A

 Collection Tube Abbreviations

  RT  =  Plain Red top

  GYT  =  Gray top   RBL  =  Royal Blue top
  RHalo = Red Halo   YT  =  Yellow top   PT  =  Pink top
  BLT  =  Blue top   GRN  =  Green top   PPT  =  Pearl top
  LT  =  Lavender top   SGRN  =  Special Green   GHalo = Green Halo

 

Test
(TEST CODE)
 
Lab
Section

Special Requirements

 
Reference Ranges and Critical Values Testing Schedule and Expected
Turnaround
Time
ABO & Rh Blood Group Typing  BBK 1 LT and order sheet initialed by blood collector. For massive transfusion or coagulopathy - Call CP Resident (688-2820) 24 hrs/7 days
Results: 4 hrs
STAT: 10 min
Abscess/Wound Culture
and Gram Stain
(AWCLT)
Micro Pus and or drainage collected in Sterile, no additive, leakproof,

leakproof container or needle aspirate are preferred. (Swabs are not optimal) 

Decontaminate the skin surface, collect purulent material aseptically from undrained abscesses using a sterile needle and syringe. Alternately, open abscess with scalpel and collect expressed material with syringe or swab. Open wounds will require proper cleansing with removal of scab or existing exudate and the collection of tissue from the leading edge of the wound. Culture swabs are not the collection device of choice, however are frequently submitted due to ease of collection.
Negative Daily
Results:
48-72 hours
Absolute Eosinophil Count
(BLEO)
Heme 3.0 ml blood, 1 LT 0-450/dL 24 hrs/ 7 days
Results: 2 hrs

 
ACE {Angiotensin Converting Enzyme}
(ACENZ)
Ref 6 ml blood, 1 RHalo <15 yrs: 18-90 IU/L
15-17 yrs: 14-78 IU/L
18 yrs & >: 9-67 IU/L
Mailout: 5-7 days
ARUP
Acetaminophen 
(ACET)
Chem 5 ml blood, 1 GHalo  10-30 µg/mL

Critical Value
>
30 µ
g/mL
24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Acetone, Serum 
(KET)
Chem
See Ketones

 
Acetone, Urine
(UKET)
Heme 8 ml fresh void urine Negative
24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Acetylcholine Receptor Binding Antibody
(ARBIN)
Ref
 
6 ml blood, 1RHalo Neg = < 0.4 nmol/L
Pos = > 0.5 nmol/L
Mailout: 5-7 days
ARUP
Acetylcholine Receptor Blocking Antibody
(ARBLK)
Ref
 
6 ml blood, 1 RHalo Neg: 15% blocking 
Indeterminate: 16-24% blocking
Pos: > 25% blocking
Mailout: 5-7 days
ARUP
Acetylcholine Receptor Modulating Antibody
(ARMAB)
Ref
 
6 ml blood, 1 RHalo Neg: 0-20% modulation
Indeterminate: 21-25%
Pos: > 26% modulation
Mailout: 5-7 days
ARUP
Acid Fast Bacillus Culture and AFB Stain
(AFCLT)
Micro

Sputum (more than 5cc), bronchial washings, bronchial lavage, gastric aspirate, urine (50-100 mL), 1-5 mL CSF, body fluid, tissue, submitted in a sterile, leakproof container. Prefer early morning specimens of urine and sputum (3 consecutive days optimum for sputum). For blood see "AFB Blood Culture"

(Swabs are not acceptable and cause for rejection of specimen.) 

Negative

Physician and infection control will be called with Positive results. 
M-F.

Results: 6-8 weeks
Acid Hemolysin
[Ham Test
]
VA Call 257-6443 (VA) for collection requirements and testing schedule   Mailout: 5-7 days
Acid Phosphatase,
Total Serum
(ACIDP)
Ref 5 ml blood, RT on ice.
Separate serum from cells and freeze ASAP
0.0 - 4.3 U/L Mailout: 5-7 days
ARUP
ACTH
(ACTH)   
Ref 5 ml blood, 2 LT on ice 9.0 -52.0 pg/ml
 
Mailout:  1-2 days

ARUP

Actinomyces (Anaerobe Culture) and Gram Stain
(ANCLT)
Micro

Anaerobe transport media or deliver immediately. Includes gram stain.

Mark requisition for Actinomyces culture. 
Negative Daily
Results: 10 days
Activated Partial Thromboplastin Time
(APTT)
Coag 3.5 ml blood, 1 BLT
Specimen amount is critical to maintain proper ratio of blood to anticoagulant.
23.0 -36.9 seconds

Critical Value: 
< 18 sec
≥ 90 sec (No Heparin)
≥ 140 sec (on Heparin)
24hrs/7days
Results: 2 hour
s
STAT
: 1 hour
Acute Leukemia Panel

Flow 1 GRN + 1 LT,
Bone marrow aspirate, Biopsy, Tissue or Body Fluid
 
Interpretive report.
Includes enumeration of blasts with T cell, B cell and myelo/monocytic cell markers
M-F
Results:
24-48 hrs
Adenosine Deaminase
 
Ref 1 ml body fluid Interpretive report Mailout: 10-14 days
ARUP
Adenovirus Antibody
(REF)
Ref 5ml blood, 1 RHalo  <1:8 No antibody detected Mailout: 5-7 days
ARUP
Adenovirus Culture
ACH See Culture, Adenovirus  
 
ADH {Antidiuretic Hormone/Vasopressin} Ref 10 ml blood, 2 LT
Critical frozen
0.0- 4.7 pg/mL Mailout: 5-7 days
ARUP
Adrenal Antibody Ref 7 ml blood, 1 large RT By Report Mailout: 7-10 days
ARUP
Adrenocorticotropic Hormone {ACTH}
(ACTH)   
Ref 5 ml blood, 2 LT on ice 9.0 -52.0 pg/ml
 
Mailout:  1-2 days

ARUP

AFB Blood Culture
(AFBBC)
Micro

  Peripheral blood, 10 mL Isolator tube (obtained through the Omni system) or 1.5 mL pediatric Isolator tube.

   Bone Marrow: 1.5   mL Isolator tube. 

Negative

Physician and infection control will be called with Positive results. 
M-F
Results: 6-
8 wks
AFB Culture and AFB Stain
(AFCLT)
Micro

Sputum (more than 5cc), bronchial washings, bronchial lavage, gastric aspirate, urine (50-100 mL), 1-5 mL CSF, body fluid, tissue, submitted in a sterile, leakproof container. Prefer early morning specimens of urine and sputum (3 consecutive days optimum for sputum). For blood see "AFB Blood Culture"

(Swabs are not acceptable and cause for rejection of specimen.) 

Negative

Physician and infection control will be called with Positive results. 
M-F

Results: 6-8  w
ks
AFB  Susceptibilities, MTB
 
Ref Performed at Reference Lab   Results: 2-3 wks
AFB Susceptibilities (other than MTB) Ref Performed at Reference lab (upon request only)   Results: 2-3 wks
AFB Smear Only
(AFBSM)
Micro

Sputum (more than 5cc) in a sterile, leakproof transport container.

Must have had a previous positive culture. 

Negative

Physician and infection control will be called with Positive results. 
M-F
Results: 24-72 hrs
AFP [Alpha Fetoprotein, Tumor Marker]
(AFP2)
Chem 5 ml blood, 1 RHalo 0.0 - 8.0 ng/mL 24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
ALA [Aminolevulinic Acid], Urine
(URALA)
Ref Random or 24 hour urine.
Protect from strong light.
Random: 0-35 µmol/L
Timed: 0-60 µmol/day
Mailout: 5-7 days
ARUP
Albumin, Body Fluid
(BFALB)
Ref 1 ml body fluid
Keep refrigerated
Not established Mailout: 5-7 days
ARUP
Albumin
Adults (ALB)
Neonates
(ALBP)
Chem /
Peds Lab
Adults: 5 ml blood, 1 GHalo

Neonates: 1 amber or green bullet tube
3.5 - 4.8 g/dL

Pediatric:  3.5-5.5 g/dL
 

24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Peds Lab:

     Routine: 2 hrs
    STAT: 1 hr
Alcohol, Serum
(ALC)
Chem See Ethanol    
Alcohol [Volatiles] Screen
 
Chem See Delta Osmolality    
Aldolase 
(ALDL)
Ref 5 ml blood; 1 RHalo
Freeze Serum 
0 up to 1 Mo: 6.0-32.0 U/L
1 Mo-16 yrs: 3.0-16.0 U/L
17 yrs & over: 1.5-8.1  U/L
Mailout: 5-7 days
ARUP
Aldosterone, Serum
(ALDST) 

Aldosterone, Urine
(UALDO)

Ref 6 ml blood, 1 RT or
24 hr urine (bottle Type II)
Serum supine = <1.6-16 ng/dL
Serum standing = 4-31 ng/dL

Urine: 6-25 µg/24 hrs (assuming a normal salt intake of 100-200 mEq/day)

Mailout: 5-7 days
ARUP
Alkaline Phosphatase
Adults (ALP) 
Neonates (ALPP)
Chem /
Peds Lab
Adults: 5 ml blood, 1 GHalo
Neonates: 1 green bullet tube
40 - 120 IU/L 24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Peds Lab:
  
Routine: 2 hrs
    STAT: 1 hr
Alkaline Phosphatase Isoenzymes, Heat Fractionation
 
Ref 6 ml blood, 1 RT or 1 GRN
Separate serum from cells ASAP and freeze 
Interpretive report Mailout: 5-7 days
ARUP
Alkali Denaturation Test
 
  See Hemoglobin F.    
Alpha-1-Antitrypsin
(A1ATR)
Ref 6 ml blood, 1 RHalo  100 - 200 mg/dL Mailout: 5-7 days
ARUP
Alpha-1-Antitrypsin Phenotype
 
Ref 6 ml blood, 1 RHalo Interpretive report Mailout: 5-7 days
ARUP
Alpha-2-Macroglobulin Ref 6 ml blood, 1 RHalo 131 - 293 mg/dL Mailout: 5-7 days
ARUP
Alpha Fetoprotein, Tumor Marker
(AFP2)
Chem 5 ml blood, 1 RHalo 0.0-8.0 ng/mL Mon - Fri
Results: 2 hrs

STAT: 1 hr

 
Alpha Sub Unit, Free
(ASUB)
Ref 6 ml blood, 1 RHalo
Separate serum within 1 hr
Freeze serum
Age/sex specific.  See interpretive report. Mailout: 7-14 days
ARUP
ALT 
Adults (ALT)   
Neonates (ALTP)
Chem /
Peds Lab
Adults: 5 ml blood, 1 GHalo

Neonates: 1 green or amber bullet tube
5 - 40 IU/L 24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr

Peds Lab:
   
Routine: 2 hrs
    STAT: 1 hr

   
Aluminum, Serum
(ALUM)

Ref 7 ml blood, Royal Blue,  no additives.  Separate serum from cells ASAP 0-20 µg/L Mailout: 5-7 days
ARUP
Amikacin Level
Peak: (AMIKP)
Trough: (AMIKT)
Random:
(AMIKR)

 

Ref 5 ml blood, 1 RT
labeled as peak, trough or random.  Do not use separator tubes or gels.

See TDM Guidelines

Trough: 4.0 - 8.0 µg/mL
Toxic: >8.0
µg/mL

Peak: 20-30 µg/m
L
Toxic: >30.0
µg/mL
Mailout: 5-7 days
ARUP
Amino Acids, Quant. Plasma Ref 2 GRN (sodium or lithium heparin).  Freeze plasma Interpretive report Mailout: 5-10 days
ARUP
5-Aminolevulinic Acid {ALA}, Urine
(URALA)
Ref Random or 24 hour urine
Protect from light
Random: 0-35 µmol/L
24 hr: 0-60 µmol/day
Mailout: 5-10 days
ARUP
Aminophylline {Theophylline}
 

Peds Lab
See Theophylline  

Amiodarone & Metabolite
(AMIDM)
Ref 7 ml blood, RT no additives.  Protect from light. Amiodarone: 1.0-3.0 µg/mL Desethylamiodarone: Not established
Potential Toxic Level > 3.0 µg/mL
Mailout: 5-7 days
ARUP
Amitriptyline/Nortriptyline Fractionation
(AMI/N)

Ref 10 ml blood, 1 RT 
Refrigerate serum.
Total drug: 95-250 ng/mL
Toxic: > 500 ng/mL
Mailout: 5-7days
ARUP
 
Ammonia
(NH4)
Chem 5 ml blood, 1 Green top (lithium heparin)
PUT ON
ICE AND TRANSPORT IMMEDIATELY
21 - 47 µMol/L
 
24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Amniotic Fluid OD-450 Scan
(SCAN)
Chem Amniotic Fluid. 
Do not spin.
Use brown plastic tube or protect from light.
 
Interpretive report 7 days/wk
Cutoff: 1 pm
Results by 4 pm
Amobarbital Ref 5 ml blood, 1 RHalo
 
Thera: 1-8 µg/mL Mailout: 5-7 days
Amoeba, Stool Ref See Ova & Parasite Exam Negative

Daily

Results: Upon receipt from ADH 
Amoebic Antibody
(AMAB)
Ref 5 ml blood, 1 RHalo <0.9 IV: Negative Mailout: 5-7 days
ARUP
Amoxapine and Metabolite Ref 10 ml blood, 1 RHalo
Requires 3 ml serum minimum
By report Mailout: 5-10 days
ARUP
Amphetamine, Urine
(AMPH)
Chem Random urine.
 
Negative
This is a screening test.  These results should not be used for forensic or for pre-employment purposes.
 
24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Amphetamine & Methamphetamine, Serum
(AMP+M)
Ref 7 ml blood, RT By report Mailout: 5-10 days
ARUP
Amylase, Body Fluid
(FAMY)
 
Chem 3 ml fluid, 
Indicate source of fluid.
Accepted Body Fluids:
 
Pleural Fluid
  Dialysate
  Diagnostic Peritoneal
        Lavage
  Davol Drainage
  Ascitic/Peritoneal Fluid
 
Not established 24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Amylase
(AMY)
Chem 5 ml blood, 1 GHalo 25 - 125 U/L 24 hrs/ 7 days
Results: 2 hrs

STAT: 1 hr
Amylase, Urine
(UAMY)
Chem 24 hr timed collection, bottle type 1 obtained from Lab. 4 - 37 U/24hr 24 hrs/ 7 days
Results: 2-4 hrs

STAT: 1 hr
Amylase Isoenzymes
(AMYIS)
Ref 6 ml blood, 1 RHalo  Salivary: 0-85 U/L
Pancreatic: 0-68 U/L
Total: 30-110 U/L
Mailout: 5-7 days
ARUP
Amyloid A Ref LT or yellow ACD
Room temp
  Mailout:
MAYO
Anaerobe Culture
(ANCLT)
Micro

Anaerobe transport media or transport to Clinical Lab immediately. Includes gram stain.

Pus and or drainage collected in sterile, no additive, leakproof container or needle aspirate are preferred. (Swabs are not optimal) 

Decontaminate the skin surface, collect purulent material aseptically from undrained abscesses using a sterile needle and syringe. Alternately, open abscess with scalpel and collect expressed material with syringe or swab. Open wounds will require proper cleansing with removal of scab or existing exudate and the collection of tissue from the leading edge of the wound.

§   Anaerobic culture swabs are not the collection device of choice, however are frequently submitted due to ease of collection.

§   Must also have an aerobic culture ordered.

§   Use of anaerobic transport media is required.

§   Place specimen in anaerobic transport media if available. Otherwise, place in a sterile leakproof container and transport to the Microbiology laboratory promptly.

§   Unacceptable specimens: specimens from body sites with normal anaerobic flora (throat, mouth, rectum); urine (clean catch, catheterized); cervix, placenta, IV catheter tips.

Negative Daily

Result:  5 days

ANCA Panel {MPO/PR3 Antibodies}
(ANCAP)
Ref 5 ml blood, 1 RHalo
Refrigerate serum
Interpretive report Mailout: 5-10 days
ARUP
Androstenedione
(ANDST)
Ref 6 ml blood, 1 RT, 1RHalo or 1 LT
Freeze serum or plasma.
Children: 0.1-0.5 ng/mL

Adult:
Male: 0.6-2.7 ng/mL
Female: 0.5-2.7ng/mL
Postmenopausal Female: <1.0
Mailout: 5-7 days
ARUP
Angel Dust {PCP, Phencyclidine}, Urine
(PCP)
Chem See PCP    
Angiotensin Converting Enzyme {ACE}, Serum
(ACENZ)
Ref 6 ml blood, 1 RHalo
Freeze serum.
<15 yrs: 18-90 IU/L
15-17 yrs: 14-78 IU/L
18 yrs & >: 9-67 IU/L
Mailout: 5-7 days
ARUP
Angiotensin Converting Enzyme, CSF
(ACESF)
Ref 1 ml CSF, frozen Interpretive report Mailout: 5-7 days
ARUP
Anti-Adrenal Antibody Ref 7 ml blood, 1 large RT By Report Mailout: 7-10 days
ARUP
Antibiotic Level
(ANTIB)
Ref 10 ml blood, RT using sterile technique.  Blood must NOT be anticoagulated.  Separate serum and freeze ASAP. Interpretive report Mailout: 3-5 days
ARUP
Antibodies to Extractable Nuclear Antigens
Must order individual test:
   Anti-Smith (SM-AG)
   Anti-SS-A/Ro (SSA)
   Anti-SS-B/La (SSB)
   Anti-SCL-70 (SCL70)
   Anti-Sm/Rnp (RNP)
   Anti-Centromere
(ANTC)
Ref 5 ml blood, 1 RT Negative Mailout: 3-5 days
ARUP
Antibody Screen
[Indirect Coombs Test; Indirect Anti-Human Globulin Test]
(IAT)
BBK 1 EDTA tube and order sheet initialed by blood collector. 
 
Detection of clinically significant blood group allo-antibodies. 24 hrs/ 7 days
STAT: 30 min
Antibody Titer [Isohemagglutinin Titer]
(ABTI)
BBK 1 EDTA tube and order sheet initialed by blood collector. Interpretive; primarily prenatal studies for clinically significant antibodies capable of causing HDN. 24hrs/7days
Anti-Cardiolipin Antibodies, IgG & IgM
(ACLGM)
Ref (VA) RT or BLT
See the VA on-line lab manual
for more information.
IgG > 23 GPL
IgM > 11 MPL
Mailout: 5-7 days
 
Anti-Centromere Antibody
(ANTC)
Ref 5 ml blood, 1 RT Negative Mailout: 1-2 days
ARUP

 

   

Antidiuretic Hormone [ADH, Vasopressin] Ref 2 LT on ice.  Freeze plasma. 0.0- 4.7 pg/mL Mailout: 5-7 days
ARUP
Anti-DNA  (Crithidia)
(DNA)
Imm See Doublestranded DNA    
Anti-DNase B Ref 6 ml blood, 1 RHalo
Separate serum from cells ASAP 
1-6 yrs < 1:60
7-17 yrs <1:70
18 yrs & over < 1:85
Mailout: 5-7 days
ARUP
Anti-ENA
{Extractable Nuclear Antigens}
See Antibodies to Extractible Nuclear Antigens
Anti-Freeze
{
Ethylene Glycol}
Ref See Ethylene Glycol
See Delta Osmolality Screen
   
Anti-Fungal Susceptibility
 
Ref Performed at Reference lab (upon request only) Results: 5-7 days
Antihuman Globulin Test, Adult [Direct Coombs Test]
(DDC)
  
BBK 1 EDTA tube and order sheet initialed by blood collector.  Profile includes monospecific AHG Eluate (antibody ID of the eluate) & interpretation. 24hrs/7days
Antihuman Globulin Test, Neonate [Direct Coombs Test]
(DAT)
BBK 1 EDTA tube of cord specimen or venous blood.  Tube and order sheet initialed by blood collector. Detection of hemolytic disease of newborn (HDN).  Eluates performed as indicated. 24hrs/7days
Anti-Microsomal Antibody   See Thyroid Peroxidase (TPO) Antibody    
Anti-Mitochrondrial Antibody, IgG
(MITAB)
Ref 5 ml blood, 1 RHalo
Separate serum from cells ASAP
<1.0 units: No antibody
1.0-1.3 units: Inconclusive
>1.3 units: Positive
Mailout: 5-7 days
ARUP
Anti-Myeline Associated Globulin {anti-MAG Antibody}
 
Ref 7 ml blood, 1 large RT No antibody detected Mailout: 5-7 days
ARUP
Anti-Myocardial Antibody, IgG Ref 5 ml blood, 1 RHalo
Separate serum from cells ASAP
<1:20 No antibody detected Mailout: 5-7 days
ARUP
Anti-Myosin Antibody 
 
Ref 5 ml blood, 1 RT or RHalo Negative = <1:10 Mailout: 5-7 days
Anti-Nuclear Antibody
(ANAT)
Imm 5 ml blood, 1 RHalo ≤ 1:80 T & Th
Cutoff: 7:30am
Results: up to 4 days
Anti-Nuclear Antibody, IgG Ref 5 ml blood, 1 RHalo None detected Mailout: 5-7 days
ARUP
Anti-Ovary Antibody
 
Ref See Ovarian Antibodies    
Anti-Parietal Cell Antibody, IgG
(PC-AB)
Ref 5 ml blood, 1 RHalo
Separate serum from cells ASAP
None detected Mailout: 5-7 days
ARUP
Anti-Phosphatidylserine
Antibody
VA RT or RHalo
See the
VA on-line lab manual for more information.
IgG < 16 GPS
IgM < 22 MPS
Mailout: 5-7 days
Anti-Platelet Antibodies, Indirect Ref 10 ml blood
RT, LT or  yellow (ACD)
Negative Mailout: 5-7 days
ARUP
Anti-Reticulin Antibody, IgA Ref 5 ml blood, 1 RHalo
Separate serum from cells ASAP
<1:5 No antibody detected Mailout: 5-7 days
ARUP
Anti-SCL-70 Antibody
(SCL70)
Ref 5 ml blood, 1 RT Negative Mailout: 3-5 days
ARUP
Anti-Smith Antibody
(SM-AG)
Ref 5 ml blood, 1 RT Negative Mailout: 3-5 days
ARUP
Anti-Smooth Muscle Antibody, IgG
(SMMUS)
Ref 6 ml blood, 1 RHalo