417055

Immigration Panel

n/a

n/a

GOLD_SST

n/a

n/a

n/a

424001

ANA Screen

86038

0.5mL

GOLD_SST

1 week

Refrigerated

n/a

411485

HOMA-B

n/a

GOLD_SST

n/a

n/a

n/a

424002

ANA Screen with ENA Reflex

86038

0.5 mL

GOLD_SST

1 week

Refrigerated

2 SST preferred for reflex

46001791

Antibody Screen RBC with Reflex to Identification

86850; additional CPT codes may apply

3mL

PINK_K2EDTA

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Unacceptable

n/a

n/a

441081

hGH (Human Growth Hormone)

83003

0.5 mL

GOLD_SST

2 weeks Refrigerated

Refrigerated or Room Temperature

n/a

424700

Gastrointestinal (GI) Panel w/o CDIFF

0.2 mL

ORANGE_TOP_C_S_STOOL_CONTAINER

4 days

Refrigerated

Please refer to attached document.

46001990

Antimicrobial Susceptibility - Enterobacteriaceae

87186

n/a

AGAR_SLANT,BACTERIAL_TRANSPORT_MEDIA

1 week

Room Temperature

Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an individually sealed bag.

431005

Culture Urine

n/a

3mL

CLEAN_CATCH_URINE_CONTAINER

n/a

n/a

After collection transfer to the Boric Acid urine tube (grey top) for transport

424053

Lyme, IgG

86617

0.3 mL

GOLD_SST

2 weeks refrigerated

Refrigerated

Separate serum from cells ASAP or within 2 hours of collection

424052

Lyme, IgM

86617

0.3 mL

GOLD_SST

2 weeks refrigerated

Refrigerated

Separate serum from cells ASAP or within 2 hours of collection

423032

Hepatitis Be Antigen

87350

0.3 mL

GOLD_SST

2 weeks refrigerated

Refrigerated

Separate serum from cells ASAP or within 2 hours of collection

46001999

Myelin Associated Glycoprotein (MAG) Antibody, IgM

83516

0.1 mL

GOLD_SST

2 weeks

Refrigerated

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL)

410055

Hepatitis B Panel

86706, 86704, 87340

1.75 mL

GOLD_SST

1 week

Refrigerated

Separate serum from cells ASAP or within 2 hours of collection.

464170

Vitamin C (Ascorbic Acid), Plasma

82180

0.3 mL

GREEN_LITHIUM_HEPARIN

1 year

CRITICAL FROZEN

Protect from light, centrifuge, transfer plasma and freeze within 1 hour of collection.

424485

E. Coli Shiga Toxin

87427

n/a

ORANGE_TOP_C_S_STOOL_CONTAINER

3 days

Refrigerated

Provide stool collection container and toilet hat (if available) to patient with biohazard bag to take home. Instruct patient to defecate into hat and then transfer some of the stool into the container, seal tightly, place in biohazard bag and refrigerate. Sample should be returned to the provider's office the same day or the day after sample is collected.

271411

Full Screen Chronic Opioid Therapy - Low Risk

80307

1 mL

UNPRESERVED_URINE_CONTAINER

14 days

Refrigerated

n/a

424480

H. Pylori Antigen (Stool)

87338

n/a

UNPRESERVED_STOOL_CONTAINER

4 days

Refrigerated

Provide stool collection container and toilet hat (if available) to patient with biohazard bag to take home. Instruct patient to defecate into hat and then transfer some of the stool into the container, seal tightly, place in biohazard bag and refrigerate. Sample should be returned to the provider's office the same day or the day after sample is collected.

460400

Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by CIA

86696

0.5 mL

GOLD_SST

2 weeks

Refrigerated

Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.

464310

Factor V Leiden (F5) R506Q Mutation (REFLEX ONLY)

LAVENDER_EDTA_TUBE,PINK_K2EDTA

Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month

Refrigerated

n/a

721500

Respiratory Pathogen Panel for Symptomatic Patients

1 mL

VIRAL_TRANSPORT_SWAB

1 week

Room Temperature

n/a

432715

Fungal Culture Screen

1 mL

STERILE_CONTAINER

3 days

Room Temperature

n/a

462440

5-a-Dihydrotestosterone by Tandem Mass Spectrometry, Serum

82642

0.6 mL

GOLD_SST

6 months

Frozen

Separate serum from cells within 2 hours of collection.

466050

Hepatitis B Virus (HBV) by Quantitative NAAT

87517

0.8 mL

LAVENDER_EDTA_TUBE,GOLD_SST

2 months

Frozen

Separate serum from cells ASAP or within 2 hours of collection.

726000

SARS-CoV-2 + Influenza A/B+ RSV

87637

400ul

VIRAL_TRANSPORT_SWAB

1 Week

Room Temperature

Swab patient nose with AN or NP swab and put swab into VTM