  Beta-2 Microglobulin Serum
by Turbidimetric
82232 1.0 mL serum only (0.5 mL minimum). Overnight fasting preferred. Avoid hemolysis and lipemia. CSF is not an acceptable specimen type.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen >7 days
NBLD0051  Beta-2 Microglobulin Urine
by Quantitative Chemiluminescent
82232 3.0 mL (1.0 mL minimum) urine.
Collection Instruction: Patient should empty bladder. Have the patient drink at least 0.5 liters of water; then within 1 hour, collect a random urine specimen. pH needs to be between 6 and 8. If the pH is greater than 8, lower pH to 6-8 by adding 1 M HCL. If the pH is less than 6, increase the pH to 6-8 by adding 5% NaOH. Record pH on the transport tube. Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hrs            Frozen - 60 days
BLOD0089  Beta-Hydroxybutyrate Serum (Acetone Quantitative)
by Colorimetric

*Note: Replaces Acetone (Blood Ketone) Screen. Beta-Hydroxybutyrate (BHB) is 78% of the 3 ketone bodies in the blood,--the other two are acetoacetate (20%) and acetone (2%).
82010 1.0 mL serum (0.7 mL minimum). Avoid moderate or gross hemolysis. EDTA, heparinized plasma, and sodium fluoride plasma also acceptable. Send refrigerated.
Stability: RMT - 1 day            REFT - 7 days
BLOD1047  Bile Acids Total Serum
by Quantitative Enzymatic
82239 1.0 mL serum (0.5 mL minimum) drawn from a fasting patient (fasting at least 8 hours). Allow specimen to clot completely at ambient temperature before centrifugation. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen - 90 days
NBLD0034  Bilirubin Amniotic Fluid (Delta OD of Bilirubin)
by Spectrophotometic Scan

*Useful for determining the presence of fetal erythroblastosis.
82247 3.5 mL frozen amniotic fluid (1.7 mL minimum). Centrifuge, separate supernatant, and send both supernatant and sediment frozen in separate plastic vials, labeled appropriately. Protect samples from light. Avoid contamination by blood. Note: Include duration of pregnancy on the requisition. Gestational age at time of amniocentesis is required.
Stability: Frozen only
BLOD0578  Bilirubin Direct
by Diazo Reaction

*Test result is a calculation based on the performance of the Indirect Bilirubin test.

by Diazotization - Rapid City

*Test result is a direct assay.
82248 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. EDTA plasma is not acceptable. Avoid hemolysis and lipemia. Protect from light.
Stability: RMT - 4 hours            REFT - 7 days
BLOD0527  Bilirubin Total
by Diazo Reaction
by Diazonium Ion - Rapid City
82247 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. EDTA plasma is not acceptable. Avoid hemolysis and lipemia. Protect from light.
Stability: RMT - 4 hours            REFT - 7 days
BLOD0358  BK Virus DNA Quantitative PCR
by Real-Time PCR
87799 1.0 mL EDTA plasma (0.5 mL minimum). Serum is also acceptable with No gel barrier or SST tubes. Note: Indicate type of specimen on the requisition and on the specimen.
Stability: RMT - 48 hours            REFT - 7 days
              Frozen - 30 days
BLOD0129  Blastomyces Antibody Serum
by Immunodiffusion
86612 1.0 mL serum only (0.5 mL minimum). Serum is the only acceptable specimen.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen -14 days
LBOR0012  Blastomyces Quantitative Antigen
by EIA
87449 2.0 mL random urine (0.5 mL minimum) in a screw capped sterile container or vial. Also 2 mL serum (1.2 mL minimum); 2.0 mL EDTA or sodium heparin plasma (1.2 mL minimum); 2.0 mL CSF (0.8 mL minimum) in a screw capped sterile container or vial; 2.0 mL bronchoscopy specimen or body fluid (0.5 mL minimum) sent in a screw capped sterile vial (maintain sterility and forward promptly.) Send all sample types refrigerated. Indicate source on the container and requisition.
Stability: RMT - 2 days            REFT - 14 days
              Frozen - Indefinitely
  Bleeding Time Refer to "Platelet Function Analysis".
  Blood Culture Refer to "CULT" and select culture type.
  Blood Culture Acid Fast Refer to "CULT Acid Fast Culture Blood".
  BMP Refer to "Basic Metabolic Panel".
BLOD0004  BNP (Brain Natriuretic Peptide)
by Chemiluminescent Immunoassay

*BNP is a quantitative blood test for congestive heart failure(CHF); BNP concentrations increase with the severity of CHF. BNP doesn't have to be drawn at timed intervals.
83880 2.0 mL frozen EDTA plasma preferred (0.3 mL minimum). Send frozen. This test requires its own frozen aliquot. Also acceptable: 2 mL refrigerated EDTA plasma or EDTA whole blood if testing is performed within 24 hours of specimen collection.
Plasma Stability:
              RMT - 4 hours            REFT - 24 hours
              Frozen - 90 days
Whole Blood Stability:
              RMT - 4 hours            REFT - 24 hours
              Frozen - Unacceptable
NBLD0205  Body Fluid Cell Count and Differential
by Microscopy
89051 2.0 mL body fluid in an EDTA tube. Keep refrigerated.
Stability: RMT - 8 hrs            REFT - 2 days
  Body Fluid Culture Aerobic Refer to "CULT Bacterial Culture Other".
  Body Fluid Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source.
NBLD0204  Body Fluid pH
by Blood Gas Analyzer
83986 3.0 mL body fluid in a sterile tube (vacutainer) with minimal exposure to air. Keep refrigerated.
Stability: RMT - Unacceptable
              REFT - 4 days
              Frozen - Unacceptable
  Bone Marrow Culture Refer to "CULT Bacterial Culture Other".
BLOD1348  Bordetella pertussis Antibodies with Reflex
by Semi-Quantitative ELISA/Qualitative Immunoblot

*Reflex testing will be performed at an additional fee.
86615(3) 1.0 mL serum (0.5 mL minimum). Serum from gold and red top tube acceptable. Send refrigerated.
Stability: RMT - 48 hrs            REFT - 14 days
              Frozen - 1 year
BLOD0487  Bordetella pertussis IgG Antibodies
by MAID (Multi-Analyte Immunodetection)

*Includes Pertussis toxin IgG (PT IgG) and Filamentous Hemagglutinin Antigen IgG (FHA-IgG).

**B. Pertussis is the causative agent of Whooping Cough.
86615(2)
1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
NBLD0274  Bordetella pertussis Nucleic Acid Detection
by PCR

*The Bordetella Nucleic Acid test allows for qualitative detection of Bordetella pertussis and Bordetella parapertussis nucleic acid.
87798(2) Nasal washing/aspirate placed in 1 mL of Universal Transport Media (UTM). Or Nasopharyngeal swab - collect and place swab in 1 mL of Universal Transport Media (UTM). Break off swab in media. Do not use calcium alginate swabs or wooden shaft swabs for collection of Nasopharyngeal swab. Send refrigerated.
Stability: RMT - 48 hours            REFT - 5 days
              Frozen - Unacceptable

Bemidji Requirements:
Collect nasopharyngeal specimen using a rayon or Dacron swab placed in Amies medium with or without charcoal. Send refrigerated.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - Unacceptable
  Brain Natriuretic Peptide (B type) Refer to "BNP".
BLOD0426  Brucella Antibodies IgG and IgM
by ELISA/Agglutination

*If Brucella Antibody Screen IgG or IgM is positive or equivocal, then Brucella Total Antibody Confirmation, Agglutination will be performed at an additional fee.
86622(2) 2.0 mL serum (1.1 mL minimum). Send refrigerated.            
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0001  BUN (Blood Urea Nitrogen) Serum
by Urease
84520 1.0 mL serum (0.5 mL minimum). Heparinized and EDTA plasma also acceptable. Do not use ammonium heparin.
Stability: RMT - 24 hours            REFT - 5 days

Rapid City Requirements:
1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 24 hours            REFT - 7 days
  C difficile Refer to "Clostridium difficile".
BLOD0221  C Peptide
by Chemiluminescent Immunoassay
84681 1.0 mL serum (0.5 mL minimum). An overnight fast is required. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 24 hrs            
              Frozen - Greater than 24 hours
  C Reactive Protein (CRP) High Sensitive (Cardiac) Refer to "CRP High Sensitive (Cardiac)".
  C Reactive Protein (CRP) Quantitative Refer to "CRP Quantitative".
BLOD0303  C1 Esterase Inhibitor Functional
by EIA

*Also known as Functional
C1-Inhibitor or C1 Inactivator
83520 1.0 mL frozen serum (0.2 mL minimum). No gel barrier or SST tubes. Immediately after drawing the specimen, place tube on wet ice. Spin down, separate serum and freeze immediately. Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: RMT & REFT - Unacceptable
              Frozen - 6 days
BLOD0300  C1 Esterase Inhibitor Quantitative
by Nephelometry

*Also known as C1 Esterase Quant or C1 Esterase Inhibitor Total.
86160 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Fasting is preferred but not required. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 72 hrs            REFT - 72 hrs
              Frozen - 14 days
  C3 and C4 Refer to "Complement".
BLOD0608  CA 125 (Ovarian Cancer)
by Chemiluminescence

*Used for management of Ovarian Carcinoma.
86304 1.0 mL frozen serum preferred (0.3 mL minimum). Heparinized plasma also acceptable. If frozen, this test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0311  CA 15-3 (Breast Cancer)
by Immunoassay, Chemiluminescent
86300 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Send room temperature.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 28 days
BLOD0312  CA 19-9 (Pancreatic Cancer)
by Centaur CP Chemiluminescent
86301 1.0 mL frozen serum only (0.5 mL minimum). Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen >48 hrs
BLOD0603  CA 27.29 (Breast Cancer)
by Centaur CP Chemiluminescence
86300 1.0 mL serum only (0.7 mL minimum). Send frozen. Avoid            freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: REFT - 48 hrs            Frozen - 7 days
NBLD0052  Cadmium 24-Hour Urine
by ICP/MS
82300 10.0 mL aliquot from a 24-hour urine collection (2.0 mL minimum) collected in a metal free plastic container, keeping refrigerated during collection. Transfer aliquot into a metal free container and send refrigerated. Both containers are available from our Supplies Department. Record the total volume on both the container and request form. Note: High concentrations gadolinium and iodine are known to interfere with most metal tests. If either gadolinium or iodine containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 28 days             REFT - 28 days
              Frozen - 28 days
BLOD0159  Cadmium Whole Blood
by Inductively Coupled Plasma/MS
82300 Traced metal free royal blue top EDTA whole blood in full tube (0.3 mL minimum). Send refrigerated in original tube. Trace metal free tubes are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 21 days            REFT - 21 days
              Frozen - 21 days
BLOD0403  Caffeine
by Enzyme-Multiplied Immunoassay Technique (EMIT)

*Useful for monitoring therapy in neonates, and assessing toxicity in neonates.
80155 0.5 mL serum from a gold top tube (preferred)(0.4 minimum). Also acceptable is serum from red top tube. Trough levels most reproducible. Send refrigerated.
Stability: RMT - 72 hrs            REFT - 72 hrs
              Frozen - 28 days
BLOD0160  Calcitonin
by Electrochemiluminescence
82308 0.8 mL serum (0.4 mL minimum). After draw immediately place specimen on ice. Send frozen. This test requires its own frozen aliquot.
Note: Twelve hours before this blood test, patient should not take multivitamins or dietary supplements containing biotin or Vitamin B7, which are commonly found in hair, skin, and nail supplements and multivitamins.
Stability: RMT & REFT - Unacceptable
              Frozen Only - 15 days
NBLD0164  Calcium 24-Hour Urine
by Arsenazo III Complex
82340 10 mL aliquot of well-mixed and measured 24-hour urine (1.0 mL minimum). Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate only.
Stability: REFT - 7 days
BLOD0656  Calcium Ionized
by ISE
82330 2.0 mL refrigerated serum in small transfer tube (1.0 mL minimum). Completely fill tube during draw. Avoid hemolysis. Separated serum samples must be stored and transported in a tube that minimizes exposure to room air. The transfer tube must be at least half full to prevent large pCO2 losses. Specimens must be handled anerobically. So not transport specimen in the presence of dry ice. **Smaller transfer tubes (2-3 mL size) are available from our Supplies Department.** Refrigerate. Alternate Requirement: Collect blood in gel tube (must be at least half full). Allow sample to clot and centrifuge with stopper in place. Ship unopened gel separator tube at refrigerated temperature within 5 days (Spun and unopened). This test requires a separate refrigerated aliquot.
Stability: REFT - 48 hours (Spun & separated)
              REFT - 5 days (Spun and unopened)
BLOD0553  Calcium Total
by Arsenazo III Complex
by O-Cresolpthalein Complexone - Rapid City
82310 1.0 mL serum (0.6 mL minimum). Overnight fasting is preferred. Heparinized plasma also acceptable. Avoid hemolysis.
Stability: REFT - 7 days
              Frozen > 7 days
NBLD0125  Calculi Analysis (Stone)
by Infrared Spectrum Analysis
82365 Submit entire stone,air-dried. Source or type of stone is required (e.g., kidney, bladder, gall bladder, salivary, prostate). Send dry stone in plastic, screw-capped container or test tube. Do not use scotch tape to secure the stone.
Stability: RMT preferred
NBLD0368  Calprotectin (Stool)
by Immunoassay
83993 1 gram of stool unpreserved in a sterile plastic leak-proof container (0.5 grams minimum). Send frozen. Note: NSAIDS may cause elevated results.
Stability: RMT - 11 days            REFT - 11 days
              Frozen - 1 year
  Campylobacter Stool Culture Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Campylobacter.
  Cannabinoids (Marijuana or THC Screen) Refer to "Marijuana".
BLOD0022  Carbamazepine (Tegretol) Free - Unbound
by LC/MS/MS
80157 2.0 mL serum (1.2 mL minimum). No gel barrier or SST tubes. EDTA and sodium heparinized plasma also acceptable. Preferred collection time is immediately before the next scheduled dose. Refrigeration preferred.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 10 months
BLOD0532  Carbamazepine (Tegretol) Total
by Enzymatic
80156 1.0 mL serum (0.4 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable; although results are approximately 10% higher than serum values. Trough levels are most reproducible. Preferred collection time is 30 minutes prior to next scheduled dose.            
Stability: RMT - 8 hours
              REFT - 5 days            Frozen >5 days

Bemidji Requirements:
1.0 mL heparinized plasma (0.5 mL minimum). Serum is also acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - 2 days            REFT - 7 days
              Frozen - 1 month
BLOD0397  Carbamazepine-10 11-Epoxide (Tegretol Metabolite)
by Immunoassay, HPLC

*This test includes a total Tegretol.
80156
80299
2.0 mL serum collected in a plain red top tube (1.0 mL minimum). EDTA plasma also acceptable. Avoid hemolysis and lipemia. No gel barrier or SST tubes. Preferred collection time is 12 hours after last scheduled dose. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0554  Carbon Dioxide (CO2)
by Enzymatic
82374 2.0 mL fresh serum (0.6 mL minimum). Lithium heparin plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
BLOD0657  Carbon Monoxide (Carboxyhemoglobin)
by Co-oximeter
82375 5.0 mL EDTA whole blood. Fill tube completely and keep tightly sealed. Lithium heparin whole blood also acceptable. Refrigerate.
Stability: REFT - 2 days (unopened)

Bemidji Requirements:
1.0 mL lithium heparin whole blood. Unspun/unopened. Send room temperature.
Stability: RMT - 72 hours
BLOD0587  Carcinoembryonic Antigen (CEA)
by Chemiluminescence
82378 1.0 mL frozen serum only (0.5 mL minimum). This test requires its own frozen aliquot. Avoid repeated freeze/thaw. Transport frozen.
Stability: RMT - 8 hours            
              REFT - 7 days            
              Frozen >7 days
BLOD0297  Cardiolipin IgA Antibody
by ELISA
86147 0.5 mL serum (0.4 mL minimum). Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
BLOD0907  Cardiolipin IgG and IgM Antibodies
by Chemiluminescent Immunoassay
86147(2) 2.0 mL frozen citrated plasma (1.0 mL minimum). Serum is also acceptable. Avoid hemolysis and lipemia. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD0298  Cardiolipin IgG Antibody
by Chemiluminescent Immunoassay
86147 2.0 mL frozen citrated plasma. Serum is also acceptable. Avoid hemolysis and lipemia. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD0299  Cardiolipin IgM Antibody
by Chemiluminescent Immunoassay
86147 2.0 mL frozen citrated plasma. Serum is also acceptable. Avoid hemolysis and lipemia. This test requires its own frozen aliquot.
Stability: Frozen only
  Cardioquin Refer to "Quinidine".
BLOD0093  Carnitine Free and Total Plasma Only
by Flow Injection Analysis MS/MS

*Includes: Total & Free Carnitine, Acylcarnitine, AC/FC ratio, and Interpretation
82379 1.0 mL sodium heparin or EDTA plasma (0.5 mL minimum). Lithium heparin is also acceptable. No gel barrier or SST tubes. Spin down and transfer plasma to a plastic tube. Freeze. Note: Sex and age of patient is required for age-dependent reference ranges. Serum is not acceptable. Frozen specimen preferred. Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: RMT - 7 days            REFT - 21 days
              Frozen - 60 days
BLOD0373  Carotene Serum
by HPLC
82380 1.0 mL serum (0.5 mL minimum). Patient must be fasting overnight and abstain from alcohol for 24 hours prior to collection. Separate serum from cells as soon as possible and protect from light. Avoid hemolysis. Send room temperature.
Stability: RMT - 14 days
              REFT - 14 days            
              Frozen - 14 days
NBLD0056  Catecholamines Fractionated 24-Hour Urine
by HPLC

*Includes Unconjugated Epinephrine, Norepinephrine, and Dopamine
**Useful diagnostic tool for pheochromocytoma and paragaglioma. This assay is of greater value when the specimen is collected during a hypertensive episode.
82384 10 mL aliquot of a well-mixed and measured 24-hour urine (2.5 mL minimum). Collect urine with 25 mL of acetic acid or 6 N HCL to maintain the pH between 2-4. Use 15 mL of acetic acid or 6N HCL for children <5 years old. Preservative may be added after collection. Record 24 hour total volume on the test request form and urine container. Keep sample refrigerated during collection. Urine without preservative is acceptable if the pH is below 7 and the sample is sent frozen. Patient Protocol Prior to Collection: At the discretion of the provider, discontinue epinephrine, norepinephrine, or dopamine injections/infusions at least 12 hours before specimen collection, unless drug monitoring is the goal. Discontinue drugs that release or hinder metabolism of epinephrine, norepinephrine, or dopamine for at least 1 week before obtaining the specimen. Do not perform the test on patients withdrawing from legal or illegal drugs known to cause rebound plasma catecholamine release during withdrawal.
Stability: With Preservative: RMT - 7 days
              REFT - 7 days            Frozen - 14 days
              Without Preservative: Frozen - 14 days
BLOD0161  Catecholamines Fractionated and Total Plasma
by HPLC with Electrochemical Detection

*Includes Norepinephrine, Epinephrine, Dopamine, and Total Catecholamines
82384
Draw 2 prechilled sodium or lithium heparin tubes. Spin down and separate plasma within 30 minutes of collection and freeze immediately in a plastic vial. Overnight fasting is required. Send 4.0 mL frozen plasma (2.5 mL minimum). EDTA plasma is NOT acceptable. AVOID hemolysis. Patient should be relaxed either in a supine or upright position for 30 minutes before the blood is drawn. States of anxiety and stress can cause fluctuation of catecholamine levels. Note: Patient should avoid alcohol, coffee, tea, tobacco, and strenuous exercise prior to collection. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: Frozen only
BLOD0632  CBC no Differential
by Automated Cell Counter

*Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, and Platelet
85027 5.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum of EDTA whole blood for pediatrics). Avoid hemolysis and lipemia. Refrigerate.
Stability: RMT - 8 hours            REFT - 3 days
BLOD0008  CBC with Differential (Complete Blood Count)
by Automated Cell Counter

*Includes WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, MPV, RDW, Platelet, and Differential
85025 5.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL minimum of EDTA whole blood for pediatrics) refrigerated and two unstained blood smears. Avoid hemolysis and lipemia. Refrigerate.
Stability: RMT - 8 hours            REFT - 3 days
  CCP Antibodies Refer to "Cyclic Citrullinated Peptide".
BLOD0646  CD4 Count (T Helper Lymph Marker)
by Flow Cytometry
-Total Lymphocytes
-Helper-Inducer T (CD3+CD4+)
86361 5.0 mL (2.0 mL minimum) EDTA whole blood. Send at room temperature.
Stability: RMT - 3 days             REFT - NA
               Frozen - NA            
              Room temp only
BLOD0587  CEA (Carcinoembryonic Antigen)
by Chemiluminescence
82378 1.0 mL frozen serum only (0.5 mL minimum). AVOID gross hemolysis and lipemia. Transport specimen frozen. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0501  Celiac Disease Panel
Includes:
-Endomysial IgA Antibodies Screen
-Gliadin Peptide (Deamidated) Antibody
              IgG/IgA Screen - This screen
              includes IgG & IgA but does
              not differentiate.

-IgA, Total Serum
-Tissue Transglutaminase Antibody IgA
86255
82397(2)
82784
3.0 mL frozen serum (pediatric minimum 1.0 mL). Avoid hemolysis. Freeze. This test requires 3 frozen aliquots.
Stability: Frozen - 7 days
  Cell Count and Differential Refer to specimen type (e.g., Body Fluid, CSF, etc.); and then "Cell Count and Differential".
BLOD0087  Cellcept (Mycophenolic Acid)
by MS/MS

*Cellcept is an immunosuppressive drug used in organ transplants.
80180 1.0 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Plasma is not acceptable. Preferred collection time is just prior to next scheduled dose. Trough sample required. Refrigeration preferred.
Stability: RMT/REFT/Frozen - 14 days
  Cerebrospinal Fluid Analysis Refer to "CSF".
BLOD0162  Ceruloplasmin
by Immunoturbidmetric Assay
82390 1.0 mL frozen serum (0.7 mL minimum). Avoid hemolysis and lipemia. This test requires its own frozen aliquot. Send frozen.
Stability: RMT - Unacceptable
              REFT - 24 hrs            Frozen - 30 days
  CGH (Comparative Genomic Hybridization) Refer to "CMA-Chromosomal Microarray."
BLOD0770  CHAMP Allergy Panel (Childhood Allergy March) + Total IgE
by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*Recommended for children 3 months -
4 years.

-Alternaria alternata
-Cat Dander
-Cladosporium herbarum            
              (Hormodendrum)
-Cockroach
-Codfish
-Dermatophagoides farinae
-Dermatophagoides pteronyssinus
-Dog Dander
-Egg White
-Milk
-Mouse Urine
-Peanut
-Shrimp
-Soybean
-Walnut
-Wheat
-Total IgE
86003(16)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
NBLD0267  Chlamydia & N. Gonorrhea Nucleic Acid Detection
by PCR
87491
87591
Urine – for male or female: Patient should not have urinated or for at least one hour. Collect first catch urine between 10–50 mLs. Transfer urine to PCR Media tube filling to between the two black lines on the tube label. If urine cannot be transferred immediately, it may be stored refrigerated for up to 24 hours prior to transferring to the PCR Media tube. Note: The female swab kit contains 2 swabs, 1 for cleaning excess from the site. Use the second swab for collection. Place only 1 swab in media. Endocervical/Cervical Swab submitted in PreserveCyt media - Vaginal swab submitted in PCR Media Tube (endocervical swab may also be submitted in PCR Media Tube.) No swabs are available for Male collection.
Stability: Urine in PCR Media Tube:
              RMT - 30 days            REFT – 30 days
              Frozen - Unacceptable
Female Swab Samples:
              RMT - 60 days            REFT – 60 days
              Frozen - Unacceptable
  Chlamydia Culture Refer to "CULT Chlamydia Culture".
NBLD0294  Chlamydia Nucleic Acid Screen
by PCR
87491 Urine – for male or female: Patient should not have urinated or for at least one hour. Collect first catch urine between 10–50 mLs. Transfer urine to PCR Media tube filling to between the two black lines on the tube label. If urine cannot be transferred immediately, it may be stored refrigerated for up to 24 hours prior to transferring to the PCR Media tube. Endocervical/Cervical Swab submitted in PreserveCyt media - Vaginal swab submitted in PCR Media Tube (endocervical swab may also be submitted in PCR Media Tube.) No swabs are available for Male collection.
Stability: Urine in PCR Media Tube:
              RMT - 30 days            REFT – 30 days
              Frozen - Unacceptable
Female Swab Samples:
              RMT - 60 days            REFT – 60 days
              Frozen - Unacceptable
BLOD0350  Chlamydia pneumoniae Antibody Panel
by Immunofluorescent Assay

*Includes Chlamydia pneumoniae IgG, IgA, and IgM
86631(2)
86632
1.0 mL serum (0.5 mL minimum). Centrifuge and separate serum from clot within 4 hours. Refrigerated specimen preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0377  Chlamydia Species Antibody Panel
by Micro-Immunofluorescent Assay (MIFA)

*Detects antibodies to C. pneumoniae, C. trachomatis, and C. psittaci
**Includes IgG, IgA, and IgM Antibodies
86631(6)
86632(3)
1.0 mL serum (0.5 mL minimum). Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0351  Chlamydia trachomatis Antibody Panel IgG IgM and IgA
by Immunofluorescent Assay
86631(2)
86632
1.0 mL serum (0.5 mL minimum). Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
NBLD0260  Chloride 24-Hour Urine
by Potentiometric, Indirect Ion-Selective Electrode (ISE)
82436 5 mL aliquot of a well-mixed and measured 24-hour urine collected            with no preservative. Also acceptable - urine collected iwth preservatives including 50% Acetic Acid, Toluene, Boric Acid, or Thymol. Keep refrigerated during and after collection. Record total volume on test request form and urine vial. Keep refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 7 days
BLOD0555  Chloride Serum
by ISE
by ISE Indirect - Rapid City
82435 1.0 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Separate serum from cells within 4 hours. Refrigerate.
Stability: RMT - 24 hours            REFT - 7 days
BLOD0002  Cholesterol Total
by Enzymatic
by Enzymatic Colorimetric - Rapid City
82465 1.0 mL serum (0.6 mL minimum). Avoid hemolysis. A 12 hour overnight fast is required. Heparinized plasma also acceptable. EDTA, citrate, oxalate, and fluoride should not be used as anticoagulants. Refrigerate.
Stability: RMT - 7 days            REFT - 7 days
BLOD0163  Cholinesterase Pseudo (Plasma)
by Kinetic Spectrophotometric

*Use for preanesthesia testing and monitoring pesticide/organophosphate exposure.
82480 1.0 mL EDTA plasma (0.5 mL minimum). Separate cells from plasma within 1 hour. Lithium heparin plasma is also acceptable. Avoid hemolysis. Refrigerated sample preferred.
Stability: RMT - 21 days            REFT - 21 days
              Frozen - 30 days
BLOD0352  Cholinesterase RBC and Plasma
by Kinetic Spectrophotometric
82482
82480
5.0 mL EDTA whole blood (4.0 mL minimum) and 1.0 mL EDTA plasma (0.5 mL minimum). Draw two EDTA tubes. Avoid hemolysis and lipemia. Spin one tube to separate plasma. Pour plasma into aliquot tube and send both the whole blood tube and plasma sample refrigerated.
Stability: RMT - 24 hours            REFT- 7 days
              Frozen - Unacceptable
  CHr Reticulocyte Hemoglobin Content Refer to "Reticulocyte Hemoglobin Content"
BLOD0060  Chromium
by Dynamic Reaction Cell-Inductively Coupled Plasma MS/MS
82495 1.6 mL serum collected in a Trace Metal Free dark blue tube with no additive (0.4 mL minimum). Allow specimen to clot for 30 minutes, then centrifuge to separate serum from cells. Carefully pour over to trace metal free transfer vial. Do not use pipet or ream with a wooden stick. Trace metal free collection tubes and transfer tubes are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are know to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 7 days
BLOD0126  Chromogranin A Serum
by Homogenous Time-Resolved Fluorescence

* Useful for diagnosis of carcinoid tumors, and also in follow-up of patients with known or treated carcinoid tumors.
86316 1.0 mL frozen serum only (0.5 mL minimum). Serum from red top clot or serum separator tubes are acceptable. Note: Proton pump inhibitor drugs (e.g., omeprazole) should be discontinued for at least 2 weeks before collection as proton pump inhibitors can cause false elevations in chromogranin levels. Specimen must be frozen. Avoid freeze/thaw cycles. This test requires its own frozen aliquot. Refrigerated samples not acceptable.
Stability: Frozen only
NBLD0284  Chromosome Analysis and AFP Amniotic Fluid
-Tissue Culture, Amniotic Fluid
-Amniotic Chromosome 2 Karotypes
-AFP, Amniotic Fluid


88235
88269
82106
20-30 mL amniotic fluid collected using sterile technique. All amniotic fluid samples should be placed in sterile, tightly capped, plastic containers. Specimen should not be sent in a syringe, vacutainer, or any container which contains cytotoxic material (e.g., rubber stoppers or metal caps). Send to the laboratory ASAP. Smaller samples may required more time for sufficient cell growth. Note: If amniotic fluid AFP is elevated, an acetycholinesterase on amniotic fluid is performed if indicated. Refer to "General Information" Section for detailed Genetics specimen instructions. If there are additional questions concerning this test, contact Sanford Cytogenetics Laboratory at 605-333-5202. Send to receive Monday through Friday.
Stability: Room temperature only - 48 hours
              Do not refrigerate or freeze.
BLOD1011  Chromosome Analysis Blood
-Tissue Culture, Lymphocyte
-Chromosome 2 Karotypes
88230
88262
3.0-10 mL sodium heparin whole blood only (Infant minimum 1.0-2.0 mL whole blood). Lithium heparin is not acceptable. Keep at room temperature. If any additional questions concerning this test, contact Sanford Cytogenetics Lab at 605-333-5202. Send to receive Monday through Friday.
Stability: Room temperature only - 48 hours
NBLD0326  Chromosome Study for Hematologic Malignancy Bone Marrow
*Includes Philadelphia Chromosome
Tissue Culture, Bone Marrow or Blood Chromosome 2 Karyotypes


88237
88264
A non-dilute specimen of bone marrow is necessary for adequate number of metaphase cells. Ideally, 2.0-3.0 mL of initial aspirate in a sterile, heparinized syringe from a repositioned needle is best. Use sodium heparin only. Transfer the sample into a green top vacutainer using sterile technique. Invert the tube gently several times to ensure mixing of anticoagulant. Include peripheral WBC, percent blasts, clinical history, as well as the providers name and phone number. Submit a completed "Sanford Genetics Oncology Request Form." Send to receive specimen Monday through Friday. If any additional questions concerning this test, contact Sanford Cytogenetics Lab at 605-333-5202.
Stability: Room temperature only - 48 hours
              Do not refrigerate or freeze.
NBLD0357  Chymotrypsin Stool
by Enzymatic, Spectrophotometric
84311 1 gram random stool submitted in a sterile plastic leak-proof container. Send refrigerated. Note: Patients receiving pancreatic enzymes should discontinue taking the enzymes at least 5 days before the collection of the stool sample.
Stability: REFT - 14 days            Frozen -30 days
NBLD0057  Citrate Acid 24-Hour Urine
by Enzymatic

82507
5 mL aliquot of well-mixed and measured 24-hour urine (1.0 mL minimum). Refrigerate during and after collection. Note: Acidified urines are unacceptable. Record 24 hour volume on the test requisition and the container. Note: Any drug that cause alkalemia or acidemia may be expected to alter citrate excretion and should be avoided, if possible. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen - 14 days
BLOD0556  CK (CPK) Total
by Enzymatic
82550 2.0 mL lithium heparin plasma (0.6 mL minimum). Avoid hemolysis. Serum also acceptable.
Stability: RMT - 4 hours            REFT - 5 days
              Frozen - 30 days
BLOD1290  CK Reflex to CKMB
by Enzymatic

(CKMB performed only if CK is greater than 80 U/L.)
82550 2.0 mL heparinzed plasma (0.6 mL minimum). Send refrigerated.
Stability: RMT - 4 hrs            REFT - 72 hrs            
               Frozen - 30 days
BLOD1511  Clobazam
by Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)
80339
(G0480)
1.0 mL sodium heparin plasma (0.5 mL minimum). Also acceptable is serum from a red top tube. Send refrigerated.
Stability: RMT - 72 hours            REFT - 14 days
              Frozen - 180 days
BLOD0400  Clomipramine (Anafranil)
by LC-MS/MS

*Includes metabolite Desmethylclomipramine
80335 AMA
G0480 Medicare
1.0 mL serum (0.25 mL minimum). No gel barrier or SST tubes. Draw specimen immediately before next scheduled dose (or at a minimum 12 hours after the last dose). Spin down and separate serum from cells within 2 hours of drawing. Not affected by hemolysis or lipemia. Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0017  Clonazepam (Klonopin)
by LC-MS/MS

* Includes Clonazepam and 7-Aminoclonazepam
80346 AMA
G6031 Medicare
1.2 mL (0.6 mL minimum) serum from a red top clot tube. No gel barrier or SST tubes. Serum must be separated from cells within 2 hours of draw. Send refrigerated. Note: Draw immediately before next dose (minimum of 12 hours after last dose.)
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 28 days
BLOD0018  Clorazepate (Diazepam & Nordiazepam) (Tranxene)
by HPLC

*Chlorazepate is assayed as its primary metabolite Nordiazepam.
**Separate determinations are performed.
80346 AMA
G0480 Medicare
0.5 mL serum. No gel barrier or SST tubes. Send refrigerated.
Stability: RMT - 14 days            
              REFT - 14 days            
              Frozen - 14 days
NBLD0538  Clostridium difficile Toxin B by NAD, Reflex to A/B Toxin Detection - Sioux Falls
by Nucleic Acid Amplification (NAA) Real-Time PCR

*Testing will reflex to Clostridium difficile A/B Toxin Detection at an additional charge.
87493 2-3 grams of liquid or soft stool in a dry sterile container. Note: Testing is performed only on diarrheal stool. Bristol Stool Chart 5, 6, 7 acceptable. For Bristol Stool Chart Click Here
Stability: RMT - 48 hrs            REFT 5 days
              Frozen - Unacceptable
NBLD0386  Clostridium difficile Toxin B Gene Nucleic Acid Detection (NAD)
by Nucleic Acid Amplification Real-time PCR
87493 Collect 2-3 grams of liquid stool or stool that 'takes the shape of the container' in a dry sterile container. Testing is performed only on diarrhea stool Bristol Stool Chart 5, 6, and 7 specimens accepted. For chart, refer to "General Information" Section for Clostridium difficle Toxin.
Stability: RMT - 24 hours            REFT - 4 days
              Frozen - Unacceptable
NBLD0413  Clostridium difficile Toxin DNA - Rapid City
By Loop-Mediated Isothermal DNA Amplification (LAMP)
87493 3-5 grams of liquid stool in dry sterile container. (Also acceptable: Preserved stool in Cary-Blair media - refrigerated only). Note: Testing is performed only on diarrheal stool. Formed stool specimens will be rejected. Bristol Stool Chart 5, 6, and 7 specimens accepted. For chart, refer to "General Information" Section for Clostridium difficle Toxin.
Stability: REFT - 5 days            Frozen >5 days
NBLD0540  Clostridium difficile Toxin DNA, Reflex to A/B Toxin Detection - Rapid City
by Loop-Mediated Isothermal DNA Amplification (LAMP)

*Testing will reflex to Clostridium difficile A/B Toxin Detection at an additional charge.
87493 2-3 grams of liquid or soft stool in a dry sterile container. Note: Testing is performed only on diarrheal stool. Bristol Stool Chart 5, 6, 7 acceptable. For Bristol Stool Chart Click Here
Stability: RMT - 48 hrs            REFT 5 days
              Frozen - Unacceptable
BLOD0468  Clozapine (Clozaril)
by LC/MS/MS

*Includes Clozapine & Norclozapine
80159 1.0 mL serum from red top tube (0.6 mL minimum) No gel barrier or SST tubes. Plasma is not acceptable. Preferred collection time is immediately prior to next scheduled dose. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
LBOR0028  CMA-Chromosomal Microarray
by Cytoscan HD Whole Genome SNP Microarray
81229 3.0 mL sodium heparin whole blood and 3.0 mL EDTA whole blood in original vacutainers (1.0 mL minimum each). Lithium heparin whole blood is not acceptable. For infants and children - minimum volume 1.0 of sodium heparin whole blood and 1.0 mL of EDTA whole blood. Other acceptable specimens include: bone marrow, amniotic fluid, and solid tissue sent collected and transported asceptically. Tissue should be placed in transport media or sterile saline. Indicate reason for testing. If any questions concerning this test, contact Sanford Cytogenetics Laboratory at 607-333-5202.
Stability: RMT - Preferred - 48 hours            
              REFT - Acceptable - 48 hours            
              Frozen - Unacceptable
  CMP Refer to "Comprehensive Metabolic Panel".
BLOD0880  CMV (Cytomegalovirus) Antibodies
by Chemiluminescence Immunoassay

*Includes IgG and IgM Antibodies
86644
86645
1.0 mL frozen serum (0.5 mL minimum). Freeze. This test requires its own frozen aliquot. Frozen specimen preferred.
Stability: REFT - 2 days            Frozen - 14 days
BLOD0684  CMV (Cytomegalovirus) Antibody IgG
by Chemiluminescence Immunoassay
86644 1.0 mL frozen serum (0.5 mL minimum). Freeze. This test requires its own frozen aliquot. Frozen specimen preferred.
Stability: REFT - 2 days            Frozen - 14 days
BLOD0685  CMV (Cytomegalovirus) Antibody IgM
by Chemiluminescence Immunoassay
86645 1.0 mL frozen serum (0.5 mL minimum). Freeze. This test requires its own frozen aliquot. Frozen specimen preferred.
Stability: REFT - 2 days            Frozen - 14 days
BLOD0982  CMV (Cytomegalovirus) Antigenemia Detection Assay
by Antigenemia

*Assay is helpful for early diagnosis/monitoring of antiviral treatment of CMV, and valuable in diagnosis and monitoring CMV infection in solid organ and bone marrow transplants.
87332 2 full tubes (5.0 mL each) of EDTA whole blood (8.0 mL minimum). Tubes should be kept on mixer or rocker until sent. "Do not refrigerate" - Keep samples at room temperature. **WBC of 0.8 K/uL or greater is required.** Please notify lab prior to sending in testing if possible. Please send specimens to be received at Sanford Laboratories Virology Monday-Friday by 3 p.m. Clients sending in specimens, draw patient as close to courier pick up time as possible for next day testing.
Stability: RMT - 24 hours
Send to receive at Sanford Laboratories Virology Monday - Friday (by 3 pm)
BLOD1334  CMV (Cytomegalovirus) DNA Detection and Quantification Plasma
by Real-Time PCR, by TaqMan Probe Hybridization
87497 1.2 mL frozen EDTA plasma (0.7 mL minimum). Plasma must be spun down and removed from cells within 6 hours of the draw. Freeze plasma immediately and send frozen. This test requires its own frozen aliquot.
Stability: REFT - 7 days            Frozen - 21 days
LBOR0004  CMV (Cytomegalovirus) DNA Qualitative by Real-Time PCR
by Real-Time Polymerase Chain Reaction (PCR)
87496 Submit only one of the following specimens: 1.0 mL EDTA or ACD-B whole blood (0.5 mL minimum); 1.0 mL serum (0.5 mL minimum);1.0 mL EDTA or ACD-B plasma (0.5 mL minimum); 1.0 mL serum (0.5 mL minimum); 1.0 mL of CSF, amniotic fluid or urine (0.5 mL minimum); or 3 mm3 fresh tissue frozen; or 1.0 mL bronchial brush/wash (0.5 mL minimum). Blood collected with heparin anticoagulant is not acceptable.

Note: Submit non-blood specimens in sterile leak-proof container. Urine, CSF, and body fluids contaminated with blood may produce false Negative results.

Do not spin spinal fluid specimens.
Do not freeze whole blood. Send refrigerated. Indicate source.
Stability: RMT - 48 hours            REFT - 8 days
  CMV (Cytomegalovirus) Rapid Culture Refer to "CULT CMV (Cytomegalovirus)
Rapid Culture".
BLOD0554  CO2 (Carbon Dioxide)
by Enzymatic
82374 2.0 mL fresh serum (0.6 mL minimum). Lithium heparin plasma also acceptable. Separate from cells and cap tightly as soon as possible. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
BLOD1328  Coccidioides Antibody IgG and IgM
by Complement Fixation using Coccidioidin/Immunodiffusuion

*Useful for diagnosing coccidioidomycosis.
86635(3) 2.0 mL serum from a red top or serum gel tube (1.2 mL minimum). Stability: REFT - 14 days            Frozen - 14 days
BLOD0317  Coccidioides Antibody IgG Serum
by Complement Fixation
86635 1.0 mL serum (0.5 mL minimum). Avoid hemolysis.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
  Codeine Screen Refer to "Drug Screen".
BLOD1095  Coenzyme Q10
by HPLC
82542


1.0 mL frozen serum (0.5 mL minimum). "Protect tube from light." Fasting for 8-12 hours is required. Freeze. This test requires its own frozen aliquot.
Stability: Frozen - 7 days            Frozen only
BLOD0779  Cold Agglutinins (Cold Hemagglutinins)
by Test Tube

*Reported as a titer.
86157 Draw one plain red top tube (5 mL minimum). No gel barrier or SST tubes. Avoid hemolysis. Allow specimen to clot at 37 degrees before centrifugation (15 minutes). Separate serum (0.5 mL) from cells and place in transfer tube. Send both serum and cells at room temperature or refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - Unacceptable
NBLD0356  Collagen Cross-Linked N-Telopeptide (NXT) Urine
by Competitive Chemiluminscence Immunoassay
82523
82570
4.0 mL urine (0.5 mL minimum) collected from a second morning void. Send frozen.
Stability: RMT - 72 hours            REFT - 14 days
              Frozen - 30 days
BLOD1127  Collagen Type 1 C Telopeptide (CTX)
by Electrochemiluminescence Immunoassay
82523 1.0 mL frozen serum (0.4 mL minimum). Collect in morning before 10 a.m. following a required minimum 12 hour fast. Send frozen. This test requires its own frozen aliquot.            
Stability: RMT - Unacceptable
              REFT - 72 hrs            Frozen - 14 days
  Comparative Genomic Hybridization (CGH) Refer to "CMA-Chromosomal Microarray."
BLOD0623  Complement C3
by Turbidimetric (Antigen/Antibody Complex)
86160 1.0 mL serum (0.4 mL minimum). Centrifuge and separate serum from cells within 2 hours of collection. Send refrigerated.
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 30 days
BLOD0909  Complement C3 and C4
by Turbidimetric (Antigen/Antibody Complex)
86160(2) 2.0 mL serum (0.8 mL minimum). Centrifuge and separate serum from cells within 2 hours of collection. Send refrigerated.
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 7 days
BLOD0624  Complement C4
by Turbidimetric (Antigen/Antibody) Complex
86160 1.0 mL serum (0.4 mL minimum). Centrifuge and separate serum from cells within 2 hours of collection. Send refrigerated.
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 7 days
BLOD0304  Complement Total (CH50)
by Automated Liposome Lysis Assay
86162 1.0 mL frozen serum (0.5 mL minimum). No gel barrier or SST tubes. Immediately after drawing specimen, place tube on wet ice. Spin down and separate serum from clot immediately and freeze the specimen. This test requires its own frozen aliquot.
Stability: Frozen only - 14 days
BLOD1432  Complement, Alternative Pathway (AH50), Functional
by ELISA

*Useful for investigation of suspected alternative pathway complement deficiency, atypical hemolytic uremic syndrome (AHUS), C3 glomerulonephritis, dense-deposit disease.
86161 1.0 mL serum drawn in a red top clot tube (0.2 mL minimum). No gel barrier or SST tubes. Immediately after drawing the specimen, place the tube on wet ice. Spin down and separate serum from clot and immediately freeze the serum. Fasting is preferred. Send frozen. This test requires its own frozen aliquot. Stability: Frozen Only - 14 days
NBLD0511  Comprehensive Enteric Pathogen Panel, NAD
by Filmarray, Multiplex NAD.

*NOTE: The assay tests for the following enteric pathogens: Campylobacter, C Diff toxin A/B, Plesiomonas shigelloides, Salmonella, Vibrio, Vibrio cholerae, Yersinia enterocolitica, Enteroaggregative E.coli (EAEC), Enteropathogenic E.coli (EPEC), Enterotoxigenic E.coli (ETEC) LT/ST, Shiga-like Toxin-producing E.coli (STEC) STX1/STX2, E.coli 0157, Shigella/Enteroinvasice E.coli (EIEC), Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia, Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapvirus (I,II,IV,& V).

**Specimens positive for Salmonella or Shigella will automatically reflex to the appropriate culture at an additional charge.

***Samples that test positive for Clostridium difficile will reflex to Clostridium difficile A/B Toxin Detection at an additional charge
87507 Collect specimen in a clean or sterile container. Transfer stool sample to Cary Blair transport media within 2 hours of collection. Add sufficient stool to the Cary-Blair transport media to bring it up to the fill line. Send room temperature or refrigerated.
Stability: RMT - 4 days            REFT - 4 days
              Frozen - Unacceptable
BLOD0530  Comprehensive Metabolic Panel (CMP)
-Albumin
-Alkaline Phosphatase
-Bilirubin, Total
-Calcium
-Carbon Dioxide (CO2)
-Chloride
-Creatinine
-Glucose
-Potassium
-Sodium
-SGOT (AST)
-SGPT (ALT)
-Total Protein
-Urea Nitrogen (BUN)
-eGFR (>18 years old)
-Anion Gap
-BUN/Creatinine Ratio

*Note: Comprehensive Metabolic Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog.
80053 2.0 mL serum (Pediatric patients only - 0.5 mL minimum). Lithium heparin also acceptable. Prompt separation of serum from cells is essential. Avoid hemolysis and lipemia. Protect from light. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
NBLD0481  Comprehensive Respiratory Panel, NAD
by Multiplex NAD

Test Includes: Adenovirus; Coronavirus; Human Metapheumovirus; Human Rhinovirus/Enterovirus; Influenza A; Influenza A/H1; Influenza A/H1-2009; Influenza H3; Influenza B; Parainfluenza 1-4; RSV; Bordetella pertussis; Chlamydophila pneumoniae; and Mycoplasma pneumoniae.
87486
87581
87633
87798
Collect Nasopharyngeal swab and place NP swab immediately into 1 mL Universal Transport Media. If a wire shaft swab is used for collection do not crush the ampule and deliver the swab to the laboratory immediately to have the specimen placed in Universal Transport Media. Note: NP aspirates or washings are not acceptable sources. Antibiotics or Anti-Viral medications may affect results.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - 30 days
  Concerta (Methylphenidate, Ritalin) Refer to "Ritalin".
  Coombs Direct Refer to "Direct Coombs".
  Coombs Indirect Refer to "Indirect Coombs".
NBLD0059  Copper 24-Hour Urine
by DRC-ICP-MS
82525 Collect urine without preservative in a plastic metal-free container keeping refrigerated during collecion. Submit 10.0 mL aliquot of 24-hour urine collection (3.0 mL minimum). Transfer aliquot to a metal-free container. Both collection and aliquot containers are available from our Supplies Department. Specimens received in non-metal-free containers or unmarked as such may be rejected. Record total volume on both the requisition and specimen. Note: High concentrations of barium are know to interfere with this test. If Barium-containing contrast media has been administered, a specimen should not be collected for 96 hours. Room temperature or refrigerate as noted below.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD0165  Copper Serum
by Dynamic Reaction Cell-Inductively Coupled Plasma Mass Spectrophotometry (DRC-ICP-MS)
82525 Preferred specimen is 1.0 mL serum collected in a 7 mL royal blue top tube with no additives (0.2 mL minimum). Allow specimen to clot for 30 minutes, then centrifuge to separate serum from cells. Do not use pipet or ream with wooden stick. Carefully pour over to the trace metal free transfer vial. Tubes and transfer vials are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast has been administered, a specimen should not be collected for 96 hours. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
  Coproporphyrin Refer to "Porphyrins".
BLOD0399  Cordarone (Amiodarone)
by High-Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)

*Includes metabolite Desethylamiodarone
82542 3.0 mL frozen serum Only (0.5 mL minimum). Plasma is not acceptable. No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Send frozen. This test requires its own frozen aliquot.            
Stability: RMT - 24 hrs            REFT - 3 days
              Frozen - 14 days
NBLD0061  Cortisol Free 24-Hour Urine
by LC/MS/MS
82530 5 mL aliquot from a well-mixed and measured 24 hour urine collection (3 mL minimum). Preferred: Add 10 grams boric acid as a preservative at the start of the collection. Alternate: Refrigerate during and after collection. 24 hour total volume is required. Send refrigerated.
Stability: RMT - 7 days            
              REFT - 14 days            
              Frozen - 28 days
BLOD0166  Cortisol Free Serum
by Equilibrium Dialysis, LC/MS/MS
82530 2.0 mL serum (0.7 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable. Sodium heparin plasma not acceptable.
Stability: RMT - 4 hrs            REFT - 7 days
              Frozen - 2 years
NBLD0036  Cortisol Saliva
by LC/MS/MS
82533 Special collection kit Sarsted Salivette - available from our Supplies Department. See patient instructions for collection. Preferred collection time is 11 p.m. to Midnight. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 60 days
BLOD0582  Cortisol Total 4 PM
by Chemiluminescence

*4 PM Sample
82533 2.0 mL serum (0.5 mL minimum). EDTA or heparinized plasma also acceptable. Note: Indicate collection time on specimen and test request form. Remove serum or plasma from gel barrier or cells within 8 hours. Note: Drugs causing falsely elevated results include: Corticosterone, 11-Deoxycorticosterone, Fludrocortisone, 6-Methylprednisoline (Solmedrol) Prednisone, Hydrocortisone (Pharmaceutical Cortisol). Refrigerate.
Stability: RMT - 8 hours            REFT - 14 days
              Frozen >14 days
BLOD0583  Cortisol Total 8 AM
by Chemiluminescence

*8 AM Sample
82533 2.0 mL serum (0.5 mL minimum). EDTA or heparinized plasma also acceptable. Note: Indicate collection time on specimen and test request form. Remove serum or plasma from gel barrier or cells within 8 hours. Note: Drugs causing falsely elevated results include: Corticosterone, 11-Deoxycorticosterone, Fludrocortisone, 6-Methylprednisoline (Solmedrol) Prednisone, Hydrocortisone (Pharmaceutical Cortisol). Refrigerate.
Stability: RMT - 8 hours            REFT - 14 days
              Frozen >14 days
  Coxsackie A and B (Viral Culture) Refer to "CULT Viral Culture".
BLOD0444  Coxsackie A Virus (2, 4, 7, 9, 10, 16) Antibody Panel
by Complement Fixation
86658(6) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0445  Coxsackie B Virus (1-6) Antibodies
by Complement Fixation
86658(6) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0556  CPK (CK) Total
by Enzymatic
82550 2.0 mL lithium heparin plasma (0.6 mL minimum). Avoid hemolysis. Serum also acceptable.
Stability: RMT - 4 hours            REFT - 5 days
              Frozen - 30 days
NBLD0327  Creatinine 24-Hour Urine
by Enzymatic
by Jaffee, Compensated - Rapid City
82570 10 mL aliquot of a well-mixed and measured 24-hour urine specimen (5.0 mL minimum). Record total volume on test request form and urine vial. Refrigerate during collection and transport.
Stability: RMT - 12 hours            REFT - 30 days
LBAN0004  Creatinine Clearance
by Enzymatic
by Jaffee, Compensated - Rapid City

-Includes Serum Creatinine
-eGFR (>18 years old)
82575 2.0 mL serum (0.5 mL minimum) and 10 mL aliquot (5.0 mL minimum) of a well-mixed and measured 24-hour urine. Note: Serum specimen should be drawn within 24 hours of urine collection. Refrigerate during collection. Record urine total volume on test request form and urine vial. Include patient's height and weight. Submit serum and urine specimens at same time.
Stability:
Serum: RMT - 5 days            REFT - 30 days
              Frozen - Greater than 30 days
Urine: RMT - 3 days            REFT - 5 days
              Frozen - Greater than 5 days

Rapid City Stability:
Serum: RMT - 7 days            REFT - 7 days
              Frozen - Greater than 7 days
Urine: RMT - 2 days            REFT - 6 days
              Frozen - Greater than 6 days
BLOD0558  Creatinine Serum
by Enzymatic
by Jaffee, Compensated - Rapid City

-eGFR (>18 years old)
82565 2.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. For Creatinine Clearance, serum creatinine should be drawn within 24 hours of urine collection. Note: Creatine (muscle builder) may interfere with testing.
Stability: RMT - 5 days            REFT - 30 days
              Frozen - 30 days
BLOD0622  CRP High Sensitive (Cardiac)
by Turbidimetric (Antigen/Antibody Complex)

*High sensitive CRP levels can provide prognostic information about the risk of cardiovascular events or atherosclerotic complications in apparently healthy patients.
86141 0.5 mL serum only. Only serum is acceptable. Refrigerate.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - 6 months
BLOD0621  CRP Quantitative
by Enzymatic Immunoassay

*For inflammation
86140 1.0 mL serum (0.5 mL minimum). Lithium heparin and EDTA plasma also acceptable. Refrigerate.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - 7 days
  Cryoglobulins Qualitative Refer to Test Code BLOD1235, "Cryoglobulin, Serum and Plasma (includes Cryofibrinogen)."
BLOD1235  Cryoglobulins Serum and Plasma (includes Cryofibrinogen)
by Quantitation and Qualitative Typing Precipitation at 1 Degree C, Immunofixation as Reflex

*If Cryoglobulin has a result other than negative after 1 or 7 days, then Immunofixation Cryoglobulin for immunotyping of the cryoprecipitate will be performed at an additional fee.
82585
82595
1 mL EDTA plasma (0.5 mL minimum) and 5 mL serum (3 mL minimum) from plain red top. Collect both tubes on warm sand. Tubes must remain at 37 degrees C after collection and during centrifugation. Label aliquots accordingly as "EDTA Plasma" and "Serum." Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
NBLD0334  Cryptococcus Antigen Screen CSF -Reflex to Titer
by Latex Agglutination

*If the screen is positive, a Cryptococcus Antigen Titer (LABS0053) will be performed at an additional fee.
86403
Reflex
86406
1.0 mL cerebrospinal fluid (0.7 mL minimum). Send refrigerated.
Stability: RMT - 2 hours            REFT - 3 days
              Frozen - Unacceptable
BLOD0683  Cryptococcus Antigen Screen Serum - Reflex to Titer
by Latex Agglutination

*Positive screen results will reflex automatically to Cryptococcus Antigen Titer (LABS0053) at an additional fee.
86403
Reflex
86406
1.0 mL serum (0.7 mL minimum). Refrigerate.
Stability: RMT - 2 hours            REFT - 3 days
              Frozen - Unacceptable
NBLD0221  Cryptosporidia / Cyclospora
by Acid Fast Stain
87206 Submit stool specimen in a sterile leak-proof container (5.0 mL minimum) or in an Ecofix vial filled to the indicated line. Refrigerate.
NBLD0418  Cryptosporidium/Giardia Rapid Assay
by Rapid Membrane Enzyme Immunoassay

*This test will provide a rapid assay for the detection of Cryptosporidium parvum and Giardia lamblia antigens and will also distinguish between the two.
87328
87329
5 grams of a stool specimen in either 10% Formalin or Cary-Blair or 5 grams of fresh, untreated stool submitted refrigerated.

Stability:

Fresh untreated stool stored between 2-8 degrees Celcius (refrigerated) can be tested up to 72 hours. If testing will not be performed within 72 hours, freeze at < or = to 10 degrees Celcius for up to 90 days.

For stool placed in 10% formalin -
              RMT - 1 month            REFT - 14 days

Cary Blair - REFT - 14 days

10% formalin -
              RMT - 1 month            REFT - 14 days

Note: PVA fixative samples are note acceptable.
  Crystals Joint Fluid Refer to "Joint Fluid Crystals."
  CSF Acid Fast Culture Refer to "CULT Acid Fast Culture".
NBLD0272  CSF Cell Count and Differential
by Microscopy
89051 2.0 mL cerebrospinal fluid. Refrigerate. **Note: White count values may be significantly lowered in specimens not tested within 4 hours.**
Stability: 4 hours
  CSF Culture Refer to culture type; CULT Acid Fast, Bacterial, Fungal, or Viral
  CSF Fungal Culture Refer to "CULT Fungal Culture Other". Indicate source.
NBLD0174  CSF Glucose
by Glucose Oxidase
82945 1.0 mL clear refrigerated spinal fluid (0.6 mL minimum). CSF aliquots should be centrifuged and separated from cells prior to refrigeration. Note: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis.
Stability: RMT - 24 hrs            REFT - 7 days
NBLD0338  CSF Lactic Acid
by Enzymatic
83605 1.0 mL CSF submitted in a sterile, plastic, leakproof CSF container (0.5 mL minimum). Send frozen minus 20C or lower. Note: If specimen is not clear or contains blood, centrifuge and separate supernatant fluid before freezing. This test requires its own frozen aliquot. Stability: RMT - 3 hrs            REFT - 24 hrs
              Frozen - 2 months
NBLD0273  CSF Profile 1
-Cell Count and Differential
-Glucose
-Total Protein
89051
82945
84157
4.0 mL cerebrospinal fluid. Keep refrigerated. Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis. **Note: White count values may be significantly lowered in specimens not tested within 4 hours.**
Stability: REFT - 4 hours
  CSF Protein Electrophoresis Refer to "Electrophoresis Protein CSF"
NBLD0180  CSF Total Protein
by Copper-Azo Dye Complex
84157 1.0 mL CSF (0.5 mL minimum). If CSF is frozen, centrifuge and separate from any cells present prior to freezing. If frozen, This test requires its own frozen aliquot. Stability: RMT - 4 hrs            REFT - 3 days
              Frozen - 6 months
NBLD0202  CSF VDRL
by Flocculation/Agglutination

*Positive results will be titered.
86592 0.7 mL CSF (0.5 mL minimum). Send in plastic vial.            
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen preferred - 14 days            
  CTX (Collagen Type 1 C Telopeptide Refer to "Collagen Type 1 C Telopeptide".
MICR0014  CULT Acid Fast Bacilli Stain Only
by Microscopic

*Concentration of Acid Fast Bacilli Stain by Fluorochrome will be performed at an additional charge when quantity of sample is sufficient.
**If culture desired order MICR0019.
87206 Submit thin smear of exudate or send specimen in sterile screw top container. Heat fix smear. Swabs are not acceptable. Indicate source. Refrigerate.
Stability: RMT - 2 hours            REFT - 2 days
BLOD1118  CULT Acid Fast Culture Blood
by Continuously Monitored Automated Broth Culture Instrument with Conventional Methods for Identification of Mycobateria

(Does not include Acid Fast Bacilli Stain)
              
*Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87116
10 mL whole blood collected in a green top (no gel) sodium heparin tube (5.0 mL minimum). Send in original tube within 72 hours of collection. Lithium heparin or Isolator tube also are acceptable. Indicate source. Send at Room temperature.
Stability: RMT - 72 hours            REFT - 72 hours
              Frozen - Unacceptable
MICR0019  CULT Acid Fast Culture With Stain Indicate Source
**Concentration of Acid Fast Bacilli Stain by Fluorochrome will be performed when there is sufficient quantity available, at an additional fee.

*Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87116

**87206
**87015
Submit 5.0 mL of sputum in a sterile container. First morning collection recommended. If unable to obtain adequate sputum amount, combine 3-6 specimens and submit total amount in one container. Swabs are not acceptable. Indicate source. Refrigerate. Final culture report in 8 weeks.
Mycrobacterium tuberculosis Complex and Rifampin Resistance, NAD results are available in 24 hours.
MICR0009  CULT Bacterial Culture Anaerobic
*Anaerobic Culture is already included in the Blood Culture order. This order is for Anaerobic Culture other than blood and must be ordered separately.

**Identification and/or typing will be performed if indicated at an additional fee (per organism).
87075 Submit specimens in Anaerobic culturette. Indicate source. Submit culture at room temperature. Refer to specimen acceptability under "General Information" Microbiology Specimens.
BLOD0990  CULT Bacterial Culture Blood
*Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87040 Two blood culture bottles marked with site and time drawn. Chloraprep applicator available from our Supplies Department. Acid Fast blood cultures require special tubes.

For Acid Fast, refer to "CULT Acid Fast Culture Blood".
For Fungal specimens, refer to "CULT Fungal Culture Blood".
MICR0004  CULT Bacterial Culture Genital Screen for Selected Organism Replace with MICR0044 - CULT Neisseria Gonorrhoeae Screen and MICR5007 - CULT Yeast.
MICR0003  CULT Bacterial Culture Other

*Body fluid, bone marrow, CSF, ear, eye, genital (includes yeast), IUD, surgical site, wound, or other specific source.
Indicate source for all sites.

**Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).

87070










Body fluid: Submit fluid in sterile, leak-proof container. Do not submit syringe. Send refrigerated.

Bone marrow: Submit in sterile container.

CSF: Submit all of the cerebrospinal fluid in a sterile container. Send refrigerated.

Ear, Eye, Genital: Submit culturette at room temperature. Crush ampule.
              
IUD: IUD specimens should include anaerobic swab for Actinomyces. Order MICR0005 "CULT Bacterial Culture Screen for Selected Organism (other than Genital)" and specify "Actinomyces."

Surgical site: Submit culturette at room temperature or fresh fluid from source in sterile leak-proof container.

Wound: Submit culturette at room temperature or fresh fluid from source in sterile leak-proof container. Indicate if it is a "surgical wound" or a "skin wound".

Other specific source: Submit culturette at room temperature. Indicate source. Special request must be indicated.

Indicate source for all sites listed. Submit any fluid in a sterile leak-proof container, refrigerated.
MICR0001  CULT Bacterial Culture Respiratory

*Bronchial washings, nasal, sputum, throat, bronchoalveolar lavage
Indicate source.

**Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87070 Bronchial washings: Submit in sterile, leak-proof container.

Nasal: Culturette at room temperature.

Sputum: Deep "first morning" cough specimen in sterile container. Submit swab in a culturette for Cystic Fibrosis patients.

Throat: Culturette at room temperature.

Indicate source.
MICR0005  CULT Bacterial Culture Screen for Selected Organism (other than Genital)
**Specify selected organism.**

-Anthrax
-Legionella
-Methicillin Resistant Staph aureus
              (MRSA)
-Vancomycin Resistant Enterococcus
              (VRE)
-Actinomyces
-Nocardia
-Beta strep
-Staphylococcus aureus & Beta strep
87081 For all Organisms - source must be indicated.

Anthrax Screen: Nasal culturette at room temperature.

Legionella: Submit fresh biopsy tissue, lower respiratory tract specimens, or pleural fluid in sterile, screw-cap container. Keep refrigerated.
Stability: REFT - 3 days

MRSA: Culturette at room temperature. (If collecting nasal source, use one swab for both right and left nasal passages.)

VRE: If sample is a stool or urine, submit in a sterile, leak-proof container and refrigerate.

Actinomyces: Submit specimen in a sterile, leak-proof container; store refrigerated or submit culturette at room temperature.

Nocardia: Submit specimen in sterile, leak-proof container and store refrigerated or submit culturette at room temperature.

Beta strep: Submit culturette at room temperature (source should not be throat).

Staph aureus & Beta strep: Submit culturette at room temperature (Rectal Sources only!)
MICR0002  CULT Bacterial Culture Stool Single Pathogen Screen
***Specify Selected Organism: ***
- Campylobacter
- E. coli O157:H7
- Yersinia
- Aeromonas
- Plesiomonas

**If stool is positive for E. coli O157, then H7 typing will be performed.

***Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87046 Place fresh stool in sterile container with no preservative or place stool in Cary-Blair transport media (orange cap-transport media available from our Supplies Department) and send refrigerated. Stability: REFT - Fresh stool - up to 2 hours.
Stool > 2 hours must be placed in Cary-Blair transport media. Preserved sample should be processed within 24 hours for best recovery of pathogens. If fresh stool is submitted for culture that is not in transport medium, the specimen should be transported to the performing laboratory and processed within 2 hours of collection. If recollection is not possible, the delay in specimen receipt by the laboratory may compromise recovery of pathogens.
MICR0026  CULT Bacterial Salmonella/Shigella Screen
**Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87045 Place stool in Cary-Blair transport media available from our Supplies Department. Keep refrigerated.
Stability: Cary Blair Specimen - must be placed in media within 2 hours; Stable up to 96 hours
MICR0020  CULT Bacterial Stool Culture
*Includes Salmonella/Shigella
Campylobacter, Yersinia, E. coli O157, Aeromonas, Vibrio, & Plesiomonas

**If stool is positive for E. coli O157, then H7 typing will be performed.

***Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87045
87046(3)
Place fresh stool in Cary Blair transport media suitable for Salmonella, Shigella, Yersinia, Campylobacter, and E. coli O157:H7 pathogens. Cary-Blair transport media is available from our Supplies Department. Keep refrigerated when stool is submitted in Cary-Blair preservative. Note: Follow-up cultures on previous positive patients should be ordered as a screen for specific pathogen.
Stability: Cary Blair Specimen - must be placed in media within 2 hours; Stable up to 96 hours
MICR0037  CULT Bacterial Stool Cuture with Shiga Like Toxin 87045
87046(3)
Includes:
- MICR0020 - "Culture Bacterial Stool"
-NBLD0249 - "Shiga-Like Toxin"
MICR0013  CULT Bacterial Urine Culture
-Culture with no growth
or
-Culture with growth, isolation,
& presumptive identification of each isolate
or
-Culture with growth & definitive identification

*Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).

87086
or
87086
87088

or
87086
87077
Clean catch urine midstream or catheterized urine specimen in sterile container or urine culture transport system. Refrigerate after collection. Indicate method of collection (clean catch, midstream, or catheterized). For urine collection instructions,click here.

Bemidji Requirements:
4 mL urine in C&S preservation tube (3 mL minimum). Send room temperature.
Unpreserved urine is also acceptable. Send refrigerated. Indicate method of collection (clean catch, midstream, or catheterized). For urine collection instructions, click here.
Stability:
In Preservative: RMT - 72 hours
No Preservative: RMT - 2 hours
              REFT - 24 hours
NBLD0239  CULT Chlamydia Culture

*NOTE - Chlamydia pneumoniae is not detected by this method.
87110 Using a Dacron swab, collect from urethra, cervix, eye, or throat, and place in 3.0 mL of universal transport media (UTM). Extract specimen from swab and discard the swab. Do not use calcium alginate swabs or wooden shaft swabs. Indicate source. For throat, need to specify for Chlamydia trachomatis.
Stability: Must be frozen within 24 hours of
              collection if specimen cannot be received
              at the testing laboratory within 24 hours.
NBLD0322  CULT CMV (Cytomegalovirus) Rapid Culture
by Shell Vial Culture Limited to CMV
87254 First morning urine, throat, lung tissue or other tissue specimens, bronchoalveolar lavage, or bronchial washing. Use 3.0 mL universal transport media (UTM) for throat, tissues, and bronchial washings, and BAL. Send 3 mL urine in a 3.0 mL universal transport media (UTM) and additional urine in sterile container. Do not use calcium alginate or wooden shaft swabs. Indicate source. Send refrigerated.
BLOD1097  CULT Fungal Culture Blood
*Identification will be performed if indicated at an additional fee (per organism).
87103 Submit specimen in special Isolator(R) tubes available from our Supplies Department. Cleanse the drawing site the same as collecting for blood culture. Adult collection - 10 mL Isolator(R) tube (5 mL minimum). Pediatric collection - 1.5 mL Isolator(R) tube (1.0 mL minimum). Indicate source. Send tubes at room temperature. **Please indicate "Adult" or "Pediatric" Isolator(R) tubes when ordering from Supplies.** Final culture report in 3 weeks.
MICR0023  CULT Fungal Culture Other

*Any source other than skin, hair, & nails
**Identification will be performed if indicated at an additional fee (per organism).
87102 Submit specimen in sterile screw-cap container or on culturette. Indicate source. Refrigerate. Final culture report in 5 weeks.
Stability: RMT - 2 hours            REFT - 2 days
MICR0022  CULT Fungal Culture Skin Hair and Nails
*Identification will be performed if indicated at an additional fee (per organism).
87101 Submit plucked hair, skin scrapings, or nail clipping in a sterile screw-cap container or on culturette. Indicate source. Refrigerate. Final culture report in 5 weeks.
Stability: RMT - 2 hours            REFT - 2 days
MICR0008  CULT Gram Stain 87205 Saturate swab with exudate or other material and roll over 2 clean slides to produce a thin smear, or submit culturette at room temperature. Note: Gram stain requires its own culturette. Do Not submit gel swabs. Air dry slides. Indicate source.
LABS0217  CULT Identification Anaerobic
*Identification will be performed if indicated at an additional fee (per organism).
87076 Submit pure isolate (less than 24 hours old) for each organism in addition to original plate. Indicate source. Record date and time on isolate plate.
LABS0214  CULT Identification Fungal
-Yeast
or
-Mold

87106

87107
Submit pure isolate. Keep at room temperature.
Stability: RMT - 7 days            Room temp only
LABS0215  CULT Identification of Organism From Culture Plate
*Typing and/or susceptibility will be performed if indicated and if appropriate at an additional fee (per organism).
              Anaerobic Isolate (per organism)
              Aerobic Isolate (per organism)
              Beta lactamase
              Typing (per organism)





87076
87077
87185
87147
Submit pure isolate (less than 24 hours old) for each organism in addition to original plate. Indicate source. Record date and time on isolate plate.
LABS0213  CULT MRSA Confirmation From Isolate

*Susceptibility will be reported.
87186 Submit pure isolate (less than 24 hours old) for each organism, in addition to original plate. Indicate source. Record date and time on isolate plate.
MICR0044  CULT Neisseria Gonorrhoeae Screen Culture

*Identification, typing, and /or sensitivity testing and will be performed if indicated at an additional fee (per organism).
87081 Innoculate Jembec or Thayer Martin plate. Add CO2 and place into a plastic bag securely sealed to maintain a CO2 environment and incubate. Indicate source.

Also acceptable is a Liquid Stuart culturette. Send culturette at room temperature. Indicate source.

Stability: RMT Only: 24-48 hours (Preferable to have specimen at testing laboratory within 24 hours of collection.)
LABS0218  CULT Sensitivity / Susceptibility Testing
*Sensitivity method will be
determined by the type of organism:

-MIC
or
-Kirby Bauer
or
-E test




87186
or
87184
or
87181
When a pathogen is isolated from a culture, a susceptibility test will be performed, if appropriate, at an additional fee. Submit a pure isolate (less than 24 hours old) for each organism. Indicate source. Record date and time if sending an isolate plate. Indicate identification of isolate; if unknown order Organism ID and Sensitivity will be performed if appropriate.
NBLD0242  CULT Viral Culture (Viral Isolation)
Indicate source.
Includes:

-Adenovirus

-Coxsackie A and B

-Echovirus

-Enterovirus

-Herpes simplex

-Influenza A and B

-Parainfluenza 1, 2, 3, 4

-Polio

-Respiratory Syncytial Virus

To inoculate universal transport media, refer to "General Information" section for specific viral collection instructions.

Note: Molecular Methods (e.g., PCR) are recommended for the following:

* Mumps Virus - Order code NBLD0451

* Herpes simplex Virus - Order code NBLD0132

* Varicella zoster Virus - Order code NBLD0361

* Enterovirus - Order code NBLD5038

* Meningitis/Encephalitis Panel - Code NBLD0536 includes Herpes simplex Virus, Varicella zoster Virus & Enterovirus
87252 General directions for universal transport media (UTM) preparation as follows: The inoculated swab should be placed in 3.0 mL vial of universal transport media immediately after collection. Send media refrigerated. Indicate source. Wooden swabs or swabs with a calcium alginate or cotton tips are unacceptable.

* * Virus listing with sources (in alphabetical order):
**Adenovirus: CSF, eye exudate, nasopharyngeal washing, stool, throat, or urine.
**Coxsackie A & B: CSF, pericardial fluid, stool, throat, or vesicular fluid
**Echovirus: CSF, pericardial fluid, stool, throat, or vesicular fluid
**Enterovirus: CSF, pericardial fluid, stool, throat, or vesicular fluid
**Herpes simplex: CSF, eye exudate, genital, throat swab, tissue biopsy, or vesicular fluid
**Influenza A & B: Nasopharyngeal washing or throat swab
**Parainfluenza 1, 2, 3, 4: Nasopharyngeal (NP) swab or washing, throat swab
**Poliovirus: CSF, stool, or throat swab
**Respiratory Syncytial Virus: Not recommended if specimen transport requires greater than 30 minutes to the laboratory. Refer to "RSV by DFA."

* * Specimen collection requirements (in alphabetical order):

For CSF or amniotic fluid: Submit CSF or amniotic fluid in a sterile container: DO NOT place in universal transport media. Submit a minimum of 1.0-2.0 mL in a sterile container. Indicate source. Refrigerate.
Stability: REFT - 4 days            

For nasal washings: Place 0.5-1.0 mL in 3.0 mL universal transport media.Indicate source.

For stools: Place a pea size amount in universal transport media. Indicate source.

For urine: Place 3.0 mL in a 3.0 mL vial of universal transport media and send an additional 2-4 mL in sterile containers. Refrigerate.

For all other types: Place in universal transport medium within 4 hours of collection. Indicate source. Room temperature 4 hours. After universal media inoculation - REFT - 4 days
Refrigerate.            

Stability: (excluding CSF or amniotic fluid)
Prior to universal transport media inoculation: RMT - 4 hours
After universal transport media inoculation: REFT - 4 days

MICR5007  CULT Yeast Culture

*Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).
87102 Submit culturette at room temperature. Indicate source.

Stability: RMT Only: 24-48 hours (Preferable to have specimen at testing laboratory within 24 hours of collection.)
BLOD0096  Cyclic Citrullinated Peptide (CCP) Antibodies, IgG
by ELiA

*Useful for evaluating patients suspected of having rheumatoid arthritis (RA). A positive result for CCP Antibodies indicates a high likelihood of RA.
86200 0.5 mL frozen serum (0.3 mL minimum). Lithium heparin, citrated, and EDTA plasma also acceptable. Avoid hemolysis. This test requires its own frozen aliquot. Send frozen.
Stability: REFT - 48 hrs            Frozen - 14 days
              RMT - Unacceptable
BLOD0508  Cyclosporine Whole Blood Trough
by Chemiluminescence

*Use for liver, cardiac, and kidney transplant patients.
80158 5.0 mL EDTA whole blood (1.0 mL minimum). Preferred collection time is 30 minutes prior to next scheduled dose. NOTE: Indicate if a kidney transplant patient. Refrigerate.
Stability: REFT - 7 days
              Frozen >7 days
BLOD1134  Cystatin C with Estimated GFR Serum
by Immunoturbidimetric

*Cystatic C is a highly sensitive and specific marker of GFR (renal function) and is independent of muscle mass, age, and body mass index.
82610 1.0 mL serum (0.5 ml minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 7 days
BLOD0505  Cystic Fibrosis Expanded 97 Mutation Analysis
by Multiplex PCR Based Assay Utilizing the Sequenom Mass ARRAY Platform
81220 2.5 mL EDTA or ACD whole blood (0.5 minimum). Invert specimen several times to mix blood and send in the original tube. Also acceptable - any other anticoagulant. If not ordering electronically, send a Congenital Inherited Disease Patient Information sheet with specimen (available through Client Support). Send at room temperature.
Stability - RMT - 96 hrs            REFT - 96 hrs
              Frozen - Unacceptable
NBLD0047  Cystine Quantitative 24-Hour Urine
by LC/MS/MS

*Please include patient's age for correct reference range.
82131 2.0 mL frozen aliquot of a well-mixed 24 hour urine collection (0.5 mL minimum). No preservative. Record total volume on container and requisition. This test requires its own frozen aliquot. Stability: Frozen only
  Cytomegalovirus Refer to "CMV".
BLOD1362  Cytoplasmic Neutrophilic Antibodies Screen
by Indirect Immunofluorescence

*Positive ANCAs will be titered at an additional fee.
86255 1 mL frozen serum (0.5 mL minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
BLOD0665  D Dimer Quantitative
by Latex Immunoassay
by Fluorescent Immunoassay - Rapid City

*The D-Dimer replaces the FDP. A negative result practically rules out thrombosis. Its main use is to exclude thromboembolic disease where the probability is low.
85379 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). No other anticoagulant is acceptable. Refer to "General Information" section for Collection of Coagulation Tests and procedure for Platelet-poor Plasma. Do not store in a frost-free freezer. This test requires its own frozen aliquot.
Stability: Frozen only

Rapid City Requirements:
2.0 mL frozen EDTA plasma (0.5 mL minimum). Also acceptable: 2 mL EDTA whole blood; or EDTA plasma sent refrigerated, if testing is performed within 24 hours. If frozen, this test requires its own frozen aliquot.
Stability: (Plasma)
              RMT - 4 hrs            REFT - 24 hrs
              Frozen - 3 months
Stability: (Whole Blood)
              RMT - 4 hrs            REFT - 24 hrs
              Frozen - Unacceptable
BLOD1330  Dengue Fever Antibodies IgG and IgM
by ELISA
86790(2) 0.7 mL serum from a serum gel tube(0.4 mL minimum). Red top also acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0068  Depakene (Valproic Acid) Free
by Ultrafiltration followed by Immunoassay
80165 2.0 mL serum (1.0 mL minimum). Specimen should be processed within 2 hours of collection. Send refrigerated.
Stability: RMT - 72 hours            REFT - 14 days
              Frozen - 28 days
BLOD0533  Depakene (Valproic Acid) Total
by Enzymatic
by Enzymatic Immunoassay - Rapid City
80164 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose.            
Stability: RMT - 24 hours            REFT - 14 days
              Frozen - 14 days

Bemidji Requirements:
1.0 mL heparinized plasma (0.5 mL minimum). Serum is also acceptable. Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 3 months
BLOD0344  Depakene (Valproic Acid) Total and Free
by Immunoassay (Total), Ultrafiltration by Immunoassay (Free)
80164 Total
80165 Free
2.0 mL serum (1.0 mL minimum). Both red top tubes and gel barrier serum tubes are acceptable. Tubes should be spun down and aliquoted within 2 hours of collection. Send refrigerated.
Stability: RMT - 72 hrs            REFT - 14 days
              Frozen - 28 days
BLOD0024  Desipramine (Norpramin)
by LC-MS/MS
80335 AMA
G6032 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). No gel barrier or SST tubes. Collect in a red top clot tube. Serum must be separated from cells within 2 hours of draw. Draw immediately before the next scheduled dose (or a minimum 12 hours after last dose.) Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0169  DHEA (Dehydroepiandrosterone) Unconjugated
by LC/MS/MS

*DHEA is the dominant steroid hormone & precursor to all sex steroids. DHEAS/DHEA levels are useful to detect excess adrenal activity.
82626 1.0 mL serum (0.5 mL minimum). A serum gel tube is not acceptable. Send frozen.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 14 days
BLOD0469  DHEA Sulfate (Dehydroepiandrosterone Sulfate)
by Immunoassay

*DHEAS is the sulfated version of DHEA. Most DHEA is found as DHEAS.
From a practical point, measurement of DHEAS is preferable to DHEA as
levels are more stable. DHEAS/DHEA levels are useful to detect excess adrenal activity.
82627 2.0 mL serum (0.5 mL minimum). Send refrigerated. If frozen, this test requires its own frozen aliquot.
Stability: REFT - 6 days            Frozen - 14 days
BLOD0639  Differential Automated
by Automated Cell Counter
85004 4.0 mL EDTA whole blood (1.2 mL minimum/0.7 mL pediatric minimum) refrigerated and 2 unstained blood smears.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - Unacceptable
BLOD0799  Differential Manual 85007 5.0 mL EDTA whole blood (1.0 mL minimum) refrigerated and 2 unstained blood smears.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - Unacceptable
BLOD0585  Digoxin (Lanoxin)
by Enzymatic
by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City
80162 2.0 mL serum only (0.5 mL minimum). No gel barrier or SST tubes. Sodium heparin plasma also acceptable. Trough levels most reproducible. Draw within 30 minutes prior to next dose. Avoid freeze/thaw cycles
Stability: RMT - 8 hours            REFT - 7 days
              Frozen >7 days
  Dihydroxyvitamin D 1 25 Refer to "1 25,Dihydroxyvitamin D".
BLOD0030  Dilantin (Phenytoin) Free
by Kinetic Interaction of Microparticles in Solution (KIMS)
80186 2.0 mL serum (1.0 mL minimum) from a red top tube only. No gel barrier or SST tubes. Spin within 2 hours of draw. Send refrigerated.
Stability: RMT - 7 days            
              REFT - 7 days            
              Frozen - 14 days
BLOD0539  Dilantin (Phenytoin) Total
by Enzymatic
80185 1.0 mL serum (0.4 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Draw within 30 minutes prior to next scheduled dose.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 12 weeks
BLOD0382  Dilantin (Phenytoin) Total and Free
by Enzymatic and Membrane Separation/Immunoassay
80185
80186
3.0 mL serum (1.4 mL minimum) from red top tube. No gel barrier or SST tubes. Avoid hemolysis and lipemia. Preferred collection time is a trough level just prior to next scheduled dose. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 14 days
  Dilaudid (Hydromorphone) Refer to "Drug Screen Urine".
BLOD0489  Diphtheria Toxoid IgG Antibody
by EIA
86648 0.5 mL serum (0.4 minimum) from a gold top tube. Red top tube is also acceptable. Serum is only acceptable specimen. Note: Useful for determining a patient's immunological response to diphtheria toxoid vaccination. May be used as an aid in the evaluation of immmunodeficiency. This test should not be used to diagnose diptheria infection. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 30 days            
              Frozen - 30 days
BLOD0923  Direct Coombs (Antiglobulin Test)
*Includes polyspecific testing; monospecific testing performed when indicated
86880 5.0 mL EDTA pink top whole blood preferred/EDTA lavendar top whole blood acceptable. No gel barrier or SST tubes. Use 5-7 mL maximum size for collection. Pink top tubes are available from our Supplies Department. Refer to "General Information" Section of the Catalog for Specimen Labeling Policy - Blood Bank.
Stability: REFT - 3 days
  DNA Antibody Refer to "Anti DNA Double Stranded Antibody"; or "Anti DNA Single Stranded Antibody".
BLOD0305  DNase B Antibody
by Nephlometry
86215 1.0 mL serum (0.5 mL minimum). Send refrigerated. Fasting preferred but not required.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
BLOD0385  Doxepin (Sinequan, Adapin)
by LC-MS/MS

*Includes metabolite Desmethyldoxepin (Nordoxepin)
80335 AMA
G6031 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Draw specimen immediately before the next scheduled dose (or at a minimum of 12 hours after last dose.) No gel barrier or SST tubes. Serum must be separated from cells within 2 hours of draw. Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
  Drug Allergens Search by "Allergen Drug Penicillin".
NBLD0398  Drug Compliance Analysis Urine
by Immunoassay and LC-MS/MS

Includes: Comprehensive drug test profile including a 22 drug category, and 185 compounds. Test menu includes anticonvulsants, antidepressants, antipsychotics, antihistamines, muscle relaxants, opoids, sedatives and stimulants, plus many over the counter medications and common illicit drugs.
80301
AMA
G0479(1)
Medicare

80304
AMA
G0479(1)
Medicare

80345
AMA
G0480(1)
Medicare

80320
AMA
G0480(1)
Medicare

80349
AMA
G0480(1)
Medicare
10 mL random urine, no preservative. Send refrigerated. Note: Provide list of patient's medications.
Stability: RMT - 3 days            REFT - 14 days
              Frozen >30 days
NBLD0443  Drug Screen Extensive Urine
by LC/MS/MS

AMA 80320, 80346, 80356, 80330, 80354, 80355, 80366, 80337,
80326, 80323, 80353, 80377,
80345, 80340, 80370, 80344,
80333, 80361, 80364, 80358,
80357, 80360, 80348, 80367,
80338, 80365, 83992, 80321,
80372, 80198, 80373, 80368,
80359, 80349

G0431 Medicare

Refer to under "TEST" 5.0 mL urine (1.0 mL minimum). Submit in a plastic leak-proof container. Note: Tests for over 120 drugs.            
Stability: RMT - 5 days            REFT - 7 days
NBLD0115  Drug Screen Meconium
by IA, GC/MS

Includes:
-Amphetamines
-Cocaine
-Opiates
-PCP (Phencyclidine)
-THC Metabolite
*Positive results are confirmed by GC/MS or LC/MS/MS at no additional charge.
80307


5 grams of meconium (1 gram minimum). Use sterile leak-proof container. Store refrigerated until shipped. Note: The minimum amount may not be sufficient for repeat or confirmation testing.
Stability: RMT - 48 hours            REFT - 7 days
              Frozen - 30 days
NBLD0010  Drugs of Abuse (SAP 5-50)
by EIA, GC/MS

Includes:
-Amphetamines
-Cocaine
-Opiates
-PCP (Phencylclidine)
-THC Metabolite - 50 ng/mL
80307 30 mL random urine (7 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
NBLD0096  Drugs of Abuse (SAP 7-20 + Alcohol)
by EIA, GC/MS

Includes:
-Alcohol (Ethanol)
-Amphetamines
-Barbiturates
-Benzodiazepines
-Cocaine
-Opiates
-PCP (Phencyclidine)
-THC Metabolite - 20 ng/mL
80307 30 mL random urine (15 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
NBLD0008  Drugs of Abuse (SAP 7-20)
by EIA, GC/MS

Includes:
-Amphetamines
-Barbiturates
-Benzodiazepines
-Cocaine
-Opiates
-PCP (Phencyclidine)
-THC Metabolite - 20 ng/mL
80307 30 mL random urine (15 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
NBLD0097  Drugs of Abuse (SAP 7-50 + Alcohol)
by EIA, GC/MS

Includes:
-Alcohol (Ethanol)
-Amphetamines
-Barbiturates
-Benzodiazepines
-Cocaine
-Opiates
-PCP (Phencyclidine)
-THC Metabolite - 50 ng/mL
80307 30 mL random urine (15 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
NBLD0101  Drugs of Abuse (SAP, 10-20 + Alcohol)
by EIA, GC/MS

Includes:
-Alcohol (Ethanol)
-Drug Screening Profile:
              Amphetamines
              Barbiturates
              Benzodiazepines
              Cocaine
              Opiates
              PCP (Phencylclidine)
              Methadone
              Methaqualone
              Propoxyphene
              THC Metabolite - 20 ng/mL
80307 30 mL random urine (15 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
NBLD0005  Drugs of Abuse (SAP, 10-20)
by EIA, GC/MS

Includes:
-Amphetamines
-Barbiturates
-Benzodiazepines
-Cocaine
-Methadone
-Methaqualone
-Opiates
-PCP (Phencyclidine)
-Propoxyphene
-THC Metabolite - 20 ng/mL
80307 30 mL random urine (15 mL minimum). Refrigeration preferred.
Stability: RMT - 24 hours            REFT - 21 days
  E coli O157:H7 Screen (Hemorrhagic Colitis) Refer to "CULT Bacterial Culture Stool Selected Organism" and request E coli.
  Ear Culture Search by "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral).
  EBV (Epstein Barr Virus) Refer to "Epstein Barr Virus".
BLOD0446  Echovirus (4, 7, 9, 11, 30) Antibodies
by Complement Fixation
86658(5) 2.0 mL serum (1.0 mL minimum). Send refrigerated.            
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
  Echovirus (Viral Culture) Refer to "CULT Viral Culture".
BLOD1520  Egg White Allergen Component Panel

*Includes 2 components:
(Ovalbumin and Ovomucoid)
86003(2) 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1519  Egg White Allergen Reflex to Component

*If egg white allergen is positive will reflex to 2 components (Ovalbumin and Ovomucoid) at an additional fee.
86003 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1372  Ehrlichia and Anaplasma Antibody Panel
by IFA
86666(2) 0.5 mL serum (0.25 mL minimum). Red top tube or gel tubes are acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0467  Ehrlichia chaffeensis Antibodies IgG and IgM
by Indirect Immunofluorescence Assay

*Ehrlichia chaffeensis is the etiologic/causative agent of Human Monocytic Ehrlichiosis (HME).
86666(2) 1.0 mL serum only (0.5 mL minimum). Plasma is not acceptable. Refrigerate.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD1233  Ehrlichia/Anaplasma Molecular Detection, PCR Blood
by PCR/DNA Probe Hybridization
87798 5.0 mL EDTA whole blood only (1.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen - 7 days
BLOD0384  Elavil (Amitriptyline)
by LC-MS/MS

*Includes metabolite Nortriptyline
80335 AMA
G6030 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Draw specimen immediately before the next scheduled dose (or at a minimum of 12 hours after last dose.) Spin down within 2 hours of draw. Do not draw in serum separator tubes.
Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0529  Electrolyte Panel
by ISE

-Sodium
-Potassium
-Chloride
-Carbon Dioxide (CO2)

*Note: Electrolyte Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this catalog.
80051 2.0 mL serum (0.6 mL minimum). AVOID hemolysis. Separate serum from cells within 45 minutes. Lithium heparin plasma also acceptable. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
BLOD0437  Electrophoresis Hemoglobin
by Various Methods

*Includes hemoglobin A2 and F, and hemoglobin electrophoresis
**Additional reflex test(s) may be performed as indicated at additional fees
***Useful for the diagnosis of Thalassemias and hemoglobin variants
83020
83021
10.0 mL EDTA whole blood (1.0 mL pediatric minimum). If multiple draws, collect EDTA tube last. ACD Solution B and heparin whole blood also acceptable. Do not transfer blood to other containers, send in original tube. Avoid hemolysis. Note: Submit a Mayo Thalassemia/Hemoglobinopathy Patient Information Sheet with the specimen. Contact Sanford Laboratories Client Support for form. Age required. Refrigerate.
Stability: REFT - 7 days
NBLD0265  Electrophoresis Protein 24-Hour Urine
by Electrophoresis/Biuret

*Includes Urine Total Protein
84156
84166
25 mL aliquot of a well-mixed and measured 24-hour urine (10 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection. Note: Do not freeze as may precipitate proteins lowering results. Refrigerate only.
Stability: REFT - 7 days            
NBLD0268  Electrophoresis Protein Random Urine
by Electrophoresis

*Includes Urine Total Protein
84166 25 mL of a well-mixed urine collection (10 mL minimum). Refrigerate only.
Stability: REFT - 7 days
BLOD1189  Electrophoresis Protein with Quantitative Free Light Chains
*Includes Total Protein, Pathologist Interpretation, and Quantitative Free Light Chains
84165
83883(2)
4.0 mL serum (1.5 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD0784  Electrophoresis Serum
by Electrophoresis/Biuret

*Includes Serum Total Protein
84165 3.0 mL serum (1.0 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days            
              Frozen - 30 days
BLOD1203  Electrophoresis Serum Reflex to Immunofixation if Protein Spike Present
by Electrophoresis, Immunofixation

*Includes Total Protein, Pathologist Interpretation
**Reflexes to an Immunofixation if Protein Spike is present on electrophoresis at an additional fee.
84165

Reflex
86334
Reflex performed at an additional fee.
4.0 mL serum only (1.5 mL minimum). Plasma is not acceptable. Refrigerate only.
Stability: REFT - 7 days            
BLOD0424  ENA Antibodies (Extractable Nuclear Antigens)
by Multiple Flow Immunoassay

*Includes Anti-RNP and Anti-Sm (Smith) Antibodies
86235(2) 1.0 mL serum (0.8 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
BLOD0837  ENA Panel 1
by Multiplex Flow Immunoassay

*Includes Antibodies to Extractable Nuclear Antigens:
-Anti-RNP and Anti-Sm (Smith)
-Anti-SSA (Sjogren's) and
               Anti-SSB (Sjogren's)
86235(4) 1.5 mL serum (1.2 mL minimum) from a gold or red top tube. Send refrigerated.
Stability: RMT - Unacceptable            
              REFT - 21 days
              Frozen - 21 days
BLOD0839  ENA Panel 2
by Multiplex Flow Immunoassay

*Includes:

-Anti-dsDNA
-Includes Antibodies to Extractable Nuclear Antigens:
              Anti-RNP (Ribonucleoprotein)
              Anti-Sm (Smith)
              Anti-SSA & Anti SSB
              (Sjogren's)




86225

86235(4)
3.0 mL serum (2.0 mL minimum) from a gold or red top tube. Send 2 separate aliquots (2.0 mL in one tube and 1.0 mL in 2nd tube). Send frozen.
Stability: Anti-ds DNA:
              REFT - 24 hrs            Frozen - 14 days
Remainder of Panel:
              REFT - 21 days            Frozen -21 days
BLOD0840  ENA Panel 3 (ANA Expanded Panel)
by Multiplex Flow Immunoassay

*Includes:

-Anti-dsDNA
-Includes Antibodies to Extractable Nuclear Antigens:
              Anti-RNP (Ribonucleoprotein)
              Anti-Sm (Smith)
              Anti-SSA and SSB
               (Sjogren's)
              Anti-Scl-70 (Scleroderma)
              Anti-Jo-1 (Polymyositis)




86225

86235(6)
3.0 mL serum (2.0 mL minimum) from a gold or red top tube. Send 2 separate frozen aliquots (2 mL in one tube and 1 mL in 2nd tube). Send frozen.
Stability: Anti-ds DNA:
              REFT - 24 hrs            Frozen - 14 days
Remainder of Panel:
              REFT - 21 days            Frozen -21 days
NBLD0536  Encephalitis Meningitis Panel, NAD
by Multiplex NAD

Panel includes:
- Cryptococcus neofomans/gattii
- Cytomegalovirus (CMV)
- Enterovirus
- Escherichia coli K1
- Haemophilus influenza
- Herpes Simplex Virus (HSV) Types 1 and 2
- Human Herpesvirus 6
- Human Parechovirus
- Listeria monocytogenes
- Neisseria meningitides
- Streptococcus agalactiae (Group B Strep)
- Streptococcus pneumonia
- Varicella-Zoster Virus (VZV)
87798
87653
87498
87532
87529
1.0 mL (0.2 mL minimum) unspun CSF. CSF specimen should be collected via lumbar puncture and should not be centrifuged. Send refrigerated.
Stability: RMT - 1 day            REFT - 7 days
              Frozen - Unacceptable
BLOD0481  Endomysial IgA Antibodies
by IFA

*Reported as Negative or Positive
86255 1.0 mL serum (0.5 mL minimum).
Stability: REFT - 7 days            Frozen - 7 days
  Enterovirus (Viral Culture) Refer to "CULT Viral Culture".
NBLD5038  Enterovirus Nucleic Acid Detection, CSF
by Real Time Reverse Transcription PCR
87498 1 mL CSF (200 uL minimum). Specimen must be sent in unspun. Send frozen.
Stability: RMT - Unacceptable
              REFT - 72 hrs            Frozen > 72 hrs
LBOR0021  Enterovirus RNA Qualitative by PCR
by Real-Time Polymerase Chain Reaction (PCR)
87498 Send one of the following specimen types: 1.0 mL serum, ACD plasma, or EDTA plasma (0.5 mL minimum); or 1 gram of stool frozen only. Throat swab or rectal swab also acceptable. Stool must be sent frozen in its own aliquot.
Stability Serum/Plasma:
              RMT - 48 hours            
              REFT - 7 days            
              Frozen - 30 days
Stool: Frozen only
BLOD0635  Eosinophil Count Total
*Also included in a CBC
85048 5.0 mL EDTA whole blood (1.0 mL minimum/0.7 mL minimum for pediatrics). Avoid hemolysis and lipemia. Keep refrigerated.
Stability: RMT - 8 hours            REFT - 3 days
NBLD0218  Eosinophil Smear - Nasal
by Microscopy
89190 Two thin nasal smears on glass slides. Air dry. Do not fix.
NBLD0463  Eosinophil Smear - Non Nasal
by Microscopy
89050 10 mL urine (3 mL minimum) - submit in urine container. Sputum, stool, and other body fluids are also acceptable. Submit specimen in original container. Slides will be made by the performing laboratory.
Stability: RMT - 1 hr            REFT 48 hrs
              Frozen - Unacceptable
BLOD0378  Epstein Barr Virus Antibody Comprehensive
by Chemiluminescent Immunoassay

-IgM Antibody to Viral Capsid Antigen
-IgG Antibody to Viral Capsid Antigen
-Antibody to Nuclear Antigen

*Use for Chronic Fatigue Syndrome



86665(2)

86664
2.0 mL frozen serum (1.0 mL minimum). Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot. Stability: REFT - 2 days            Frozen - 14 days
BLOD0810  Epstein Barr Virus IgG and IgM Antibodies
by Chemiluminescence Immunoassay
86665(2) 2.0 mL frozen serum (1.0 mL minimum). Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot. Stability: REFT - 2 days            Frozen - 14 days
BLOD0686  Epstein Barr Virus IgG Antibodies
by Chemiluminescence Immunoassay
86665 1.0 mL frozen serum (0.5 mL minimum). Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot. Stability: REFT - 2 days            Frozen - 14 days
BLOD0687  Epstein Barr Virus IgM Antibodies
by Chemiluminescence Immunoassay
86665 1.0 mL frozen serum (0.5 mL minimum). Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot.
Stability: REFT - 2 days            Frozen - 14 days
BLOD0319  Epstein Barr Virus Nuclear Antigen Antibody IgG (EBNA)
by Chemiluminescence Immunoassay
86664 1.0 mL frozen serum (0.5 mL minimum). Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot. Stability: REFT - 2 days            Frozen - 14 days
NBLD0457  Epstein Barr Virus Nucleic Acid, Qualitative, Non-Blood
by Real-Time PCR
87798 Submit specimen in sterile container.
0.5 mL Fluid (0.3 mL minimum) Spinal, amniotic, ocular, body (peritoneal/ascites, pleural/thoracentesis, pericardial).
1.5 mL Respiratory (1.0 mL minimum) Bronchial washing, bronchoalveolar lavage, nasopharyngeal aspirate or washing, sputum, or tracheal aspirate.
0.5 mL Bone Marrow in a EDTA tube.
Tissue submit 1-2 mL of sterile saline or multi-microbe medium (M5), brain, colon, kidney, liver, lung, etc.
Swab for eye, throat, nasal.
Indicate source on specimen and requisition. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - Unacceptable
BLOD1353  Epstein Barr Virus Nucleic Acid, Quantitative Blood
by Lightcycler PCR
87799 5 mL EDTA whole blood (0.3 mL minimum). Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT - 7 days
BLOD0201  Erythrocyte Protoporphyrin Free
by Hematofluorometry
84202 2.0 mL EDTA whole blood or sodium heparin whole blood (0.5 mL minimum). Protect from light            by wrapping in foil.
Stability: RMT - 4 days            REFT - 10 days
              Frozen - Unacceptable
BLOD0172  Erythropoietin (EPO)
by Immunoassay
82668 0.6 mL serum (0.5 mL minimum) from a red top tube. Avoided lipemia. Due to diurnal variation, it is recommended that specimens be collected between 7:30 a.m. and noon. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0637  ESR (Sed Rate)
by Automated
by Modified Westergren - Rapid City
85651 5.0 mL EDTA whole blood (1.5 mL minimum). Test must be performed within 24 hours of collection. Keep refrigerated.
Stability: RMT - 4 hours            REFT - 24 hours
BLOD0588  Estradiol (E2) Serum (17-Beta)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
82670 2.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Note: The drug Fulvestrant interferes with the measurement of Estradiol in this assay. Patients who have received Fulvestrant in the last year should have an alternate method used to measure Estradiol levels.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0173  Estradiol Free
by LC/MS/MS, Equilibrium Dialysis

*Includes Estradiol Free, Estradiol % Free, and Estradiol
82670(2) 2.5 mL (1.5 mL minimum) serum from a red top clot tube. No serum separator or SST tubes. Serum must be separated from cells within 2 hours. Send refrigerated.
Stability: RMT - 48 hours            
              REFT - 7 days            
              Frozen - 2 years
BLOD1396  Estrogens (E1 and E2) Fractionated
by LC-MS/MS
82670
82679
1.2 mL serum from red top tube (0.8 mL minimum. Gold tube also acceptable. Separate serum from gel within 24 hours. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
BLOD0470  Estrogens Total
by Extraction, RIA
82672 2.0 mL serum (1.0 mL minimum). Serum separator tubes are acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - 4 days            REFT - 14 days
              Frozen - 28 days
BLOD0416  Estrone (E1) Serum
by LC/MS/MS
82679 1.2 mL serum (0.8 mL minimum). Serum must be separated from gel within 24 hours of draw. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
  Ethanol (Ethyl Alcohol) Refer to "Alcohol".
BLOD0025  Ethosuximide (Zarontin)
by Enzyme Multiplied Immunoassay Technique (EMIT)
80186 1.0 mL serum (0.5 mL minimum). Serum is acceptable from both gel tubes and red top tubes. Specimen should be centrifuged and aliquoted within 2 hours of collection. Trough levels are most reproducible. Preferred collection time is immediately before next scheduled dose. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
  Eye Culture Refer to "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral).
BLOD0108  Factor 2 Coagulation Assay
by Prothrombin Clot-Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85210 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
BLOD0379  Factor 5 Leiden Mutation Analysis
by PCR - Light Cycler Detection Probe Technology
81241 5.0 mL EDTA whole blood (2.0 mL minimum). Send refrigerated. Discrete sample is required. If other testing is needed on EDTA tube, aliquot 2 mL of EDTA whole blood for this test prior to other testing to prevent contamination.
Stability: REFT - 7 days            
              Frozen - 12 months
BLOD0110  Factor 7 Coagulation Assay
by Prothrombin Clot-Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85230 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
BLOD0661  Factor 8 Coagulation Assay
by APTT-Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85240 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
              
  Factor 8 Related Antigen Refer to "von Willebrand Workup".
BLOD0662  Factor 9 Coagulation Assay
by APTT Clot-Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85250 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
              
BLOD0109  Factor V (5) Activity
by Prothrombin Clot-Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85220 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
              
BLOD0115  Factor, 10 Coagulation Assay
by Prothrombin Clot Based Assay

Note: Patient must not be receiving heparin or Coumadin therapy.
85260 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
BLOD0116  Factor, 11 Coagulation Assay
by APTT-Clot Based Assay

*Note: Patient must not be receiving heparin or Coumadin therapy.
85270 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
BLOD0117  Factor, 12 Coagulation Assay
by APTT-Clot Based Assay

Note: Patient must not be receiving heparin or Coumadin therapy.
85280 1.0 mL (0.5 mL minimum) frozen sodium citrate platelet-poor plasma. For processing refer to this link: Click Here. Send frozen. This test requires its own frozen aliquot. Avoid hemolysis.
Stability: Frozen only
              RMT & REFT - Unacceptable
  FANA (Antinuclear Antibody) Refer to "ANA".
  Farmers Lung Refer to "Hypersensitivity Pneumonitis".
BLOD1139  Fatty Acid Profile RBC
by Gas Chromatography
82542(4) Preferred specimen: 4.0 mL EDTA whole blood (1.0 mL minimum) preferably from a first morning fasting specimen; non-fasting specimen acceptable.
Stability: RMT - 5 days            REFT - 5 days
BLOD1283  Fatty Acids Free
by Enzymatic, Colorimetric

*The Free Fatty Acids assay may be useful in evaluating patients with hypoglycemia and for nutritional assessment.
82725 1.0 mL frozen serum (0.5 mL minimum). Patient must be fasting 12-14 hours and not consume any alcohol for 24 hours before the specimen is collected.
Stability: RMT & REFT - Unacceptable
              Frozen ONLY
NBLD0037  Fecal Fat Quantitative
by Nuclear Magnetic Resonance Spectrometer
82710 Submit frozen entire 48-72 hour stool specimen. 24 hour or random specimens also acceptable. Note: Indicate length of collection time on requisition and sample container. Send entire collection. Freeze. Stool containers available from our Supplies Department. Patient Preparation: For 3 days prior to collection: (A) patient should be on a fat-controlled diet (100-150 gm fat per day). (B) No laxatives, mineral oil, or castor oil. (C) No synthetic fat substitutes (e.g., Olestra) or fat-blocking nutritional supplements. (D) Barium interferes with test procedure - a waiting period of 48 hours before stool collection is recommended. Note: A sparate order and collection should take place if stool bicarbonate, calcium, chloride, magnesium, osmolality, pH, potassium, sodium, or any microbiology testing is also ordered. Water is added and the specimen is weighed during the process of this test which makes it unusable for any other tests listed above.
Stability: Frozen only
NBLD0138  Fecal Fat Screen Qualitative
by Sudan Stain

*Qualitative assessment of fat malabsorption (Steattorhea).

82705 2 grams (1 teaspoon)random stool specimen (0.5 grams minimum). A random stool specimen collected in a clean, dry container. The patient is not to use suppositories, mineral oil, castor oil, creams or lubricant as these may cause false-positive results. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT 72 hrs            Frozen - 7 days
  Fecal Leukocytes Refer to NBLD0422 "Lactoferrin Screen Stool."
NBLD0510  Fecal Occult Blood, CRC Screen (FIT, Immunochemical)
by Immunochemical

82274


Immediately transfer stool specimen into an occult blood cartridge. Raw stool is unacceptable and will be rejected. Collections kits and instructions are available from our Supplies Department.
Note: Alcohol and some medications may cause gastrointestinal irritation and subsequent bleeding in some patients. Do not collect during menstrual cycle or if having bleeding hemorrhoids or blood in the urine. This test is not affected by dietary peroxidases, animal blood, or ascorbic acid. Clearly indicate applicable ICD-10-CM/narrative on the requisition when ordered for diagnostic or Medicare screening purposes.
Stability: RMT - 8 days
              REFT - 6 months
              Frozen - 2 years
NBLD0201  Fecal pH
by pH Indicator Strip
83986 Random stool specimen.
Stability: RMT - 4 hrs            REFT - 24 hrs
              Frozen - 60 days
NBLD0192  Fecal Reducing Substance
by Benedict's Copper Reduction (Clinitest)

*If collecting from an infant, call client support.
84376 3 gm loose random stool specimen (2 gm minimum). Freeze immediately. Send frozen. Note: Formed stool will be rejected.
Stability: RMT/REFT - Unacceptable            
              Frozen - 7 days
BLOD0389  Felbamate (Felbatol)
by HTLC-MS/MS
80299 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Preferred collection time is immediately before next scheduled dose. Refrigeration preferred.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0589  Ferritin
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
82728 2.0 mL serum (0.5 mL minimum).
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0978  Fetal Bleed Screening Test with Reflex to Fetaldex
by Immune Rosetting

*Test will automatically reflex to Fetaldex (Test Code BLOD0667) on all positive results at an additional fee.
**Detects D Positive fetal red cells in D Negative mothers.
85461 7.0 mL EDTA (pink top preferred) whole blood (3.2 mL minimum). Draw in 5-7 mL capacity tubes. EDTA lavendar top whole blood acceptable. EDTA pink top tubes available from our Supplies Department. Refrigerate. Note: Collect from mother approximately 1 hour after delivery or as soon as possible thereafter. Note: The test must be performed on the blood of a known D-negative mother of a recently delivered D-positive child. If the infant's red blood cells possess a weak D antigen, the test may not detect a feto-maternal hemorrhage exceeding 30 mL of whole blood.
Stability: REFT - 48 hours
Note: After 24 hours will not reflex to Fetaldex due to strict 24 hour Fetaldex stability

Bemidji Requirements:
4.0 mL EDTA whole blood (2.0 mL minimum). Serum from a red top tube is also acceptable. Send refrigerated.
Stability: RMT - NA            REFT - 48 hours
              Frozen - NA
NBLD0296  Fetal Fibronectin Assay
by Solid Phase Immunosorbent Assay

*A qualitative test to aid in identifying risks for premature delivery.
82731 A special collection kit is required. Please contact Client Support for kit and instructions. Refrigerate specimen.
Stability: REFT - 3 days            Frozen >3 days
  Fetal Hemoglobin Refer to "Hemoglobin Electrophoresis".
BLOD0667  Fetaldex (also known as Kleihauer-Betke)
by Erythrosine-B Stains

*Useful to indicate amount of Rh Immune globulin to administer to prevent stimulation of maternal Anti-D.
85460 7.0 mL EDTA (pink top preferred) whole blood (3.0 mL minimum). Draw in 5-7 mL capacity tubes. EDTA lavendar top tubes acceptable. Collect from the mother within 24 hours of delivery. EDTA pink top tubes available from our Supplies Department. Refrigerate. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank.
Stability: REFT - 24 hours
  Fibrin Split Products Refer to "D Dimer".
BLOD0666  Fibrinogen Quantitative Functional Assay
by Mechanical
85384 1.0 mL frozen platelet-poor sodium citrate plasma only. Fill tube completely. Refer to "General Information" Section of this Catalog for collection of coagulation tests and procedure for preparing platelet-poor plasma. This test requires its own frozen aliquot. Plasma may be thawed once.
Stability: RMT - 8 hours
              Frozen preferred - 30 days

Bemidji Requirements:
Stability: RMT - 4 hours            REFT - 72 hours
              Frozen >72 hours
NBLD0297  FISH Urovysion Bladder Cancer
by Fluorescence In Situ Hybridization (FISH)

*FISH analysis of urothelial cells from urine samples may be used to monitor patients with a history of urothelial carcinomas for disease recurrence.
88120 See patient instructions for collecting a urine specimen using the required collection kit. Kits with handling instructions can be ordered from our Supplies Department. Send refrigerated. Room temperature acceptable. Do not send frozen.
BLOD0390  Flecainide (Tambocor)
by HPLC
80299 3.0 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Refrigeration preferred.            
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
NBLD0012  Flunitrazepam (Rohypnol) Urine
by IA, GC/MS

*Specimens screened by Immunoassay at a threshold concentration of 100 ng/mL. Any positive is confirmed by GC/MS. Detection Period: 12-24 hours.
**Also called Date Rape Pill, Roach-2, Roaches, Roofenol, and Roofies.
80307 10 mL aliquot of random or spot urine (5.0 mL minimum). Note: Minimum volume will not allow confirmation.            
Stability: RMT - 3 days            
              REFT/Frozen >3 days
  Fluorescent Treponemal pallidum Antibody (FTA) Refer to "FTA Antibody".
BLOD0605  Folic Acid Serum (Vitamin B9)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
82746 1.0 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis. Patient should be fasting. Separate from cells within 24 hours of draw. Protect from light.
Stability: REFT - 7 days            Frozen - 30 days
BLOD0590  Follicle Stimulating Hormone (FSH)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
83001 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
  Food Allergens Refer to "Allergen Food" and then by the specific food name.
  Food Allergy Panel 1 Refer to "Allergy Panel Food 1".
  Food Allergy Panel 1 + Total IgE Refer to "Allergy Food Panel 1".
  Food Allergy Panel 2 Refer to "Allergy Food Panel 2".
  Food Allergy Panel 2 + Total IgE Refer to "Allergy Food Panel 2".
  Food Allergy Panel 3 Refer to "Allergy Food Panel 3".
LBOR0123  Fragile X DNA Analysis (Fragile X CGG Repeat Expansion Analysis)
by PCR/Amplidex
81243 2.0 mL EDTA whole blood (1.0 mL minimum). May require consent form. Contact Sanford Molecular Genetics Laboratory for information regarding consent form and other specimen types (605-333-5220). Refrigerate.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - Unacceptable
  Franciella tularema Antibody Please refer to "Tularema Antibody".
BLOD0131  Francisella tularensis Antibody (Tularemia)
by Direct Agglutination

*Francisella tularensis, a small gram negative coccobacillus, is the causative agent of tularemia.
86668 1.0 mL serum only (0.5 mL minimum). Send refrigerated.
Stability: RMT - 5 days            REFT - 14 days
              Frozen - 12 months
BLOD1065  Free Light Chains (Immunoglobulin) Serum Protein Quantitative
by Turbidimetric Analysis

*Includes Kappa and Lambda free light chains and FLC Ratio.
**Serum free light chain measurement is of major prognostic value in almost all plasma cell proliferative disorders, and may be useful in initial evaluation of patients and on monitoring treatment response.
83883(2) 1.0 mL serum (0.5 ml minimum). Avoid hemolysis and lipemia. Refrigerate. Serum is the only acceptable specimen type.
Stability: Refrigerate only - 21 days
BLOD1189  Free Light Chains Serum Quantitative with Protein Electrophoresis
*Includes Total Protein, Pathologist Interpretation, and Quantitative Free Light Chains
84165
83883(2)
4.0 mL serum only (1.5 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD0600  Free T3
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City

*Total T3 is not included and must be ordered separately.
84481 2.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Stability: RMT - 8 hours            REFT - 6 days
              Frozen - 6 days
BLOD0596  Free T4
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84439 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.            
Stability: RMT - 8 hrs            REFT - 6 days
              Frozen >6 days
  Free Testosterone Refer to "Testosterone Free".
BLOD0471  Fructosamine
by Colorimetric Rate Reaction
82985 1.0 mL serum (0.5 mL minimum). Stability: RMT - 72 hrs            REFT - 7 days
              Frozen - 7 days
BLOD0590  FSH (Follicle Stimulating Hormone)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
83001 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0495  FTA Antibodies (Fluorescent Treponemal pallidum Antibodies)
by Chemiluminescence Immunoassay (CLIA)

*This test is a confirmatory procedure following a reactive non-treponemal assay, or as a screening procedure.
86780 1.0 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
BLOD0648  Fungal Serology Panel
by Immunodiffusion

-Aspergillus Antibody
-Blastomyces Antibody
-Coccidioides Antibody
-Histoplasma Antibody


86606
86612
86635
86698
3.0 mL frozen serum (1.5 mL minimum). Avoid lipemia.
Stability: REFT - 3 days            Frozen - 14 days
  Fungus Culture Blood Refer to "CULT Fungal Culture Blood".
  Fungus Culture Identification Refer to "CULT Identification Fungal".
  Fungus Culture Other Refer to "CULT Fungal Culture Other".
  Fungus Culture Skin Hair and Nails Refer to "CULT Fungal Culture Skin Hair and Nails".
BLOD0178  G-6-PD, Quantitative Erythrocytes
by Kinetic Spectrophotometry (KS)
82955 6.0 mL ACD Solution B (yellow top) whole blood (1.0 mL minimum). Do not transfer blood to other containers. EDTA whole blood is also acceptable. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT Only - 20 days
BLOD0391  Gabapentin (Neurontin)
by LC-MS/MS
80171 1.0 mL serum (0.5 mL minimum). EDTA is not acceptable. No gel barrier or SST tubes. Spin within 2 hours of draw. Draw sample immediately before next scheduled dose.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD0052  Gabitril (Tiagabine)
by LC/MS/MS
80199 3.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Trough levels most reproducible.
Stability: RMT - 3 days            REFT - 14 days
  Gamma Glutamyl Transpeptidase (GGTP) Refer to "GGTP".
  Garamycin (Gentamicin) Peak or Trough Refer to "Gentamicin".
BLOD0176  Gastrin
by Automated Chemiluminescent Immunometric Assay
82941 1.0 mL frozen serum (0.5 mL minimum). Note: Minimum 8-hour overnight fast is required. Plasma is not acceptable. Do not thaw. This test requires its own frozen aliquot.
Stability: REFT - 24 hours
              Frozen Only - 28 days
  GC / Chlamydia Refer to "N. Gonorrhea & Chlamydia Screen."
  GC / Gardnerella Culture Refer to "CULT Bacterial Culture Other" then choose "Genital" source.
  GC Culture / Screen Refer to "CULT Bacterial Culture Genital Screen for Selected Organism". Specify GC.
  Genital Culture Refer to "CULT Bacterial Culture Genital Screen".
  Genital Strep Culture Refer to "CULT Bacterial Culture Genital Screen for Selected Organism".
BLOD0534  Gentamicin (Garamycin) Peak
by Enzymatic
80170 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. If drawing EDTA, sample must be at least half full. Draw peak level 30 minutes after a 30 minute IV infusion. Draw peak level 5-15 minutes after a 60 minute IV infusion. Refrigerate.
Stability: REFT - 7 days            Frozen - 14 days
BLOD0536  Gentamicin (Garamycin) Trough
by Enzymatic
80170 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA and heparinized plasma also acceptable. If drawing EDTA, sample must be at least half full. Preferred collection time is immediately before the next scheduled dose. Refrigerate.
Stability: REFT - 7 days            Frozen - 14 days
BLOD0561  GGTP (Gamma Glutamyl Transpeptidase)
by Enzymatic
by Enzymatic Colorimetric - Rapid City
82977 1.0 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 60 days
  Giardia lamblia Antigen Refer to "Giardia/Cryptosporidium Rapid Assay" - NBLD0418.
BLOD1142  Giardia lamblia IgG IgA and IgM Antibody Panel
by Immunofluorescence Assay
86674(3) 2.0 mL serum refrigerated (0.5 mL minimum).
Stability: RMT - 72 hrs            REFT - 14 days
              Frozen - 30 days
NBLD0418  Giardia/Cryptosporidium Rapid Assay
by Rapid Membrane Enzyme Immunoassay

*This test will provide a rapid assay for the detection of Cryptosporidium parvum and Giardia lamblia antigens and will also distinguish between the two.
87328
87329
5 grams of a stool specimen in either 10% Formalin or Cary-Blair or 5 grams of fresh, untreated stool submitted refrigerated.

Stability:

Fresh untreated stool stored between 2-8 degrees Celcius (refrigerated) can be tested up to 72 hours. If testing will not be performed within 72 hours, freeze at < or = to 10 degrees Celcius for up to 90 days.

For stool placed in 10% formalin -
              RMT - 1 month            REFT - 14 days

Cary Blair - REFT - 14 days

10% formalin -
              RMT - 1 month            REFT - 14 days

Note: PVA fixative samples are not acceptable.
BLOD0374  Gliadin (Deamidated) IgA Antibody
by ELISA

*Assays using deamidated gliadin have been shown to have higher diagnostic accuracy for celiac disease when compared to standard anti-gliadin assays. Useful for evaluating the response to treatment with gluten-free diet.
83516 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Refrigeration preferred.
Stability: REFT - 21 days
              Frozen - 21 days
BLOD0375  Gliadin (Deamidated) IgG Antibody
by ELISA

*Assays using deamidated gliadin have been shown to have higher diagnostic accuracy for celiac disease when compared to standard anti-gliadin assays. Useful for evaluating the response to treatment with gluten-free diet.
83516 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Refrigeration preferred.
Stability: REFT - 21 days
              Frozen - 21 days
BLOD1109  Gliadin Peptide IgG and IgA Antibody Screen
by Chemiluminescent Immunoassay

*This screen includes IgG & IgA but does not differentiate.
82397 2.0 mL frozen serum (1.0 mL minimum). Freeze. This test requires its own frozen aliquot. Stability: REFT - 2 days            Frozen - 30 days
BLOD0187  Glomerular Basement Membrane Antibodies IgG (GBM Antibody)
by Multiplex Flow Immunoassay
83520 0.5 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            Frozen - 21 days
BLOD0177  Glucagon
by Immunoassay Following Extraction
82943 Overnight fasting is required. Draw prechilled EDTA (lavendar top tube). After drawing, chill tube in wet ice for 10 minutes. Centrifuge in a refrigerated centrifuge or a pre-chilled centrifuge cup. Spin down. Remove EDTA plasma to specimen transfer tube and freeze. Send 2.0 mL EDTA plasma (0.5 mL minimum). Send frozen. Do not thaw. This test requires its own frozen aliquot.
Stability: RMT & REFT - Unacceptable
              Frozen Only - 90 days
BLOD0559  Glucose 2-Hour Post Prandial
by Glucose Oxidase
by Enzymatic Hexokinase - Rapid City
82947 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum) following a standard meal (containing 75-100 grams of glucose). If patient has not eaten a standard meal, give 75 grams oral glucose load. Draw specimen 2 hours after meal or glucose load. Separate serum/plasma from cells within 1 hour. Heparinized and EDTA plasma also acceptable. Refrigerate.
Stability: RMT - 24 hours            REFT - 7 days
NBLD0173  Glucose Body Fluid
by Glucose Oxidase
82945 1.0 mL body fluid in sterile tube (0.6 mL minimum). Also acceptable is body fluid in a Sodium Fluoride or Heparin tube. Avoid hemolysis. Send refrigerated.
Stability: RMT - 24 hrs            REFT - 7 days
              Frozen >7days

Bemidji Requirements:
1.0 mL (0.5 mL minimum) body fluid submitted in a Lithium heparin tube. Body fluid submitted in a sterile container is also acceptable. Send refrigerated.
Stability: RMT - 3 days            REFT >1 month
              Frozen - NA
Note: Body fluid aliquots should be centrifuged and separated from cells prior to refrigeration and within 1 hour of collection. Body fluid with large numbers of WBCs and RBCs will cause unreliable glucose values due to glycolysis.
NBLD0174  Glucose CSF
by Glucose Oxidase
82945 1.0 mL clear refrigerated spinal fluid (0.6 mL minimum). CSF aliquots should be centrifuged and separated from cells prior to refrigeration. Note: Spinal fluids with large numbers of WBCs or RBCs will cause unreliable glucose values due to glycolysis.
Stability: RMT - 24 hrs            REFT - 7 days
BLOD0655  Glucose Gestational Diabetes Screening Test (1 Hour)
by Glucose Oxidase

*One specimen required.
82950 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum). Heparinized and EDTA plasma also acceptable. Give 50 grams oral glucose load and draw specimen (serum or plasma) one hour after glucose load. Patient does not have to be fasting and test can be done at any time of the day. Separate serum/plasma from cells within 1 hour. Refrigerate.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen >7 days
BLOD0787  Glucose Gestational Diabetes Tolerance Test (3-Hour)
by Enzymatic Hexokinase - Rapid City
by Glucose Oxidase - Sioux Falls
*Four specimens required.
82951
82952
1.0 mL serum or 1.0 mL sodium fluoride plasma for each specimen (0.6 mL minimum). Heparinized and EDTA plasma also acceptable. Overnight fasting is required. Draw fasting specimen. Give 100 grams oral glucose load and draw additional specimens at 1, 2, and 3 hours after glucose load. Properly label each specimen with time drawn. Separate serum/plasma from cells within 1 hour. Refrigerate.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen >7days
BLOD0006  Glucose Plasma or Serum
by Glucose Oxidase
by Enzymatic Hexokinase - Rapid City
82947 1.0 mL serum or 1.0 mL sodium fluoride plasma (0.6 mL minimum). Heparinized or EDTA plasma also acceptable. Fasting is preferred specimen. Prompt separation of serum or plasma from cells is essential.
Refrigerate.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen >7 days
BLOD0178  Glucose-6-Phosphate Dehydrogenase
Quantitative Erythrocytes (G6PD)

by Kinetic Spectrophotometry (KS)
82955 6.0 mL ACD Solution B (yellow top) whole blood (1.0 mL minimum). Do not transfer blood to other containers. EDTA whole blood is also acceptable. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
               REFT Only - 20 days
BLOD0629  Glycated Hemoglobin A1c
by HPLC
by Turbidimetric Inhibition Immunoassay (TINA) - Rapid City
83036 1.0 mL EDTA whole blood (0.7 mL minimum). Frozen or clotted specimens are unacceptable. Refrigerate. Submit a separate EDTA tube for additional tests ordered.
Stability: REFT - 7 days
NBLD0295  Gonorrhea Nucleic Acid Screen
by PCR
87591 Urine – for male or female: Patient should not have urinated or for at least one hour. Collect first catch urine between 10–50 mLs. Transfer urine to PCR Media tube filling to between the two black lines on the tube label. If urine cannot be transferred immediately, it may be stored refrigerated for up to 24 hours prior to transferring to the PCR Media tube. Endocervical/Cervical Swab submitted in PreserveCyt media - Vaginal swab submitted in PCR Media Tube (endocervical swab may also be submitted in PCR Media Tube.) No swabs are available for Male collection.
Stability: Urine in PCR Media Tube:
              RMT - 30 days            REFT – 30 days
              Frozen - Unacceptable
Female Swab Samples:
              RMT - 60 days            REFT – 60 days
              Frozen - Unacceptable
MICR0008  Gram Stain 87205 Saturate swab with exudate or other material and roll over 2 clean slides to produce a thin smear, or submit culturette at room temperature. Note: Gram stain requires its own culturette. Do not submit gel swabs. Air dry slides. Indicate source.
  Grass Allergens Refer to "Allergen Grass" and then by the specific grass name.
BLOD1499  Grass Allergy Panel + Total IgE
by Fluorallergrosorbent
- Barley Grass
- Bermuda Grass
- Timothy Grass
- Wheat Grass
- Wild Rye Grass
- Total IgE
86003(5)
82785
2.0 mL (1.0 mL minimum) serum. Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
  Grass Allergy Screen Refer to "Allergy - Screen Grass".
NBLD5011  Group B Strep NAD Penicillin Allergy, Reflex to Susceptibility
by Molecular
87653
Reflex
87184
Red top double Culturette - collect a vaginal/rectal swab according to CDC recommendations. Note: Swabbing both the lower vagina and rectum increases the culture yield substantially compared to swabbing the cervix or vagina without rectal sampling. Rectovaginal swab collection at 35 - 37 weeks gestation remains the recommendation.
Stability: If the swab specimen will be processed/received in performing laboratory within 24 hours, store at room temperature. If the specimen will NOT be processed or received at the performing laboratory within 24 hours, store at 2-8 degrees C for up to six days.

Bemidji Requirements:
Submit culture on COPAN swab labeled NAD. Send refrigerated.
Stability: RMT - 24 hours            REFT - 6 days
              Frozen - NA
NBLD5000  Group B Strep NAD, No Penicillin Allergy
by Molecular
87653 Red top double Culturette - collect a vaginal/rectal swab according to CDC recommendations. Note: Swabbing both the lower vagina and rectum increases the culture yield substantially compared to swabbing the cervix or vagina without rectal sampling. Rectovaginal swab collection at 35 - 37 weeks gestation remains the recommendation.
Stability: If the swab specimen will be processed/received in performing laboratory within 24 hours, store at room temperature. If the specimen will NOT be processed or received at the performing laboratory within 24 hours, store at 2-8 degrees C for up to six days.

Bemidji Requirements:
Submit culture on COPAN swab labeled NAD. Send refrigerated.
Stability: RMT - 24 hours            REFT - 6 days
              Frozen - NA
BLOD0179  Growth Hormone (HGH)
by Immunoenzymatic Assay
83003 0.8 mL serum (0.5 mL minimum). Fasting is required. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 90 days
BLOD0506  Hantavirus Antibody
by ELISA

*Confirmatory testing will be performed at an additional fee.
86790 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 5 days            REFT - 14 days
              Frozen - 30 days
BLOD0616  Haptoglobin
by Turbidimetric
83010 1.0 mL serum (0.5 mL minimum). Lithium heparin or EDTA plasma is also acceptable. Separate from cells as soon as possible. Avoid hemolysis and lipemia.
Stability: REFT - 7 days            Frozen >7 days
              RMT - Unacceptable
BLOD0602  HCG (Tumor Marker) Quantitative
by Chemiluminescence

*This assay is useful in the diagnosis of choriocarcinoma (testicular and trophoblastic tumors). The assay is also for following the course of therapy of choriocarcinoma tumors.
**It is not intended to be used as a pregnancy screen.
84702 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0607  HCG Screen (Human Chorionic Gonadotropin) Total Qualitative
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84703 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0601  HCG Total Quantitative (Human Chorionic Gonadotropin)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLA) - Rapid City
84702 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Specify weeks of gestation if applicable.            
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0566  HDL (High Density Lipoprotein)
by Enzymatic
by Enzymatic, Colorimetric - Rapid City
83718 1.0 mL serum or lithium heparin plasma (0.5 mL minimum). Separate from cells and analyze promptly. Avoid hemolysis. If frozen, This test requires its own frozen aliquot.
Stability: RMT - 1 day            REFT - 3 days            
              Frozen - 21 days
NBLD0110  Heavy Metals 3 Panel 24-hr Urine
by ICP/MS

*Includes Arsenic, Lead, Cadmium, and Mercury
82175
83655
82300
83825
10 mL aliquot from a well mixed and measured 24-hr urine collection (2.0 mL minimum). Collect in a metal free plastic container, keeping refrigerated during collection. Transfer aliquot into a metal free container and send refrigerated. Both collection and aliquot containers are available from our Supplies Department. Note: Patient should not eat seafood for a 48 hour period prior to start of collection. Record the total volume on both the container and the request form.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
NBLD0111  Heavy Metals Quantitative Random Urine
by Inductively Coupled Plasma Mass Spectrometry

*Includes Arsenic, Lead, Cadmium, and Mercury
**High concentration of gadolinium and iodine are know to interfere with most metal tests. If either gadolinium or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.
82175
83655
82300
83825
2.0 mL random urine (2.0 mL minimum). Collect in a clear, plastic urine container and submit specimen in a 10 mL Metal Free Container available from our Supplies Department. Note: Patient should Not eat seafood for 48 hour period prior to start of collection. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
BLOD0354  Heavy Metals Whole Blood Quantitative
by Inductively Coupled Plasma Mass Spectrometry

*Includes Arsenic, Lead, Mercury, & Cadmium
82175
83655
82300
83825
4.0 mL EDTA trace metal free whole blood (0.3 mL minimum). Submit in Original collection tube. Do Not Pour Over. Note: High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium - or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours. Trace metal free tubes are available from our Supplies Department. Send refrigerated.
Stability: RMT - 28 days            
              REFT (preferred) - 28 days
              Frozen - 28 days
NBLD0141  Helicobacter pylori (H pylori) Antigen Fecal
by ELISA

*Recommended for the direct detection of active infection. Aids in the diagnosis of H. pylori infections associated with gastritis, peptic ulcers, gastro-esophageal reflex, gastic lymphoma, and carcinoma.
87338 Plain well mixed stool with No preservative. Send in a leak-proof, plastic stool container frozen. Minimum of 5 grams. This test requires its own frozen aliquot. Note: The patient should not have test if they have had antimicrobials, bismuth or proton pump inhibitors with 2 weeds of the test. The following substances may interfere with the test: TUMS, Mylanta, Tagamet, and Prilosec.
Stability: RMT - Unacceptable
              REFT - 48 hrs            Frozen - 60 days
NBLD0211  Helicobacter pylori (H pylori) Breath Test
by UBlt-1R300 Spectrophotometry
83013 The "H. pylori UBT Urea Breath Collection Kit" with instructions is available from our Supplies Department. For patients ages 3-17 yrs, please submit the completed Breath Tek Pediatric UHR Calculation Information card contained in the kit. Note: Patient should be fasting 1 hour prior to testing. The patient should not have test if they have had antibiotics, bismuth, or proton pump inhibitors within 2 weeks of the test. H2 antagonists medications do not affect test results.
Stability: RMT - 7 days
BLOD0646  Helper Inducer (CD4) Cells
by Flow Cytometry
-Total Lymphocytes
-Helper-Inducer T (CD3+CD4+)
86361 5.0 mL (2.0 mL minimum) EDTA whole blood. Send at room temperature.
Stability: RMT - 3 days             REFT - NA
               Frozen - NA
              Room temp only
BLOD0630  Hematocrit
by Automated Cell Counter
85014 5.0 mL EDTA whole blood (1.0 mL minimum).
Stability: RMT - 8 hours            REFT - 3 days
  Hemochromatosis HFE Gene Analysis Blood Refer to "Hereditary HFE Gene Analysis Blood"
BLOD0631  Hemoglobin
by Automated Cell Counter
85018 5.0 mL EDTA whole blood (1.0 mL minimum). Avoid hemolysis and lipemia. Refrigerate.
Stability: RMT - 8 hours            REFT - 3 days
BLOD0629  Hemoglobin A1c Glycated
by HPLC
by Turbidimetric Inhibition Immunoassay (TINA) - Rapid City
83036 1.0 mL EDTA whole blood (0.7 mL minimum). Frozen or clotted specimens are unacceptable. Refrigerate. Submit a separate EDTA tube for additional tests ordered.
Stability: REFT - 7 days
BLOD0417  Hemoglobin A2
by Cation Exchange/HPLC

*Includes Hemoglobin A2 and F
**Blood transfusions within the last 4 months may affect results.
83021 3.0 mL EDTA whole blood (1.0 mL minimum). Heparin and ACD whole blood are also acceptable. Send in original tube. Submit a Mayo Thalassemia/Hemoglobinopathy Information Sheet available from our Client Support. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT - 7 days
BLOD0437  Hemoglobin Electrophoresis
by Various Methods

*Includes Hemoglobin A2 and F, and hemoglobin electrophoresis
**Additional reflex test(s) may be performed as indicated at additional fees
***Useful for the diagnosis of Thalassemias and hemoglobin variants
83020
83021
10.0 mL EDTA whole blood (1.0 mL pediatric minimum). If multiple draws, collect EDTA tube last. ACD Solution B and heparin whole blood also acceptable. Do not transfer blood to other containers, send in original tube. Avoid hemolysis. Note: Submit a Mayo Thalassemia/Hemoglobinopathy Patient Information Sheet with the specimen. Contact Sanford Laboratories Client Support for form. Age required. Refrigerate.
Stability: REFT - 7 days
BLOD0181  Hemoglobin Plasma
by Spectrophotometric
83051 1.0 mL lithium heparin plasma (0.5 mL minimum). EDTA plasma and serum are also acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - Unacceptable.            
  Hemogram (includes platelets) Refer to "CBC no Differential".
BLOD0323  Hemophilus Influenza Type B Antibody IgG
by EIA

*For evaluation of pre and post vaccination antibody levels.
86684 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
NBLD0035  Hemoquant Feces Refer to "NBLD0035 with new name, Occult Blood Quantitative Feces".
NBLD0369  Hemosiderin Urine
by Rous Method
83070 15 mL random urine with no preservatives (12 mL minimum). Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
BLOD0668  Heparin Anti-Xa Assay for Heparin and Low Molecular Weight Heparin Plasma
by Chromogenic

*Useful for assaying heparin anticoagulation therapy.
85520 1.0 mL frozen sodium citrate plasma. Remove plasma from cells within 1 hour. Refer to "General Information" Section for collection of coagulation tests and procedure for preparing platelet-poor plasma. If unable to test within 2 hours, freeze plasma specimen. This test requires its own frozen aliquot. Plasma specimens Only - Do not send whole blood.
Stability: REFT - 2 hours            
              Frozen - 6 months
BLOD0456  Heparin PF4 IgG Antibodies (Heparin Induced Thrombocytopenia - HIT)
by ELISA
86022 1.0 mL frozen serum (0.5 mL minimum). Citrated plasma also acceptable. Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 48 hours
              Frozen > 48 hours
BLOD0575  Hepatic Function Panel
-Albumin, Serum
-Alkaline Phosphatase
-Bilirubin, Total
              Bilirubin, Direct (calculated)
-Bilirubin, Indirect
-AST (SGOT)
-ALT (SGPT)
-Total Protein

*Note: Hepatic Function Panel is one of the Medicare approved Clinically Relevant Panels. Please refer to the MEDICAL NECESSITY section of this Catalog.
80076 2.0 mL serum (Pediatric patients Only - 0.5 mL minimum). Prompt separation of serum from cells is essential. Avoid hemolysis and lipemia. Protect from light.            
Stability: RMT - 4 hours            REFT - 3 days
BLOD0581  Hepatitis A IgM Antibody (HAVAb-M)
by Microparticle Chemiluminescence

*Positive results suggest acute infection with Hepatitis A virus.
86709 1.0 mL serum (0.5 mL minimum) or heparinized plasma. EDTA plasma also acceptable.
Stability: RMT - 3 days            REFT - 7 days            
              Frozen >7 days
BLOD0330  Hepatitis A Total Antibody (HAVAb)
by Chemiluminometric Immunoassay

*Detects past and/or acute infections or immunization of Hepatitis A, but does not distinguish between IgG or IgM antibodies.
86708 1.0 mL serum or heparinized plasma (0.7 mL minimum). EDTA plasma is also acceptable.
Stability: RMT - 12 hrs            REFT - 7 days
BLOD0132  Hepatitis B Core IgM Antibody
(HBcAb-M)

by Chemiluminescence Immunoassay (CEIA)

*Useful for diagnosis of Hepatitis B infection.
86705 1.5 mL serum, heparinized plasma, or EDTA plasma (1.0 mL minimum).            
Stability: REFT - 7 days            Frozen - 14 days
BLOD0677  Hepatitis B Core Total Antibody (HBcAb)
by Chemiluminescence

*Detects past and/or acute phase of Hepatitis B, but does not distinguish between the two. Positive results may be observed in apparently normal individuals.
86704 1.0 mL EDTA plasma preferred (0.7 mL minimum). Serum also acceptable.
Stability: RMT - 8 hours            REFT - 48 hours
              Frozen - > 2 days
BLOD0649  Hepatitis B Core Total Antibody Reflex IgM
by EIA

*If HBcAb Total is positive, HBcAb IgM is performed at an additional fee.
86704
Reflex
86705
2.0 mL EDTA plasma preferred (0.7 mL minimum). Serum also acceptable.
Stability: REFT - 7 days            Frozen - 7 days
BLOD0005  Hepatitis B Surface Antibody (HBsAb)
by Chemiluminescence

*Includes Quantitation
**Positive results suggest recovering phase of current or previous infection with Hepatitis B or a successful vaccination.
***This test should be drawn 6 weeks to 6 months after series of immunizations.
86706 2.0 mL EDTA plasma preferred (0.5 mL minimum). Serum and heparinized plasma also acceptable.
Stability: REFT - 7 days            Frozen - 7 days
BLOD0679  Hepatitis B Surface Antigen (HBsAg)
by Chemiluminescent
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City

*Detects acute or chronic infection with Hepatitis B virus.

**If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.
87340






87341



Preferred specimen: 2.0 mL EDTA plasma (1.0 mL minimum). Send refrigerated. Specimen must be separated within 48 hours of the draw. Serum is also acceptable. Avoid hemolysis and ipemia.
Stability: RMT - 24 hrs            REFT - 7 days
              Frozen - 7 days
BLOD0341  Hepatitis B Viral DNA Quantitative PCR
by Real-Time PCR

*Useful for monitoring chronic HBV infections and the effectiveness of antiviral therapy.
87517 1.5 mL frozen serum (0.8 mL minimum) drawn in a gel barrier or serum separator tube. Send frozen. This test requires its own frozen aliquot.
Stability: Frozen Only
BLOD0329  Hepatitis BE Antibody (HBeAB)
by Chemiluminescence Immunoassay

*Useful for determining infectivity of Hepatitis B virus carriers; monitoring infection status of chronically HBV-infected patients; and monitoring serologic response of chronically HBV-infected patients who are receiving antiviral therapy.
86707 1.0 mL serum drawn in a gel barrier or serum separator tube (0.5 mL minimum). Avoid hemolysis and lipemia. Send frozen (preferred).
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - Indefinitely
BLOD0340  Hepatitis BE Antigen (HBeAg)
by Chemiluminescence Immunoassay

*Useful for determining infectivity of Hepatitis B virus carriers; monitoring infection status of chronically HBV-infected patients; and monitoring serologic response of chronically HBV-infected patients who are receiving antiviral therapy.
87350 1.0 mL serum drawn in a gel barrier or serum separator tube (0.5 mL minimum). Avoid hemolysis and lipemia. Send frozen (preferred).
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - Indefinitely
BLOD0678  Hepatitis C Antibody
by Chemiluminescence
86803 1.0 mL EDTA plasma or serum (0.5 mL minimum). If frozen, This test requires its own frozen aliquot.
Stability: RMT - 3 days            REFT - 7 days
              Frozen - 7 days
BLOD1200  Hepatitis C Reflex to RNA Confirmation
by EIA

*If Hepatitis C Antibody is positive, a Hepatitis C RNA Qualitative TMA will be performed at an additional fee.
86803 2.0 mL frozen EDTA plasma or serum (1.0 mL minimum). Avoid hemolysis and lipemia. Send frozen.
Stability: REFT - 2 days            Frozen - 14 days
BLOD1287  Hepatitis C RNA, Qualitative TMA
by Transcription Mediated-Amplification
87521 2.0 mL frozen EDTA plasma preferred (0.6 mL minimum). Serum also acceptable but EDTA plasma is specimen of choice. Heparinized plasma is not acceptable. Centrifuge and separate within 6 hours of collection and freeze. Avoid repeated freezing/thawing of the specimen. This test requires its own frozen aliquot.
Stability: REFT - 72 hrs            REFT - 14 days
              Frozen - 42 days
BLOD0139  Hepatitis C Virus Genotype, Reflex Resolution
by RT-PCR followed by Fluorescent Probe Hybridization with Sequence-Specific Fluorescent-Labeled Oligonucleotide Probes

*Note: Specimen should contain a recommended minimum HCV viral load of 500 IU/mL.

**Test will automatically reflex to Hepatitis Genotype Resolution at an additional charge if the Hepatitis C Virus Genotype result is either "Indeterminate" or "Genotype 1 without subtype".
87902

5.0 mL serum (1.5 mL minimum) serum drawn in a gel barrier/serum separator tube. Spin down and separate serum from gel within 6 hours of collection. Send frozen. This specimen requires its own frozen aliquot.
Stability: REFT - 24 hours
              Frozen - 35 days
BLOD0343  Hepatitis C Virus RNA by PCR, Quantitative
by RT-PCR (Real Time PCR)

*Also known as Hepatitis C Viral Load or HCV Quantitation by PCR.
**Useful in monitoring response to therapy and/or disease progression. ***Reportable range is 15 to 100,000,000 IU/mL (1.18 to 8.00 log 10 IU/mL).
87522 1.5 mL serum (0.8 mL minimum) drawn in a gel barrier or serum separator tube. Spin down and separate serum from gel within 6 hours of collection. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 24 hours
              Frozen - 35 days
BLOD0517  Hepatitis D Virus Antibody Total
by EIA
86692 1.0 mL serum only (0.5 mL minimum).
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0824  Hepatitis Panel 1
-A IgM Antibody
-B Core Total Antibody
-B Surface Antigen
              If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.


86709
86704
87340

5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen - 7 days
BLOD0825  Hepatitis Panel 2
-A IgM Antibody
-B Core Total Antibody
-B Surface Antigen
              If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-C Antibody

86709
86704
87340




86803

5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen - 7 days
BLOD0826  Hepatitis Panel 3
-A Total Antibody
-B Core Total Antibody
-B Surface Antibody
-B Surface Antigen
              If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-C Antibody

86708
86704
86706
87340




86803
5.0 mL EDTA plasma preferred (3.0 mL minimum). Serum is also acceptable. Refrigerate or freeze as noted below.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen - 7 days
BLOD0783  Hepatitis Panel Acute
-Hepatitis A Antibody (HAAb), IgM
              Antibody
-Hepatitis B Core Antibody (HbcAb), IgM
              Antibody
-Hepatitis B Surface Antigen (HbsAg)
              If HbsAg is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-Hepatitis C Antibody

*Note: Hepatitis Panel, Acute is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog.
80074

1.0 mL serum and 4.0 mL EDTA plasma (3.0 mL minimum). Please indicate "serum" or "plasma" on specimen tubes.
Stability: RMT - 3 days            
              REFT - 7 days            
              Frozen >7 days
BLOD0365  Hereditary Hemochromatosis
by PCR based assay utilizing Sequenom Mass Array Platform
81256 3.0 mL yellow top ACD A or B whole blood (0.5 mL minimum). EDTA whole blood is also acceptable. Green top hepain whole blood is NOT acceptable. Samples must be kept at room temperature            
Stability: RMT only - 4 days -            
              Specimen Must be received
              at performing Lab within 96
              hours of draw.
  Herpes simplex (HSV) Viral Culture Refer to "CULT Viral Culture".
  Herpes simplex (HSV) Viral Culture with Reflex to Herpes Typing if Positive Refer to "CULT Herpes Culture Reflex to Typing".
NBLD0240  Herpes simplex Direct Antigen DFA
by DFA

*This test does NOT differentiate Type 1 and Type 2
87299 Obtain cellular material with sterile swab. Roll swab in a spot on each of two slides, or on one slide with two circles. Smears should not exceed 15mm diameter. Let air dry. Indicate source. Send slides refrigerated. Also acceptable is a swab in viral culture media.
Stability: REFT only - 7 days
BLOD0380  Herpes simplex Type 1 and 2 IgG Antibody Titer
by Chemiluminescent Immunoassay (CLIA)
*Differentiates Types 1 and 2
86695
86696
1.0 mL frozen serum (0.5 mL minimum). Plasma is not acceptable. Freeze. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: REFT - 7 days            Frozen - 14 days
BLOD1314  Herpes simplex Type 1 and 2 IgM Antibody (HSV) with Reflex to Titer
by IFA

*This test differentiates between Type 1 and Type 2 HSV
**If HSV 1 IgM Screen is Positive, HSV 1 IgM Titer will be performed at an additional fee.
***If HSV 2 IgM Screen is Positive, HSV 2 IgM titer will be performed at an additional fee.
86695
86696
1 mL serum (0.5 mL minimum). Cord Blood is not acceptable. Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
BLOD0326  Herpes simplex Type 1 IgG Antibody
by Chemiluminescent Immunoassay (CLIA)
86695 1.0 ml frozen serum (0.5 mL minimum). Plasma is not acceptable. Send frozen. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: REFT - 7 days            Frozen - 14 days
BLOD0327  Herpes Simplex Type 2 IgG Antibody
by Chemiluminescent Immunoassay (CLIA)
86696 1.0 ml frozen serum (0.5 mL minimum). Plasma is not acceptable. Send frozen. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: REFT - 7 days            Frozen - 14 days
NBLD0360  Herpes simplex Virus (HSV) and Varicella zoster Virus (VZV)
by PRC

*Only one specimen will be necessary for the detection of either virus.
87529(2)
87798
Swabs from dermal or genital sites placed in 1.0 mL of Universal Transport Media (UTM). Use only swabs with a synthetic tip (e.g. Dacron, rayon, or nylon) and an aluminum or plastic shaft. Do not use calcium alginate swabs, as they may contain substances that interfere with PCR testing. 1.0 mL cerebrospinal fluid (CSF) in a sterile screw-capped vial (0.6 mL minimum) is also acceptable. CSF should be sent in straight. Do NOT put CSF in universal transport media. Send refrigerated. Indicate Source.
Stability: REFT - 7 days
NBLD0132  Herpes simplex Virus (HSV) by Nucleic Acid Detection, Differentiates Between Type 1 and Type 2 HSV Nucleic Acid
by PCR
87529(2) 1.0 mL cerebrospinal fluid (CSF) in a sterile, screw-capped vial (0.6 mL minimum). Note: Do not put CSF in universal transport media (UTM). Send sample refrigerated. For genital, respiratory, and dermal sites: place in 1 mL universal transport media (UTM) and send refrigerated. Use only swabs with a synthetic tip (e.g. Dacron, rayon, or nylon) and an aluminum or plastic shaft. Do not use calcium alginate swabs, as they may contain substances that inhibit PCR Testing. Indicate source.
Stability: REFT - 7 days (all specimens)
BLOD0855  Herpes Virus 6 Antibody Panel Serum
by IFA

*Includes IgG and IgM
**Herpes Virus 6 most commonly causes roseola.
86790(2) 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
  Herpes zoster Refer to "Varicella zoster".
  HGH (Human Growth Hormone) Refer to "Human Growth Hormone".
  HIAA 5 (5 Hydroxyindoleacetic Acid) Quantitative 24 Hour Urine Refer to "5 HIAA".
BLOD0566  High Density Lipoprotein (HDL)
by Enzymatic
by Enzymatic, Colorimetric - Rapid City
83718 1.0 mL serum or lithium heparin plasma (0.5 mL minimum). Separate from cells and analyze promptly. Avoid hemolysis. If frozen, This test requires its own frozen aliquot.
Stability: RMT - 1 day            REFT - 3 days            
              Frozen - 21 days
BLOD0182  Histamine
by EIA
83088 1.0 mL frozen EDTA plasma (1.0 mL minimum). Send frozen. This test requires its own frozen aliquot.
Stability: RMT & REFT- Unacceptable
              Frozen Only - 14 days
BLOD0184  Histone Antibodies
by ELISA

*Useful for evaluating patients suspected of having drug-induced lupus (LE).
83516 0.5 mL serum (0.35 mL minimum). Red top tube or gel tubes are acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
BLOD0427  Histoplasma Antibody Quantitative
by Complement Fixation/Immunodiffusion

*Includes Yeast Phase Antibody and Mycelial Phase Antibody
86698(3) 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 14 days
BLOD1426  Histoplasma Antigen Serum
by EIA
87385 2.0 mL serum (1.2 mL minimum). No gel barrier or SST tubes. Gold top tube is also acceptable. Send refrigerated.
Stability: RMT - 48 hrs            REFT - 14 days
              Frozen - Unacceptable
NBLD5015  Histoplasma Antigen Urine
by EIA

*Useful for aiding in the diagnosis of Histoplasma capsulatum infection and to monitor quantitative Histoplasma antigen levels in urine. This test will report both a qualitative and a quantitative result. If Histoplasma Antigen test result is indeterminate, further testing will be performed at an additional fee.
87385 3.0 mL random urine with no preservative. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0451  HIV 1 Drug Phenotyping - Drug Resistance Replication Capacity
by CD4 Cell Culture Assay for Phenotypic Recombinant Virus Resistance
87903
87904(11)
3.0 mL frozen EDTA plasma (1.0 mL minimum). Freeze immediately. Note: Include patient's most recent viral load result and viral load collection date on the requisition. Intended for use only for patients with viral loads greater than or equal to 500 copies/mL. For best results, viral loads should be confirmed within 2 weeks prior to submission for this testing. If test is ordered along with HIV-1 Genotyping (Test code BLOD0144), there must be 2 separate frozen samples. This test requires its own frozen aliquot.
Stability: Frozen Only
              RMT/REFT - Unacceptable
BLOD0144  HIV 1 Genotypic Drug Resistance Mutation Analysis
by RT-PCR/DNA Sequencing

*Useful for identification of HIV-1 genotypic mutations associated with resistance to nucleotide reverse-transcriptase inhibitors and guiding initiation or change of drug combination for the treatment HIV-1 infection.
87901 2.0 mL frozen EDTA plasma (1.2 mL minimum). Separate plasma from cells within 6 hours of collection. Heparinized plasma is not acceptable. Note: Include patient's most recent viral load result and collection date on the requisition. If ordered along with HIV-1 Phenotyping, test code BLOD0451, there must be 2 separate frozen aliquots. **Viral load must be >=1000 copies/mL and within last 14 days.** Send frozen. This test requires 2 frozen aliquots.
Stability: Frozen Only
              RMT/REFT - Unacceptable
BLOD0676  HIV Screen Reflex to Confirmation
by Chemiluminescent

*Results are reported as Non-reactive and Preliminary reactive.
**Preliminary reactive results for HIV-1 and HIV-2 will automatically be relexed for antibody differentiation (LABS5113) at an additional fee.
***If the HIV-1 and HIV-2 antibodies are both negative on differentiation, the HIV-1 RNA Detection and Quantification test (BLOD1428) is required to be ordered (test does not automatically reflex) to confirm the presence of HIV antigen.
87389
Reflex
86701
86702
3.0 mL EDTA plasma or serum (1.0 mL minimum). Heparin plasma also is acceptable. Separate plasma or serum from cells as soon as possible. Results are reported as Non-reactive and Preliminary reactive.
Stability: RMT - 3 days            REFT - 7 days
              Frozen >7 days
BLOD1428  HIV-1 RNA Detection and Quantification
by Real-Time Reverse Transcription- PCR (RT-PCR)

*Enhanced for monioring viral load ranges from 20 to 10,000,000 copies/mL.
87536 2.5 mL frozen EDTA plasma (1.2 mL minimum). **Draw two full EDTA tubes.** Separate plasma from cells by centrifugation within 6 hours of collection. Freeze. Avoid freeze/thaw cycles. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 5 days
              Frozen preferred
BLOD0339  HLA B27 Typing (Antigen)
by Flow Cytometry
86812 5.0 mL (2.0 mL minimum) EDTA whole blood. Send at room temperature only. Testing is affected by hemolysis.
Stability: RMT Only - 7 days
              REFT & Frozen - Unacceptable
BLOD0579  Homocysteine
by Chemiluminescence
83090 1.0 mL EDTA plasma preferred (0.5 mL minimum). Serum also acceptable. Separate plasma or serum from cells as soon as possible. Avoid hemolysis and lipemia. Refrigerate or freeze as noted below. If frozen, This test requires its own frozen aliquot.
Stability: RMT - 3 days            REFT - 10 days            
              Frozen - 30 days
  House Dust / Mite Allergens Refer to "Allergen House Dust / Mite" and then by the specific dust / mite name.
  House Dust Allergy Screen Refer to "Allergy - Screen House Dust".
NBLD0474  HPV Nucleic Acid Detection with 16 and 18 Genotyping
by PCR
87624 Cervical specimen collected in ThinPrep PreservCyt Solution.
Stability: RMT - (20-30 C) up to 18 weeks
  HS Omega 3 Index® Refer to "Fatty Acid Profile, RBC".
BLOD0674  HTLV 1/2
by EIA

*If HTLV1/2 antibody by EIA is reactive, HTLV 1/2 antibody confirmation by line immunoassay will be performed at an additional fee.
86790
Reflex
86689
1.0 mL serum (0.6 mL minimum). Send frozen. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 7 days            
              Frozen preferred - 28 days
BLOD0607  Human Chorionic Gonadotropin (HCG) Screen Total Qualitative
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84703 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0601  Human Chorionic Gonadotropin (HCG) Total Quantitative
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84702 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Specify weeks of gestation if applicable.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0602  Human Chorionic Gonadotropin (HCG) Tumor Marker Quantitative
by Chemiluminescence

*This assay is useful in the diagnosis of choriocarcinoma (testicular and trophoblastic tumors). The assay is also for following the course of therapy of choriocarcinoma tumors.
**It is noted intended for use as a pregnancy screen.
84702 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.            
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days
BLOD0179  Human Growth Hormone (HGH)
by Immunoenzymatic Assay
83003 0.8 mL serum (0.5 mL minimum). Fasting is required. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 90 days
NBLD0362  Human metapneumovirus, DFA Test no longer available. Refer to NBLD0370 Respiratory DFA Panel 2 or NBLD0481 Comprehensive Respiratory Pathogen Panel.
  Human papillomavirus Refer to "HPV".
  Hydroxy Vitamin D 25 Refer to "25 Hydroxy Vitamin D."
BLOD0183  Hydroxyprogesterone 17
by LC/MS/MS
83498 1.0 mL serum from a red top tube (0.5 mL minimum). Plasma not acceptable. Send refrigerated. No gel barrier or SST tubes. Do NOT use glass tubes.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
BLOD0381  Hypersensitivity Pneumonitis Screen (Farmer's Lung)
by Immunodiffusion

-Aspergillus fumigatus
-Micropolyspora faeni
-Pigeon Serum
-Thermoactinomyces candidus and
              vulgaris
-Saccharomonospora viridis
86331
86606
86609(4)
2.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 2 days            REFT - 14 days
              Frozen - 6 months
BLOD1061  ICA512 Autoantibodies (IA-2 Antibody)
by RIA
86341 1.0 mL serum (0.8 mL minimum) from red top tube. Gel tubes are acceptable. Send refrigerated.
Stability: RMT - 72 hrs            REFT - 14 days
              Frozen - 28 days
  Identification of Organism From Culture Plate Refer to "CULT Identification".
BLOD0613  IgA Serum
by Turbidimetric
82784 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia.            
Stability: REFT - 7 days            Frozen >7 days
BLOD0175  IgD Serum
by Nephelometry
82784 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 21 days
              REFT - 21 days
              Frozen - 21 days
BLOD0693  IgE Total Serum
by Fluroenzymeimmunoassay
82785 1.0 mL serum (0.6 mL minimum). Refrigerate
Stability: REFT - 7 days
BLOD1137  IGF Binding Protein-1 (IGFBP-1)
by RIA
83519 1.0 mL serum only (0.5 mL minimum). Overnight fasting is preferred.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - 28 days
BLOD1059  IGF Binding Protein-3 (IGFBP-3)
by RIA in Dilute Serum
83519 1.0 mL serum or EDTA plasma (0.3 mL minimum). Separate cells from serum or plasma within one hour. No gel barrier or SST tubes. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 48 hrs            Frozen - 14 days
BLOD0614  IgG Serum
by Turbidimetric
82784 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia.            
Stability: REFT - 7 days            Frozen >7 days
BLOD1192  IgG Subclass 4
by Turbidimetric

*Primarily used to evaluate sinopulmonary infections and asthma.
82787 1.0 mL serum (0.5 mL minimum). Avoid lipemia and gross hemolysis. Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0457  IgG Subclasses
by Turbidometric

*Includes IgG1, IgG2, IgG3, IgG4, and Total IgG



82787(4)
82784
2.0 mL serum only (1.0 mL minimum). Plasma is not acceptable. Provide patient's age. Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
LBAN0012  IgG Synthesis and Index
by Fixed Rate Time Nephelometry

*Includes IgG CSF, Albumin CSF, IgG Serum, Albumin serum, Albumin Index, CSF IgG Index, IgG Synthesis Rate
              Albumin, CSF
              Albumin, Serum
              IgG Synthesis Rate/Index,
                           CSF/Serum


82042
82040
82784(2)
Serum and CSF are required. Spinal fluid must be obtained within 1 week of serum draw. 1.0 mL serum from a red top tube (0.5 mL minimum). Gel tubes are acceptable for serum; label specimen as "Serum". And 1.0 mL CSF (0.5 mL minimum) submitted in sterile vial - Label specimen as "CSF". Send samples refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0615  IgM Serum
by Turbidimetric
82784 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia.
Stability: REFT - 7 days            Frozen >7 days
BLOD0386  Imipramine (Tofranil)
by LC-MS/MS

*Includes Desipramine
80335 AMA
G6036 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Spin down and separate serum from cells within 2 hours of drawing. Do Not draw in gel barrier or serum SST tubes. Draw specimen immediately before next scheduled dose (or at a minimum 12 hours after last dose.) Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0640  Immune Deficiency Panel 1
by Flow Cytometry

-Total Lymphocytes
-Total T Cells (CD3)
-Helper-Inducer T (CD3+CD4+)
-Suppressor-Cytotoxic T (CD3+CD8+)
-Helper/Suppressor Ratio
-Total B Cells (CD19)
-Natural Killer Lymphocytes
              (CD3-[CD16+/CD56+])
86357
86355
86360
86359
5.0 mL (2.0 mL minimum) EDTA whole blood, only. Specimen must be tested within 72 hours of collection. Send to be received at Sanford Medical Center-Sioux Falls Monday through Friday a.m. Send at room temperature, only.
Stability: RMT - 3 days            
              REFT & Frozen - Unacceptable
BLOD0654  Immune Deficiency Panel 3 (T Helper Supressor)
by Flow Cytometry

-Total Lymphocytes
-Total T Cells (CD3)
-Helper-Inducer T (CD3+CD4+)
-Supressor-Cytotoxic T (CD3+CD8+)
-Helper/Supressor Ratio
86360
86359
5.0 mL (2.0 mL minimum) EDTA whole blood, only. Specimen must be tested within 72 hours of collection. Send to be received at Sanford Medical Center-Sioux Falls Monday through Friday a.m. Send at room temperature, only.
Stability: RMT - 3 days            
              REFT & Frozen - Unacceptable
NBLD0269  Immunofixation with Electrophoresis 24-Hour Urine
by Electrophoresis, Immunofixation

*Includes Urine Electrophoresis, Immunofixation, Total Protein, and Pathologist Interpretation
84166
86335
100 mL aliquot of a well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate only.
Stability: REFT - 7 days
NBLD0271  Immunofixation with Protein Electrophoresis Random Urine
by Immunofixation, Electrophoresis

*Includes Pathologist Interpretation
86335
84166
100 mL aliquot (20 mL minimum) of a first morning urine specimen preferred or random urine specimen. Refrigerate only.
Stability: REFT - 7 days            
BLOD1069  Immunofixation with Serum Electrophoresis
by Immunofixation, Electrophoresis

86334
84165
4.0 mL serum (1.5 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD0628  Immunoglobulins IgG IgA and IgM
by Tubidimetric
82784(3) 2.0 mL serum (1.0 mL minimum).            
Stability: REFT - 7 days            Frozen >7 days
BLOD0913  Immunology Survey
-Serum Protein Electrophoresis
-Immunoglobulins IgA, IgG, IgM
-Immunofixation, Serum
84165
82784(3)
86334
4.0 mL serum (2.5 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD0926  Indirect Coombs / Atypical Antibody Screen
*If positive, antibody identification will be performed at an additional fee.
86850 10 mL EDTA (pink top preferred) whole blood. Draw in 2 separate 5-7 mL capacity tubes. EDTA lavendar top tubes also acceptable. Pink top tubes are available from our Supplies Department. Specimen must be less than 3 days old. During extremely cold or hot weather, separate plasma from cells and send both. Note: For Obstetrics Patients - Draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0625  Infectious Mononucleosis Screen
by Rapid Immunoassay

*Some segments of the population who contract IM do not produce measurable levels of heterophile antibodies. Approximately 50% of children under 4 years old who have IM may test negative.
86308 2.0 mL serum (0.5 mL minimum). Avoid hemolysis. EDTA and heparin plasma also acceptable.
Stability: REFT - 4 days            Frozen >4 days
NBLD0251  Influenza A and B (DFA)
by DFA
87276
87275
3.0 to 5.0 mL of nasopharyngeal (NP) washing in sterile collection container. Nasal and throat swabs are Not recommended.
Stability: REFT - 3 days
  Influenza A and B (Viral Culture) Refer to "CULT Viral Culture".
BLOD0428  Influenza A and B Antibodies
by Complement Fixation
-Type A Antibody
-Type B Antibody
86710(2) 1.0 mL serum (0.5 mL minimum). AVOID gross hemolysis. Refrigerate.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 30 days
NBLD0227  Influenza A and B Rapid
by Rapid Immunochromatrographic Assay

*This test will differentiate Influenza A and B viral antigens in a single test.
87804(2) Nasopharyngeal (NP) washings - send refrigerated and are stable for 24 hours refrigerated. BD Universal Transport Media (UTM) with Flocked Flexible mini-tip swab - submit vial enclosed with kit. Send refrigerated. BD UTM is stable 48 hours refrigerated. If a plain nasopharyngeal swab is used, only a cotton, rayon, foam, or polyester flexible shaft is acceptable. (Do Not use calcium alginate.) Immediately after collection of plain swab, the swab Must be eluted into 0.5 mL saline within one hour of collection. Eluted saline from the plain swab sample is stable for 24 hours refrigerated.
NBLD0375  Influenza A, B and RSV Nucleic Acid Detection
by Real-Time PCR

*Includes:
-Influenza A
-Influenza B
-RSV nucleic acids

**If positive for Influenza A results, includes sub-typing - H1, H3, or 2009 H1N1
87631 3.0-5.0 mL of a nasopharyngeal aspirate or washings in a sterile collection container. Or Nasopharyngeal swab - acceptable swabs are those that have a synthetic tip (e.g., Dacron, nylon, or rayon) and an aluminum or plastic shaft. (Do Not use calcium alginate swabs.) Swabs collected need to be placed in 1.0 mL Universal Transport Media (UTM). Send refrigerated.
Stability: REFT - 48 hours
NBLD0376  Influenza A, B, and RSV Nucleic Acid Detection w/Reflex Respiratory DFA Panel 2
by RT-PCR, DFA

*Assay reflexes to DFA if PCR testing is negative.

**Positive Influenza A results includes sub-typing (H1, H3, or 2009 H1N1).

***Reflex testing not acceptable on NP swabs.
87631

If reflex testing is performed, additional CPT codes apply.
3 to 5 mLs of a nasopharyngeal aspirate or washings in a sterile collection container. Note: Assay will first test of the presence of Influenza A & B, and RSV by RT-PCR. If negative, will automatically reflex to a DFA assay which will test for the presence of Influenza A & B, Adenovirus, human Metapheumovirus, RSV, and Parainfluenza types 1,2,3 & 4 by Immunofluorescence.
Stability: REFT - 48 hours
NBLD0381  Influenza A/B Nucleic Acid Detection
by RT-PCR
87502 3.0-5.0 mL of a nasopharyngeal aspirate or washings in a sterile container. Or Nasopharyngeal (NP) swab- use only swabs with a synthetic tip (e.g., Dacron, nylon, or rayon) and an aluminum or plastic shaft. (Do Not use calcium alginate swabs.) Swabs collected need to be placed in Universal Transport Media (UTM), or M4RT. Send refrigerated.
Stability: REFT - 48 hours
BLOD1085  Inhibin A
by Sequential 2-Step Immunoenzymatic Assay
86336 0.6 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 90 days
BLOD1086  Inhibin B
by ELISA
83520 0.8 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 90 days
  Insect Allergens Refer to "Allergen Insect" and then by the specific insect name.
BLOD0127  Insulin Antibodies
by RIA

*Will detect human insulin antibodies.
86337 1.0 mL serum (0.75 mL minimum) Send refrigerated.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - 28 days
BLOD0190  Insulin Level
by Chemiluminescence
83525 1.0 mL frozen serum preferred (0.5 mL minimum). Separate serum from cells within 60 minutes after drawing sample. Patient should fast 12-14 hours. Avoid hemolysis and lipemia. This test requires its own frozen aliquot. Avoid freeze/thaw cycles.
Stability: REFT - 4 days            Frozen - 7 days
  Insulin Like Growth Factor I Refer to "IGF I".
BLOD0209  Insulin Like Growth Factor I, (IGF-1 or Somatomedin C)
by Blocking RIA after Acid:Alcohol Extraction
84305 0.5 mL serum, only (0.1 mL minimum). Separate within 1 hour and freeze. This test requires its own frozen aliquot.
Stability: Frozen Only
  Intact PTH Refer to "PTH Intact".
BLOD0482  Intrinsic Factor Blocking Autoantibodies
by Immunoenzymatic Assay

*Used to confirm the diagnosis of pernicious anemia.
86340 1.0 mL serum (0.5 mL minimum). Note: This test should not be ordered on patients who have received Vitamin B12 infection within the last 2 weeks. Refrigerate.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD1346  Iodine
by Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
83789 1.0 mL serum from dark blue top tube with no additive (0.5 mL minimum). Note: High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours. Send refrigerated.
BLOD0656  Ionized Calcium
by ISE
82330 2.0 mL refrigerated serum in small transfer tube (1.0 mL minimum). Completely fill tube during draw. Avoid hemolysis. Separated serum samples must be stored and transported in a tube that minimizes exposure to room air. The transfer tube must be at least half full to prevent large pCO2 losses. Specimens must be handled anaerobically. Do not transport specimen in the presence of dry ice. **Smaller transfer tubes (2-3 mL size) are available from our Supplies Department.** Refrigerate. Alternate Requirement: Collect blood in gel tube (must be at least half full). Allow sample to clot and centrifuge with stopper in place. Ship unopened gel separator tube at refrigerated temperature within 5 days (Spun and unopened). This test requires a separate refrigerated aliquot.
Stability: REFT - 48 hours (Spun & separated)
              REFT - 5 days (Spun and unopened)
BLOD0973  Iron and Iron Binding Capacity Serum
by Ferrous/dye Complex
by FerroZine Colorimetric Complex - Rapid City
by Ferrous/dye Complex - Sioux Falls

*Includes Percent Saturation
83540
83550
2.0 mL serum only (1.3 mL minimum). Separate serum from cells within 1 hour. Avoid hemolysis and lipemia.
Stability: RMT - 4 days            REFT - 7 days
BLOD0562  Iron Total Serum
by Ferrous/dye Complex
by FerroZine Colorimetric Complex - Rapid City
83540 1.0 mL serum (0.5 mL minimum). Separate serum from cells within 1 hour. Avoid hemolysis.
Stability: RMT - 4 days            REFT - 7 days
BLOD0314  Islet Cell Antibody Screen Reflex to Titer
by IFA

*If screen is positive, the test will reflex to a titer at an additional fee.
86341
Reflex
86341
2.0 mL serum (0.5 mL minimum). Refrigerate.
Stability: RMT - 48 hrs            REFT - 14 days
              Frozen - 6 months
BLOD0086  Itraconazole (Sporonox)
by LC-MS/MS

*Includes Itraconazole and Hydroxyitraconazole
80299 1.0 mL serum collected in a plain red top clot tube (0.5 mL minimum). Serum is the only acceptable specimen. Plasma and spinal fluid are not acceptable. No gel barrier or SST tubes. Send serum refrigerated.
Stability: RMT/REFT/Frozen - 14 days
BLOD1366  JAK2 Mutation
by Point Mutation Detection in DNA using Quantitive PCR
81270 4.0 mL EDTA whole blood (1.0 mL minimum). ACD whole blood is also acceptable. Send specimen in original tube. Send at room temperature.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - Unacceptable
NBLD0460  JAK2 Mutation, Bone Marrow
by Point Mutation Detection in DNA Using Quantitative PCR
81270 2 mL bone marrow submitted in EDTA tube (1 mL minimum). Invert several times to mix bone marrow and send in original tube. ACD tube is also acceptable. Please submit a completed Hematopathology Patient Information Form. Send room temperature.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - Unacceptable
BLOD0306  Jo-1 Antibody
by Multiplex Flow Immunoassay
86235 0.7 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
NBLD0293  Joint Fluid Analysis Synovial Fluid Examination (Without Culture)
-Cell Count and Differential
-Crystal Exam
-Glucose
-RA Factor
-Total Protein


89051
89060
82945
86431
84157
5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. Note: A separate sodium fluoride tube with 1.0 mL synovial fluid added should be submitted for accurate glucose values. Powdered EDTA is not recommended.
Stability: RMT - Unacceptable
              Refrigerate only - 2 days
              
NBLD0293 MICR0003  Joint Fluid Analysis Synovial Fluid Examination With Culture
-Cell Count and Differential
-Crystal Exam
-Glucose
-RA Factor
-Total Protein
-Culture -
*Order "Bacterial Culture Other"            
              MICR0003 (specify source);
              refer to "Bacterial Culture
              Other" for additional CPT
              code information.


89051
89060
82945
86431
84157
87070
5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. Note: A separate sodium fluoride tube with 1.0 mL synovial fluid added should be submitted for accurate glucose values. Powdered EDTA is not recommended.            
Stability (excluding culture):
              RMT - Unacceptable
              Refrigerate only - 2 days
NBLD0203  Joint Fluid Cell Count and Differential
by Microscopy
89051 2.0 mL of joint fluid in EDTA (1.0 mL minimum). Red top without gel barrier is also acceptable. Refrigerate.
Stability: REFT - 2 days
NBLD0210  Joint Fluid Crystal Exam
by Microscopy
89060 5.0 mL joint fluid in sterile tube (1.0 mL minimum). Red top or potassium EDTA anticoagulant is acceptable to submit fluid in. Sodium heparin is also an acceptable anticoagulant to use. Crystals cannot be performed on oxalate, powdered sodium EDTA, or lithium heparin anticoagulant tubes. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen - Unacceptable
NBLD0209  Joint Fluid Glucose
by Glucose Oxidase
82945 1.0 mL joint fluid in sodium fluoride tube (0.6 mL minimum). Avoid hemolysis.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen >7 days
NBLD0449  Joint Fluid Rheumatoid Factor Screen Reflex to Titer
by Latex Agglutination

*If screen is positive, a Rheumatoid Factor titer will be performed at an additional fee.
86430 1.0 mL joint fluid in sterile non-anticoagulated tube (0.5 mL minimum). Refrigerate.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 21 days
NBLD0214  Joint Fluid Total Protein
by Biuret
84157 1.0 mL joint fluid in sterile tube (0.5 mL minimum).            
Stability: RMT - 8 hours            REFT - 3 days
              Frozen - 6 months
BLOD0045  Keppra (Levetiracetam)
by Enzyme Immunoassay
80177 1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Trough levels are recommended as they are the most reproducible.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen -30 days
  Ketosteroids 17 Total Urine Refer to "17-Ketosteroids".
BLOD0667  Kleihauer-Betke (also known as Fetaldex)
Erythrosine-B Stains

*Useful to indicate amount of Rh Immune Globulin to administer to prevent stimulation of maternal Anti-D.
85460 7.0 mL EDTA (pink top preferred) whole blood (3.0 mL minimum). Draw in 5-7 mL capacity tubes. EDTA lavendar top tubes also acceptable. Collect from the mother within 24 hours of delivery. EDTA pink top tubes available from our Supplies Department. Refrigerate. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank.
Stability: REFT - 24 hours
BLOD0017  Klonopin (Clonazepam)
by LC-MS/MS

*Includes Clonazepam and 7-Aminoclonazepam
80346 AMA
G6031 Medicare
1.2 mL (0.6 mL minimum) serum from a red top clot tube. No gel barrier or SST tubes. Serum must be separated from cells within 2 hours of draw. Send refrigerated. Note: Draw immediately before next dose (minimum of 12 hours after last dose.)
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 28 days
NBLD0299  KOH (Wet Prep) for Fungus on Sources Other Than Skin, Hair, or Nails; Such as Vaginal, Mouth, Tongue, and Throat
by KOH/Calcafluor White Stain
by Wet Prep/Microscopy - Rapid City

*Note: Use KOH Prep Code NBLD0300 for skin, hair, or nails only.

87206 Culturette swab from affected area. Indicate source.
NBLD0300  KOH Prep
by KOH/Calcafluor White Stain
by Wet Prep/Microscopy - Rapid City

*Examination for fungus on skin, hair, or nails only
87220 Scrapings from affected site submitted in a clean container. Indicate source.
NBLD0212  L/S Ratio Amniotic Fluid Ratio
by Thin Layer Chromatography (TOC) with Quantitation by Densitometry

*Includes Lecithin/Sphingomyelin (L/S) ratio and Phosphatidylglycerol (PG), semiquantitative on Amniotic Fluid
83661
84081
10 mL Amniotic Fluid (3.0 mL minimum). Collection Instructions: Centrifuge at 1,000 rpm or 200 x G for 10 minutes. Separate supernatant and send both supernatant and sediment in separate plastic vials. Label specimens as "Sediment" and "Supernatant." Note: Include estimate of duration of prenancy in weeks. Send frozen.
Stability: RMT - 72 hours            REFT 72 hours
              Frozen - 14 days
BLOD1191  Lacosamide (Vimpat)
by LC-MS/MS
80299 1.0 mL serum (0.2 mL minimum). Draw specimen immediately before next scheduled dose or at least 12 hours after last dose. Send refrigerated
Stability: RMT - 28 days            
              REFT - 28 days
              Frozen - 28 days
BLOD0563  Lactic Acid Plasma
by Enzymatic
83605 2.0 mL sodium fluoride plasma. Specimen should be collected without the use of a tourniquet. Patient should avoid hand clenching or any exercise of the arm or hand before or during collection. Draw a gray top sodium fluoride/potassium oxalate tube. Tube must be at least half full. Place on ice immediately. Centrifuge and separate from cells within 15 minutes. Send plasma refrigerated. Heparinized plasma is also acceptable.
Stability: RMT - 8 hours            REFT - 14 days
              Frozen - 30 days
NBLD0423  Lactoferrin Quantitative Stool
by Enzyme-Linked Immunosorbent Assay

*Used for the quantitative measurement of lactoferrin concentration, a marker for leukocytes, in stool. This test can be used as an in vitro diagnostic aid to distinguish patients with active Inflammatory Bowel Disease (IBD) from those with non-inflammatory Irritable Bowel Syndrome (IBS).
83631 1 gram frozen random stool (0.3 grams minimum) submitted in a sterile, plastic leak-proof container. Send frozen. Do not add fixative or preservative. Stool must be frozen within 48 hours of collection. This test requires its own frozen aliquot.
Stability: RMT/REFT - 48 hrs            
              Frozen - 60 days
NBLD0422  Lactoferrin Screen Stool
by Immunochromatographic Assay

*Used for the qualitative detection of elevated levels of stool lactoferrin (& Leukocytes)
83630 Collect undiluted stool specimen in a clean airtight container with no preservatives. Specimens should be stored refrigerated or at room temperature up to 14 days from time of collection. Limitations: Test results should be interpreted in conjunction with breastfeeding status. Breast milk is naturally high in lactoferrin and stool samples from breast-fed infants may cause a false positive with this assay. This test may not be appropriate for immunocompromised persons (as they may not have adequate leukocytes to shed).
Stability: RMT - 14 days            REFT - 14 days
NBLD0421  Lamellar Body Count
by Automated Cell Counter

*It is used for predicting and assessing the risk of developing neonatal respiratory distress syndrome (RDS) when performed during 32 to 39 weeks gestation.
83664 Minimum sample volume is 2 mL of amniotic fluid obtained by transabdominal amniocentesis. Sample limitations: 1) Vaginal pooled samples should be avoided, 2) Specimens containing meconium are unacceptable, and 3) Avoid hemolysis - specimens with hematocrit >1% cannot be analyzed. Samples should not be frozen or centrifuged. Send sample refrigerated in a sterile container.
Stability: RMT - 8 hours            REFT - 5 days
BLOD0406  Lamotrigine (Lamictal)
by High Turbulence Liquid Chromatography, Tandem Mass Spectrometry (HTLC-MS/MS)
80175 1.0 mL serum (0.5 mL minimum). Gel tubes are acceptable. Draw immediately before next scheduled dose or at least 12 hours after last dose.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0932  LAP Stain (Leukocyte Alkaline Phosphatase) 85540 5 well-made peripheral smears from direct fingerstick. Slides should be air-dried, unstained, and unfixed. Note: Supply brief patient history, pertinent laboratory results, and suspected diagnosis. Slides from EDTA are not acceptable. Slides from sodium heparin tube are acceptable.
Stability: RMT - 7 days            Room temp only
NBLD0175  LDH (Lactic Dehydrogenase LD) Body Fluid
by Enzymatic
83615 1.0 mL body fluid (0.5 mL minimum) in sterile tube. Avoid hemolysis.            
Stability: RMT Only - 2 days
              REFT & Frozen - Unacceptable
BLOD0798  LDH (Lactic Dehydrogenase LD) Isoenzymes Serum
by Electrophoresis Densitometry/Photometric Rate

*Includes Total LDH
83625
83615
2.0 mL serum (0.75 mL minimum). Avoid hemolysis. Divide serum into 2 tubes each containing 1 mL of serum. Send at room temperature.
Stability: RMT - 7 days            REFT - 48 hrs
              Frozen - Unacceptable
BLOD0564  LDH (Lactic Dehydrogenase LD) Total Serum
by Enzymatic
83615 1.0 mL serum preferred (0.5 mL minimum). Remove serum from cells within 1 hour. Avoid hemolysis. Heparin and EDTA plasma acceptable.            
Stability: RMT - 2 days            REFT - 2 days
              Frozen - Not Recommended

Bemidji Requirements:
Submit 1.0 mL heparin plasma (0.5 mL minimum). Serum is also acceptable. Send refrigerated.
Stability: RMT - 7 days            REFT - 4 days
              Frozen - 6 weeks
BLOD0781  LDL Cholesterol Direct
by Enzymatic
83721 1.0 mL serum (0.5 mL minimum). Lithium heparin and sodium heparin plasma also acceptable. Separate serum or plasma from cells within two hours after collection. Refrigerate.
Stability: REFT - 3 days            Frozen - 21 days
BLOD1406  Lead Profile Occupational Exposure
by Lead - Inductively Coupled Plasma-Mass Spectrometry (ICP-MS); Zinc Protporphyrin - Hematofluorometry

*Also includes Zinc Protoporphrin
83655
84202
2.0 mL whole blood (0.5 mL minimum) collected in an EDTA Trace Metal Free Royal Blue top. Tubes are available from our Supplies Department. Send specimen in original tube. Note: Test is referred. Please contact Sanford Laboratories Client Support for "Mayo Lead/Heavy Metals" patient demographic form. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT - 14 days
BLOD0192  Lead Whole Blood Venous
by Voltammetry

*Provides reference ranges for childhood exposure.
**Refer to current governmental regulations for exposure criteria.
83655 1 full EDTA whole blood tube or 1 full EDTA microtainer tube collected from a venous draw is the preferred sample. Trace metal EDTA tubes are acceptable but are not recommended. Capillary draws are highly sensitive to environmental contamination. It is extremely important that the sample collection tube be at least 1/2 full for the proper anticoagulation/blood ratio. Tubes that are less than 1/2 full will be rejected.
Stability: RMT - 72 hrs            REFT - 10 days
              Frozen - Unacceptable
NBLD0232  Legionella Antigen Urine
by Rapid Immunochromatographic

*Antigen excretion may begin as early as 3 days after onset of symptoms and persist for up to 1 year afterwards.

87450 10 mL random urine (3.0 mL minimum). Boric Acid may be used as a preservative. Refrigerate.
Stability: RMT - 24 hrs            REFT - 14 days
              Frozen - Unacceptable

Bemidji Requirements:
Submit 0.5 random urine (0.3 mL minimum). Send refrigerated.
Stability: RMT - 24 hrs            REFT - 14 days
              Frozen - > 14 days
  Legionella Culture Refer to "CULT Bacterial Culture Screen for Selected Organism". Specify Legionella.
BLOD0335  Legionella pneumophila IgM Antibodies Serum
by IFA
86713(2) 1.0 mL serum (0.2 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT -14 days
              Frozen - 30 days
BLOD1322  Legionella pneumophilia Total Antibodies
by ELISA
86713(2) 0.5 mL serum (0.4 mL minimum). Send
refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0336  Leptospira Antibody Screen
by Qualitative Immunoblot

86720 1.0 mL serum (0.5 mL minimum). Send refrigerated.            
Stability: RMT - 48 hours            
              REFT - 14 days            
              Frozen - 365 days
LBOR0008  Leukemia Diagnostic Panel or Lyphoproliferative
by Flow Cytometry

-Cell Surface Markers



88184
88185(24)
88189
5.0 mL sodium heparin whole blood and 5.0 mL EDTA whole blood (3 mL minimum each) Or 2.0 mL minimum heparinized bone marrow. 7.0 mL acid citrate dextrose (ACD Solution A or B) whole blood may be substituted for the sodium heparin. Lithium heparin is unacceptable. Please perform WBC within 6 hours of drawing specimen and send results with specimen. Freshly prepared blood smear (stained or unstained) is also recommended. Please include Patient history and indication for test. Send to receive Monday through Thursday only.
Blood Stability: RMT - 2 days Room temp only
Bone Marrow Stability: REFT - 48 hours
BLOD0932  Leukocyte Alkaline Phosphatase Stain 85540 5 well-made peripheral smears from direct fingerstick. Slides from sodium heparin are acceptable. Slides from EDTA are not acceptable. Slides should be air-dried, unstained, and unfixed. Note: Supply brief patient history, pertinent laboratory results, and suspected diagnosis.
Stability: RMT - 7 days            Room temp only
  Leukocytes Fecal Refer to "Lactoferrin Screen Stool".
BLOD0045  Levetiracetam (Keppra)
by Enzyme Immunoassay
80177 1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Tough levels are recommended as they are the most reproducible.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen -30 days
BLOD0591  LH (Luteinizing Hormone)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
83002 1.0 mL serum (0.2 mL minimum).            
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen >7 days

Rapid City Requirements:
1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: REFT - 7 days            Frozen - 7 days
  Light Chains - Kappa and Lambda Refer to "Free Light Chains".
BLOD0565  Lipase
by Enzymatic

*Confirmatory evidence for diagnosis of Pancreatitis.
83690 1.0 mL serum (0.7 mL minimum). Plasma also acceptable. Remove serum or plasma within 4 hours of collection. Hemolysis affects results.
Stability: RMT - 7 days            REFT - 21 days
              Frozen - 5 months
BLOD0850  Lipid Panel
by Enzymatic

-Cholesterol
-Triglyceride
-HDL
              LDL (calculated)

*Note: Lipid Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog.
80061 4.0 mL serum (2.0 mL minimum). Avoid hemolysis and lipemia. Patient needs a 12 hour overnight fast. Heparinized plasma also acceptable. Note: If your physician would still like the VLDL and Cholesterol/HDL Ratio, order at no additional fee Test Code - BLOD1343 along with BLOD0850 - Lipid Panel.
Stability: REFT - 7 days            Frozen - 30 days
BLOD0090  Lipoprotein a Serum, Lp(a)
by Automated Turbidimetric Immunoassay
83695 1.0 mL serum (0.5 mL minimum). A 12-14 hour fast is recommended. Note: Because Lp(a) acts like an acute-phase protein, it should not be measured during periods of active inflammation. Lp(a) levels should not be measured for at least 1 month following a myocardial infarction or stroke.            
Stability: RMT - Unacceptable
               REFT - 7 days            Frozen - 7 days
BLOD1329  Listeria Antibody
by Complement Fixation
86609 1.0 mL serum from gold or red top tube (0.5 mL minimum). Serum gel tube is acceptable but must be poured off into a plastic vial. Send refrigerated.
Stability: RMT - 72 hrs            REFT - 14 days
              Frozen - 12 months
BLOD0537  Lithium
by Enzymatic
80178 1.0 mL serum (0.5 mL minimum). Avoid hemolysis. Preferred collection time is immediately before next scheduled dose. Sodium heparin and EDTA plasma also acceptable.
Stability: RMT- 8 hrs            REFT - 24 hrs
              Frozen - 6 months
  Liver Profile Refer to "Hepatic Function Panel".
BLOD0128  Liver/Kidney Microsome Type 1 Antibodies
by ELISA

*Useful for detecting a clinically specific antibody in patients with autoimmune chronic hepatitis (type 2).
86376 1.0 mL serum (0.5 mL minimum). Refrigerate.
Stability: RMT - Unacceptable
              REFT - 21 days            
              Frozen - 21 days
  Long Acting Thyroid Stimulation Refer to "Thyrotropin Receptor Antibody".
BLOD0019  Lorazepam (Ativan)
by HPLC
80346 AMA
G6031 Medicare
2.0 mL serum or heparinized plasma (1.0 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately prior to next scheduled dose.
Stability: RMT - 72 hrs            REFT - 72 hrs
  Lupus Inhibitor Evaluation Refer to "Anti-Phospholipid Antibody Panel".            
  Luteinizing Hormone (LH) Refer to "LH".
BLOD0786  Lyme Disease (Borrelia burgdorferi) Antibody IgG & IgM Antibodies (Plus Bands)
by Immunoblot

*Specificity/Sensitivity is variable with disease state.
86617(2) 1.0 mL serum (0.5 mL minimum). Refrigerate.
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 14 days
NBLD0464   Lyme Disease Antibody CSF Reflex to Lyme Disease Antibody Immunoblot
by ELISA

*If Lyme disease serology is positive, then immunoblot testing will automatically be performed at an additional fee.
86618 1.0 mL (0.5 mL minimum) CSF in a sterile plastic vial. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 14 days
BLOD0778  Lyme Disease Antibody Reflex to Confirmation
by Chemiluminescent Immunoassay

*This procedure tests for IgG and IgM antibodies in a combined assay and does not differentiate between the antibodies.
**Test automatically reflexes to Confirmatory test code BLOD0786 - Lyme Disease Western Blot at an additional fee for positive and equivocal results.
86618 1.5 mL frozen serum (1.0 mL minimum). Freeze. Avoid hemolysis or lipemia; also icteric and heat inactivated sera not acceptable. Note: Draw sample 2-4 weeks after tick bite or when rash appears. This test requires its own frozen aliquot.
Stability: REFT - 7 days            Frozen - 30 days
LBOR0009  Lymphoproliferative Panel (Leukemia) - CLL/HCL/SLL
by Flow Cytometry

-Cell Surface Markers



88184
88185(19)
88189
5.0 mL sodium heparin whole blood and 5.0 mL EDTA whole blood (3.0 mL minimum each) Or 2.0 mL minimum heparinized bone marrow. Lithium heparin is unacceptable. Please perform CBC within 6 hours of drawing specimen and send results. A freshly prepared smear (stained or unstained) is also recommended. Please include patient history and indication for test. Send to receive Monday through Thursday only.
Blood Stability: RMT - 2 days Room temp only
Bone Marrow Stability: REFT - 48 hours
BLOD1099  Lyrica (Pregabalin)
By LC-MS/MS
80366 AMA
82542 Medicare
1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose.
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 6 months
NBLD0176  Magnesium 24-Hour Urine
by Colorimetric
83735 10 mL aliquot of a well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
BLOD0567  Magnesium Serum
by Colorimetric
83735 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 30 days
BLOD0851  Malaria Smears (Blood Parasites)
by Geimsa and Wright's Stain

*Provide patient information about travel outside the U.S.(when & where) and if taking medication.
Best to draw 10-12 hours after a chill. Usual incubation time is 1-3 weeks but several strains have longer incubation periods.
87207 Submit 3 thick and 3 thin blood smears. For preparation of malarial smears, refer to Parasite Specimen Collection Protocol in the "General Information" Section.
BLOD0194  Manganese Whole Blood
by Dynamic Reaction Cell-Inductively Coupled Plasma-Mass Spectrometry
83785 0.8 mL whole blood collected in a 7 mL Trace Metal Free EDTA (royal blue) tube. Note: When drawing multiple tubes, the metal free specimen should be collected first. Trace metal free tubes are available from our Supplies Department. Send refrigerated. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD1311  Mannose-Binding Lectin (MBL)
by ELISA

*Results are useful for evaluation of children and adults with a clinical history of recurrent infections.
83520 0.5 mL serum (0.4 mL minimum). Gel barrier and serum separator tubes are acceptable. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - Unacceptable
              Frozen - 7 days
NBLD0016  Marijuana as THC Metabolite, Urine Screen - Forensic
by GC/MS

*THC confirmation reporting limit - 15 ng/mL
82542 50 mL random urine (15 mL minimum). Refrigerate.
Stability: RMT - 5 days            REFT - 7 days
BLOD0356  Maternal Serum Screen 4 (Quad Screen)
by Immunoenzymatic Assay

*Includes Unconjugated Estriol, HCG, AFP, and Inhibin A
81511 1.0 mL serum (0.75 mL minimum). Collection Instruction: 1) Do Not draw specimen after amniocentesis as this could affect results. 2) Immediately spin down. Fill out the special Maternal AFP Screening Requisition Form Accurate information is required to permit accurate interpretation of results. Note: 1) Test for assessment that includes neural tube defect results, gestational age MUST be between 15 weeks, 0 days and 22 weeks, 6 days. 2) Assessment for Down Syndrome and Trisomy 18 are only available between 14 weeks, 0 days and 22 weeks, 6 days. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 90 days
  Measles Refer to "Rubella" or "Rubeola".
  Meconium Drug Screen Refer to "Drug Screen Meconium".
NBLD0536  Meningitis Encephalitis Panel, NAD
by Multiplex NAD

Panel includes:
- Cryptococcus neofomans/gattii
- Cytomegalovirus (CMV)
- Enterovirus
- Escherichia coli K1
- Haemophilus influenza
- Herpes Simplex Virus (HSV) Types 1 and 2
- Human Herpesvirus 6
- Human Parechovirus
- Listeria monocytogenes
- Neisseria meningitides
- Streptococcus agalactiae (Group B Strep)
- Streptococcus pneumonia
- Varicella-Zoster Virus (VZV)
87798
87653
87498
87532
87529
1.0 mL (0.2 mL minimum) unspun CSF. CSF specimen should be collected via lumbar puncture and should not be centrifuged. Send refrigerated.
Stability: RMT - 1 day            REFT - 7 days
              Frozen - Unacceptable
BLOD0195  Mercury
by Inductively Coupled Plasma Mass Spectrometry
83825 Full tube of Trace Metal Free EDTA (royal blue) tube whole blood (0.3 mL minimum). Trace metal free tubes are available from our Supplies Department. Send refrigerated in original tube. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Stability: RMT - 21 days            REFT - 21 days
              Frozen - 21 days
NBLD0073  Metanephrines Fractionated 24-Hour Urine
by LC-MS/MS

*Includes Metanephrine and Normetanephrine
83835 10 mL aliquot from a well-mixed and measured 24-hour urine (2.0 mL minimum). Collect urine with 10 grams (pediatric 3 grams) of boric acid (preferred) or 25 mL (pediatrics 15 mL) of 50% acetic acid. Preservative may be added after collection. Refrigerate during and after collection. Record 24 hour total volume on request form and urine container. Send aliquot refrigerated. If preservative is not available please freeze aliquot of urine to maintain pH. Note: Tricyclic antidepressants, labetalol, and sotalol medications may elevate levels of metanephrines. If clinically feasible, it is optimal to discontinue these medications for 1 week prior to collection. (Consult physician).            
Stability: RMT - 7 days (preserved)
              REFT - 7 days (preserved)
              Frozen - 14 days
BLOD0101  Metanephrines Fractionated Free Plasma
by Liquid Chromatography MS/MS

*Includes Normetanephrine, Free and Metanephrine, Free
83835 1.0 mL frozen EDTA plasma only (0.5 mL minimum). Avoid moderate hemolysis; will reject if >250. Frozen is preferred. If frozen, This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen -14 days
  Methadone Urine Refer to "Drugs of Abuse" or "Drug Screen".
  Methamphetamine Urine Refer to "Drugs of Abuse" or "Drug Screen."
  Methicillin Resistant Staph aureus Confirmation (MRSA) Refer to "CULT MRSA Confirmation".
  Methicillin Resistant Staph aureus Culture (MRSA) Refer to "CULT Bacterial Culture Screen for Selected Organism (other than Genital)".
BLOD0645  Methotrexate (Mexate)
by EIA
80299 1.0 mL serum. Heparin and EDTA plasma also acceptable. No gel barrier or SST tubes. Draw sample 24 hours after last dose.            
Stability: RMT - 1 day            REFT - 14 days
BLOD1327  Methsuximide (Celontin as Desmethylmethsuximide)
by Gas Chromatography/Flame Ionization Detection (GC-FID)
83858 2.0 mL serum collected in a plain red top tube (0.5 mL minimum). No gel barrier or SST tubes. Also acceptable is 2.0 mL sodium heparin plasma collected with no gel barrier. Send refrigerated. Please note on the specimen and the requisition if the sample is "serum" or "plasma."
Stability: RMT - 72 hrs            
              REFT Preferred - 7 days
              Frozen - 180 days
BLOD0103  Methylmalonic Acid (MMA) Quantitative Serum
by LC-MS/MS

*The concentration of serum methylmalonic acid is elevated in patients with methylmalonic acidemia and patients with a nutritional deficiency of cabalimin or folic acid.
83921 1.5 mL serum only (0.8 mL minimum).
Stability: RMT/REFT/Frozen - 48 days
  Methylphenidate (Ritalin, Concerta) Refer to "Ritalin".
  MIC Susceptibility Testing Refer to "CULT Sensitivity / Susceptibility."
NBLD0165  Microalbumin 24-Hour Urine
by Immunoturbidimetric

*This highly sensitive albumin assay is used to screen early renal disease in diabetic patients.
82043 2.0 mL aliquot from a well-mixed and measured 24-hour urine (1.2 mL minimum). Do not use preservative. Record total volume on test request form and urine vial.
Stability: REFT - 7 days
NBLD0156  Microalbumin Random Urine
by Immunoturbidimetric/Enzymatic
by Immunoturbidimetric - Rapid City

*Includes Creatinine and Microalbumin/Creatinine Ratio
82043
82570
10 mL aliquot of a first morning random urine (2.0 mL minimum). Refrigerate.
Stability: RMT - 1 days            REFT - 7 days
NBLD0200  Microalbumin Semiquantitative Random Urine
by Dipstick
82044 20 mL random urine collected in a clean, dry container with no preservative (5.0 mL minimum). Early morning specimen is preferred. Room temperature or refrigerate. Note: Due to the physiological variation of albumin, collection and testing of three separate morning (midstream) urine samples within a given week is recommended. Do not freeze specimen.
Stability: RMT - 3 days            REFT - 14 days
NBLD0166  Microalbumin Timed Urine
by Immunoturbidimetric
82043 10 mL aliquot of a timed urine collection (1.0 mL minimum). Please provide total time of collection and the volume of urine collected.
Stability: REFT - 7 days
NBLD0156  Microalbumin/Creatinine Ratio Random Urine
by Immunoturbidimetric/Enzymatic
82043
82570
10 mL of first morning urine collection (2 mL minimum). Refrigerate.
Stability: RMT - 1 day            REFT - 7 days
  Microglobulin Refer to "Beta-2 Microglobulin".
BLOD1518  Milk Allergen Component Panel

*Includes 3 components: (Alphalactalbumin, Betalactoglobulin, and Casein)
86003(3) 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1517  Milk Allergen Reflex to Component

*If milk allergen is positive will reflex to 3 components (Alphlactalbumin, Betalactoglobulin, and Casein) at an additional fee.
86003 1.5 mL serum (0.7 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
  Miscellaneous Source Culture Aerobic Refer to "CULT" and choose culture type (e.g., Acid Fast, Bacterial, Fungal, Viral, Other). Indicate source.
  Miscellaneous Source Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source.
BLOD0309  Mitochondrial Antibodies
by EIA

*Useful for diagnosis of PBS (Primary Biliary Cirrhosis).
83516 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days            Frozen - 21 days
  Mold Allergens Refer to "Allergen Mold" and then by the specific mold name.
  Mold Allergy Screen Refer to "Allergy - Screen Mold".
  Mold Culture Refer to "CULT Fungal Culture Other". Specify mold.
BLOD0625  Mononucleosis Infectious Screen
by Rapid Immunoassay

*Some segments of the population who contract IM do not produce measurable levels of heterophile antibodies. Approximately 50% of children under 4 years of age who have IM may test negative.
86308 2.0 mL serum (0.5 mL minimum). Avoid hemolysis. EDTA and heparin plasma are also acceptable.            
Stability: REFT - 4 days            Frozen >4 days
  MPO ANCA (Myeloperoxidase Antibody) Semiquantitative Refer to "ANCA MPO".
  MRSA Confirmation Refer to "CULT MRSA Confirmation".
  MRSA Culture Refer to "CULT Bacterial Culture Screen for Selected Organism (other than Genital)". Specify MRSA.
NBLD0394  MRSA PCR
by PCR/LightCycler 2.0
87641 Gently insert the swab (Culture Swab Liquid Stuart) inside the nostril approximately 0.5 inches and rotate against the mucosa 5 times (both swabs at once if using a double headed swab). Insert the same swab(s) into the other nostril(s) and repeat procedure. Return the swab(s) to its container.
Stability: RMT - 6 days            REFT - 5 days
              Frozen - 30 days

Bemidji Stability:
              RMT - 24 hours            REFT - 5 days
              Frozen - NA
  Multiple Sclerosis Panel
Test Discontinued. Replaced with LBAN0021
LBAN0021  Multiple Sclerosis Profile
by Isoelectric Focusing (IEF) with IgG Immunoblot, Nephelometry

Includes CSF Bands; CSF Oligoclonal Bands Interpretation; Serum Bands; IgG Index, CSF; IgG CSF Albumin; IgG/Albumin, CSF; Synthesis Rate CSF; IgG Serum; Albumin Serum; IgG/Albumin Serum.
82040
82042
82784(2)
83916(2)
Serum and CSF are both required. 1 mL of CSF in a sterile vial (0.5 mL minimum) and 1 mL serum from a red or gold top tube. Spinal fluid must be obtained within 1 week of the serum draw. Ensure samples are labeled with sample type. Send samples refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0448  Mumps Virus IgG and IgM Antibodies Serum
by EIA

*Includes IgG and IgM
86735(2) 1.0 mL serum (0.9 mL minimum for pediatrics).
Stability: RMT - Unacceptable
              REFT -14 days            Frozen -14 days
BLOD0133  Mumps Virus IgG Screen
by Chemiluminescence Immunoassay

*For determination of IgG class antibodies to Mumps after immunization with the vaccine to this virus. The presence of IgG Class also indicates previous infection with Mumps virus in a patient with no record of immunization.
86735 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 7 days            Frozen - 14 days
NBLD0451  Mumps Virus Screen
by Real-Time PCR
87798 3 mL oral/buccal swab in a sterile leak-proof container (0.35 mL minimum) - M4 Media, VCM media (green cap), Universal Transport Media (UTM), or equivalent. Media is available from our Supplies Department. Send refrigerated.
Stability: RMT - 48 hrs            REFT - 7 days
              Frozen - 30 days
BLOD0854  Myasthenia Gravis Panel
by RIA

-Acetylcholine Receptor Binding Antibody
-Anti-Striated Muscle Antibody (Skeletal Muscle)
83519
83520
2.5 mL serum (0.8 mL minimum). Send refrigerated.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - 28 days
  Mycobacteria Refer to "CULT Acid Fast".
NBLD0535  Mycobacterium Tuberculosis
Complex and Rifampin Resistance, NAD

by Polymerase Chain Reaction (PCR/NAD)

*This test cannot be ordered alone. It must be ordered in conjunction with the Culture for Acid Fast Bacillus and Stain (MICR0019).
87798
87556
5 mL of expectorated or induced sputum in a sterile container. If unable to obtain adequate sputum amount, combine 3-6 specimens and submit total amount in one container. The combined specimen needs to be collected within a 24 hour time frame. Send refrigerated.
Stability: RMT - 3 days            REFT - 10 days
               Frozen - Unacceptable

ONLY sputum samples on adults (>=18 yrs) are acceptable.

To add testing onto a Culture for Acid Fast Bacillus, call Client Support within 7 days.
BLOD0087  Mycophenolic Acid (Cellcept)
by MS/MS

*Mycophenolic Acid is an immunosuppressive drug used in organ transplants.
80180 1.0 mL serum only (0.5 mL minimum). No gel barrier or SST tubes.            Plasma is Not acceptable. Preferred collection time is just prior to the next scheduled dose. Trough sample required. Refrigeration preferred.
Stability: RMT/REFT/Frozen - 14 days
BLOD0886  Mycoplasma Antibodies
by EIA

*Includes IgG and IgM Antibodies
86738(2) 2.0 mL frozen serum (0.7 mL minimum). Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 7 days            Frozen - 7 days
BLOD0688  Mycoplasma Antibody IgG
by EIA
86738 2.0 mL serum (0.7 mL minimum). Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 6 hours            REFT - 48 hours
              Frozen - 14 days
BLOD0689  Mycoplasma Antibody IgM
by EIA
86738 2.0 mL serum (0.7 mL minimum). Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - 6 hours            REFT - 48 hours
              Frozen - 14 days
NBLD0471  Mycoplasma pneumoniae, Nucleic Acid Detection
by PCR Using Light Cycler and Fluorescent Resonance Energy Transfer (FRET)
87581 Acceptable specimen types include Respiratory (Bronchial washing, bronchoaveolar lavage, Tracheal secretions of sputum): 1 mL specimen (0.5 mL minimum) submitted in a sterile container or placed in M4, M5, or UTM; Throat or nasopharyngeal swab submitted in Stuarts media or placed in M4, M5, or UTM; Fluid (pleural, pericardial or CSF) 0.5 mL submitted in sterile vial. Specimen source for all samples is required. Send refrigerated.
Stability: RMT - Unacceptable                        
              REFT - 7 days
              Frozen - Swabs/fluids only 7 days
BLOD0293  Myeloperoxidase Antibody (MPO) Only
by Chemiluminescence Immunoassay

*For patients who have previously had a positive P-ANCA and are being followed/monitored for disease remission/progression.
86021 1.0 mL frozen serum (0.5 mL minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
NBLD0124  Myoglobin Quantitative Urine
by Latex Particle-Enhanced Immunoturbidimetric Assay
83874 5.0 mL random urine in a urine myoglobin transport tube (1.0 mL minimum). Collect urine and immediately transfer into the transport tube (within 1 hour of collection). Urine Myoglobin tubes are available from our Supplies Department. Refrigerate only.
Stability: REFT Only - 7 days
              RMT & Frozen - Unacceptable
BLOD0580  Myoglobin Serum or Plasma
by Chemiluminescence
83874 1.0 mL serum, lithium heparin, or sodium heparin plasma (0.5 mL minimum). If frozen, This test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 72 hrs            
              Frozen - 30 days
NBLD0302  Myoglobulin Screen Urine
by Urine Dipstick Qualitative
81005 10 mL random urine (5 mL minimum). Refrigerate.
Stability: REFT - 2 days
BLOD0031  Mysoline (Primidone) and Phenobarbital
by Immunoassay (Mysoline), by Kinetic Interaction of Microparticles in Solutions (KIMS) (Phenobarbital)

*Report will include separate Mysoline and Phenobarbital results.
80188
80184
0.5 mL serum (0.25 mL minimum). Serum from either gel tubes or red top tubes are acceptable. Preferred collection time is just prior to the next dose. Serum gel tubes should be centrifuged within 2 hours of collection.
Red top tubes should be centrifuged and aliquoted within 2 hours of collection. Send refrigerated.
Stability: RMT - 72 hours
              REFT - 7 days
              Frozen - 28 days
NBLD0267  N. Gonorrhea & Chlamydia Nucleic Acid Detection
by PCR
87591
87491
Urine – for male or female: Patient should not have urinated or for at least one hour. Collect first catch urine between 10–50 mLs. Transfer urine to PCR Media tube filling to between the two black lines on the tube label. Note: The female swab kit contains 2 swabs, 1 for cleaning excess from the site. Use the second swab for collection. Place only 1 swab in media. If urine cannot be transferred immediately, it may be stored refrigerated for up to 24 hours prior to transferring to the PCR Media tube.
Endocervical/Cervical Swab submitted in PreserveCyt media - Vaginal swab submitted in PCR Media Tube (endocervical swab may also be submitted in PCR Media Tube.) No swabs are available for Male collection.
Stability: Urine in PCR Media Tube:
              RMT - 30 days            REFT – 30 days
              Frozen - Unacceptable
Female Swab Samples:
              RMT - 60 days            REFT – 60 days
              Frozen - Unacceptable
  Nasal Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, or Other).
NBLD0218  Nasal Smear for Eosinophils
by Microscopy
89190 Two thin nasal smears on glass slides. Air dry. Do not fix.
  Nebcin (Tobramycin) Peak or Trough Refer to "Tobramycin" Peak or Trough.
BLOD1193  Neuron Specific Enolase
by Homogenous Time-Resolved Fluorescence
83520 0.7 ml serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - Unacceptable
BLOD0391  Neurontin (Gabapentin)
by LC-MS/MS
80171 1.0 mL serum (0.5 mL minimum). EDTA is not acceptable. AVOID gross hemolysis and lipemia. No gel barrier or SST tubes. Spin within 2 hours of draw. Draw sample immediately before next scheduled dose.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
  Niacin (Vitamin B3) Refer to "Vitamin B3".
NBLD0028  Nicotine and Cotinine Metabolite Screen Urine
by Immunoassay

*Nicotine metabolite (Cotinine) detection level is 500 ng/mL in urine.
80305 5.0 mL random urine (1.0 mL minimum).
Stability: RMT - 8 hrs            REFT - 5 weeks
NBLD0151  Norovirus, Fecal
by Nucleic Acid Amplification (NAD)
87799 Collect specimen in a clean or sterile container with a tight fitting cover. Transfer stool sample to Cary-Blair media within 2 hours of collection. Send refrigerated.

Rectal swabs, specimens contaminated with urine, and diapers are not acceptable. Wait 7-10 days following a barium and/or Bismuth radiology examination before collecting a specimen.
Stability: RMT - NA            
              REFT - 48 hrs                        
              Frozen - NA
BLOD0024  Norpramin (Desipramine)
by LC/MS-MS
80335 AMA
G6032 Medicare
1.0 mL serum from a red clot tube (0.25 mL minimum). No gel barrier or SST tubes. Collect in a red top clot tube. Serum must be separated from cells within 2 hours of draw. Draw immediately before the next dose or a minimum 12 hours after last dose.) Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
BLOD0803  North Central Allergy Panel
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Cat Dander
-Cladosporium herbarum
              (Hormodendrum)
-Common Ragweed
-Dermatophagoides farinae
-Elm Tree
-Kentucky Blue Grass, June
-Lambs Quarters
-Marshelder Rough
-Oak Tree
-Orchard Grass
-Penicillium notatum
-Russian Thistle
86003(14) 3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0890  North Central Allergy Panel + Total IgE
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Cat Dander
-Cladosporium herbarum
              (Hormodendrum)
-Common Ragweed
-Dermatophagoides farinae
-Elm Tree
-Kentucky Blue Grass, June
-Lambs Quarters
-Marshelder Rough
-Oak Tree
-Orchard Grass
-Penicillium notatum
-Russian Thistle
-Total IgE
86003(14)
82785
3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen >7 days
BLOD0028  Nortriptyline
by LC-MS/MS
80335 AMA
G6037 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Serum must be separated from cells within 2 hours of draw. No gel barrier or SST tubes. Draw trough level right before next scheduled dose or at least 12 hours after last dose. Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
NBLD0356  N-Telopeptide Collagen Cross Linked (NXT) - Urine
by Competitive Chemiluminscence Immunoassay
82523
82570
4.0 mL urine (0.5 mL minimum) collected from a second morning void. Send frozen.
Stability: RMT - 72 hours            REFT - 14 days
              Frozen - 30 days
BLOD0782  Obstetrics Panel 1
-ABO Blood Group
-Rh Type
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additional fee.

-CBC
-Rubella Antibody
-Syphilis Serology
-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.


*Note: Obstetric Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog.
80055

ABO/Rh & Ab Screen - 10 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted blood (red top tube - no additive). Draw in two 5-7 mL capacity tubes. Pink top EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Rubella & Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.
CBC - 5.0 mL EDTA whole blood (1.2 mL minimum) and 2 unstained blood smears. Avoid hemolysis and lipemia.

Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
BLOD0827  Obstetrics Panel 2
-ABO Blood Group
-Rh Type
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additional fee.

-Rubella Antibody
-Syphilis Serology
-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.


86900
86901
86850



86762
86592
87340
ABO/Rh & Ab Screen - 10 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted blood (red top tube no additive). Draw in two 5-7 mL capacity tubes. Pink EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Rubella & Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.

Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
BLOD0828  Obstetrics Panel 3
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additional fee.

-CBC
-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-Syphilis Serology
86850



85025
87340




86592
Ab Screen - 10 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted blood (red top tube -no additive). Draw in two 5-7 mL capacity tubes. Pink EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis & lipemia.
CBC - 5.0 mL EDTA whole blood (minimum 1.2 mL) and 2 unstained blood smears. Avoid hemolysis and lipemia.

Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients - Draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
BLOD0830  Obstetrics Panel 5
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additional fee.

-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-Syphilis Serology

86850



87340




86592
Ab Screen - 10 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted red top tube with no additives. Draw in two 5-7 mL capacity tubes. Pink EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Syphilis - 2.0 mL serum (1.2 mL minimum) refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.
              
NOTE: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
BLOD0831  Obstetrics Panel 9
-Rubella Antibody
-Syphilis Serology
-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.


86762
86592
87340
Rubella & Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.

Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: RMT - 8 hrs            REFT - 7 days
BLOD0832  Obstetrics Panel, 10
-ABO Blood Group
-Rh Type
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additonal fee.

-Rubella Antibody
-Syphilis Serology
-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-HIV 1/HIV 2 Antibody
              If positive, a Western Blot test
              is performed for confirmation at
              an additional fee.

86900
86901
86850



86762
86592
87340




87389
ABO/Rh & Ab Screen - 10 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted blood (red top tube no additive). Draw in two 5-7 mL capacity tubes. Pink EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Rubella & Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.
HIV 1/HIV 2 Ab - 3.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.
              
Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
BLOD0833  Obstetrics Panel, 11
*Obstetric Panel
-ABO Blood Group
-Rh Type
-Antibody Screen
              If positive, antibody
              identification will be performed
              at an additional fee.

-Rubella Antibody
-Syphilis Serology
              If positive, a TPA will
              be performed at an additional
              fee.

-HBsAG
              If HBsAG is positive,            
              confirmation testing by
              neutralization will be
              performed at an additional fee.

-CBC
*HIV 1/HIV 2 Antibody
              If positive, a Western Blot test
              is performed for confirmation at
              an additional fee.


80055

















87389
ABO/Rh & Ab Screen - 6 mL EDTA (pink top tube preferred) whole blood or 10 mL clotted blood (red top tube no additive). Draw in two 5-7 mL capacity tubes. Pink EDTA tubes available from our Supplies Department. EDTA lavendar top whole blood also acceptable. Refrigerate.
Rubella & Syphilis - 2.0 mL serum (1.2 mL minimum), refrigerated.
HbsAg - 2.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. Avoid hemolysis and lipemia.
HIV 1/HIV 2 Ab - 3.0 mL EDTA plasma (1.0 mL minimum), refrigerated. Serum is also acceptable. CBC - 5.0 mL EDTA whole blood (1.2 mL minimum) and 2 unstained blood smears. Avoid hemolysis and lipemia.
              
Note: Each test(s) requires its own aliquot or tube. For Obstetric Patients, draw prior to administration of Rh Immune Globulin. Refer to "General Information" Section for "Specimen Labeling Policy - Blood Bank." Refrigerate.
Stability: REFT - 3 days
NBLD0035  Occult Blood Quantitative Feces
(Formerly Hemoquant Fecal)

by Fluorescence Quantitation
84126 2 grams feces from a single defecation in a HemoQuant™ container (1.0 grams minimum). Collection kit and instructions are available from our Supplies Department. Note: AVOID red meat and aspirin for 72 hours prior to collection. Refrigerate.
Stability: RMT - 7 days            REFT - 7 days
NBLD0510  Occult Blood, CRC Screen (FIT, Immunochemical)
by Immunochemical


82274
Immediately transfer stool specimen into an occult blood cartridge. Raw stool is unacceptable and will be rejected. Collections kits and instructions are available from our Supplies Department.
Note: Alcohol and some medications may cause gastrointestinal irritation and subsequent bleeding in some patients. Do not collect during menstrual cycle or if having bleeding hemorrhoids or blood in the urine. This test is not affected by dietary peroxidases, animal blood, or ascorbic acid. Clearly indicate applicable ICD-10-CM/narrative on the requisition when ordered for diagnostic or Medicare screening purposes.
Stability: RMT - 8 days
              REFT - 6 months
              Frozen - 2 years
  Occupational Allergen Search by "Allergen Occupational Latex".
LBAN0013  Oligoclonal Bands
by Isoelectric Focusing with IgG Immunoblot Detection

*For detection of Oligoclonal Bands only.
**Also see Multiple Sclerosis Profile.
83916(2) Serum and spinal fluid are required. CSF must be obtained with 1 week of serum draw. Submit 0.7 mL of serum (0.4 mL minimum) and submit 0.7 mL (0.4 mL minimum) of CSF in sterile vial and label specimen as "CSF". Label serum tube as "serum". Send both specimens refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
  Omega 3 Index® HS Refer to "Fatty Acid Profile RBC".
  Opiates Refer to "Drugs of Abuse".
NBLD0041  Organic Acids Screen Urine
by Gas Chromatography/Mass Spectrometry
83919 10.0 mL random urine (4.0 mL minimum). Put in plastic container and freeze. Note: Patient's age and sex is required. Include any family history, clinical condition, diet, and drug therapy information. Send frozen. This test requires its own frozen aliquot.
Stability: REFT - 14 days
              Frozen - 416 days
  Organism Identification From Culture Plate
Refer to "CULT Identification of Organism".
BLOD0617  Osmolality Serum or Plasma
by Freeze Point Depression
83930 1.0 mL serum or heparinized plasma (0.8 mL minimum). Send refrigerated.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - NA
NBLD0190  Osmolality Urine
by Freeze Point Depression
83935 5.0 mL aliquot of random urine (0.8 mL minimum). Send refrigerated.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - NA

Bemidji Stability:
RMT - 8 hours            REFT - 7 days
              Frozen - NA
BLOD0196  Osteocalcin (Human) or Bone GLA Protein
by Electrochemiluminescence
83937 1.0 mL frozen serum (0.5 mL minimum). Patient must be fasting 12 hours. Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot.
Stability: RMT- Unacceptable
              REFT - 72 hrs            Frozen - 14 days
MICR0011  Ova and Parasites Stool
by Direct Examination

*Includes Concentrate and Trichrome Stain
** The O & P comprehensive exam should only be ordered on patients that meet the following criteria: 1. Recent travel to a developing country, 2. Resident of a developing country, 3. Undiagnosed eosinophilia, and 4. Previous test(s) for parasites are negative and symptoms persist.
87177
87209
Fresh stool in the O & P fixative vial (Ecofix) at a ratio of 1 part feces to 3 parts fixative. O & P fixative is available from our Supplies Department. Mix stool specimen well after transferring into preservative. Note: The Ecofix vial used for O & P collection is not acceptable for Giardia lamblia antigen. Screened for Isopora but only reported if noted. The recommended test for suspected parasite infections is Cryptosporidium/Giardia Rapid Assay (NBLD0418). Note consistency of specimen. Label vial.            
Stability: RMT - 7 days Room temp only
BLOD1302  Ovarian Risk Assessment Panel (Ova1™)
by Electrochemiluminescence, Fixed Rate Nephelometry

*The Ova1™ Test is a multivariate index assay that uses results of 5 biomarkers: (B2-microglobulin, apolipoprotein A1, CA 125, transferrin, transthyretin (prealbumin) to generate a single numerical score between 0 and 10. The numerical score is an indicator of the likelihood of malignancy.

**Not indicated for patients under 18 years of age or with diagnosis of malignancy within the last 5 years.
81503 2.2 mL serum (1.1 mL minimum) drawn in a serum separator tube. Note: Not indicated for patients with known Rheumatoid Factor of > or = 250 IU/L. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 8 days            
              Frozen - Unacceptable
NBLD0076  Oxalic Acid 24-Hour Urine with Creatinine
by Enzymatic Using Oxalate Oxidase
83945 4.0 mL aliquot (1.0 mL minimum) of a well-mixed and measured 24-hour urine kept refrigerated during and after collection to maintain pH between 4.5 and 8.0. Note: Specimen with pH >8 indicate bacterial contamination and will result in cancellation of the test. Do not attempt to adjust the pH as it will adversely affect results. Patients should refrain from ascorbic acid/vitamin C during specimen collection. Record total volume on the requisition and specimen. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen - 14 days
  Oxcarbazepine Refer to "Trileptal".
BLOD0348  Oxycodone and Metabolite (Percodan, Percocet) Serum or Plasma
by GC/MS
80365 AMA
G6056 Medicare
10.0 mL serum or heparinized plasma (3.0 mL minimum). No gel barrier or SST tubes. Avoid hemolysis. Preferred collection time is 30 minutes prior to next scheduled dose. Room temperature or refrigerate as noted below.
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 6 months
BLOD1208  Pancreastatin
by Radioimmunoassay
83519 Note: Patient should be fasting 10-12 hours prior to collection. Patient should not be on any medications that may influence insulin levels, if possible for at least 4 hours prior to collection. Special G.I Preservative tube is required for collection. Tubes are available from our Supplies Department. Chill the special G.I. Preservative tube. Collection Instructions: Collect 10.0 mL of blood in chilled G.I. Preservative tube. Spin and separate as soon as possible. Send 4.0 mL (3.0 mL minimum) G.I. plasma frozen. Label the transport tube with "contains G.I. plasma." Stability: Frozen only - 30 days
NBLD0137  Pancreatic Elastase 1 Fecal
by ELISA

*Pancreatic Elastase 1 test quantifies E1 in stool allowing the diagnosis or exclusion of pancreatic exocrine insufficiency, which can be caused by chronic pancreatitis, cystic fibrosis, pancreatic tumor, cholelithiasis, or diabetes mellitus.
82656 1 gram random formed feces (stool) collected in a plastic, leak-proof container. Send frozen. Do Not add fixative or preservative. Specimen collected or stored in formalin, SAF, PVA, or Carey-Blair is Not acceptable.
Stability: RMT - 5 days            REFT - 7 days
              Frozen - 1 year
  Pancreatic Islet Cell Antibody Reflex to Titer Refer to "Islet Cell Antibody Screen Reflex to Titer".
  Papilloma Virus (HPV) Refer to "HPV".
  Parainfluenza 1 2 3 4 (Viral Culture) Refer to "CULT Viral Culture".
NBLD0336  Parasite Identification (Scabies / Lice only) 87168 Scraping from affected site submitted in a sterile container. Indicate source.
MICR0034  Parasite Identification Bug
by Microscopic Observation
87168 Submit bug in clean container.
MICR0035  Parasite Worm Identification
*Parasite Worm only
87169

Submit parasite in sterile container. Do not submit raw stool.
  Parathyroid Hormone Refer to "PTH".
BLOD0310  Parietal Cell Gastric Antibody
by ELISA

*Useful for evaluating patients suspected of having pernicious anemia or immune-mediated deficiency of Vitamin B12 with or without megaloblastic anemia.
83516 1.0 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT -21 days
              Frozen - 21 days
BLOD1422  Parovorus B19 Molecular Qualitative
by Realtime PCR/DNA Hybridization
87798 0.5 mL EDTA plasma (0.3 mL minimum). Avoid gross hemolysis. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 7 days
  Partial Thromboplastin Time Refer to "PTT".
BLOD1352  Parvovirus B-19 Antibodies, IgG and IgM
by EIA

*Also known as Fifth's Disease

86747(2) 0.5 mL serum. Red top and gel tubes are acceptable. Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
              
LBOR0024  Parvovirus B-19 DNA PCR Screen Test code replaced.

Refer to BLOD1422 and NBLD0505
NBLD0505  Parvovirus B19 Molecular Detection Qualitative Other
by PCR
87798 Indicate specimen type on label. Preferred specimen is 0.5 mL of Amniotic Fluid (0.3 mL minimum). Do not centrifuge. Send refrigerated. Also acceptable is 0.5 mL of CSF or 0.5 mL of Synovial Fluid. 0.5 mL of bone marrow may also be submitted in an EDTA lavendar tube or sterile container (refrigerate only). Avoid gross hemolysis.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 7 days
BLOD1516  Peanut Allergen Component Panel

*Includes 5 components:
(ARA H 1, ARA H 2, ARA H 3, ARA H 8, and ARA H 9)
86003(5) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
BLOD1515  Peanut Allergen Reflex to Component

*If peanut allergen is positive will reflex to 5 components (ARA H 1, ARA H 2, ARA H 3, ARA H 8, and ARA H 9) at an additional fee.
86003 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - Greater than 7 days
  Pediatric Allergy Screen + Total IgE Refer to "Allergy Pediatric Panel + Total IgE".
  Pediatric Food Allergy Panel Refer to "Allergy Pediatric Food Panel".
  Pediatric Food Allergy Panel + Total IgE Refer to "Allergy Pediatric Food Panel + Total IgE".
BLOD0805  Penicillin Allergy Panel (Specific Immunoglobulin IgE)
by Fluoroallergrosorbent

*Includes Penicilloyl G, Penicilloyl V, Amoxicilloyl, & Ampicilloyl
**Tests for all four major determinates of Penicillin.
***The time for Penicilloyl testing is no sooner than 3 weeks and no longer than 6 months after Penicillin exposure. It is recommended to test for all four: Penicilloyl G and V, Ampicilloyl and Amoxicilloyl; therefore, these allergens are not available separately.
86003(4) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
  Percodan (Oxycodone) Quantitation Refer to "Oxycodone".
  Percodan (Oxycodone) Screen Refer to "Drugs of Abuse".
  Peripheral Smear by Pathologist 4.0 mL EDTA whole blood refrigerated and 2 unstained, well-made blood smears; or CBC results and 2 unstained, well-made blood smears.
NOTE: This service is performed, reported, and billed by Sanford Health Pathology Clinic.
  Peroxidase Thyroid Antibodies Refer to "Thyroid Peroxidase Antibodies".
  Pertussis Refer to "Bordetella pertussis".
NBLD0204  pH Body Fluid
by Blood Gas Analyzer
83986 3.0 mL body fluid in a sterile tube (vacutainer) with minimal exposure to air. Keep refrigerated.
Stability: RMT - Unacceptable
              REFT - 4 days
              Frozen - Unacceptable
NBLD0201  ph Fecal
by pH Indicator Strip
83986 Random stool specimen.
Stability: RMT - 4 hrs            REFT - 24 hrs
              Frozen - 60 days
BLOD0538  Phenobarbital
by EIA
80184 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized or EDTA plasma also acceptable. Preferred collection time is just prior to next scheduled dose.
Stability: RMT - Unacceptable
              REFT - 30 days            
              Frozen - 90 days
BLOD0030  Phenytoin (Dilantin) Free
by Kinetic Interaction of Microparticles in Solutions (KIMS)
80186 2.0 mL serum (1.0 mL minimum) from a red top tube Only. No gel barrier or SST tubes. Spin within 2 hours of draw. Send refrigerated.
Stability: RMT - 7 days            
              REFT - 7 days            
              Frozen - 14 days
BLOD0539  Phenytoin (Dilantin) Total
by Enzymatic
80185 1.0 mL serum (0.4 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Draw within 30 minutes prior to next scheduled dose.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 12 weeks
BLOD0382  Phenytoin (Dilantin) Total and Free
by Enzymatic and Membrane Separation/Immunoassay
80185
80186
3.0 mL serum (1.4 mL minimum) from red top tube. No gel barrier or SST tubes. Avoid hemolysis and lipemia. Preferred collection time is a trough level just prior to next scheduled dose. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 14 days
BLOD0568  Phosphatase Alkaline
by Enzymatic
by Colorimetric - Rapid City
84075 1.0 mL serum (0.5 mL minimum). Avoid hemolysis. Heparinized plasma also acceptable.
Stability: RMT - 4 days            REFT - 4 days
              Frozen - 4 days
BLOD0200  Phosphatase Alkaline Isoenzymes
by Isoenzymes by Electrophoresis; Alk Phos Total by Photometric, p-Nitrophenol Phosphate

*Includes Total Alkaline Phosphatase and Isoenzymes: Intestinal, Bone, Liver, & Placental
84080
84075
2 aliquots of 0.5 mL (0.3 mL minimum) serum in each of the tubes. Send refrigerated.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 14 days
              (Send 2 Separate Aliquots)
NBLD0258  Phosphorus 24-Hour Urine
by Ammonium Phosphomolybdate
84105 10 mL frozen aliquot of a well-mixed and measured 24-hour urine. Record total volume on test request form and urine vial. This test requires its own frozen aliquot.
Stability: RMT - 6 hrs            REFT - 2 days            
              Frozen - 6 months
BLOD0569  Phosphorus Serum
by Ammonium Molybdate
by Phosphomolybdate/UV - Rapid City
84100 1.0 mL serum (0.5 mL minimum). Separate serum within 2 hours of collection. Fasting is preferred. Lithium heparin plasma also acceptable. Avoid hemolysis. Refrigerate.            
Stability: RMT - 72 hours            REFT - 7 days
              Frozen - 60 days
NBLD0220  Pinworm Examination on Paddle 87172 Submit paddle. Refer to "General Information" section for Pinworm collection instructions.
BLOD0121  Platelet Antibody Direct Platelet Bound (Cell Bound Platelet autoantibody)
by Enzyme-Linked Immunoassay

*Reported as positive or negative. If positive, glycoprotein specificity will be identified.
86022 Patient Must have a platelet count >10,000/microliter. 20 mL EDTA whole blood (adults: 10 mL minimum/pediatric: 5 mL minimum). Send room temperature. Send to receive Sunday through Thursday Only. Specimen must be received within 24 hours of draw at our laboratory. Do not collect before a holiday.
Stability: RMT - 48 hours
              REFT - Unacceptable
              Frozen - Unacceptable
BLOD0122  Platelet Antibody Indirect Circulating Antibody
by Solid-Phase Enzyme-Linked Immunoassay
86022 1.5 mL frozen serum (0.5 mL minimum). No gel barrier or SST tubes. Note: Include major diagnosis and the reason for suspecting the presence of platelet antibodies. This test requires its own frozen aliquot.
Stability: RMT- Unacceptable
              REFT - 48 hrs            Frozen-12 months
BLOD0638  Platelet Count
by Automated Cell Counter
85049 5.0 mL EDTA whole blood (1.0 mL minimum/0.7 mL minimum for pediatrics). Send refrigerated.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen - Unacceptable
BLOD0795  Platelet Function Analysis
by Collagen Coated Membrane-Dade PFA 100

*Very effective test in identifying aspirin or aspirin-like effect and has increased sensitivity in identifying true platelet disorders.
85576(2) 5.0 mL EDTA whole blood and one 5.0 mL tube 3.2% sodium citrate whole blood.
Stability: RMT - 4 hours
NBLD0404  Pneumocystitis jiroveci Molecular Detection
by PCR
87798 1.0 mL of a respiratory specimen (0.5 mL minimum) (bronchial washings, bronchoalveolar lavage, pleural fluid, and sputum). CSF also acceptable. Submit in a sterile container. Indicate source on specimen container and requisition.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
BLOD5035  Pneumoniae IgG Strep Antibodies - 23 Serotypes
by Microsphere Photometry
86371(23) 0.7 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
  Poliovirus (Viral Culture) Refer to "CULT Viral Culture".
NBLD0077  Porphobilinogen 24-Hour Urine
by Colorimetric
84110 Collect a 24 hour specimen with no preservatives. Refrigerate during and after collection. Send 10 mL frozen urine aliquot (5.0 mL minimum) of a well-mixed and measured 24-hour urine. Protect from light by wrapping tube in foil or use amber tube. This test requires its own frozen aliquot.            
Stability: REFT - 7 days            Frozen - 30 days
NBLD0078  Porphyrins Fractionated Quantitative 24-Hour Urine
by HPLC

*Includes Uroporphyrin, Hepatocarboxyporphyrin, Hexacarboxyporphyrin, Pentacarboxyporphyrin,
Coproporphyrin, and Total
84120 Submit 30 mL frozen urine aliquot of a well-mixed and measured 24-hour urine (1.0 mL minimum) collected without any preservative. Refrigerate during and after collection. Protect from light by wrapping tube in foil or use amber tube. Record 24 hour volume on test requisition and on container. Send aliquot frozen. This test requires its own frozen aliquot.
Stability: REFT - 7 days            Frozen - 30 days
BLOD1174  Porphyrins Total
by Extraction and Scanning Spectrofluorometry and HPLC

*If Total Porphyrins are >1.0 mcg/dl then Porphyrin Fractionation will be performed at an additional fee.

**Note: Patient should abstain from alcohol for at least 24 hours prior to specimen collection. Please include a list of medications the patient is currently taking.
84311 3.0 mL (1.0 mL minimum) heparinized plasma. EDTA plasma also acceptable. No gel barrier or SST tubes. Specimen must be protected from light. Send frozen. This test requires its own frozen aliquot.
Stability: Frozen - 7 days
               RMT & REFT - Unacceptable
NBLD0177  Potassium 24-Hour Urine
by ISE
84133 10 mL aliquot of a well-mixed and measured 24-hour urine (0.5 mL minimum). Record total volume on test request form and urine vial. Refrigerate only.
Stability: REFT - 7 days
              Frozen - 6 months

Bemidji Requirements:
Submit 1.0 mL (0.5 mL minimum) aliquot of well mixed and measured 24 hour urine. Refrigerate during collection. Record total volume on test request form and urine vial. Send refrigerated.
Stability: RMT - 45 days
              REFT - 2 months
              Frozen - 1 year
BLOD0570  Potassium Serum
by ISE
by ISE Indirect - Rapid City
84132 2.0 mL serum (0.6 mL minimum). Hemolysis is not acceptable. Lithium heparin plasma also acceptable. Separate serum from cells within 2 hours of collection. Refrigerate.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 30 days
  PR3 ANCA (Proteinase 3 Antibody) Semiquantitative Refer to "Proteinase 3 Antibody".
BLOD0618  Prealbumin
by Turbidimetric
84134 2.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid lipemia.
Stability: RMT - 1 day            REFT - 14 days
              Frozen - Unacceptable

Bemidji Requirements:
Submit 1.0 mL serum (0.7 mL minimum). Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 6 months
BLOD1099  Pregabalin (Lyrica)
by LC-MS/MS
80366 AMA
82542 Medicare
1.0 mL serum or heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose.            
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 6 months
NBLD0199  Pregnancy Screen Urine (HCG)
by Single-Step Monoclonal Antibody by Immunoassay - Rapid City
81025 10 mL aliquot urine (2.0 mL minimum) of a first morning specimen is preferred. Refrigerate. If specimen cannot be tested within 72 hours, freeze.
Stability: RMT - 8 hours            REFT - 72 hours
              Frozen >72 hours
  Primidone (Mysoline) and Phenobarbital Refer to "Mysoline (Primidone) and Phenobarbital".
BLOD1156  Procalcitonin
by Fluorescent Immunoassay

*Used in the diagnosis of bacteremia and septicemia in adults and children (including neonates), renal involvement in urinary tract infection in children, bacterial infection in neutropenic patients, and in the diagnosis, risk stratification and monitoring of septic shock, systemic secondary infection post-surgery, as well as in severe trauma, burns, and multiorgan failure. For differential diagnosis of bacterial versus viral meningitis, along with the differential diagnosis of community-acquired bacterial versus viral pneumonia. For monitoring of therapeutic response to antibacterial therapy.
84145 0.5 mL plasma from dark green sodium heparin tube without gel (200 ul minimum). EDTA plasma and gel separator tubes are acceptable. Separate from cells/gel and send refrigerated.
Stability: RMT - Unacceptable
              REFT - 5 days            Frozen - 14 days
BLOD0592  Progesterone
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84144 1.0 mL serum or heparinized plasma (0.5 mL minimum). Refrigerate.
Stability: RMT - 8 hrs            REFT - 10 days            
              Frozen >10 days
BLOD0203  Proinsulin
by Immunochemiluminescent Assay
84206 1.5 mL mL EDTA plasma (0.65 mL minimum). Overnight fasting is required. Avoid gross hemolysis. After drawing, chill the whole blood on ice for at least 10 minutes. Spin down in a refrigerated centrifuge. Separate plasma and send frozen.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0593  Prolactin
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84146 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.            
Stability: RMT - 8 hours            REFT - 7 days            
              Frozen >7 days
BLOD0395  Propafenone (Rythmol)
by HPLC
80299 3.0 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Patient must have been receiving propafenone for at least 3 days. Draw just prior to administration of next dose. Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
BLOD0594  Prostate Specific Antigen (PSA) Total
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84153
1.0 mL frozen serum only (0.5 mL minimum). "Specimen must be drawn before any manipulation of the prostate." Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic or Medicare screening purposes. This test requires its own frozen aliquot.
Stability: RMT - 4 hrs            REFT - 24 hrs            
              Frozen - 7 days
BLOD0422  Prostate Specific Antigen (PSA) Total and Free
by Immunoassay

*Includes Total PSA, Free PSA, and %Free PSA (Calculated)
84153
84154
2.0 mL frozen serum (0.6 mL minimum). "Specimen must be drawn before any manipulation of the prostate." Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot.
Stability: RMT - 24 hrs            REFT - 72 hrs
              Frozen - 5 months
BLOD0223  Protein C Antigen
by ELISA
85302 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Avoid hemolysis. Refer to the "General Information" Section for collection of Coagulation tests. Freeze immediately. Note: Please note if patient is being treated with Coumadin. Send frozen. This test requires its own frozen aliquot.
Stability: RMT & REFT - Unacceptable
              Frozen Only - 14 days
BLOD0224  Protein C Functional Activity
by Clotting Assay
85303 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Refer to the "General Information" Section for collection of Coagulation tests. Note: Patients receiving Warfarin therapy should discontinue medication for 2 weeks before testing. Patients receiving heparin therapy should discontinue medication for 2 days. Do Not thaw. This test requires its own frozen aliquot.
Stability: Frozen Only
NBLD0265  Protein Electrophoresis 24-Hour Urine
by Electrophoresis/Biuret

*Includes Total Protein
84156
84166
25 mL aliquot of a well-mixed and measured 24-hour urine (10 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection. Note: Do not freeze as may precipitate protein lowering results. Refrigerate only.
Stability: REFT - 7 days            
NBLD0268  Protein Electrophoresis Random Urine
by Electrophoresis

*Includes Urine Total Protein
84166 25 mL of a well-mixed urine collection (10 mL minimum). Refrigerate only.
Stability: REFT - 7 days
BLOD0784  Protein Electrophoresis Serum
by Electrophoresis/Biuret

*Includes Serum Total Protein
84165 3.0 mL serum (1.0 mL minimum). Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD1203  Protein Electrophoresis Serum Reflex to Immunofixation if Protein Spike Present
by Electrophoresis, Immunofixation

*Includes Total Protein, Pathologist Interpretation
**Reflexes to an Immunofixation if Protein Spike is present on electrophoresis at an additional fee.
84165

Reflex
86334
Reflex performed at an additional fee.
4.0 mL serum only (1.5 mL minimum). Plasma is not acceptable. Avoid gross hemolysis. Refrigerate only.
Stability: REFT - 7 days            
BLOD1189  Protein Electrophoresis Serum with Quantitative Free Light Chains
*Includes Total Protein, Pathologist Interpretation, and Quantitative Free Light Chains
84165
83883(2)
4.0 mL serum (1.5 mL minimum) Plasma is not acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - NA            REFT - 3 days
              Frozen - 30 days
BLOD1065  Protein Free Light Chains Serum Quantitative
by Turbidimetric Analysis

*Includes Kappa and Lambda free light chains and FLC Ratio.
**Serum free light chain measurement is of major prognostic value in almost all plasma cell proliferative disorders, and may be useful in initial evaluation of patients and on monitoring treatment response.
83883(2) 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Refrigerate. Serum is the only acceptable specimen type.
Stability: Refrigerate only - 21 days
NBLD0271  Protein Immunofixation Random Urine with Electrophoresis
by Immunofixation, Electrophoresis

*Includes Pathologist Interpretation
86335
84166
100 mL aliquot of a first morning urine specimen preferred or random urine specimen (20 mL minimum). Refrigerate only.
Stability: REFT - 7 days            
BLOD1069  Protein Immunofixation Serum with Electrophoresis
by Immunofixation, Electrophoresis

86334
84165
4.0 mL serum only (1.5 mL minimum). Plasma is not acceptable. Send refrigerated. Avoid hemolysis and lipemia.
Stability: RMT- NA            REFT - 3 days
              Frozen - 30 days
NBLD0269  Protein Immunofixation with Electrophoresis 24-Hour Urine
by Electrophoresis, Immunofixation

*Includes Urine Total Protein, Electrophoresis, Immunofixation, with Pathologist Interpretation
84166
86335
100 mL aliquot of a well-mixed and measured 24-hour urine. Keep refrigerated during collection. Record total volume on test request form and urine vial. Refrigerate only.
Stability: REFT - 7 days
BLOD0225  Protein S Antigen
by Latex Immunoassay

*Protein S Antigen, Free is performed. If abnormal, the Protein S Antigen, Total is performed at an additional fee.
85306 Two separate aliquots of 0.5 mL each of platelet-poor 3.2% sodium citrated plasma. Refer to "General Information" Section for collection of coagulation tests. NOTE: Please note if patient is being treated with Coumadin as Coumadin will lower Protein S. Send frozen. This test requires 2 frozen aliquots.
Stability: RMT & REFT - Unacceptable
              Frozen Only
BLOD0226  Protein S Functional Activity
by Clotting Assay
85306 1.0 mL frozen 3.2% sodium citrate platelet-poor plasma (0.5 mL minimum). Avoid hemolysis. Refer to the "General Information" Section for collection of Coagulation tests. Note: Patients receiving Warfarin therapy should discontinue medication for 2 weeks before testing. Patients receiving heparin therapy should discontinue medication for 2 days. Do not thaw. This test requires its own frozen aliquot.
Stability: Frozen - 14 days
NBLD0153  Protein Total 24-Hour Urine Quantitative
by Pyrocatechol Violet Dye
by Turbidimetric - Rapid City
84156 25 mL aliquot of well-mixed and measured 24-hour urine (2.0 mL minimum). Record total volume on test request form and urine vial. Keep refrigerated during collection and transport. Do not freeze because protein may precipitate and lower the result.
Stability: RMT - 4 hours            REFT - 3 days

Rapid City Stability:
RMT - 4 hours            REFT - 7 days

Bemidji Requirements:
1.0 mL (0.5 mL minimum) aliquot of well mixed and measured 24-hour urine. Refrigerate during collection Record total volume on test request form and urine vial. Send refrigerated.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - 1 month
NBLD0181  Protein Total Body Fluid
by Biuret
84157 1 mL body fluid in sterile tube (0.5 mL minimum). Avoid hemolysis. Send refrigerated.
Stability: RMT - 4 hrs            REFT - 3 days
              Frozen - 6 months

Bemidji Requirements:
1.0 mL (0.5 mL minimum) body fluid submitted in a lithium heparin tube. Body fluid submitted in a sterile container is also acceptable. Send refrigerated.
Stability: RMT - 3 days            REFT >1 month
              Frozen - NA
NBLD0180  Protein Total CSF
by Copper-Azo Dye Complex
84157 1.0 mL CSF (0.5 mL minimum). If CSF is frozen, centrifuge and separate from any cells present prior to freezing. If frozen, this test requires its own frozen aliquot.
Stability: RMT - 4 hrs            REFT - 3 days
              Frozen - 6 months
NBLD0214  Protein Total Joint Fluid (Synovial Fluid)
by Biuret
84157 1.0 mL synovial fluid in sterile tube (0.5 mL minimum).
Stability: RMT - 8 hours            REFT - 3 days
              Frozen - 6 months
BLOD0525  Protein Total Serum
by Biuret
by Colorimetric - Rapid City
84155 1.0 mL serum (0.5 mL minimum). Fasting is preferred. Centrifuge and remove cells from serum within 4 hours. Avoid hemolysis.
Stability: RMT - 4 hours            REFT - 3 days
              Frozen 6 months
BLOD0295  Proteinase 3 Antibody Only (PR3)
by Chemiluminescence Immunoassay

*For patients who have previously had a positive C-ANCA and are being followed/monitored for disease remission/progression.
86021 1.0 mL frozen serum (0.5 mL minimum). Send frozen.
Stability: RMT - Unacceptable
              REFT - 48 hours
              Frozen >48 hours
BLOD0364  Prothrombin G20210A Gene Mutation
by PCR - Light Cycler Detection Probe Technology
81240 5.0 mL EDTA whole blood (2.0 mL minimum). Send Refrigerated. Discrete sample is required. If other testing is needed on EDTA tube, aliquot 2 mL of EDTA whole blood for this test prior to other testing to prevent contamination. Note: This test is not affected by patient receiving heparin or coumadin therapy. Refrigerate.
Stability: REFT - 7 days            
              Frozen - 12 months.
BLOD0669  Prothrombin Time (PT) / INR
by Mechanical Clot Detection
85610 Preferred Sample - 2.0 mL of 3.2% citrated plasma (0.5 mL minimum). Fill tube completely. Refer to the "General Information" Section for collection of Coagulation tests.
Stability:
Whole blood: - whole blood 3.2% sodium citrate blue top tube is stable 24 hours at room temperature or refrigerated. (Refrigerated is not recommended.)

Separate plasma: - separated citrated plasma needs to be tested within 8 hours or frozen. Frozen stability is 14 days.
BLOD0201  Protoporphyrin Free Erythrocyte
by Hematofluorometry
84202 2.0 mL EDTA whole blood or sodium heparin whole blood (0.5 mL minimum). Protect from light by wrapping in foil.
Stability: RMT - 4 days            REFT - 10 days
              Frozen - Unacceptable
BLOD1090  Protoporphyrin Zinc
by Hematofluorometry
84202 1.0 mL EDTA whole blood collected in a dark blue-top trace metal free tube (0.1 mL). Avoid hemolysis and lipemia. Dark blue-top tubes are available from our Supplies Department. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT Only - 14 days
BLOD0594  PSA (Prostate Specific Antigen) Total
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84153
1.0 mL frozen serum only (0.5 mL minimum). "Specimen must be drawn before any manipulation of the prostate." Clearly indicate applicable ICD-9-CM/narrative on the requisition when ordered for diagnostic and Medicare screening purposes. This test requires its own frozen aliquot.
Stability: RMT - 4 hrs            REFT - 24 hrs            
              Frozen - 7 days
BLOD0422  PSA (Prostate Specific Antigen) Total and Free
by Immunoassay

*Includes Total PSA, Free PSA, and %Free PSA (calculated)
84153
84154
2.0 mL frozen serum (0.6 mL minimum). "Specimen must be drawn before any manipulation of the prostate." Avoid hemolysis and lipemia. Freeze. This test requires its own frozen aliquot.
Stability: RMT - 24 hrs            REFT - 72 hrs
              Frozen - 5 months
BLOD0163  Pseudocholinesterase Plasma
by Kinetic Spectrophotometric

*Use for preanesthesia testing and monitoring pesticide/organophosphate exposure.
82480 1.0 mL EDTA plasma (0.5 mL minimum). Avoid hemolysis. Separate plasma from cells within 1 hour. Lithium heparin also acceptable. Refrigerated sample preferred.
Stability: RMT - 21 days             REFT - 21 days
              Frozen - 30 days
BLOD0669  PT (Prothrombin Time) / INR
by Mechanical Clot Detection
85610 Preferred Sample - 2.0 mL of 3.2% citrated plasma (0.5 mL minimum). Fill tube completely. Refer to the "General Information" Section for collection of Coagulation tests.
Stability:
Whole blood: - whole blood 3.2% sodium citrate blue top tube is stable 24 hours at room temperature or refrigerated. (Refrigerated is not recommended.)

Separated plasma: - separated citrated plasma needs to be tested within 8 hours or frozen. Frozen stability is 14 days.
BLOD0983  PTH INTACT
by immunometric
83970 2.0 mL EDTA plasma (0.5 mL minimum). Serum and heparinized plasma are also acceptable. Overnight fasting is preferred. Avoid hemolysis and lipemia. Avoid freeze/thaw. Send frozen.
Stability: RMT - 4 hours            REFT 2 days
              Frozen - 4 weeks

Bemidji Requirements:
3.0 mL EDTA plasma (1.5 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 2 days
              Frozen - 6 months
BLOD0793  PTH Intact + Calcium
by Electrochemiluminescence Immunoassay - Rapid City
by Immunometric Arsenzao III Complex - Sioux Falls

*Includes Total Calcium
**The Intact (ICMA) PTH is the recommended initial assay for the differential diagnosis of calcium-related abnormalities.
83970
82310
Note: This test requires "2" separate aliquots.
PTH: 2.0 mL frozen EDTA plasma (0.5 mL minimum). Spin and separate plasma immediately. Overnight fasting is preferred. Serum also acceptable. Avoid hemolysis and lipemia. Avoid freeze/thaw cycles. If specimen is sent frozen, this test requires its own frozen aliquot. PTH cannot be an add-on test due to the short room temperature stability of 4 hours.
Calcium: 1 mL serum (minimum 0.6 mL). Avoid hemolysis and lipemia. Refrigerate.
PTH Stability:
              REFT - 48 hrs            Frozen - 7 days
Calcium Stability:
              RMT - 2 days            REFT - 7 days
BLOD1041  PTH Related Protein (PTH-RP)
by Immunochemiluminometric Assay (ICMA)
83519 0.7 mL EDTA plasma (0.3 mL minimum). Draw blood into ice-cooled EDTA lavendar tube. Spin specimen down in a refrigerated centrifuge or in chilled centrifuge cups. Separate EDTA to plastic transport tube and send frozen. This test requires its own frozen aliquot.
Stability: Frozen only - 90 days
BLOD0673  PTT (Partial Thromboplastin Time Activated)
by Mechanical Clot Detection
85730 2.0 mL frozen 3.2% sodium citrate plasma (0.7 mL minimum). Avoid hemolysis. Avoid hemolysis. Preferred Sample: 3.2% sodium citrate plasma. The 3.2% sodium citrate tube must be filled to appropriate volume to acquire the 9:1 blood to anticoagulant ratio. The appropriate volume is critical in obtaining valid results. This test requires its own frozen aliquot. Refer to the "General Information" Section for collection of Coagulation tests. Send frozen.
Stability:
Whole Blood: Unspun whole blood collected in 3.2% sodium citrate plasma is acceptable for 4 hours at RMT or REFT.
Separated Plasma: Separated citrated plasma needs to be tested within 4 hours of frozen. Frozen stability - 14 days
  Pyridoxine Refer to "Vitamin B6".
BLOD0466  Q Fever Antibodies IgG IgM and IgA (Coxiella burnetti)
by Indirect Immunofluorescence

*Includes Phase I and Phase II of IgG, IgM, & IgA
86638(2) 0.5 mL serum from a red top tube or serum gel tube (0.25 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
BLOD0356  Quad Screen (Maternal Serum Screen 4)
by Immunoenzymatic Assay

*Includes Unconjugated Estriol, HCG, AFP, and Inhibin A
81511 1.0 mL serum (0.75 mL minimum). Collection Instruction: 1) Do not draw specimen after amniocentesis as this could affect results. 2) Immediately spin down. Fill out the special Maternal AFP Screening Requisition Form. Accurate information is required to permit accurate interpretation of results. Note: 1)Test for assessment that includes neural tube defect results, gestational age must be between 15 weeks, 0 days and 22 weeks, 6 days. 2) Assessment for Down Syndrome and Trisomy 18 are only available between 14 weeks, 0 days and 22 weeks, 6 days. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 90 days
BLOD1145  QuantiFERON(R)
In-Tube Method

*The performance of QuantiFERON-TB Gold has not been evaluated in specimens from the following: Individuals with impaired or altered immune functions, individuals younger than 17 years old, and pregnant women.
86480 Use of the 3 (1 mL) QuantiFERON(R) - TB Gold IT Collection tubes are required. See Special QuantiFERON Collection Instructions. Processing/Stability Instructions: Once tubes are collected process/transport to the performing lab in one of 3 ways:
Option 1 - Within 16 hours of collection, send tubes unspun at room temperature to arrive at the performing laboratory within 16 hours of collection. Tubes should be labeled "Not Incubated".
Stability - not incubated/unspun RMT - 16 hours.
Option 2: Within 16 hours of collection, incubate tubes in upright position in a 37 degree incubator at the collection site for 16-24 hours. Send tubes unspun and labeled as "Incubated".
Stability - Incubated/Unspun : RMT - 3 days, REFT - 3 days.
Option 3: Within 16 hours of collection, incubate tubes in upright position in a 37 degree incubator at the collection site for 16-24 hours. Spin down sample so gel barrier rises to separate cells and plasma. Do not aliquot specimen from tubes - send in original tubes labeled "Incubated". Send refrigerated.
Stability for Incubated/Spun - RMT - 3 days, REFT preferred - 28 days.
  Quetiapine (Seroquel) Refer to "Seroquel".
BLOD0032  Quinidine (Cardioquin, Quinaglute, Quinidex, Quinora)
by Kinetic Interaction of Microparticles in Solutions (KIMS)
80194 2.0 mL serum from red top tube only (1.0 mL minimum). No gel barrier or SST tubes. Specimen should be centrifuged and aliquoted within 2 hours of collection. Preferred collection time is just before next scheduled dose. Trough levels are most reproducible. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 28 days
BLOD0627  RA Factor Quantitative
by Latex Agglutination
by Immunoturbidimetric - Rapid City

*Test results reported as quantitative value.
86431 1.0 mL serum (0.5 mL minimum). Refrigerate.            
Stability: RMT - 1 days            REFT - 3 days            
              Frozen - 7 days
BLOD0626  RA Factor Screen
by Latex Agglutination
by Immunoturbidimetric - Rapid City

*Test results reported as positive or negative.
86430 1.0 mL serum (0.5 mL minimum). Refrigerate.
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 7 days
BLOD0516  Rabies Antibody Titer
by Fluorescent Antibody, Neutralization, and Fluorescent Immunofluoresence
86382 2.0 mL serum (0.5 mL minimum). Note: Specify if post-vaccine or post-bite and date of immunization or bite. Post vaccine specimen should be drawn 4-6 weeks after vaccination. Send refrigerated.            
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 60 days
  Rapamycin (Sirolimus) Refer to "Sirolimus".
NBLD0234  Rapid Strep Group A Reflex to Confirmation
*If negative, a reflex to NBLD0417 Streptococcus Group A by NAD will be performed.
87880/
87651
Send 1 double-headed BD BBL culture swab (Liquid Stuart Double Plastic Applicators) available from our Supplies department or 2 culturettes. Crush ampule. Wooden shaft, calcium alginate swabs and semi-solid single gel culturettes are unacceptable. Send room temperature. Source - Throat
Stability: RMT - 3 days            REFT - 3 days
              Frozen - Unacceptable
  RAST Testing Refer to "Allergen", "Allergy Panel" or "Allergy - Screen".
BLOD0634  RBC (Red Blood Count)
by Automated Cell Counter
85041 5.0 mL EDTA whole blood (1.0 mL minimum/0.7 mL minimum for pediatrics). AVOID hemolysis. Stability: REFT - 3 days
BLOD0352  RBC Cholinesterase and Plasma Cholinesterase
by Kinetic Spectrophotometric
82482
82480
5.0 mL EDTA whole blood (4.0 mL minimum) and 1.0 mL EDTA plasma (0.5 mL minimum). Draw two EDTA tubes. Avoid hemolysis. Spin one tube to separate plasma. Pour plasma into aliquot tube and send both the whole blood tube and plasma sample refrigerated.
Stability: RMT - 24 hrs            REFT- 7 days
              Frozen - Unacceptable
  RBC Fatty Acid Profile Refer to "Fatty Acid Profile RBC".
BLOD1166  Red Cell Antigen Type
by Agglutination
86905 5.0 mL EDTA (pink top preferred) whole blood (3.2 mL minimum). Draw in 5-7 mL capacity tubes. EDTA pink top tubes are available from our Supplies Department. EDTA lavender top tubes also acceptable. No gel barrier or SST tubes. Avoid hemolysis. Send refrigerated. Note: Please indicate on the requisition which specific antigen(s) is to be tested. Refer to the "General Information" Section for Specimen Labeling Policy - Blood Bank.
NBLD0192  Reducing Substances, Fecal
by Benedict's Copper Reduction (Clinitest)

*If collecting from an infant, call client support.
84376 3 gm loose random stool specimen (2 gm minimum). Freeze immediately. Send frozen. Note: Formed stool will be rejected.
Stability: RMT/REFT - Unacceptable            
              Frozen - 7 days

BLOD1205  Region X Respiratory Allergy Profile + Total IgE
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Bermuda Grass
-Birch Tree
-Cat Dander
-Cladosporium herbarum
-Cockroach
-Common Ragweed
-Cottonwood
-Dermatophagoides farinae
-Dermatophagoides pteronyssinus
-Dog Dander
-Elm Tree
-Maple Tree
-Marsh Elder
-Mountain Cedar
-Mulberry
-Nettle
-Oak Tree
-Pecan Hickory Tree
-Penicillium notatum
-Pigweed
-Sheep Sorrel
-Timothy Grass
-White Ash Tree
-Total IgE
86003(25)
82785
4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD0531  Renal Function Panel
-Albumin
-Calcium
-Carbon Dioxide (CO2)
-Chloride
-Creatinine
-Glucose
-Phosphorus, Inorganic
-Potassium
-Sodium
-Urea Nitrogen (BUN)
-eGFR (>18 years old)
-B/C Ratio
-Anion Gap

*Note: Renal Function Panel is one of the Medicare approved "Clinically Relevant" Panels. Please refer to the MEDICAL NECESSITY Section of this Catalog.
80069 2.0 mL serum (Pediatric Patients Only - minimum 0.5 mL.) Prompt separation of serum from cells is essential. Lithium heparin also acceptable. Avoid hemolysis and lipemia. Refrigerate.
Stability: RMT - 24 hours            REFT - 3 days
BLOD0499  Renin Activity
by RIA
84244 2.0 mL frozen EDTA plasma (1.15 mL minimum). Draw blood in chilled syringe from a patient in a seated position. Place specimen in a chilled EDTA tube and mix. Alternative: Draw blood directly into a chilled lavender top EDTA tube. Immediately place tube in ice-water bath (or on wet ice) until thoroughly cooled. Refrigerate during centrifugation and immediately transfer plasma to plastic vial. (If a refrigerated centrifuge is unavailable, chill the centrifuge carriers.) Centrifuge specimen for < or = to 5 minutes, then promptly transfer plasma and freeze. Send frozen. This test requires its own frozen aliquot. Stability: RMT & REFT - Unacceptable
              Frozen only - 14 days
NBLD0255  Respiratory DFA Comprehensive 1 with Reflex to Viral Culture
Includes:
-Adenovirus
-Influenza A
-Influenza B
-Parainfluenza 1, 2, 3, 4
-Respiratory Syncytial Virus

*If DFA is negative a Viral Culture will be performed at an additional fee.



87260
87276
87275
87279(4)
87280

Reflex
87252
Submit nasopharyngeal (NP) washing Or NP aspirate in a leak-proof container, Plus nasopharyngeal (NP) washing in universal transport media (UTM) within 4 hours of collection. Indicate source. Send refrigerated.
Stability: RMT - 2 hours            REFT - 3 days
NBLD0371  Respiratory DFA Comprehensive 2 with Reflex to Viral Culture
by DFA

Includes:
-Adenovirus
-Human Metapneumovirus (hMPV)
-Influenza A
-Influenza B
-Parainfluenza 1, 2, 3, 4
-Respiratory Syncytial Virus

*If DFA is negative a Viral Culture will be performed at an additional fee.




87260
87299
87276
87275
87279(4)
87280

Reflex
87252
Submit nasopharyngeal (NP) washing Or NP aspirate in a leak-proof container, Plus nasopharyngeal (NP) washing in universal transport media (UTM) within 4 hours of collection. Indicate source. Send refrigerated.
Stability: RMT - 2 hours            REFT - 3 days
NBLD0257  Respiratory DFA Panel 1
by DFA

Includes:
-Adenovirus
-Influenza A
-Influenza B
-Parainfluenza 1, 2, 3, 4
-Respiratory Syncytial Virus



87260
87276
87275
87279(4)
87280
Submit NP aspirate Or nasopharyngeal (NP) washing in a leak-proof container. Send refrigerated. Indicate source.
Stability: RMT - 2 hours            REFT - 3 days
NBLD0370  Respiratory DFA Panel 2
by DFA

Includes:
-Adenovirus
-Human Metapneumovirus (hMPV)
-Influenza A
-Influenza B
-Parainfluenza 1, 2, 3, 4
-Respiratory Syncytial Virus



87260
87299
87276
87275
87279(4)
87280
Submit NP aspirate Or nasopharyngeal (NP) washing in a leak-proof container. Send refrigerated. Indicate source
Stability: RMT - 2 hours            REFT - 3 days
BLOD0769  Respiratory Disease Allergy Panel + Total IgE
Central Midwest States

by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*For upper and lower respiratory disease.
**Recommended for persons 4 and older.

-Alternaria alternata
-Ash Tree
-Aspergillus fumigatus
-Bermuda Grass
-Box Elder/Maple
-Cat Dander
-Cladosporium herbarum (Hormodendrum)
-Cockroach
-Common Ragweed
-Cottonwood
-Dermatophagoides pteronyssinus
-Dog Dander
-Dust Mite (Dermatophagoides farinae)
-Elm, American
-Kentucky Blue Grass, June
-Mountain Cedar Juniper
-Mouse Urine
-Mulberry Tree
-Nettle
-Oak Tree
-Penicillium notatum
-Pigweed, Common (Rough)
-Russian Thistle (Saltwort)
-Sheep Sorrel
-Total IgE
86003(24)
82785
4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1072  Respiratory Disease Western Allergy Panel + Total IgE
Western South Dakota

by Fluoroallergrosorbent, Fluoroenzymeimmunoassay

*For upper and lower respiratory disease

-Alternaria alternata
-Aspergillus fumigatus
-Box Elder/Maple
-Cat Dander
-Cladosporium herbarum            
              (Hormodendrum)
-Common Ragweed
-Cottonwood
-Dog Dander
-Dust Mite (Dermatophagoides farinae)
-Firebush/Kochia
-Kentucky Blue Grass, June
-Mountain Cedar Juniper
-Mugwort
-Penicillium notatum
-Total IgE
86003(14)
82785
4.0 mL serum (2.0 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
BLOD1455  Respiratory Panel Region 9 (KS, ND, NE, SD) + IgE
by Fluoroallergrosorbent

-Derm. pteronyssinus
-Derm. farinae
-Cat dander
-Dog dander
-Bermuda grass
-Timothy grass
-Cockroach
-Penicillin notatum
-Cladosporium herbarum
-Aspergillus fumigatus
-Alternaria alternata
-Box Elder
-Mountain Cedar
-Oak
-Elm
-Cottonwood
-Ash (White)
-Mulberry
-Common Ragweed
-Russian thistle
-Sheep Sorrel
-Nettle
-Total IgE
86003(22)
82785
4 mL serum (2.0 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 7 days
  Respiratory PCR Panel Refer to "Influenza A, B and RSV Nucleic Acid Detection."
  Respiratory PCR Panel with Reflex Refer to "Influenza A, B and RSV Nucleic Acid Detection w/Reflex Respiratory DFA Panel 2".
NBLD0246  Respiratory Syncytial Virus (RSV)
by DFA
87280 Submit nasopharyngeal (NP) aspirate Or nasal washings.            
Stability: RMT - 2 hours            REFT - 3 days
NBLD0229  Respiratory Syncytial Virus (RSV) Rapid
by Rapid Immunochromatographic

*This methodology is approved for patients less than 5 years old only
87807 Recommended specimen: 3.5 mL nasopharyngeal (NP) washings or aspirate in a sterile leak-proof container. Send refrigerated. Stable 4 hours at room temperature and 24 hours refrigerated.
Acceptable specimen: A nasopharyngeal swab - use cotton, rayon, or foam; or polyester flexible shaft swabs. (Do NOT use calcium alginate.) Immediately after swab collection, the swab MUST be eluted into 0.5-3.0 mL saline. Leave entire swab in saline, breaking off the end of the swab for transport. Eluted saline from swab samples are stable at 4 hours room temperature and 24 hours refrigerated. Indicate source. Throat swabs are not acceptable specimens.
Stability: RMT - 4 hours            REFT - 24 hours
BLOD0660  Reticulocyte Count
by Automated Cell Counter

*Includes the immature reticulocyte fraction.
85046 5.0 mL EDTA whole blood (1 mL minimum).
Stability: RMT - 36 hours            REFT - 3 days
              Frozen - Unacceptable
BLOD1027  Reticulocyte Hemoglobin Content
by Flow Cytometry

*Includes a Reticulocyte Count and Reticulocyte Hemoglobin
**Test for early detection of Iron Deficiency or to evaluate the response of patients to iron therapy
85046 1.0 mL EDTA whole blood (0.5 mL minimum). Refrigerate.
Stability: RMT - 36 hours            REFT - 72 hours
  Retinol (Vitamin A) Refer to "Vitamin A".
BLOD0920  Rh Type 86901 4-7 mL EDTA (pink top preferred) whole blood (3.0 mL minimum). Draw in 5-7 mL capacity tubes. EDTA pink top tubes available from our Supplies Department. EDTA lavendar top tubes also acceptable. No gel barrier of SST tubes. Refer to "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0919  Rh Type / ABO Blood Group 86901
86900
4.0-7.0 mL EDTA (pink top preferred) whole blood. Draw in 4-7 mL capacity tubes (3.0 mL minimum). EDTA pink top tubes available from our Supplies Department. EDTA lavendar top tubes also acceptable. Avoid hemolysis. Refer to "General Information" Section for Specimen Labeling Policy - Blood Bank. Send refrigerated.
Stability: REFT - 3 days
BLOD0626  Rheumatoid Factor (RA Factor) Screen
by Latex Agglutination
by Immunoturbidimetric - Rapid City

*Test results reported as positive or negative.
86430 1.0 mL serum (0.5 mL minimum).
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 7 days
BLOD0627  Rheumatoid Factor (RA Factor) Quantitative
by Latex Agglutination
by Immunoturbidimetric - Rapid City

*Test results reported as quantitative value.
86431 1.0 mL serum (0.5 mL minimum). Refrigerate.            
Stability: RMT - 1 day            REFT - 3 days
              Frozen - 7 days
BLOD0493  Rickettsial IgG and IgM Antibodies
by IFA

*Includes Rocky Mountain Spotted Fever and Murine Typhus
86757(2) 0.5 mL serum from a red top tube or serum gel tube. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen - 14 days
BLOD1232   Ristocetin Cofactor Activity
by Platelet Agglutination
85245 1.0 mL frozen citrated (blue top) platelet-poor plasma (0.5 mL minimum). Refer to "General Information" section for collection of coagulation tests and procedure for preparing platelet-poor plasma. This test requires its own frozen aliquot.
Stability: RMT & REFT - Unacceptable
              Frozen Only - 14 days
BLOD0396  Ritalin (Methylphenidate, Concerta) Serum
by LC-MS/MS
80360 AMA
82542 Medicare
2.0 mL frozen serum or heparin plasma (0.6 mL minimum). No gel barrier or SST tubes. Freeze immediately. Peak level is 1-3 hours after last dose. Trough levels often not detectable. This test requires its own frozen aliquot.
Stability: Frozen only
BLOD1325  Rivaroxaban (Xarelto)
*Used to treat and prevent deep thrombosis.
85520 3.2% sodium citrate plasma (9:1 blood to anticoagulant ratio). Double-spin and send frozen. Avoid hemolysis and lipemia
Stability: Frozen only - 30 days
  Rocky Mountain Spotted Fever Refer to "Rickettsial IgG and IgM Antibodies".
NBLD0012  Rohypnol (Flunitrazepam) Urine
by IA, GC/MS

*Specimens screened by Immunoassay at a threshold concentration of 100 ng/mL. Any positive is confirmed by GC/MS. Detection Period: 12-24 hours.
**Also called Date Rape Pill, Roach-2, Roaches, Roofenol, and Roofies.
80307 10 mL aliquot of random or spot urine (3.0 mL minimum). Note: Minimum volume will not allow for confirmation.
Stability: RMT - 3 days            
              REFT & Frozen >3 days
NBLD0231  Rotavirus
by EIA
87425 2-4 grams of unpreserved stool placed in a sterile container free of soap residue. Send frozen.
Stability: Frozen Only
BLOD0647  RPR (Syphilis Serology)
by Rapid Card Test
86592 1.0 mL serum (0.7 mL minimum). Refrigerated serum is specimen of choice. EDTA, heparinized and sodium citrate plasma are also acceptable but must be tested within 48 hours of collection.            
Stability: REFT - 5 days
              Plasma - REFT - 48 hrs of collection
              Frozen >5 days
NBLD0246  RSV (Respiratory Syncytial Virus) DFA
by DFA
87280 Submit nasopharyngeal (NP) aspirate Or nasal washings.            
Stability: RMT - 2 hours            REFT - 3 days
NBLD0229  RSV (Respiratory Syncytial Virus) Rapid
by Rapid Immunochromatographic

*This methodology is approved for patients less than 5 years old only
87807 Recommended specimen: 3.5 mL nasopharyngeal (NP) washings or aspirate in a sterile leak-proof container. Send refrigerated. Stable 4 hours room temperature and 24 hours refrigerated.            
Acceptable specimen: A nasopharyngeal swab - use cotton, rayon, or foam; or polyester flexible shaft swabs. (Do Not use calcium alginate.) Immediately after swab collection, the swab Must be eluted into 0.5-3.0 mL saline. Leave entire swab in saline, breaking off the end of the swab for transport. Eluted saline from swab samples are stable 4 hours room temperature and 24 hours refrigerated. Indicate source. Throat swabs are not acceptable specimens.
Stability: RMT - 4 hours            REFT - 24 hours
BLOD0881  Rubella Antibodies IgG and IgM
by Immunoassay
86762(2) 2.0 mL serum (1.0 mL minimum). Plasma Not acceptable.
Stability: REFT - 7 days            Frozen - 7 days
BLOD0337  Rubella Antibody IgG
by Chemiluminescence Immunoassay

*Indicates immune status.
86762 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Send frozen.
Stability: REFT - 7 days            Frozen - 14 days
BLOD0338  Rubella Antibody IgM
by Immunoassay
86762 1.0 mL serum (0.6 mL minimum). Plasma and Cord Blood are Not acceptable.            
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 30 days
BLOD0584  Rubella Antibody Screen IgG
by Immunometric Immunoassay

*Indicates immune status.
86762 1.0 mL serum (0.5 mL minimum). Heparinized plasma and EDTA plasma also acceptable. Refrigerate.
Stability: REFT - 7 days            Frozen - 30 days
BLOD0449  Rubeola (Measles) IgG and IgM Antibodies, Serum
by Multiplex Flow Immunoassay, IFA

*Includes IgG and IgM Antibodies.
86765(2) 1.0 mL serum (0.6 mL minimum).
Stability: REFT - 14 days            Frozen -14 days
BLOD0135  Rubeola IgG Antibody
by Chemiluminescence Immunoassay

*Indicates immune status.
86765 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Send frozen. This test requires its own frozen aliquot. Stability: REFT - 7 days            Frozen - 14 days
BLOD0395  Rythmol (Propafenone)
by HPLC
80299 3.0 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Patient must have been receiving Rythmol for at least 3 days. Draw just prior to administration of next dose. Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
BLOD0491  Saccharomyces cerevisiae IgG and IgA Antibodies (ASCA)
by EIA

*Aids in differentiating Crohn's disease from Ulcerative colitis.
86671(2) 1.0 mL serum (0.5 mL minimum). Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 60 days
BLOD0540  Salicylates (Aspirin)
by Enzymatic
80302 AMA
G6038 Medicare
2.0 mL serum (0.6 mL minimum). Lithium and sodium heparin also acceptable.
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 6 months
  Salmonella / Shigella, Stool Refer to "CULT Bacterial Salmonella/Shigella Screen".
  Sandimmune Refer to "Cyclosporine".
  Scabies - Lice Refer to "Parasite Identification (Scabies Lice Only)".
BLOD0308  Scleroderma Antibody (Scl-70)
by Multiplex Flow Immunoassay
86235 0.8 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
BLOD0637  Sed Rate (ESR)
by Modified Westergren - Rapid City
by Automated - Sioux Falls
85651 5.0 mL EDTA whole blood (1.5 mL minimum). Test must be performed within 24 hours of collection. Keep refrigerated.
Stability: RMT - 4 hours            REFT - 24 hours
  Sedimentation Rate (ESR) Refer to "Sed Rate".
BLOD0084  Selenium
by Dynamic Reaction Cell-Inductively Coupled Plasma Mass Spectrometry
84255 0.8 mL serum collected in a 7 mL Trace Metal Free dark blue tube with No additive (0.2 mL minimum). Allow specimen to clot for 30 minutes, then centrifuge to separate serum from cells. Carefully pour over to trace metal free transfer vial. Do Not use pipet or ream with a wooden stick. Trace metal free collection tubes and transfer tubes are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are know to interfere with most metal tests. If either gadolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
NBLD0280  Semen Analysis - Rapid City
-Color
-Liquification
-Volume
-Viscosity
-pH
-Motility
-Grade/Speed
-Sperm Count
-Morphology

* Used for fresh samples only.
89322 Collect entire semen specimen directly into a sterile plastic container following a 3-day abstinence. Protect From Light Keep warm. Note time of collection. Specimen needs to be at the laboratory within 1 hour of collection. Note: No Saturday or holiday collections. Contact Client Support for patient instructions.
  Sensitivity Refer to "CULT Sensitivity / Susceptability".
BLOD0051  Seroquel (Quetiapine)
by LC-MS/MS
82542 3.0 mL serum (0.6 mL minimum). No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Heparinized and EDTA plasma also acceptable. Refrigeration preferred.
Stability: RMT - 3 days            REFT - 14 days
              Frozen - 6 months
BLOD0206  Serotonin (5-HIAA)
by LC-MS/MS
84260 2.5 mL frozen serum (1 mL minimum). Send frozen. Dietary Restrictions: Avoid avocado, bananas, plantain, hickory nuts, tomatoes, plums, walnuts, pineapple, eggplant, kiwi, dates, grapefruit, cantaloupe, and honeydew melon. Also avoid tea, coffee, and tobacco 3 days prior to specimen collection. Medications that may affect serotonin include lithium, monoamine oxidase inhibitors, methyldopa, morphine, and reserpine.
Stability: RMT - Unacceptable
              REFT - 24 hours
              Frozen- 90 days
NBLD0067  Serotonin Metabolite (5-HIAA) 24- Hour Urine
by LC-MS/MS
83497 5 mL aliquot of a well-mixed and measured 24-hour urine (1.0 mL minimum). Collect with 25 mL of 50% Acetic Acid or 6 N HCl to maintain a pH between 1-5. (Use 15 mL of 50% Acetic Acid for children <5 years old.) Preservative may be added after collection. Keep refrigerated during collection. Record 24 hour total volume on test request form AND urine container. If preservative is not available, send 50 mL of urine (10 mL minimum) without preservative but frozen. Note Diet Protocol: Patient should not eat avocados, bananas, butternuts, cantaloupe, dates, eggplant, grapefruit, hickory nuts, honeydew, kiwi, melons, nuts, pineapple, plantains, plums, or tomatoes for 48 hours before or during collection.
Stability: With Preservative: REFT - 56 days
              Frozen - 1 year
              Without Preservative:            
                          Frozen Only - 7 days
BLOD0207  Sex Hormone Binding Globulin
by Chemiluminescent Microparticle Immunoassay
84270 1.0 mL serum (0.5 mL minimum). Gold or red top tubes are acceptable. Heparinized plasma and EDTA plasma are also acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 8 days            Frozen - 90 days
BLOD0572  SGOT (AST) Aspartate Aminotransferase
by Enzymatic
84450 1.0 mL serum (0.6 mL minimum). Separate serum from clot/cells within 1 hour. Heparinized plasma also acceptable. EDTA plasma, citrate plasma, and fluoride oxalate plasma are Not acceptable. Avoid hemolysis. Refrigerate.
Stability: RMT - 3 days            REFT - 7 days
              Frozen - 90 days
BLOD0573  SGPT (ALT) Alanine Aminotransferase
by Enzymatic
84460 1.0 mL serum (0.6 mL minimum). Avoid hemolysis. Heparinized and EDTA plasma also acceptable.            
Stability: RMT - 3 days            REFT - 7 days
              Frozen - Unacceptable
  SHBG Refer to "Sex Hormone Binding Globulin".
NBLD0249  Shiga-Like Toxin on Stool
by EIA

*Rapid Screening for Shiga-Like Toxin 1 And 2 Antigens.
87427 2 grams stool in modified Cary-Blair Stool Culture Transport media such as Para-Pak C&S by Meridian. Keep refrigerated. O & P Fixative is Not acceptable. Rectal swabs should be placed in Modified Cary-Blair media immediately. Transport media is available from our Supplies Department.
Stability: Raw stool:
              REFT - Only stable 1-2 hours
Stool & rectal swabs in Cary-Blair:
              REFT - 3 days
BLOD0671  Sickle Cell Screen
*Positives should be followed by Hemoglobin Electrophoresis.
85660 5.0 mL EDTA whole blood (1.0 mL minimum). Note: This assay is Not appropriate for children under 6 months of age.
Stability: REFT - 7 days
BLOD0385  Sinequan (Doxepin)
by LC-MS/MS

*Includes metabolite Desmethyldoxepin (Nordoxepin)
80335 AMA
G6034 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Draw specimen immediately before the next scheduled dose (or at a minimum of 12 hours after last dose.) No gel barrier or SST tubes. Serum must be separated from cells within 2 hours of draw. Send refrigerated.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 28 days
BLOD0088  Sirolimus (Rapamycin)
by One Step Immunoassay
80195 3.0 mL EDTA whole blood (1.0 mL minimum).
Stability: REFT - 7 days
BLOD0425  Sjogrens Syndrome Antibodies
by Multiplex Flow Immunoassay

*Includes SS-A/Ro and SS-B/La
86235(2) 0.5 mL serum (0.35 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
  Skeletal Muscle Antibody Refer to "Striational Total Muscle Antibody".
  Sm and RNP Antibodies Refer to "ENA Antibodies".
BLOD0453  Smith-Lemli-Optiz Screen
by GC/MS/MS

*Reported as positive or negative. Quantitative results are provided when positive.
82542 1.0 mL frozen sodium heparin plasma (0.5 mL minimum). Patient should be fasting 12 hours or more. Draw infants just before next feeding. Spin down within 45 minutes of the draw. Separate and freeze the plasma. EDTA plasma is also acceptable. Serum is Not acceptable.
Stability: REFT - 7 days
              Frozen Preferred - 30 days            
BLOD0185  Smooth Muscle Antibody IgG (Actin Antibody)
by Indirect Immunofluorescence
86255 0.5 mL serum (0.2 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
NBLD0182  Sodium 24-Hour Urine
by ISE
84300 10 mL aliquot of well-mixed and measured 24-hour urine. Refrigerate during collection. Record total volume on test request form and urine vial. Refrigerate.
Stability: RMT - 4 days            REFT - 7 days
              Frozen - 6 months

Bemidji Requirements:
1.0 mL (0.5 mL minimum) aliquot of well mixed and measured 24-hour urine. Refrigerate during collection. Record total volume on test request form and urine vial. Send refrigerated.
Stability: RMT - 45 days            REFT - 45 days
              Frozen - 1 year
BLOD0571  Sodium Serum
by ISE
by ISE Indirect - Rapid City
84295 2.0 mL serum (0.6 mL minimum). Separate serum from cells within 45 minutes. Lithium heparin plasma also acceptable. Avoid hemolysis.            
Stability: RMT - 4 days            REFT - 7 days
BLOD0209  Somatomedin C (IGF-I Insulin Like Growth Factor I)
by Blocking RIA after Acid:Alcohol Extraction
84305 0.5 mL serum, only (0.1 mL minimum). Separate within 1 hour and freeze. This test requires its own frozen aliquot.
Stability: Frozen Only
NBLD0332  Sperm Count Post Vasectomy
by Microscopy
89321 Collect entire semen specimen in a clean container. Note: Motility will be evaluated on specimens received within 1 hour of collection.
  Spinal Fluid (CSF) Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, Other). Indicate source.
  Spinal Fluid Profile Refer to "CSF Profile 1".
  Sputum Culture Refer to "CULT" (e.g., Acid Fast, Bacterial, Fungal, Viral, Other)
NBLD0125  Stone Analysis
by Infrared Spectrum Analysis
82365 Submit entire stone, air-dried. Source or type of stone is required (e.g., kidney, bladder, gall bladder, salivary, prostate). Send dry stone in plastic, screw-capped container or test tube. Do not use scotch tape to secure the stone.
Stability: RMT preferred
  Stool Campylobacter Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Campylobacter.
  Stool Culture Refer to "CULT Bacterial Culture Stool".
  Stool E coli O157:H7 Screen Refer to "CULT Bacterial Culture Stool Selected Organism". Specify E coli.
NBLD0037  Stool for Fat Quantitative
by Nuclear Magnetic Resonance Spectrometer
82710 Submit frozen entire 48-72 hour stool specimen. 24 hour or random specimen also acceptable. Note: Indicate length of collection time on requisition and sample container. Send entire collection. Freeze. Stool containers available from our Supplies Department. Patient Preparation: For 3 days prior to collection: (A) Patient should be on a fat-controlled diet (100-150 gm fat per day). (B) No laxatives, mineral oil, or castor oil. (C) No synthetic fat substitutes (e.g., Olestra) or fat-blocking nutritional supplements. (D) Barium interferes with test procedure - a waiting period of 48 hours before stool collection is recommended. Note: A sparate order and collection should take place if stool bicarbonate, calcium, chloride, magnesium, osmolality, pH, potassium, sodium, or any microbiology testing is also ordered. Water is added and the specimen is weighed during the process of this test which makes it unusable for any other tests listed above.
Stability: Frozen only
NBLD0138  Stool for Fat Screen
by Sudan Stain

*Qualitative assessment of fat malabsorption (Steattorhea).

82705 2 grams (1 teaspoon) random stool specimen (0.5 grams minimum). A random stool specimen collected in a clean, dry container. The patient is not to use suppositories, mineral oil, caster oil, creams or lubricant as these may cause false-positive results. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 72 hrs            Frozen - 7 days
  Stool Salmonella / Shigella Refer to "CULT Bacterial Salmonella/Shigella Screen.
  Stool Yersinia Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Yersinia.
  Strep Genital Culture Refer to "CULT Bacterial Culture Genital Screen for Selected Organism". Specify selected organism.
NBLD0234  Strep Group A Rapid
Screen Reflex to Confirmation


*If negative, a reflex to NBLD0417 Streptococcus Group A by NAD will be performed.
87880/
87651
Send 1 double-headed BD BBL culture swab (Liquid Stuart Double Plastic Applicators) available from our Supplies department or 2 culturettes. Crush ampule. Wooden shaft, calcium alginate swabs and semi-solid single gel culturettes are unacceptable. Send room temperature. Source - Throat
Stability: RMT - 3 days            REFT - 3 days
              Frozen - Unacceptable
  Strep Screen Culture Refer to "CULT Bacterial Culture Respiratory" OR "CULT Bacterial Culture Genital Screen for Selected Organism" -- dependent on source.
NBLD0417  Streptococcus Group A Nucleic Acid Detection
by Polymerase Chain Reaction (PCR)/Focus Integrated Cycler
87651 Send 1 double headed BD BBL culture swab (Liquid Stuart Double Plastic Applicators) available from our Supplies Department, or a culturette. Crush ampule. Wooden shaft, calcium alginate swabs, and semi-solid single gel culturettes are unacceptable. Send room temperature. Source Throat.
Stability: RMT - 3 days            REFT - 3 days
              Frozen - Unacceptable
BLOD5035  Streptococcus pneumoniae IgG Antibodies - 23 Serotypes
by Microsphere Photometry
86317(23) 0.7 mL serum (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 21 days
              Frozen - 21 days
NBLD0233  Streptococcus pneumoniae Urine Direct Antigen
by Rapid Immunochromatographic

*Antigen excretion may begin as early as 3 days after onset of symptoms and persist for up to 1 year afterwards.
87450 10 mL random urine (3.0 mL minimum).
Send refrigerated. Boric Acid may be used as a preservative.
Stability: RMT - 24 hrs            REFT - 14 days
              Frozen - Unacceptable
BLOD0454  Striational Total Muscle Antibodies
by RIA
83520 0.7 mL serum (0.5 mL minimum). Send refrigerated.
Stability: RMT - 72 hrs            REFT - 28 days
              Frozen - 28 days
  Substance Abuse Panels Refer to "Drugs of Abuse".
  Susceptibility / Sensitivity Testing Refer to "CULT Sensitivity / Susceptibility".
NBLD0293 MICR0003  Synovial Fluid Examination With Culture
-Cell Count and Differential
-Crystal Exam
-Glucose
-RA Factor
-Total Protein
-Culture - Order "Bacterial Culture,
              Other", MICR0003 (specify
              source); refer to
              "Bacterial Culture,
              Other" for additional CPT
              code information.


89051
89060
82945
86431
84157
87070
5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. Note: A separate sodium fluoride tube with 1.0 mL of synovial fluid should be submitted for accurate glucose values. Powdered EDTA is not recommended.
Stability (excluding culture):
               RMT - Unacceptable
               Refrigerate only - 2 days
NBLD0293  Synovial Fluid Examination Without Culture
-Cell Count and Differential
-Crystal Exam
-Glucose
-RA Factor
-Total Protein


89051
89060
82945
86431
84157
5.0 mL aspirate in sterile tube and 2.0 mL fluid in EDTA tube. Note: A separate sodium fluoride tube with 1.0 mL of synovial fluid should be submitted for accurate glucose values. Powdered EDTA is not recommended.
Stability: RMT - Unacceptable
              Refrigerate only - 2 days
  Syphilis IgG and IgM Refer to "FTA Antibody".
BLOD0647  Syphilis Serology
by Rapid Card Test
86592 1.0 mL serum (0.7 mL minimum). Refrigerated serum is specimen of choice. EDTA, heparinized and sodium citrate plasma are also acceptable but must be tested within 48 hours of collection.            
Stability: REFT - 5 days
              Plasma - REFT - 48 hrs of collection
              Frozen >5 days
  T Helper Lymph Marker (CD4 Count) Refer to "CD4 Count".
  T Helper Suppressor (Immune Deficiency Panel 3) Refer to "Immune Deficiency Panel 3".
BLOD0600  T3 Free
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
by Chemiluminescence - Sioux Falls

*Total T3 is not included and must be ordered separately.
84481 2.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 8 hours            REFT - 6 days
              Frozen - 6 days
BLOD0215  T3 Reverse
by LC-MS/MS
84482 0.8 mL serum (0.5 mL minimum). If drawn in a red top tube, separate serum from cells within 24 hours. Avoid gross hemolysis. Send refrigerated.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD0599  T3 Total (Triiodothyronine)
by Chemiluminescence
84480 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Refrigerate.
Stability: RMT - 8 hours            REFT - 6 days            
              Frozen >6 days
BLOD0598  T3 Uptake
by Immunoassay (IA)
84479 1.0 mL serum (0.5 mL minimum). Sodium or lithium heparin plasma are also acceptable. Send refrigerated.
Stability: RMT - 7 days            REFT - 10 days
              Frozen - 28 days
BLOD0596  T4 (Free Unbound)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84439 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.            
Stability: RMT - 8 hrs            REFT - 6 days
              Frozen >6 days
BLOD0212  T4 Free, Direct Dialysis
by Equilibrium Dialysis/MS/MS
84439 2.6 mL serum from a red top tube (1.2 mL minimum). Serum from gel tubes also acceptable. Serum must be separated from cells within 4 - 6 hours. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
BLOD0595  T4 Total (Thyroxine)
by Chemiluminescence
84436 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 8 hours            REFT - 6 days
              Frozen >6 days
BLOD0681  Tacrolimus (FK 506, Prograf)
by One Step Immunoassay
80197 2.0 mL EDTA whole blood (0.5 mL minimum).
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen >7 days
BLOD0390  Tambocor (Flecainide)
by HPLC
80299 3.0 mL serum (1.1 mL minimum) collected in a plain red top clot tube. No gel barrier or SST tubes. Preferred collection time is immediately before the next scheduled dose. Refrigeration preferred.
Stability: RMT - 7 days            REFT - 14 days
              Frozen - 14 days
BLOD0213  TBG (Thyroxine Binding Globulin)
by Solid Phase Chemiluminescent Assay
84442 0.5 mL serum (0.4 mL minimum). Avoid gross hemolysis. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 30 days
BLOD0532  Tegretol (Carbamazepine) Total
by Enzymatic
80156 1.0 mL serum (0.4 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable; although results are approximately 10% higher than serum values. Trough levels are most reproducible. Preferred collection time is 30 minutes prior to next scheduled dose.            
Stability: RMT - 8 hrs            
              REFT - 5 days            Frozen >5 days

Bemidji Requirements:
1.0 mL heparinized plasma (0.5 mL minimum). Serum is also acceptable. Avoid hemolysis and lipemia. Send refrigerated.
Stability: RMT - 2 days            REFT - 7 days
              Frozen - 1 month
  Tegretol Metabolite - Carbamazepine 10 11 Epoxide Refer to "Carbamazepine 10 11 Epoxide".
BLOD0476  Testosterone Free
by Calculation (using Albumin, Sex Hormone Binding Globulin, and Total Testosterone by Immunochemiluminescence)
84402 2.0 mL serum only (1.0 mL minimum) may be collected in serum separator tubes. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 3 months
BLOD0606  Testosterone Total
by Immunochemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City
84403 1.0 mL serum (0.4 mL minimum). May be collected in serum separator tubes. EDTA plasma also acceptable. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen 30 days
BLOD1388  Testosterone Total and Free (Calculated)
by Free Testosterone by Calculation (uses Albumin, Sex Hormone Binding Globulin, and Total Testosterone)

by Total Testosterone by Immunoassay
84402
84403
2.0 mL serum only (1.0 mL minimum) may be collected in serum separator tubes. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 7 days
              Frozen - 90 days
BLOD0494  Tetanus Toxoid IgG Antibodies
by EIA

*Useful for determining a patient's immunological response to tetanus toxoid vaccine as an aid for the evaluation of immunodeficiency. This test should not be used to diagnose tetanus infection.
86317 0.5 mL serum from gold top tube (0.4 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 30 days
              Frozen - 30 days
  THC (Marijuana) Refer to "Marijuana as THC".
BLOD0541  Theophylline (Aminophylline)
by Enzymatic (THEO-PUR)
by Kinetic Interaction of Microparticles in Solution (KIMS) - Rapid City
80198 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Avoid hemolysis. Heparinized and EDTA plasma also acceptable. Draw 1-2 hours after dose for intermittent release; and 5-9 hours after sustained release. Trough levels within 30 minutes prior to next dose. Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 60 days
  Thiamine (Vitamin B1) Refer to "Vitamin B1".
BLOD1222  Thiopurine Methyltransferase (TPMT) Enzyme
*A quantitative analysis (phenotype) of enzyme activity levels.
82542
82657
5.0 mL EDTA whole blood (3.5 mL minimum).
Stability: RMT - 24 hours            REFT - 8 days

  Throat Culture Refer to "CULT Bacterial Culture Respiratory" OR "CULT Viral Culture".
BLOD0672  Thrombin Time (TT)
by Mechanical

*Thrombin Time is a screening test for normal levels of functional fibrogen.
85670 2 mL frozen 3.2% citrated plasma (0.7 mL minimum). Fill tube completely (9:1 blood to anticoagulant ratio). Short draws will be canceled. Avoid hemolysis. This test requires its own frozen aliquot. Frozen plasma can be thawed only once.
Stability: RMT - 8 hrs            REFT - 8 hrs
              Frozen - 30 days
  Thyrocalcitonin Refer to "Calcitonin".
BLOD0413  Thyroglobulin Antibodies
by Two-Step Immunoassay
86800 1.0 mL serum (0.5 mL minimum). EDTA and heparinized plasma also acceptable. Avoid hemolysis. If not received into the testing laboratory within 3 days, the sample should be sent frozen. If frozen, this test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 3 days
              Frozen - 30 days
BLOD1115  Thyroglobulin Tumor Marker Quantitative & Thyroglobulin Antibody
by Immunoenzymatic Assay

84432

86800
1.5 mL serum (1.0 mL minimum) collected in red top only. No gel barrier or SST tubes. Send refrigerated.
Stability: REFT preferred - 7 days
              Frozen - 30 days
BLOD0376  Thyroid Antibodies Panel 2 (Includes Thyroid Peroxidase Antibody and Thyroglobulin Antibodies)
by Two-Step Immunoassay
-Thyroglobulin Antibodies (BLOD0413)
-Thyroid Peroxidase Antibodies (BLOD0315)
86800
86376
2.0 mL serum or EDTA plasma (1.0 mL minimum). Heparinized plasma also acceptable. Separate from cells as soon as possible. Avoid hemolysis. Send refrigerated.
Stability: RMT - 8 hrs            REFT - 3 days
              Frozen - 30 days
BLOD0315  Thyroid Peroxidase Antibodies (Anti-TPO)
by Two-Step Immunoassay
86376 1.0 mL serum (0.5 mL minimum). EDTA and heparinized plasma also acceptable. Separate from cells as soon as possible. If not received into the testing laboratory within 3 days, the sample needs to be sent frozen. If frozen, this test requires its own frozen aliquot. Stability: RMT - 8 hours            REFT - 3 days            
              Frozen - 30 days
BLOD0597  Thyroid Stimulating Hormone (TSH)
by Chemiluminescence

*Low end sensitivity = 0.01 uIU/mL

by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City

*Low end sensitivity = 0.02 uIU/mL
84443 1.0 mL serum (0.5 mL minimum). Avoid hemolysis. Heparinized plasma also acceptable.
Stability: RMT - 8 hours            REFT - 7 days
              Frozen >7 days
BLOD0214  Thyroid Stimulating Immunoglobulin (TSI)
by Recombinant Bioassay
84445 0.5 mL serum (0.1 mL minimum). Send frozen.
Stability: RMT - 24 hours            REFT - 7 days
              Frozen - 60 days
BLOD0106  Thyrotropin Receptor Antibody (TRAb) (TSH Receptor Antibody)
by Electrochemiluminescence Immunoassay

*This test is used to evaluated patients suspected of Graves Disease.
83520 1.0 mL serum (0.5 mL minimum). Note: This test should not be performed on patients who have recently received radioisotopes therapeutically or diagnostically. Send refrigerated. If frozen, this test requires its own frozen aliquot. Avoid freeze/thaw cycles if frozen.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
BLOD0595  Thyroxine (T4 Total)
by Chemiluminescence
84436 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.
Stability: RMT - 8 hrs            REFT - 6 days            
              Frozen >6 days
BLOD0213  Thyroxine Binding Globulin (TBG)
by Solid Phase Chemiluminescent Assay
84442 0.5 mL serum (0.4 mL minimum). Avoid gross hemolysis. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
BLOD0052  Tiagabine (Gabitril)
by LC/MS/MS
80199 3.0 mL serum or heparinized plasma (0.7 mL minimum). No gel barrier or SST tubes. Trough levels most reproducible.
Stability: RMT - 3 days            REFT - 14 days
BLOD0989  Tissue Transglutaminase IgA Antibody
by Chemiluminescent Immunoassay
82397
1.0 mL frozen serum (0.5 mL minimum). Avoid hemolysis. Freeze. This test requires its own frozen aliquot.
Stability: REFT - 2 days            Frozen - 30 days
BLOD1258  Tissue Transglutaminase IgG and IgA Antibodies
by Chemiluminescent Immunoassay
82397(2) 1.0 mL frozen serum (0.5 mL minimum). Avoid hemolysis. This test requires its own frozen aliquot.
Stability: REFT - 2 days            Frozen - 30 days
BLOD1107  Tissue Transglutaminase IgG Antibody
by Chemiluminescent Immunoassay
82397 1.0 mL frozen serum (0.5 mL minimum). Freeze. This test requires its own frozen aliquot.            
Stability: REFT - 2 days            Frozen - 30 days
BLOD0543  Tobramycin (Nebcin) Peak
by Enzymatic
80200 1.0 mL serum (0.5 mL minimum). Heparinized and EDTA plasma also acceptable. No gel barrier or SST tubes. Preferred collection time is 30 minutes after 30 minute infusion is complete. Refrigerate immediately.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
BLOD0542  Tobramycin (Nebcin) Trough
by Enzymatic
80200 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Heparinized and EDTA plasma also acceptable. Refrigerate immediately.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
  Tocopherol Refer to "Vitamin E".
BLOD0386  Tofranil (Imipramine)
by LC-MS/MS

*Includes Desipramine and Total
80335 AMA
G6036 Medicare
1.0 mL serum from a red top clot tube (0.25 mL minimum). Spin down and separate serum from cells within 2 hours of drawing. Do not draw in gel barrier or serum SST tubes. Draw specimen immediately before next scheduled dose (or at a minimum 12 hours after last dose.) Send refrigerated.
Stability: RMT - 7 days            REFT - 28 days
              Frozen - 28 days
  Topamax (Topiramate) Refer to "Topiramate".
BLOD0033  Topiramate (Topamax)
by Liquid Chromatograph-Tandem Mass Spectrometry (LC-MS/MS)
80201 1.0 mL (0.4 mL minimum) serum.No gel barrier or SST tubes. Send refrigerated. Note: Therapeutic ranges are based on specimens drawn at trough (i.e., immediately before next dose.)
Stability: RMT - 28 days
               REFT - 28 days            Frozen - 28 days
BLOD0882  Toxoplasma gondii IgG and IgM Antibodies
IgM: by Enzyme Immunoassay (EIA)
IgG: by Multiplex Flow Immunoassay (MIF)
86777
86778
1.5 mL serum (1.2 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 14 days            
              Frozen - 14 days
BLOD0136  Toxoplasma gondii IgG Antibodies
by Multiplex Flow Immunoassay
86777 1.0 mL serum (0.5 mL minimum). Do Not send at room temperature. Refrigeration preferred.
Stability: RMT - Unacceptable
              REFT - 14 days            Frozen -14 days
BLOD0137  Toxoplasma gondii IgM Antibodies
by Enzyme Immunoassay
86778 1.0 mL serum (0.8 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 30 days            
              Frozen - 30 days
BLOD1423  Toxoplasma gondii, Molecular (Blood)
by PCR
87798 1.0 mL EDTA whole blood (0.5 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 7 days
NBLD0506  Toxoplasma gondii, Molecular (Other)
by PCR
87798 0.5 mL Amniotic Fluid or CSF (0.3 mL minimum). Do not centrifuge; Or Fresh tissue sent in sterile container with 1 to 2 mL of sterile saline or multi-microbe medium (send entire collection); Or 0.3 mL ocular fluid. Do not centrifuge. Send all specimens refrigerated. List specimen type on the container and requisition.
Stability: RMT - Unacceptable
              REFT - 7 days
              Frozen - 7 days
  TPMT Enzyme Refer to "Thiopurine Methyltransferase (TMPT) Enzyme".
  TPO (Thyroid Peroxidase) Antibodies Refer to "Thyroid Peroxidase Antibodies".
  Transcobalamin Refer to "Vitamin B12 Binding Capacity Unsaturated".
BLOD0619  Transferrin
by Turbidimetric
84466 1.0 mL serum (0.5 mL minimum). AVOID gross hemolysis and lipemia.
Stability: RMT - 1 day            REFT - 3 days
              Frozen - Indefinitely
BLOD0018  Tranxene (Clorazepate)
by HPLC

*Tranxene is assay as its primary metabolite Nordiazepam.
**Separate determinations are performed.
80346 AMA
G0480 Medicare
0.5 mL serum. No gel barrier or SST tubes. Send refrigerated.
Stability: RMT - 14 days            
              REFT - 14 days            
              Frozen - 14 days
  Tree Allergens Refer to "Allergen Tree" and then the specific tree name.
BLOD1495  Tree Allergy Panel
by Fluorallergrosorbent
-Ash (White)
-Boxelder/Maple
-Cottonwood
-Cypress
-Willow
86003(5) 2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 30 days
  Tree Allergy Screen Refer to "Allergy - Screen Tree".
BLOD0495  Treponema pallidum Antibodies (FTA)
by Chemiluminescence Immunoassay (CLIA)

*This test is a confirmatory procedure following a reactive non-treponemal assay, or as a screening procedure.
86780 1.0 mL serum (0.3 mL minimum). Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 30 days
BLOD0574  Triglyceride
by Enzymatic
84478 2.0 mL serum (0.6 mL minimum). Heparinized plasma also acceptable. Patient needs 12-hour overnight fast. Refrigerate.
Stability: RMT - 3 days            REFT - 7 days
              Frozen - 6 months
  Triiodothyronine (T3) Free Refer to "T3 Free".
  Triiodothyronine (T3) Reverse Refer to "T3 Reverse".
  Triiodothyronine (T3) Total Refer to "T3 Total".
BLOD0053  Trileptal (Oxcarbazepine, 10-Hydroxycarbazepine)
by High-turbulence LC/MS/MS
80183 1.0 mL serum (0.5 mL minimum). Serum gel tubes also acceptable. Spin down within 2 hours of draw. Plasma is Not acceptable. Trough levels are most reproducible. Draw immediately before the next scheduled dose. Trileptal is an Antiepileptic (anticonvulsant).
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0610  Troponin I - Rapid City
by Fluorescence Immunoassay
84484 2.0 mL EDTA plasma Only (0.5 mL minimum). Note: Do Not interchange specimen types (serum or plasma) on the same patient when monitoring at intervals. If testing cannot be completed within 4 hours, separate plasma and store at -20C until tested. If frozen, This test requires its own frozen aliquot.
Stability: RMT & REFT - 4 hours
               Frozen - 7 days
BLOD0610  Troponin I - Sioux Falls
by Chemiluminescence
84484 2.0 mL frozen heparinized plasma preferred (0.7 mL minimum). Serum is acceptable. Note: Do Not interchange serum or plasma specimen type on the same patient when monitoring at intervals. Freeze. This test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 72 hrs            
              Frozen - 30 days
BLOD0189  Tryptase Total
by Fluorescence Enzyme Immunoassay

*This test measures both the alpha and beta forms of tryptase which is reported as a total tryptase.
83520 0.5 mL frozen serum (0.2 minimum). Send frozen. Note: It is suggested that the serum sample be collected between 15 minutes and 3 hours after the suspected event causing mast cell activation. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 14 days
              Frozen - 14 days
BLOD0597  TSH (Thyroid Stimulating Hormone)
by Chemiluminescence

*Low end sensitivity = 0.01 uIU/mL

by Electrochemiluminescence Immunoassay (ECLIA) - Rapid City

*Low end sensitivity = 0.02 uIU/mL
84443 1.0 mL serum (0.5 mL minimum). Avoid hemolysis. Heparinized plasma also acceptable.
Stability: RMT - 8 hours            REFT - 7 days
              Frozen >7 days
  TSH Receptor Antibody Refer to "Thyrotropin Receptor Antibody".
BLOD0214  TSI (Thyroid Stimulating Immunoglobulin)
by Recombinant Bioassay
84445 0.5 mL serum (0.1 mL minimum). Send frozen.
Stability: RMT - 24 hrs            REFT - 7 days
              Frozen - 60 days
BLOD0131  Tularemia Antibody (Francisella tularensis)
by Direct Agglutination

*Francisella tularensis, a small gram negative coccobacillus, is the causative agent of tularemia.
86668 1.0 mL serum only (0.5 mL minimum). Send refrigerated.
Stability: RMT - 5 days            REFT - 14 days
              Frozen - 12 months
BLOD0548  Tylenol (Acetaminophen)
by Colorimetric
80302 AMA
G6039 Medicare
1.0 mL serum (0.5 mL minimum). Lithium heparin and EDTA plasma also acceptable. For trough, collect just before next dose. For overdose, obtain level 4 hours post-ingestion (or as soon as possible after 4 hours).
Stability: RMT - 14 days            REFT - 14 days
              Frozen - Unacceptable
  Upper Respiratory Disease Panel Refer to "Respiratory Disease Allergy Panel"
BLOD0001  Urea Nitrogen (BUN) Serum
by Urease
84520 1.0 mL serum (0.5 mL minimum). Heparinized and EDTA plasma also acceptable. Do Not use ammonium heparin.
Stability: RMT - 24 hours            REFT - 5 days

Rapid City Requirements:
1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable.            
Stability: RMT - 24 hours            REFT - 7 days
NBLD0184  Urea Nitrogen 24-Hour Urine Quantitative
by Urease
84540 10 mL aliquot of a well-mixed and measured 24-hour urine. Refrigerate during and after collection. Record total volume on test request form and urine vial.
Stability: RMT - 24 hours            REFT - 14 days
              Frozen >14 days
NBLD0259  Uric Acid 24-Hour Urine
by Uricase-Spectrophometry
84560 10 mL aliquot of a well-mixed and measured 24-hour urine. Specify total volume on test request form and urine vial. Refrigerate during collection and transport.
Stability: RMT & Frozen - Unacceptable
              REFT - 7 days
BLOD0576  Uric Acid Serum
by Uricase-Spectrophometry
84550 1.0 mL serum (0.5 mL minimum). Heparinized plasma also acceptable. Note: Indicate with order if patient has received Rasburicase within the last 5 days, collect and process as follows: Collect in chilled heparinized tube only, place on wet ice, and transport to the laboratory to be tested within 4 hours of draw.            
Serum Stability:
              RMT - 72 hours            REFT - 5 days
              Frozen - 6 months
NBLD0001  Urinalysis Complete
by Dipstick, Microscopy

Note: Urinalysis testing for reducing substances on Macroscopic / Dipstick is no longer performed on patients less than 2 years of age, since advanced testing performed in the Newborn Metabolic Screen identifies many disease states at early age.


Macroscopic and Microscopic performed
-Color
-Clarity
-pH
-Specific Gravity
-Protein
-Glucose
-Ketone
-Bilirubin
-Occult Blood
-Nitrite
-Leukocyte Esterase
-Urobilinogen
*Microscopic Exam
81001 10 mL random urine from a first morning clean-catch void (3.0 mL minimum). Avoid bloody specimens if possible. Indicate type of collection under the comment section on your requisition effective July 21, 2015.
              
For routine urine collections, indicate one of the following methods:
  • Cath-Indwelling
  • Cath-Suprapublic Indwelling
  • Clean Catch
  • Other (specify)
    • Nephrostomy Indwelling
    • Bagged (infants)
For invasive collections, select from the following methods:
  • Cath-straight
  • Cath-Suprapubic Straight
  • Other (specify)
    • Bladder Tap
    • Cystoscopy
    • Nephrostomy Surgical
    • Surgically collected
Stability: Refrigerate only - 48 hours
NBLD0194  Urinalysis Complete Reflex to Culture
by Dipstick, Microscopy, and Culture if Indicated

Note: Urinalysis testing for reducing substances on Macroscopic / Dipstick is no longer performed on patients less than 2 years of age, since advanced testing performed in the Newborn Metabolic Screen identifies many disease states at early age.

Macroscopic and Microscopic performed.

*Reflex culture will be performed when indicated at an additional fee.
**Identification, typing, and/or sensitivity testing will be performed if indicated at an additional fee (per organism).

Reflex Criteria:
When this test is ordered, a Urinalysis macroscopic and microscopic is always performed. A culture will only be performed if any of the following criteria are met:
-Positive nitrites 791.9
-Positive leukocyte esterase 791.9
->5 WBCs per HPF 791.9
81001

Culture
Reflex
87086
10 mL midstream urine from a first morning clean-catch void (3.0 mL minimum). Avoid bloody specimens if possible. Indicate type of collection under the comment section on your requisition effective July 21, 2015.

For routine urine collections, indicate one of the following methods:
  • Cath-Indwelling
  • Cath-Suprapublic Indwelling
  • Clean Catch
  • Other (specify)
    • Nephrostomy Indwelling
    • Bagged (infants)
For invasive collections, select from the following methods:
  • Cath-straight
  • Cath-Suprapubic Straight
  • Other (specify)
    • Bladder Tap
    • Cystoscopy
    • Nephrostomy Surgical
    • Surgically collected
Stability: Refrigerate only - 48 hours
NBLD0195  Urinalysis Macroscopic / Dipstick Only
by Dipstick

Note: Urinalysis testing for reducing substances on Macroscopic / Dipstick is no longer performed on patients less than 2 years of age, since advanced testing performed in the Newborn Metabolic Screen identifies many disease states at early age.

-Color
-Clarity
-pH
-Specific Gravity
-Protein
-Glucose
-Ketone
-Bilirubin
-Occult Blood
-Nitrite
-Leukocyte Esterase
-Urobilinogen
81003 10 mL random urine from a first morning clean-catch void (3.0 mL minimum). Avoid bloody specimen if possible. Indicate type of collection under the comment section on your requisition effective July 21, 2015.

For routine urine collections, indicate one of the following methods:
  • Cath-Indwelling
  • Cath-Suprapublic Indwelling
  • Clean Catch
  • Other (specify)
    • Nephrostomy Indwelling
    • Bagged (infants)
For invasive collections, select from the following methods:
  • Cath-straight
  • Cath-Suprapubic Straight
  • Other (specify)
    • Bladder Tap
    • Cystoscopy
    • Nephrostomy Surgical
    • Surgically collected
Stability: Refrigerate only - 48 hours
NBLD0196  Urinalysis Macroscopic Reflex to Microscopic Exam
by Dipstick, Automated

Note: Urinalysis testing for reducing substances on Macroscopic / Dipstick is no longer performed on patients less than 2 years of age, since advanced testing performed in the Newborn Metabolic Screen identifies many disease states at early age.

*If indicated by dipstick, a Microscopic will be performed.

Reflex Criteria:
When this test is ordered, a Urinalysis macroscopic is always performed. A microscopic will only be performed if any of the following criteria are met:
-Positive nitrites 791.9
-Positive leukocyte esterase 791.9
-Blood greater than or = trace 791.2
-Protein greater than or = trace 791.0
-Color - orange, bright orange 791.9
-Clarity - any other than clear 791.9
Macroscopic
81003

Reflex
Complete
81001
10 mL random urine from a first morning clean-catch void (3.0 mL minimum). Avoid bloody specimens if possible. Indicate type of collection under the comment section on your requisition effective July 21, 2015.

For routine urine collections, indicate one of the following methods:
  • Cath-Indwelling
  • Cath-Suprapublic Indwelling
  • Clean Catch
  • Other (specify)
    • Nephrostomy Indwelling
    • Bagged (infants)
For invasive collections, select from the following methods:
  • Cath-straight
  • Cath-Suprapubic Straight
  • Other (specify)
    • Bladder Tap
    • Cystoscopy
    • Nephrostomy Surgical
    • Surgically collected
Stability: Refrigerate only - 48 hours
NBLD0198  Urinalysis Microscopic Exam Only
by Microscopy
81015 10 mL random urine from a first morning clean-catch void (3.0 mL minimum). Avoid bloody specimen if possible. Indicate type of collection under the comment section on your requisition effective July 21, 2015.

For routine urine collections, indicate one of the following methods:
  • Cath-Indwelling
  • Cath-Suprapublic Indwelling
  • Clean Catch
  • Other (specify)
    • Nephrostomy Indwelling
    • Bagged (infants)
For invasive collections, select from the following methods:
  • Cath-straight
  • Cath-Suprapubic Straight
  • Other (specify)
    • Bladder Tap
    • Cystoscopy
    • Nephrostomy Surgical
    • Surgically collected
Stability: Refrigerate only - 48 hours            
  Urine Culture Refer to "CULT" and select culture type (e.g., Acid Fast, Bacterial, Fungal, Viral, Other).
  Urine Pregnancy Screen Refer to "Pregnancy Screen Urine".
  Uroporphyrin Refer to "Porphyrins".
NBLD0297  Urovysion Bladder Cancer FISH
by Fluorescence In Situ Hybridization (FISH)

*FISH analysis of urothelial cells from urine samples may be used to monitor patients with a history of urothelial carcinomas for disease recurrence.
88120 See patient instructions for collecting a urine specimen using the required kit. Kits with handling instructions can be ordered from our Supplies Department. Send refrigerated. Room temperature acceptable. Do NOT send frozen.
NBLD0373  Vaginitis Probe
by Automated DNA Probe Sandwich Assay

-Gardnerella
-Trichomonas
-Yeast


87510
87660
87480
Vaginal fluid swab placed in Affirm VPIII Ambient Transport System available from our Supplies Department. Room temperature only.
Stability: RMT - 72 hours
BLOD0068  Valproic Acid (Depakene) Free
by Ultrafiltration followed by Immunoassay
80165 2.0 mL serum (1.0 mL minimum). Specimen should be processed within 2 hours of collection. Send refrigerated.            
Stability: RMT - 72 hours            REFT - 14 days
              Frozen - 28 days
BLOD0533  Valproic Acid (Depakene) Total
by Enzymatic
by Enzymatic Immunoassay - Rapid City
80164 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. Heparinized plasma also acceptable. Preferred collection time is 30 minutes prior to next scheduled dose.
Stability: RMT - 24 hours            REFT - 14 days
              Frozen - 14 days

Bemidji Requirements:
1.0 mL heparinized plasma (0.5 mL minimum). Serum is also acceptable. Send refrigerated.
Stability: RMT - NA            REFT - 7 days
              Frozen - 3 months
BLOD0344  Valproic Acid (Depakene) Total and Free
by Immunoassay (Total), Ultrafiltration followed by Immunoassay (Free)
80164 Total
80165 Free
2.0 mL serum (1.0 mL minimum). Both red top tubes and gel barrier serum tubes are acceptable. Tubes should be spun down and aliquoted within 2 hours of collection. Send refrigerated.
Stability: RMT - 72 hrs            REFT - 14 days
              Frozen - 28 days
BLOD0545  Vancomycin (Vancocin) Peak
by Enzymatic
by Enzymatic Immunoassay - Rapid City
80202 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA plasma is acceptable. Specimen must be spun and separated from cells within 4 hours of collection. Draw 60 minutes following completion of infusion. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - NA            
              REFT - 3 days                        
              Frozen - 14 days
BLOD0547  Vancomycin (Vancocin) Random
by Enzymatic
by Enzymatic Immunoassay - Rapid City
80202 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA plasma is acceptable. Specimen must be spun and separated from cells within 4 hours of collection. Draw 60 minutes following completion of infusion. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - NA            REFT - 3 days
              Frozen - 14 days
BLOD0546  Vancomycin (Vancocin) Trough
by Enzymatic
by Enzymatic Immunoassay - Rapid City
80202 1.0 mL serum (0.5 mL minimum). No gel barrier or SST tubes. EDTA plasma is acceptable. Specimen must be spun and separated from cells within 4 hours of collection. Preferred collection time is 30 minutes prior to the next scheduled dose. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - NA            
              REFT - 3 days                        
              Frozen - 14 days
  Vancomycin Resistant Enterococcus Culture (VRE) Refer to "CULT Bacterial Culture Screen for Selected Organism". Specify VRE.
NBLD0083  Vanillylmandelic Acid (VMA) 24-Hour Urine
by LC-MS/MS
84585 10 mL of a well-mixed and measured 24-hour urine (5.0 mL minimum). Collect with 25 mL of 50% acetic acid or 6 N HCl to maintain a pH between 1-5. (Use 15 mL of 50% acetic acid for children <5 years old.) Preservative may be added after collection. Keep refrigerated during collection. Record 24 hour total volume on the requisition And urine container. If preservative is not available, send 10 mL (5 mL minimum) without preservative Frozen.            24 hour collection English and Spanish instructions available. Note: Administration of L-dopa may falsely increase vanillymandelic acid results. It should be discontinued 24 hours prior to and during collection of specimen.
Stability: With Preservative:
              REFT - 7 days            Frozen - 7 days
              Without Preservative:
              Frozen Only - 7 days
NBLD0360  Varicella zoster Virus (VZV) and Herpes simplex Virus (HSV)
by PCR

*Only one specimen will be necessary for the detection of either virus.
87798
87529(2)
Swabs from dermal or genital sites placed in 1.0 mL of Universal Transport Media (UTM). Use only swabs with a synthetic tip (e.g. Dacron, rayon, or nylon) and an aluminum or plastic shaft. Do not use calcium alginate swabs, as they may contain substances that interfere with PCR testing. 1.0 mL cerebrospinal fluid (CSF) in a sterile screw-capped vial (0.6 mL minimum). CSF should be sent in straight. Do not put CSF in universal transport media. Send refrigerated. Indicate Source.
Stability: REFT - 7 days
NBLD0361  Varicella zoster Virus (VZV) Nucleic Acid Detection
by PCR

*This viral infection causes chickenpox and shingles.
87798 Swabs from dermal and genital specimens must be placed in 1.0 mL universal transport media (UTM). Use only swabs with a synthetic tip (e.g. Dacron, rayon, or nylon) and an aluminum or plastic shaft. Do not use calcium alginate swabs, as they may contain substances that inhibit PCR Testing. Submit 1.0 mL CSF (0.6 mL minimum) in a sterile container. Do not place in universal transport media (UTM). Send refrigerated.
Stability: REFT - 7 days
BLOD0682  Varicella zoster Virus (VZV) Screen
by Chemiluminescent Immunoassay

*Detects IgG only; Indicates Immune Status.
86787 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. If frozen, this test requires its own frozen aliquot.
Stability: REFT - 2 day            Freeze >2 days
BLOD0450  Varicella zoster Virus IgG and IgM Antibodies Qualitative Serum
by Multiplex Flow Immunoassay, IFA


*Differentiates IgG and IgM. Each is reported as positive or negative. A negative IgG result indicates non-immunity.

86787(2) 1.0 mL serum (0.6 mL minimum).
Stability: REFT - 14 days            Frozen -14 days
BLOD0216  Vasoactive Intestinal Polypeptide (VIP)
by RIA
84586 1.0 mL frozen EDTA plasma (0.6 minimum). Patient must be fasting 8 hours. Avoid gross hemolysis. Send frozen. This test requires its own frozen aliquot.
Stability: RMT & REFT - Unacceptable
              Frozen Only - 90 days
  Vasopressin (Arginine Vasopressin) Refer to "Anti-Diuretic Hormone".
NBLD0202  VDRL CSF
by Flocculation/Agglutination

*Positive results will be titered.
86592 0.7 mL CSF (0.5 mL minimum). Send in plastic vial.            
Stability: RMT - Unacceptable
              REFT - 14 days            
              Frozen preferred - 14 days            
  Vicodin (Hydrocodone) Refer to "Drugs of Abuse".
BLOD1191  Vimpat (Lacosamide)
by LC/MS/MS
80299 1.0 mL serum (0.2 mL minimum). Draw specimen immediately before next scheduled dose or at least 12 hours after last dose. Send refrigerated
Stability: RMT - 28 days            
              REFT - 28 days
              Frozen - 28 days
  VIP Refer to "Vasoactive Intestinal Polypeptide".
  Viral Culture (Viral Isolation) Refer to "CULT Viral Culture".
  Viral Culture with Reflex to Herpes Typing if Positive Refer to "CULT Herpes Culture Reflex to Typing".
BLOD0980  Vitamin A (Retinol)
by LC-MS/MS
84590 0.5 mL serum (0.25 mL minimum). Fasting is preferred. Infants: Draw prior to next feeding. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0477  Vitamin B1 (Thiamine)
by Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
84425 4.0 mL EDTA whole blood (0.5 mL minimum). Overnight fast is required. Send frozen and protected from light.
Stability: RMT - Unacceptable
              REFT - Unacceptable
              Frozen - 14 days
Caution: Vitamin supplementation and nonfasting specimens may result in elevated vitamin concentration.
BLOD0604  Vitamin B12 (Cyanocobalamin)
by Chemiluminescence
by Electrochemiluminescence Immunoassay (ECLIA)- Rapid City
82607 1.0 mL frozen serum (0.5 mL minimum). Heparinized plasma also acceptable. Avoid hemolysis. This test requires its own frozen aliquot.
Stability: RMT - 3 days            
              REFT - 7 days            
              Frozen >7 days
BLOD0168  Vitamin B12 Unsaturated Binding Capacity (Transcobalamin)
by Radiobinding Assay
82608 1.0 mL frozen serum only (0.5 mL minimum). Freeze. This test requires its own frozen aliquot.
Stability: RMT - 4 days            REFT - 4 days
              Frozen - 30 days
BLOD0218  Vitamin B3 (Niacin or Nicotinic Acid)
by LC/MS/MS
84591 2.0 mL frozen serum (1.0 mL minimum). No gel barrier or SST tubes. EDTA plasma also acceptable.
Stability: Frozen only
BLOD0204  Vitamin B6 (Pyridoxine)
by LC-MS/MS
84207 1.0 mL heparinized plasma (0.5 mL minimum). Specimen should be centrifuged at 4°C. Specimen must be protected from light. Overnight (12-14 hours) fasting required. Draw infants prior to next feeding. Note: Patient must be restricted from alcohol and vitamins for at least 24 hours before blood is drawn. Send refrigerated.
Stability: RMT - Unacceptable
              REFT - 7 days            Frozen - 14 days
BLOD0091  Vitamin C (Ascorbic Acid) Plasma
by Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
82180 1.0 mL heparinized plasma (0.5 mL minimum). No gel barrier or SST tubes. Place tube on wet ice and process within 4 hours of collection by centrifuging at 4 degrees C. Overnight fast is required. Send frozen and protected from light. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - Unacceptable
              Frozen - 14 days
Caution: Vitamin supplementation and nonfasting specimens may result in elevated vitamin concentration.
BLOD0171  Vitamin D 1,25 dihydroxy Serum
by Liquid Chromatography/Tandem Mass Spectrometry

*Note: Reports only Total of 1,25 Dihydroxyvitamin D; measures the bio-active form of Vitamin D.
**This test is also used in the differential diagnosis of hypocalcemia and to monitor patients with renal osteodystrophy or chronic renal failure.
82652 1.5 mL serum (0.7 mL minimum). Patient should be fasting (4 hour fast preferred but not required.) Send refrigerated.            
Stability: RMT - 7 days            REFT - 7 days
              Frozen - 28 days
BLOD0409  Vitamin D 25-hydroxy Total
by Chemilluminescence
82306
0.5 mL serum (0.5 mL minimum). Heparinized plasma is acceptable. Send refrigerated. Avoid hemolyzed, lipemic, and icteric specimens.            
Stability: RMT - 72 hours            
              REFT - 12 days            
              Frozen - 3 months
BLOD1009  Vitamin E (Tocopherol)
by LC-MS/MS

*Reported as Alpha-tocopherol
84446
0.5 mL serum (0.25 mL minimum).            Fasting is preferred. Infants: Draw prior to next feeding. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0219  Vitamin K Plasma (Vitamin K1)
by LC-MS/MS
84597 2.0 mL serum (0.8 mL minimum). Patient must be fasting (12-24 hours; for infants, draw prior to next feeding). Avoid gross lipemia. Send refrigerated.
Stability: RMT - 30 days            REFT - 30 days
              Frozen - 30 days
NBLD0083  VMA (Vanillylmandelic Acid) 24-Hour Urine
by LC-MS/MS
84585 10 mL of a well-mixed and measured 24-hour urine (5.0 mL minimum). Collect with 25 mL of 50% acetic acid or 6 N HCl to maintain a pH between 1-5. (Use 15 mL of 50% acetic acid for children <5 years old.) Preservative may be added after collection. Keep refrigerated during collection. Record 24 hour total volume on the requisition and urine container. If preservative is not available, send 10 mL (5 mL minimum) without preservative frozen. 24 hour collection English and Spanish instructions available. Note: Administration of L-dopa may falsely increase vanillymandelic acid results. It should be discontinued 24 hours prior to and during collection of specimen.
Stability: With Preservative:
              REFT - 7 days            Frozen - 7 days
              Without Preservative:
              Frozen Only - 7 days
BLOD0113  von Willebrand Factor Antigen
by Immunoturbidometric Assay
85246 1.0 mL frozen blue top tube sodium citrated platelet-poor plasma. Double spin citrated plasma. Refer to "General Information" section for collection of Coagulation tests and preparation of platelet-poor plasma. Send frozen. This test requires its own frozen aliquot.
Stability: RMT - Unacceptable
              REFT - 8 hrs
              Frozen only - 4 weeks
BLOD0371  von Willebrand Workup
*Includes:
- Von Willebrand Factor Activity
- Von Willebrand Factor Antigen
- Factor VIII (8) Assay
- Interpretation
85240
85246
85397
3.0 mL frozen blue top tube citrated platelet-poor plasma into 3 separate plastic vials with 1 mL of plasma in each vial. (Pediatric minimum 2.0 mL of citrated platelet-poor plams separated into 2 separate vials with 1 mL of plasma in each aliquot.) Spin down and remove plasma; spin again. Double centrifugation is critical for accurate results. Separate and freeze plasma immediately. This test requires 3 frozen aliquots. Refer to the "General Information" Section for collection of Coagulation tests.
Stability: Frozen only - 4 weeks
BLOD1369  Voriconazole Level
by LC-MS/MS

*Voriconazole is an antifungal agent.
80299 2 mL serum from a red top tube (0.6 mL minimum). No gel barrier or SST tubes. Trough level monitoring is recommended. Draw immediately before the next dose. Spin down with 2 hours of the draw. Send refrigerated.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD0636  WBC (White Blood Count)
by Automated Cell Counter
85048 5.0 mL EDTA whole blood (1.0 mL minimum/0.7 mL minimum for pediatrics). Send Refrigerated.
Stability: RMT - 8 hours            REFT - 3 days
              Frozen - Unacceptable
  Weed Allergens Refer to "Allergen Weed" and then by the specific weed name.
BLOD1494  Weed Allergy Panel + Total IgE
by Fluorallergrosorbent
-English Plantain
-Mugwort
-Pigweed
-Ragweed
-Russian Thistle
-Sheep Sorrel Red
-Total IgE
86003(6)
82785
2.0 mL serum (1.0 mL minimum). Send refrigerated.
Stability: RMT - NA            REFT - 7 days            
               Frozen - 30 days
              
  Weed Allergy Screen Refer to "Allergy - Screen Weed".
NBLD0133  West Nile Virus Antibody IgG and IgM CSF
by Enzyme-Linked Immunosorbent Assay (ELISA)
86789
86788
1.0 mL CSF (0.8 mL minimum) in a sterile screw-capped tube. Send refrigerated.
Stability: REFT -14 days            Frozen - 14 days
BLOD0771  West Nile Virus Serum IgG
by EIA

*Samples are best collected 10 days after onset of symptoms. Antibodies may not show up earlier than that and could result in a false negative.
86789 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. Refrigerate. If frozen, this test requires its own frozen aliquot.
Stability: RMT - 8 hrs            REFT - 48 hrs
              Frozen - 7 days
BLOD0808  West Nile Virus Serum IgG and IgM
by EIA

*Samples are best collected 10 days after onset of symptoms. Antibodies may not show up earlier than that and could result in a false negative.
86789
86788
2.0 mL serum (1.0 mL minimum). Avoid hemolysis and lipemia. If frozen, this test requires its own frozen aliquot.
Stability: REFT - 48 hrs            Frozen - 7 days
BLOD0772  West Nile Virus Serum IgM
by EIA

*Samples are best collected 10 days after onset of symptoms. Antibodies may not show up earlier than that and could result in a false negative.
86788 1.0 mL serum (0.5 mL minimum). Avoid hemolysis and lipemia. If frozen, this test requires its own frozen aliquot.
Stability: REFT - 48 hrs            Frozen - 7 days
BLOD1073  Western Allergy Panel
by Fluoroallergrosorbent

-Alternaria alternata
-Aspergillus fumigatus
-Boxelder Maple Tree
-Cat Dander
-Cladosporium herbarum
-Common Ragweed
-Cottonwood
-Dermatophagoides farinae
-Dog Dander
-Firebush/Kochia
-Kentucky Blue Grass June
-Mountain Juniper (Cedar)
-Mugwort
-Penicillium notatum
86003(14) 3.0 mL serum (1.5 mL minimum). Send refrigerated.
Stability: REFT - 7 days            Frozen >7 days
  Western Region Repiratory Disease Allergy Panel + Total IgE Refer to "Respiratory Disease Western Allergy Panel".
NBLD0305  Wet Prep
*Includes Yeast, Trichomonas, and Clue Cells
87210 Collect on culturette and crush ampule. Do Not use gel swabs. Note: Specimen must be received for testing within 24 hours. Trichomonas will be evaluated only if the specimen is less than 1 hour old.
  Wound Culture Aerobic Refer to "CULT Bacterial Culture Other".
  Wound Culture Anaerobic Refer to "CULT Bacterial Culture Anaerobic". Indicate source.
  Yersinia Stool Refer to "CULT Bacterial Culture Stool Selected Organism". Specify Yersinia.
BLOD0025  Zarontin (Ethosuximide)
by Enzyme Multiplied Immunoassay Technique (EMIT)
80168 1.0 mL serum (0.5 mL minimum). Serum is acceptable from both gel tubes and red top tubes. Specimen should be centrifuged and aliquoted within 2 hours of collection. Trough levels are most reproducible. Preferred collection time is immediately before next scheduled dose. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
NBLD0085  Zinc 24-Hour Urine
by Dynamic Reaction Cell-Inductively Coupled Plasma-Mass Spectrometry (DRC-ICP-MS)
84630 10 mL (0.4 mL minimum) aliquot from a 24 hour urine collection. Collect in a Metal Free Plastic container, keeping refrigerated during collection. Transfer aliquot into a metal free container and send refrigerated. Both containers are available from our Supplies Department. Record the total volume on both the container and the request form.
Stability: RMT - 28 days            REFT - 28 days
              Frozen - 28 days
BLOD1090  Zinc Protoporphyrins (ZPP)
by Hematofluorometry
84202 1.0 mL EDTA whole blood collected in a dark blue-top trace metal free tube (0.1 mL). Avoid hemolysis and lipemia. Dark blue-top tubes are available from our Supplies Department. Send refrigerated.
Stability: RMT & Frozen - Unacceptable
              REFT Only - 14 days
BLOD0220  Zinc Serum
by Dynamic Reaction Cell-Inductively Coupled Plasma-Mass Spectrometry (DRC-ICP-MS)
84630 Preferred specimen is 1.0 mL serum collected in a 7 mL Trace Metal Free royal blue top tube with no additive (0.5 mL minimum). Transfer serum to a trace metal free transfer vial. Avoid hemolysis. Allow specimen to clot for 30 minutes, then centrifuge to separate serum from cells. Carefully pour over to trace metal free transfer vial. Do not use pipet or ream with wooden stick. Tubes and transfer vials are available from our Supplies Department. Note: High concentrations of gadolinium, iodine, and barium are known to interfere with most metal tests. If either gandolinium, iodine, or barium-containing contrast media has been administered, a specimen should not be collected for 96 hours. Excess copper and iron in the diet (iron supplements) interfere with zinc uptake. Send refrigerated.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days
BLOD0055  Zonisamide (Zonegran)
by HPLC
80203 2.0 mL serum (0.6 mL minimum). Avoid hemolysis. No gel barrier or SST tubes. Preferred collection time is 30 minutes prior to next scheduled dose. Refrigeration preferred.
Stability: RMT - 14 days            REFT - 14 days
              Frozen - 14 days


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