Procedure manual 0806.xls

www.themedlab.com Πwww.biotechlab.com
Revised 09/01/2009
BIOTECH LABORATORY HISTORY

BIOTECH LABORATORY is a privately owned, independent clinical laboratory, serving the
medical community since 1969. We take pride in the fact that we are large enough to offer a
comprehensive package of services, yet small enough to offer flexibility in meeting the individual
needs of our clients.
We are positioned to support you in providing the best possible care to your patients. Ninety-five
percent of all testing is performed in-house utilizing state of the art technology and computerized
reporting of results. Our staff of highly dedicated technical, service and clerical personnel is
always available to you for inquires, results, interpretation and consultation.
This procedure manual has been developed to assist clients in ordering tests and in specimen
collection. If you are interested in a test that is not listed in this manual, please phone the lab to
obtain the necessary information. If you are interested in a profile which is not listed, please
notify your customer representative. We will be happy to customize a profile to your exact
specifications.
MISSION STATMENT
Biotech Labs management and staff is committed to provide testing service to patients, physicians and clients at the highest possible level of excellence. Our goal is to give prompt, accurate, and understandable results on all procedures using the best technology consistent with current industry standards. Our commitment is to deal with those who we service and our fellow employees in an ethical and moral way as we come to understand it through Judeao-Christian values. Our experience is that these practices have made us successful in plans. The emphasis of our work is to contribute to the medical team which ultimately aims to restore people to health, enhance therapeutic treatment, and alleviate suffering. The continued viability, technological updating and growth of the company requires us to operate as efficiently as possible to all maximum profitability. Biological Technology Laboratory, Inc.
CORPORATE OFFICES
MAIN TESTING LAB
PATIENT SERVICE CENTERS

ST. LOUIS, MO
SPRINGFIELD, IL
TECHNICAL OPERATIONS
MORTON, IL
COLUMBIA, IL
Gordon Moore Regional Manager, St. Louis EVANSVILLE, IN
COLLINSVILLE, IL
CLIENT SERVICE
MOUNT VERNON, IL
BENTON, IL
AccT Executive SO. & Central IL, & IN Regional Manager, Springfield & Morton BUSINESS & FINANCIAL
OPERATIONS
How to Contact BioTech Laboratory For Lab Draws
St. Louis, Missouri Clients

Monday-Friday, 5 a.m.-5 p.m.

Monday-Friday, After 5 p.m.:
Call 314-432-5030. Leave message in STAT mailbox (this will page the on-call Phlebotomist and Technologist) For general inquires you may dial ext. 220
Saturday, 6 a.m.-5 p.m.

Saturday, 5 p.m.-Monday 5 a.m.
Call 314-432-5030, PLEASE listen carefully to the answering system. Follow all instructions and completely answer all questions or your STAT blood draw or pickup may not be received or paged to the phlebotomist.
PLEASE NOTE
Any messages put in the Routine Draw mailbox will not be received until Monday morning.
Contacts:
Daytime Supervisor – Karen Lewis, ext. 232 Evening Supervisor – Kevin Wells, ext. 322
BioTech is closed for routine services on the following holidays:

New Years Day
Memorial Day
4th of July
Labor Day
Thanksgiving Day
Christmas
How to Contact BioTech Laboratory For Lab Draws
Columbia, Illinois Clients
Monday-Friday, 7:30 a.m.-4 p.m. for walk-in patients
STAT AFTER HOURS INFORMATION
Please call our Beeper Number 618-325-7144

Contacts:
How to Contact BioTech Laboratory For Lab Draws
Collinsville, Illinois Clients
Monday-Friday, 8 a.m.-3 p.m. for walk-in patients
STAT AFTER HOURS INFORMATION
Please call our Beeper Number 618-325-7144

Contacts:
How to Contact BioTech Laboratory For Lab Draws
Mt Vernon, Illinois Clients
Monday-Friday, 7 a.m.-5 p.m. for walk-in patients
Closed for lunch between 12 Noon and 1 p.m. STAT AFTER HOURS INFORMATION
Please call our Beeper Number 618-325-3021

Contacts:

How to Contact BioTech Laboratory For Lab Draws
Benton, Illinois Clients
Monday-Friday, 8 a.m.-4:30 p.m. for walk-in patients
Closed for lunch between 12:30 p.m. and 1 p.m. STAT AFTER HOURS INFORMATION
Please call our Beeper Number 800-612-8191

Contacts:
How to Contact BioTech Laboratory For Lab Draws
Springfield, Illinois Clients
Monday-Friday, 8 a.m.-4:30 p.m. for walk-in patients
During the above hours, please call 217-546-4143
STAT AFTER HOURS INFORMATION
Please contact Dannielle Blue at 1-618-610-6940 How to Contact BioTech Laboratory For Lab Draws
Peoria, Illinois Clients
Monday-Friday, 8 a.m.-3:00 p.m. for walk-in patients
During the above hours, please call 309-263-2400
STAT AFTER HOURS INFORMATION
Please contact Dannielle Blue at 1-618-610-6940 SPECIMEN COLLECTION PROCEDURES
The quality of the information derived from a laboratory test depends to a considerable extent on the quality of the specimen submitted for analysis. Correct patient preparation, specimen collection technique, and submission are essential factors in obtaining accurate test results. It is recommended that tubes are completely filled (Full Tubes). This will ensure specimen
preparation and suggest ways to avoid errors. SPECIMEN LABELING
All samples submitted for testing shall be labeled with the patients name as it appears on the requisition, and the date and time of collection. If sample was collected in a red top tube, pipette the serum into a plastic Serum is obtained from clotted blood collected in either a serum separation tube (SST) or in a red top tube (containing no anticoagulants or Prolonged contact of the serum with the clot results in alteration of many of its important chemical constituents, especially glucose, potassium, magnesium, alkaline phosphatase, lactic dehydrogenase, SGOT, SGPT, lactic acid Therefore, to ensure valid test results it is essential to separate serum from the clot as soon as clotting is complete (30 minutes, unless the patient is receiving an anticoagulant drug). Specimens should be centrifuged as soon as clotting is complete. Specimens should not be Plasma is obtained from anticoagulated blood. batched and centrifuged at the end of the day. Because this blood has not clotted, it retains its fibrinogen when separated from the cells. Tubes used to collect plasma specimens contain an anticoagulant, and frequently a preservative as well. (the additive(s) in the tube are indicated by PROCEDURE
the label on the tube.) The various tubes are not that the tube is filled to the exhaustion WHOLE BLOOD
Collect whole blood in the specified tube. In most cases, this will be one containing an anticoagulant, but a few tests require clotted Invert the tube gently five or ten times to mix the blood with the additives in the tube. Do not Refrigerate the specimen until courier pickup or mailing, unless instructed otherwise. Never freeze whole blood unless specifically instructed considerable during a 24-hour period. Most random urine reference values are in the morning. This specimen is preferred because it has a more uniform volume and concentration, Label the transfer vial “plasma.” If and its lower pH helps preserve the formed to be stored for more than one hour before courier pickup should be RANDOM URINE
PROCEDURES
1. Submit a first morning specimen when-ever possible, especially for pregnancy testing. FROZEN SERUM AND
(If a first morning specimen cannot be obtained, make sure that the specimen has a PLASMA SAMPLES
Thawed samples are not suitable for analysis. 2. Specimens should be collected by the clean-
Please follow these guidelines when submitting catch, midstream method, using a sterile container 15 ml urine required. Refrigerate immediately. Collect only when same-day
Submit a separate frozen specimen
pickup is available.
for each test you requested; do not
3. If a frozen specimen is required, freeze immediately after collection. Notify the
lab that you have a frozen sample to be
beverages should be consumed during this 4. Record the collection time on the label of the container and on the Requisition Form. The collection starts after the patient empties his bladder. This initial voiding is not URINE CULTURE
included in the timed collection. Note the PROCEDURE
time and date of voiding on the label of the 1. Clean Catch. For the female patient, clean
specimen container. Collect all urine voided during the collection period including the specimen voided at the time the collection period is complete. Incomplete specimens Wash the area with soap three times, and specimen should be collected in the clean, labeled container provided by the laboratory. Avoid any contact until the conclusion of This container may contain preservatives. Instruct the patient not to empty any powder, For the male patient, thoroughly clean the liquid or tablet from the container before glans penis with soap, and completely rinse Patient should avoid the first part of specimen The specimen should be refrigerated during into the toilet bowl. Secure the remainder of the collection period. Urine is an excellent the specimen in a sterile container. Refrigerate medium for bacterial growth and many of its immediately. Collect only when same-day
pickup is available.
temperature. Each voiding should be added In-Dwelling Catheter. Follow Facility
Procedure. Collect only when same-day
pickup is available.
collection period on the specimen container submitted to the laboratory and on the test
Specimens obtained from the collection bag are NOT suitable for analysis. Foley times Before pouring off the required aliquot, thoroughly and gently mix the contents of the 24 HOUR URINE
COLLECTION
Refrigerate the aliquot until courier pickup or proper collection and preservation of timed IMPORTANT NOTE:
urine specimens, patients should be carefully instructed in correct collection procedures. For those analyses requiring the addition of Printed instructions are available from the 6N HCL, add the acid at the start of the collection. Be sure to thoroughly mix the urine before removing the aliquot of urine. consumed during the collection period as is The most suitable specimen is an expectorant instructed by the physicians. No alcoholic obtained after a deep cough, preferable early in the morning. Collect the specimen in a sterile, leak-proof container provided by the anticoagulants and preservatives by inverting the tube gently ten times, using a slow rolling microflora indigenous to saliva or upper respiratory tract. Refrigerate until courier • Inadequate or delayed mixing of the blood • Allowing a serum specimen to remain on the CONDITIONS AFFECTING
SPECIMEN INTEGRITY
ORGANISM INTEGRITY
TURBIDITY (Lipemia)
Turbid, cloudy or milky serum (lipemic serum) is produced by the presence of fatty substances culturettes provided are stable for 70 hours (lipids) in the whole blood. A recent meal produces transient lipemia; therefore, it is preferable that a patient be in a basal state HEMOLYSIS
(fasting 12-14 hours) before specimen is drawn. surrounding red blood cells is disrupted and Moderately lipemic specimens may be accepted for some tests. However, lipemic specimens will be rejected for tests measuring blood lipids or varies in color from faint pink to bright red, triglycerides. For true determinations, a fasting specimen is essential for valid test results. laboratory may reject grossly or moderately Lipemia also distorts the results of tests for hemolyzed specimen for testing. Even slight albumin, bilirubin, platelet count, uric acid and hemolysis may alter certain test results such immunoglobulins measured by nephelometry. as potassium, lactic dehydrogenase, SGOT Bacterial contamination may also cause cloudy The following actions damage the red cell • Using a needle smaller than 22 gauge. • Using needles, syringes or tubes that are not • Incomplete venipuncture resulting in the tube • Removing the needle before the tube is completely filled, causing a rush of air into the tube. • When using a syringe, drawing the blood • Expressing blood from a syringe through the needle. Always remove the needle and let the blood run down the side of the transfer tube. • Shaking the tube containing the specimen. Foaming or bubbling of the blood can cause PEAK AND TROUGH LEVELS OF
ANTIBIOTICS

Collection times for Peak & trough for
Amikacin, Gentamicin, Tobramycin*

Trough: must be drawn within 15-30 minutes
prior to dose (includes all antibiotics)
PEAK: IM (intramuscular) 1 hour after dose
PEAK: IV (intravenous)
infusion.
Collection times for Peak & trough for
Vancomycin*

Trough: must be drawn within 15-30 minutes
prior to dose (includes all antibiotics)
PEAK: IV *intravenous)
after infusion.
(this length of time has been determined by the
manufacturer and is based on the drug’s half-life)
Peak & Trough Reference Values

Tobramycin Peak:
RECOMMENDED PROCEDURE FOR PHLEBOTOMISTS
All contaminated materials, i.e., cotton, wipes, materials, used for spill cleanup, If there is an injury, spill, splatter, etc., the area to air-dry before inserting the STATS and AFTER HOURS SERVICE AGREEMENT
A. Turn-around Time Commitment
STAT service requests shall be handled in four (4) hours or less from the time the request is received. This includes specimen
collection, testing and phoning of test results. STAT service requests shall be for true medical emergencies only. It is critical
that symptoms be provided on the requisition to show medical necessity for Medicare reimbursement and to minimize billings
to the responsible party.

B. Service to Remote Areas
True STAT services are not available for customers located greater than forty (40) miles or greater than one (1) hour drive time
of our testing lab in St. Louis. Should service be requested in addition to regular lab days, the lab will handle the request on the
next routine route to the area, and the sample will be handled promptly upon arrival at the lab.

C. Tests which are “STAT ELIGIBLE” for Testing
If a full chemistry profile is requested STAT, we will perform the chemistries listed above on a STAT basis, and the balance of the profile will be performed the next routine run of profiles.
Misc.**: Requests for “culture & sensitivity” are not considered STAT Eligible. The specimen should be collected prior to
starting antibiotic therapy, then store the sample as indicated on the requisition and notify the lab that there is pickup to be
made on the next regular working day.

D. STAT Service Fee
There is a fee of $27.00 for all STAT Service requests.
E. AFTER HOURS Service Fee
The regular working hours for our phlebotomy and courier staff are defined in this manual (refer to your Regional information
pages 3-6). We request that service be scheduled during these regular hours. ALL requests for service that must be performed
outside of those hours, and all day on Sundays and Holidays are considered STAT for billing purposes and the STAT Service
Fee of $27.00 does apply.
NOTIFICATION VALUES
BioTech Laboratory personnel will telephone these important lab values to the customer. The following lab values will be phoned if tests results exceed the high value or are less than the low value listed below.
CHEMISTRY LOW
THERAPEUTIC DRUG LEVELS
HEMATOLOGY LOW
Qualitative Critical Results
Microbiology and parasitology Positive results from Gram’s stain or culture for blood, cerebrospineal fluid, or body cavity fluid; or positive India ink preparation. Positive rapid antigen detection by agglutination tests for Cryptococcus, group B streptococci, Haemophilus influenzae b, Neisseria menigitidis, or group A-B Streptococci. Salmonella, Shigella, or Campylobacter Presence of malarial parasites Clinical microscopy and urinalysis Elvated WBC count in cerebrospinal fluid Presence of malignant cells, blasts, or microorganisms in cerebrospinal fluid or body fluids. Hematology Presence of blasts on blood smear. Presence of sickle cells (or aplastic crisis). The above list of Notification Values includes only those tests for which a physician can take action which may affect the patient’s condition. This list is consistent with Notification Values used throughout the lab industry nationwide, as determined in a national survey that was published in JAMA 263: 704-707, 2003. Patient’s Name: Medicare # (HICN):
ADVANCE BENEFICIARY NOTICE (ABN)
NOTE: You need to make a choice about receiving these laboratory tests.

We expect that Medicare will not pay for the laboratory test(s) that are described below. Medicare does
not pay for all of your health care costs. Medicare only pays for covered items and services when
Medicare rules are met. The fact that Medicare may not pay for a particular item or service does not mean
that you should not receive it. There may be a good reason your doctor recommended it. Right now, in
your case, Medicare probably will not pay for the laboratory test(s) indicated below for the
following reasons:
Medicare does not pay for
Medicare does not pay for
Medicare does not pay for
these tests as often as this
experimental for research
these tests for your condition
(denied as too frequent)
use tests
The purpose of this form is to help you make an informed choice about whether or not you want to receive
these laboratory tests, knowing that you might have to pay for them yourself.
Before you make a decision about your options, you should read this entire notice carefully.
• Ask us to explain, if you don’t understand why Medicare probably won’t pay. • Ask us how much these laboratory tests will cost you (Estimated Cost: $_______________), in case
you have to pay for them yourself or through other insurance. PLEASE CHOOSE ONE OPTION. CHECK ONE BOX. SIGN & DATE YOUR CHOICE.
† OPTION 1. YES. I want to receive these laboratory tests
I understand that Medicare will not decide whether to pay unless I receive these laboratory tests. Please
submit my claim to Medicare. I understand that you may bill me for laboratory tests and that I may have
to pay the bill while Medicare is making its decision. If Medicare does pay, you will refund to me any
payments I made to you that are due to me. If Medicare denies payment, I agree to be personally and
fully responsible for payment. That is, I will pay personally, either out of pocket or through any other
insurance that I have. I understand I can appeal Medicare’s decision.
† OPTION 2. NO. I have decided not to receive these laboratory tests.
I will not receive these laboratory tests. I understand that you will not be able to submit a claim to
Medicare and that I will not be able to appeal your opinion that Medicare won’t pay. I will notify my
doctor who ordered these laboratory tests that I did not receive them.

Date Signature of patient or person acting on patient’s behalf
NOTE: Your health information will be kept confidential. Any information that we collect about you
on this form will be kept confidential in our office. If a claim is submitted to Medicare, your helath
information on this form may be shared with Medicare. Your health information which Medicare sees
will be kept confidential by Medicare.
OMB Approval No. 0938-0566 Form No. CMS-R-131-L USING THE ADVANCE BENEFICIARY NOTIFICATION (ABN)
IN THE PHYSICIAN OFFICE

What is an Advance
What is a “Limited Coverage”
Beneficiary Notification
How can I know which tests
How often should an ABN be
have “Limited Coverage”?
Does the Patient have to sign
What if the ICD9 code or
diagnosis is not on the list?
When should the Patient be
asked to read and sign the
What if a Patient refuses to
sign the ABN, yet demands
that testing be performed?
Test Code
Test Name
Collection Instruction
PROFILES
ACUTE HEPATITIS PANEL
SST. Serum
IgM; B Surface Ag; C Ab
ANEMIA PROFILE
SST Tube & Lavender Tube
BASIC METABOLIC PANEL
SST. Serum.
Chloride, HCO3, BUN, Creatinine,
Glucose, Calcium
BODY FLUID PANEL
Red Top Tube. Serum.
COMPREHENSIVE METABOLIC
SST. Serum.
Includes: Sodium, Potassium,
Chloride, HCO3, BUN, Creatinine,
Glucose, Albumin, Bilirubin-Total,
Calcium, Alkaline Phosphatase,
Protein-Total, AST(SGOT),
ALT(SGPT)
ELECTROLYTES
SST. Serum.
Chloride, HCO3
EPSTEIN BARR VIRUS PROFILE
Red Top Tube Serum.
Includes: Epstein Barr VCA (IGG), GENERAL HEALTH PANEL
SST and Lavender
Metobolic Panel (CMP), CBCP,
TSH
HEAVY METAL PROFILE II
2 Royal Blue Top Tubes.
Test Code
Test Name
Collection Instruction
HEPATIC FUNCTION PANEL
SST. Serum.
Includes: Albumin, Bilirubin-Total, Bilirubin-Direct, Alkaline
Phosphatase, Protein-Total, AST
(SGOT), ALT(SGPT)
LIPID PANEL
SST. Serum.
OBSTETRIC PANEL
SST, Red Top and Lavender Tube
(D), RPR, Rubella (IgG), Antibody
Screen, Hep. B Surface Antigen
RAST BASIC FOOD
RASTBF 2SST's Serum.
Peanut, Soybean, Beef, Scallops, Cod Fish, Clam, Shrimp, Walnut RAST GENERAL PROFILE I
RASTRAP 2SST's Serum.
(D. Farinae), Cat Epithelium,
Alternaria, Dog Dander, June
Kentucky Blue, Common
Ragweed, Maple, Orchard, Grass,
Cock Roach, Rough, Marsh,
Cladosporium, Oak, Elder,
Herbarum, Aspergillis Fumagatus,
IGE, Total
Call lab for additional information
on RAST profiles.
RENAL FUNCTION PANEL
SST. Serum.
Chloride, HCO3, BUN, Creatinine, Glucose, Albumin, Calcium, Phosphorus Test Code
Test Name
Collection Instruction
INDIVIDUAL TESTS
ABSOLUTE NEUTROPHIL
ADRENOCORTICOTROPIC
2 Lavender Top Tubes, Prechilled. Plasma, HORMONE (ACTH)
ALDOLASE
ALPHA-1-ANTITRYPSIN
ALPHA-FETOPROTEIN,
ALFPM SST. Serum. Indicated week of gestation,
MATERNAL
age, race, weight, and if mother is diabetic, and number of fetuses.
ALPHA-FETOPROTEIN, QUAD
SST. Serum. Indicated week of gestation, age, race, weight, and if mother is diabetic, and number of fetuses.
ALPHA-FETOPROTEIN, TRIPLE
SST. Serum. Indicated week of gestation, age, race, weight, and if mother is diabetic, ALPHA-FETOPROTEIN, TUMOR
ALT (SGPT)
AMIKACIN
AMIKACIN, PEAK
SST. Specify time of draw. See Collection AMIKACIN, TROUGH
SST. Specify time of draw. See Collection AMINOPHYLLINE
See…THEOPHYLLINE
AMIODARONE (CARDARONE)
AMITRIPTYLINE (ELAVIL)
Test Code
Test Name
Collection Instruction
plasma. Avoid hemoloysis. Keep on ice. Separate within 30 minutes. Freeze plasma immediately. Do not remove cap. Fill tube completely. Protect from light.
ANAFRANIL (CLOMIPRAMINE)
ANGIOTENSIN-1-CONVERTING
ENZYME (ACE)
ANTIBIOTIC SENSITIVITY,
MINIMAL INHIBITORY
culture. Organism isolated and indentified CONCENTRATION (MIC) with
DEFINITIVE BACTERIAL
INDENTIFICATION
ANTIBODY SCREEN
ANTI-STREPTOLYSIN O (ASO)
AST (SGOT)
ATIVAN (LORAZEPAM)
AVENTYL
See…NORTRIPTYLINE
BETA-HCG See…PREGNANCY,
SERUM QUANTITATIVE
BETA-HCG, TUMOR MARKER
BHCQTM SST. Serum from male or non-pregnant
BILIRUBIN, DIRECT
BILIRUBIN, PANEL
Includes: Bilirubin, Total; Bilirubin, BILIRUBIN, TOTAL
BLOOD TYPE (A, B, O)
BRAIN NATRIURETIC PEPTIDE
(BNP) (Pro BNP)
BRUCELLA ANTIBODY
Test Code
Test Name
Collection Instruction
BUN (BLOOD UREA NITROGEN)
BUSPAR (BUSPIRONE)
2 Lavender Top Tubes, Prechilled. Plasma. C. DIFFICILE TOXIN
See…CLOSTRIDIUM DIFFICILE
TOXIN
CA 125
open tube. Draw additional tubes for any CALCIUM, IONIZED (CALC)
CALCIUM, URINE, 24 HR.
24 Hr Urine container (Preserved w/10 ml CARBAMAZEPINE
See…TEGRETOL
CARBON DIOXIDE
(BICARBONATE HCO3)
CARCINOGENIC EMBRYONIC
SST. Serum. Refrigerate sample. Freeze if ANTIGEN (CEA)
CARDIOLIPIN ANTIBODY
2 Light Blue Top Tubes (sodium citrate). Contact lab for further instructions.
CAROTENE
Red Top Tube. Serum. Protect from light. CATECHOLAMINES, PLASMA,
Green Top Tube. Plasma, Frozen. Transfer TOTAL AND FRACTIONAL
immediately. Patient should avoid alcohol, coffee, tea, tobacco, and strenuous CATECHOLAMINES, URINE,
24 Hour Urine Container (preserve w/25 ml FRACTIONAL
6N HCL) 500 ml Aliquot of 24 Hour Urine. CBC See…COMPLETE BLOOD
COUNT W/DIFFERENTIAL
CD4 (T-CELL COUNT)
See LYMPHOCYTE SUBSET
PANEL 5
Test Code
Test Name
Collection Instruction
LYMPHOCYTE SUBSET PANEL
CEA See…CARCINOGENIC
EMBRYONIC ANTIGEN
CELL COUNT BODY FLUID
Refrigerate and deliver to lab same day.
CERULOPLASMIN
CH50 See…COMPLEMENT-
TOTAL (CH50)
CHLAMYDIA AND G.C., DNA
DNACOM Gen-Probe Collection Kit upon request.
CHLAMYDIA, DNA PROBE
DNACH Gen-Probe Collection Kit upon request.
CHLORIDE
CHLORIDE, 24 HR. URINE
24 Hr. Urine Container, 100 ml Aliquot of CHLORPROMAZINE
See…THORAZINE
CHOLESTEROL, HDL
CHOLESTEROL, LDL
See…LIPID PANEL
CHOLESTEROL, LDL, DIRECT
CHOLESTEROL, TOTAL
CITRATES, URINE, 24 HR.
24 Hour Urine Container (No Preservatives) CLOMIPRAMINE
See…ANAFRANIL
CLONAZEPAM (KLONOPIN)
CLOSTRIDIUM DIFFICILE TOXIN
Stool. Refrigerate Toxin. Stable 3 days.
CLOZARIL (CLOZAPINE)
CMV
See…CYTOMEGALOVIRUS
ANTIBODY
COGENTIN (BENZTROPINE)
Test Code
Test Name
Collection Instruction
COLD AGGLUTINATION
COMPLEMENT C3
COMPLEMENT C4
COMPLEMENT-TOTAL (CH50)
COMPLETE BLOOD COUNT
W/DIFF AND PLATELETS
Includes: WBC, Differential, RBC, Hemoglobin, Hematocrit; Platelet COMPLETE BLOOD COUNT
W/DIFFERENTIAL
Includes: WBC, Differential, RBC, Automated Hematology Hemoglobin, Hematocrit COOMBS, DIRECT
COPPER, PLASMA
Royal Blue Top Tube (EDTA). whole blood.
CORTISOL, FREE, 24 HR. URINE
CORTF 24 Hr. Urine Container (Preserve with 10
grams Boric Acid.) 50 ml Aliquot of 24 Hr. CORTISOL, TOTAL
C-PEPTIDE
C-REACTIVE PROTEIN (CRP)
C-REACTIVE PROTEIN, HIGH
SENSITIVITY
CREATINE KINASE (CK, CPK),
CREATINE KINASE (CK, CPK),
ISOENZYMES
CREATININE, CLEARANCE, 24
CRCL SST and 24 Hr. Collection Container. (No
preservatives) Serum collected at any point during the 24 hour urine collection. 50 ml Aliquot of 24 Hour Urine. Record Total CREATININE, SERUM
CREATININE, URINE, 24 HR.
24 Hr. Urine Container (No Preservatives). Test Code
Test Name
Collection Instruction
CREATININE, URINE, RANDOM
Sterile Specimen Container. 25 ml Urine.
CULTURE, AFB (INCLUDES
87116 deep cough. First Morning specimen incubated for 8 weeks before determined to be negative. Positive isolates are identified by conventional methods or nucleic acid hybridization.
CULTURE, ANAEROBIC
CULTURE, BLOOD
tube with betadine. Cleanse draw area with incubation Biochemical Identification.
CULTURE, BODY FLUIDS
Sterile Specimen Container or Culturette. CULTURE, CHLAMYDIA
CULTURE, EAR
(use one for each). Specify source right or CULTURE, ENVIRONMENTAL
CULTURE, EYE
(use one for each eye). Specify source.
CULTURE, FECAL
CULTURE, FUNGAL
scrapings or clippings from affected area. CULTURE, G.C.
Jembec Kit available upon request. Store at CULTURE, GENITAL
Culturette. Store at Room Temperature.
CULTURE, HERPES
Innoculation Identification by characteristic cyopathic effect and fluorescent antibody stain.
Test Code
Test Name
Collection Instruction
CULTURE, HERPES PRENATAL
Innoculation Identification by characteristic cyopathic effect and fluorescent antibody stain.
CULTURE, NASAL
(use one for each nare) & Label.
CULTURE, SKIN
Scrapings. Store at Room Temperature.
CULTURE, SPUTUM
CULTURE, STREP ONLY
CULTURE, THROAT
Culturette. Store at Room Temperature.
CULTURE, TISSUE
sterile saline. Store at Room Temperature. CULTURE, URINE
CULTURE, WOUND
CYSTINE, URINE, 24 HR.
24 Hr. Urine Container. 200 ml Aliquot of 24 hour urine. Freeze. Record total volume. Age required for correct interpretation.
CYTOLOGY, NON-VAGINAL
NVPAP Smear on 2 slides. Spray with fixative
CYTOLOGY, SPUTUM
CYTOLOGY, URINE
Sterile Specimen Container. 24 ml Urine. If alcohol to equal amount of urine. Indicate on requisition if alcohol was added.
CYTOMEGALOVIRUS
Red Top Tube. Serum. Do not use SST.
ANTIBODY (IGG)
CYTOMEGALOVIRUS
Red Top Tube. Serum. Do not use SST.
ANTIBODY (IGM)
DEPAKENE See…VALPROIC
ACID
Test Code
Test Name
Collection Instruction
DESIPRAMINE (NORPRAMIN)
DIASTASE See…AMYLASE
DIAZEPAM See…VALIUM
DIFFERENTIAL
DIGOXIN (LANOXIN)
DILANTIN See…PHENYTOIN
DISOPYRAMIDE
See…NORPACE
DNA ANTIBODY (DOUBLE
STRANDED)
DOXEPIN (SINEQUAN)
ELAVIL See…AMITRIPTYLINE
ELECTROLYTES
EOSINOPHILE COUNT
EPSTEIN-BARR VIRUS
ANTIBODY PANEL
ERYTHROPOIETIN
ESTRADIOL
ESTROGENS, FRACTIONAL,
ESTROGENS, TOTAL, SERUM
ETHOSUXIMIDE (ZARONTIN)
ETHOTOIN (PEGANONE)
EXTRACTABLE NUCLEAR
ANTIGEN ANTIBODY
F.E.P (FREE ERYTHROCYTE
PROTOPORPHYRIN)
FACTOR VIII FUNCTIONAL
1 Blue Top Tube (sodium citrate). Separate and freeze immediately in a plastic vail. Do Test Code
Test Name
Collection Instruction
FECAL FAT (Same as Total
Lipids Fecal)
FECAL LEUKOCYTES
FERRITIN
FIBRINOGEN
blood to be drawn by vacuum. Invert tube six times immediately after drawing. Allow specimen to remain at room temperature for 30 minutes before centrifuging. FLECAINIDE (TAMBOCOR)
FLUOCETINE See…PROZAC
FOLIC ACID (FOLATE)
FOLLICLE STIMULATING
HORMONE (FSH)
FTA-ABS (FLUORESCENT
FTA-ABS Red Top Tube. Serum.
TREPONEMAL ANTIBODY)
GABAPENTIN (NEURONTIN)
GAMMA GLUTAMYL
TRANSFERASE (GGT)
GENTAMICIN (PEAK)
GENTP SST Serum. Draw peak level 60 minutes
GENTAMICIN (TROUGH)
GLUCOSE TOLERANCE TEST
submitted. Indicate the collection time on both tube and sterile specimen container. together with a single requisition. Avoid Hemolysis. Collect fasting specimens, then drink glucola. Collect specimens 1/2 hour and 1 hour after completing glucola, then in one hour increments for the desired length of testing.
GLUCOSE, 1 HOUR POST
PRANDIAL
Avoid Hemolysis. Draw 1 hour after meal.
Test Code
Test Name
Collection Instruction
GLUCOSE, 2 HOUR POST
PRANDIAL
Avoid Hemolysis. Draw 2 hours after meal.
GLUCOSE, FASTING
GLUCOSE, RANDOM
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE
GLYCOHEMOGLOBIN
See…HEMOGLOBIN,
GLYCOSYLATED (A1C)
GOLD, SERUM
GONORRHEA (GC), DNA PROBE
DNAGC Gen-Probe Collection Kit upon request.
GRAM STAIN
Submit air-dried smears on 2 slides. Fix with 95% alcohol or gentle flame. Specify GROWTH HORMONE, HUMAN
HALOPERIDOL (HALDOL)
Wrap in foil to protect from light or use light protected tubes. Lavender (EDTA) OR Green (Na Hep) also accepted.
HAPTOGLOBIN
HCO3 See…BICARBONATE
HEAVY METAL PROFILE II
HEMATOCRIT
HEMOGLOBIN
HEMOGLOBIN,
ELECTROPHORESIS
HEMOGLOBIN,
GLYCOSYLATED, A1C
HEPATITIS A ANTIBODY,
TOTAL (EIA)
HEPATITIS A ANTIBODY-IGM
HEPATITIS B CORE ANTIBODY
Test Code
Test Name
Collection Instruction
HEPATITIS B CORE ANTIBODY-
HBCAB SST. Serum.
HEPATITIS B SURFACE
ANTIBODY
HEPATITIS B SURFACE
HEPATITIS BE ANTIBODY
HEPATITIS BE ANTIGEN
HEPATITIS C ANTIBODY
HERPES I & II
HISTOPLASMA ANTIBODY
HIV ANTIBODY SCREEN
identify by number, not name. Western Blot confirmation will be performed automatically if the antibody screen is HIV ANTIBODY WESTERN BLOT
SST. Serum. Western Blot confirmation will CONFIRMATION
be performed automatically if the antibody Do not refrigerate or freeze. Must reach lab within 24 hours of collection. Lavender (EDTA) or Green (Na Heparin) also HYDROXY INDOLE ACETIC
HCL.) 50 ml Aliquot of 24 Hr. Urine. Record Total Volume. Random Samples are accepted. (Reference Ranges do not HYDROXYCORTICOSTEROIDS-
Boric Acid). 100 ml Aliquot of 24 Hr. Urine. IGE See…IMMUNOGLOBULIN E
IMIPRAMINE (TOFRANIL)
IMMUNE DEFICIENCY PANEL I
See LYMPHOCYTE SUBSET
PANEL 1
Test Code
Test Name
Collection Instruction
LYMPHOCYTE SUBSET PANEL
IMMUNOELECTROPHORESIS,
SERUM Includes: IGG, IGM, IGA
IMMUNOELECTROPHORESIS,
50 ML Aliquot of a 24 Hr. Urine collection. URINE Includes: Protein
IMMUNOGLOBULIN A
IMMUNOGLOBULIN E
IMMUNOGLOBULIN G
IMMUNOGLOBULIN M
IMMUNOGLOBULINS
INSULIN LEVEL
SST. Serum. Overnight fasting required.
IRON BINDING CAPACITY
See…IRON PROFILE
IRON, TOTAL
KEPPRA (LEVETIRACETAM)
KETOSTEROIDS-17
Boric Acid). 50 ml Aliquot of 24 Hr. Urine. KLONOPIN
See…CLONAZEPAM
KOH SMEAR FOR FUNGUS
LACTIC DEHYDROGENASE (LD)
LDH ISOENZYMES
LDHISO Red Top Tube. Serum. Avoid Hemolysis.
Test Code
Test Name
Collection Instruction
LEAD/ZINC PROTOPORHYRIN
LEUKOCYTE ALKALINE
PHOSPHATE STAIN
LUTEINIZING HORMONE (LH)
LYME DISEASE ANTIBODY
MAGNESIUM
MELLARIL (THIORIDAZINE)
MESORIDAZINE
See…SERENTIL
METANEPHRINES, 24 HR.
MEXILETINE (MEXITIL)
MITOCHONDRIAL ANTIBODY
MONO TEST
MUCIN CLOT TEST
Sterile Specimen Container. Synovial Fluid.
NAVANE See…THIOTHIXENE
NORPACE (DISOPYRAMIDE)
NORPRAMIN
See…DESIPRAMINE
NORTRIPTYLINE (AVENTYL,
PAMELOR)
ANTI-NUCLEAR ANTIBODY
OCCULT BLOOD
OCCULT BLOOD SCREENING
SOCBL Sterile Specimen Container. 2 g Fresh
OSMOLALITY, SERUM
Red Top Tube. Serum. DO NOT USE SST.
OSMOLALITY, URINE
Sterile Specimen Container. 40 ml random Test Code
Test Name
Collection Instruction
OVA AND PARASITES
Special Kit Upon Request or 10 g raw stool OXALATES, URINE, 24 HR.
24 Hr. Urine Container (Preserve with 40 ml 6N HCL.) 100 ml Aliquot of 24 hour urine. PAP SMEAR
1 Slide. Smear on 1 slide, properly fixed. PAP SMEAR (2 slides)
2 Slide. Smear on 2 slides, properly fixed. PAP SMEAR (AUTO CYTE)
Auto site Kit Available upon request.
PAP SMEAR (THIN PREP)
Thin Prep Kit. Available upon request.
PARTIAL THROMBOPLASTIN
Light Blue Top Tube. Citrated whole blood TIME (PTT)
can be accepted within 24 hours of collection. After 24 hours citrated, frozen plasma is preferred. Draw full tube, as correct ratio of blood to citrate (9:1) is critical and mix gently. Centrifuge, PATHOLOGY REVIEW
Peripheral Smears, with CBCP Results.
PEGANONE See…ETHOTOIN
PHENOBARBITAL
PHENYTOIN (DILANTIN)
PHENYTOIN (DILANTIN), FREE
PHOSPHATASE, ACID, TOTAL
PHOSPHATASE, ALKALINE
PHOSPHATASE, ALKALINE,
ISOENZYMES
PHOSPHORUS
PHOSPHORUS, URINE 24 HR.
PHOSU 24 Hr. Urine Container (Preserve with 10 ml
HCL). 50 ml Aliquot of 24 Hr. Urine. Record PINWORM PREP
Slide. Collect specimen on clear celophane PLATELET COUNT
SEMEN ANALYSIS, POST
Clean Container. Semen. Notify lab prior to VASECTOMY
collecting specimen. Deliver specimen to Test Code
Test Name
Collection Instruction
POTASSIUM
POTASSIUM, URINE, 24 HR.
24 Hr. Urine Container (No Preservatives). 50 ml Aliquot of 24 Hr. Urine. Record Total POTASSIUM, URINE, RANDOM
PREALBUMIN
PREGNANCY, SERUM,
QUALITATIVE
PREGNANCY, SERUM,
QUANITATIVE
PREGNANCY, URINE,
QUALITATIVE
PRIMIDONE (MYSOLINE)
Red Top Tube. Serum. DO NOT USE SST.
PROCAINAMIDE Includes: NAPA
PROGESTERONE, SERUM
PROLACTIN
PROLIXIN (FLUPHENAZINE)
accepted. Wrap in foil to protect light.
PROSTATE SPECIFIC ANTIGEN
(PSA), CANCER SCREENING
PROSTATE SPECIFIC ANTIGEN
PROSTATE SPECIFIC ANTIGEN
(PSA), FREE AND TOTAL
PROTEIN, ELECTROPHORESIS,
PROTEIN, ELECTROPHORESIS,
ELPRU 24 Hr. Urine Container. 100 ml Aliquot of
PROTEIN, TOTAL
PROTEIN, URINE, 24 HR.
24 Hr. Urine Container 100 ml Aliquot of 24 PROTEIN, URINE, RANDOM
PROUR Sterile Specimen Container. 24 ml Urine.
Test Code
Test Name
Collection Instruction
PROTHROMBIN TIME (PT)
plasma is preferred. Draw full tube, as correct ratio of blood to citrate (9:1) is critical and mix gently. Centrifuge, separate plasma and freeze promptly. Alternately, citrated whole blood can be accepted within PROZAC (FLUOXETINE)
PTH, C-TERMINAL
(PARATHYROID HORMONE)
Includes: Calcium
PTH, INTACT (PARATHYROID
HORMONE) Includes: Calcium
PTT See…PARTIAL
THROMBOPLASTIN TIME
QUINIDINE
RAPID STREP TEST
See…STREP TEST, RAPID
FOLIC ACID, RBC
RBC FOLATE See.FOLIC ACID,
RBC
RED BLOOD CELL COUNT
RETICULOCYTE COUNT
Rh (D) TYPE
Rh ANTIBODY SCREEN
See…ANTIBODY SCREEN
RHEUMATOID FACTOR (RA),
QUALITATIVE
RHEUMATOID FACTOR (RA),
QUAL, SYNOVIAL FLUID
RHEUMATOID FACTOR (RA),
QUANTITATIVE
SST. Serum. If positive. MHATP performed RUBELLA ANTIBODY (IGG)
Test Code
Test Name
Collection Instruction
RUBEOLA ANTIBODY, IGG
Red Top Tube. Serum. DO NOT USE SST.
RUBEOLA ANTIBODY, IGM
Red Top Tube. Serum. DO NOT USE SST.
SALICYLATES
SEDIMENTATION RATE (ESR)
SEMEN ANALYSIS, ROUTINE
Clean Container. Semen. Notify lab prior to collecting specimen. Deliver specimen to SERENTIL (MESORIDAZINE)
Draw prior to next dose. Plasma or serum. SEROTONIN - SERUM
SGOT See…AST
SGPT See…ALT
SICKLE CELL
SMOOTH MUSCLE ANTIBODY
SODIUM, URINE, 24 HR.
24 Hr. Urine Container (No Preservatives). 50 ml Aliquot of 24 Hr. Urine. Record Total SODIUM, URINE, RANDOM
Sterile Specimen Container. 5 ml Urine.
STONE ANALYSIS
STREP TEST, RAPID
Rapid Strep Testing is not available at all locations. Please call your local lab for LYMPHOCYTE SUBSET PANEL
LYMPHOCYTE SUBSET PANEL
LYMPHOCYTE SUBSET PANEL
TEGRETOL (CARBAMAZEPINE)
Test Code
Test Name
Collection Instruction
TEGRETOL-10,11-EPOXIDE
Red Top Tube. Serum. DO NOT USE SST.
TESTOSTERONE,
BIOAVAILABLE (FREE &
WEAKLY BOUND)
TESTOSTERONE, FREE
TESTOSTERONE, SERUM
THEOPHYLLINE
(AMINOPHYLLINE)
THIORIDAZINE See…MELLARIL
THIOTHIXENE (NAVANE)
THORAZINE
(CHLORPROMAZINE)
THYROGLOBULIN
THYROGLOBULIN ANTIBODY
THYROID ANTIBODY PANEL
ATPAN1 1 Red Top Tube. Serum. DO NOT USE
T3, UPTAKE
THYROID PEROXIDASE
ANTIBODY (ANTI-TPO)
THYROXINE BINDING
THYBG Red Top Tube. Serum.
GLOBULIN
THYROXINE, FREE (T4)
THYROXINE, TOTAL (T4)
TISSUE EXAM
the volume of the specimen. For collection containers, contact lab. Specify source on T-LYMPHOCYTE SUBSETS
ASSAY See…LYMPHOCYTE
SUBSET PANEL
TOBRAMYCIN (PEAK)
TOBRAMYCIN (RANDOM)
Test Code
Test Name
Collection Instruction
TOBRAMYCIN (TROUGH)
TOFRANIL See…IMIPRAMINE
TOXOPLASMA ANTIBODY, IgM
TOXOPLASMA ANTIBODY, IgG
TOXOG Red Top Tube. Serum. (Reflex to IGM).
TP-FA (TREPONEMA
MHATP SST. Serum. Performed automatically if
PALLIDUM, FLUORESCENT
ANTIBODY)
TRANSFERRIN
TRAZODONE (DESYREL)
TRICHAMONAS See… WET
PREP
TRIGLYCERIDES
T3, TOTAL
TSH (THYROID STIMULATING
HORMONE)
URIC ACID
URIC ACID, URINE, 24 HR.
URACU 24 Hr. Urine Container (Preserve with 10g
Boric Acid) 50 ml Aliquot of 24 Hr. Urine. URINALYSIS
Sterile Specimen Container. 15 ml Urine. URINALYSIS W/CULTURE AND
Sterile Specimen Container. 15 ml Urine. SENSITIVITY IF NECESSARY
Refrigerate. The WBC, Bacteria, Nitrites and Leukocyte esterase results from the Urinalysis will be evaluated. If 3 or 4 of these are present, a culture will be A sensitivity will be performed if there is VALIUM (DIAZEPAM)
VALPROIC ACID (DEPAKENE)
VANCOMYCIN LEVEL (PEAK)
SST. Serum. Draw peak 1.5-2.5 hours after VANCOMYCIN LEVEL
(TROUGH)
Test Code
Test Name
Collection Instruction
VARICELLA ZOSTER ANTIBODY
Red Top Tube. Serum. Fasting required.
VARICELLA ZOSTER ANTIBODY
Paired sera, 2-3 weeks apart are advisable VITAMIN B12
VITAMIN B12 AND FOLIC ACID
(FOLATE)
VITAMIN D (1,25 DIHYDROXY)
VITAMIN D (25 HYDROXY)
VMA (VANILLYMANDELIC ACID)
24 Hr. Urine Container (Preserved with 6N HCL) 50 ml Aliquot of 24 Hr. Urine. Record WBC See…WHITE BLOOD
COUNT
WESTERN BLOT
CONFIRMATION (HIV)
WET PREP FOR TRICHOMONAS Microscopic
WHITE BLOOD CELL COUNT
ZINC PROTOPORPHRYN
Lavender Top Tube. Full tube. Wrap in foil ZINC, PLASMA
Royal Blue Top (EDTA). Send whole blood.
ZOLOFT (SERTRALINE)
Test Code
Test Name
Collection Instruction
TOXICOLOGY
In this procedure manual, drug screens have been divided into two categories: "medical" and "non-medical". In general, drug screening for treatment or rehabilitation programs is considered "medical", while drug screening for employment purposes is considered "non-medical". The drug screens listed below are the most commonly ordered. However, any of the following drugs can be ordered individually or in any combination to meet specific testing requirements of the client: Amphetamines Propoxyphene Cocaine Alcohol Methadone Cannabinoids Barbiturates Opiates Benzodiazepine Phencyclidine 1. MEDICAL DRUG SCREENS
ALCOHOL, BLOOD, QUANTITATIVE
2 Grey Top Tubes of whole blood.
AMPHETAMINES, BARBITURATES,
Submit 25 ml. (minimum) urine for
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
testing.
METHADONE, OPIATES, PHENCYCLIDINE,
PROPOXYPHENE
For drug screens listed on the left, the initial ALCOHOL, AMPHETAMINES, BARBITURATES,
testing is performed by Immunoassay. Positive results are confirmed by alternate BENZOIDIAZEPINES, CANNABINOIDS, COCAINE,
METHADONE, OPIATES, PHENCYCLIDINE,
Immunoassay), with a quantitative result PROPOXYPHENE
AMPHETAMINES, CANNABINOIDS, COCAINE,
AMPHETAMINES, CANNABINOIDS, OPIATES,
PHENCYCLIDINE, COCAINE
AMPHETAMINES, BARBITUREATES,
BENZOIDAZEPINES, CANNABINOIDS, COCAINE,
OPIATES, PHENCYCLIDINE
ALCOHOL, AMPHETAMINES, BARBITURATES,
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
OPIATES, PHENCYCLIDINE
CANNABINOIDS, COCAINE, OPIATES
ALCOHOL, URINE
AMPHETAMINES
BARBITURATES
BENZODIAZEPINES
CANNABINOIDS (25 ng/ml cut off)
Test Code
Test Name
Collection Instruction
METHADONE
PHENCYCLIDINE
PROPOXYPHENE
COMPREHENSIVE DRUG SCREEN: Drugs Screened
Submit 2 Grey Top Tubes or one Red
Top Tube (DO NOT USE SST). DO NOT
Amphetamines: Amphetamine, Methamphetamine
OPEN TUBES.
Analgesics: Acetaminophen, Salicylates
Antidepressants: Amitriptyline, Amoxapine,
Desipramine, Doxepin, Fluoxetine, Imipramine,
Loxapine, Maprotiline, Nortriptyline, Protriptyline,
Trazodone
Antiepileptics: Carbamazepine, Phenytoin
Antihistamines: Chlorpheniramine, Diphenhydramine,
Doxylamine, Methapyrilene, Pyrilamine
Barbiturates: Amobarbital, Butabarbital, Butalbital,
Pentobarbital, Phenobarbital, Secobarbital
Benzodiazepines: Chlordiazepoxide, Diazepam,
Flurazepam, Nordiazepam (as A Class)
Cardiacs: Lidocaine, Propranolol, Quinidine/Quinine,
Verapamil/Norverapamil
Miscellaneous Agents: Cimetidine, Cocaine
(Benzoylecgonine), Ephedrine/Pseudoephedrine,
Methocarbamal, Phencyclidine, Phenylpropanolamine,
Phenytoin
Sedates & Hypnotic: Ethchlorvynol, Glutethimide,
Meprobamate
Volatiles: Acetone, Ethanol, Isopropanol, Methanol
2. NON-MEDICAL DRUG SCREENS
AMPHETAMINES, BARBITURATES,
Submit 60 ml (minimum) urine in a
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
Chain of Custody Kit.
METHADONE, OPIATES, PHENCYCLIDINE,
PROPOXYPHENE
For drug screens listed on the left, the initial ALCOHOL, AMPHETAMINES, BRABITURATES,
testing is performed by immunoassay. Positive results are confirmed by GCMS BENZODIAZEPINES, CANNABINOIDS, COCAINE,
METHADONE, OPIATES, PHENCYCLIDINE,
All testing and confirmations are performed PROPOXYPHENE
AMPHETAMINES, CANNABINOIDS, COCAINE,
using cut-off levels established by NIDA/SAMSHA.
OPIATES, PHENCYCLIDINE
AMPHETAMINES, BARBITURATES,
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
OPIATES, PHENCYCLIDINE
AMPHETAMINES, BARBITURATES,
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
OPIATES, PHENCYCLIDINE
Test Code
Test Name
Collection Instruction
ALCOHOL, AMPHETAMINES, BARBITURATES,
BENZODIAZEPINES, CANNABINOIDS, COCAINE,
OPIATES, PHENCYCLIDINE
CANABINOIDS (50 ng/ml cut off)
AMPHETAMINES, CANNABINOIDS, COCAINE,
NIDA.DOT Test performed by NIDA certified lab.
OPIATES, PHENCYCLIDINE
Submit split specimens in a NIDA Chain
of Custody Kit.

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