Chemistry
| Test Name | Used For | Specimen Type | Container/Tube | Report Availability | Specimen Retention Time |
|---|---|---|---|---|---|
| CA-125 | "Evaluating patients' response to ovarian cancer therapy Predicting recurrent ovarian cancer" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Serum Beta Human Chorienic Gonadotrophin (Beta-HCG). | "Monitoring patients for retained products of conception Aiding in the diagnosis of gestational trophoblastic disease (GTD), testicular tumors, ovarian germ cell tumors, teratomas, and, rarely, other human chorionic gonadotropin (hCG)-secreting tumors Serial measurement of hCG following treatment for: -Monitoring therapeutic response in GTD or in hCG-secreting tumors -Detecting persistent or recurrent GTD or hCG-secreting tumors This test is not intended to detect or monitor pregnancy." | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Cortisol | "Second-order testing when cortisol measurement by immunoassay (eg, CORT / Cortisol, Serum) gives results that are not consistent with clinical symptoms, or if patients are known to, or suspected of, taking exogenous synthetic steroids. For confirming the presence of synthetic steroids, order SGSS / Synthetic Glucocorticoid Screen, Serum. An adjunct in the differential diagnosis of primary and secondary adrenal insufficiency An adjunct in the differential diagnosis of Cushing syndrome" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Vit D | "Diagnosis of vitamin D deficiency Differential diagnosis of causes of rickets and osteomalacia Monitoring vitamin D replacement therapy Diagnosis of hypervitaminosis D" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| B12 and Folate | "Investigation of macrocytic anemia Workup of deficiencies seen in megaloblastic anemias Investigation of suspected folate deficiency" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| LDH | "Investigation of a variety of diseases involving the heart, liver, muscle, kidney, lung, and blood. Monitoring changes in tumor burden after chemotherapy; lactate dehydrogenase elevations in patients with cancer are too erratic to be of use in the diagnosis of cancer" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| D.Dimer | "Excluding the diagnosis of acute pulmonary embolism or deep vein thrombosis, particularly when results of a sensitive D-dimer assay are combined with clinical information, including pretest disease probability. Diagnosis of intravascular coagulation and fibrinolysis, also known as disseminated intravascular coagulation, especially when combined with clinical information and other laboratory test data (eg, platelet count, assays of clottable fibrinogen and soluble fibrin monomer complex, and clotting time assays-prothrombin time and activated partial thromboplastin time)" | Platelet-poor plasma | Blue top (Sodium citrate) | Apprx. 2 Hrs / same day | 7 days |
| Phosphorus | Diagnosis and management of a variety of disorders including bone, parathyroid, and kidney disease | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| PCT | "Diagnosis of bacteremia and septicemia in adults and children (including neonates) Diagnosis of renal involvement in urinary tract infection in children Diagnosis of bacterial infection in neutropenic patients Diagnosis, risk stratification, and monitoring of septic shock Diagnosis of systemic secondary infection post-surgery, and in severe trauma, burns, and multiorgan failure Differential diagnosis of bacterial versus viral meningitis Differential diagnosis of community-acquired bacterial versus viral pneumonia Monitoring of therapeutic response to antibacterial therapy" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| PTH | "Diagnosis and differential diagnosis of hypercalcemia Diagnosis of primary, secondary, and tertiary hyperparathyroidism Monitoring end-stage kidney failure patients for possible renal osteodystrophy" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Urea | Screening test for evaluation of kidney function | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Thyroid Function Tests; Free T4 and T3 | Screening for a diagnosis of thyroid disease | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Thyroid Stimulating Hormone (TSH) | "Screening for thyroid dysfunction and detecting mild (subclinical), as well as overt, primary hypo- or hyperthyroidism in ambulatory patients. Monitoring patients on thyroid replacement therapy Confirmation of thyrotropin (TSH, formerly thyroid-stimulating hormone) suppression in thyroid cancer patients on thyroxine suppression therapy Prediction of thyrotropin-releasing hormone-stimulated TSH response" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Tropnin i | "Excluding the diagnosis of acute coronary syndromes Explaining troponin T elevations related to skeletal myopathy and/or assay interferences" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Magnesium | Monitoring preeclampsia patients being treated with magnesium sulfate, although in most cases monitoring clinical signs (respiratory rate and deep tendon reflexes) is adequate and blood magnesium levels are not required | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| CRP | "Detecting systemic inflammatory processes Detecting infection and assessing response to antibiotic treatment of bacterial infections Differentiating between active and inactive disease forms with concurrent infection" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Ionized Calcium | Assessing calcium states during liver transplantation surgery, cardiopulmonary bypass, or any procedure requiring rapid transfusion of whole blood in neonates and critically ill patients. | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Calcium | Diagnosis and monitoring of a wide range of disorders including diseases of bone, kidney, parathyroid gland, or gastrointestinal tract. | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Electrolytes (Sodium, Potassium, Chloride and Bicarbonate | Assessing acid-base balance, water balance, water intoxication, and dehydration, cardiac arrhythmia, muscular weakness, hepatic encephalopathy, and renal failure and Bicarbonate asses water balance in respiratory and metabolic systems | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Uric acid | "Diagnosis and treatment of renal failure or Monitoring patients receiving cytotoxic drugs and a variety of other disorders, including gout, leukemia, psoriasis, starvation and other wasting conditions " | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Creatinine | "Diagnosing and monitoring treatment of acute and chronic kidney diseases, Adjusting dosage of renally excreted medications, Monitoring kidney transplant recipients and Estimating glomerular filtration rate for people with chronic kidney disease (CKD) and those with risk factors for CKD (diabetes, hypertension, cardiovascular disease, and family history of kidney disease). " | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Triglycerides | Managing atherosclerotic cardiovascular disease risk | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| LDL Cholestrol | Calculation of low-density lipoprotein cholesterol using total cholesterol, non-high-density lipoprotein (HDL) cholesterol, HDL cholesterol, and triglyceride concentrations and managing atherosclerotic cardiovascular disease risk | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| HDL Cholestrol | Measurement of serum high-density lipoprotein concentrations for managing atherosclerotic cardiovascular disease risk | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Chilestrol/ Lipid Profile | Evaluation of cardiovascular risk | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Billirubin | "Assessing liver function Evaluating a wide range of diseases affecting the production, uptake, storage, metabolism, or excretion of bilirubin. Monitoring the efficacy of neonatal phototherapy" | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| GLUCOSE | Diagnosing and managing diabetes mellitus and other carbohydrate metabolism disorders including gestational diabetes, neonatal hypoglycemia, idiopathic hypoglycemia. | Serum / Plasma | YelloW top /Red Top /Green Top / Gray top | Apprx. 2 Hrs / same day | 7 days |
| AMYLASE | Diagnosis and management of pancreatitis. Evaluation of pancreatic function | Serum | YelloW top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| AMMONIA | Assisting in the diagnosis of hepatic coma, Investigating and monitoring treatment for inborn errors of metabolism , Evaluating patients with advanced liver disease. | Serum | Lavender / purple top | Apprx. 2 Hrs / same day | 7 days |
| AFP | AFP serum: Follow-up management of patients undergoing cancer therapy, especially for testicular and ovarian tumors and for hepatocellular carcinoma | Serum | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| ALP | Diagnosing and monitoring treatment of liver, bone, intestinal, and parathyroid diseases | Serum | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Urinary ACR | Calculating the albumin concentration per creatinine. Assessing the potential for early onset of nephropathy in diabetic patients using random urine specimens | Urine | leak proof sterile container with properly fitting cap | Apprx. 2 Hrs / same day | 7 days |
| Albumin | Assessing nutritional status | Serum | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| ALT | Diagnosis and monitoring of liver disease associated with hepatic necrosis | Serum | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| CEA | Monitoring colorectal cancer and selected other cancers such as medullary thyroid carcinoma May be useful in assessing the effectiveness of chemotherapy or radiation treatment | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| HbsAg | Monitoring of progression of chronic hepatitis B in individuals who are confirmed to be positive for hepatitis B surface antigen. Monitoring of response to antiviral therapy in individuals who have chronic hepatitis B but are negative for hepatitis B e antigen and positive for hepatitis B e antibody | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Anti Hcv Antibodies | Confirming the presence of hepatitis C virus (HCV)-specific IgG antibodies in serum specimens that are reactive by HCV antibody screening tests Distinguishing between true- and false-reactive HCV antibody screening test results This test is not intended for use as an HCV antibody screening test for blood or human cells/tissue donors This assay is not useful for detection of early or acute hepatitis C (<2 months from exposure) as immunocompromised patients may not develop detectable HCV antibodies in blood until 6 months after infection This assay is not useful for differentiating between past (resolved) and chronic hepatitis C Highlights This test is indicated for individuals with reactive hepatitis C virus (HCV) antibody results but undetectable HCV RNA levels. | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| HIV Antibodies | Confirmation and differentiation of HIV-1 and HIV-2 antibodies in plasma specimens that show reactive results with third-(HIV-1/-2 antibody only) and 4th-generation (HIV antigen and antibody) HIV serologic assays This test is not useful as a screening test for HIV infection in symptomatic or asymptomatic individuals. This test is not to be used as a screening or confirmatory test for blood donor specimens. | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| HAV IgM | Diagnosis of acute or recent hepatitis A virus (HAV) infection | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Tacralimus | Monitoring whole blood tacrolimus concentration during therapy, particularly in individuals coadministered cytochrome P450 (CYP) 3A4 substrates, inhibitors, or inducers Adjusting dose to optimize immunosuppression while minimizing toxicity Evaluating patient compliance | Whole blood | Purple EDTA Top | Apprx. 2 Hrs / same day | 7 days |
| Vancomycin | Monitoring adequacy of drug concentration during vancomycin therapy whenever a specimen is submitted or collected without collection timing information | Serum | Yellow top / Red Top | Apprx. 2 Hrs / same day | 7 days |
| Prolectin | Quantifying prolactin in serum specimens where the high-dose hook effect is suspected (eg, presence of pituitary tumor with symptoms of prolactinoma, and lower than expected serum prolactin concentration) | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| Growth Harmone | Diagnosis of acromegaly and assessment of treatment efficacy when interpreted in conjunction with results from glucose suppression test Diagnosis of human growth hormone deficiency when interpreted in conjunction with results from growth hormone stimulation test | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| LH | An adjunct in the evaluation of menstrual irregularities Evaluating patients with suspected hypogonadism Predicting ovulation Evaluating infertility Diagnosing pituitary disorders | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| FSH | An adjunct in the evaluation of menstrual irregularities Evaluating patients with suspected hypogonadism Predicting ovulation Evaluating infertility Diagnosing pituitary disorders | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| Insulin | Diagnosing insulinoma, when used in conjunction with proinsulin and C-peptide measurements Management of diabetes mellitus | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| Testosterone | Evaluation of men with symptoms or signs of possible hypogonadism, such as loss of libido, erectile dysfunction, gynecomastia, osteoporosis, or infertility Evaluation of boys with delayed or precocious puberty Monitoring testosterone replacement therapy Monitoring antiandrogen therapy (eg, used in prostate cancer, precocious puberty, treatment of idiopathic hirsutism, male-to-female transgender disorders, etc.) Evaluation of women with hirsutism, virilization, and oligoamenorrhea Evaluation of women with symptoms or signs of possible testosterone deficiency Evaluation of infants with ambiguous genitalia or virilization Diagnosis of androgen-secreting tumors | Serum / Plasma | Yellow / Red top / green top | Apprx. 2 Hrs / same day | 7 days |
| Cyclosporin | Monitoring whole blood cyclosporine concentration during therapy, particularly in individuals coadministered cytochrome P450 (CYP) 3A4 substrates, inhibitors, or inducers Adjusting dose to optimize immunosuppression while minimizing toxicity Evaluating patient compliance | Whole blood | Purple top | Apprx. 2 Hrs / same day | 7 days |
| Phenytoin | Monitoring for appropriate therapeutic concentration Assessing compliance or toxicity | Serum / Plasma | Yellow Top / Green Top / Red Top | Apprx. 2 Hrs / same day | 7 days |
| Carbamizapine | Monitoring therapy Determining compliance Assessing toxicity | Serum / Plasma | Apprx. 2 Hrs / same day | 7 days | |
| Sphillis Antibody screening test | An aid to resolve discrepant results between screening treponemal and non-treponemal assays This test is not recommended for general screening purposes for syphilis. This test should not be used to evaluate response to therapy. This test is not intended for medical-legal use. | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| Estradiol | All applications that require moderately sensitive measurement of estradiol: Evaluation of hypogonadism and oligo-amenorrhea in females. Assessing ovarian status, including follicle development, for assisted reproduction protocols (eg, in vitro fertilization). In conjunction with luteinizing hormone measurements, monitoring of estrogen replacement therapy in hypogonadal premenopausal women. Evaluation of feminization, including gynecomastia, in males. Diagnosis of estrogen-producing neoplasms in males and, to a lesser degree, females. As part of the diagnosis and workup of precocious and delayed puberty in females, and, to a lesser degree, males. As part of the diagnosis and workup of suspected disorders of sex steroid metabolism (eg, aromatase deficiency and 17 alpha-hydroxylase deficiency). As an adjunct to clinical assessment, imaging studies and bone mineral density. measurement in the fracture risk assessment of postmenopausal women, and, to a lesser degree, older men. Monitoring low-dose female hormone replacement therapy in postmenopausal women. Monitoring antiestrogen therapy (eg, aromatase inhibitor therapy). | Serum / Plasma | Yellow Top / Red Top / Green Top | Apprx. 2 Hrs / same day | 7 days |
| Ferritin | Aiding in the diagnosis of iron deficiency and iron overload conditions Differentiating iron deficiency anemia and anemia of chronic disease | Serum / Plasma | Yellow Top / Red Top / Green Top | Apprx. 2 Hrs / same day | 7 days |
| Iron and TIBC | Screening for chronic iron overload diseases, particularly hereditary hemochromatosis | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| AMH | Assessing ovarian status, including ovarian reserve and ovarian responsiveness, as part of an evaluation for infertility and assisted reproduction protocols Assessment of menopausal status, including premature ovarian failure Evaluation of infants with ambiguous genitalia and other intersex conditions Evaluating testicular function in infants and children Monitoring patients with antimullerian hormone-secreting ovarian granulosa cell tumors | Serum / Plasma | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| AFP | serum: Follow-up management of patients undergoing cancer therapy, especially for testicular and ovarian tumors and for hepatocellular carcinoma | Serum | Yellow top /Red Top /Green Top | Apprx. 2 Hrs / same day | 7 days |
| ACTH | Determining the cause of hypercortisolism and hypocortisolism | Whole blood | Ice-cooled, purple top (EDTA) | Apprx. 2 Hrs / same day | 7 days |