SJMC's Laboratory Home Page
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Labeling Lab specimens		SJMC test menu version 2.2
 

The Test menu is subject to change without notice. Even though the lab will make every effort to make sure all tests on our look up page are accurate all information on this website is provided 'as is'.
For additional information concerning tests you can contact the lab at 307-739-7315. This site is subject to updates and you should 'refresh' (F5) each time you access this site.CPT Codes are based on AMA Guidelines and are for informational purposes only. CPT Coding is the sole responsibility of the billing party.
Test NameAlternate NamesLab Test CodeCPT CodePreferred SpecimenAlternate SpecimenMinimum VolumeSpecimen StabilityLabNormal Patient ValuesUnits
3 hour GTT Glucose Tolerance, Gestational Diabetes GTT3 82951; 82952 green-top (heparin) tube
 		None 0.6 mL plasma per sample Separated samples may be stored for up to:
1 day
at 20 to 25°C
7 days
at 2 to 8°C
1 day
at -20°C 		SJMC 
Test includes
Fasting glucose
1 hour glucose
2 hour glucose
3 hour glucose level
Reference Ranges
Fasting
<=94
1 hour
<=179
2 hour
< =154
3 hour
<=139
Gestational diabetes mellitus criteria
Two or more abnormal results (one abnormal result considered by some authors).

Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test
Additional Instructions
  1. The patient needs to fast for 8-14 hours prior to the test administration.
    Prior to beginning the glucose tolerance test, the patient should discontinue, when possible, any medications known to affect glucose tolerance.
  2. During the 3 days prior to testing, the patient should have had normal activity and an unrestricted diet or >150 grams of carbohydrate/day.
  3. After the fasting Glucose level is obtained the patient is given a 100 grams of a glucose drink.
  4. The patient must refrain from smoking, strenuous exercise, or consumption of food and drink, until the testing process is complete
    After the fasting glucose level and the consumption of 100 gram glucose drink the patient will have thier blood drawn at 1 hour, 2 hours, and 3 hours.

Criteria for Unacceptable Specimens
The test must be discontinued if the patient fails to keep down or consume the entire Glucose Tolerance Beverage, or if the patient becomes too ill to finish the timed draws 
mg/dL 
Acetominophen Alternate Names
AcephenTM, APAP 500, Aspirin Free Anacin® Extra Strength, Cetafen®, Cetafen® Extra, Excedrin® Tension Headache, Feverall®, Infantaire, Little FeversTM, Mapap®, Nortemp Children's, OfirmevTM, Pain & Fever Children's, Pain Eze, Paracetamol, Silapap Children's, Silapap Infant's, Tempra®, TriaminicTM Children's Fever Reducer Pain Reliever, Tylenol®, Valorin, Valorin Extra
 		ACT 82003 green-top (heparin) tube
 		Red top Tube
 		0.6 mL serum or plasma Separated samples may be stored for up to 14 days
at 4 to 8°C prior to being tested. If testing will be delayed more than 14 days
, separated samples may be stored frozen at = -20°C for up to 45 days
. 		SJMC 
Therapeutic
10 - 30
Toxic levels
>200 
ug/mL 
Alanine Aminotranferase ALT, Glutamic Pyruvate Transaminase, GPT, SGPT, Transaminases ALT 84460 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
3 days
at 20 to 25°C
7 days
at 2 to 8°C
60 days
at -20°C. 		SJMC 
10 - 72 
U/L 
Albumin Body Fluid Body Fluid Alb FALB 82040 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
2.5 months
at 20 to 25°C
5 months
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Body Fluid Reference Range not established by lab 
g/dL 
Albumin Serum Alb
Patient Preperation
Overnight Fasting is preferred
 		ALB 82040 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
2.5 months
at 20 to 25°C
5 months
at 2 to 8°C
3 months
at -20°C. 		SJMC 
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8 
g/dL 
Alcohol Alcohol Blood, Blood Alcohol Level, Blood Ethanol Level, Ethyl Alcohol, Blood EtOH ALC 82055 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
2 weeks
at 20 to 25°C
2 weeks
at 2 to 8°C
6 months
at -20°C. 		SJMC 
0 - 10 
mg/dL 
Alkaline Phosphatase ALP,Phosphatase Alkaline ALK 84075 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
2 months
at -20°C. 		SJMC 
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150 
U/L 
Ammonia Blood Ammonia, Blood NH3, NH3, NH4 NH3 82140 green-top (heparin-lithium or sodium-heparin)

DO NOT USE ammonium heparin

Immediately place specimen on ice 		NONE 0.6 mL Separated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
2 hours
at 2 to 8°C
3 weeks
at -20°C. 		SJMC 
18 - 72 
umol/L 
Amylase AML, AMYL AMY 82150 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -20°C. 		SJMC 
Newborn
5 -65
Adult
25 - 125
>70 years
20 - 160 
U/L 
Anaerobic Culture Includes a Gram Stain(CPT 87205)
Used for
  1. Abdominal (fluid) (order FLDCUL-Fluid Culture and a ANACUL)
  2. Amniotic fluid (order ANACUL and GENCUL-Genital Culture)
  3. Ascites (peritoneal) (order FLDCUL-Fluid Culture and a ANACUL)
  4. Bile (order FLDCUL-Fluid Culture and a ANACUL)
  5. Bite wound (order WDCUL-Wound Culture and a ANACUL)
  6. Bone (order BONCUL-Bone Culture and a ANACUL)
  7. Closed deep wound (order WDCUL-Wound Culture and a ANACUL)
  8. Joint (synovial) (order FLDCUL-Fluid Culture and a ANACUL)
  9. Paracentesis (order FLDCUL-Fluid Culture and a ANACUL)
  10. Pericardial (order FLDCUL-Fluid Culture and a ANACUL)
  11. Peritoneal (order FLDCUL-Fluid Culture and a ANACUL)
  12. Pleural (order FLDCUL-Fluid Culture and a ANACUL)
  13. Synovial (order FLDCUL-Fluid Culture and a ANACUL)
  14. Thoracentesis (order FLDCUL-Fluid Culture and a ANACUL)
  15. brain abscess(order CSFCUL-CSF Culture and a ANACUL)
  16. chronic sinusitis(order CSFCUL-CSF Culture and a ANACUL)
  17. chronic otitis media with mastoiditis(order CSFCUL-CSF Culture and a ANACUL-Anaerobic culture)
  18. Cul-de-sac (order GENCUL-Genital Culture and a ANACUL)
  19. Decubitus Ulcer (order WDCUL-Wound Culture and a ANACUL)
  20. Dental Culture (Gingival, Periodontal, Periapical, Vincent’s stomatitis Note: Anaerobic culture only. Aerobic culture is of limited value.
  21. IUD (order GENCUL-Genital Culture and a ANACUL)
  22. Amniotic (order ANACUL-optional and GENCUL-Genital Culture)
  23. Bartholin cyst (order ANACUL-optional and GENCUL-Genital Culture)
  24. Endometrium (order ANACUL-optional and GENCUL-Genital Culture)
  25. Products of Conception (order ANACUL-optional and GENCUL-Genital Culture)
  26. Inferior Petrosal (order TISCUL-tissue Culture and a ANACUL)
 		ANACUL 87075 Culturette
 		NONE Special instructions for
Animal BitesDo not culture animal bite wounds < 12 h old (agents are usually not recovered) unless they are on the face or hand or unless signs of infection are present		<= 24 hours/Room Temperature
IUD
immediately delivery to lab at room temp prefered
<= 15 minutes room temp
Do not refrigerate or delay any genital specimens 		SJMC 
 
 
Antibody ID  ATBID   lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		   SJMC 
 
 
Antibody screen Indirect antibody Screen ATB 86850 RBC antibody screen per screen
86870 RBC antibody identification each Ab
86905 Blood typing for each RBC antigen
Other tests may be indicated depending on the Ab 		lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		   SJMC 
Neg 
 
Anti-Thyroglobulin Autoantibodies antimicrosomal antibodies, anti-microsomal antibodies ANTITG 86800 green-top (heparin) tube
 		Red top Tube
 		3.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
72 hours
at 2 to 8°C
30 days
at -20°C. 		SJMC 
<4.11 
IU/mL 
Anti-Thyroid Peroxidase Antibodies Antimicrosomal Antibody
Antithyroid Microsomal Antibody
Thyroid Peroxidase Autoantibodies
TPO Antibodies
antimicrosomal antibodies
anti-microsomal antibodies 		ANTITPO 86376 green-top (heparin) tube
 		Red-top tube (with out a gel barrier)
 		3.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
72 hours
at 2 to 8°C
30 days
at -20°C. 		SJMC 
<5.61 
IU/mL 
Arthropod Macroscopic Exam, Arthropod
Specify if tick is to be sent out for Lyme Disease DNA testing 		OVPBUG   Place small wingless insects in 70-95% alcohol in sealed container    Room temperature: Indefinite
Refrigerated: Indefinite
Frozen: Not Recommended 		SJMC 
Giemsa thin Smear
No Parasites Seen
Giemsa thick Smear
No Parasites Seen
Malaria Parasitemia
% 
Malaria Parasitemia % 
Aspartate Aminotransferase AST, GOT, Serum Glutamic Oxaloacetic Transaminase, SGOT, Transaminases AST 84450 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
4 days
at 20 to 25°C
7 days
at 2 to 8°C
12 weeks
at -20°C. 		SJMC 
5 - 34 
U/L 
Basic Metabolic Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN)
Patient Preperation
Overnight Fasting is preferred
 		BMP 80048 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1 
CO2 mmol/L
Cl mmol/L
K mmol/L
Na mmol/L
Calcium mg/dL
Creatinine mg/dL
Glucose mg/dL
BUN mg/dL 
Bleeding Time  BT 85002 Whatman’s #1 filter Paper

Test performed by lab personel 		NONE    SJMC 
Adult Normal range:
2.0 minutes to 8.0 minutes
Surgicutt Jr. (5 month to 15 years)
1.30 min to 8.99 minutes
Surgicutt Newborn (up to 5 months)
0.85 min to 1.65 min
Cutoff Range for Adults:
>20 minutes 
Min & Sec
in 30 sec incriments 
Blood Culture All positive blood cultures will be called back to the Doctor immediately BLCUL 87040 
Adults:Bactec Plus
Aerobic bottle
Bactec Plus:
Anaerobic bottle
Pediatrics:Bactec:
Peds Plus/F bottle
 		NONE   <= 24 hours/Room Temperature SJMC 
 
 
Body fluid Bilirubin TBili Fluid, total Bilirubin fluid FBIL   State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.6 mL Deliver sample to the lab immediately. If there will be a delay: samples may be stored for up to:
1 day
at 20 to 25°C
7 days
at 2 to 8°C
6 months
at -20°C. 		SJMC 
Reference range Not Established by Lab 
mg/dL 
Body Fluid Chloride CL body fluid FCL   State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.6 mL Deliver sample to the lab immediately. If there will be a delay: samples may be stored for up to:
2 weeks
at 20 to 25°C
2 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Reference range Not Established by Lab 
mmol/L 
Body Fluid Count When ordering Body fluid cell counts include the site (example: synovial fluid) and total volume collected. Do not order FCTP for CSF cell counts use order code CCT for a CSF cell count FCTP 89051 Lavender top (EDTA) tube
See Specimen collection and handling instructions 		NONE 2.0 mL Send to lab immediately!
Specimen collection and handling
  1. Specimen collection is done by the physician using a disposable sterile needle and plastic syringe
  2. Immediately upon collection place 2 - 5 mL in a purple top tube (thouroughly mix the tube by gently rocking it back and forth eight to ten times)
  3. Place 2 to 5 mls in a green top tube repeat (do not use a green top tube with gel on the bottom) (thouroughly mix the tube by gently rocking it back and forth eight to ten times).
  4. Place 2 - 5 mLs in a red top tube with no gel (this will be used if any fluid chemistries are ordered)
  5. If any cultures are ordered send the syringe with the remaining fluid. Remove the needle and place the cap on the syringe (this will aviod contamination)
 		SJMC 
    Test includes:
  1. Fluid Type
  2. Fluid Appearance
  3. Total Nucleated Cells
  4. RBCs
  5. Neutrophil %
  6. Lymphocyte %
  7. Mononuclear %
  8. Color
  9. Appearance
  10. Total Volume
 
Total Nucleated Cells/uL
RBC/uL
Neutr %
Lymph %
MonoNuclear % 
Body Fluid Crystal Exam Body Fluid Crystals, Crystal Examination, Joint Fluid Crystals FCR 89060 green-top (heparin) tube

Do not submit a light Green top (Lithium Heparin) tube
Submit Sodium Heparin (dark Green top) 		Lavender top (EDTA) tube
See Specimen collection and handling instructions 		1.0 mL Specimen collection and handling instructions
  1. The physician will use a syringe, moistened with an anticoagulant, to remove the synovial fluid
  2. Immediately after collection, 0.25-5.0mls of synovial fluid are added to a sodium heparin (green top) tube or 0.25-3.0mls of synovial fluid are added to a liquid EDTA (purple top) tube
  3. Mix the tube thouroughly by gently rocking the tube back and forth eight to ten times
  4. The specimen should be transported to the laboratory ASAP for testing
  5. Specimens should be refrigerated if there is to be a prolonged delay in examination
  6. Refrigerated specimens may undergo examination for crystals within 2 days of collection
  7. Room temp specimens that are delayed in arriving at the lab and frozen specimens are UNACCEPTABLE
 		SJMC 
Fluid Crystals
No Crystals Seen 
Body Fluid Glucose Glucose Pericardial, Glucose Peritoneal, Glucose Pleural, Glucose Synovial, FGLU
CSF Glucose Search for Test code CGLU 		FGL 82945 State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.6 mL Body fluids should be brought to the lab immediately SJMC 
Not Established 
mg/dL 
Body Fluid Hematocrit  FHCT 85014 Lavender top (EDTA) tube
See Specimen collection and handling instructions 		NONE 2.0 mL Send to lab immediately!
Specimen collection and handling:
Specimen collection
Specimen collection is done by the physician using a disposable sterile needle and plastic syringe. Immediately upon collection place 2 - 5 mL in a purple top tube (thouroughly mix the tube by gently rocking it back and forth eight to ten times).
Place 2 to 5 mls in a green top tube repeat (do not use a green top tube with gel on the bottom) (thouroughly mix the tube by gently rocking it back and forth eight to ten times).
Place 2 - 5 mLs in a red top tube with no gel (this will be used if any fluid chemistries are ordered)
If any cultures are ordered send the syringe with the remaining fluid. Remove the needle and place the cap on the syringe (this will aviod contamination)
 
SJMC 
Hct
No Normal Pt Values Established 
% 
Bone Culture Includes a Gram Stain (CPT 87205)
A ANACUL (Anaerobic culture) is usually also ordered when a Bone culture is ordered
 		BONCUL 87070 tissue/bone NONE   <= 24 hours/Room Temperature (within 2 hours if possible) SJMC 
 
 
Brain Natriuretic Peptide BNP,Brain Natriuretic Peptide BTNP 83880 lavender (purple) top (EDTA)
 		NONE 2.0 mL Seperated samples may be stored for up to:
4 hours
at 20 to 25°C
72 hours
at 2 to 8°C
30 days
at -20°C. 		SJMC 
Male
<104
Female
<150 
pg/mL 
C. difficile, Toxin A & B Clostridium difficile Toxin A & B CDIFF 87324 Stool (Submit stool history form, with specimen) NONE 1.0 g <=1 hour/Room Temp (optimal)
1-24 hours/Refrigerated (optimal) No greater than 3 days refrigerated
>= 24 hours, frozen (not recommended-Freezing at to 20C facilitates rapid loss of cytotoxin activity and is not recommended)
Patients should be passing > 5 liquid or soft stools per 24 hours 		SJMC 
 
 
Calcium CA CA 82310 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
3 weeks
at 2 to 8°C
8 months
at -20°C. 		SJMC 
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10 
mg/dL 
Cancer Antigen 125 CA-125, Second Generation Assay,CA125 CA125SJ 86304 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
>7 days
at -20°C. 		SJMC 
0-35 
U/mL 
Carbamazepine Carbatrol®, Epitol®, Equetro®, Tegretol®, Tegretol®-XR CAR 80156 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
<2 days
at 20 to 25°C
<1 month
at 2 to 8°C
30 days
at -20°C. 		SJMC 
Therapeutic
4 - 12
Toxic
>12 
ug/mL 
Carbon Dioxide CO2, TCO2, Bicarbonate CO2 82374 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
1 days
at 20 to 25°C
7 days
at 2 to 8°C
2 weeks
at -20°C. 		SJMC 
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27 
mmol/L 
Carcinoembryonic antigen CEA CEA1 82378 Red top Tube
 		green-top (heparin) tube
NOTE: Do not use a green top tube unless there is no other choice. Green top tubes are acceptable but tend to have values up to 10% higher 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
>7 days
at -20°C. 		SJMC 
<=5 
ng/mL 
Catheter Culture Foley castheters are Unacceptable specimens for culture. Foleys represent distal urethral flora. Submit urine for culture instead (URNCUL). CTCUL 87071 Catheter tip NONE   <= 15 minutes/Room Temperature prefered
<= 24 hours 2-8 %deg;C 		SJMC 
 
 
CBC w/o automated diff Also refered to as:
Hemogram, Heme 8, H8, abbreveated BLO
includes:
White Blood Cell count (WBC)
Red Blood Cell count (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin (MCH)
Mean corpuscular hemoglobin concentration (MCHC)
Red blood cell distribution width (RDW)
Pleatelet count (PLT)
Mean platelet volume (MPV)
 		ABC 85027 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for CBC testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
WBC
WBC Female
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
>6 years
5 - 12
WBC Male
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
6 years
5 - 12
>12 years
4.5 - 11RBC
RBC Female
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6
RBC Male
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0MCV
(Calculation: [Hct x 10] / RBC)
MCV Female
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0
MCV Male
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0MCH
(Calculation: [Hgb x 10] / RBC)
MCH Female
28.0 - 35.0
MCH Male
28.0 - 35.0
MCHC
(Calculation: [Hgb x 100] / Hct)
MCHC Female
31.0 - 36.0
MCHC Male
31.0 - 36.0
RDW
(Red cell Distribution Width Calculation: divide the standard deviation of RBC volume by the MCV and multiply by 100
RDW Female
11.0 - 14.2
RDW Male
11.0 - 14.2
PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
MPV
(Mean platelet volume (MPV) is a machine-calculated measurement of the average size of platelets)
MPV Female
6.1 - 11.5
MPV Male
6.1 - 11.5
 
WBC K/uL
RBC M/uL
HGB g/dL
HCT %
MCV FL
MCH PG
MCHC g/dL
PLT K/uL
MPV FL 
CBC with automated diff If pt is less than 12 yo order a CBCMD instead
Also refered to as:Complete blood Count, Complete blood count with automated 5 part diff
includes:
White Blood Cell count (WBC)
Red Blood Cell count (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin (MCH)
Mean corpuscular hemoglobin concentration (MCHC)
Red blood cell distribution width (RDW)
Pleatelet count (PLT)
Mean platelet volume (MPV)
Neutrophil %
Lymphocyte %
Monocyte %
Eosinophil %
Bosophil %
Absolute Neutrophil count
 		CBC 85025 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for CBC testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
WBC
WBC Female
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
>6 years
5 - 12
WBC Male
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
6 years
5 - 12
>12 years
4.5 - 11 RBC
RBC Female
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6
RBC Male
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6 Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5 Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0 MCV
(Calculation: [Hct x 10] / RBC)
MCV Female
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0
MCV Male
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0 MCH
(Calculation: [Hgb x 10] / RBC)
MCH Female
28.0 - 35.0
MCH Male
28.0 - 35.0
 MCHC
(Calculation: [Hgb x 100] / Hct)
MCHC Female
31.0 - 36.0
MCHC Male
31.0 - 36.0
 RDW
(Red cell Distribution Width Calculation: divide the standard deviation of RBC volume by the MCV and multiply by 100
RDW Female
11.0 - 14.2
RDW Male
11.0 - 14.2
 PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
 MPV
(Mean platelet volume (MPV) is a machine-calculated measurement of the average size of platelets)
MPV Female
6.1 - 11.5
MPV Male
6.1 - 11.5
 Neutrophils %
Neut % Female
1 year
25.0 - 49.0
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0
Neut % Male
1 year
25.0 - 49
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0 Lymphocytes %
Lymph % Female
1 year
60.0 - 67.0
2 years
50.0 - 56.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7
Lymph % Male
1 year
60.0 - 67.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7 Monocytes %
Mono % Female
5.0 - 11.8
Mono % Male
5.0 - 11.8
 Eosinophils %
Eos % Female
0.0 - 6.0
Eos % Male
0.0 - 6.0
 Basophils %
Baso % Female
0.0 - 2.0
Baso % Male
0.0 - 2.0
 Absolute Neutrophils
AbsNeu Female
1.5 - 7.5
AbsNeu Male
1.5 - 7.5
  
WBC K/uL
RBC M/uL
HGB g/dL
HCT %
MCV FL
MCH PG
MCHC g/dL
PLT K/uL
MPV FL
Neut %
Lymph %
Mono %
Eos %
Baso %
AbsNeu K/uL 
CBC with Manual diff Also refered to as:Complete blood count with Manual differential
includes:
White Blood Cell count (WBC)
Red Blood Cell count (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin (MCH)
Mean corpuscular hemoglobin concentration (MCHC)
Red blood cell distribution width (RDW)
Pleatelet count (PLT)
Mean platelet volume (MPV)
Neutrophil %
Lymphocyte %
Monocyte %
Eosinophil %
Bosophil %
Absolute Neutrophil count
 		CBCMD 85025 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for CBC testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
WBC
WBC Female
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
>6 years
5 - 12
WBC Male
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
6 years
5 - 12
>12 years
4.5 - 11RBC
RBC Female
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6
RBC Male
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0MCV
(Calculation: [Hct x 10] / RBC)
MCV Female
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0
MCV Male
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0MCH
(Calculation: [Hgb x 10] / RBC)
MCH Female
28.0 - 35.0
MCH Male
28.0 - 35.0
MCHC
(Calculation: [Hgb x 100] / Hct)
MCHC Female
31.0 - 36.0
MCHC Male
31.0 - 36.0
RDW
(Red cell Distribution Width Calculation: divide the standard deviation of RBC volume by the MCV and multiply by 100
RDW Female
11.0 - 14.2
RDW Male
11.0 - 14.2
PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
MPV
(Mean platelet volume (MPV) is a machine-calculated measurement of the average size of platelets)
MPV Female
6.1 - 11.5
MPV Male
6.1 - 11.5
Manual Differential(includes but is not limited to)
Neutrophils %

Neut % Female
1 year
25.0 - 49.0
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0
Neut % Male
1 year
25.0 - 49
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0Lymphocytes %

Lymph % Female
1 year
60.0 - 67.0
2 years
50.0 - 56.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7
Lymph % Male
1 year
60.0 - 67.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7Monocytes %

Mono % Female
5.0 - 11.8
Mono % Male
5.0 - 11.8
Eosinophils %

Eos % Female
0.0 - 6.0
Eos % Male
0.0 - 6.0
Basophils %

Baso % Female
0.0 - 2.0
Baso % Male
0.0 - 2.0
Absolute Neutrophils
AbsNeu Female
1.5 - 7.5
AbsNeu Male
1.5 - 7.5
Bands %

Neutrophilic BandMetamyelocytes %

MetamyelocytesMyelocytes %

MyelocytesPromyelocyte %

PromyelocyteBlast %

BlastWBC MorphologyWBC
hypersegmented
Platelet Morphology
Platelets
Normal
Giant
Plt ClumpsRBC Morphology
RBC

Normal
Stomatocyte
Dacrocyte
Sickle Cells
 
WBC K/uL
RBC M/uL
HGB g/dL
HCT %
MCV FL
MCH PG
MCHC g/dL
PLT K/uL
MPV FL
Neut %
Lymph %
Mono %
Eos %
Baso %
AbsNeu K/uL 
CBC with RBC Morphology Also refered to as:Complete blood count with slide review
includes:
White Blood Cell count (WBC)
Red Blood Cell count (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin (MCH)
Mean corpuscular hemoglobin concentration (MCHC)
Red blood cell distribution width (RDW)
Pleatelet count (PLT)
Mean platelet volume (MPV)
Neutrophil %
Lymphocyte %
Monocyte %
Eosinophil %
Bosophil %
Absolute Neutrophil count
 		CBCSCR 85025 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for CBC testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
WBC
WBC Female
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
>6 years
5 - 12
WBC Male
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
6 years
5 - 12
>12 years
4.5 - 11RBC
RBC Female
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6
RBC Male
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0MCV
(Calculation: [Hct x 10] / RBC)
MCV Female
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0
MCV Male
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0MCH
(Calculation: [Hgb x 10] / RBC)
MCH Female
28.0 - 35.0
MCH Male
28.0 - 35.0
MCHC
(Calculation: [Hgb x 100] / Hct)
MCHC Female
31.0 - 36.0
MCHC Male
31.0 - 36.0
RDW
(Red cell Distribution Width Calculation: divide the standard deviation of RBC volume by the MCV and multiply by 100
RDW Female
11.0 - 14.2
RDW Male
11.0 - 14.2
PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
MPV
(Mean platelet volume-MPV) is a machine-calculated measurement of the average size of platelets)
MPV Female
6.1 - 11.5
MPV Male
6.1 - 11.5
WBC Automated Differential:
Neutrophils %

Neut % Female
1 year
25.0 - 49.0
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0
Neut % Male
1 year
25.0 - 49
2 years
25.0 - 50.0
6 years
30.0 - 55.0
8 years
33.0 - 59.0
10 years
40.0 - 59.0
16 years
40.0 - 62.0
Adult
41.1 - 73.0Lymphocytes %

Lymph % Female
1 year
60.0 - 67.0
2 years
50.0 - 56.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7
Lymph % Male
1 year
60.0 - 67.0
4 years
36.0 - 52.0
6 years
30.0 - 48.0
8 years
33.0 - 50.0
10 years
33.0 - 48.0
16 years
26.0 - 40.0
Adult
17.1 - 44.7Monocytes %

Mono % Female
5.0 - 11.8
Mono % Male
5.0 - 11.8
Eosinophils %

Eos % Female
0.0 - 6.0
Eos % Male
0.0 - 6.0
Basophils %

Baso % Female
0.0 - 2.0
Baso % Male
0.0 - 2.0
Absolute Neutrophils
AbsNeu Female
1.5 - 7.5
AbsNeu Male
1.5 - 7.5
 
WBC K/uL
RBC M/uL
HGB g/dL
HCT %
MCV FL
MCH PG
MCHC g/dL
PLT K/uL
MPV FL
Neut %
Lymph %
Mono %
Eos %
Baso %
AbsNeu K/uL 
change BMP to CMP includes: Albumin (Alb), Total Bilirubin (TBil), ALkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT)
Patient Preperation
Overnight Fasting is preferred
 		XCMP   green-top (heparin) tube
 		Red top Tube
 		0.6 mL (blood in Lab) Samples may be stored for up to:
1 days
at 20 to 25°C
7 days
at 2 to 8°C
1 months
at -20°C. 		SJMC 
Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8TBil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34TProt
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogen 
 
CHEM 20 and Lipid Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Total Bilirubin (Tbil), Alkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT), Gamma-Glutamyl Transferase (GGT), Phosphorous (PHOS), Magnesium (Mg), Lactate Dehydrogenase(LDH), Uric Acid (Uric), Direct Bilirubin (Dbil)
Patient Preperation
Overnight Fasting is preferred
 		C20L CMP(80053)
GGT(82977)
Phosphorous(84100)
Magnesium(83735)
LDH(83615)
Uric acid(84550)
Direct Bilirubin(82248)
Lipid(80061) 		green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8Tbil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34GGT
Male
12 to 64
Female
9 to 36Phos
2.3 - 4.7Mg
NB, 2 to 4 days
1.5 - 2.2
5 months to 6 years
1.4 - 1.9
6 to 12 years
1.4 - 1.7
12 to 20 years
1.4 - 1.8
Adult
1.6 - 2.8LDH
125 - 243Uric
Child
2 - 5.5
Adult Male
3.5 - 7.2
Adult Female
2.6 - 6Dbil
0 - 0.5Tprot
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogen Chol
Child Desirable
<170
Borderline
170 - 199
High
>= 200
Adult Desirable
<200
Borderline
200 - 239
High
>=240 HDL
Major risk factor for heart disease
<40
Negative risk for heart disease
>60Trig
Normal
<150
Borderline High
150 - 199
High
200 - 499
Very High
> 500LDL
30 - 130 
 
CHEM 20 Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Total Bilirubin (Tbil), Alkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT), Gamma-Glutamyl Transferase (GGT), Phosphorous (PHOS), Magnesium (Mg), Lactate Dehydrogenase(LDH), Uric Acid (Uric), Direct Bilirubin (Dbil)
Patient Preperation
Overnight Fasting is preferred
 		C20 CMP(80053)
GGT(82977)
Phosphorous(84100)
Magnesium(83735)
LDH(83615)
Uric acid(84550)
Direct Bilirubin(82248) 		green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8TBil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34GGT
Male
12 to 64
Female
9 to 36Phos
2.3 - 4.7Mg
NB, 2 to 4 days
1.5 - 2.2
5 months to 6 years
1.4 - 1.9
6 to 12 years
1.4 - 1.7
12 to 20 years
1.4 - 1.8
Adult
1.6 - 2.8LDH
125 - 243Uric
Child
2 - 5.5
Adult Male
3.5 - 7.2
Adult Female
2.6 - 6DBil
0 - 0.5TProt
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogen 
 
Chloride Cl CL 82435 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
2 weeks
at 20 to 25°C
2 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107 
mmol/L 
Cholesterol Chol
Patient Preperation
Overnight Fasting is preferred
 		CHOL 82465 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Child Desirable
<170
Borderline
170 - 199
High
>= 200
Adult Desirable
<200
Borderline
200 - 239
High
>=240 
mg/dL 
Clinitest Urine Reducing Substance
Carbohydrate, urine
Disaccharide screening
Monosaccharide screening 		URED 84999 Urine Collection container (no preservative)
 		None Five drops of urine are needed to perform this test The Clinitest test should be done on fresh urine since glucose and other reducing sugars are consumed by bacteria. Refrigerate urine specimens that cannot be tested immediately. Urine preservatives may affect test results SJMC 
Urine: Negative 
Negative
1/4%
1/2%
3/4%
1%
>=2% 
Comprehensive Metabolic Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Total Bilirubin (Tbil), Alkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT)
Patient Preperation
Overnight Fasting is preferred
 		CMP 80053 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8TBil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34TProt
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogen 
CO2 mmol/L
Cl mmol/L
K mmol/L
Na mmol/L
Calcium mg/dL
Creatinine mg/dL
Glucose mg/dL
BUN mg/dL
Albumin G/dL
Total Bilirubin mg/dL
ALkaline Phosphatase iu/L
Total Protein G/dL
Alanine Aminotranferase (SGPT-ALT) u/L
Aspartate Aminotransferase (AST-SGOT) u/L 
Cord Blood Blood Bank Ordered on newbotrns 6 Months or less CBL   lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		3 mL Deliver to the lab immediately
if delayed specimens can be stored at 2-6 °C for 20 days 		SJMC 
Neg Igg 
Reported out
ABO
Rh
Igg 
Cortisol Compound F, Hydrocortisone CORTIS 82533 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
14 days
at 2 to 8°C
>30 days
at -20°C. 		SJMC 
Before 10 AM
3.7 - 19.4
After 5 PM
2.9 - 17.2 
ug/mL 
C-Reactive Protein CRP CRP 86140 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
15 days
at 20 to 25°C
2 months
at 2 to 8°C
3 years
at -20°C. 		SJMC 
<5.0 
mg/L 
C-Reactive Protein (High Sensitivity) Cardiac C-Reactive Protein (CRP), Cardiac CRP, CRP, Cardiac, CRP, High Sensitivity, High-sensitivity CRP  HCRPH 86141 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
15 days
at 20 to 25°C
2 months
at 2 to 8°C
3 years
at -20°C. 		SJMC 
<5.0 
mg/L 
Creatine Kinase CK, CPK, Creatine Phosphokinase Total Serum CK 82550 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
NOT ACCEPTABLE
at -20°C. 		SJMC 
Male
30-200
Female
29 - 168 
U/L 
Creatine Kinase Index CKMB/CK ckimb, CKMB CKI CK(82550)
CKMB(82553) 		green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
72 hours
at 2 to 8°C
NOT ACCEPTABLE
at -20°C. 		SJMC 
CKMB
Male
≤7.2
Female
≤3.4 
 
Creatine Kinase-MB Fraction CK-2,CKMB, ckimb CKMB 82553 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
72 hours
at 2 to 8°C
30 days
at -20°C. 		SJMC 
Male
≤7.2
Female
≤3.4 
ng/mL 
Creatinine (serum) Creat CR 82565 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Male
0.72 - 1.25
Female
0.57 - 1.11 
mg/dL 
Creatinine (Urine) Urine Creatinine, Random UCRR 82570 Collect with no preservative.
Random specimens

timed intervals
 not longer than 24 hours are acceptable for analysis 		none 1.0 mL for Random, 24 hour collections use the appropriate
24 hour collection jug
 		Samples may be stored for up to:
2 days
at 20 to 25°C
6 days
at 2 to 8°C
6 months
at -20°C. 		SJMC 
RANDOM
Adult Male
63 - 166
Adult Female
47 - 110
24 HOURS
Adult Male
950 - 2490 mg/day
Adult Female
710 - 1650 mg/day 
mg/dL 
Creatinine Clearance Clearance, Creatinine CC 82575
Test includes: Serum creatinine, Urine creatinine 		green-top (heparin) tube
24 hour collection jug
 with no preservative.
Collection Instructions
Instruct the patient to void the first morning void and discard the specimen (record the date and time). Then collect all urine including the final specimen voided at the end of the 24-hour collection period. A plasma/serum specimen must be submited. It is preferable to collect the plasma/serum at the time the urine collection is completed or when the urine is brought to the draw station. The plasma/serum should be collected within 24 hours of the start or finish of the urine collection. the lab will also need to know the patient’s HEIGHT and WEIGHT 		Red top Tube
NONE for alternate Urine container 		0.6 mL for the blood sample.
24 hour collections use the appropriate 24 hour collection jug 		Separated blood samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C.
Urine samples may be stored for up to:
2 days
at 20 to 25°C
6 days
at 2 to 8°C
6 months
at -20°C. 		SJMC 
Test Includes:
Height
Weight
Time
Total Urine Volume
Random Urine Creatinine
Adult Male
63 - 166
Adult Female
47 - 110
Serum(plasma)Creatinine
Male
0.72 - 1.25
Female
0.57 - 1.1124 Hours Urine Creatinine
Adult Male
950 - 2490 mg/day
Adult Female
710 - 1650 mg/dayCreatinine Clearance
Male
7 Days
44 - 56
2 Months
60 - 70
9 Months
77 - 97
1 Year
79 - 95
13 Years
100 - 150
Adult
85 - 125
Female
7 Days
44 - 56
2 Months
60 - 70
9 Months
77 - 97
1 Year
79 - 95
13 Years
94 - 122
Adult
75 - 115 
Height cm
Weight kg
Time hrs
Total Volume mL
Urine Creatinine Random mg/dL
Serum Creatinine mg/dL
Urine Creatinine 24 hours g/24 hours
Creatinine clearance mL/minute 
Cryoprecipitate Cryo CRYOP   Cryoprecipitate AHF is the cold insoluble precipitate from fresh frozen plasma. It contains Factor VIII:C, Factor XIII, fibrinogen, Factor VIII:vWF, and fibronectin. Cryoprecipitate can be transfused to provide appropriate clotting factors to patients who are deficient in those factors and it can also be used as a glue or sealant for certain types of orthopedic procedures
Patients are not required to have TNS prior to issue of cryoprecipitate when used for sealant. This is the only way Cryoprecipitate is used at SJMC, we do not transfuse Cryoprecipitate 		    SJMC 
Each bag contains approximately 20 ml cryoprecipitate 
 
CSF Cell Count Cerebrospinal Fluid Cell Count, CSF Analysis, Lumbar Puncture, Spinal Fluid Analysis CCT 89051 CSF collection tube 3
 		NONE 1.0 mL Send to lab immediately!
Specimen collection and handling
  1. Cerebrospinal fluid (CSF) is most often collected by lumbar puncture into sterile CSF tubes labeled with a tube number and patient identifiers. CSF may also be collected by cisternal puncture, lateral cervical puncture, or ventricular cannulas (or shunts)
  2. The total CSF volume in adults is 90-150 mL and 10-60 mL in neonates. The rate of formation of CSF in adults is approximately 500 mL/day. In adults with normal CSF pressure, up to 20mL may be safely removed for testing
  3. Tubes for CSF testing are Assigned:
       Tube 1 to Chemistries and Serologies
       Tube 2 to Microbiology
       Tube 3 to Hematology Cell Counts and WBC Differential
  4. Tube 4 to May be frozen or refrigerated for viral studies or special send out testing
Note that in some cases the physician may request that a cell count and WBC differential be performed on the first and last tubes collected. Tubes 1 & 4 or tubes 1 & 3, for example.
Specimen collection is done by the physician 		SJMC 
    Test includes:
  1. WBC count: 0 - 5
  2. RBC count
  3. Color
  4. Clarity
  5. Xanthochromia: Neg
  6. Viscosity: Normal
  7. Total volume
 
Total Nucleated Cells/uL
RBC/uL
Neutr %
Lymph %
MonoNuclear % 
CSF Cell Differential Cerebrospinal Fluid Cell Differential, CSF Differential, Cytospin Differential, Lumbar Puncture Differential, Spinal Fluid Differential CDIF 89051 CSF collection tube 3
 		NONE 1.0 mL Send to lab immediately!
Specimen collection and handling
  1. Cerebrospinal fluid (CSF) is most often collected by lumbar puncture into sterile CSF tubes labeled with a tube number and patient identifiers. CSF may also be collected by cisternal puncture, lateral cervical puncture, or ventricular cannulas (or shunts)
  2. The total CSF volume in adults is 90-150 mL and 10-60 mL in neonates. The rate of formation of CSF in adults is approximately 500 mL/day. In adults with normal CSF pressure, up to 20mL may be safely removed for testing
  3. Tubes for CSF testing are Assigned:
       Tube 1 to Chemistries and Serologies
       Tube 2 to Microbiology
       Tube 3 to Hematology Cell Counts and WBC Differential
  4. Tube 4 to May be frozen or refrigerated for viral studies or special send out testing
Note that in some cases the physician may request that a cell count and WBC differential be performed on the first and last tubes collected. Tubes 1 & 4 or tubes 1 & 3, for example.
Specimen collection is done by the physician 		SJMC 
 
Neutr %
Lymph %
MonoNuclear % 
CSF Culture Includes a Gram Stain (CPT 87205)Cerebrospinal fluid CSFCUL 87070 Usually performed on CSF tube #2
 		NONE   <= 15 minutes/Room Temperature prefered
<= 24 hours Room Temp 		SJMC 
 
 
CSF Total Protein Cerebrospinal Fluid Protein, CSF Protein, Protein, CSF CTP 84157 If possible Specimen should not contain blood-Use CSF collection tubes
CSF collection tube 1
 		NONE 0.6 mL Samples may be stored for up to:
1 days
at 20 to 25°C
7 days
at 2 to 8°C
1 month
at -20°C. 		SJMC 
Premature
15 - 130
Full term NB
40 - 120
<1 month
20 - 80
General
15 - 40
Lumbar fluid
15 - 45 
mg/dL 
CSF WBC count Cerebrospinal Fluid WBC count, CSF WBC count, Cytospin WBC count, Lumbar Puncture WBC count, Spinal Fluid WBC count, Cerebrospinal Fluid White Blood Cell count, CSF White Blood Cell count, Cytospin White Blood Cell count, Lumbar Puncture White Blood Cell count, Spinal Fluid White Blood Cell count CWBC 89051 CSF collection tube 3
 		NONE 1.0 mL Send to lab immediately!
Specimen collection and handling
  1. Cerebrospinal fluid (CSF) is most often collected by lumbar puncture into sterile CSF tubes labeled with a tube number and patient identifiers. CSF may also be collected by cisternal puncture, lateral cervical puncture, or ventricular cannulas (or shunts)
  2. The total CSF volume in adults is 90-150 mL and 10-60 mL in neonates. The rate of formation of CSF in adults is approximately 500 mL/day. In adults with normal CSF pressure, up to 20mL may be safely removed for testing
  3. Tubes for CSF testing are Assigned:
       Tube 1 to Chemistries and Serologies
       Tube 2 to Microbiology
       Tube 3 to Hematology Cell Counts and WBC Differential
  4. Tube 4 to May be frozen or refrigerated for viral studies or special send out testing
Note that in some cases the physician may request that a cell count and WBC differential be performed on the first and last tubes collected. Tubes 1 & 4 or tubes 1 & 3, for example.
Specimen collection is done by the physician 		SJMC 
    Test includes:
  1. WBC count: 0 - 5
     
Total Nucleated Cells/uL 
D-Dimer DDimer DD 85379 Blue top tube (tube must be filled to line)
 		NONE Filled tube 
Collection Instructons
Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube).
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant
Centrifuge the capped specimen for the time appropriate to produce platelet poor plasma and test specimen within four hours after collectionTo separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. If testing is not completed within 4 hours or if shipment is required, the plasma may be stored frozen at <-20 °C for up to two weeks and up to six months at <-70 °C. Frozen plasma samples must be rapidly thawed at 37 °C while gently mixing then tested immediately; if testing cannot be performed immediately, the specimen may be held for a maximum of 2 hours at 4 °C until testing. Do not refreeze.
Patients with hematocrit values greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Approximately 0.25 mL of sodium citrate should be removed from the vacutainer tube before adding the 4.5 mL of whole bloodG. Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
<0.50 
mg/L
The D-Dimer level is expressed as initial fibrinogen equivalent unit (FEU).  
Dehydroepiandrosterone sulphate DHEA, Unconjugated DHEA DHEAS1 82626 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
8 days
at 2 to 8°C
8 weeks
at -20°C. 		SJMC 
Reference Ranges
FEMALE
Age 11-14
8.6 to 169.8
15-19,
61.2 to 493.6
20-24
134.2 to 407.4
25-34
95.8 to 511.7
35-44
74.8 to 410.2
45-54
56.2 to 282.9
55-64
29.7 to 182.2
65-70
33.6 to 78.9
MALE
Age 11-14
16.6 to 242.7
15-19
45.1 - 385
20-24
238.4 to 539.3
25-34
167.9 to 591.9
35-44
139.7 to 484.4
45-54
136.2 to 447.6
55-64
48.6 to 361.8
65-70
228.5 to 283.6
CHILDREN <10 years
8.5 to 209.7
 
ug/dL 
Digoxin Lanoxin®  DIG 80162 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
48 hours
at 20 to 25°C
48 hours
at 2 to 8°C
6 months
at -20°C. 		SJMC 
0.8 - 2 
ng/mL 
Direct Bilirubin Bilirubin, Conjugated DBIL 82248 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
0 - 0.5 
mg/dL 
Direct Coombs Coombs, Direct Antibody Screen DAT   lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		3 mL Deliver to the lab immediately
if delayed specimens can be stored at 2-6 °C for 20 days 		SJMC 
Igg Neg
C3 Neg 
Pos/Neg 
Direct High-density Lipoprotein Cholesterol Direct HDL Cholesterol, Direct HDL Cholesterol Electrophoresis, direct Alpha-Lipoprotein Cholesterol, Direct HDLC
Patient Preperation
Overnight Fasting is preferred
 		DHDL 83718 green-top (heparin) tube
 		Red top Tube
 		0.5 mL Seperated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
>= 40 
mg/dL 
Direct Low-density Lipoprotein Cholesterol Cholesterol LDL, Cholesterol Direct LDL
Patient Preperation
Overnight Fasting is preferred
 		DLDL 80061 green-top (heparin) tube
 		Red top Tube
 		0.5 mL Seperated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
30 - 130 
mg/dL 
Ear Culture Includes a Gram Stain (CPT 87205)
Used for
  1. Inner, ear (optional ANACUL-Anaerobic culture:for tympanocentesis specimens)
  2. Outer, ear (For otitis externa, vigorous swabbing is required since surface swabbing may miss streptococcal cellulitis)
 		EARCUL 87070 Aspirate: Transfer in a sterile container OR transport Sterile Syringe
Culturette
 		NONE   <= 2 hours/Room Temperature prefered
<= 6 hours room temp 		SJMC 
 
 
Electrolyte Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Lytes LT 80051 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
2 weeks
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145 
CO2 mmol/L
Cl mmol/L
K mmol/L
Na mmol/L 
Eos smear Nasal Eosinophil Nasal Smear, Nasal smear for Eosinophils SEOS 89190 Nasppharyngeal swab
Nasopharyngeal swab is the specimen of choice.
    procedure for a Nasal swab
  1. Insert a swab, premoistened with sterile saline, approximately 2 cm into the nares
  2. Rotate the swab against the nasal mucosa
  3. Use MV Swab Do not refrigerate or freeze
 		Nasal secretions or sputum specimens may be submitted in a clean plastic container. Slides received in cytology fixative will be rejected. Gram stained smears for microbiology specimens are not acceptable   Submit to the lab immediately SJMC 
<5 - 10%
Eosinophils 
% 
Eos smear urine Eosinophil Urine, Urine for Eosinophils UAEOS 89190 Urine Collection container (no preservative)
 		None 0.5 mL 
The optimal specimen is less than 1 hour old
Urine specimens greater that 2 hours old are unacceptable. The cells will rapidly disintegrate and become unrecognizable in urine specimens greater than 2 hours old
 
SJMC 
Normal
0%
Indeterminate
1-5%
Indicative of drug-induced interstitial nephritis (AIN)
>5% 
% 
Erythrocyte Sedimentation Rate  ESR 85652 Lavender top (EDTA) tube
 		NONE 2.0 mL whole blood Immediately after collection thouroughly mix the tube by gently rocking it back and forth eight to ten times. EDTA (Lavender) are stable at room temperature for 4 hours and refrigerated for 12 hours SJMC 
Female
1 - 14
Male
1 - 22 
mm/hr 
Estradiol E2, Estradiol-17β ESTRA 82670 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
>7 days days
at -20°C. 		SJMC 
Normal Menstruating Females
Follicular Phase
21 - 251
Mid-Cycle Phase
38 - 649
Luteal Phase
21 - 312
Postmenopausal Females not on HRT
<10 - 28
Postmenopausal Females on HRT
<10 - 144
Males
11 - 44 
pg/mL 
Eye Culture Includes a Gram Stain (CPT 87205)
Used for
  1. Eye
  2. Corneal Scrapings (Optional Anaerobic culture-ANACUL)
  3. Eye Fluids/Aspirates (Anaerobic culture is also ordered-ANACUL)
 		EYECUL 87070 Culturette
scrapings
fluids 		NONE   <= 2 hours/Room Temperature prefered (<=15 minutes for corneal scrapings/Eye Fluids/Aspirates is prefered)
<= 24 hours room temp
Microbiology Media (agar/broth) inoculated at bedside should be processed within 15 min/room temp 		SJMC 
 
 
Fecal Leukocytes Fecal WBCs, Stool for White Cells, WBC Stool, White Cells Stool
Fecal Lactoferrin (MISCT-Specify in instructions what test to order)may be more accurate in the assessment of whether gastrointestinal bacterial infection, active inflammatory bowel disease or radiation proctitis is present than fecal leukocytes 		FLEU 89055 Stool (Performed by wet mount. If gram stain (GRAM) wanted order separatel) NONE 1.0 g <=1 hour/Room Temp
<=24 hours °:C
Preserved 10% Formalin: Indefinite/Room Temp 		SJMC 
 
 
Ferritin   FERR 82728 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -20°C. 		SJMC 
Male
22 - 275
Female
5 - 204 
ng/mL 
Fetal Fibronectin FFN FFIBRO 82731 The Adeza® Biomedical Collection Kit

is the only acceptable specimen collection system that can be used for this assay 		NONE Follow the collection instructions located inside the Adeza® Biomedical Collection Kit Specimens that are not tested within 8 hours of collection must be stored refrigerated at 2° to 8° Celsius and assayed within 3 days of collection. Do not expose to temperatures outside of 2° to 25° Celsius. SJMC 
Negative 
Negative

Positive

Invalid 
Fetal Screen with reflex to KBST F/A Ratio, FA Ratio, Kleihauer-Betke technique KBST2 85460 lavender-top or pink-top EDTA tube
 		  0.5 mL  Unacceptable specimens are those showing gross hemolysis or lipemia, drawn in anticoagulant other than EDTA, have a large amount of fibrin, or drawn into a clot tube with gel.
Deliver to LAB immediately 		SJMC 
A fetal screen test is preformed. Positive tests will reflex to a Kleihauer-Betke stain (KBST) 
 
Fibrinogen FIB  FIBR 85384 Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top tube).
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant.
Centrifuge the capped specimen for the time appropriate to produce platelet poor plasma within four hours after collection.
To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. If testing is not completed within 24 hours or if shipment is required, the plasma may be stored frozen at <= -20 °C for up to two weeks and up to six months at <= -70 °C. Before freezing, re-centrifuge plasma and transfer upper two-thirds portion of plasma to a new plastic tube. Frozen plasma samples must be rapidly thawed at 37 °C while gently mixing and tested immediately; if testing cannot be performed immediately, the specimen may be held for a maximum of 2 hours at 4 °C until testing.
Patients with hematocrit values greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove ½ the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).
Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
200 - 400 
mg/dL 
Fluid Amylase (Body) Amylase, Body Fluid, ascitic fluid, pleural fluid, etc FAMY 82150 State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.5 mL Deliver sample to the lab immediately. If there will be a delay: samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -20°C. 		SJMC 
Reference range Not Established by Lab 
u/L 
Fluid Culture Includes
  1. Gram Stain
  2. Aerobic culture
  3. Anaerobic culture
FLDCULT 87070 Culturette
Sterile transport tube 		NONE   <= 24 hours/Room Temperature
IUD
immediately delivery to lab at room temp prefered
<= 15 minutes room temp
Do not refrigerate or delay any genital specimens 		SJMC 
 
 
Fluid Potassium K body fluid, Potassium body fluid FK   State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.6 mL Deliver sample to the lab immediately. If there will be a delay: samples may be stored for up to:
2 weeks
at 20 to 25°C
2 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Reference range Not Established by Lab 
mmol/L 
Fluid Tot Protein Fluid TProt, fluid total Protein, Fluid Prot FTP   State source of fluid on the request form (eg, pleural, peritoneal, etc.) NONE 0.6 mL Deliver sample to the lab immediately. If there will be a delay: samples may be stored for up to:
1 week
at 20 to 25°C
1 month
at 2 to 8°C
2 months
at -20°C. 		SJMC 
Reference range Not Established by Lab 
g/dL 
Follicle-stimulating Hormone FSH, Pituitary Gonadotropin FSH1 83001 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -20°C. 		SJMC 
MALE
0.95 - 11.95
Normal Menstruating Females
Follicular Phase
3.03 - 8.08
Mid-Cycle Peak
2.55 - 16.69
Luteal Phase
1.38 - 5.47
Postmenopausal Females
26.72 - 133.41 
mIU/mL 
Free Thyroxine Free T4 Direct Serum, Free Thyroxine, T4 Free Direct Serum, Unbound T4 FT4 84439 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
6 days
at 2 to 8°C
6 days
at -20°C. 		SJMC 
0.70 - 1.48 
ng/dL 
Free Triiodothyronine Free T3, T3 Free, T3 Free Serum, Triiodothyronine Free, Unbound T3 FT3 84481 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
6 days
at 2 to 8°C
6 days
at -20°C. 		SJMC 
1.71 - 3.71 
pg/mL 
Fresh Frozen Plasma FFP FFP   Once thawed the FFP will expire in 24 hours.
Please only order if product will be used within 24 hours. 		Patients receiving FFP must have a previous type and screen on file prior to transfusion. If the patient does not have a previous type and screen, a type and screen needs to be ordered and resulted prior to transfusion of the FFP    SJMC 
 
 
Fungus Culture (Fungus culture For Hair, skin, nail) KOH Preparation Not included, order separately
Used for(if physician ordered a fungal culture)
  1. Dermatophytes
  2. Hair
  3. Nail
  4. Skin
 		FUNCUL 87070 Tissue NONE   <= 24 hours/Room Temperature (within 2 hours if possible) SJMC 
 
 
Fungus Culture (Fungus culture, not Hair, skin, nail) KOH Preparation Not included, order separately
Used for(if physician ordered a fungal culture)
  1. CSF
  2. Body Fluids
  3. Eye
  4. Corneal scrapings
  5. AspiratesExudate
  6. Pus
  7. Drainage
  8. Respiratory
  9. Tissue
  10. Urine
 		FUNNOT 87070 Tissue NONE   <= 24 hours/Room Temperature (within 2 hours if possible) SJMC 
 
 
Gamma-Glutamyl Transferase Gamma Glutamyl Transferase, Gamma GT, GGT, Glutamyl Transpeptidase, GT GGT 82977 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
>1 year
at -20°C. 		SJMC 
Male
12 to 64
Female
9 to 36 
U/L 
Genital Culture Includes a Gram Stain
Used for
  1. Amniotic fluid (order ANACUL and GENCUL-Genital Culture)
  2. Cul-de-sac (order ANACUL-optional and GENCUL-Genital Culture)
  3. Endometrium
  4. IUD (order ANACUL and GENCUL-Genital Culture)
  5. Amniotic (order ANACUL-optional and GENCUL-Genital Culture)
  6. Bartholin cyst (order ANACUL-optional and GENCUL-Genital Culture)
  7. Cervix (GENCUL-Genital Culture)
  8. Endometrium (order ANACUL-optional and GENCUL-Genital Culture)
  9. Lesion (GENCUL-Genital Culture)
  10. Products of Conception (order ANACUL-optional and GENCUL-Genital Culture)
  11. Prostate (GENCUL-Genital Culture)
  12. ejaculate (semen) (GENCUL-Genital Culture)
  13. Urethral (GENCUL-Genital Culture)
  14. Vaginal (GENCUL-Genital Culture)
 		GENCUL 87070 Culturette
(red
and
black
 cap swab) 		NONE   Unpreserved
< 2 hours/Room Temp (Best)
< 24 hours/4°
Preserved
< 24 hours/Room Temp 		SJMC 
 
 
Genital Culture (Gonorrhea only) Includes a Gram Stain (Male only) (CPT 87205)
used for: GC(Gonococcus) 		GCSCR 87205 Culturette
(red
and
black
 cap swab) 		NONE   < 2 hours prefered
<= 24 hours/Room Temperature 		SJMC 
 
 
Giardia Antigen Stool for Giardia lamblia GIA 87329 Stool
Submit stool specimen with stool history form 		 1.0 Gm stool Unpreserved
< 1 hr/Room Temp
Preserved
9 months/Room Temp
9 months/4°C 		SJMC 
Special InstructionsWait 7-10 days if patient has received antiparasitic compounds, barium, iron, Kaopectate, Imodium, metronidazole, Milk of Magnesia, Pepto-Bismol, mineral oil, antimalarial agents or antibiotics. Gallbladder dye may take 21 days to clear 
 
Globulin  GLOB   green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
1 day
at 20 to 25°C
7 days
at 2 to 8°C
1 day
at -20°C 		SJMC 
Reference range Not Established by Lab 
g/dL 
GLucose Blood Sugar, Random Blood Glucose, For Fasting Blood Glucose Search for Test code GLF GLU 82947 serum green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated (serum/plasma) samples may be stored for up to:
(serum/plasma)
1 day
at 20 to 25°C
(serum/plasma)
7 days
at 2 to 8°C
(serum/plasma)
1 day
at -20°C. 		SJMC 
Reference Ranges
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105
 
mg/dL 
GLucose CSF CSF glucose CGLU 82945 CSF (If three tubes are available, this test should be run on tube #1
)
 		None 0.6 mL CSF CSF fluids should be brought to the lab immediately SJMC 
Infant child CSF
60 - 80
Adult CSF
40 to 70  
mg/dL 
Glucose Fasting Fasting Blood Sugar, FBS, FPG
Patient Preperation
Overnight Fasting is required
 		GLF 82947 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
1 day
at 20 to 25°C
7 days
at 2 to 8°C
1 day
at -20°C 		SJMC 
1 month
41 to 99
1 month - 18 years
65 to 99
>18 yrs
70 to 99 
mg/dL 
Glucose Tolerance 1 hour Patient Preperation
Overnight Fasting is required
 		GTT1 82947 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated (serum/plasma) samples may be stored for up to:
(serum/plasma)
1 day
at 20 to 25°C
(serum/plasma)
7 days
at 2 to 8°C
(serum/plasma)
1 day
at -20°C. 		SJMC 
If Glucose >= 130 mg/dL, identifies 90% possible gestational diabetes melitus cases  
mg/dL 
Gram Stain If culture is ordered seperately check culture type (most culture test batteries includes a Gram stain) GRAMST 87205 Culturette
Fluid
Specimen 		NONE    SJMC 
 
 
Group A Strep confirmation of rapid Strep screen, Culture only Group A Strep, Culture only (Streptococcus pyogenes) STRACFM 87070 Culturette
 		NONE   < 2 hours/Room Temperature prefered
Up to 24 hours refrigerated 		SJMC 
 
 
Group A Strep Screen Group A Strep Screen-Antigen detection-all negative screens will reflex a Group A Strep confirmation, Culture only (STRCFM) STRSCR 86588 Culturette
 		NONE   < 2 hours/Room Temperature prefered
Up to 24 hours refrigerated 		SJMC 
 
 
Group A Strep, Culture only Group A Strep, Culture only (Streptococcus pyogenes) STRAC 87070 Culturette
 		NONE   < 2 hours/Room Temperature prefered
Up to 24 hours refrigerated 		SJMC 
 
 
Group B Strep 
    Used for
  1. Group B Strep, Culture only (Streptococcus agalactiae)
 		STRBC 87070 Culturette
(red
and
black
 cap swab) 		NONE   < 2 hours/RT (Best)
< 24 hours/RT
< 4 days/4o C 		SJMC 
 
 
H. pylori, screen 1 specimen Clo Test, Helicobacter pylori, previously named Campylobacter pyloridis HPY1 87338 RUM (Rapid Urease Media)

One specimen
Use test code HPY1 if submitting 1 specimen 		NONE   < 15 minutes room temp (Best)
<=24 hours room temp 		SJMC 
  
 
H. pylori, screen 2 specimens Clo Test, Helicobacter pylori, previously named Campylobacter pyloridis HPY2 87338 RUM (Rapid Urease Media)

Two specimens
Use test code HPY2 if submitting 2 specimen 		NONE   < 15 minutes room temp (Best)
<=24 hours room temp 		SJMC 
  
 
H. pylori, screen 3 specimens Clo Test, Helicobacter pylori, previously named Campylobacter pyloridis HPY3 87338 RUM (Rapid Urease Media)

Three specimens
Use test code HPY3 if submitting 3 specimens 		NONE   < 15 minutes room temp (Best)
<=24 hours room temp 		SJMC 
 
 
Hcg Serum Qualitative Human Chorionic Gonadotropin (hCG) Qualitative Serum
Pregnancy Test Qualitative Serum 		BQL 81025 Red top Tube
 		NONE 3 mL serum Room Temp-Deliver to lab immediately (Seperate serum from blood ASAP to avoid hemolysis)
2°C - 8°C up to 48 hours
For prolonged storage freeze the specimen to below -20°C 		SJMC 
Neg 
Pos/Neg 
Hcg Urine Qualitative Human Chorionic Gonadotropin (hCG) Qualitative Urine
Pregnancy Test Qualitative Urine 		UBQL 81025 Urine Collection Cup
 		NONE 3 mL urine Room Temp-Deliver to lab immediately
2°C - 8°C up to 48 hours
For prolonged storage freeze the specimen to below -20°C 		SJMC 
Neg 
Pos/Neg 
Health Fair CBC w/o automated diff Also refered to as:
Hemogram, Heme 8, H8, abbreveated BLO
includes:
White Blood Cell count (WBC)
Red Blood Cell count (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin (MCH)
Mean corpuscular hemoglobin concentration (MCHC)
Red blood cell distribution width (RDW)
Pleatelet count (PLT)
Mean platelet volume (MPV)
 		HFABC   Lavender top (EDTA) tube
 		NONE 2.0 mL whole blood Freshly drawn EDTA samples are preferred. Specimens for CBC testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours.
Only offered during Health Fairs. Pt need to fill out a health fair form and pay at time of service 		SJMC 
WBC
WBC Female
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
>6 years
5 - 12
WBC Male
1 month
9 - 30
1 month - 2 months
5 - 19.5
2 months - 6 months
5 - 15
6 months - 2 years
6- 12
6 years
5 - 12
>12 years
4.5 - 11RBC
RBC Female
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6
RBC Male
1 month
3.9 - 5.9
2 months
3.1 - 5.3
6 months
2.7 - 5.1
1 year
3.9 - 5.5
2 years
3.6 - 5.8
6 years
4.1 - 5.3
14 years
4.2 - 5.5
>14 years
4.2 - 6Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0MCV
(Calculation: [Hct x 10] / RBC)
MCV Female
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0
MCV Male
2 months
95.0 - 121.0
6 months
77.0 - 115.0
2 years
74.0 - 89.0
6 years
74.0 - 89.0
12 years
77.0 - 95.0
14 years
77.0 - 95.0
Adult
84.0 - 100.0MCH
(Calculation: [Hgb x 10] / RBC)
MCH Female
28.0 - 35.0
MCH Male
28.0 - 35.0
MCHC
(Calculation: [Hgb x 100] / Hct)
MCHC Female
31.0 - 36.0
MCHC Male
31.0 - 36.0
RDW
(Red cell Distribution Width Calculation: divide the standard deviation of RBC volume by the MCV and multiply by 100
RDW Female
11.0 - 14.2
RDW Male
11.0 - 14.2
PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
MPV
(Mean platelet volume (MPV) is a machine-calculated measurement of the average size of platelets)
MPV Female
6.1 - 11.5
MPV Male
6.1 - 11.5
 
Units
WBC K/uL
RBC M/uL
HGB g/dL
HCT %
MCV FL
MCH PG
MCHC g/dL
PLT K/uL
MPV FL
 
Health Fair chemistry Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Total Bilirubin (Tbil), Alkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT), Gamma-Glutamyl Transferase (GGT), Phosphorous (PHOS), Magnesium (Mg), Lactate Dehydrogenase(LDH), Uric Acid (Uric), Total Cholesterol (Chol), Direct High Density Lipoprotein (HDL), Triglycerides (Trig), Calculated Low Density Lipoprotein (LDL), Iron(Fe), and Thyroid Stimulating Hormone(TSH)
Patient Preperation
Overnight Fasting is preferred
 		HFA Patient Preperation
Overnight Fasting is preferred
 		green-top (heparin) tube
 		Red top Tube
 		2.0 Ml plasma or serum Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C.
Only offered during Health Fairs. Pt need to fill out a health fair form and pay at time of service 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8TBil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34GGT
Male
12 to 64
Female
9 to 36Phos
2.3 - 4.7Mg
NB, 2 to 4 days
1.5 - 2.2
5 months to 6 years
1.4 - 1.9
6 to 12 years
1.4 - 1.7
12 to 20 years
1.4 - 1.8
Adult
1.6 - 2.8LDH
125 - 243Uric
Child
2 - 5.5
Adult Male
3.5 - 7.2
Adult Female
2.6 - 6TProt
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogenChol
Child Desirable
<170
Borderline
170 - 199
High
>= 200
Adult Desirable
<200
Borderline
200 - 239
High
>=240HDL
Major risk factor for heart disease
<40
Negative risk for heart disease
>60Trig
Normal
<150
Borderline High
150 - 199
High
200 - 499
Very High
> 500LDL
30 - 130Fe
Male
65 - 175
Female
50 - 170TSH
0.35 - 4.94 
Units
CO2 mmol/L
Cl mmol/L
K mmol/L
Na mmol/L
Calcium mg/dL
Creatinine mg/dL
Glucose mg/dL
BUN mg/dL
Albumin G/dL
Total Bilirubin mg/dL
ALkaline Phosphatase iu/L
Total Protein (TPROT) G/dL
Alanine Aminotranferase (SGPT-ALT) u/L
Aspartate Aminotransferase (AST-SGOT) u/L
Gamma-Glutamyl Transferase U/L
Phosphorous mg/dL
Magnesium mg/dL
Lactate Dehydrogenase U/L
Uric Acid mg/dL
Cholesterol mg/dL
High Density Lipoprotein mg/dL
Triglyciride mg/dL
Low Density Lipoprotein mg/dL
Iron ug/dL
Thyroid-stimulating Hormone uIU/mL
 
Health Fair Hemoglobin A1C Glycated Hemoglobin, Hb A1c, Hgb A1c,HGBA1C HFGLYC   Purple top tube (EDTA)
 		NONE 1.0 mL whole blood Whole blood samples may be stored for up to:
3 days
at 20 to 25°C
7 days
at 2 to 8°C
Do not store the specimen
at -20°C.
Only offered during Health Fairs. Pt need to fill out a health fair form and pay at time of service 		SJMC 
4.3 - 6.1 
% 
Health Fair Prostate-specific Antigen PSA Serum  HFPSA   green-top (heparin) tube
 		Red top Tube
 		2.0 mL plasma or serum Seperated samples may be stored for up to:
3 hours
at 20 to 25°C
24 hours
at 2 to 8°C
>24 hours
at -10°C.
Only offered during Health Fairs. Pt need to fill out a health fair form and pay at time of service 		SJMC 
<4.0 
ng/mL 
Hematocrit Packed Cell Volume, PCV, Hct HCT 85014 Lavender top (EDTA) tube
 		NONE 2.0 mL whole blood Freshly drawn EDTA samples are preferred. Specimens for Hematocrit testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0 
HCT % 
Hemoglobin Hb, Hgb HGB 85018 Lavender top (EDTA) tube
 		NONE 2.0 mL whole blood Freshly drawn EDTA samples are preferred. Specimens for Hemoglobin testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5 
HGB g/dL 
Hemoglobin A1C Glycated Hemoglobin, Hb A1c, Hgb A1c,HGBA1C GLYC 83036 Purple top tube (EDTA)
 		NONE 1.0 mL Whole blood samples may be stored for up to:
3 days
at 20 to 25°C
7 days
at 2 to 8°C
Do not store the specimen
at -20°C. 		SJMC 
4.3 - 6.1 
% 
Hemoglobin and Hematocrit Hb with Hct, Hgb & Hct, H&H, H and H HH 85018 and 85014 Lavender top (EDTA) tube
 		NONE 2.0 mL whole blood Freshly drawn EDTA samples are preferred. Specimens for H&H testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
Hgb
Hgb Female
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
14 years
12.0 - 15.5
Adult
12.0 - 15.6
Hgb Male
1 month
14.5 - 22.5
2 months
10.7 - 17.1
6 months
9.4 - 14.0
2 years
11.0 - 14.0
6 years
11.5 - 13.4
12 years
12.0 - 15.5
Adult
13.5 - 17.5Hct
HCT Female
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
36.0 - 48.0
Hct Male
1 month
45.0 - 69.0
2 months
33.0 - 55.0
6 months
28.0 - 42.0
1 year
33.0 - 41.0
2 years
33.0 - 41.0
6 years
34.0 - 40.0
12 years
35.0 - 45.0
14 years
35.0 - 45.0
Adult
41.0 - 52.0 
HGB g/dL
HCT % 
Heparin Response Curve  Heparin-Response-Curve   Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Collection instructions: Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube)
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant.
Centrifuge the capped specimen for the time appropriate to produce platelet poor plasma as soon as possible after collection.
Specimens for routine APTT assay on non-heparinized patients uncentrifuged or centrifuged with plasma remaining on the top of the cells in an unopened tube kept at 2 to 4 oC or 18 to 24 o C should be tested within 4 hours from the time of specimen collection. Specimens for APTT assay suspected to contain unfractionated heparin kept at 2 to 4 oC or 18 to 24 oC should be centrifuged within one hour of collection and the plasma tested within 4 hours from the time of specimen collection. If agitation of the specimen is likely after centrifugation, such as transportation to a remote testing site, the plasma should be removed before transport within 1 hour of collection, and tested within 4 hours from time of specimen collection.
If testing can not be completed within 4 hours, the plasma must be frozen and may be stored at <= -20 °C for up to two weeks or <= -70 °C for up to six months. To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. Re-centrifuge, remove portion of plasma above the platelet pellet with plastic pipet, and freeze. A frost to free freezer should not be used. Frozen plasma samples must be rapidly thawed at 37 °C and tested immediately after thawing. If testing is delayed, the sample may be held for 2 hours at 4 °C until tested. The APTT may be affected on specimens that have been frozen.
Patients with hematocrits greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na-Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove ½ the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).
Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
0.3 to 0.5 
U/mL 
Hepatic Function Panel includes: Albumin (Alb), Total Bilirubin (TBil), Direct Bilirubin (DBil), ALkaline Phosphatase (ALP), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT) LIVR 80076 green-top (heparin) tube
 		Red top Tube
 		2.0 mL plasma or serum Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
2 months
at -20°C. 		SJMC 
Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8TBil
Adult
0.2 - 1.2
Premature <24 hours
<8.0
< 48 hours
<12.0
3 - 7 days
<15
7 days
<15
Full term NB <24 hours
<6
<48 hours
<10
3 - 5 days
<12
7 days
<10DBil
0 - 0.5ALP
Male
1 - 12 years
<500
12 - 15 years
<750
>20 years
40 - 150
Female
1- 12 years
<500
>15 years
40 - 150ALT-SGPT
10 - 72AST-SGOT
5 - 34TProt
Premature
3.6 - 6
Newborn
4.6 - 7
Cord
4.8 - 8
1 week
4.4 - 7.6
7 months to 1 year
5.1 - 7.3
1 to 2 years
5.6 - 7.5
> 3 years
6.0 to 8.0
Adult, ambulatory
6.4 - 8.3
Adult, recumbent
6 - 7.8
>60 years
lower by -0.2
Plasma values are generally
0.3 - 0.5
higher than serum values due to presence of fibrinogen 
Units
Albumin G/dL
Total Bilirubin mg/dL
ALkaline Phosphatase iu/L
Total Protein G/dL
Alanine Aminotranferase (SGPT-ALT) u/L
Aspartate Aminotransferase (AST-SGOT) u/L
 
Hepatitis B Surface Antibody Anti-HBs, Antibody to Hepatitis B Surface Antigen, HBsAB, Hepatitis Bs Antibody,HBsAb, AUSAB HBsAb 86706 green-top (heparin) tube
 		Red top Tube
 		2.0 mL plasma or serum Seperated samples may be stored for up to:
3 days
at 20 to 25°C
7 days
at 2 to 8°C
30 days
at -20°C. 		SJMC 
<8.00 
mIU/mL 
Hepatitis B Surface Antigen HBsAg, Hepatitis-associated Antigen, HAA HBAG 87340 Red-top tube or SST
 		 2.0 mL serum Seperated samples may be stored for up to:
8 hours
at 20 to 25°C
48 hours
at 2 to 8°C
30 days
at -20°C. 		SJMC 
<1.00 
mIU/mL 
High Density Lipoprotein High-density Lipoprotein Cholesterol, Alpha-Lipoprotein Cholesterol, HDL Cholesterol, HDL Cholesterol Electrophoresis, HDLC
Patient Preperation
Overnight Fasting is preferred
 		HDL 83718 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Major risk factor for heart disease
<40
Negative risk for heart disease
>60 
mg/dL 
Homocysteine   HMCY 83090 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
16 hours
at 20 to 25°C
14 days
at 2 to 8°C
12 months
at -10°C. 		SJMC 
Male
5.46 - 16.2
Female
4.44 - 13.56 
umol/L 
Human immunodeficiency virus antigen/Antibody  HIVAGAb   green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
3 days
at 20 to 25°C
7 days
at 2 to 8°C
30 days
at -20°C. 		SJMC 
<1.00 
S/CO 
Icto Test Bilirubin, Urine
IctotestTM 		ICTO 81005 Urine Collection container (no preservative)
 This is a reflex test-will be reflexed on all positive urinalysis dipstick Bilirubins. The test can also be ordered as a Lab test using Icto test code 		None Ten drops of urine are needed to perform this test Fresh urine is the best specimen. Bilirubin is rapidly decomposed once excreted, particularly in the presence of light & heat. If a fresh specimen cannot be tested immediately, it should be refrigerated and tested as soon as possible SJMC 
Urine: Negative 
Neg or Pos 
Influenza Antigen Flu A and B FLUAG 87804 Nasal washes
nasal swabs
throat swabs 		NONE   Dry swabs
Immediately send to lab/Room Temp
Nasal washes & Swabs in M4/M5 media
< 2 hours/Room Temp (best)
3 days/Refrigerated
6 months/frozen 		SJMC 
Influenza A antigen: Negative
Influenza B antigen: Negative 
 
Insulin Patient Preperation
Overnight Fasting is preferred
 		INSULIN 83525 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
NOT ACCEPTABLE
at 2 to 8°C
7 days
at -10°C. 		SJMC 
3-19 
uU/mL 
Insulin Resistance Index  IRS   None None    SJMC 
INSULIN RESISTANCE SCORE INTERPRETATION
NORMAL >6.3
Pre-insulin Resistance 4.0-6.2
Mild Insulin Resistance 3.0-4.0
Moderate Insulin Resistance 2.0-3.0
Severe Insulin Resistance <2.0

INSULIN RESISTANCE INDEX HAS NOT BEEN VALIDATED BY ST JOHNS MEDICAL CENTER.
 
 
Insulin Resistance Test Insulin Tolerance
Patient Preperation
Overnight Fasting is preferred
 		IRSINS   green-top (heparin) tube
 		None 2.0 mL per sample Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
NOT ACCEPTABLE
at 2 to 8°C
7 days
at -10°C. 		SJMC 
Test includes
Fasting
<=17
30 minutes
60.0 - 86.0
60 minutes
8.0 - 112.0
90 minutes
5.0 - 68.0
120 minutes
5.0 - 55.0
Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test
Additional Instructions
  1. The patient needs to fast for 8-14 hours prior to the test administration.
    Prior to beginning the insulin tolerance test, the patient should discontinue, when possible, any medications known to affect insulin tolerance.
  2. During the 3 days prior to testing, the patient should have had normal activity and an unrestricted diet or >150 grams of carbohydrate/day.
  3. The patient will have thier fasting Glucose level checked prior to injesting a 100 grams of a glucose drink.
  4. The patient must refrain from smoking, strenuous exercise, or consumption of food and drink, until the testing process is complete
    After the fasting level and the consumption of 100 gram glucose drink the patient will have thier blood drawn at 30 minutes, 60 minutes, 90 minutes, and 120 minutes.

Criteria for Unacceptable Specimens
The test must be discontinued if the patient fails to keep down or consume the entire Glucose Beverage, or if the patient becomes too ill to finish the timed draws 
uiU/mL 
Insulin Resistance Test Glucose Patient Preperation
Overnight Fasting is preferred
 		IRSGLU 83525
83525
83525
83525
83525 		green-top (heparin) tube
 		None 2.0 mL per sample Separated (serum/plasma) samples may be stored for up to:
1 day
at 20 to 25°C
7 days
at 2 to 8°C
1 day
at -20°C. 		SJMC 
Test includes
Fasting
70 - 99
30 minutes
<= 180
60 minutes
<= 180
90 minutes
<= 155
120 minutes
70 - 139
Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test
Additional Instructions
  1. The patient needs to fast for 8-14 hours prior to the test administration.
    Prior to beginning the test, the patient should discontinue, when possible, any medications known to affect glucose/insulin tolerance.
  2. During the 3 days prior to testing, the patient should have had normal activity and an unrestricted diet or >150 grams of carbohydrate/day.
  3. The patient will have thier fasting Glucose level checked prior to injesting a 100 grams of a glucose drink.
  4. The patient must refrain from smoking, strenuous exercise, or consumption of food and drink, until the testing process is complete
    After the fasting level and the consumption of 100 gram glucose drink the patient will have thier blood drawn at 30 minutes, 60 minutes, 90 minutes, and 120 minutes.

Criteria for Unacceptable Specimens
The test must be discontinued if the patient fails to keep down or consume the entire Glucose Beverage, or if the patient becomes too ill to finish the timed draws 
mg/dL 
Iron Fe FE 83540 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
3 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Male
65 - 175
Female
50 - 170 
ug/dL 
Iron Profile Fe and TIBC, Iron Indices, Iron Profile, TIBC, TIBC and Iron, Total Iron-binding Capacity, Transferrin Saturation  FEPR Fe(83540)
TIBC(83550) 		green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
7 days
at 20 to 25°C
3 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Fe
Male
65 - 175
Female
50 - 170
TIBC is the equation Fe(Iron) + UIBC(Unsaturated Iron Binding Capacity) 
 
ISTAT Basic Metabolic Panel This test is used by the lab if the main chemistry analyzer goes down. DO NOT order this test. The lab will order the test if necessary.
includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN) 		ISTATBM 80048 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
a day
at 20 to 25°C
7 days
at 2 to 8°C
a day
at -20°C. 		SJMC 
CO2
19 - 29CL
99 - 111K
3.6 - 5Na
133 - 145Ca
4.5 - 5.3Creat
0.72 - 1.25Gluc
70 - 99BUN
9 - 24 
 
ISTAT Troponin This test is used by the lab if the main chemistry analyzer goes down. DO NOT order this test. The lab will order the test if necessary. Cardiac Troponin, cTnI TI_BU 84484 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
8 hours
at 20 to 25°C
72 hours
at 2 to 8°C
30 days
at -10°C. 		SJMC 
Normal Range
< 0.03
Indeterminate
0.04 - 1.0
Suggestive of MI
>1.0 
ng/mL 
KC1 Partial Thromboplastin Time This test is used by the lab if the main chemistry analyzer goes down. DO NOT order this test. The lab will order the test if necessary.
PTT 		KPTT 85730 Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Collection instructions: Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube)
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant.
Centrifuge the capped specimen for the time appropriate to produce platelet poor plasma as soon as possible after collection.
Specimens for routine APTT assay on non-heparinized patients uncentrifuged or centrifuged with plasma remaining on the top of the cells in an unopened tube kept at 2 to 4 oC or 18 to 24 o C should be tested within 4 hours from the time of specimen collection. Specimens for APTT assay suspected to contain unfractionated heparin kept at 2 to 4 oC or 18 to 24 oC should be centrifuged within one hour of collection and the plasma tested within 4 hours from the time of specimen collection. If agitation of the specimen is likely after centrifugation, such as transportation to a remote testing site, the plasma should be removed before transport within 1 hour of collection, and tested within 4 hours from time of specimen collection.
If testing can not be completed within 4 hours, the plasma must be frozen and may be stored at <= -20 °C for up to two weeks or <= -70 °C for up to six months. To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. Re-centrifuge, remove portion of plasma above the platelet pellet with plastic pipet, and freeze. A frost to free freezer should not be used. Frozen plasma samples must be rapidly thawed at 37 °C and tested immediately after thawing. If testing is delayed, the sample may be held for 2 hours at 4 °C until tested. The APTT may be affected on specimens that have been frozen.
Patients with hematocrits greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na-Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove half the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).
Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
21.0 - 43.0 
Seconds 
KC1 Prothrombin Time This test is used by the lab if the main chemistry analyzer goes down. DO NOT order this test. The lab will order the test if necessary.
Prothrombin Time Assay, Protime, PT
Test Includes: International normalized ratio (INR) 		KPT 85610 Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Collection instructions: Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube).
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant
Plasma should be tested within 24 hours of collection if stored at room temperature. To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. Storage at 2 to 4 $deg;C may result in cold activation of Factor VII and therefore alter PT results. Plasma may be stored frozen at <= -20°C for 2 weeks. Before freezing, plasma must be re-centrifuged and transferred to a new tube to eliminate all platelets. Frozen plasma samples must be rapidly thawed at 37 °C and tested immediately after thawing. If testing is delayed, the sample may be held for 2 hours at 4 °C until tested.
Patients with hematocrit values greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na-Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove half the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
PT
8.5 - 12.5
INR
0.8 - 1.2 
Seconds 
Ketones, serum Acetoacetic acid
Acetone, serum
carboxylic acid
3-Ketobutyrate
3-Oxo-butanoate
3-Oxo-butanoic acid
3-Oxobutyrate
3-Oxobutyric acid
Acetoacetate
diacetate
diacetic acid
3-Ketobutyric acid
 		ACET 82009 Red top Tube
 		green-top (heparin) tube
 		1 mL  Fresh serum or plasma should be used. If testing is delayed the specimen should be centrifuged and the serum or plasma should be refridgerated SJMC 
Negative 
Reported out as Negative, Small, Moderate, or Large 
Lactate Dehydrogenase Body Fluid LD Body fluid, LDH Body fluid FLDH 83615 Sterile body fluid transport tube None 0.6 mL body fluid Deliver to lab immediately SJMC 
Reference ranges not established for LDH Bodyb fluid 
U/L 
Lactate Dehydrogenase serum LD, LDH LD 83615 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
7 days
at 20 to 25°C
4 days
at 2 to 8°C
6 weeks
at -20°C. 		SJMC 
125 - 243 
U/L 
Lactic Acid Lactate, Plasma Lactate
Collection instructions
Sample should be collected without the use of a tourniquet, avoid hand-clenching. If a tourniquet was on the patient remove the tourniquet and wait atleast 1 minute before collecting the Lactic Acid specimen
 		LACT 83605 Fluoride oxalate (gray-top)
Potassium oxalate (gray-top)
 		None 0.6 mL plasma Seperated plasma samples may be stored for up to:

At room temp deliver immediatly to the lab
14 days
at 2 to 8°C
4 weeks
at -20°C. 		SJMC 
0.05 - 13.32 
mmol/L 
Lamellar body count Fetal Lung Maturity (FLM), FLM, LBC LBC 83664 Sterile container, no additive NONE 0.5 mL amniotic fluid Collection instructions
  1. Amniotic fluid, 2-3 ml (0.5 ml minimum), is collected by the physician. Plastic tubes and stoppers are highly recommended as the lamellar bodies tend to adhere to glass tubes and rubber stoppers.
  2. Grossly bloody specimens or specimens containing mucus are not acceptable. Hemolyzed samples or samples containing trace amounts of blood are acceptable; However, samples containing >1% whole blood will give falsely decreased counts as lamellar bodies are absorbed by red blood cells.
  3. It is highly preferable to process and run specimens immediately; if this is not possible, the specimens may be stored at 2-8°C for up to 48 hours or frozen indefinitely.
 		SJMC 
0-40
Immature lung
40-60
Transitional lung
>60
Mature lung 
K particles/uL 
Lipase  LIPA 83690 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
1 year
at -20°C. 		SJMC 
23 - 300 
mg/dL 
Lipid Panel includes: Total Cholesterol (Chol), Direct High Density Lipoprotein (DHDL), Triglycerides (Trig), Calculated Low Density Lipoprotein (LDL)
Patient Preperation
Overnight Fasting is preferred
 		LIPR 80061 green-top (heparin) tube
 		Red top Tube
 		2.0 mL plasma or serum Seperated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Chol
Child Desirable
<170
Borderline
170 - 199
High
>= 200
Adult Desirable
<200
Borderline
200 - 239
High
>=240HDL
Major risk factor for heart disease
<40
Negative risk for heart disease
>60Trig
Normal
<150
Borderline High
150 - 199
High
200 - 499
Very High
> 500LDL
30 - 130 
 
Lipid Profile with Direct LDL includes: Total Cholesterol (Chol), Triglycerides (Trig), Direct High Density Lipoprotein (DHDL), Direct Low Density Lipoprotein (DLDL), Very Low Density Lipoprotein (VLDL), Cholesterol(CHOL)/High Density Lipoprotein (HDL) ratio, Non HDL Cholesterol Calculation (NONHDL)
Patient Preperation
Overnight Fasting is preferred
 		LIPDLD 80061 and 82947 green-top (heparin) tube
 		Red top Tube
 		2.0 mL plasma or serum Seperated samples may be stored for up to:
2 days
at 20 to 25°C
7 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Chol
Child Desirable
<170
Borderline
170 - 199
High
>= 200
Adult Desirable
<200
Borderline
200 - 239
High
>=240Trig
Normal
<150
Borderline High
150 - 199
High
200 - 499
Very High
> 500DHDL
Major risk factor for heart disease
<40
Negative risk for heart disease
>60DLDL
30 - 130 
CHOL mg/dL
TRIG mg/dL, DHDL mg/dL, DLDL mg/dL, CHOL/HDL %, NONHDL mg/dL 
Low Density Lipoprotein Direct LDL, Direct LDLC, LDL Cholesterol, Direct, LDL, Direct, LDLC, Direct
Patient Preperation
Overnight Fasting is preferred
 		LDL 83721 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
5 days
at 2 to 8°C
3 months
at -20°C. 		SJMC 
Optimal
<100
Near or above optimal
100 - 129
Borderline High
130 - 159
High
160 - 189
Very High
> 190 
mg/dL 
Luteinizing Hormone ICSH, Interstitial Cell-stimulating Hormone, LH LH1 83002 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -10°C. 		SJMC 
Male
1.14 - 8.75
Normal Menstruating Females
Follicular Phase
2.39 - 6.6
Mid-Cycle Peak
9.06 - 74.24
Luteal Phase
0.9 - 9.33
Postmenopausal Females without HRT
10.39 - 64.57 
mIU/mL 
Magnesium  MG 83735 green-top (heparin) tube
 		Red top Tube
 		0.6 mL plasma or serum Separated samples may be stored for up to:
7 days
at 20 to 25°C
7 days
at 2 to 8°C
1 year
at -20°C. 		SJMC 
NB, 2 to 4 days
1.5 - 2.2
5 months to 6 years
1.4 - 1.9
6 to 12 years
1.4 - 1.7
12 to 20 years
1.4 - 1.8
Adult
1.6 - 2.8 
mg/dL 
Malaria and blood parasite screen Blood Smear for Parasites
Loa loa Smear
Plasmodium Smear
Microfilarial Smear
Parasitology Examination for Malaria
Wuchereria Smear
Microfilariae
Plasmodium Smear
Trypanosoma species
Blood Smear for Parasites
Leishmania (causing Visceral Leishmaniasis)
Wuchereria Smear
Microfilarial Smear
Plasmodium (Malaria)
Babesia, Loa loa Smear
Parasitology Examination for Malaria
Optimal times to obtain samples for smears
  1. Babesia spp.: Any time
  2. Brugia malayi: Midnight
  3. Leishmania donovani: Any time
  4. Loa loa: Noon
  5. Mansonella ozzardi: Day or night
  6. Mansonella perstans: Night better than day
  7. Plasmodium spp.: Between chills
  8. Trypanosoma cruzi: Acute stage
  9. Tryponosoma brucei gambiense: Acute
  10. Trypanosoma brucei rhodesiense: Acute
  11. Wuchereria bancrofti: Midnight
 		MAL 87207 
The specimen of choice is fresh whole blood collected by a finger stick
Smears should be prepared and stained within an hour of collection. Requests to the laboratory for blood parasite smears should include the following information:
1. The patients travel history
2. The date the patient returned to the United States
 		Lavender top (EDTA) tube
 		3-5 mL whole blood
Patient preparation
  1. Select the finger to puncture and clean the finger with 70% alcohol
  2. Let the site dry
  3. Puncture the skin with a Unistik 2 finger lancet and wipe away the first drop of blood
  4. prepare thick and thin smears ( a minimum of two thick and Two thin smears should be made)
 		<= 24 hours/Room Temperature SJMC 
Giemsa thin Smear
No Parasites Seen
Giemsa thick Smear
No Parasites Seen
Malaria Parasitemia
% 
Malaria Parasitemia % 
MONOSPOT Mononuclear heterophil test
Mononucleosis spot test
Heterophil antibody test; Mono test 		MSPT 86308 Lavender top (EDTA) tube
 		Red top Tube
 		0.5 mL Room Temp: Send to lab immediately
Refrig: 2 Days
Frozen: Do not Freeze 		SJMC 
Negative 
 
MRSA Screen Methicillin resistant Staphylococcus aureus Screen MRSASC 87081 Culturette
(red
and
black
 cap swab) 		NONE   <= 2 hours/Room Temperature (Best)
<= 24 hours/Room Temperature 		SJMC 
No MRSA (Methicillin resistant Staphylococcus aureus) isolated
NasalAnterior nose cultures (NOT NP specimen) are reserved for detecting staphylococcal and streptococcal carriers or for nasal lesions 
 
Occult Blood Gastric Guiac, occbld gastric OCBG 82271 Gastric specimens NONE    SJMC 
Negative 
 
Occult blood, stool: colorectal neoplasm screen Guiac, occbld stool OCBL3 82270 Stool specimen
Interfering Substances Fecal specimensRed and rare meats, horseradish, raw fruits and vegetables such as broccoli, cauliflower, red radish, cantaloupe, parsnips and turnips, or other high peroxidase containing vegetables, which can cause false positive results. Certain medications such as aspirin, indomethacin, phenylbutazone, reserpine, corticosteroids and non-steroidal anti-inflammatory drugs can cause gastrointestinal bleeding and give false positive results. Iron containing compounds may cause false positive results. Vitamin C in dosages greater than 250 mg per day has been shown to cause false negative results. 		NONE   Unpreserved:
< 1 hour/Room Temp
< 24 hours/4°C
Stool on Hemoccult card:
<3 days/Room Temp
<14 days/Room Temp 		SJMC 
Negative 
 
Occult blood, stool: Not colorectal neoplasm screen Guiac, occbld stool OCBL 82270 Stool specimen
Interfering Substances Fecal specimensRed and rare meats, horseradish, raw fruits and vegetables such as broccoli, cauliflower, red radish, cantaloupe, parsnips and turnips, or other high peroxidase containing vegetables, which can cause false positive results. Certain medications such as aspirin, indomethacin, phenylbutazone, reserpine, corticosteroids and non-steroidal anti-inflammatory drugs can cause gastrointestinal bleeding and give false positive results. Iron containing compounds may cause false positive results. Vitamin C in dosages greater than 250 mg per day has been shown to cause false negative results. 		NONE   Unpreserved:
< 1 hour/Room Temp
< 24 hours/4°C
Stool on Hemoccult card:
<3 days/Room Temp
<14 days/Room Temp 		SJMC 
Negative 
 
Order
GENR (Gentamicin randon)
GENT(Trough)
GENP(Peak) 		Garamycin®, Gentak®, Gent peak, Gent trough GENR 80170 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
14 days
at -20°C. 		SJMC 
PEAK
Less severe infections
5 to 8
Severe Infections
8 to 10
Toxic Levels
>10 to 12
TROUGH
Less severe infections
<1
Severe Infections
<2 to 4
Toxic Levels
>2 to 4 
ug/mL 
Parathyroid Hormone PTH Intact, PTH Whole Molecule PTH 83970 Purple/Lavender top (plasma-potassium EDTA) tube
 		green-top (heparin) tube
Or
No additive - NO GEL(red-top)
 		0.2 mL Plasma or Serum Seperated samples may be stored for up to:
days
at 20 to 25°C
2 days
at 2 to 8°C
6 months
at -10°C. 		SJMC 
8.5 - 72.5 
pg/mL 
Partial Thromboplastin Time PTT PTT 85730 Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Collection instructions: Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube)
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant.
Centrifuge the capped specimen for the time appropriate to produce platelet poor plasma as soon as possible after collection.
Specimens for routine APTT assay on non-heparinized patients uncentrifuged or centrifuged with plasma remaining on the top of the cells in an unopened tube kept at 2 to 4 oC or 18 to 24 o C should be tested within 4 hours from the time of specimen collection. Specimens for APTT assay suspected to contain unfractionated heparin kept at 2 to 4 oC or 18 to 24 oC should be centrifuged within one hour of collection and the plasma tested within 4 hours from the time of specimen collection. If agitation of the specimen is likely after centrifugation, such as transportation to a remote testing site, the plasma should be removed before transport within 1 hour of collection, and tested within 4 hours from time of specimen collection.
If testing can not be completed within 4 hours, the plasma must be frozen and may be stored at <= -20 °C for up to two weeks or <= -70 °C for up to six months. To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. Re-centrifuge, remove portion of plasma above the platelet pellet with plastic pipet, and freeze. A frost to free freezer should not be used. Frozen plasma samples must be rapidly thawed at 37 °C and tested immediately after thawing. If testing is delayed, the sample may be held for 2 hours at 4 °C until tested. The APTT may be affected on specimens that have been frozen.
Patients with hematocrits greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na-Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove ½ the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).
Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
22.0 - 28.0 
Seconds 
Pathologist review of Peripheral smear Slides are reviewed by the Pathologist when requested by the Physician or the Technologist; and in the presence of blasts, unidentifiable cells, or potentially myelodysplasic cells (previously undiagnosed). The presence of blasts mandates a STAT Pathologist’s review in cases in which there is no history of blasts being present. PATHO 85060 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for Pathology Review should be transported at room temperature. Whole blood samples are stable at room temperature for 8 hours. SJMC 
  
  
Phenobarbital  PHEN 80184 green-top (heparin) tube
 		Red top Tube
 		2.0 mL serum or plasma Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
8 days
at 2 to 8°C
6 months
at -10°C. 		SJMC 
15 - 40 
ug/mL 
Phenytoin (Dilantin)  DIL 80184 green-top (heparin) tube
 		Red top Tube
 		2.0 mL serum or plasma Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
8 days
at 2 to 8°C
6 months
at -10°C. 		SJMC 
15 - 40 
ug/mL 
Phosphorous Inorganic Phosphate, Blood, P, Phos, PO4 PHOS 84100 green-top (heparin) tube
 		Red top Tube
 		0.6 mL serum or plasma Separated samples may be stored for up to:
1 day
at 20 to 25°C
4 days
at 2 to 8°C
1 year
at -20°C. 		SJMC 
2.3 - 4.7 
mg/dL 
Pinworm examination 
Enterobius vermicularis Preparation
Enterobiasis Test
Enterobius Verm Exam
Cellulose Tape Test
Pinworm preperation
Ova and Parasite Pinworm Preparation
Scotch™ Tape Test 
PIN 87172 Pat the perianal area with the sticky side of cellophane tape (do not use frosted tape)
Timing
Specimens are best obtained at 10 to 11 p.m. or upon waking and before a bowel movement or bath. Wash hands after collection 		   < 24 hours/Room Temp SJMC 
Neg 
 
Platelet count Thrombocyte Count PLTC 85049 Lavender top (EDTA) tube
 		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for Platelet counts testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
PLT_count
PLT_count Female
150 - 425
PLT_count Male
150 - 425
 
PLT K/uL 
Platelet Pheresis Platelets for Transfusion PLT         SJMC 
 
 
Potassium K K 84132 green-top (heparin) tube
 		Red top Tube
 		0.6 mL Separated samples may be stored for up to:
2 weeks
at 20 to 25°C
2 weeks
at 2 to 8°C
1 year
at -20°C. 		SJMC 
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4 
mmol/L 
Potassium Hydroxide smear (KOH Smear Hair, skin, nail) Used for
(if physician ordered a fungal culture)
  1. Dermatophytes
  2. Hair
  3. Nail
  4. Skin
Fungal Culture must be ordered seperately see FUNCUL 		KOH 87206 Tissue NONE   <= 24 hours/Room Temperature (within 2 hours if possible) SJMC 
 
 
Potassium Hydroxide smear (KOH smear, not Hair, skin, nail) 
KOHNOT Used for:
CSF
Body Fluids
Eye
Corneal scrapings
Aspirates
Exudate
Pus
Drainage
Respiratory
Tissue
Urine
Fungal Culture must be ordered seperately see FUNNOT 		KOHNOT 87206 Tissue NONE   <= 24 hours/Room Temperature (within 2 hours if possible) SJMC 
 
 
Potassium Urine random K urine UKR 84133 Urine specimen container. Collect Random specimens

or
24 hour Urine
 specimens without the addition of preservatives 		NONE 1.0 mL Samples may be stored for up to:
45 days
at 20 to 25°C
2 months
at 2 to 8°C
1 year
at -20°C. 		SJMC 
General (varies with diet)
25 - 125 mmol/day 
mmol/L 
Progesterone  PROGEST 84144 green-top (heparin) tube
 		Red top Tube
 		2.0 mL serum or plasma Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
10 days
at 2 to 8°C
6 months
at -10°C. 		SJMC 
Male
<0.1 - 0.2
Normal Menstruating Females
Follicular Phase
<0.1 - 0.3
Luteal Phase
1.2 - 15.9
Postmenopausal Females
<0.1 - 0.2
Pregnant Females
First Trimester
2.8 - 147.3
Second Trimester
22.5 - 95.3
Third Trimester
27.9 - 242.5 
ng/mL 
Prolactin  PROLACT 84146 green-top (heparin) tube
 		Red top Tube
 		2.0 mL serum or plasma Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -10°C. 		SJMC 
Male
3.46 - 19.4
Female
5.18 - 26.53 
ng/mL 
Prostate-specific Antigen (followup) PSA Serum  PSAM 84153 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
3 hours
at 20 to 25°C
24 hours
at 2 to 8°C
>24 hours
at -10°C. 		SJMC 
<4.0 
ng/mL 
Prostate-specific Antigen (screening) PSA Serum  PSA 84153 green-top (heparin) tube
 		Red top Tube
 		2.0 mL Seperated samples may be stored for up to:
3 hours
at 20 to 25°C
24 hours
at 2 to 8°C
>24 hours
at -10°C. 		SJMC 
<4.0 
ng/mL 
Protein Urine Random  UTPR 84156 24 hour timed urine specimens
 are preferred, with no preservative. Keep specimen on ice during collection. Avoid collection of specimens within 24 hours of intense exercise since this can falsely elevate protein excretion.
for Random specimens
 Specimens 		NONE 0.6 mL Samples may be stored for up to:
1 days
at 20 to 25°C
7 days
at 2 to 8°C
1 month
at -20°C. 		SJMC 
Random
1 - 14
24 hour, at rest
50 - 80
24 hour excretion
<300
Spot urine protein to creatinine ratio
<200 
mg/dL 
Prothrombin Time Prothrombin Time Assay, Protime, PT
Test Includes: International normalized ratio (INR) 		PT 85610 Blue top tube (tube must be filled to line)
 		NONE Filled tube Collection Instructions
Blue top tube (tube must be filled to line)
Collection instructions: Mix nine parts of freshly collected blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant, avoiding the formation of foam (blue top vacutainer tube).
Inadequately filled collection tubes, tubes containing anticoagulants other than citrate, clotted samples, and samples with visible hemolysis should not be accepted for analysis. Sample volume must be within +/- 10% of the indicated fill line on the blood collection tube.
Invert the tube several times immediately after venipuncture to ensure proper mixing of blood and anticoagulant
Plasma should be tested within 24 hours of collection if stored at room temperature. To separate plasma, use a plastic transfer pipette; remove the plasma to a plastic tube. Storage at 2 to 4 $deg;C may result in cold activation of Factor VII and therefore alter PT results. Plasma may be stored frozen at <= -20°C for 2 weeks. Before freezing, plasma must be re-centrifuged and transferred to a new tube to eliminate all platelets. Frozen plasma samples must be rapidly thawed at 37 °C and tested immediately after thawing. If testing is delayed, the sample may be held for 2 hours at 4 °C until tested.
Patients with hematocrit values greater than 55% must have the anticoagulant amount adjusted so that the proper plasma-anticoagulant volume is maintained. Before blood collection, a Na-Citrate vacutainer (blue top) collection tube containing the proper amount of anticoagulant must be prepared. Remove ½ the volume of liquid anticoagulant from the tube prior to the addition of the whole blood. (Remove 0.25 ml from the 4.5 ml glass tubes, 0.15 ml from the 2.7 ml volume double-walled tubes and 0.1 ml from the 1.8 ml volume double-walled tubes).Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should only be performed if there is no other option. If blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution must be considered. Registered nurses should refer to Nursing Policy 9G: Central Line Lab Draws. 		SJMC 
9.0 - 12.0
INR
0.8 - 1.2 
Seconds 
Quantatative Beta Human chorionic gonadotropin Beta-hCG Quantitative, Serum
hCG Quantitative, Serum
Human Chorionic Gonadotropin (hCG), Beta Subunit, Quantitative 		BHCG 84702 green-top (heparin) tube
 		Red-top tube (with out a gel barrier)
 		3.0 mL serum or plasma Seperated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
7 days
at 2 to 8°C
12 months
at -20°C. 		SJMC 
<5 
mIU/mL 
Quantitative Tissue Culture Includes a Gram Stain
A ANACUL (Anaerobic culture) is also ordered 		QTCUL 87070 Tissue
NoteFor quantitative study, a sample of 2 by 1 cm, i.e. about 500 mg, is appropriate. This test is used to predict the likelihood of the development of wound-related sepsis. The utility of quantitative tissue culture has been questioned for 2 reasons: The lack of reproducible results, and the low positive predictive value compared to histologic examination of tissue 		NONE 500 mg see note <= 15 minutes/Room Temperature (best)
<= 24 hours room temp 		SJMC 
 
 
RBC Unit Packed RBC RBC   Order one RBC for every unit to be crossmatched The Patient will need a current Type and Screen (if the patient does not have a current type and screen please also order a TNS). If the patient is not blood type O and there is no previous Blood Bank history then a VTYPE (verification blood type) maybe requested (the vtype can not be collected at the same time by the same phlebotomist as the original specimen).    SJMC 
 
 
Renal function Panel includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Phosphorous (Phos) RENAL 80069 green-top (heparin) tube
 		Red top Tube
 		2.0 mL serum or plasma Seperated samples may be stored for up to:
a day
at 20 to 25°C
4 days
at 2 to 8°C
2 weeks
at -20°C. 		SJMC 
CO2
Cord
14 - 22
Newborn
13 - 22
Premature, 1 week
14-27
Infant
20 - 28
Child
20 - 28
Adult
19 - 27CL
Cord
96 - 104
New Born
0 to 30 days
98 - 113
Thereafter
98 - 107K
Premature, Cord
5 - 10.2
Premature, 48 hours
3 - 6
NB, Cord
5.6 - 12
NB
3.7 - 5.9
Infant
4.1 - 5.3
Child
3.4 - 4.7
Thereafter
3.5 - 5.1
Male
3.5 - 4.5
Female
3.4 - 4.4Na
Premature, Cord
116 - 140
Premature, 48 hours
128 - 148
NB, Cord
126 - 166
NB
133 - 146
Infant
139 - 146
Child
138 - 145
Thereafter
136 - 145Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Ca
Cord
8.2 - 11.2
NB Premature
6.2 - 11
0 - 10 days
7.6 - 10.4
10 days
to 2 yrs
9 - 11
Child
2 - 12 yrs
8.8 - 10.8
Adult
8.4 - 10.2
Male >60
8.8 - 10Creat
Adult Male
0.72 - 1.25
Adult Female
0.57 - 1.11Gluc
Cord(serum/plasma)
45 to 96
Premature(serum/plasma)
20 to 60
Neonate(serum/plasma)
30 to 60
NB 1 day(serum/plasma)
40 to 60
NB >1 day(serum/plasma)
50 to 80
Child(serum/plasma)
60 to 100
Adult >60 yrs(serum/plasma)
80 to 115
Adult >70 yrs(serum/plasma)
83 to 110
Adult(serum/plasma)
70 - 105BUN
Children
1-3 years
5.1 - 16.8
4 - 13 years
7 - 16.8
14 - 19 years
8.4 - 21
Adult Male
<50 years
8.9 - 20.6
>50 years
8.4 - 25.7
Adult Female
<50 years
7-18.7
>50 years
9.8 - 20.1Alb
0-4 days
2.8 - 4.4
4 days - 14 years
3.8-5.4
Adult
3.5 - 5
>60 years
3.4-4.8Phos
2.3 - 4.7 
CO2 mmol/L
Cl mmol/L
K mmol/L
Na mmol/L
Calcium mg/dL
Creatinine mg/dL
Glucose mg/dL
BUN mg/dL
Phosphorous mg/dL
Albumin G/dL 
Respiratory Culture Includes a
Gram Stain
  1. Quantify WBCs
  2. Quantify Epithelial cells if source is Sputum
  3. Quantity and description of organisms seen
Used for
  1. Aspirate Washings
  2. Bronchial Washings
  3. Aspirate Washings(Bronchial)
  4. Sputum expectorate
  5. Sputum Induced
  6. Tracheal Aspirate
  7. NP
  8. Pharynx
  9. Sinus Aspirate
Bronchial Brush Anaerobic culture appropriate only if sheathed (protected) catheter used for collection. If anaerobic culture is also appropriate then order RESCUL and ANACUL
Sinus Aspirate
RESCUL (Respiratory culture) and optional ANACUL(Anaerobic culture) 		RESCUL 87070   NONE   < 2 hours/Room Temperature prefered
Up to 24 hours refrigerated
Sinus Aspirate ONLY
< 48 hours, Refrigerated
Clinical data requiredInclude current antibiotic use on Lab requisition 		SJMC 
 
 
Retic Count Reticulocyte Count, Retic RET 85045 Lavender top (EDTA) tube
 		NONE 0.5 mL whole blood Samples may be stored for up to:
8 hours
at 20 to 25°C
72 hours
at 2 to 8°C
Unacceptable
at -20°C. 		SJMC 
RET
RET Female
<=14 days
2 - 5
>14 days
0.88 - 2.37
RET Male
<=14 days
2 - 5
>14 days
0.88 - 2.37
 
% 
Rh  RH   lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		   SJMC 
 
 
Rhogam RHIG RHOG   lavender-top or pink-top EDTA tube
 		Red top Tube
Do not use a Red Top Tube that contains GEL 		   SJMC 
 
 
Rotavirus  ROT 87425 Stool NONE 1.0 g stool < 30 min/Room Temp (Best)
Frozen: longer storage 		SJMC 
Negative 
Negative/Positive 
RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing Rapid Plasma Reagin RPR 86592 No additive (red-top)
 		 0.5 mL serum Refrig: tested within 24 hours SJMC 
Nonreactive 
  
RSV antigen Respiratory Syncytial Virus RSV 87807 NP (Nasopharyngeal) aspirate/wash/swab NONE 0.5 mL Immediately/Room Temp
3 days/Refrigerated
Do not freeze 		SJMC 
Negative 
Negative/Positive 
Salicylate Acetylsalicylic Acid, Blood, Aspirin, Blood, Salicylic Acid, Blood SALI 80196 green-top (heparin) tube
 		Red top Tube
 		1.0 mL serum or plasma Separated samples may be stored for up to:
NOT ACCEPTABLE
at 20 to 25°C
14 days
at 2 to 8°C
6 months
at -20°C. 		SJMC 
Therapeutic
15 - 30
Toxic levels
>30
Lethal
>70 
mg/dL 
Saved Sample Save specimen, save aliquot SAVED   This order code (SAVED) is used to freeze and save a aliquot of serum for the time period requested (usually six months).
Red top Tube
 		The lab can also freeze and save other types of specimens such as CSF fluid, Pleural fluid, Plasma from a green-top (heparin) tube
or
Lavender top (EDTA) tube

Please specify the fluid type to be saved 		0.5 mL  SJMC 
 
 
Semen Analysis  SA 89320 Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test
The specimen should be obtained by masturbation and ejaculated into a clean, sterile, wide mouth urine container (no preservative)
. This ensures that there is no inadvertent contamination with residues on the inside of the container. 		None 0.5 mL Collection Instructions
  1. Specimens should be obtained by masturbation without lubricants or any substance known to decrease sperm motility or viability
  2. The specimen should be kept near body temperature and delivered to the laboratory within 1 hour of collection. Immediate delivery is preferred
  3. Semen could be collected following an abstinence period of 48 hours to 7 days. Prolonged abstinence is associated with decreased sperm motility
  4. The total ejaculate must be received in a clean container known not to have residual chemicals toxic to sperm. Sterile Urinalysis cups are routinely used at St. Johns Hospital Laboratory
         		SJMC 
    Reference Ranges
    The Report will include
    Date and time Collected
    Date and Time specimen Recieved
    Days Pt has been Abstinant
    Total volume of specimen
    Viscosity
    NORM
    pH of Semen
    7.0-8.3
    Count of sperm
    >=20
    Immotility
    Viability
    50-100
    Non-Progession
    Slow Progression
    Rapid Progression
    >=25
    Normal Morphology
    >=30
    WBC Semen
    0-1
     
    Units
    Viscosity
    Normal/Abnormal
    pH
    Count
    million/mm3
    Immotility
    %
    Viability
    %
    Non-progression
    %
    Slow Progression
    %
    Rapid Progression
    %
    Normal Morphology
    %
    WBC semen
    million/mm3
     
    Semen Post Vascectomy Postvas POSTS 89321 Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test.
    The specimen should be obtained by masturbation and ejaculated into a clean, sterile, wide mouth Urine container (no preservative)
         		None 0.5 mL Collection Instructions
    1. Specimens should be obtained by masturbation without lubricants or any substance known to decrease sperm motility or viability
    2. The specimen should be kept near body temperature and delivered to the laboratory within 1 hour of collection.
    3. Semen could be collected following an abstinence period of 48 hours to 7 days. Prolonged abstinence is associated with decreased sperm motility
    4. The total ejaculate must be received in a clean container known not to have residual chemicals toxic to sperm. Sterile Urinalysis cups are routinely used at St. Johns Hospital Laboratory
    5. The semen should be evaluated 2 months post vasectomy and after ten ejaculations
             		SJMC 
      None Seen 
      No sperm Seen/Sperm Seen 
      Semen Washing  SWC 89260 Please call the lab (Mon through Fri between 8 am and 5 pm) at (307)739-7315 to schedule this test.
      The specimen should be obtained by masturbation and ejaculated into a clean, sterile, wide mouth Urine Container (no preservative)
      The entire ejaculate must be included in the sample. the use of condoms is not advised. coitus interruptus is also not acceptable due to the probability of the loss of the first portion of the ejaculate which usually has the highest concentration of sperm.       		None 0.5 mL Specimens should be presented to the lab within 20 to 30 minutes of collection. during transportation, the specimen should be kept as close to body temperature as possible by having the patient keep the container next to the body. If the patient lives greater than 30 minutes away from the hospital then the specimen will have to be collected at the hospital. The lab has a private restroom that can be used for the collection of the specimen. SJMC 
       
       
      Sodium Na NA 84295 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Separated samples may be stored for up to:
      2 weeks
      at 20 to 25°C
      2 weeks
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
      Premature, Cord
      116 - 140
      Premature, 48 hours
      128 - 148
      NB, Cord
      126 - 166
      NB
      133 - 146
      Infant
      139 - 146
      Child
      138 - 145
      Thereafter
      136 - 145 
      mmol/L 
      Sodium Urine Na urine UNAR 84300 Urine specimen container. Collect Random specimens
       or 24 hour urine
       specimens without the addition of preservatives       		NONE 1.0 mL urine Samples may be stored for up to:
      45 days
      at 20 to 25°C
      45 days
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
      Male 6 to 10 yrs
      41 - 115
      10 to 14 yrs
      63 - 177
      Adult
      40 - 220
      Female 6 to 10 yrs
      20 - 69
      10 to 14 yrs
      48 - 168
      Adult
      40 - 220
      Full term, 7 to 14 day old neonates have sodium clearance of about 20% of adult values.
      UNIT: mmol/day
      to convert mmol/L to mmol/day, (Volume x concentration / 1000) 
      mmol/L 
      Stool Culture includes a Wet prep for fecal leukocytes
      Used for
      1. Aeromonas Order stool culture and in special instructions add to look for Aeromonas
      2. E. coli 0157:H7 Bloody or liquid stools collected within 6 days of onset among patients with abdominal cramps have the highest yield.
      3. Listeria include comment in order that culture is for Listeria also
      4. Plesiomonas Order stool culture and in special instructions add to look for Plesiomonas
             		STLCUL 87045, 87046, 87427   NONE   <= 1 hours/Room Temperature prefered
      Up to 24 hours refrigerated at 4°C
      Preserved in ETM: <= 48 hours/RT or 4°C       		SJMC 
       
      1.5 g stool
      Routine culture includes
      Salmonella
      Shigella
      Campylobacter
      E. coli 0157&col;H7
      Special Request required for:
      1. Aeromonas
      2. Plesiomonas
      3. Listeria>
      Other considerations
      1. Vibrio Add order code VIBCUL
      2. Yersinia Add order code YERCUL
       
      Theophylline Aminophylline Blood, Elixophyllin® Elixir, TheochronTM, Theo-24®, Uniphyl® THEO 80198 green-top (heparin) tube
             		Red top Tube
             		2.0 mL Seperated samples may be stored for up to:
      NOT ACCEPTABLE
      at 20 to 25°C
      8 days
      at 2 to 8°C
      3 months
      at -10°C.       		SJMC 
      Neonates
      5 - 20
      Children/Adults
      10 - 20 
      ug/mL 
      Throat Culture Looks for Haemophilus and Group A Streptococcus. Does not include the rapid antigen test for strep THRCUL 87070 Throat culture swab (Micro Stuart Swab)
             		NONE   < 2 hours/Room Temperature prefered
      Up to 24 hours refrigerated       		SJMC 
       
       
      Thyroid-stimulating Hormone TSH, Thyrotropin TSH 84443 green-top (heparin) tube
             		Red top Tube
             		2.0 mL Seperated samples may be stored for up to:
      24 hours
      at 20 to 25°C
      7 days
      at 2 to 8°C
      6 months
      at -10°C.       		SJMC 
      0.35 - 4.94 
      uIU/mL 
      Tissue Culture Includes a Gram Stain
      Used for
      1. Bone Marrow(if Bone Marrow are in blood culture bottles order a BLCUL instead)
      2. Burn Culture
      3. Gangrenous tissue
      4. Inferior Petrosal
      A ANACUL (Anaerobic culture) is usually also ordered       		TISCUL 87070 Tissue NONE   <= 15 minutes/Room Temperature (best)
      <= 24 hours room temp       		SJMC 
       
       
      Total Bilirubin TBili TBIL 82247 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Separated samples may be stored for up to:
      1 day
      at 20 to 25°C
      7 days
      at 2 to 8°C
      6 months
      at -20°C.       		SJMC 
      Adult
      0.2 - 1.2
      Premature <24 hours
      <8.0
      < 48 hours
      <12.0
      3 - 7 days
      <15
      7 days
      <15
      Full term NB <24 hours
      <6
      <48 hours
      <10
      3 - 5 days
      <12
      7 days
      <10 
      mg/dL 
      Total Protein (serum) TProt TP 84155 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Seperated samples may be stored for up to:
      1 week
      at 20 to 25°C
      1 month
      at 2 to 8°C
      2 months
      at -20°C.       		SJMC 
      Premature
      3.6 - 6
      Newborn
      4.6 - 7
      Cord
      4.8 - 8
      1 week
      4.4 - 7.6
      7 months to 1 year
      5.1 - 7.3
      1 to 2 years
      5.6 - 7.5
      > 3 years
      6.0 to 8.0
      Adult, ambulatory
      6.4 - 8.3
      Adult, recumbent
      6 - 7.8
      >60 years
      lower by -0.2
      Plasma values are generally
      0.3 - 0.5
      higher than serum values due to presence of fibrinogen 
      g/dL 
      TPN PROFILE 1 Total Parenteral Nutrition PROFILE 1
      includes: Carbon Dioxide (CO2), Chloride (Cl), Potassium (K), Sodium (Na), Calcium (Ca), Creatinine (Creat), Glucose (Gluc), Urea Nitrogen (BUN), Albumin (Alb), Total Bilirubin (TBil), ALkaline Phosphatase (ALK), Total Protein (TP), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT), Phosphorous (PHOS), Magnesium (Mg), Direct Bilirubin (DBil)       		TPN1 CMP(80053)
      Phosphorous(84100)
      Magnesium(83735)
      Direct Bilirubin(82248)       		green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      a day
      at 20 to 25°C
      7 days
      at 2 to 8°C
      a day
      at -20°C.       		SJMC 
      CO2
      Cord
      14 - 22
      Newborn
      13 - 22
      Premature, 1 week
      14-27
      Infant
      20 - 28
      Child
      20 - 28
      Adult
      19 - 27      CL
      Cord
      96 - 104
      New Born
      0 to 30 days
      98 - 113
      Thereafter
      98 - 107      K
      Premature, Cord
      5 - 10.2
      Premature, 48 hours
      3 - 6
      NB, Cord
      5.6 - 12
      NB
      3.7 - 5.9
      Infant
      4.1 - 5.3
      Child
      3.4 - 4.7
      Thereafter
      3.5 - 5.1
      Male
      3.5 - 4.5
      Female
      3.4 - 4.4      Na
      Premature, Cord
      116 - 140
      Premature, 48 hours
      128 - 148
      NB, Cord
      126 - 166
      NB
      133 - 146
      Infant
      139 - 146
      Child
      138 - 145
      Thereafter
      136 - 145      Ca
      Cord
      8.2 - 11.2
      NB Premature
      6.2 - 11
      0 - 10 days
      7.6 - 10.4
      10 days
      to 2 yrs
      9 - 11
      Child
      2 - 12 yrs
      8.8 - 10.8
      Adult
      8.4 - 10.2
      Male >60
      8.8 - 10      Creat
      Adult Male
      0.72 - 1.25
      Adult Female
      0.57 - 1.11      Gluc
      Cord(serum/plasma)
      45 to 96
      Premature(serum/plasma)
      20 to 60
      Neonate(serum/plasma)
      30 to 60
      NB 1 day(serum/plasma)
      40 to 60
      NB >1 day(serum/plasma)
      50 to 80
      Child(serum/plasma)
      60 to 100
      Adult >60 yrs(serum/plasma)
      80 to 115
      Adult >70 yrs(serum/plasma)
      83 to 110
      Adult(serum/plasma)
      70 - 105      BUN
      Children
      1-3 years
      5.1 - 16.8
      4 - 13 years
      7 - 16.8
      14 - 19 years
      8.4 - 21
      Adult Male
      <50 years
      8.9 - 20.6
      >50 years
      8.4 - 25.7
      Adult Female
      <50 years
      7-18.7
      >50 years
      9.8 - 20.1      Ca
      Cord
      8.2 - 11.2
      NB Premature
      6.2 - 11
      0 - 10 days
      7.6 - 10.4
      10 days
      to 2 yrs
      9 - 11
      Child
      2 - 12 yrs
      8.8 - 10.8
      Adult
      8.4 - 10.2
      Male >60
      8.8 - 10      Creat
      Adult Male
      0.72 - 1.25
      Adult Female
      0.57 - 1.11      Gluc
      Cord(serum/plasma)
      45 to 96
      Premature(serum/plasma)
      20 to 60
      Neonate(serum/plasma)
      30 to 60
      NB 1 day(serum/plasma)
      40 to 60
      NB >1 day(serum/plasma)
      50 to 80
      Child(serum/plasma)
      60 to 100
      Adult >60 yrs(serum/plasma)
      80 to 115
      Adult >70 yrs(serum/plasma)
      83 to 110
      Adult(serum/plasma)
      70 - 105      BUN
      Children
      1-3 years
      5.1 - 16.8
      4 - 13 years
      7 - 16.8
      14 - 19 years
      8.4 - 21
      Adult Male
      <50 years
      8.9 - 20.6
      >50 years
      8.4 - 25.7
      Adult Female
      <50 years
      7-18.7
      >50 years
      9.8 - 20.1      Alb
      0-4 days
      2.8 - 4.4
      4 days - 14 years
      3.8-5.4
      Adult
      3.5 - 5
      >60 years
      3.4-4.8      TBil
      Adult
      0.2 - 1.2
      Premature <24 hours
      <8.0
      < 48 hours
      <12.0
      3 - 7 days
      <15
      7 days
      <15
      Full term NB <24 hours
      <6
      <48 hours
      <10
      3 - 5 days
      <12
      7 days
      <10      ALK
      Male
      1 - 12 years
      <500
      12 - 15 years
      <750
      >20 years
      40 - 150
      Female
      1- 12 years
      <500
      >15 years
      40 - 150      ALT-SGPT
      10 - 72      AST-SGOT
      5 - 34      Phos
      2.3 - 4.7      Mg
      NB, 2 to 4 days
      1.5 - 2.2
      5 months to 6 years
      1.4 - 1.9
      6 to 12 years
      1.4 - 1.7
      12 to 20 years
      1.4 - 1.8
      Adult
      1.6 - 2.8      DBil
      0 - 0.5      TProt
      Premature
      3.6 - 6
      Newborn
      4.6 - 7
      Cord
      4.8 - 8
      1 week
      4.4 - 7.6
      7 months to 1 year
      5.1 - 7.3
      1 to 2 years
      5.6 - 7.5
      > 3 years
      6.0 to 8.0
      Adult, ambulatory
      6.4 - 8.3
      Adult, recumbent
      6 - 7.8
      >60 years
      lower by -0.2
      Plasma values are generally
      0.3 - 0.5
      higher than serum values due to presence of fibrinogen       
      CO2 mmol/L
      Cl mmol/L
      K mmol/L
      Na mmol/L
      Calcium mg/dL
      Creatinine mg/dL
      Glucose mg/dL
      BUN mg/dL
      Albumin G/dL
      Total Bilirubin mg/dL
      Alkaline Phosphatase iu/L
      Total Protein G/dL
      Alanine Aminotranferase (SGPT-ALT) u/L
      Aspartate Aminotransferase (AST-SGOT) u/L
      Phosphorous (PHOS) mg/dL
      Magnesium (MG) mg/dL
      Direct Bilirubin (DBIL) mg/dL 
      TPN PROFILE 2 Total Parenteral Nutrition PROFILE 2
      includes: SODIUM (NA), POTASSIUM (K), CHLORIDE (CL), Carbon Dioxide (CO2), ANION GAP (AGAP), GLUCOSE Random (Gluc), Blood Urea Nitrogen (BUN), CREATININE (CR), Glomerular filatration Rate (GFR), CALCIUM (CA), PHOSPHOROUS (PHOS), MAGNESIUM (MG), TOTAL PROTEIN (TP), ALBUMIN (ALB), GLOBULIN (GLOB), A/G RATIO (Alb/Glob), BILIRUBIN TOTAL (TBIL), BILIRUBIN DIRECT (DBIL), Alanine Aminotranferase (SGPT-ALT), Aspartate Aminotransferase (AST-SGOT), ALKALINE PHOSPHATASE (ALK), URIC ACID (URIC), TRIGLYCERIDES (TRI)       		TPN2 CMP(80053)
      Phosphorous(84100)
      Magnesium(83735)
      Direct Bilirubin(82248)
      Uric Acid(84550)
      Triglycerides (84478)       		green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      a day
      at 20 to 25°C
      7 days
      at 2 to 8°C
      a day
      at -20°C.       		SJMC 
      Na
      Premature, Cord
      116 - 140
      Premature, 48 hours
      128 - 148
      NB, Cord
      126 - 166
      NB
      133 - 146
      Infant
      139 - 146
      Child
      138 - 145
      Thereafter
      136 - 145      K
      Premature, Cord
      5 - 10.2
      Premature, 48 hours
      3 - 6
      NB, Cord
      5.6 - 12
      NB
      3.7 - 5.9
      Infant
      4.1 - 5.3
      Child
      3.4 - 4.7
      Thereafter
      3.5 - 5.1
      Male
      3.5 - 4.5
      Female
      3.4 - 4.4      CL
      Cord
      96 - 104
      New Born
      0 to 30 days
      98 - 113
      Thereafter
      98 - 107      CO2
      Cord
      14 - 22
      Newborn
      13 - 22
      Premature, 1 week
      14-27
      Infant
      20 - 28
      Child
      20 - 28
      Adult
      19 - 27      AGAP
      10 - 20      Gluc
      Cord(serum/plasma)
      45 to 96
      Premature(serum/plasma)
      20 to 60
      Neonate(serum/plasma)
      30 to 60
      NB 1 day(serum/plasma)
      40 to 60
      NB >1 day(serum/plasma)
      50 to 80
      Child(serum/plasma)
      60 to 100
      Adult >60 yrs(serum/plasma)
      80 to 115
      Adult >70 yrs(serum/plasma)
      83 to 110
      Adult(serum/plasma)
      70 - 105      BUN
      Children
      1-3 years
      5.1 - 16.8
      4 - 13 years
      7 - 16.8
      14 - 19 years
      8.4 - 21
      Adult Male
      <50 years
      8.9 - 20.6
      >50 years
      8.4 - 25.7
      Adult Female
      <50 years
      7-18.7
      >50 years
      9.8 - 20.1      Creat
      Adult Male
      0.72 - 1.25
      Adult Female
      0.57 - 1.11      GFR
      >60      Ca
      Cord
      8.2 - 11.2
      NB Premature
      6.2 - 11
      0 - 10 days
      7.6 - 10.4
      10 days
      to 2 yrs
      9 - 11
      Child
      2 - 12 yrs
      8.8 - 10.8
      Adult
      8.4 - 10.2
      Male >60
      8.8 - 10      Phos
      2.3 - 4.7      Mg
      NB, 2 to 4 days
      1.5 - 2.2
      5 months to 6 years
      1.4 - 1.9
      6 to 12 years
      1.4 - 1.7
      12 to 20 years
      1.4 - 1.8
      Adult
      1.6 - 2.8      TProt
      Premature
      3.6 - 6
      Newborn
      4.6 - 7
      Cord
      4.8 - 8
      1 week
      4.4 - 7.6
      7 months to 1 year
      5.1 - 7.3
      1 to 2 years
      5.6 - 7.5
      > 3 years
      6.0 to 8.0
      Adult, ambulatory
      6.4 - 8.3
      Adult, recumbent
      6 - 7.8
      >60 years
      lower by -0.2
      Plasma values are generally
      0.3 - 0.5
      higher than serum values due to presence of fibrinogen      Alb
      0-4 days
      2.8 - 4.4
      4 days - 14 years
      3.8-5.4
      Adult
      3.5 - 5
      >60 years
      3.4-4.8      TBil
      Adult
      0.2 - 1.2
      Premature <24 hours
      <8.0
      < 48 hours
      <12.0
      3 - 7 days
      <15
      7 days
      <15
      Full term NB <24 hours
      <6
      <48 hours
      <10
      3 - 5 days
      <12
      7 days
      <10      DBil
      0 - 0.5      ALT-SGPT
      10 - 72      AST-SGOT
      5 - 34      ALP
      Male
      1 - 12 years
      <500
      12 - 15 years
      <750
      >20 years
      40 - 150
      Female
      1- 12 years
      <500
      >15 years
      40 - 150      URIC
      Child
      2 - 5.5
      Adult Male
      3.5 - 7.2
      Adult Female
      2.6 - 6      TRI
      <150
      Borderline High
      150 - 199
      High
      200 - 499
      Very High
      > 500      A/G
      Not Established      GLOB
      Not Established       
      CO2 mmol/L
      Cl mmol/L
      K mmol/L
      Na mmol/L
      Calcium mg/dL
      Creatinine mg/dL
      Glucose mg/dL
      BUN mg/dL
      Albumin G/dL
      Total Bilirubin mg/dL
      Alkaline Phosphatase iu/L
      Total Protein G/dL
      Alanine Aminotranferase (SGPT-ALT) u/L
      Aspartate Aminotransferase (AST-SGOT) u/L
      Phosphorous (PHOS) mg/dL
      Magnesium (MG) mg/dL
      Direct Bilirubin (DBIL) mg/dL
      Uric Acid (URIC) mg/dL
      Triglycerides (TRI) mg/dL 
      Trauma KBST (Kleihauer-Betke Stain) F/A Ratio, FA Ratio, Kleihauer-Betke technique, Trauma FA Ratio KBST 85460 lavender-top or pink-top EDTA tube
             		  0.5 mL  Unacceptable specimens are those showing gross hemolysis or lipemia, drawn in anticoagulant other than EDTA, have a large amount of fibrin, or drawn into a clot tube with gel.
      Deliver to LAB immediately       		SJMC 
      The percentage of fetal cells in the maternal blood film is used to calculate the approximate volume of fetomaternal hemorrhage. This is used to determine the number of Rhogam vials to administer. 
       
      Trichomonas Genital
      Trichomonas Urine       		Wet Prep, Wet Prepperation WET 87210 Trichomonas Genital
      Prepared slide
      Swab in saline
      Trichomonas Urine
      Unpreserved Urine
      Swab with Urine Sediment/Amies Media       		NONE   Trichomonas Genital
      Prepared slide
      Immediate/Room Temp (best)
      Swab in saline
      < 1 hours/Room Temp (best)
      Trichomonas Urine
      Unpreserved Urine
      < 1 hour/Room Temp
      Swab with Urine Sediment/Amies Media
      < 24 hours/Room Temp       		SJMC 
      No Trichomonas Seen 
      Presence or Absence of Trichomonas 
      Triglyciride Trig
      Patient Preperation
      Overnight Fasting is preferred
             		TRI 84478 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Seperated samples may be stored for up to:
      2 days
      at 20 to 25°C
      7 days
      at 2 to 8°C
      >1 year
      at -20°C.       		SJMC 
      Normal
      <150
      Borderline High
      150 - 199
      High
      200 - 499
      Very High
      > 500 
      mg/dL 
      Troponin Cardiac Troponin, cTnI TI 84484 green-top (heparin) tube
             		Red top Tube
             		2.0 Ml plasma or serum Seperated samples may be stored for up to:
      8 hours
      at 20 to 25°C
      72 hours
      at 2 to 8°C
      30 days
      at -10°C.       		SJMC 
      Normal Range
      < 0.03
      Indeterminate
      0.04 - 1.0
      Suggestive of MI
      >1.0 
      ng/mL 
      Type and Rh Blood Type TYPE   lavender-top or pink-top EDTA tube
             		Red top Tube
      Do not use a Red Top Tube that contains GEL       		3.0 mL whole blood
      or
      3.0 mL clot tube (do not remove serum from the red top tube)       		 SJMC 
       
       
      Type and Screen Blood Type Antibody Screen TNS   lavender-top or pink-top EDTA tube
             		Red top Tube
      Do not use a Red Top Tube that contains GEL       		3.0 mL whole blood
      or
      3.0 mL clot tube (do not remove serum from the red top tube)       		 SJMC 
       
       
      Unsaturated Iron Binding Capacity Fe and TIBC
      Iron Indices
      Iron Profile
      TIBC
      TIBC and Iron
      Total Iron-binding Capacity
      Transferrin Saturation
      UIBC
      Unsaturated Iron-binding Capacity       		UIBC 83550 green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      7 days
      at 20 to 25°C
      3 weeks
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
      126 - 382 
      ug/dL 
      Urea Nitrogen BUN, Blood Urea Nitrogen BUN 84520 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Separated samples may be stored for up to:
      7 days
      at 20 to 25°C
      7 days
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
      Children
      1-3 years
      5.1 - 16.8
      4 - 13 years
      7 - 16.8
      14 - 19 years
      8.4 - 21
      Adult Male
      <50 years
      8.9 - 20.6
      >50 years
      8.4 - 25.7
      Adult Female
      <50 years
      7-18.7
      >50 years
      9.8 - 20.1 
      mg/dL 
      URIC Acid (serum) Urate URIC 84550 green-top (heparin) tube
             		Red top Tube
             		0.6 mL plasma or serum Seperated samples may be stored for up to:
      3 days
      at 20 to 25°C
      7 days
      at 2 to 8°C
      3 months
      at -20°C.       		SJMC 
      Child
      2 - 5.5
      Adult Male
      3.5 - 7.2
      Adult Female
      2.6 - 6 
      mg/dL 
      Urinalysis with Microscopic Exam Complete Urinalysis
      UA Complete
      Test Includes: Color, appearance, specific gravity, pH, protein, glucose, occult blood, ketones, leukocyte esterase, nitrite, bilirubin, urobilinogen, and microscopic examination of urine sediment       		UAMIC 81001 Urine Collection container (no preservative)
             		None 1.0 mL Specimen Collection and Preparation:Collect urine in a clean and /or sterile container. The first morning, midstream, cleancatch or cath specimen is the specimen of choice; however, any freely voided urine collection is acceptable. Ideally, 25 to 50ml of urine should be collected in a 100ml screw top container. At least 3ml of fresh, well mixed urine is required for testing on the iQ200, however 500ml pediatric specimens are acceptable since they can be diluted.
      Specimen Type: A freshly voided urine sample collected by the “clean catch” method is the specimen of choice. “Clean catch” urine is recommended to prevent the possibility of a positive Leukocyte test caused by leukocytes external to the renal-urinary system
      Handling: Specimens should be delivered to the laboratory as soon after collection as possible. All specimens should be handled using the principles of Universal Precautions, due to the potential presence of pathologic material.
      Preservatives: BD Preservative tubes are acceptable to run on the Iris. Do not add any other preservatives, disinfectant, or detergent to the specimen. Do not centrifuge the specimen.
      Stability: Urines kept at room temperature are stable for one hour. If the specimen can not be processed within one hour of the collection time, cap the container tightly and store at 2-8 C. Urines that are refrigerated are stable for 4 hours. Specimens must be at room temperature before analysis.
        SJMC Policies concerning urine testing:
      1. Microscopics are performed on all urines.
      2. All cath specimens from patients 18 years or younger will be cultured.
      3. If urine has more than 4 WBC’s, has a positive LET or has a positive Nitrite, a urine culture will be refluxed.
      4. All urines on children 2 and under should automatically be cultured
             		SJMC 
      Color
      Yellow      appearance
      Clear      specific gravity
      1.000 - 1.040      pH
      5.0 - 8.5      protein
      Neg (mG/dL)      glucose
      Neg (mG/dL)      occult blood
      Neg      ketones
      Neg (mG/dL)      leukocyte esterase
      Neg (WBC/uL)      nitrite
      Neg      bilirubin
      Neg      urobilinogen
      0.2 - 1.0 (mg/dL)      micro. exam of sediment
      0 - 4 WBC/hpf
      0 - 2 RBC/hpf
      hpf=High Powered field       
      Units are in Normal Patient value column 
      Urine Culture Culture, Urine Routine
      Midstream Urine Culture
      Routine Culture Urine Clean Catch
      Urine Culture Catheter
      Urine Culture Routine Midvoid Specimen       		URNCUL 87086 Urine NONE 0.2 mL urine in a sterile collection cup Unpreserved
      < 2 hours/Room Temp (Best)
      < 24 hours/4°C
      Preserved
      < 24 hours/Room Temp
      Include on Lab Requisition Any antobiotics the patient is on and the method of Urione collection (I.e. midstream clean catch, cath specimen, etc)       		SJMC 
       
       
      Urine Drug Screen (Medicare) includes: THC, PCP, Cocaine, Methamphetamines, Opiates, Amphetamines, Benzodiazepines, Tricyclic, Methadone, Barbituates, Oxycodine, Proxyphene, Buprenorphine UDCM   Urine Collection container (no preservative)
             		 2.0 mL Deliver sample immediatly to the Lab SJMC 
      The cutoff value for positive results in ng/mL are as follows:

      THC <50.0
      PCP <25.0
      Cocaine <150
      Methamphetamines <500
      Opiates <100
      Amphetamines <500
      Benzodiazepines <150
      Tricyclic <300
      Methadone <200
      Barbituates <200
      Oxycodine <100
      Proxyphene <300
      Buprenorphine <10
       
       
      Urine Drug Screen (Not Medicare) includes: THC, PCP, Cocaine, Methamphetamines, Opiates, Amphetamines, Benzodiazepines, Tricyclic, Methadone, Barbituates, Oxycodine, Proxyphene, Buprenorphine UDC   Urine Collection container (no preservative)
             		 2.0 mL Deliver sample immediatly to the Lab SJMC 
      The cutoff value for positive results in ng/mL are as follows:

      THC <50.0
      PCP <25.0
      Cocaine <150
      Methamphetamines <500
      Opiates <100
      Amphetamines <500
      Benzodiazepines <150
      Tricyclic <300
      Methadone <200
      Barbituates <200
      Oxycodine <100
      Proxyphene <300
      Buprenorphine <10
       
       
      Urine pH  UPH 83986 Urine Collection container (no preservative)
             		None 1.0 mL Specimen Collection and Preparation:Collect urine in a clean and /or sterile container. The first morning, midstream, cleancatch or cath specimen is the specimen of choice; however, any freely voided urine collection is acceptable SJMC 
      5 - 8.5 
       
      Urine Potassium 24 Hour Urine K 24 Hour
      Test Includes:
      Random K urine
      Total Urine Volume 24 hours
      Urine Potassium 24 hours
             		UK 84133 24 hour collection jug no preservative
             		none Use the appropriate 24 hour collection jug. Samples may be stored for up to:
      45 days
      at 20 to 25°C
      2 months
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
       
      Random urine K: meq/L
      Total 24 hr urine vol.: mL
      Urine K output 24 hours: meq/24 hr 
      Urine protein 24 Hour Urine protein 24 Hour
      Test Includes:
      Random protein urine
      Total Urine Volume 24 hours
      Urine protein 24 hours
             		UPRO 84156 24 hour collection jug no preservative
             		none Use the appropriate 24 hour collection jug. Samples may be stored for up to:
      45 days
      at 20 to 25°C
      45 days
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
       
      Random urine Protein: meq/L
      Total 24 hr urine vol.: mL
      Urine Protein output 24 hours: meq/24 hr 
      Urine Protein/Creatinine Ratio  UPCR UCRR(82570)
      UTPR(84156)       		Urine collection container (no preservative)
             		 1.0 mL Samples may be stored for up to:
      1 days
      at 20 to 25°C
      7 days
      at 2 to 8°C
      1 months
      at -20°C.       		SJMC 
      UCRR
      RANDOM
      Adult Male
      63 - 166
      Adult Female
      47 - 110
      24 HOURS
      Adult Male
      950 - 2490 mg/day
      Adult Female
      710 - 1650 mg/day      UTPR
      Random
      1 - 14
      24 hour, at rest
      50 - 80
      24 hour excretion
      <300
      Spot urine protein to creatinine ratio
      <200       
       
      Urine Sodium 24 Hour Urine Na 24 Hour
      Test Includes:
      Random Na urine
      Total Urine Volume 24 hours
      Urine Sodium 24 hours
             		UN 84133 24 hour collection jug no preservative
             		none Use the appropriate 24 hour collection jug. Samples may be stored for up to:
      45 days
      at 20 to 25°C
      45 days
      at 2 to 8°C
      1 year
      at -20°C.       		SJMC 
       
      Random urine Na: meq/L
      Total 24 hr urine vol.: mL
      Urine Na output 24 hours: meq/24 hr 
      Urine Specific Gravity  USPG   Urine Collection container (no preservative)
             		None 1.0 mL Specimen Collection and Preparation:Collect urine in a clean and /or sterile container. The first morning, midstream, cleancatch or cath specimen is the specimen of choice; however, any freely voided urine collection is acceptable SJMC 
      1.000 - 1.040 
       
      Vaginal Wet Prep & KOH  WETVAG 87210 & 87206 Specimen sent in a tube of sterile saline. NONE   Room Temp: < 1 hour
      Refrigerated: Unacceptable
      Frozen: Unacceptable
        Report on Wet prep
      1. Quantify WBCs
      2. Quantify yeast
      3. Trichimonas seen or not
      4. Clue cells seen or not
        Report on KOH Smear
      1. Presence or absence of yeast and/or fungal elements after clearing of the specimen
             		SJMC 
       
       
      Valproic Acid Depacon®, Depakene®, Depakote®, StavzorTM, Valproate VALP 80164 green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      2 days
      at 20 to 25°C
      7 days
      at 2 to 8°C
      3 months
      at -10°C.       		SJMC 
      50 - 100 
      ug/mL 
      Vancomycin Peak Vancocin® VANCP 80202 green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      3 days
      at 20 to 25°C
      8 days
      at 2 to 8°C
      1 months
      at -10°C.       		SJMC 
      Therapeutic peak level
      20 - 40
      Trough level
      5 - 10 
      ug/mL 
      Vancomycin Random Vancocin® VANC 80202 green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serum Seperated samples may be stored for up to:
      3 days
      at 20 to 25°C
      8 days
      at 2 to 8°C
      1 months
      at -10°C.       		SJMC 
      Therapeutic peak level
      20 - 40
      Trough level
      5 - 10 
      ug/mL 
      Vancomycin Trough Vancocin® VANCT 80202 green-top (heparin) tube
             		Red top Tube
             		2.0 mL plasma or serm Seperated samples may be stored for up to:
      3 days
      at 20 to 25°C
      8 days
      at 2 to 8°C
      1 months
      at -10°C.       		SJMC 
      Therapeutic peak level
      20 - 40
      Trough level
      5 - 10 
      ug/mL 
      Vibrio Culture 
      Order Routine Stool culture (STLCUL) also 
      		VIBCUL 87046 Stool collection cup or ETM NONE 2.0 gm stool <= 1 hours/Room Temperature prefered
      Up to 24 hours refrigerated at 4°C
      Preserved in ETM: <= 48 hours/RT or 4°C       		SJMC 
       
      1.5 g stool 
      Vitamin D 25-OH 25-Hydroxycalciferol, 25-OH-D, Cholecalciferol Metabolite, Vitamin D, Vitamin D3 Metabolite, vit D VITD 82306 green-top (heparin) tube
             		Red-top tube (no gel barier)
             		2.0 mL Seperated samples may be stored for up to:
      72 hours
      at 20 to 25°C
      12 days
      at 2 to 8°C
      3 months
      at -20°C.       		SJMC 
      >= 30 
      ng/mL 
      WBC Count White blood cell count, Leukocyte Count, White count WBC 85048 Lavender top (EDTA) tube
             		NONE 2.0 mL Freshly drawn EDTA samples are preferred. Specimens for WBC count testing should be transported at room temperature. Refrigerated specimens are acceptable. Frozen specimens are unacceptable. Whole blood samples are stable at room temperature for 8 hours. SJMC 
      WBC
      WBC Female
      1 month
      9 - 30
      1 month - 2 months
      5 - 19.5
      2 months - 6 months
      5 - 15
      6 months - 2 years
      6- 12
      >6 years
      5 - 12
      WBC Male
      1 month
      9 - 30
      1 month - 2 months
      5 - 19.5
      2 months - 6 months
      5 - 15
      6 months - 2 years
      6- 12
      6 years
      5 - 12
      >12 years
      4.5 - 11       
      WBC K/uL 
      Weak D  WEAKD   lavender-top or pink-top EDTA tube
             		Red top Tube
      Do not use a Red Top Tube that contains GEL       		   SJMC 
      Neg 
      Pos/Neg 
      Worm, (Macroscopic Exam, Parasite) Macroscopic, Parasite not Arthropod OVPWRM   
      1. Rinse the debris from worm, proglottid, or object and place in saline or water
      2. Transport to the laboratory
      3. When multiple worms or objects are present, some may be placed in 10% formalin also
             		   < 2 hours/Room Temp (Best)
      < 24 hours/Room Temp
      Preservatives
      1. Tap water (preferred)
        Caution; will not kill the organism
      2. 0.85% saline
        Caution; will not kill the organism
      3. 10% Formalin
        Not recommended
        A dilute solution (1-2%) can be used for killing Ascaris. Do not use a higher concentration, since the differences in osmotic pressure may cause the worms to rupture. After storage in dilute formalin for at least 24 h, the worms may be transferred to 10% formalin for long term storage. Do not preserve trematodes in formalin
        Comment
        This test is for a Macroscopic exam of possible worm/progolottid for identification. For Identification of an arthropod, refer to parasitology section for Arthropods and use order code OVPBUG For a full parasite workup, refer to ova and parasite exam
        Clinical data required
        Obtain a stool history form from the lab, fill out and submit with specimen         		SJMC 
         
         
        Wound Culture Includes a Gram Stain(CPT 87205)
        Used for
        1. Open superficial wound
        2. Closed deep wound (order WDCUL and a ANACUL-Anaerobic culture)
        3. Bite wound (order WDCUL and a ANACUL-Anaerobic culture)
        4. Decubitus Ulcer (order WDCUL and a ANACUL-Anaerobic culture)
        5. Pins
        6. Prosthetic Valves
                 		WDCUL 87070 Culturette
                 		NONE Animal BitesDo not culture animal bite wounds < 12 h old (agents are usually not recovered) unless they are on the face or hand or unless signs of infection are present <= 24 hours/Room Temperature SJMC 
         
         
        Yersinia Culture 
        Order Routine Stool culture (STLCUL) also 
        		YERCUL 87046   NONE 1.5 g stool <= 1 hours/Room Temperature prefered
        Up to 24 hours refrigerated at 4°C
        Preserved in ETM: <= 48 hours/RT or 4°C         		SJMC 
         
          
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