Beruflich Dokumente
Kultur Dokumente
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
CODE:
The test code(s) must always be Data Entered unless otherwise specified.
SPECIMEN REQUIREMENT:
Blood test requests are indicated as Serum, Plasma, or Blood.
Instructions will specify either minimum volume required or centrifuge only.
When a minimum volume amount is indicated, the vacutainer tube must be centrifuged, and
an aliquot separated into a plastic transport tube.
BILLING:
All tests are considered OHIP or non-OHIP payable.
Tests indicated with OHIP are covered by OHIP and are patient payment exempt upon
presentation of a valid Ontario Health Card.
Tests indicated with a dollar amount after the test, require patient payment before specimen
collection.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC:
The laboratory, which performs the test, is designated by a unique abbreviation.
Abbreviation
BAGL
CENTO
Testing Facility
Bay Area Genetic Laboratory
Centogene AG
CML
CML HealthCare
CVH
DYN
Dynacare
HLRC
HOSP
Designated Hospital
HRL
KGH
LHSC
LL
905-521-2100 x 42667
519-685-8500 ext.77736
Life Labs
1-877-404-0637
LLG
LifeLabs Genetics
1-844-363-4357
MSH
MUMC
NAT
NYGH
416-586-4800
905-521-2100 x 75022
1-844-363-4357
416-756-6055
OGH
PHL
416-235-5952
PLSI
306-202-8378
201-393-5300
SBH
416-480-4652
SKH
416-813-1500
SMH
416-360-4000
SJH
905-521-6036
TGH
416-586-8510
VTF
QUEST
1-877-677-5463
LOC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
FACILITY
CODE
ADDRESS
L5T 2X4
70
M5G 1X5
82
M5G 2C4
83
NATERA INC.
94070
97
M2K 1E1
84
L1G 2B9
85
L5M 2N1
86
M4N 3M5
87
M9P 3T1
90
DYNACARE
N6A 1P4
92
ST MICHEALS HOSPITAL
M5B 1W8
93
LIFE LABS
M9W 6J6
94
L8N 4A6
95
L8V 1C3
70
S7N 4L8
L9C 7N4
CENTOGENE AG
96
98
66219
99
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Glucose
Glucose Challenge,
Gestational Screen
Urinalysis Routine
Chemical
Urinalysis
Microscopic
examination
Estriol
HCG
Hepatitis associated
antigen or antibody
immunoassay
Alphafetoprotein
Screen
Albumin
Quantitative
Serum Ferritin
Serum Folate
HEMATOLOGY
-
Cervicovaginal
specimens
CYTOLOGY
-
BACTERIOLOGY
Antibiotic Sensitivity
Chlamydia
Culture Cervical,
Vaginal (includes G.C)
Culture Other swabs
or pus
IMMUNOLOGY
-
Pregnancy test
Virus antibodies
hemagglutination inhibition or
ELISA technique
Non-cultural, indirect
antibody or antigen assays
by fluorescence,
agglutination or ELISA
technique (toxoplasmosis)
HTLVIII/LAV antibody screen
by ELISA technique (HIV
Antibody)
Culture Urine
Virus Isolation
Wet preparation (for
fungus, tricomonas,
parasites)
Strep B rapid screen
IMMUNOHEMATOLOGY
-
Antibody Identification
Incomplete antibody
Antibody screen
Blood group ABO
and Rho (D)
Direct Anti-human
globulin test
Direct Anti-human
globulin test
LOC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Bilirubin Total
Bilirubin Conjugated
Glucose
TSH/PKU Newborn
screening
HEMATOLOGY
-
IMMUNOHEMATOLOGY
-
Urinalysis microscopic
examination
Hepatitis associated
antigen or antibody
immunoassay
HEMATOLOGY
-
BACTERIOLOGY
-
Antibiotic Sensitivity
Chlamydia
Culture other swabs or
pus
Virus isolation
Wet preparation (for
fungus, trichomonas,
parasites)
IMMUNOHEMATOLOGY
- Blood group ABO and
Rho (D)
IMMUNOLOGY
-
HTLVIII/LAV antibody
screen by ELISA
technique (HIV Antibody)
TEST NAME
CODE
SPECIMEN REQUIREMENT
3A/G RATIO
A1C
ABO, RhD
(GLYCOSYLATED HEMOGLOBIN)
(HbA1C)
(HEMOGLOBIN A1C)
VACUTAINER
BILL
LOC
(GENOTYPE)
E.G. ANTIGENS C, E, c, e
ACE
ACETAMINOPHEN
(TYLENOL)
079A
Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
OHIP
DYN
OHIP
CML
TAT 5 days
ACETONE
(KETONES)
002
Serum
Centrifuge only. Do not open tube
Refrigerate during storage and transport.
GOLD SST
TAT 8 days
ACETONE, QUALITATIVE
(KETONES QUALITATIVE)
2545
Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT 1 day
ACETYLCHOLINE
RECEPTOR ANTIBODY
9144
Serum
Centrifuge only
GOLD SST
TAT 30 days
UNINSURED
HLRC
TEST NAME
CODE
ACETYL CHOLINESTERASE
057R
(RBC CHOLINESTERASE)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Red cells
2 LAVENDER
Centrifuge tubes within 1-hour of collection
Aliquot and discard plasma from lavender tubes
Send red cells only
Keep tubes together with an elastic
Store and transport refrigerated
OHIP
LOC
DYN
TAT 7 days
Refer to SALICYLATE
ACETYLSALICYLIC ACID
(ASA)
(ASPIRIN)
(SALICYLATE)
ACYLCARNITINE
(FRACTIONATION)
9341
UNINSURED HLRC
TAT 15 days
ACID FAST BACILLUS
ACID PHOSPHATASE,
PROSTATIC
ACID PHOSPHATASE
TOTAL
ACTH
Refer to CORTICOTROPIN
(AFB)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
(ADRENOCORTICOTROPIC HORMONE)
(CORTICOTROPIN)
ACTIVATED PROTEIN C
RESISTANCE
9901
(APCR)
Plasma
Minimum Volume required: 2 mL
Patient should not be on anticoagulant
therapy
LIGHT BLUE
ACUTE RUBELLA
UNINSURED HLRC
TEST NAME
CODE
ADAMTS - 13
9535
(THROMBOTIC THROMBOCYTOPENIC
PURPURA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
N/C
LOC
MUMC
UNINSURED SKH
99999
Serum
Patient must be fasting for min of 8 hours
Allow 30 mins for sample clot.
Spin and separate, aliquot into transfer tube.
Store and ship refrigerated.
GOLD SST
UNINSURED
LL
TAT 14 days.
FORM AVAILABLE ON CML WEBSITE
ADH
Refer to VASOPRESSIN
(ANTIDIURETIC HORMONE)
(ADH VASOPRESSIN)
(VASOPRESSIN)
ADRENAL ANTIBODIES
9904
Serum
Centrifuge only
GOLD SST
TAT 15 days
ADRENOCORTICOTROPIC
HORMONE
Refer to CORTICOTROPIN
AFB
AGGLUTINATION REACTION
SCREEN
AIDS
AGA
(ACTH)
(CORTICOTROPIN)
(HIV)
(HIV 1 & 2 ANTIBODY SCREEN)
(HIV SEROLOGY)
(ANTIGLIADIN ANTIBODY)
(GLIADIN ANTIBODIES)
OHIP
HLRC
TEST NAME
CODE
ALA
223
(ALT)
(SGPT)
ALBUMIN
VACUTAINER
BILL
LOC
(AMINOLEVULINATE)
(AMINO LEVULINIC ACID)
ALANINE AMINO
TRANSAMINASE
SPECIMEN REQUIREMENT
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT 1 day
005
Serum
Centrifuge only
TAT 1 day
ALBUMIN, QUALITATIVE
254 3
Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT 2 days
ALBUMIN, URINE
24-HOUR
005U
24-Hour Urine
CLEAR
1 x 6 mL aliquot
Submit in a clear cap vacutainer
Label tube MICROALBUMIN
No preservative
Submit a separate sample for other urine tests.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days
ALBUMIN, URINE
RANDOM
005RU
Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer
Label tube MICROALBUMIN
Submit a separate sample for other urine tests.
TAT 2 days
ALBUMIN/GLOBULIN RATIO
(A/G RATIO)
ALCOHOLS (GC)
9242
Whole Blood
GRAY
Includes Methanol, Ethanol, Acetone,
Isopropanol
Do not open tube. Do not separate.
Use iodine swab to cleanse venepuncture site.
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT 4 days
OHIP
HRLC
TEST NAME
CODE
SPECIMEN REQUIREMENT
ALCOHOL- ETHYL
Refer to ETHANOL
ALCOHOL- ISOPROPYL
Refer to ISOPROPANOL
ALCOHOL- METHYL
Refer to METHANOL
ALDOLASE
(ETHANOL)
(ISOPROPANOL)
(METHANOL
ALDOSTERONE
HOSPITAL ONLY
300
VACUTAINER
BILL
LOC
**This test is for hospital clients only. CCC staff should not use this code.**
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen
GOLD SST
OHIP
LAVENDER
OHIP
HLRC
TAT 24 days
ALDOSTERONE UPRIGHT
2616
Plasma
Minimum Volume Required: 1.0 mL
LL
300U
24-Hour Urine
OHIP
50 mL aliquot submit in a 90 mL white cap container
No preservative
Patient must be on normal sodium intake and not receiving diuretics
for one week before urine sample is collected.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the freezer until test is reported.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Pages for
Specimen Processing & Transport Guidelines
TAT 14 days
DYN
TEST NAME
ALKALINE PHOSPHATASE
CODE
SPECIMEN REQUIREMENT
191
Serum
Centrifuge only
(PHOSPHATASE ALKALINE)
(ALP)
ALKALINE PHOSPHATASE
FRACTIONATION
BILL
LOC
GOLD SST
OHIP
CML
2 GOLD SST
OHIP
CML
OHIP
HLRC
TAT 1 day
191
192
Serum
Label 1 SST autoChem
Label 1 SST Alk. Phos. Fract.
Centrifuge only
(ALKALINE PHOSPHATASE
ISOENZYME)
ALLERGIC ALVEOLITIS
VACUTAINER
9036
Serum
Centrifuge only
Store and send frozen.
(ALLERGIC LUNG)
(FARMERS LUNG)
GOLD SST
(ASIA)
(SERUM ALLERGEN TEST)
(ALLERGEN SPECIFIC IGE
ANTIBODY TEST)
(RAST)
(ALLERGEN SPECIFIC
IMMUNOASSAY)
See chart
Serum
GOLD SST
Min Volume Required: 1ml
Centrifuge and aliquot.
Store and ship refrigerated.
Be specific when free texting allergen name.
Can enter up to nine allergens on one accession.
UNINSURED
HRL
TAT 5 days
NOTE: TAT for unlisted allergens is 4-6 weeks.
Uncommon/unlisted allergens should be followed up by contacting the Pre-Analytical Department to ensure that testing can be
done prior to accessioning. Ensure the requested allergen is for diagnostic use. Research allergens are not available.
Test Name
Test
Code
350-1
350-2
350-3
350-4
350-5
350-6
350-7
350-8
350-9
TEST NAME
CODE
SPECIMEN REQUIREMENT
See Chart
VACUTAINER
Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Can enter up to four allergen mixes on one accession.
Eg: Tree mix, Food mix, Grass mix
BILL
LOC
UNINSURED HRL
TAT 5 days
Test Name
ALPHA 1-ANTITRYPSIN
Test
Code
353-1
353-2
353-3
353-4
555
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
TAT 2 days
ALPHA1 ANTITRYPSIN
PHENOTYPE
9905
Serum
Minimum volume required: 1 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
9923
Serum
Centrifuge and aliquot to transfer tube.
GOLD SST
TAT 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 7 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
ALPHA 2-MACROGLOBULIN
CODE
556
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge Only.
BILL
LOC
GOLD SST
OHIP
LIGHT BLUE
UNINSURED HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
VTF
HLRC
TAT 20 days
ALPHA 2 PLASMIN INHIBITOR 9258
(ALPHA 2 ANTIPLASMIN)
Plasma
Centrifuge and aliquot Platelet Poor Plasma
To transfer tube. Freeze immediately.
Store and ship frozen
TAT 25 days
ALPHA FETOPROTEIN,
ONCOLOGY
691C
(AFP-ONCOLOGY)
Serum
Centrifuge only
Specify if testing is tumor related
Diagnosis must be indicated
TAT 1 day
ALPHA FETOPROTEIN,
PREGNANCY
691P
(AFP-PREGNANCY)
Serum
Centrifuge only
ALT
ALUMINUM
9355
Plasma
Centrifuge and aliquot plasma into
Aliquot tube. Separate and refrigerate
As soon as possible.
ROYAL BLUE
K2 EDTA
TAT 15 days
UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
99999
24hr urine
ACID WASHED CONTAINER UNINSURED
Patient must avoid chocolate, fruits, juice,
beer, coffee, teas and antactids for
containing aluminium 24 hours PRIOR to and
during collection of 24 hour urine.
24 hour urine MUST be collected in ACID WASHED container
Record total volume and transfer 20 ml of measured 24hr urine into
A labelled sterile urine container and cap tightly
Store and ship refrigerated.
TAT 5 days
LL
99999
Random Urine
ACID WASHED CONTAINER UNINSURED
Minimum voume: 10mL
Patient must avoid gadolinium-based
Contrast media 48 hours prior to collection
Collect urine in a labelled sterile 90ml container and
Transfer WITHOUT DELAY into a labelled ACID WASHED container.
Store and ship refrigerated
LL
4105
(ALZHEIMERS DISEASE)
(ALZID)
Serum
Minimum volume: 1.0mL
PLAIN RED
UNINSURED PLSI
AMETHOPTERIN
Refer to METHOTREXATE
AMIKACIN
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 'peak' specimen 30 minutes after IV infusion or
1-2 hours after IM injection by physician
(METHOTREXATE)
PEAK
304AP
TROUGH
304AT
OHIP
HLRC
OHIP
HLRC
AMIKACIN - RANDOM
304AR
Serum
Minimum Volume required: 1 mL
Specimens submitted as peak or trough
are preferred; random orders should be
avoided whenever possible.
PLAIN RED
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
AMINO ACIDS
Plasma
GREEN
Minimum Volume required: 1 mL
- with Heparin
Fasting specimen preferred
State age of patient, (date of birth), and clinical diagnosis
State if patient is on a special diet
(METABOLIC SCREEN)
BILL
OHIP
LOC
HLRC
AMINOGLYCOSIDES
AMINOPHYLLINE
Refer to THEOPHYLLINE
(THEOPHYLLINE)
(UNIPHYL)
AMIODARONE
9417
Plasma
Minimum Volume required: 3 mL
Draw 1-hour prior to next dose
GREEN
with Heparin
UNINSURED HLRC
TAT 20 days
AMITRIPTYLINE
079AM
(ELAVIL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Record time in hours that has elapsed
between last dose and specimen collection.
Refrigerate during storage and transport.
OHIP
DYN
OHIP
HLRC
(NH3)
AMOBARBITAL
(AMYTAL)
9411
Serum
Minimum Volume required: 3 mL
PLAIN RED
TAT 15 days
TEST NAME
AMOBARBITAL
CODE
9412
(AMYTAL)
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Minimum Volume required: 10 mL random urine
Submit in a 90 mL orange cap container
BILL
LOC
OHIP
HLRC
N/C
PHL
N/C
PHL
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT 15 days
AMOEBIC ANTIBODY
9078
PLAIN RED
AMOEBIC DETECTION
99999
(E. HISTOLYTICA)
Stool
Collect two stool samples
st
1 in ova and parasite container
nd
2 in 90 mL container with orange lid
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
AMOXAPINE
AMPHETAMINE
Urine
10 mL random urine
Submit in a blue cap conical tube
TAT 3 days
AMYLASE
018
(DIASTASE)
Serum
Centrifuge only
GOLD SST
TAT 1 day
AMYLASE
(DIASTASE)
018U
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
Testing includes urine creatinine and total volume.
TAT 2 day
AMYLASE
(DIASTASE)
018RU
Urine
10 mL random urine
Submit in a white cap conical tube.
TAT 2 days
TEST NAME
AMYLASE FLUID
CODE
018FL
SPECIMEN REQUIREMENT
VACUTAINER
Fluid
PLAIN RED
Minimum volume required: 1 ml
This test is NOT available for CCC use.
This test is only available at Kennedy Lab for hospital patients.
BILL
LOC
CONTRACT HLRC
TAT 10 days
AMYLASE FRACTIONATION
(AMYLASE ISOENZYME)
018I
Serum
Centrifuge only
Indicate clinical problem requiring analysis.
GOLD SST
UNINSURED HLRC
TAT 45 to 60 days
AMYTAL
Refer to AMOBARBITAL
ANA
ANAFRANIL
Refer to CLOMIPRAMINE
ANCAC (CYTOPLASMIC)
ANCAp (PERINUCLEAR)
ANDROGEN TESTICULAR
Refer to TESTOSTERONE
(AMOBARBITAL)
(ANF)
(ANTINUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
(CLOMIPRAMINE)
(ANTINEUTROPHIL
CYTOPLASMIC ANTIBODYC)
(NEUTROPHIL CYTOPLASMIC ANTIBODIES)
(ANTINEUTROPHIL
CYTOPLASMIC ANTIBODIESP)
(TESTOSTERONE)
ANDROSTENEDIONE
305
Serum
PLAIN RED
OHIP
SKH
UNINSURED
HLRC
NO LONGER AVAILABLE
ANF
(ANA)
(ANTI-NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
ANGIOTENSIN CONVERTING
ENZYME
(ACE)
9245
Serum
GOLD SST
Centrifuge only
Assay cannot be performed on a lipemic specimen
Refrigerate during storage and transport.
TAT 15 days
TEST NAME
CODE
ANION GAP
SPECIMEN REQUIREMENT
053
061
204
226
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
3 LAVENDERS
OHIP
CML
LAVENDER
OHIP
CML
ANTABUSE
ANTIBODY IDENTIFICATION
(ANTIBODY ID)
NO LONGER AVAILABLE
HP15
Blood
DO NOT SEPARATE
Testing Includes titre if positive
TAT 2 days
ANTIBODY SCREEN
(INDIRECT COOMBS)
482
Blood
DO NOT SEPARATE
TAT 2 days
ANTICARDIOLIPIN AB
ANTI-CCP
ANTIdsDNA ANTIBODY
ANTIDIURETIC HORMONE
Refer to VASOPRESSIN
ANTIENA
ANTIENDOMYSIAL ANTIBODY
(ENDOMYSIUM ANTIBODIES)
ANTIEPIDERMAL ANTIBODY
ANTIGLIADIN ANTIBODY
ANTIGLOMERULAR
BASEMENT MEMBRANE
(ANTI PHOSPHOLIPID)
(CARDIOLIPIN ANTOBIDES)
(ANTI-DNA)
(ANTI DSDNA DOUBLE STRANDED AB)
(DNA ds ANTIBODIES)
(ADH)
(VASOPRESSIN)
(ENA ANTIBODY)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
(AGA)
(GLIADIN ANTIBODIES)
TEST NAME
CODE
SPECIMEN REQUIREMENT
9233
(ANTI-GAD)
Serum
Minimum Volume Required: 1ml
Centrifuge and aliquot
Store and ship frozen
TAT - 34 days
ANTIHISTONE
ANTIHBs
ANTIINSULIN
ANTIINTRINSIC FACTOR
ANTIJO 1
ANTILA
ANTI-GLUTAMIC ACID
DEHYDECARBOXYLASE
(HISTONE ANTIBODIES)
(INSULIN ANTIBODIES)
(SS-B)
(SS-B EXTRACTABLE NUCLEAR ANTIBODIES)
ANTI-LKM ANTIBODY
9237
VACUTAINER
GOLD SST
LOC
OHIP
HLRC
OHIP
HLRC
(LKM ANTIBODY)
(ANTI-LIVER KIDNEY MICROSOMAL
ANTIBODIES)
Serum
Centrifuge only
Store and ship refrigerated
TAT 14 days
ANTI-MICROSOMAL ANTIBODIES
ANTIMITOCHONDRIAL ANTIBODY
99999
Urine
Min volume: 20ml
Ensure hands are washed and free of contamination.
For industrial exposure collect at end of work shift.
Store and ship refrigerated.
TAT 10 days
UNINSURED
LL
ANTI-MULLERIAN HORMONE
9590
Serum
Minium volume required: 1 mL
Centrifuge and aliquot
Store and ship frozen.
UNINSURED
LL
(MICROSOMAL ANTIBODIES)
(ASMA)
(ANTI-SMOOTH MUSCLE ANTIBODIES)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
(AMH)
(ANTI OVARIAN HORMONE)
(MIS)
GOLD SST
BILL
PLAIN RED
TAT 10 days
TEST NAME
CODE
SPECIMEN REQUIREMENT
Serum
Allow blood to clot for 30mins at room temp.
Centrifuge.
Store and ship refrigerated.
VACUTAINER
GOLD SST
TAT 6 days
ANTINEUTROPHIL CYTOPLASMIC
ANTIBODIES - C
ANTINEUTROPHIL CYTOPLASMIC
ANTIBODIES - P
ANTINUCLEAR ANTIBODY
ANTIPANCREATIC
ISLET CELLS ANTIBODY
(c-ANCA - CYTOPLASMIC)
(p-ANCA PERINUCLEAR)
(ANA)
(ANF)
(CENTROMERE ANTIBODIES)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
ANTIPARIETAL CELL
ANTIBODIES
ANTIPHOSPHOLIPID
ANTI-PLATELET ANTIBODIES
ANTIRETICULIN ANTIBODY
ANTIRNP
ANTIRO
ANTISCL70
(ANTI-CARDIOLIPIN)
(CARDIOLIPIN ANTIBODIES)
(ANTI-RETICULIN AB)
(RETICULIN ANTIBODIES)
(SSA)
(Scl-70 ANTIBODIES)
(SCLERODERMAL ANTIBODY)
BILL
LOC
UNINSURED
LL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
ANTISM
ANTISPERM ANTIBODIES
ANTISTREPTOCCAL
HYALURONIDASE ANTIBODY
ANTISTREPTOLYSIN O TITRE
(ANTISMITH)
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ASMA) (MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)
(SPERM ANTIBODIES)
BILL
LOC
(ASH)
(ASOT)
(STREPTOLYSIN O ANTIBODY)
ANTITHROMBIN III
373
(ANTI-THROMBIN ASSAY)
Plasma
LIGHT BLUE
Minimum Volume required: 1 mL
Patient should not be on anticoagulant therapy
OHIP
HLRC
HP16A
(ATA)
(ANTI-THYROID ANTIBODIES)
(THYROID ANTIBODY)
(THYROID ANTIBODIES)
(THYROID AUTOANTIBODIES)
(THYROID AUTOANTIBODY)
Serum
GOLD SST
Minimum Volume Required: 2ml
Collect blood in SST. Allow blood to
clot at room temperature for 30 mins
and separate by centrifugation.
Store and ship refrigerated at 2-8 degrees celcius for
up to 5 days.
OHIP
LL
(ATG)
(THYROGLOBULIN ANTIBODIES)
327
Serum
Minimum Volume required: 1.0 mL
GOLD SST
OHIP
LL
TEST NAME
CODE
ANTI-THYROID PEROXIDASE
326
(ANTI TPO)
(TPO)
(ANTI-PEROXIDASE)
(ANTI-MICROSOMAL)
(MICROSOMAL ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROID PEROXIDASE ANTIBODY)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Min Volumne Required: 1.0mL
GOLD SST
BILL
OHIP
LOC
LL
APCR
APOLIPOPROTEIN A1
(APO A1)
1976
Serum
Minimum Volume required: 1.0 mL
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
1977
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
o
30374
Plasma
LAVENDER
Minimum volume required: 7 mL
Assay is performed on consultation basis only
PHYSICIAN MUST CONTACT DR. CONNELLY
At the Lipid Research Lab at St. Michaels Hospital,
Toronto. (416)-864-6023
It is preferred that the patient fast a minimum of 12 hours.
Test is not performed if Triglycerides is normal.
Collect 4 lavender tubes and mix thoroughly.
Centrifuge and separate within 4 hrs of collection
Transfer all the plasma to a labelled tube
Store and ship ALL tubes refrigerated.
TAT 20 days
UNINSURED
SMH
TEST NAME
CODE
APO PROTEIN a
VACUTAINER
BILL
LOC
Refer to LIPOPROTEIN a
(LIPOPROTEIN a)
ARBOVIRUS ANTIBODIES
SPECIMEN REQUIREMENT
9080
PLAIN RED
N/C
PHL
9279
Whole Blood
Do not centrifuge.
Send entire tube.
UNINSURED HLRC
TAT 20 days
ARSENIC- HAIR
9908
Hair
Clip hair close to the nape of the neck from 6-8
different locations 0.2 gm hair required
(approximately 2 teaspoons full)
Bleaches and dyes may interfere
Submit in a 90 mL container
UNINSURED
HLRC
TAT 45 days
ARSENIC- NAIL
9909
Nails
Clip nails from all fingers
Patient must remove nail polish prior to collection
Submit in a 90 mL container
UNINSURED
HLRC
TAT 20 days
9187
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.
UNINSURED
HLRC
9186
Urine
15 mL random urine
Submit in a 90 mL orange cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.
UNINSURED
TAT 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 18 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
ARSENIC- INORGANIC
TOTAL 24 HOUR URINE
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
24 hour Urine
ACID WASHED CONTAINER UNINSURED
24 hour urine must be collected in an ACID WASHED container
Avoid seafood consumption 72 hours prior to collection.
Record total volume and transfer 20ml into 90ml container
LL
99999
Urine
UNINSURED LL
10 mL random urine
Submit in a 90 mL orange cap container
Patient must avoid gadolinium based contrast media
Used for MRIs 48 hours prior to collection.
90ml ACID WASHED container is required.
Store and ship refrigerated.
TAT 1-2 weeks
(BUGS)
(LICE)
N/C
PHL
ARYLSULFATASE A WBC
(HOSP ONLY)
9383
Whole Blood
GREEN
Min volume required: 7ml
- Heparinized
Test not available for CCC use
This test is only for use at the Kennedy lab for hospital patients
Client must call Client Services Urgent Desk between 8:00am
and 9:00am to arrange a pickup no later than 10:00am.
CONTRACT HICL
Refer to SALICYLATE
(ACETYSALICYLIC ACID)
(ASPIRIN)
(SALICYLATE)
ASCORBATE
(ASCORBIC ACID)
(VITAMIN C)
019
Serum
GOLD SST
Minimum Volume required: 2 mL
Protect from light by aliquoting into amber tube.
FREEZE SERUM AND SEND FROZEN
Freeze within 30 minutes of collection
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 14 days
OHIP
DYN
TEST NAME
CODE
SPECIMEN REQUIREMENT
ASH
ASMA
ASOT
(ANTISTREPTOLYSIN O TITRE)
(STREPTOLYSIN O ANTIBODY)
ASPARTATE AMINO
TRANSAMINASE
222
BILL
LOC
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
Centrifuge only
(AST)
(SGOT)
ASPERGILLUS ANTIBODY
Serum
VACUTAINER
TAT 1 day
9033
Do not centrifuge
Refer to SALICYLATE
AST
ATA
ATIVAN
Refer to LORAZEPAM
AVENTYL
Refer to NORTRIPTYLINE
(ACETYSALICYLIC ACID)
(ASA)
(SALICYLATE)
(ANTI-THYROID ANTIBODY)
(THYROID ANTIBODIES)
(LORAZEPAM)
(NORTRIPTYLINE)
AVIAN PRECIPITINS
9034
Serum
Centrifuge, separate into transfer
tube and refrigerate.
PLAIN RED
UNINSURED
HLRC
TEST NAME
CODE
BCAROTENE
VACUTAINER
BILL
LOC
Refer to CAROTENE
(CAROTENE)
B-TYPE NATRIURETIC
PEPTIDE
SPECIMEN REQUIREMENT
1562
(BNP)
Plasma
Minimum volume required: 1.0mL
LAVENDER
UNINSURED LL
Refer to COBALAMINS
B2 MICROGLOBULIN
(VITAMIN B12)
(COBALAMINS)
(BETA 2-MICROGLOBULIN)
(MICROGLOBULIN)
BARBITURATES SCREEN
026U
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
N/C
PHL
TAT 2 days
BARTONELLA ANTIBODY
(CAT SCRATCH DISEASE)
9011
PLAIN RED
BCR-ABL
(QUANTITATIVE PCR)
(BCR/ABL)
9382
Whole Blood
LAVENDER
CONTRACT HLRC
Min volume required: 10ml
Test is NOT available for CCC use.
Test is only for use at Kennedy Lab for
Hospital patients.
Download requisition at http://lrc.hrlmp.ca/uploaded/R_MolecularOncology.pdf
Form must be completed and submitted along with specimen and req.
Ship within 24 hours. If required store overnight at 4C
TAT 33 days
BENADRYL
Refer to DIPHENHYDRAMINE
BENCEJONES PROTEIN
BENZENE (PHENOL)
(DIPHENHYDRAMINE)
TEST NAME
BENZODIAZEPINE SCREEN
CODE
078BE
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
BILL
LOC
CML
OHIP
TAT 2 days
BENZTROPINE MESYLATE
99999
Urine
10 mL random urine
Store and ship refrigerated
UNINSURED
LL
TAT 3 days
BERYLLIUM LYMPHOCYTE
PROLIFERATION
99999
UNINSURED
LL
Urine
Min volume required: 20ml
UNINSURED LL
(BETA-2-GP-I IgG
Serum
PLAIN RED
OHIP
HLRC
GOLD SST
UNINSURED
HLRC
BETA 2 MICROGLOBULIN
9101
(B2 MICROGLOBULIN)
(MICROGLOBULIN)
Serum
Centrifuge only
Refrigerate during storage and transport.
TAT 25 days
BETA 2 MICROGLOBULIN
(B2 MICROGLOBULIN)
(MICROGLOBULIN)
9101RU
Urine
10 mL random urine Submit in a 90 mL orange cap container
Ask patient to void (discard), then drink a glass of water collect urine for submission one hour later
FREEZE URINE AND SEND FROZEN
TAT 25 days
UINNSURED HLRC
TEST NAME
CODE
BETAhCG
(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
(CHORIOGONADOTROPIN)
BETA HYDROXYBUTYRATE
9248
(BHBA)
(3HBA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to CHORIOGONADOTROPIN
Serum
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
GOLD SST
UNINSURED HLRC
TAT 6 days
BETA TRANSFERRIN
9352
Fluid
STERILE CONTAINER
Accept any container/tube received.
Indicate source.
Store and send frozen.
Analysis includes Beta 1 Transferrin and Beta 2 Transferrin
UNINSURED
HLRC
TAT 14 days
BICARBONATE
(CO 2)
(CARBON DIOXIDE)
BILE ACID
9307
Serum
Minimum Volume required: 1 mL
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
BILIRUBIN
Refer to UROBILINOGEN
BILIRUBIN, DIRECT
031
(CONJUGATED BILIRUBIN)
(BILIRUBIN GLUCURONIDATED)
TAT 1 day
BILIRUBIN, INDIRECT
(UNCONJUGATED BILIRUBIN)
(BILIRUBIN NON-GLUCURONIDATED)
BILIRUBIN, TOTAL
Serum
Centrifuge only
030
Serum
Centrifuge only
TAT 1 day
TEST NAME
CODE
SPECIMEN REQUIREMENT
BIQUIN
Refer to QUINIDINE
(Q-10 METABOLITE)
(QUINIDINE)
99999
VACUTAINER
BILL
LOC
Urine
UNINSURED LL
Min volume: 20ml
Store and ship refrigerated
Ensure hands are washed and clothes
are free of contamination.
For industrial exposure collect specimen at the end of the work shift.
A random urine test includes creatinine to be performed by the
referred out testing site
TAT 5-10 days
BLASTOMYCES ANTIBODY
(BLASTOMYCOSIS ANTIBODY
DERMATITIDIS)
9037
PLAIN RED
N/C
PHL
N/C
PHL
LAVENDER
OHIP
CML
LAVENDER
OHIP
CML
BLASTOMYCOSIS
CULTURE DERMATITIDIS
9038
Culture
Skin scraping
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 30 days
BLEEDING TIME,
DUKE METHOD
BLEEDING TIME,
IVY METHOD
NO LONGER AVAILABLE
BLOOD CULTURE
BLOOD GROUP
490
TAT 2 days
Blood
DO NOT SEPARATE
493
Blood
DO NOT SEPARATE
TAT 2 days
TEST NAME
CODE
BLOOD GROUP
PRENATAL Ab
VACUTAINER
BILL
LOC
SPECIMEN REQUIREMENT
494
Blood
DO NOT SEPARATE
LAVENDER
OHIP
CML
OHIP
CML
TAT 2 days
BLOOD, QUALITATIVE
2547
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT 1 day
BLOOD PRESSURE
MONITORING
995
UNINSURED CML
TAT 4 days
BLOOD TYPE
BNP
BORDETELLA PERTUSSIS
ANTIBODY
(NT-PRO)
(WHOOPING COUGH)
BORDETELLA PERTUSSIS
9047
(WHOOPING COUGH)
N/C
PHL
N/C
PHL
9045
(LYME DISEASE)
BROMIDE
NO LONGER AVAILABLE
TEST NAME
BRUCELLA ANTIBODY
CODE
9007
SPECIMEN REQUIREMENT
Do not centrifuge tube
VACUTAINER
BILL
PLAIN RED
LOC
N/C
PHL
OHIP
HLRC
BUN
Refer to UREA
(ARTHROPODS)
(LICE)
(UREA)
BUTABARBITAL
9471
Urine
25 mL random urine
Submit in a 90 mL orange cap container
TAT 15 days
BUTAZOLIDINE
(PHENYLBUTAZONE)
NO LONGER AVAILABLE
TEST NAME
CODE
C1 ESTERASE INHIBITOR
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(COMPLEMENT C1)
C1 ESTERASE INHIBITOR,
FUNCTIONAL
C1Q IMMUNE COMPLEXES
688
Serum
Minimum Volume required: 1 mL
Only performed if CH50 is low
GOLD SST
OHIP
HLRC
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
Refer to COMPLEMENT C2
(COMPLEMENT C2)
C3
Refer to COMPLEMENT C3
(COMPLEMENT C3)
C4
Refer to COMPLEMENT C4
(COMPLEMENT C4)
C5
Refer to COMPLEMENT C5
(COMPLEMENT C5)
C6
Refer to COMPLEMENT C6
(COMPLEMENT C6)
CPEPTIDE
346
Plasma
Minimum Volume required: 2 mL
Fasting specimen required
GREEN
with Heparin
(CRP)
(CREACTIVE PROTEIN)
CREACTIVE PROTEIN
HIGH SENSIVITY
665HS
Serum
Centrifuge only
TAT 1 day
CTELOPEPTIDE
9164
Serum
Minimum volume required: 1 ml
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
Page 1 of 31
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TEST NAME
CA 125
CODE
9389
(OV 125)
(CANCER ANTIGEN 125)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge only
BILL
LOC
GOLD SST
UNINSURED CML
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
LAVENDER
UNINSURED HLRC
3011
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled tube,
o
cap tightly and FREEZE at -20 C.
o
3012
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
o
9680
Blood
Do not open tube
TAT 21 days
CADMIUM SCREEN
9680U
24 Hour Urine
50 mL aliquot submit in a white cap 90 mL container
UNINSURED HLRC
9680R
Urine
50 mL aliquot random urine
Submit in a white cap 90 mL container
UNINSURED HLRC
TAT 21 days
CAFFEINE
(CAFFEINE- QUANTITATIVE)
9129
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days
Page 2 of 31
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UNINSURED HLRC
TEST NAME
CALCIDIOL (UNINSURED)
CODE
9802
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum volume required: 2 mL
BILL
LOC
GOLD SST
UNINSURED CML
GOLD SST
OHIP
Centrifuge SST
Store and ship refrigerated
No pour-off required
TAT 2 days
CALCIDIOL (INSURED)
606
Serum
Minimum volume required: 2 mL
CML
Centrifuge SST
Store and ship refrigerated
No pour-off required
Patient must meet eligibility criteria for insurable Calcidiol testing
TAT 2 days
CALCITONIN
301
Serum
Minimum Volume required: 3 mL
Fasting sample required.
Centrifuge, separate, freeze within
30-minutes of clotting.
GOLD SST
OHIP
DYN
GOLD SST
OHIP
LL
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
528
(VITAMIN D 1-25)
(1, 25 DIHYDROXY VITAMIN D)
Serum
Minimum volume required: 2.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Serum must NOT be aliquoted,
the testing bench must receive the
specimen in the primary SST tube.
o
045
Serum
Centrifuge only
TAT 1 day
CALCIUM, CORRECTED
045C
Serum
Centrifuge only
Testing includes serum calcium and albumin.
0461
Serum
GOLD SST
Allow specimen to clot for 30 minutes
Centrifuge only
Do not remove tube stopper
Test result is invalid if specimen is exposed to air
TAT 2 days
Page 3 of 31
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TEST NAME
CALCIUM, URINE
CODE
045U
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
HLRC
UNINSURED
HLRC
24 Hour Urine
10 mL aliquot submit in a white cap conical tube
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Testing includes urine creatinine
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days
CALCIUM, URINE
045RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days
CALCULUS ANALYSIS
047
(STONE ANALYSIS)
CALPROTECTIN, STOOL
9293
(FECAL CALPROTECTIN)
Sterile Container
Collect undiluted feces in a clean, dry, sterile, leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.
(STOOL CULTURE)
Refer to CA 15-3
Refer to CA 19-9
CANDIDA TITRE
CANNABINOIDS SCREEN
078M
(CANNABIS)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)
(THC)
CARBAMAZEPINE
(TEGRETOL)
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
OHIP
CML
TAT 2 days
040
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day
Page 4 of 31
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TEST NAME
CODE
CARBOHYDRATE
ANTIGEN 15-3
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GREEN
-with Heparin
OHIP
LL
GOLD SST
OHIP
Refer to CA 15-3
CARBOHYDRATE
ANTIGEN 19-9
CARBON DIOXIDE
Refer to CA 19-9
061
(BICARBONATE)
(CO2)
Serum
Centrifuge only
Do not remove tube stopper.
TAT 1 day
CARBOXYHEMOGLOBIN
060
Blood
(CARBON MONOXIDE)
690
CML
(CEA)
9328
GOLD SST
UNINSURED CML
(CEA)
9109
Serum
Minimum volume required: 2 mL
PLAIN RED
Page 5 of 31
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UNINSURED HLRC
TEST NAME
CODE
CARDIOVASCULAR
INFLAMATION PANEL
CVIP
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
2 LAVENDER
BILL
LOC
UNINSURED
(CVIP)
Myeloperoxidase
(MPO)
Panel Handling
Plasma (LAVENDER)
Testing Location
LL
Lp-PLA2
(PLAC)
LL
9710
Serum
Minimum Volume required: 1 mL
Provide date of birth, gender, clinical history.
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
049
(BCAROTENE)
Serum
Minimum Volume required: 4 mL
HLRC
(BARTONELLA ANTIBODY)
CATECHOLAMINES
(EPINEPHRINES)
(NOREPINEPHRINES)
9527
Plasma
LAVENDER
Page 6 of 31
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OHIP
HLRC
TEST NAME
CATECHOLAMINES,
FRACTIONATED
CODE
051
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot submit in a white cap 90 mL container
Do not add acid; ph will be adjusted in Biochemistry Dept.
Do not use this sample for any other test.
BILL
LOC
OHIP
DYN
CBC
CCP ANTIBODY
CEA
(CARCINOEMBRYONIC ANTIGEN)
9951
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
1728
Serum
Minimum volume required: 1.0mL
GOLD SST
Refer to METHSUXIMIDE
(METHSUXIMIDE)
Page 7 of 31
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UNINSURED LL
TEST NAME
CODE
CENTOGENE GENETIC
TEST - ADULT
4005
SPECIMEN REQUIREMENT
Whole Blood
VACUTAINER
2 LAVENDER
BILL
LOC
UNINSURED
CENTO
4011
Whole Blood
1-2 LAVENDER
UNINSURED CENTO
CENTOGENE GENETIC
TEST - OTHER
4014
UNINSURED
CENTO
4008
Whole Blood
LAVENDER
(ANA)
(ANF)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODY)
Page 8 of 31
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UNINSURED
CENTO
TEST NAME
CODE
CERULOPLASMIN
SPECIMEN REQUIREMENT
052
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
1 GOLD SST
1 LAVENDER
UNINSURED
TAT 1 day
CH50
(COMPLEMENT HEMOLYTIC)
(HEMOLYTIC COMPLEMENT FIXATION)
(COMPLEMENT TOTAL CH50)
CHF PANEL
CHFP
BNP
Galectin - 3
Panel Handling
Collect blood in Lavender top tube (EDTA)
Mix thoroughly by gentle
inversion and separate by
centrifugation WITHIN 2-4 hours of
collection. Transfer an aliquot of plasma
to a labelled tube, cap tightly
Store and ship FROZEN.
Serum (SST)
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Testing Location
LL
LL
6932
TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Patient should not have urinated in the last hour. Collect the first part of the
urine stream to ensure a high organism count. Void 20-30 mL (larger urine
volume dilutions may result in false negative results) into one container for
Chlamydia and then collect urine for any other tests ordered in a second
container. Staff transfer 2mL with provided pipette to VIPER Urine Specimen
Collection Kit (BD PROBETEC QX UPT).
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae.
CHLAMYDIA - SWAB
6930
TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Swab state source: cervical/vaginal (for female); urethral (for male)
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae
Swab must be submitted in BD PROBETEC QX COLLECTION KIT transport tube
with black cap. Store and transport at room temperature.
Page 9 of 31
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TEST NAME
CODE
CHLAMYDIA PSITTACI
ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
24 Hour Urine
OHIP
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Includes urine creatinine and total volume
CML
(PSITTACOSIS ANTIBODY)
CHLORDIAZEPOXIDE
(LIBRIUM)
CHLORIDE
053
Serum
Centrifuge only
GOLD SST
TAT 1 day
CHLORIDE, URINE
053RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days
053U
TAT 2 days
CHLORPROMAZINE
(LARGACTIL)
CHOLESTEROL, FASTING
055F
Serum
Centrifuge only
Patient has fasted for 10 hours or more.
GOLD SST
OHIP
CML
Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLESTEROL, RANDOM
055R
Serum
Centrifuge only
Patient has fasted less than 10 hours.
GOLD SST
OHIP
Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
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CML
TEST NAME
CHOLESTEROL, HDL
(HDL CHOLESTEROL)
CODE
117H
SPECIMEN REQUIREMENT
Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
OHIP
LOC
CML
TAT 1 day
CHOLESTEROL, NON-HDL
FASTING
3921
Serum
Centrifuge only
Patient has fasted for 10 hours or more.
CML
Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLESTEROL, NON-HDL
RANDOM
3922
Serum
Centrifuge only
Patient has fasted less than 10 hours.
GOLD SST
OHIP
CML
Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLINESTERASE, TOTAL
057
Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
058
Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
If patient has had recent surgery, please
wait 24 hours post-surgery before
blood collection.
TAT 11 days
CHOLINESTERASE, RBC
(ACETYL CHOLINESTERASE)
CHORIO GONADOTROPIN,
ONCOLOGY
(BETA HCG- for ONCOLOGY)
318C
Serum
Centrifuge only
Label tube hCG for Oncology.
TAT 1 day
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TEST NAME
CHORIO GONADOTROPIN,
PREGNANCY
CODE
318
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
TAT 1 day
CHORIO GONADOTROPIN SCREEN
(PREGNANCY TEST)
CHROMIUM
9232
Urine
50 mL random urine
Submit in a 90 mL orange cap container.
UNINSURED HLRC
TAT 15 days
CHROMIUM
99999
24 Hour Urine
ACID WASHED CONTAINER
24 hour urine MUST be collected in an
ACID WASHED Container.
Store and ship refrigerated.
For industrial exposure a random urine is recommended.
Creatinine level is determined on all 24 hour urine
specimens to assess the completeness of the 24 hr collection.
UNINSURED LL
TAT 10 days
CHROMIUM
9249
Plasma
ROYAL BLUE (K2EDTA)
Min volume: 3ml
Separate plasma within 30 min
into metal-free polypropylene tube.
Do not use gel-separator collection tubes.
UNINSURED HLRC
TAT 20 days
CHROMOGRANIN A
9244
Plasma (EDTA)
Minimum Volume required:
Two 1 mL aliquots
LAVENDER
UNINSURED HLRC
Refer to KARYOTYPING
(KARYOTYPING)
CIRCULATING ANTICOAGULANT
(LUPUS ANTICOAGULANT)
(NONSPECIFIC COAGULATION INHIBITORS)
CITRATE
9323
24-Hour Urine
OHIP
2 X 10 mL submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State 24-hour volume
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 15 days
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HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
CML
OHIP
HLRC
OHIP
DYN
WHOLE BLOOD
(CITRATED PLATELETS)
Pre-Test Preparation:
Complete Blood Count (CBC Test Code 393)
must be collected and ordered with the Citrated
Platelet Count.
Collect blood in 1 LIGHT BLUE top tube (Citrated)
And 1 LAVENDAR top tube (EDTA). Mix
thoroughly by gentle invertion.
Elacticize together both LIGHT BLUE and LAVENDAR
top tubes and send in a ziplock bag.
TAT 1 Day
CK
(CPK)
(CREATINE PHOSPHOKINASE)
(CREATINE KINASE)
CKMB
(CK-2 MB)
(CREATINE PHOSPHOKINASE-MB)
(CREATINE KINASE-MB)
CK ELECTROPHORESIS
(CK ISOENZYMES)
(CK FRACTIONATION)
(CREATINE KINASE FRACTIONATION)
CLOBAZAM
9116
(FRISIUM)
(DESMETHYL CLOBAZAM)
PLAIN RED
CLOMIPRAMINE
(ANAFRANIL)
079E
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Do not use SST
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
Includes Desmethyclomipramine
TAT 14 days
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TEST NAME
CLONAZEPAM 9536
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
OHIP
HLRC
PLAIN RED
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Collect trough specimen immediately
prior to next dose.
FREEZE SERUM AND SEND FROZEN
Serum
(RIVOTRIL)
TAT 10 days
CLOSTRIDIUM DIFFICILE
CULTURE AND TOXIN
STUDIES
9074
Stool
Submit approximately 15 mL of stool in
sterile 90 mL orange cap container.
If sample will not be sent to PHL
within 48 hours, it must be frozen.
Specify culture and / or toxin studies
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Specimen storage and transportation at 2-8 C,
or frozen if time in transit greater than 48 hours.
TAT 5 to 10 days
CLOT RETRACTION
CLOTTING TIME
CLOZAPINE
9916
(CLOZARIL)
(DESMETHYLCLOZAPINE)
(NORCLOZAPINE)
Plasma
Minimum Volume required: 2 mL
Collect trough specimen immediately
prior to next dose.
LAVENDER
OHIP
HLRC
GOLD SST
OHIP
ROYAL BLUE
K2 EDTA
UNINSURED HLRC
(CYTOMEGALOVIRUS ANTIBODY)
CMV ISOLATION
(CYTOMEGALOVIRUS ISOLATION)
CO2
(BICARBONATE)
(CARBON DIOXIDE)
COBALAMINS
345
(VITAMIN B12)
Serum
Centrifuge only.
CML
TAT 1 day
COBALT
9917
Plasma
Separate
Minimum Volume required: 3 mL.
TAT 30 days
COBALT
9918
Urine
50 mL random urine
Submit in a 90 mL orange cap container.
TAT 30 days
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UNINSURED HLRC
TEST NAME
CODE
COBALT
99999
SPECIMEN REQUIREMENT
VACUTAINER
24 Hour Urine
ACID WASH CONTAINER
24 hour urine MUST be collected in
an ACID WASHED CONTAINER
Store and ship refrigerated.
For industrial exposure a random
urine is recommended.
BILL
LOC
UNINSURED LL
TAT 10 days
COCAINE SCREEN
078C
Urine
10 mL random urine
Submit in a blue cap conical tube.
OHIP
CML
N/C
PHL
OHIP
CML
TAT 2 days
COCCIDIOIDES ANTIBODY
9012
PLAIN RED
(VALLEY FEVER)
PLAIN RED
9280
Serum
GOLD SST
UNINSURED PLSI
GOLD SST
OHIP
LIGHT BLUE
OHIP
(GTA-446)
561
(ESTERASE INHIBITOR)
Serum
Centrifuge only
Refrigerate during storage and transport.
DYN
TAT 7 days
COMPLEMENT C1
ESTERASE INHIBITOR,
FUNCTIONAL
9707
Plasma
Minimum volume required: 2 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 34 days
COMPLEMENT C1Q
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HLRC
TEST NAME
CODE
COMPLEMENT C2
9919
(C2)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 2 mL
Collect in pre-chilled tube
GOLD SST
BILL
LOC
UNINSURED HLRC
551
(C3)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
LAVENDER
OHIP
HLRC
LAVENDER
OHIP
HLRC
GOLD SST
OHIP
HLRC
LAVENDER
OHIP
CML
ROYAL BLUE
- No Additive
OHIP
DYN
TAT 1 day
COMPLEMENT C4
552
(C4)
Serum
Centrifuge only
TAT 1 day
COMPLEMENT C5
9708
(C5)
Plasma
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
COMPLEMENT C6
9709
(C6)
Plasma
2 aliquots of 1 mL keep aliquots
together with elastic
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
COMPLEMENT,TOTAL CH50
530
(CH50)
Serum
Minimum Volume required: 2 mL
393
Blood
TAT 1 day
COOMBS TEST
COPPER
063
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport.
TAT 20 days
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TEST NAME
CODE
COPPER
063U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot submit in a white cap container
Refrigerate during storage and transport
BILL
LOC
UNINSURED DYN
99999
Red Cells
ROYAL BLUE
K2EDTA
UNINSURED LL
9520
Tissue
Please entere specimen source
required, e.g. Liver
CONTAINER - STERILE
N/C
LHSC
(PORPHYRINS)
(UROPORPHYRINS)
CORTICOTROPIN
2618
(ADRENOCORTICOTROPIC HORMONE)
(ACTH)
Plasma
LAVENDER
Minimum Volume required: 2.0 mL
Collect blood in CHILLED LAVENDER top tube.
Mix thoroughly by gentle inversion and place
tube in refrigerator until centrifugation.
Centrifuge WITHIN 60 minutes of collection.
Transfer an aliquot of plasma to a labeled tube,
o
cap tightly and FREEZE at -20 C.
OHIP
LL
OHIP
CML
SHIP FROZEN
Plasma is stable for:
o
8 hours at 2-8 C
o
4 weeks at -20 C
Samples are not stable at room temperature.
Multiple freeze/thaw cycles must be avoided.
Freeze only once.
TAT 11 days
CORTISOL
Plasma
GREEN
Indicate time of collection (AM, PM, Random) with Heparin
A.M.
P.M.
RANDOM
303AP
303PP
303RP
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TEST NAME
CODE
CORTISOL
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge only
Indicate time of collection (AM, PM, Random)
A.M.
P.M.
RANDOM
303AM
303PM
303R
BILL
LOC
OHIP
CML
OHIP
CML
CORTISOL
FREE
303UF
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container
labelled CORTISOL FREE
Testing includes urine creatinine and total volume.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 12 days
CORTISOL
FREE
RANDOM
URINE
303RU
Random urine
Two 10ml random urines submitted in
two white cap conical tubes. Testing includes
Creatinine Random Urine
Min urine required: 10ml
OHIP
CML
TAT 12 days
CORTISOL
TOTAL
COUMADIN
Refer to WARFARIN
(WARFARIN)
COUNSYL FAMILY
PREP SCREEN 1.0
4100
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
Ship at room temperature
Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 10 days
Page 18 of 31
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UNINSURED LLG
TEST NAME
COUNSYL FAMILY
PREP SCREEN 2.0
CODE
4101
SPECIMEN REQUIREMENT
VACUTAINER
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
BILL
LOC
UNINSURED LLG
4102
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
UNINSURED LLG
9008
N/C
PHL
CREATINE
CREATINE KINASE
(CK)
(CPK)
Serum
Centrifuge only
GOLD SST
TAT 1 day
CREATINE KINASE-MB
(CK-2 MB)
CREATINE KINASE,
FRACTIONATION
(CK ELECTROPHORESIS)
(CK ISOENZYMES)
(CK FRACTIONATION)
Page 19 of 31
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OHIP
CML
TEST NAME
CREATININE
CODE
067
(eGFR)
(ESTIMATED GFR)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
OHIP
CML
CML
Serum
Centrifuge only
TAT 1 day
CREATININE
067U
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE
No Preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 1 day
CREATININE CLEARANCE
068
State total 24-hour volume, height and weight on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes serum creatinine, urine creatinine, total volume
TAT 2 days
CRP
(CREACTIVE PROTEIN)
CRP-HIGH SENSIVITY
CRYOFIBRINOGEN
599
Blood
Do not open
LIGHT BLUE
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
600
Serum
Centrifuge only
Fasting specimen preferred.
KEEP AT ROOM TEMPERATURE
TAT 1 day
CRYPTOCOCCOSIS
ANTIGEN
9009
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TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
624
Blood
624-2
nd
2 set
624-3
rd
3 set
BLOOD
CULTURE
BOTTLES
BILL
OHIP
LOC
CML
Approximate Age
Total Volume of
Blood
< 2 kg
(< 5 lb)
Neonate
(< 1 month)
1 to 2 mL
3 to 5 mL
2.1 - 12.7 kg
Infant
(5 to 28 lb) (1 month to 2 years)
12.8 - 36.3 kg
(28 to 80 lb)
Children
(2 to 12 years)
> 36.3 kg
(> 80 lb)
Adolescent
(> 12 years)
5 to 10 mL
(5 mL per bottle)
Collect the blood culture tubes first, then draw any other specimens required
Collect at intervals specified by the physician. If none is given, a series of three
collections over a period of 24 hours to 48 hours is recommended
(12-24 hours between collections depending on patients accessibility
to a collection centre).
STATE THE DATE AND TIME OF COLLECTION ON THE BOTTLES
State on the OHIP requisition: the patients home telephone number
and the full information about the ordering physician.
Bottles should not be refrigerated
Specimen storage and transportation at room temperature
TAT 5-7 days
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TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
CORD BLOOD
627
Swab
Place swab in clear or charcoal transport media
OHIP
CML
OHIP
CML
OHIP
CML
639F
Page 22 of 31
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TEST NAME
CODE
6289
SPECIMEN REQUIREMENT
VACUTAINER
Swab Rectal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT 4 days
CULTURE & SENSITIVITY
667-1
RECTAL/ANAL ESBL
Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days
Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days
Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days
Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days
Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days
639S
Semen
Minimum Volume required: 2 mL
Place in sterile container
TAT 3 days
629
Sputum
Deep cough specimen in sterile container
Use only 1 sample per requisition
Specimen storage and transportation at 2-8 C.
TAT 2 to 3 days
6301
Stool
Place stool in CaryBlair transport container to the FILL LINE
Shake to emulsify sample
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TEST NAME
CULTURE
CODE
628
THROAT
SPECIMEN REQUIREMENT
VACUTAINER
Swab Throat
Place swab in clear transport media
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
6287
634
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TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
SWAB SOURCE
CODE
SWAB SOURCE
BILL
LOC
OHIP
CML
CODE
ALL ABSESSES
628-5
610-1
ANAL
628-9
NARES
628-4
AXILLA
628-5
NOSE
628-4
610-1
PENIS / PENILE
625
BLOOD
624
PERIANAL
628-5
CERVICAL
627
PHARYNX
628-5
627
RECTAL
628-9
CERVIX/VAGINAL
625
RECTAL ABSCESS
628-5
CONJUNCTIVA
628-4
RECTAL/ANAL *NEW*
628-9
EAR
628-4
667-3
EAR LOBE
628-5
667-1
ENDOCERVICAL
627
RECTAL/ANAL GC *NEW*
667-4
EYE
628-4
667-5
EYE LID
628-5
667-2
639F
610-1
FORESKIN
628-5
SEMEN
639S
627
628-5
627
643
GROIN
628-5
643
610-1
SPUTUM
629
625S
STOOL
630-1
IUD
628-5
628
LABIA
628-5
628
628-5
TONSIL
628-5
628-5
628-5
610-1
628-7
610-1
URINE
634
610-1
VAGINAL
625
610-1
625S
628-5
VAGINAL/ ANAL
625
VAGINAL/ CERVICAL
625
625S
VULVA
625
WOUND
VRE (source STOOL)
628-5
Contact
Micro
First Swab
Subsequent Swab(s)
628-4
628
628-5
625
610-1
628-44
628-2
628-6
625-2
610-2, 610-3, 610-4, 610-5
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TEST NAME
CODE
CYANIDE
9920
SPECIMEN REQUIREMENT
Whole blood
Minimum volume required: 7 mL
VACUTAINER
ROYAL BLUE
-with K2 EDTA
BILL
LOC
UNINSURED HLRC
9165
(ANTI-CCP)
(CCP ANTIBODY)
Serum
Minimum volume required: 1 mL
Centrifuge only
Store and transport refrigerated
GOLD
UNINSURED HLRC
GOLD SST
UNINSURED LL
LAVENDER
OHIP
3029
Serum
Minimum volume required: 0.5 mL
9153
Blood
HLRC
9385
Blood
LAVENDER
State on the tube and requisition nontransplant
UNINSURED HLRC
069U
Random Urine
10 mL aliquot submit in a 90 mL orange cap container.
No preservative.
FREEZE URINE AND SEND FROZEN.
TAT 18 days
CYSTINE SCREEN
(CYSTINE QUALITATIVE)
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UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
CYTOLOGY
705
ASPIRATION BIOPSY
BILL
LOC
OHIP
CML
TAT 5 days
CYTOLOGY
706
BRONCHIAL WASHING
OR BRUSHING
Washings
Optimal volume 5 mL or more
OHIP
CML
BUCCAL SMEAR
NO LONGER AVAILABLE
CYTOLOGY
710
DIRECT SMEAR
LARYNX
NIPPLE DISCHARGE
OPEN LESION
ORAL
VULVAR
OHIP
CML
ANAL
Assign a separate accession number for each body site.
Do not code the Documentation Fee for this test.
TAT 5 days
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TEST NAME
CODE
CYTOLOGY
714
DIRECT SMEAR FOR HERPES
SPECIMEN REQUIREMENT
VACUTAINER
Slide
BILL
LOC
OHIP
CML
The physician must scrape the lesion at the base of the blister
and prepare a moderately thick smear of cellular material that
displays no evidence of air drying.
(VIRAL INCLUSION)
The physician must print the patient's name and another unique identifier
(Health Card Number or Date of Birth)on slide with a pencil.
Apply directly from source or by means of applicator to slide.
Fix slide immediately with cytospray.
Complete a Cytology Form & HPV Testing Requisition for samples.
Clinical data requested on requisition must be provided.
Place a barcode on the mailer for easier identification.
NOTE: Barcode label is in addition to the patient information
written on the slide.
Do not code the Documentation Fee for this test.
TAT 5 days
CYTOLOGY
708
WASHINGS/BRUSHINGS
ESOPHAGEAL
GASTRIC OR
ENDOMETRIAL
Washings
Optimal volume 5 mL or more
OHIP
CML
peritoneal fluid
pleural fluid
synovial fluid
cysts from sources other
than those listed below
Fluid
Optimal volume 5 mL or more
OHIP
CML
Assign the same accession number if a slide or fluid is submitted from the same site.
Assign a separate accession number if s slide or fluid is submitted from different sites.
Excludes, (Code as 705):
lymph nodes cyst
thyroid cyst
salivary gland cyst
CYTOLOGY, PAP SMEAR
(PAPANICOLAOU SMEAR
CONVENTIONAL)
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TEST NAME
CYTOLOGY, PAP SMEAR
MONOLAYER/THINLAYER
CODE
ML70
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
NOTE: Ensure the head of the collection instrument (broom) is in the vial.
For complete specimen collection instructions, click on the like below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
716
Sputum
Optimal volume 5 mL
OHIP
CML
711U
Urine
Optimal volume 15-50mL
OHIP
CML
9020
PLAIN RED
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Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
N/C
PHL
TEST NAME
CYTOMEGALOVIRUS
ISOLATION
CODE
9065
SPECIMEN REQUIREMENT
VACUTAINER
Urine/BronchialWashing
BILL
LOC
N/C
PHL
9549
Plasma
LAVENDER
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Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
N/C
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
CYTOLOGY WORKSHEETS
WORSHEET NAME & NUMBER
703
SPUTUM
D/E CODES
716
DESCRIPTION (S)
Sputum for Cytology.
(Make sure sputum not saturated in Cytolyt, equal
amount only).
706
ASPIRATION BIOPSY
705
707
BRONCHIAL WASHINGS/BRUSHINGS
706
708
709
WASHINGS/BRUSHINGS
(other than Bronchial)
No longer available
708
710
DIRECT SMEARS
711
MISCELLANEOUS FLUIDS
710
711-2
712
VIRAL INCLUSION
714
URINE
714
711U
Page 31 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CODE
7DEHYDROCHOLESTEROL
9975
(7DHC)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Minimum Volume required: 1 mL
Fasting specimen preferred.
Protect vacutainer tube from light after collection
By aliquoting into amber tube.
BILL
LOC
UNINSURED HLRC
9141
Serum
Minimum Volume required: 1 mL
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
GOLD SST
OHIP
(FIBRIN D-DIMER)
DALMANE
Refer to FLURAZEPAM
(FLURAZEPAM)
DARVON
Refer to PROPOXYPHENE
(PROPOXYPHENE)
DEAMIDATED GLIADIN
PEPTIDE IGG ANTIBODY
- HOSPITALS ONLY
9742
(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)
Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o
1726
(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)
Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o
Serum
Centrifuge only
(DHEA S)
(DHEA SULPHATE)
TAT 2 days
CML
TEST NAME
CODE
DENGUE ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
OHIP
DYN
OHIP
CML
(ARBOVIRUS SEROLOGY)
DEOXYPYRIDINOLINE
(PYRIDINIUM)
DEPAKENE
Refer to VALPROATE
(EPIVAL)
(VALPROATE)
DERMATOPHYTOSIS
9075
(RINGWORM OF SCALP)
Hair Roots
Submit only root ends of at least 12 hairs
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 25 days
DESIPRAMINE
079D
(NORPRAMINE)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 14 days
DESYREL
Refer to TRAZODONE
(TRAZ0DONE)
DGP IGG
DHEAS
(DHEA SULPHATE)
(DEHYDROEPIANDROSTERONE SULPHATE)
DIASTASE
Refer to AMYLASE
(AMYLASE)
DIAZEPAM
(VALIUM)
Serum
Minimum Volume required: 2 mL
Collect specimen 5 - 6 hours after last dose
PLAIN RED
TEST NAME
DIGOXINFREE
CODE
9712
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
OHIP
Serum
Minimum Volume required: 2 mL
LOC
HLRC
9131
Serum
Minimum Volume required: 3 mL
RED
UNINSURED HLRC
Refer to CALCITRIOL
(VITAMIN D)
(CALCITRIOL)
DIPHTHERIA ANTITOXIN
(CORYNE BACTERIUM
DIPHTHERIA TOXIN ANTIBODY)
DILANTIN
Refer to PHENYTOIN
(PHENYTOIN)
DILANTIN, FREE
(PHENYTOIN, FREE)
DIPHENHYDRAMINE
(BENADRYL)
DIRECT ANTIGLOBULIN
TEST
495
Blood
LAVENDER
DO NOT SEPARATE
(COOMBS TEST)
(DIRECT ANTI-HUMAN GLOBULIN)
(DIRECT COOMBS)
TAT 2 days
DIRECT BILIRUBIN
(CONJUGATED BILIRUBIN)
(BILIRUBIN, DIRECT)
DIRECT COOMBS
(COOMBS TEST)
(DIRECT ANTIHUMAN GLOBULIN)
(DIRECT ANTI-GLOBULIN)
DISOPYRAMIDE
DIVALPROEX
Refer to VALPROATE
(DEPAKENE)
(EPIVAL)
(VALPROATE)
(VALPROIC ACID)
OHIP
CML
TEST NAME
CODE
DNA dsANTIBODIES
322
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
OHIP
HLRC
OHIP
CML
OHIP
CML
TAT 5 days
DNA SEQUENCING FOR
HEMOGLOBINOPATHY
INVESTIGATION
DOPAMINE
(CATECHOLAMINES FRACTIONATED)
DORIDEN
Refer to GLUTETHIMIDE
(GLUTETHIMIDE)
DOXEPIN
079X
(SINEQUAN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport
Testing Includes Desmethyl Doxepin
TAT 20 days
DRUG SCREEN
BROAD SPECTRUM
079
Urine
10 mL random urine
(DRUG SCREEN CHROMATOGRAPHIC METHOD) Submit in a blue cap conical tube
Test Confirmation / Broad Spectrum code the test and
Indicate the drug of interest in Notes & Instructions and
on the OHIP Requisition.
Includes:
Methadone, Cocaine, Morphine, Heroin, Oxycodone,
Diphenhydramine, Ranitidine, Nortriptyline,
Amphetamine, Ephedrine/Pseudoephedrin,
Phenylpropanolamine, and Other Drugs as detected
TAT 10 days
DRUG SCREEN
WITH CREATININE, pH
078CR
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine
TAT 10 days
TEST NAME
CODE
DRUG SCREEN
WITH CREATININE, pH
SODIUM,
CHLORIDE
078RU
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine, Sodium,
Chloride
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
TAT 10 days
DRUG SCREEN
WITH ALCOHOL
078A
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, and Ethanol
TAT 10 days
078U
Urine
10 mL random urine
Submit in a blue cap conical tube
TEST NAME
CODE
E1
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to ESTRONE
(ESTRONE)
E2
Refer to ESTRADIOL
(ESTROGEN)
(ESTRADIOL)
(ESTROGEN- NON PREGNANT)
E 3, PREGNANT
(ESTRIOL TOTAL)
EBV
ECG
Refer to ELECTROCARDIOGRAM
(ELECTROCARDIOGRAM)
ECHINOCOCCOSUS
ANTIBODY
9088
PLAIN RED
N/C
PHL
N/C
PHL
(HYDATID)
TAT 15 days
ECHOVIRUS ISOLATION
9059
VIRUSTM
VIRUSSW
VIRUSSW
Refer to CREATININE
(CREATININE)
E. HISTOLYTICA SEROLOGY
ANTIBODY
ELASTASE
4103
Random Stool
STOOL
(FECAL ELASTASE)
Refer to AMITRIPTYLINE
(AMITRIPTYLINE)
UNINSURED SKH
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
ELECTROCARDIOGRAM
(ECG)
BILL
LOC
OHIP
CML
OHIP
SBH
ELECTRON MICROSCOPY
9756
Tissue
(EM)
ELECTROPHORESIS
ENA ANTIBODY
(ANTI-ENA)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
ENDOMYSIUM ANTIBODIES
9147
(ANTI-ENDOMYSIAL ANTIBODY)
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
TAT 21 days
ENTEROVIRUS PCR
9284
UNINSURED HLRC
TAT 4 day
EOSINOPHIL COUNT
395
Blood
LAVENDER
TAT 1 day
OHIP
CML
TEST NAME
CODE
EPIDERMAL ANTIBODIES
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
EPIVAL
Refer to VALPROATE
(DEPAKENE)
(VALPROATE)
EPSTEINBARR VIRUS
SEROLOGY
9040
PLAIN RED
N/C
PHL
N/C
HLRC
(EBV)
EPSTEINBARR VIRUS
QUANTITATIVE PCR
9573
EQUANIL
Refer to MEPROBAMATE
(MEPROBAMATE)
(MILTOWN)
EQUINE ENCEPHALITIS
ANTIBODIES
(ARBOVIRUS SEROLOGY)
ERYTHEMA INFECTIOSUM
(FIFTHS DISEASE)
(PARVO VIRUS )
(PARVO VIRUS B19)
ERYTHROCYTE COUNT
Blood
LAVENDER
OHIP
CML
TEST NAME
CODE
ERYTHROPOIETIN
9132
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 2 x 1 mL
Keep aliquots together with elastic band.
Avoid hemolysis
Separate ASAP
BILL
LOC
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
ESTRADIOL
310
(E 2)
(ESTROGEN)
(ESTROGEN-NON PREGNANT)
CML
TAT 1 day
ESTRIOL
Serum
Centrifuge only
9265
(E 3)
Serum
Centrifuge and aliquot into transfer tube.
Store and ship refrigerated.
TAT 11 days
GOLD SST
OHIP
HLRC
Refer to ESTRADIOL
(E 2)
(ESTRADIOL)
(ESTROGEN)
ESTRONE
313
(E 1)
Serum
Minimum volume required: 1 mL
GOLD SST
OHIP
DYN
OHIP
CML
OHIP
CML
ETHANOL
006
(ALCOHOL- ETHYL)
Blood
GRAY
Keep vacutainer tube sealed with minimum air space
Use an iodine swab to cleanse venipuncture site
TAT 2 days
ETHANOL
(ALCOHOL- ETHYL)
006U
Urine
10 mL random urine
Submit in a blue cap conical tube
Keep container closed with minimum air space.
TAT 2 days
TEST NAME
CODE
ETHCHLORVYNOL
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
NO LONGER AVAILABLE
(PLACIDYL)
ETHOSUXIMIDE
092
(ZARONTIN)
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
DYN
TAT 6 days
ETHYLBENZENE
EXPOSURE
99999
(MANDELIC ACID)
Urine
For industrial exposure collect specimen
at the end of the work week.
Collect urine in a labelled sterine 90ml
urine container and cap tightly.
Store and ship refrigerated.
UNINSURED
LL
ETHYLENE GLYCOL
9133
(ANTIFREEZE)
Whole blood
Do not sperarate. Send entire tube.
Will require consultation with biochemist
On-call (905-521-2100 x76443) BEFORE
Sending specimen to HLRC.
GRAY
UNINSURED
HLRC
URINE
UNINSURED
HLRC
Random Urine
(ETHYLGLUCONARIDE)
TEST NAME
EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
- HOSPITALS ONLY
CODE
9593
(ANTI-ENA)
(ENA ANTIBODY)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge only
Positive results may be delayed for confirmation
Note: Specific antigens reported only when screen is positive
BILL
OHIP
LOC
HLRC
EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
(ANTI-ENA)
(ANTI-SM)
(ANTI-SSARO)
(ANTI-SSBLA)
(ANTI-SCL70)
(ANTI-RNP)
(ANTI-JO1)
(EXTRACTIBLE NUCLEAR ANTIGENS)
(ENA ANTIBODY)
1641
Serum
GOLD SST
OHIP
LL
TEST NAME
CODE
FACTOR ASSAY
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
NO LONGER AVAILABLE
(COAGULATION FACTOR)
FACTOR II ASSAY
SPECIMEN REQUIREMENT
9758
Plasma
9759
Plasma
LIGHT BLUE
9149
Blood
1 LAVENDER
1 LIGHT BLUE
UNINSURED HLRC
Lavender
Light Blue
Unspun
separate 2 mL plasma, FREEZE
Label tube Factor V Leiden label tube APC Resistance / Factor V Leiden
9760
Plasma
LIGHT BLUE
OHIP
HLRC
9761
Plasma
LIGHT BLUE
UNINSURED
FACTOR VIII: C
VON WILLEBRAND
(BIOLOGICAL)
HLRC
TEST NAME
FACTOR IX ASSAY
(FACTOR 9)
CODE
9762
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
Plasma
LOC
FACTOR X ASSAY
9763
Plasma
LIGHT BLUE
9764
Plasma
LIGHT BLUE
9765
Plasma
LIGHT BLUE
9256
Plasma
LIGHT BLUE
Draw 2 light blue vacutainers to
ensure enough plasma.
Send platelet poor plasma in three 1ml aliquots.
Separate and freeze immediately. Ship frozen.
Put an elastic around all aliquots to keep them together.
Patient should not be on anticoagulant therapy.
TAT 13 days.
9766
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FARMERS LUNG
NO LONGER AVAILABLE
(ALLERGIC ALVEOLITIS)
(ALLERGIC LUNG)
MICROSCOPIC EXAMINATION
FAT GLOBULES
(FAT SCREEN)
(FECAL FAT SCREEN)
9229
1g sample
STERILE CONTAINER
OHIP
HLRC
TEST NAME
CODE
9418
SPECIMEN REQUIREMENT
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
UNINSURED HLRC
Serum
Minimum Volume required: 1 mL
LOC
HLRC
9134
Serum
Minimum Volume required: 2 mL
Note: not the same as Fatty acid, free
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
FEBRILE AGGLUTININS
NO LONGER AVAILABLE
FECAL ELASTASE
095
Stool
72 HOUR CAN
This test is available only for use
At Kennedy Road for hospital patients
And is not available for CCC use. Please note
Whether 48 hour or 72 hour collection
OHIP
HLRC
TAT 14 days
FERRITIN
329
Serum
Centrifuge only
3 MICROTAINERS ARE REQUIRED WHEN
COLLECTING FROM AN INFANT
GOLD SST
OHIP
CML
LIGHT BLUE
OHIP
CML
LIGHT BLUE
OHIP
CML
TAT 1 day
FETAL HEMOGLOBIN
(HEMOGLOBIN A2)
(HEMOGLOBIN FRACTIONATION)
(HEMOGLOBIN FETAL)
FIBRIN D-DIMER
405
Plasma
Minimum Volume required: 1 mL
Centrifuge within 30 minutes.
FREEZE PLASMA AND SEND FROZEN
TAT 2 days
Plasma
Fill tube completely
Do not centrifuge
TAT 1 day
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
FIFTHS DISEASE
FK 506
Refer to TACROLIMUS
(ERYTHEMA INFECTIOSUM)
(PARVO VIRUS )
(PARVO VIRUS B19)
(PROGRAF)
(TACROLIMUS)
(SYNOVIAL FLUID)
BILL
LOC
OHIP
CML
HP10
639F
b) Culture
Serum
Codes
c) Chemistry
Refer to SYPHILIS
FLUORIDE
Serum
Minimum Volume required: 2 mL
Transfer serum to plastic serum tube
9224
PLAIN RED
UNINSURED HLRC
TAT 25 days
FLUORIDE
99999
Urine
ACID WASH CONTAINER UNINSURED
Min Volume: 10ml
Patient must avoid gadolinium based contrast media
Used for MRIs for 48 hours prior to collection.
ACID WASH Container MUST be used.
Store and ship refrigerated.
LL
9107
Plasma
Minimum Volume required: 2 mL
GREEN
with Heparin
(DALMANE)
OHIP
HLRC
TEST NAME
CODE
FLUVOXAMINE
VACUTAINER
BILL
LOC
2 LAVENDER
OHIP
CML
GOLD SST
OHIP
CML
(LUVOX)
FOLATE, RBC
SPECIMEN REQUIREMENT
309
Blood
Note: If routine hematology tests are NOT
ordered, an additional lavender tube
is required for hematocrit
Testing Includes Hematocrit
TAT 2 days
FOLLITROPIN
315
(FSH)
FORMIC ACID
Serum
Centrifuge only
TAT 1 day
315
(FORMATE)
(FORMALDEHYDE METABOLITE)
Plasma
GREEN TOP
Mix through gentle inversion
- Heparin
Store and ship refrigerated
Formic Acid is a metabolite of: Formaldehyde,
Formate Esters, Formate Salts, Heteromethanes,
Methylalkyl, Methylesters,Methanol
UNINSURED LL
9714
Whole Blood
LAVENDER
OHIP
VTF
DO NOT SPIN
Collect sample Monday Wednesday only
A form for Molecular Genetic DNA Testing must be
completed by the doctor and accompany the specimen
Form available from CML Problem Solving Department.
Store and transport specimen at room temperature
Place specimen and form in a test labelled priority labelled zip-lock bag
State FRAGILE X on the priority label
TAT 30 days
FREE HEMOGLOBIN
(PLASMA HEMOGLOBIN)
(HEMOGLOBIN PLASMA)
FREE KAPPA/LAMBDA
RATIO
9247
Serum
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
GOLD SST
TAT 8 days
FREE T3
FREE T4
FREE TESTOSTERONE
(TRIIODOTHYRONINE FREE)
(FREE THYROXINE)
(THYROXINE FREE)
(TESTOSTERONE FREE)
UNINSURED
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
FRISIUM
Refer to CLOBAZAM
FRUCTOSAMINE
9114
Serum
Centrifuge only
GOLD SST
BILL
LOC
UNINSURED HLRC
TAT 20 days
FRUCTOSE
9211
Semen
Minimum Volume required: 1 mL
OHIP
DYN
OHIP
CML
Refer to FOLLITROPIN
(FOLLITROPIN)
FTA
Refer to SYPHILIS
FUNGAL CULTURE
626
Use code 626-2 for second specimen on same patient, 626-3 for third specimen
TAT 10 to 30 days
FUNGAL CULTURE
641-1
Sputum
Early morning deep cough specimen
Submit specimen in a 90 mL transport container
STORE AND SHIP AT ROOM TEMPERATURE
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM CODE M04 ON
PHL REQUISITION
TAT 10 to 30 days
FVL
N/C
PHL
TEST NAME
CODE
G6PD
VACUTAINER
BILL
LOC
(GLUCOSE6PHOSPHATE
DEHYDROGENASE ASSAY)
GABAPENTIN
SPECIMEN REQUIREMENT
9922
(NEURONTIN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 to 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
GALECTIN-3
Serum
GOLD SST
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Store and send refrigerated.
(GALACTOSE-1 PUT)
9288
UNINSURED
LL
TAT 14 Days
GAM
(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)
GAMMAGLUTAMYL
TRANSFERASE
107
(GGT)
(GGTP)
GOLD SST
OHIP
CML
TAT 1 day
GANGLIOSIDE ANTIBODY
Serum
Centrifuge only
9715
Serum
PLAIN RED
Minimum Volume required: 2 x 1mL
Submit two aliquots kept together with elastic band.
UNINSURED HLRC
316
Serum
PLAIN RED
Minimum Volume required: 2 mL
Patient must fast minimum of 10 hours prior to collection
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 10 days
GCFT
(GONOCCAL INFECTION)
OHIP
CML
TEST NAME
CODE
GENOTYPE
GENTAMICIN, PEAK
304GP
(POST)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect hour after IV infusion, or 1-2 hours after IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.
OHIP
HLRC
OHIP
HLRC
OHIP
CML
OHIP
CML
304GT
(PRE)
Serum
Minimum Volume required: 1 mL
Collect prior to IV infusion or IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.
PLAIN RED
Plasma
GRAY
Do not centrifuge
Give patient 50 g glucose drink
Collect a gray top tube 1-hour after drink given
Record glucose load given
TAT 1 day
Plasma
Collect a fasting gray top tube
DO NOT collect a fasting urine sample
GRAY
Do not centrifuge
GGT
(GGPT)
(GAMMAGLUTAMYL TRANSPEPTIDASE)
(GAMMA GLUTAMYL TRANSFERASE)
GLIADIN ANTIBODIES
(AGA)
(ANTIGLIADIN)
9117
Serum
Centrifuge only
GOLD SST
GLOBULIN
UNINSURED HLRC
TEST NAME
GLUCAGON
CODE
9295
SPECIMEN REQUIREMENT
VACUTAINER
Plasma (ETDA)
Min volume required: 3ml
Collect an overnight fasting sample.
Separate and freeze as soon as possible.
Store and send frozen.
BILL
LOC
LAVENDER
UNINSURED HRLC
GOLD SST
UNINSURED HLRC
GRAY
OHIP
CML
GOLD SST
OHIP
CML
GRAY
OHIP
CML
OHIP
HLRC
TAT 15 days
GLOMERULAR
BASEMENT MEMBRANE
ANTIBODY
GLUCOSE
FASTING
RANDOM
PC
9435
Serum
Centrifuge only
TAT 20 days
111F
111R
111PC
Plasma
Minimum Volume required: 2 mL
GLUCOSE
FASTING
RANDOM
111FS
111RS
GLUCOSE CHALLENGE
75 gm glucose load
Serum
Centrifuge only
TAT 1 day
Plasma
Do not centrifuge
3106
3108
FASTING PLASMA
2-HOUR PLASMA AFTER 75gm GLUCOSE LOAD
Collect a fasting grey top tube
Give patient 75 gm glucose drink
Collect a gray top tube 2 hours after drink given
Record glucose load given
Note: No urine required
Testing for non-pregnant females and males.
TAT 1 day
GLUCOSE CHALLENGE,
O SULLIVAN SCREEN
- 50g glucose load
GLUCOSE CHALLENGE
GESTATIONAL SCREEN
- 100g glucose load
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE ASSAY
(G6PD ASSAY)
GLUCOSE6PHOSPHATE
DEHYDROGENASE SCREEN
9973
Blood
Do not open tube
LAVENDER
TAT 15 days
TEST NO LONGER AVAILABLE
(G6PD SCREEN)
TEST NAME
CODE
GLUCOSE,
QUALITATIVE
2544
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a YELLOW cap conical tube
BILL
LOC
OHIP
CML
N/C
PHL
OHIP
CML
TAT 1 day
GLUCOSE TOLERANCE,
75g glucose load
GLUTETHIMIDE
GLUTETHIMIDE
GLYCOPROTEIN
ALPHA SUBUNIT
(DORIDEN)
(DORIDEN)
GLYCOSYLATED
HEMOGLOBIN
GM 1 GANGLIOSIDE ANTIBODY
GOLD
GONORRHOEAE SWAB
GONORRHOEAE URINE
9166
(GC)
Urine
20 - 40 mL
Collect the first part of the urine stream to ensure a
high organism count.
Higher volumes of urine will invalidate the test.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM - CODE B11
TAT15 days
GRAM STAIN
643
GROWTH HORMONE
Refer to SOMATOTROPIN
GTA-446
Refer to COLOGIC
(HGH)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
TEST NAME
CODE
HALCION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(TRIAZOLAM)
HALOPERIDOL
9118
(HALDOL)
Plasma
GREEN
Minimum Volume required: 3 mL
with Heparin
Separate immediately
Collect trough specimen prior to next dose
Record time in hours that have elapsed between
last dose and specimen collection.
UNINSURED HLRC
HAPTOGLOBIN
120
Serum
Centrifuge only
Avoid hemolysis
GOLD SST
OHIP
TAT 1 day
HbA1C
(A1C)
(GLYCOSYLATED HEMOGLOBIN)
(HEMOGLOBIN A1C)
HCG
Refer to CHORIOGONADOTROPIN
(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
HDL CHOLESTEROL
(CHOLESTEROL IN HDL)
HDL/LDL CHOLESTEROL
(LDL CHOLESTEROL)
(CHOLESTEROL IN LDL)
Refer to IMMUNOELECTROPHORESIS
(IMMUNOELECTROPHORESIS)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)
CML
TEST NAME
CODE
HEINZ BODIES
9718
SPECIMEN REQUIREMENT
VACUTAINER
Blood
LAVENDER
Do not open tube
Part of hemolytic investigation form available
from Problem Solving Department at Head Office.
BILL
LOC
OHIP
HLRC
OHIP
CML
TAT 30 days
HELICOBACTER PYLORI
683
(H. PYLORI)
(H. PYLORI ANTIBODY)
Serum
Centrifuge only
GOLD SST
TAT 3 days
HEMATOCRIT
HEMOCHROMATOSIS
Blood
2 LAVENDERS OHIP
Specimen must be analysed within 24-hours
Submit Monday Wednesday only
A doctor must complete a Molecular Diagnostic DNA Testing form
Form available from CML Problem Solving Department.
HLRC
HEMOGLOBIN
HEMOGLOBIN A1C
(A1C) (HbA1C)
(GLYCOSYLATED HEMOGLOBIN)
HEMOGLOBIN A2
Blood
LAVENDER
OHIP
CML
LAVENDER
OHIP
HLRC
LAVENDER
OHIP
CML
TAT 2 days
9959
QUANTITATION COLUMN
Blood
Do not open the tube
TAT 15 days
HEMOGLOBIN
FRACTIONATION
(FETAL HEMOGLOBIN)
(HEMOGLOBINOPATHY SCREENING)
(HEMOGLOBIN ELECTROPHORESIS)
419
Blood
Do not open the tube
Abnormal results may be delayed due to
interpretation by consultant.
TAT 1 day
HEMOGLOBIN
PLASMA
(FREE HEMOGLOBIN)
(PLASMA HEMOGLOBIN)
TEST NAME
HEMOGLOBINOPATHY
INVESTIGATION STAGE 1
CODE
9251
SPECIMEN REQUIREMENT
Whole Blood
VACUTAINER
LAVENDER
BILL
LOC
UNINSURED HLRC
HEMOLYTIC COMPLEMENT
FIXATION
(CH50)
(COMPLEMENT HEMOLYTIC)
Whole Blood
Please provide current CBC results
Hemolytic investigation form should be
Completed and sent with req.
LAVENDER
UNINSURED
HLRC
9925
Serum
Minimum Volume required: 2 mL
Collect Monday Wednesday only.
PLAIN RED
UNINSURED HLRC
TAT 20 days
HEMOSIDERIN
424
Urine
10 mL random urine
Submit in a 90 mL orange cap container
First morning sample
OHIP
HLRC
TAT 20 days
HEPARIN ASSAY
(XA INHIBITOR)
FONDAPARINUX
(ARIXTRA)
9543
Plasma
LIGHT BLUE
UNINSURED HRLC
TEST NAME
HEPARIN ASSAY
(XA INHIBITOR)
UNFRACTIONATED
CODE
9537
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
BILL
LOC
LIGHT BLUE
UNINSURED HRLC
LIGHT BLUE
OHIP
LIGHT BLUE
UNINSURED HRLC
PLAIN RED
UNINSURED MUMC
HEPARIN ASSAYORGARAN
9243
Plasma
HRLC
9178
Plasma
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
HEPARIN
INDUCED
THROMBOCYTOPENIA
9353
(HIT)
Serum
Minimum Volume required: 4 mL
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
Send Platelet Immunology Lab requisition.
FORM AVAILABLE ON CML WEBSITE
HEPARIN
LOW MOLECULAR WEIGHT
9252
Plasma
LIGHT BLUE
Minimum Volume required: 2 mL
Separate platelet poor plasma into 2 x 1 mL aliquots
Freeze immediately
State on requisition the type of heparin
(drug) patient is receiving.
TAT 5 days
UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Acute Hepatitis
HEPATITIS, ACUTE
560
Serum
Centrifuge tubes only
2 GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
570
Serum
Centrifuge only
TAT 2 days
HEPATITIS A
580
IMMUNE STATUS/PREV.EXPOSURE
Serum
Centrifuge only
TAT 2 days
HEPATITIS B
590
IMMUNE STATUS/PREV.EXPOSURE
Serum
Centrifuge only
TAT 2 days
HEPATITIS C
IMMUNE STATUS/PREV.EXPOSURE
4037
Serum
Centrifuge only
TAT 2 days
TEST NAME
CODE
4612
(Anti-HAA IgG)
(Anti-HAV IgG)
(Anti-HAV)
(Havab (HAVAB))
(Hep A Ab (IgG))
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
4613
(Anti-HAV IgM)
(HAVAB-M)
(Hep A (current infection))
(Hep A (M))
(Hep A AB (IgM))
(Hep A Antibody IgM)
(Hep A IgM)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
4609
(AHBC)
(Anti-HBc)
(B Core)
(HbcAb)
(Hep B Core Ab)
(Hep Bc)
(Hep BcAb)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
HEPATITIS B SURFACE
ANTIBODY
4608
(AHBS)
(Antibody to Hepatitis B S Ag)
(Antibody to Hepatitis B S Antigen)
(Anti-HBS)
(Anti-HbsAg)
(HbsAb)
(Hep B Antibodies)
(Hep B Surface Ab)
(Hep B Surface Ab Titre)
(Hep B Surface Antibody)
(Hep B Titre)
(Post Hepatitis Vaccination)
HEPATITIS B SURFACE
ANTIGEN
(Australian Antigen)
(B Surface Antigen)
(B. Antigen)
(HbsAg)
(Hep B S Ag)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
4607
Serum
Centrifuge only
All markers only 1 FULL tube needed
TAT 2 days
TEST NAME
HEPATITIS Be ANTIBODY
CODE
4611
(AHBe)
(Anti-Hbe)
(Be Antibody)
(E Antibody)
(HbeAb)
(Hep Be Ab)
(Hep Be Antibody)
HEPATITIS Be ANTIGEN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
N/C
PHL
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
4610
(Be Antigen)
(Hbe Ag)
(Hep Be Ag)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
HEPATITIS B PRENATAL
319P
(HBsAg Prenatal)
(Hepatitis B Prenatal (HBSAG) only)
TAT 15 days
HEPATITIS B VIRUS DNA
9053
Serum
Minimum Volume required: 3 mL
2 red top tubes required
PLAIN RED
4037
(Anti-HCV)
(HCV)
(Hep C)
(Hepatitis C Exposure)
(Hepatitis C Screen)
(Non A and Non B AntiHCV)
HEPATITIS C GENOTYPING
(HEPATITIS C PCR)
(HEPATITIS C VIRAL LOAD)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days
9067
Serum
Minimum Volume required: 2 mL
TEST NAME
HEPATITIS C RNA
CODE
9016
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 3 mL
Centrifuge and separate within 4 hours
MOH Form must include: risk factors,
liver functions, current treatment
PLAIN RED
BILL
LOC
N/C
PHL
N/C
PHL
N/C
PHL
OHIP
CML
N/C
PHL
9041
PLAIN RED
(DELTA AGENT)
9081
PLAIN RED
079
Urine
10 mL random urine
Submit in a blue top conical tube
State under notes and instructions
CHECK FOR HEROIN
TAT 3 days
HERPES SIMPLEX,
SEROLOGY IgG
9030
PLAIN RED
HERPES SIMPLEX,
TYPE 1&2
(IMMUNOBLOT)
(HSV)
99999
Serum
GOLD SST
UNINSURED LL
All blood to clot at room temp for 30 mins.
Centrifuge tube and aliqyot into transfer tube.
Freeze sample and ship FROZEN
It is highly recommended that patients go to a CCC for this service.
TEST NAME
HERPES SIMPLEX,
VIRAL CULTURE
CODE
9030C
SPECIMEN REQUIREMENT
VACUTAINER
Swab
Use Public Health VirusSW canister
Swab and transport media provided
State source
BILL
LOC
N/C
PHL
HERPES SIMPLEX,
VIRUS PCR
9331
Spinal Fluid
STERILE CONTAINER
UNINSURED HLRC
668
(MONO)
(MONONUCLEOSIS SCREEN)
Serum
Centrifuge only
GOLD SST
OHIP
CML
TAT 1 day
HGH
Refer to SOMATOTROPIN
(GROWTH HORMONE)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
5HIAA
Refer to 5-HYDROXY-INDOLACETATE
(5HYDROXYINDOL ACETATE)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)
HIPPURIC ACID
(NBENZOYGLYCINE)
(TOLUENE EXPOSURE)
(BENZYALCOHOL METABOLITE)
99999
Urine
Collect in 90ml sterile urine container
Store and ship refrigerated
UNINSURED
LL
For investigation of anaphylaxis or mastocytosis, total tryptase measurement is recommended as alternative to histamine.
For investigation of neuroendocrine tumours, measurement of chromogranin A, serotonin, 5-hydroxyindole acetic acid (5-HIAA)
and/or other markers is recommended instead of histamine.
TEST NAME
CODE
HISTOPATHOLOGY
720-1
(PATHOLOGY)
(HISTOLOGY)
SPECIMEN REQUIREMENT
VACUTAINER
Tissue
BILL
LOC
OHIP
CML
HISTONE ANTIBODIES
9703
(ANTI-HISTONE)
Serum
Minimum Volume required: 2 mL
GOLD SST
UNINSURED HLRC
PLAIN RED
N/C
PHL
N/C
PHL
9017
9018
Sputum
Deep cough specimen in sterile container
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
TEST NAME
CODE
HISTOPLASMA
HIV
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
N/C
PHL
N/C
PHL
N/C
PHL
(AIDS)
(HIV ROUTINE)
(HIV SEROLOGY)
PLAIN RED
HIV GENOTYPING
HIV
IMMIGRATION
AND INSURANCE
HIV PCR
9099
Blood
LAVENDER &
Arrangements must be made with HIV lab
PLAIN RED
at PHL by telephone BEFORE sending
specimens to PHL Telephone # 416-235-6022
Collect specimen Monday Wednesday only
Complete and label package HIVPCR STAT
DO NOT REFRIGERATE
Label lavender tube HIVPCR
Label plain red tube HIV
REQUESTING PHYSICIAN MUST PROVIDE A
COMPLETED PHL HIV FORM, INDICATING PCR.
TAT 1 month
HIV, PRENATAL
9096P
PLAIN RED
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
(VIRAL LOAD)
9097
Blood:
2 x 7 mL PPT Tubes
PPT TUBES
PHL will not test the specimen without a completed Viral Load Requisition
Do not collect the specimen until the requisition is available
PHL will not process the specimen without the following information:
Health Card number
CD4 results
Patient name
Current therapy
Collection Information complete collection information is required
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Transport specimen in a test labelled Biohazard Transport Container.
Staff collecting sample must fill out collection time and centrifuge time
on PHL Form. Centrifuge sample within 4-hours of collection.
TAT 15 days
HLAB27
583
Blood
LAVENDER
Collect samples Monday, Tuesday, Wednesday ONLY
OHIP
HLRC
DO NOT REFRIGERATE
TAT 25 days
HLAB27 (PCR)
9196
Blood
3 LAVENDER
Minimum volume required: 10mL
Collect samples Monday, Tuesday, Wednesday ONLY
Form available on CML website.
UNINSURED HLRC
583T
(HLA- TYPING)
HISTOCOMPATIBLITY TESTING
For organ/tissue
Transplant purposes only
Blood
4 LAVENDER
OHIP
Collect samples Monday Wednesday ONLY
Doctor's name and telephone number must be on the requisition
A questionnaire, which is available from the Head Office Problem Solving
Department must be completed. Requires clinical information
Type of organ transplant, donors residency (Ontario Y or N)
Place samples, a copy of the OHIP requisition and the
questionnaire in a Priority labelled ziplock bag for transport.
DO NOT REFRIGERATE
CCCs: do not contact the Histocompatability Head of Service for approval.
This step will have already been taken before it gets to the CCC.
TAT 63 days
HLRC
TEST NAME
CODE
HLAB29
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
HOLTER MONITOR
Description
Technical (Hook Up)
Professional (Reading)
24 Hour Holter
G651
G650
48 Hour Holter
G682
G658
72 Hour Holter
G684
G659
HOMOCYSTEINE
9142
Plasma
Minimum Volume required: 2 mL
Centrifuge and separate immediately
Fasting sample preferred
LAVENDER
UNINSURED CML
123
(HOMOGENSTISIC ACID)
Urine
25 mL random urine, freeze within 30 minutes of collection
Submit in a 90 mL orange cap container
OHIP
DYN
OHIP
HLRC
101U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 25 days
H. PYLORI
HUMAN CHORIONIC
GONADOTROPIN
Refer to CHORIOGONADOTROPIN
(BHCG)
(HCG, PREGNANCY)
Refer to SOMATOTROPIN
(GROWTH HORMONE)
(HGH)
TEST NAME
CODE
HPV
(HPV)
SPECIMEN REQUIREMENT
VACUTAINER
Digene Kit
Surepath kits will be rejected.
Patient will be invoiced at a later date
BILL
UNINSURED
LOC
LL
(ECHINOCOCCOSUS ANTIBODY)
(ECHINOCOCCUS GRANULOSUS ANTIBODY)
25HYDROXY VITAMIN D
Refer to CALCIDIOL
(25-HYDROXYVITAMIN D)
(VITAMIN D)
(CALCIDIOL)
17HYDROXYCORTICOSTEROIDS
(17OH STEROIDS)
5HYDROXYINDOLE ACETATE
122
(5-HIAA)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Do NOT add acid. pH will be adjusted in Biochemistry Dept.
OHIP
DYN
OHIP
DYN
OHIP
DYN
17HYDROXY PROGESTERONE
333
Serum
1 mL aliquot
Submit in plastic transfer tube
TAT 12 days
079H
(17 OH PROGESTERONE)
(PREGNANETRIOL)
HYDROMORPHONE
(BROAD SPECTRUM TOXICOLOGY)
(CHROMOTOGRAPHY)
GOLD SST
TEST NAME
HYDROXYPROLINE, FREE
CODE
131U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
BILL
LOC
OHIP
DYN
OHIP
DYN
130U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
A controlled diet free of gelatin and low in collagen is required.
Avoid meat, fish, jam, ice cream for 1 day prior to, and day of
collection.
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 35 days
5HYDROXYTRYTAMINE
Refer to SEROTONIN
(SEROTONIN)
25HYDROXY VITAMIN D
Refer to CALCIDIOL
(VITAMIN D)
(CALCIDIOL)
TEST NAME
CODE
SPECIMEN REQUIREMENT
IBDCP
VACUTAINER
Panel Handling
Celiac Disease
IBUPROFEN
Testing Location
HLRC
HLRC
(MOTRIN)
IGF BP3
LOC
GOLD SST
UNINSURED
STERILE CONTAINER
Sterile Container
Collect undiluted feces in a clean, dry, sterile,
leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.
Serum
Centrifuge only
Testing Includes Deamidated Gliadin Peptide IgG
And Tissue Transglutaminase IgA Antibodies
Calprotectin,
Stool
BILL
99999
Serum
Allow blood to clot for 30 mins.
Spin and Separate IMMEDIATELY after
Aliquot sample and FREEZE.
Store and ship frozen.
PLAIN RED
UNINSURED
LL
IL28B PANEL
IL28BRS12979860
IMIPRAMINE
079I
(TOFRANIL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 12 after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
DYN
OHIP
CML
IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS IMMUNO)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)
575
Serum
Centrifuge only
GOLD SST
TAT 5 days
TEST NAME
CODE
IMMUNOELECTROPHORESIS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(IEP)
IMMUNOFIXATION
Refer to IMMUNOELECTROPHORESIS
IMMUNOFLUORESCENCE
9757
(I.F.)
Tissue
OHIP
Send specimen in an IF Transport Kit
Kit available from CML Purchasing department
This test is sent to and reported by LifeLabs, 100 International Blvd
LL
9722
(IGG SUBCLASSES)
Serum
Fasting preferred
GOLD SST
UNINSURED HLRC
IMMUNOGLOBULIN G4,
SUBCLASS
9588
(IgG4 SUBCLASS)
Serum
Fasting preferred
GOLD SST
UNINSURED
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
IMMUNOGLOBULIN,
GAM
550
(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)
Serum
Centrifuge only
Testing Includes IgA, IgG, & IgM
TAT 2 days
IMMUNOGLOBULIN, IgA
550A
Serum
Centrifuge only
TAT 2 days
IMMUNOGLOBULIN, IgD
550D
Serum
Minimum volume required: 1ml
Centrifuge and aliquot into serum tube
TAT 7 days
IMMUNOGLOBULIN, IgE
334
Serum
Centrifuge only
TAT 5 days
TEST NAME
CODE
IMMUNOGLOBULIN, IgG
550G
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
Serum
Centrifuge only
TAT 2 days
IMMUNOGLOBULIN, IgM
550M
Serum
Centrifuge only
TAT 2 days
IMMUNO PHENOTYPING
INDERAL
Refer to PROPRANOLOL
INDICANS
INDICES, RBC
INDIRECT BILIRUBIN
INDIRECT COOMBS
(LYMPHOCYTE MARKERS)
(T & B CELLS)
(LYMPHOTYPING)
(PROPRANOLOL)
(UNCONJUGATED BILIRUBIN)
(ANTIBODY SCREEN)
INFECTIOUS MONONUCLEOSIS
INFLUENZA VIRUS
A & B ANTIBODY
INORGANIC PHOSPHATE
Refer to PHOSPHATE
(MONO)
(HETEROPHILE ANTIBODY)
(PHOSPHORUS)
INR
445
INSULIN
Fasting
Random
325F
325R
Blood
LIGHT BLUE
OHIP
CML
Fill tube completely
Do not centrifuge
Ensure to collect blood at minimum to the vacutainer fill line (1:9 additive to blood)
TAT 1 day
Serum
GOLD SST
Minimum Volume required: 2 mL
Patient must fast a minimum of 14 hours for fasting test
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 4 days
OHIP
CML
TEST NAME
INSULIN ANTIBODIES
CODE
9182
(ANTI-INSULIN)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
CML
OHIP
HLRC
Serum
Centrifuge only
LOC
HLRC
TAT 30 days
INSULIN-LIKE GROWTH
FACTOR 1
9139
(IGF-1)
(SOMATOMEDIN-C)
Serum
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
325120 Serum
Minimum Volume required: 2 mL
(PAPP-A)
INTERSTITIAL CELL
STIMULATING HORMONE
(LH)
(LUTEINIZING HORMONE)
(LUTROPIN)
INTRINSIC FACTOR
ANTIBODIES
9183
(ANTI-INTRINSIC FACTOR)
Serum
Centrifuge only
GOLD SST
99999
Plasma
ROYAL BLUE
Mix by gentle inversion..
- with K2EDTA
Centrifuge for 15 mins.
Specimens MUST be sun and separated WITHIN 30 mins
of collection.
Transfer plasma into new labelled ROYAL BLUE top tube
(With or without K2EDTA)
Store and ship refrigerated.
TAT 1-2 weeks
UNINSURED
LL
TEST NAME
IODINE
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
24 Hour Urine
No preservative required.
Store and ship refrigerated.
BILL
LOC
UNINSURED
LL
139
Serum
Centrifuge only
GOLD SST
OHIP
CML
IRON, URINE
139U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
OHIP
HLRC
N/C
LHSC
OHIP
HLRC
9380
Tissue
Enter specimen source required
Ie: Liver
STERILE CONTAINER
9907
Serum
GOLD SST
ISONIAZID
99999
(ISONICOTINIC ACID)
Plasma
GREEN TOP
Mix by gentle inversion
- Heparinized
Spin, separate, and transfer plasma into aliquot tube.
Stope and ship frozen.
TAT 5 days
ISOPROPANOL
(ALCOHOL-ISOPROPYL)
006I
UNINSURED LL
TEST NAME
JAK 2 PCR
CODE
9308
SPECIMEN REQUIREMENT
Whole Blood
A Molecular Hematology
form should be completed and submitted
along with specimen and requisition.
Ship at room temperature.
VACUTAINER
BILL
LAVENDER
OHIP
LOC
HLRC
(EXTRACTABLE NUCLEAR
ANTIBODIES)
JOINTSTAT
(14-3-3n)
(14-3-3 eta)
3971
Serum
Minimum Volume required: 0.5 mL
GOLD SST
UNINSURED
CML
TEST NAME
KARYOTYPING
CODE
701A
SPECIMEN REQUIREMENT
VACUTAINER
Blood / Tissue
Specimen must be analysed within 24-hours
Submit Monday Wednesday ONLY
BILL
LOC
OHIP
VTF
OHIP
HLRC
Refer to ACETONE
(ACETONE)
17 KETOGENIC STEROIDS
(17KGS)
17 KETOSTEROIDS
(17KS)
KLEIHAUER STAIN
(NIERHAUS)
431
Blood
Minimum Volume required: 3 mL
LAVENDER
TAT 30 days
TEST NAME
CODE
SPECIMEN REQUIREMENT
145
Plasma
Minimum Volume required: 2 mL
Collect in a pre-chilled tube
Fasting specimen preferred.
L-LACTATE
(LACTATIC ACID)
(LACTATE)
VACUTAINER
BILL
LOC
GRAY
OHIP
HLRC
GOLD SST
OHIP
CML
OHIP
CML
OHIP
HLRC
146
(LD)
(LDH)
Serum
Centrifuge only
Hemolyzed specimens are not acceptable.
TAT 1 day
TEST NO LONGER AVAILABLE
LACTATE DEHYDROGENASE,
FRACTIONATION
(LD ISOENZYMES)
(LDH ISOENZYMES)
LACTOSE TOLERANCE
LAC3
Blood
GRAY
Do not separate.
Adult dose: 50g lactose dissolved in 300 mL water
Child dose: 2 grams lactose per kilogram of body
weight to a maximum of 50 g
Collect fasting, 1/2, 1, 2, 3 hour samples.
TAT 1 day
LAMOTRIGINE
9956
(LAMICTAL)
Serum
Minimum Volume required: 2 mL
PLAIN RED
Refer to DIGOXIN
(DIGITALIS)
(DIGOXIN)
LAP
LARGACTIL
Refer to CHLORPROMAZINE
(CHLORPROMAZINE)
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GREEN
with Heparin
OHIP
CML
GOLD SST
OHIP
CML
ROYAL BLUE
K2 EDTA
OHIP
GD
OHIP
DYN
LATEX FIXATION
(RA) (RA FACTOR)
(RA FIXATION)
(RHEUMATOID FACTOR)
LATS
(LONG ACTING THYROID STIMULATOR)
(TB11)
(THROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
LCM ANTIBODY
(LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY)
LDH
(LACTATE DEHYDROGENASE)
LDH ISOENZYMES
(LD ISOENZYMES)
(LACTATE DEHYDROGENASE FRACTIONATION)
LDL CHOLESTEROL
(HDL/LDL CHOLESTEROL)
430
Blood
Do not remove plasma from cells
TAT 1 day
L.E. SCREEN
500LE
(LE LATEX)
(LUPUS ERYTHEMATOSUS SCREEN)
Serum
Centrifuge only
TAT 1 day
LEAD
148
Whole Blood
Do not centrifuge
TAT 8 days
LEAD
148U
24-Hour Urine
50 mL aliquot submitted in a white cap container
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT 14 days
TEST NAME
LEAD
CODE
9994
SPECIMEN REQUIREMENT
VACUTAINER
Random Urine
Min volume reqd: 10ml
BILL
LOC
OHIP
HLRC
LEGIONELLA DETECTION
9085
PLAIN RED
N/C
PHL
N/C
PHL
(LEGIONAIRES DISEASE)
9056
(LEPTOSPIROSIS ANTIBODIES)
(WEILS DISEASE)
PLAIN RED
LEPTOSPIROSIS, URINE
NO LONGER AVAILABLE
LEUCINE AMINOPEPTIDASE
NO LONGER AVAILABLE
(LAP)
LEUKOCYTE ALKALINE
PHOSPHATASE
NO LONGER AVAILABLE
(LAP)
(NEUTROPHIL ALKALINE PHOSPHATASE)
LEUKOCYTE COUNT
(WBC)
LH
(LUTEINIZING HORMONE)
(INTERSTITIAL CELL STIMULATION
HORMONE)
LIBRIUM
Refer to CHLORDIAZEPOXIDE
(CHLORDIAZEPOXIDE)
LICE
(ARTHROPODS)
(BUGS)
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
(IEP)
Refer to IMMUNOELECTROPHORESIS
BILL
LOC
TEST NAME
CODE
150
LIPASE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
Serum
Centrifuge only
TAT 4 days
117F
LIPID ASSESSMENT,
FASTING
Serum
GOLD SST
OHIP
CML
Centrifuge only
Patient has fasted 10 hours or more.
Ask Patient When did you last have something to eat or drink other than water?
Document number of hours on the requisition.
Drop offs/hubbing Document Drop off instead of number
of hours.
Test includes:
Cholesterol Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT 1 Day
117NF
LIPID ASSESSMENT,
NON FASTING
Serum
GOLD SST
OHIP
CML
Centrifuge only.
Patient has fasted less than 10 hours.
Ask Patient When did you last have something to eat or drink other than water?
Document number of hours on the requisition.
Drop offs/hubbing Document Drop off instead of number
of hours.
Test includes:
Cholesterol Non Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT 1 Day
NO LONGER AVAILABLE
LIPIDS, TOTAL
LIPOPROTEIN a
9137
Serum
FASTING REQUIRED (12 HOURS)
PLAIN RED
UNINSURED
HLRC
TEST NAME
CODE
LIPOPROTEIN FRACTIONATION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
HLRC
LISTERIA ANTIBODY
LITHIUM
157
Serum
GOLD SST
Centrifuge only
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day
L.M.W. HEPARIN
(LATS) (TB11)
(THYROTROPIN BINDING INHIBITING
IMMUNOBLOBULIN)
(THYROID STIMULATING ANTIBODY)
LORAZEPAM
9706
(ATIVAN)
Serum
PLAIN RED
Do not use gel separator tubes.
Separate and aliquot serum ASAP
Indicate time and date of specimen collection
On both the transport tube and the requisition.
Store and ship to room temp.
TAT 13 days
TEST NO LONGER AVAILABLE
LORAZEPAM, urine
(ATIVAN)
LP-PLA2
9292
(PLAC)
(LIPOPROPROTEIN ASSOCIATED
PHOSPHOROUS A2)
(LP-PLAC2)
(LP-PLAC)
Plasma
LAVENDER
UNINSURED
LSD
(LYSERGIC ACID DIETHYLAMIDE)
99999
Urine
Min volume: 10ml
Protect from light.
Store and ship refrigerated.
TAT 1-2 weeks
UNINSURED LL
LL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
HLRC
GOLD SST
OHIP
CML
OHIP
CML
Refer to MAPROTILINE
LUDIOMIL
(MAPROTILINE)
(CIRCULATING ANTICOAGULANT)
Plasma
Minimum Volume required: 2 mL
Separate immediately
LUPUS ANTICOAGULANT
9104
328
(LH)
(INTERSTITIAL CELL STIMULATING
HORMONE)
(LUTROPIN)
Serum
Centrifuge only
TAT 1 day
Refer to FLUVOXAMINE
LUVOX
(FLUVOXAMINE)
LYME DISEASE
(BORRELIA BURGDORFERI)
LYMPHOCYTE MARKERS,
T CELLS ONLY
2810
Blood
LAVENDER
LYMPHOCYTE MARKERS
T & B CELLS
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)
9326
MSH
TEST NAME
LYMPHOCYTIC
CHORIOMENINGITIS
ANTIBODY
CODE
9066
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
N/C
PHL
N/C
PHL
LOC
(LCM ANTIBODY)
TAT 15 days
LYMPHOGRANULOMA
VENEREUM GROUP
ANTIBODIES
9014
PLAIN RED
(LGV)
TAT 15 days
Refer to LYMPHOCYTE MARKERS, T & B CELLS
LYMPHOPROLIFERATIVE
DISEASE PHENOTYPING
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOCYTE MARKERS, T & B CELLS)
LYSOZYME
99999
(MURAMIDASE)
Serum
Allow blood to clot at room temp for 30 mins.
Spin and separate serum into aliquot tube.
Store and ship FROZEN.
PLAIN RED
UNINSURED LL
99999
Urine
Min volume: 25ml
Cap 90ml urine container tightly and FREEZE
Store and ship FROZEN
TAT 1-2 weeks
UNINSURED LL
TEST NAME
MACROAMYLASE
CODE
9135
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
GOLD SST
BILL
LOC
UNINSURED HLRC
TAT 20 days
MACROGLOBULIN,
ALPHA 2
MACROPROLACTIN
9236
Serum
GOLD SST
Minimum volume required: 2ml
Store and send refrigerated
Must be collected in separate SST tube from prolactin test.
OHIP
HLRC
GOLD SST
OHIP
CML
GREEN
with Heparin
UNINSURED HLRC
TAT 25 days
MAGNESIUM
165
Serum
Centrifuge only
TAT 1 day
MAGNESIUM, RBC
165R
Blood
TAT 20 days
MAGNESIUM
24 HOUR URINE
165U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
OHIP
DYN
OHIP
HLRC
OHIP
CML
165RU
Random Urine
10 mL aliquot submit in a 90 mL orange cap container
TAT 8 days
MALARIA
(PLASMODIUM SCREEN)
(MALARIA SMEAR)
432
Blood
LAVENDER
TEST NAME
CODE
MANGANESE
9930
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Min volume reqd: 3 mL
Collect blood in a contaminant-free
Royal Blue top K2EDTA.
Separate plasma within 30min into
Metal-free polypropylene tube. Do not
Use gel-seperator collection tubes.
ROYAL BLUE
K2 EDTA
BILL
LOC
UNINSURED HLRC
TAT 14 days
MANGANESE
9931
Urine
25 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT 20 days
MAPROTILINE
079M
(LUDIOMIL)
Plasma
Minimum Volume required: 3 mL
GREEN
- with Heparin
OHIP
DYN
(CANNABINOIDS SCREEN)
(CANNABIS)
(TETRAHYDROCANNOBINOIDS)
(THC)
MATERNAL SCREEN
(DOWNS SYNDROME SCREEN)
(MSS)
(TRIPLE MARKER SCREEN)
(PAPP A)
(INTEGRATED PRENATAL SCREENING)
Serum
Centrifuge tube only
GOLD SST
OHIP
944NY
North York General Hospital
944MS
Mount Sinai Hospital
944CV
Credit Valley Hospital
944LH
London Health Sciences Centre
944CHEO Childrens Hospital of Easrn Ontario - Ottawa
TAT 15 days
MCV, MCH, MCHC
(INDICES, RBC)
NYGH
MSH
CVH
LHSC
CHEO
TEST NAME
CODE
9010
(MEASLES RED)
(RUBEOLA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
N/C
LOC
PHL
785
Urine
Minimum Volume Required: 45.0 mL
UNINSURED QUEST
Urine
Minimum Volume Required: 45.0 mL
UNINSURED QUEST
Urine
Minimum Volume Required: 25.0 mL
UNINSURED QUEST
1558
Hair
UNINSURED QUEST
1602
Urine
Minimum Volume Required: 30.0 mL
UNINSURED QUEST
30497
None
UNINSURED
N/A
UNINSURED
N/A
1097
None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
None
BILL
LOC
UNINSURED
N/A
UNINSURED
N/A
1096
None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days
MELISA PANEL 1
4383
UNINSURED CML
MELISA PANEL 2
4384
(IMPLANTS PANEL)
UNINSURED CML
MELISA PANEL 3
4385
(AUTOIMMUNE/DENTAL/FERTILITY PANEL)
UNINSURED CML
MELLARIL
Refer to THIORIDAZINE
(THIORIDAZINE)
MEPROBAMATE
9498
(EQUANIL)
(MILTOWN)
Serum
Minimum Volume required: 3 mL
PLAIN RED
OHIP
HLRC
OHIP
HLRC
TAT 20 days
MEPROBAMATE
9498U
Urine
50 mL random urine
Submit in a 90 mL orange cap container
TAT 20 days
TEST NAME
MERCURY WHOLE BLOOD
CODE
168
SPECIMEN REQUIREMENT
VACUTAINER
BILL
ROYAL BLUE
K2 EDTA
OHIP
DYN
OHIP
DYN
OHIP
HLRC
Whole Blood
Do not centrifuge
LOC
168U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
State total 24-hour volume on the OHIP requisition,
on the specimen container, and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 14 days
9358
Random Urine
Min Volume: 13ml
Collect and transfer into metal-free container
Indicate Random
Provide collection date. Avoid seafood
Consumption for 3 days prior to collection.
TAT 14 days
METABOLIC SCREEN
9932
Urine
10 mL random urine
Submit in a 90 mL white cap container
UNINSURED HLRC
9269
Plasma
LAVENDER
Min volume: 3ml
Collect fasting sample.
Patient must abstain from smoking
for at least 4 hours prior to collection.
Store and ship frozen.
If specimen thaws, it is unsuitable for analysis.
TAT 14 days
OHIP
HLRC
TEST NAME
METANEPHRINES,
FRACTIONATED
CODE
170U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
BILL
LOC
OHIP
DYN
(NORMETANEPHRINE)
078ME
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
TAT 3 days
METHANOL
(ALCOHOL-METHYL)
METHAQUALONE
METHEMALBUMIN SCREEN
Serum or Plasma
GOLD SST
OHIP
HLRC
(HAPTOGLOBIN SCREEN)
(HEMPEXIN SCREEN)
(FREE Hb)
(PLASMA HEMOGLOBIN)
METHEMOGLOBIN
METHOTREXATE
(AMETHOPTERIN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Protect from light. Aliquot into amber tube
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection. Indicate high
dose or low dose therapy.
TAT 15 days
METHOTRIMEPRAZINE
(NOZINAN)
OHIP
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Urine
Min volume: 30ml
Add three drops of Concentrated Hydrochloric Acid
cap tightly and FREEZE
LOC
UNINSURED LL
9730
(METHYLMALONIC ACID)
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
9817
(RITALIN)
Urine
Random urine
Submit in a 90 mL orange cap container
OHIP
DYN
TAT 12 days
METHYPRYLON
9815
(NOLUDAR)
Serum
Minimum Volume required: 3 mL
PLAIN RED
OHIP
HLRC
TAT 15 days
METHSUXIMIDE
(CELONTIN)
MEXILETINE
MICROALBUMIN
24-HOUR URINE
005RU
3650
24-Hour Urine
CLEAR
1 x 6 mL aliquot submit in clear cap vacutainer
Label tube MICROALBUMIN RATIO
No preservative
MICROALBUMIN
RANDOM URINE
(ALBUMIN, QUANTITATIVE URINE)
(ALBUMIN, RANDOM URINE)
MICROALBUMIN/
CREATININE RATIO
24-HOUR URINE
OHIP
CML
TEST NAME
MICROALBUMIN/
CREATININE RATIO
RANDOM URINE
CODE
3670
SPECIMEN REQUIREMENT
VACUTAINER
Urine
1 x 6 mL random urine
Submit in clear cap vacutainer
Label tube MICROALBUMIN RATIO
Testing includes albumin and creatinine
BILL
LOC
CLEAR
OHIP
CML
GOLD SST
OHIP
CML
N/C
PHL
(B2 MICROGLOBULIN)
(BETA 2 MICROGLOBULIN)
MICROSOMAL THYROID
ANTIBODIES
(MICROSOMAL ANTIBODIES)
MILTOWN
Refer to MEPROBAMATE
(EQUANIL)
(MEPROBAMATE)
MITOCHONDRIAL
ANTIBODIES
HP18
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
(ASMA)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
MMR
Serum
Centrifuge only
TAT 2 days
9167
PLAIN RED
Refer to NITRAZEPAM
(NITRAZEPAM)
MONONUCLEOSIS SCREEN
(MONO)
(HETEROPHILE ANTIBODY)
MORPHINE
(DRUG SCREEN)
MOTRIN
Refer to IBUPROFEN
(IBUPROFEN)
TEST NAME
CODE
610-1
(METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
OHIP
LOC
CML
AXILLA
GROIN
NASAL
RECTAL
***IF MRSA ORDERED WITH ANY OTHER SOURCE THAN ABOVE > CODE 628-5 WITH SOURCE AND INDICATE MRSA IN
NOTES AND INSTRUCTIONS***
MSS
MUCONIC ACID
MUCOPOLYSACCHARIDES
Urine
OHIP
HLRC
N/C
PHL
N/C
PHL
9035
PLAIN RED
Refer to LYSOZYME
(LYSOZYME)
MYCOBACTERIUM
TUBERCULOSIS DETECTION
(ACID FAST BACILLUS)
(AFB)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
631
Sputum
First morning specimen submit in a tightly sealed
sterile container.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Use code 631-2 for a second specimen
Use code 631-3 for a third specimen
DO NOT RINSE MOUTH PRIOR TO COLLECTION
TAT 60 days
MYCOPLASMA PNEUMONIAE
ANTIBODY
TEST NAME
CODE
MYCOPLASMA PNEUMONIAE
CULTURE
9015C
(RESPIRATORY CULTURE)
SPECIMEN REQUIREMENT
VACUTAINER
State source.
Nasopharyngeal swab, tracheal aspirate,
bronchial washing, auger suction, respiratory
tract specimens.
Special Mycoplasma transport media available from PHL.
BILL
LOC
N/C
PHL
UNINSURED
DYN
9122
(UREAPLASMA UREALYTICUM)
State source.
Swab/Urine/Fluid/Tissue/Semen.
Place swab from vagina, cervix or urethra,
sediment from centrifuged other fluid,
or tissue in special Mycoplasma Transport Media.
Break off applicator and replace transport tube cap tightly.
Store and ship refrigerated.
Do not use swabs with wooden shaft
Send Monday, Tuesday, Wednesday only.
Plasma
LAVENDER
Min volume required: 1 mL
After mixing IMMEDIATELY centrifuge for
10 minutes. IMMEDIATELY aliquot plasma into
transfer tube
Store and ship refrigerated.
UNINSURED
LL
TAT 6 days
MYOGLOBIN
RANDOM URINE
174
Random urine
Min volume required: 10ml
Adjust PH of urine to 8-9 and freeze immediately.
Specimen is unsuitable for testing if it thaws.
OHIP
HLRC
UNINSURED
HLRC
TAT 6 days
MYOGLOBIN
SERUM
9552
Serum
Min volume required: 1ml
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
GOLD SST
TAT 13 days
MYSOLINE
Refer to PRIMIDONE
(PRIMIDONE)
TEST NAME
CODE
SPECIMEN REQUIREMENT
5 NUCLEOTIDASE
NO LONGER AVAILABLE
NAPROXEN
NO LONGER AVAILABLE
NARCOTIC SCREEN
VACUTAINER
BILL
LOC
(DRUG OF ABUSE)
(DRUG SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)
NEIRHAUS
(KLEIHAUER STAIN)
NEUROMYELITIS
OPTIC ANTIBODY (IgG)
9553
Serum
GOLD SST
UNINSURED HLRC
Min Volume: 1ml
Centrifuge and aliquot into transfer tube.
Store and ship frozen.
Hemolysed and lipemic specimens are not suitable for testing.
TAT 24 days
NEURONTIN
(GABAPENTIN)
Refer to GABAPENTIN
NEUTROPHIL ALKALINE
PHOSPHATASE
(LAP)
(LEUKOCYTE ALKALINE PHOSPHATASE)
NEUTROPHIL CYTOPLASMIC
ANTIBODIES - C
9112
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED HLRC
(c-ANCA)
TAT 15 days
NEUTROPHIL CYTOPLASMIC 9148
ANTIBODIES - PERINUCLEAR
Serum
Centrifuge only
(p-ANCA)
TAT 15 days
NH 3
Refer to AMMONIA
(AMMONIA)
TEST NAME
NICKEL
CODE
9934
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Centrifuge and pour off into aliquot tube
ROYAL BLUE
K2 EDTA
BILL
LOC
UNINSURED HLRC
TAT 30 days
NICKEL
9217
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
Indicate Random.
Provide collection date.
TAT 14 days
NICKEL
99999
24 hour Urine
Store and ship refrigerated
UNINSURED LL
TAT 10 days
NICOTINE
9238
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT 15 days
NICOTINE
99999
Serum
PLAIN RED
UNINSURED LL
(COTININE)
9126
Serum
PLAIN RED
Minimum Volume required: 3 mL
not SST
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
FREEZE SERUM AND SEND FROZEN
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days
NITROGEN
NO LONGER AVAILABLE
NOLUDAR
Refer to METHYPRYLON
NONSPECIFIC
COAGULATION INHIBITORS
(CIRCULATING ANTICOAGULANT)
(LUPUS ANTICOAGULANT)
OHIP
HLRC
TEST NAME
CODE
NOREPINEPHRINE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
DYN
OHIP
CML
(CATECHOLAMINES
FRACTIONATED or FREE)
NORMETANEPHRINE
(METANEPHRINES
FRACTIONATED)
NORPACE
Refer to DISOPYRAMIDE
(DISOPYRAMIDE)
NORPRAMINE
Refer to DESIPRAMINE
(DESIPRAMINE)
NORTRYPTYLINE
079N
(AVENTYL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 14 days
NOZINAN
Refer to METHOTRIMEPRAZINE
(METHOTRIMEPRAZINE)
NT-PRO-BNP
NUCLEAR ANTIBODIES
HP17
(ANA)
(ANF)
(CENTROMERE ANTIBODY)
(SLE ANTIBODIES)
Serum
Centrifuge only
GOLD SST
Urine
(NMP-22)
TEST NAME
CODE
17-OH STEROIDS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(17-HYDROXY CORTICOSTEROIDS)
17-OH PROGESTERONE
(PREGNANETRIOL)
(17-HYDROXY PROGESTERONE)
OCCULT BLOOD
1811
Stool
Random specimen
Instructions for the patient are in the red kit.
OHIP
CML
OHIP
CML
OHIP
HLRC
OCCULT BLOOD
CANCER CHECK
PROGRAMME
179-1
Stool
Random specimen
Instructions for the patient are in the green kit
Use code 179-2 for second specimen
Use code 179-3 for third specimen
TAT 3 days
OLANZAPINE, SERUM
9957
(ZYPREXA)
Serum
1 mL Collect trough sample
PLAIN RED
Urine
Submit in a 90 mL orange cap container
Avoid first morning collection
Provide date of birth, gender and clinical history.
UNINSURED HLRC
99999
Whole blood
LAVENDER
UNINSURED LL
Fasting is not required.
Mix thoroughly by gentle inversion.
Store and ship refrigerated.
Specimens stable for 7 days if refrigerated 24 hours after collection
TAT 10 days
Page 1 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
OPIATES SCREEN
CODE
078OP
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
BILL
LOC
OHIP
CML
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
TAT 10 days
ORGANIC ACIDS
9937
Urine
10 mL random urine early morning sample preferred
Submit in a 90 mL orange cap container
State age of patient and clinical diagnosis
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
OSMOLALITY
183
Serum
Centrifuge only
GOLD SST
TAT 15 days
OSMOLALITY
183U
Urine
This code can be used for either a random or a 24-hour urine
Submit in a 90 mL orange cap container
Retain a duplicate sample in the fridge until the test is reported
if the specimen is a 24-hour sample.
TAT 15 days
OSMOTIC FRAGILITY
450
Blood
LAVENDER
9938
Serum
Avoid hemolysis
Minimum Volume required: 2 x 1mL
Keep aliquots together with elastic band.
GOLD SST
(GLUCOSE CHALLENGE
O SULLIVAN)
Page 2 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
OV 125
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to CA125
(CA 125)
MP66
Stool
Place approximately 1 tablespoon of stool in preservative
OHIP
CML
OHIP
HLRC
(O&P)
(GIARDIA, CRYPTOSPORIDIUM, CYCLOSPORA)
TAT 5 days
OVARY ANTIBODIES
(OVARIAN ANTIBODIES)
OXALATE
184U
24-Hour Urine
2 X 10 mL submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT 15 days
OXAZEPAM
(SERAX)
OXYGEN AFFINITY OF
HEMOGLOBIN
(P50)
9266
Whole Blood
LAVENDER
Completed form must be submitted with the sample
Store and ship at room temperature.
FORM AVAILABLE ON CML WEBSITE
TAT 8 days
Page 3 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
P 24, HIV
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to HIV
(AIDS)
(HIV SEROLOGY)
PANORAMA 22q11.2
DELETION
3037
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
TAT 15 days
PANORAMA (NIPT)
2093
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
TAT 15 days
PANORAMA (NIPT)
REDRAW
3000
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
TAT 15 days
PANORAMA MICRODELETION 3071
PANEL
Blood
Blood
TEST NAME
CODE
PAPP-A
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
PAP SMEAR
PARAINFLUENZA VIRUS
ANTIBODIES
PARANEOPLASTIC
AUTOANTIBODY PANEL,
SERUM
9277
Serum
GOLD SST
UNINSURED HLRC
PARANEOPLASTIC
AUTOANTIBODY PANEL,
SPINAL FLUID
9285
Spinal Fluid
Accept any container received.
Minimum Volume required: 1 mL
Store and ship at 4-8C.
UNINSURED HLRC
TAT 17 days
PARASITE SEROLOGY TEST
PARATHYROID
HORMONE
Information regarding requests for specific tests available through CML Consultants
330
(PTH)
(PARATHYRIN)
Serum
PLAIN RED
Minimum Volume required: 3 mL
Separate within 30 minutes
Specimen collected in a SST tube is not acceptable.
OHIP
CML
OHIP
DYN
Serum
Centrifuge only
Refrigerate during storage and transport.
GOLD SST
TAT 8 days
PAROXETINE
(PAXIL)
PAROXYSMAL NOCTURNAL
HEMOGLOBINURIA
9278
Whole Blood
LAVENDER
2 x 5ml lavender top tubes required
Requires a lavender tube, unstained slide
and latest CBC/diff results.
completed immunophenotyping form is required.
Specimen must be less than 48 hours old upon receipt.
FORM AVAILABLE ON CML WEBSITE
TAT 3 days
UNINSURED HLRC
TEST NAME
CODE
PARTIAL THROMBOPLASTIN
TIME
462
(PTT)
(COAGULATION SURFACE INDUCED)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Plasma
Fill tube completely - Centrifuge
LIGHT BLUE
OHIP
CML
PLAIN RED
N/C
PHL
N/C
PHL
PARVO VIRUS
9001
(ERYTHEMA INFECTIOSUM)
(FIFTHS DISEASE)
(PARVO VIRUS B19)
9024
(TULAREMIA)
(FRANCISELLA TULARENSIS
ANTIBODY)
PLAIN RED
PATERNITY TESTING
PATHOLOGY
Refer to HISTOPATHOLOGY
(HISTOLOGY)
PAXIL
Refer to PAROXETINE
(PAROXETINE)
PBG
(PORPHOBILINOGEN SCREEN)
PCB PANEL
99999
(POLYCHLORINATED BIPENYLS
PANEL)
Serum
Allow blood to clot for 30mns at room temp
Spin and separate. Transfer to aliquot tube
within 2 hours of collection.
SST tubes are UNACCEPTABLE
Store and ship refrigerated.
PLAIN RED
UNINSURED LL
GOLD SST
UNINSURED HRL
(PHENCYCLIDINE, SCREEN)
(ANGEL DUST)
PEANUT COMPONENT
PANEL
352
Serum
1 SST Required for entire panel.
Includes all peanut components.
Centrifuge and aliquot
Store and ship refrigerated
TAT 5 days
TEST NAME
PEANUT COMPONENT
TESTING
CODE
See chart
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Please free text requested componemt
Eg: Peanut rAra h1, Peanut rAra h3
Can have up to 4 components on one accession.
BILL
LOC
UNINSURED HRL
Test Name
Peanut Component
First Component
Peanut Component
Second Component
Peanut Component
Third Component
Peanut Component
Fourth Component
PEMPHIGUS/PEMPHIGOID
ANTIBODIES
9391
Serum
Centrifuge only
Test Code
351-1
351-2
351-3
351-4
GOLD SST
OHIP
HLRC
(ANTI-SKIN ANTIBODIES)
(EPIDERMAL ANTIBODIES)
(SKIN ANTIBODIES)
TAT 25 days
PERCHLOROETHYLENE
99999
(TETRACHLOROTHELENE)
Serum
PLAIN RED
For Industrial exposure collect specimen
In an area that is removed from the use of this solvent.
Collect prior to the last workshift of work week.
UNINSURED LL
All blood to clot for 30mins at room temp and spin sample.
DO NOT USE SST TUBES.
Store and ship refrigerated.
TAT 1-2 weeks
PENTOBARBITAL
PH, STOOL
PHENCYCLIDINE SCREEN
078PH
(PCP)
(ANGEL DUST)
Urine
10 mL random urine
Submit in a blue top conical tube
OHIP
CML
081
Serum
PLAIN RED
Centrifuge only
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day
PHENOL
(BENZENE)
OHIP
CML
TEST NAME
CODE
PHENOTHIAZINES SCREEN
9259
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Min volume required: 10ml random sample
BILL
OHIP
LOC
HLRC
TAT 5 days
PHENYLALANINE
PHENYTOIN
(DILANTIN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
CML
OHIP
HLRC
N/C
PHL
OHIP
CML
OHIP
CML
TAT 1 day
PHENYTOIN, FREE
9169
(DILANTIN, FREE)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days
9580
VARIES
PHOSPHATASE ALKALINE
(ALKALINE PHOSPHATASE)
(ALP)
PHOSPHATASE ALKALINE
ISOENZYME
(ALKALINE PHOSPHATASE
ISOENZYME)
(ALKALINE PHOSPHATASE
FRACTIONATION)
PHOSPHATE
194
(PHOSPHORUS)
(INORGANIC PHOSPHATE)
Serum
Centrifuge only
GOLD SST
TAT 1 day
PHOSPHATE
(PHOSPHORUS)
194U
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days
TEST NAME
CODE
PHOSPHOLIPIDS
PHOSPHORUS, URINE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Urine
10 mL random urine
Submit in a white cap conical tube
OHIP
CML
TAT 2 days
PHYTANATE
9734
(PHYTANIC ACID)
Plasma
Minimum Volume required: 2 mL
Fasting sample preferred
GREEN
with Heparin
UNINSURED HLRC
MP80
OHIP
CML
OHIP
HLRC
(PYRUVATE KINASE)
PKU
(PHENYLKETONURIA)
PLACIDYL
(ETHCHLORVYNOL)
PLASMA HEMOGLOBIN
(FREE HEMOGLOBIN)
PLASMINOGEN
9735
Plasma
Minimum Volume required: 1 mL
LIGHT BLUE
Refer to MALARIA
PLATELET COUNT
(THROMBOCYTE)
PLATELET COUNT,
CITRATE SAMPLE
TEST NAME
CODE
PLATELET ANTIBODY
SCREEN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(ANTI-PLATELET ANTIBODY)
(PLATELET ASSOCIATED IGG)
Serum
Store and ship frozen.
Test is for CONTRACT use only
GOLD SST
UNINSURED LL
N/C
PHL
PORPHOBILINOGEN
DEAMINASE
9525
Whole Blood
GREEN
Min Volume: 7ml
- Heparinized
SST tube not acceptable.
Do not freeze. Store and send refrigerated.
Provide haematocrit result for calculation of results.
UNINSURED HLRC
TAT 14 days
PORPHYRIN PRECURSORS,
RANDOM URINE
197
Urine
OHIP
HLRC
25 mL random urine
Protect from light by wrapping with aluminium foil.
Label container with one barcode; wrap container with foil.
Place another label with barcode on top of foil overwrap.
FREEZE URINE AND SEND FROZEN
Testing Includes: Porphobilinogen Screen (PBG), Aminolevulinic Acid (ALA)
TAT 15 days
PORPHYRIN PRECURSORS,
24 HOUR URINE
9702
24-Hour Urine
OHIP
HLRC
TEST NAME
CODE
PORPHYRINS, BLOOD
PORPHYRINS, QUALITATIVE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to PROTOPORPHYRIN
200S
Stool
50 g (app. tablespoon) random stool specimen
Protect from light by wrapping with aluminium foil.
OHIP
DYN
OHIP
DYN
Stool
50 g (approximately tablespoon) random stool.
Protect from light by wrapping in aluminium foil
Note: Quantitation performed only if qualitative screen is positive.
FREEZE STOOL AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 18 days
PORPHYRINS, QUANTITATIVE
201U
(COPROPORPHYRINS)
(UROPORPHYRINS)
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Keep refrigerated during collection
Protect from light by wrapping with aluminium foil.
UNINSURED DYN
POTASSIUM, SERUM
204
Serum
Centrifuge only
Hemolyzed specimens are not acceptable
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
TAT 1 day
POTASSIUM, 24 HOUR URINE 204U
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
Testing includes urine creatinine and total volume
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days
Urine
10 ml random urine
Submit in a white cap conical tube
TAT 2 days
TEST NAME
CODE
POTASSIUM
PREALBUMIN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Serum
Minimum volume required: 1ml
Centrifuge and aliquot
Store and ship refrigerated
GOLD SST
UNINSURED HRLC
TAT 10 days
PREGNANCY TEST
655
(CHORIOGONADOTROPIN
SCREEN)
Urine
10 mL random urine
Submit in a 90 mL white cap container
First morning specimen preferred
OHIP
CML
N/C
PHL
N/C
PHL
OHIP
DYN
TAT 1 day
PREGNANEDIOL
Refer to PROGESTERONE
(PROGESTERONE)
PREGNANETRIOL
Refer to 17-HYDROXYPROGESTERONE
(17 HYDROXYPROGESTERONE)
(17 OH PROGESTERONE)
9001P
PLAIN RED
9002P
PLAIN RED
211
Serum
PLAIN RED
Minimum volume required: 1ml
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 6 days
TEST NAME
CODE
PROCAINAMIDE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(PRONESTYL)
PROGESTERONE
331
(PREGNANEDIOL)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
OHIP
TAT 1 day
PROGRAF
Refer to TACROLIMUS
(FK506)
(TACROLIMUS)
PROLACTIN
332
Serum
Centrifuge only
TAT 1 day
PRONESTYL
Refer to PROCAINAMIDE
(PROCAINAMIDE)
PROINSULIN
9304
Serum
Minimum Volume required: 1 mL
HLRC
9335
(ANTI PCNA)
Serum
GOLD SST
UNINSURED HLRC
PROPAFENONE
(RYTHMOL)
PROPOXYPHENE
(DARVON)
078PR
Urine
10 mL random urine
Submit in a blue top conical tube
TAT 7 days
PROPRANOLOL
(INDERAL)
OHIP
CML
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
BILL
OHIP
LOC
CML
Serum
GOLD SST
UNINSURED
CML
Serum
Centrifuge only
GOLD SST
OHIP
CML
OHIP
CML
Serum
Centrifuge only
GOLD SST
Serum
Centrifuge only
(PSA SCREEN)
(PSA TOTAL)
TAT 3 days
PROTEIN ANALYSIS
BENCE JONES PROTEIN
(IMMUNOELECTROPHORESIS
HEAVY & LIGHT CHAINS
BENCE JONES PROTEIN)
575RU
GOLD SST
Urine
50 mL random urine
Submit in 90 mL white cap container
No preservative
First morning specimen preferred
TAT 5 days
UNINSURED CML
OHIP
CML
TEST NAME
CODE
PROTEIN ANALYSIS
BENCE JONES PROTEIN
575U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
10 mL aliquot submitted in white cap conical tube
labelled CREATININE and
50 mL aliquot submitted in 90 mL white cap container
labelled BENCE JONES
No preservative
BILL
OHIP
LOC
CML
9971
(FUNCTIONAL/IMMUNOLOGICAL)
Plasma (Citrate)
Minimum Volume required: 3 mL
LIGHT BLUE
UNINSURED
HLRC
9257
Serum
Minimum Volume required: 1 mL serum,
5ml CSF
RED TUBE
UNINSURED
AND STERILE CONTAINER
HLRC
085
Serum
Centrifuge only
GOLD SST
OHIP
CML
TEST NAME
PROTEIN FRACTIONATION
CODE
086
(PEP)
(SPE- 24 HOUR)
(PROTEIN ELECTROPHORESIS)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container
labelled PEP
No preservative
OHIP
LOC
CML
9479
Plasma
Minimum Volume required: 2 mL
LIGHT BLUE
UNINSURED HLRC
PLAIN RED
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
TAT 1 day
PROTEIN, TOTAL SERUM
208
Serum
Centrifuge only
TAT 1 day
PROTEIN, TOTAL
QUALITATIVE
254 3
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT 2 days
PROTEIN, TOTAL
QUANTITATIVE
208RU
Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer labelled PROTEIN
TAT 1 day
TEST NAME
PROTEIN, TOTAL
24-HOUR URINE
CODE
208U
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
HLRC
LAVENDER
OHIP
DYN
ROYAL BLUE
- no Additives
OHIP
DYN
24-Hour Urine
2 CLEAR
10 mL aliquot submit in a clear cap vacutainer
labelled CREATININE and a
6 mL aliquot submit in a clear cap vacutainer
labelled PROTEIN
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days
PROTHROMBIN GENE
MUTATION
9212
(FACTOR II PROTHROMBIN
MUTATION)
Blood
Collect sample Monday Wednesday only
LAVENDER
PROTHROMBIN TIME
Refer to INR
(INR)
(PRO TIME)
(PT)
PROTOPORPHYRINS, RBC
202
Whole blood
Do not centrifuge
Protect from light
Refrigerate during storage and transport.
TAT 17 days
PROTRIPTYLINE
(TRIPTIL)
9433
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Refer to FLUOXETINE
(FLUOXETINE)
PSA, TOTAL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
PSEUDOCHOLINESTERASE
PSITTACOSIS ANTIBODY
(Chlamydia Psittaci)
PT
Refer to INR
BILL
LOC
(INR)
(PRO TIME)
(PROTHROMBIN TIME)
PTH
(PARATHYROID HORMONE)
(PARATHYRIN)
PTT
PYRIDINIUM
PYRIDOXINE
Refer to DEOXYPYRIDINOLINE
9379
(PYRIDOXAL PHOASPHATE)
(VITAMIN B6)
Plasma
LAVENDER
Minimum Volume required: 2 mL
Separate within 1-hour of collection.
Transfer plasma into an amber transport tube
to protect from light.
UNINSURED HLRC
9941
Blood
LAVENDER
Store and send refrigerated
Blood transfusion within the last 3 months will
invalidate test results
TAT 25 days
OHIP
HLRC
TEST NAME
QUETIAPINE
CODE
9569
(SEROQUEL)
SPECIMEN REQUIREMENT
Serum
Minimum Volume required: 1 mL
VACUTAINER
PLAIN RED
BILL
LOC
UNINSURED HLRC
9468U
Urine
25 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT 20 days
QUINIDINE
(BIQUIN)
Q FEVER ANTIBODY
9027
PLAIN RED
N/C
PHL
TEST NAME
CODE
RA
VACUTAINER
BILL
LOC
(LATEX FIXATION)
(RA FACTOR) (RA FIXATION)
(RHEUMATOID FACTOR)
SPECIMEN REQUIREMENT
9070
PLAIN RED
N/C
PHL
OHIP
DYN
RAPAMUNE
Refer to SIROLIMUS
RAST
RBC CHOLINESTERASE
RBC MAGNESIUM
RED MEASLES
(RICKETTSIA ANTIBODY)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
(RAPAMYCIN)
(SIROLIMUS)
(ACETYL CHOLINESTERASE)
(MAGNESIUM, RBC)
(RUBEOLA)
REDUCING SUBSTANCES
216
Stool
5 g (approx. 1 teaspoon) random stool
Freeze stool and send FROZEN
TAT 14 days
REDUCING SUBSTANCES
RENIN
HOSPITAL ONLY
**This test is for hospital clients only. CCC staff should not use this code.**
(RENIN DIRECT)
9376
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen
GOLD SST
TAT 24 days
TEST SPECIFICATION GUIDE SECTION R Page 1 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
RENIN UPRIGHT
CODE
1718
SPECIMEN REQUIREMENT
Plasma
Minimum Volume Required: 1.0 mL
VACUTAINER
BILL
LOC
LAVENDER
OHIP
LL
NOTE: This test is not available for collection or testing at a CML branded Customer
Care Centre. Please have patient go to a LifeLabs branded Patient Service Centre
for collection.
RESPIRATORY CULTURE
(MYCOPLASMA CULTURE)
RETICULIN ANTIBODIES
9942
(ANTI-RETICULIN ANTIBODY)
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
LAVENDER
OHIP
CML
GOLD SST
OHIP
HLRC
TAT 20 days
RETICULOCYTE COUNT
398
Blood
TAT 1 day
RETINOL
260
(VITAMIN A)
Serum
Minimum Volume required: 2 mL
Avoid hemolysis
Protect from light by transferring serum
into an amber transport tube
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN.
TAT 15 days
REVERSE T3
(RT3)
(REVERSE TRIIODOTHYRONINE)
(TRIIODOTHYRONINE REVERSE)
9170
Serum
PLAIN RED
Min Volume Required 1ml
Collect blood in PLAIN RED top tube.
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled aliquot tube.
o
UNINSURED
LL
TEST NAME
CODE
RHEUMATOID ARTHRITIS
DIAGNOSTIC PANEL
RADP
SPECIMEN REQUIREMENT
VACUTAINER
Serum
3 GOLD SST
BILL
LOC
UNINSURED
Rh PANEL
ANTI-CCP
(CYCLIC
CITRULLINATED
PEPTIDE ANTIBODIES)
(CCP ANTIBODY)
Testing Location
HLRC
Centrifuge only
Collect sample MONDAY WEDNESDAY only
o
JOINT STAT
(14-3-3n)
(14-3-3eta)
CML
CML
Centrifuge only
TAT 15 days
Rh FACTOR
RHEUMATOID FACTOR
500RA
(LATEX FIXATION)
(RA) (RA FACTOR)
(RA FIXATION)
RICKETTSIA ANTIBODY
Serum
Centrifuge only
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
TAT 1 day
9044
(R.AKARI)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
RINGWORM OF SCALP
(DERMATOPHYTOSIS)
(WOOD LAMPS TEST)
Refer to DERMATOPHYTOSIS
TEST NAME
CODE
RISPERIDONE
9738
(RISPERDOL)
SPECIMEN REQUIREMENT
Serum 2mL
Trough specimen.
Freeze serum and send FROZEN
Collect just prior to next dose.
Serum from gel separator NOTacceptable
VACUTAINER
PLAIN RED
BILL
LOC
UNINSURED HLRC
TAT 15 days
RISTOCETIN CO FACTOR
VON WILLEBRAND
RITALIN
Refer to METHYLPHENIDATE
RIVOTRIL
Refer to CLONZAEPAM
ROCKY MOUNTAIN
SPOTTED FEVER ANTIBODY
(METHYLPHENIDATE)
(CLONAZEPAM)
(R.AKARI)
(RICKETTSIAL ANTIBODY)
(RMSF)
(TYPHUS MURINE ANTIBODY)
ROHYPNOL
9739
(DATE RAPE)
(FLUNITRAZEPAM)
Urine
10 mL random urine
Submit in a 90 mL orange cap container
OHIP
HLRC
N/C
PHL
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
TAT 15 days
RUBELLA VIRUS ANTIBODY,
IgM
9077
(ACUTE RUBELLA)
(RUBELLA IGM)
PLAIN RED
RUBELLA VIRUS
ANTIBODY, IgG
679
RUBELLA VIRUS
ANTIBODY, IgG PRENATAL
Serum
Centrifuge only
TAT 1 day
679-P
RUBEOLA
RYTHMOL
Refer to PROPAFENONE
(RED MEASLES)
(PROPAFENONE)
TEST NAME
SALICYLATE
CODE
221
(ACETYLSALICYLIC ACID)
(ASA)
(ASPIRIN)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.
BILL
OHIP
LOC
HLRC
TAT 15 days
SCHILLINGS TEST
SCL-70 ANTIBODIES
(SCLERODERMAL ANTIBODY)
(ANTI SCL-70)
SECOBARBITAL
9434
Serum
PLAIN RED
Minimum Volume required: 3 mL
Collect trough specimen 10 - 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
TAT 15 days
SEDIMENTATION RATE
(ESR)
(SED RATE)
SELENIUM
99999
Serum
ROYAL BLUE
WITHOUT ADDITIVE
UNINSURED LL
9491
Plasma
Minimum Volume required: 3 mL
Collect blood in contaminant-free
Royal Blue Top K2-EDTA
Separate plasma within 30 mins
Into metal-free polypropylene tube.
DO NOT use gel separator collection tubes.
TAT 14 days
ROYAL BLUE
- with K2 EDTA
SELENIUM
9944
Urine Random
10 mL random urine
Submit in 90 mL orange cap container. Indicate Random
Provide collection date.
Avoid Mineral spplements for 5 days.
TAT - 14 days
UNINSURED HLRC
SELENIUM
99999
24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container
Record total volume and transfer 20ml
of measured 24 hour urine into a labelled sterile
90ml urine container.
Store and ship refrigerated.
TAT - 10 days
UNINSURED LL
UNINSURED HLRC
TEST NAME
SELENIUM
CODE
99999
(SELENIUM ERYTHROCYTES)
SPECIMEN REQUIREMENT
VACUTAINER
Red Cells
ROYAL BLUE
Mix thoroughly through gentle inversion
- K2EDTA
Spin specimen for 15 mins.
Take off the plasma and buffy and a little of the red cells using a
Polyethylene transfer pipette and discard this.
Make sure to POUR the remaining RED CELLS into a
Labelled polypropylene tube and cap tightly.
BILL
LOC
UNINSURED LL
HP12
(FOR FERTILITY)
Semen
Available only at specific sites by appointment.
Patient may call 905-565-0433 to arrange an appointment.
OHIP
CML
OHIP
CML
HP13
(POST VAS)
(SEMEN POST VAS)
Semen
Collection instructions and kits available
Do not code the Documentation Fee for this test.
TAT 4 days
Results may be delayed due to confirmation by pathologist
SENSITIVE TSH
Refer to THYROTROPIN
(THYROTROPIN)
(TSH)
SERAX
Refer to OXAZEPAM
(OXAZEPAM)
SEROTONIN
(5 HYDROXYTRYTAMINE)
9716
Serum
GOLD SST
2 aliquots of 1 mL keep aliquots together with elastic
UNINSURED HLRC
(5 HIAA)
(HYDROXYINDOLE)
(5-HYDROXYINDOLE ACETATE)
TEST NAME
CODE
SERTRALINE
9952
(ZOLOFT)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Centrifuge
Minimum Volume required: 2 mL aliquot
Patient should be on the drug 7 days prior to testing
Collect trough specimen 10 12 hours after last dose
BILL
OHIP
LOC
HLRC
2019
Serum
Minimum Volume required: 1.0 mL
GOLD SST
UNINSURED LL
(SHBG)
(AST)
(ASPARATE AMINO TRANSAMINASE)
SGPT
(ALT)
(ALANINE AMINO TRANSAMINASE)
453
Blood
Do not centrifuge
LAVENDER
OHIP
CML
TAT 1 day
SILVER, PLASMA
SILVER
24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container.
Store and ship refrigerated.
UNINSURED LL
99999
Urine
Min volume: 20ml
Store and ship refrigerated.
TAT 10 days
SINEQUAN
Refer to DOXEPIN
(DOXEPIN)
UNINSURED LL
TEST NAME
CODE
SIROLIMUS
9161
(RAPAMUNE)
(RAPAMYCIN)
SPECIMEN REQUIREMENT
VACUTAINER
Blood Whole
LAVENDER
BILL
LOC
OHIP
HLRC
OHIP
CML
OHIP
CML
OHIP
CML
SLE ANTIBODIES
(ANA)
(ANF)
(ANTI NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
SMOOTH MUSCLE
ANTIBODIES
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
(ASMA)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
SODIUM, SERUM
226
Centrifuge only
Hemolyzed specimens are not acceptable
GOLD SST
TAT 1 day
SODIUM, 24 HOUR URINE
226U
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days
SODIUM, URINE
226RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days
SOMATOMEDIN C
(IGF)
(INSULIN LIKE GROWTH FACTOR 1)
TEST NAME
SOMATOTROPIN
CODE
317
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum volume required: 2 mL
Separate within 30 minutes
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
DYN
OHIP
CML
(PROTEIN FRACTIONATION)
SPERM ANTIBODIES
597
(ANTI-SPERM ANTIBODIES)
Serum
Centrifuge only
Hemolysed samples are NOT acceptable
TAT 12 days
SS A
(ROSE ANTIBODIES)
SS B
(LATIMER ANTIBODIES)
STONE ANALYSIS
(CALCULUS ANALYSIS)
STOOL, PH
Refer to PH
STOOL,
(REDUCING SUBSTANCES)
STREET DRUGS
(DRUGS OF ABUSE)
(DRUGS SCREEN)
(NARCOTIC SCREEN)
(URINE TOXICOLOGY)
STREPTOCOCCUS
THROAT SCREEN
STREPTOLYSIN O
ANTIBODY
659
Serum
Centrifuge only
GOLD SST
(ASOT)
TAT 1 day
STREPTOZYME TEST
TEST NAME
CODE
SPECIMEN REQUIREMENT
SUCROSE LYSIS
NO LONGER AVAILABLE
SULFHEMOGLOBIN
NO LONGER AVAILABLE
SULPHONAMIDE
NO LONGER AVAILABLE
VACUTAINER
BILL
LOC
SURGICAL PATHOLOGY
Refer to HISTOPATHOLOGY
_________________________________________________________________________________________________________
SURMONTIL
Refer to TRIMIPRAMINE
(TRIMIPRAMINE)
SYNOVIAL FLUID
SYPHILIS
(VDRL)
(VDRL ROUTINE)
(TPI TREPONEMAL PALLIDUM
INVESTIGATION)
(FTA TREPONEMAL ANTIBODIES)
9000
PLAIN RED
N/C
PHL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
T CELL LYMPHOCYTE
MARKER ONLY
(CD3, CD4, CD8)
(LYMPHOCYTE MARKER- T CELLS ONLY)
T3 RIA
(TOTAL T3)
(TRIIODOTHYRONINE)
T4 TOTAL, THYROXINE
TACROLIMUS
(FK506)
(PROGRAF)
Blood
LAVENDER
OHIP
HLRC
OHIP
SKH
TAY SACHS
99999
Blood
(BETA n-ACETYLHEXOSAMINIDASE)
1 LAVENDER
1 PLAIN RED
1 GREEN
- with Heparin
T & B CELLS
TEST NAME
CODE
TBG
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TBII
(LATS)
(LONG ACTING THYROID STIMULATOR)
(THYROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
(THYROID RECEPTOR ANTIBODIES)
(TRAB) TSH RECEPTOR ANTIBODY
TEGRETOL
Refer to CARBAMAZEPINE
(CARBAMAZEPINE)
TELOPEPTIDE - N
TESTOSTERONE,
BIO AVAILABLE
2021
Serum
Minimum Volume required: 1.5 mL
GOLD SST
UNINSURED LL
GOLD SST
OHIP
LL
GOLD SST
OHIP
CML
763
(FREE TESTOSTERONE)
Serum
Minimum Volume required: 1.5 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o
340
(TESTICULAR ANDROGEN)
Serum
Centrifuge only
State age and sex of patient
TAT 1 day
TETANUS
(CLOSTRIDIUM TETANI
ANTIBODY)
THALASSEMIA
(ALPHA THALASSEMIA)
(BETA THALASSEMIA)
9200
HLRC
TEST NAME
THALLIUM
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
Whole Blood
Mix thoroughly through gentle inversion.
SEND ENTIRE TUBE
Store and ship refrigerated.
ROYAL BLUE
- K2EDTA
BILL
LOC
UNINSURED LL
TAT 10 days
THALLIUM
99999
Urine
Min Volume: 20ml
Ensure hands are washed and clothes are free
of contamination.
Store and ship refrigerated.
UNINSURED LL
(CANNABIS)
(CANNABINOIDS SCREEN)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)
THEOPHYLLINE
321
(AMINOPHYLLINE)
(UNIPHYL)
Serum
PLAIN RED
Minimum specimen required: 2 mL
Collect trough specimen 10 12 hours after the last dose
OHIP
CML
9231
(VITAMIN B1)
Plasma
Minimum Volume required: 2 mL
Centrifuge within 1 hour of collection
Transfer plasma to amber transport tube
LAVENDER
UNINSURED HLRC
LAVENDER
UNINSURED HLRC
GOLD SST
OHIP
(TPMT)
Whole Blood
Must complete form for molecular
Hematology testing and submit with
Specimen and requisition
TAT 13 days
THIORIDAZINE
(MELLARIL)
9731
Serum
Centrifuge only
TAT 20 days
THROMBOCYTE COUNT
(PLATELET COUNT)
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
9743
Plasma
Minimum Volume required: 1 mL
LIGHT BLUE
OHIP
THROMBIN TIME
LOC
HLRC
99999
(FACTOR V LEIDEN)
(FACTOR V VON LEIDEN)
(PROTHROMBIN VARIANT)
(PROTHROMBIN MUTATION)
(PROTHROMBIN 20210A)
(MTHFR C677T)
Whole blood
LAVENDER
Mix thoroughly by gentle inversion.
To be received within 5 days
Store and ship and room temp.
This test includes Prothrombin Variant (mutation)
and Factor V Leiden
UNINSURED LL
THROMBOSIS GENETIC
SCREEN
(PTT)
THYROGLOBULIN
9494
Serum
Centrifuge only
GOLD SST
OHIP
CML
9454
(LATS)
Serum
Minimum volume required: 2 mL
Separate within 1 hour of collection
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
(TBII)
(THYROPIN BINDING INHIBITOR
IMMUNOGLOBULIN)
(TRAB) TSH RECEPTOR ANTIBODY
TAT 30 days
THYROTROPIN
341
(SENSITIVE TSH)
(TSH)
Serum
Centrifuge only
TAT 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
THYROTROPIN BINDING
INHIBITOR IMMUNOGLOBULIN
CML
TEST NAME
CODE
THYROXINE BINDING
GLOBULIN
SPECIMEN REQUIREMENT
342
VACUTAINER
Serum
Centrifuge only
Submit Monday to Wednesday only
(TBG)
BILL
LOC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED LL
TAT 25 days
THYROXINE, FREE
339
Serum
Centrifuge only
(FREE T4)
TAT 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
THYROXINE, TOTAL (T4)
TIBC
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
Serum
Centrifuge only
TAT 20 days
Serum
(TISSUE TRANSGLUTAMINASE)
(TRANSGLUTAMINATE IGA)
(TTIGA)
PEAK
304TP
TROUGH 304TT
Serum
Minimum Volume required: 1 mL
PLAIN RED
OHIP
HLRC
9386
Serum
Minimum Volume required: 2 mL
Protect from light by transferring serum
into an amber transport tube.
GOLD SST
UNINSURED HLRC
TEST NAME
CODE
TOFRANIL
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to IMIPRAMINE
(IMIPRAMINE)
TOPIRAMATE
9745
(TOPOMAX)
Serum
Minimum Volume required: 1 mL
PLAIN RED
OHIP
HLRC
PLAIN RED
N/C
PHL
N/C
PHL
OHIP
LL
9061
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TRANSFERRIN SATURATION)
TOTAL T 3
(T3 RIA)
(TRIIODOTHYRONINE)
TOXOPLASMA GONDII
ANTIBODY
9025
PLAIN RED
(ANTITHYROID PEROXIDASE)
TRANSCOBALAMIN
TRANSFERRIN
Serum
Minimum Volume required: 0.5 mL
GOLD SST
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
TRANSGLUTAMINASE
IgA TISSUE (TTG)
TRAZODONE
BILL
LOC
(DESYREL)
TREPONEMAL ANTIBODIES
Refer to SYPHILIS
(SYPHILIS)
TREPONEMA PALLIDUM
IMMOBILIZATION
Refer to SYPHILIS
(TPI)
(SYPHILIS)
TRIAZOLAM (HALCION)
TRICHINELLA ANTIBODY
PLAIN RED
N/C
PHL
(TRICHINOSIS IMMOBILIZATION
ANTIBODY)
(TIA)
TAT 5 days
TRICHOMONAS VAGINALIS
(TRICH)
(WET PREPARATION)
TRIGLYCERIDES
243
Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing
GOLD SST
OHIP
CML
Ask patient
When did you last have something to eat
or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing Document Drop-Off instead of number of hours.
TAT 1 day
TRIIODOTHYRONINE, FREE
607
(FREE T3)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
TAT 1 day
TRIIODOTHYRONINE
REVERSE
TRIIODOTHYRONINE, TOTAL
(T3 RIA)
(TOTAL T3)
See REVERSE T3
336
Serum
Centrifuge only
TAT 1 day
TEST NAME
CODE
TRIIODOTHYRONINE, UPTAKE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
(T3 UPTAKE)
TRIMIPRAMINE
079T
(SURMONTIL)
Plasma
GREEN
Minimum Volume required: 2 mL
- with Heparin
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
Record time in hours that has elapsed between
last dose and specimen collection.
OHIP
DYN
TRIPTIL
Refer to PROTRIPTYLINE
(PROTRIPTYLINE)
TROPONIN I
TRYPSIN
TRYPTASE
Serum
GOLD SST
UNINSURED HLRC
Minimum Volume required: 2 mL
Collect 15 minutes to 3 hours post allergic reaction
Separate into 2 x 1ml aliquots and freeze as soon as possible
Elasticize aliquots together and send frozen to Pre-Analytical Dept.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
TSH, SENSITIVE
Refer to THYROTROPIN
(SENSITIVE TSH)
(THYROTROPIN)
TSH, RECEPTOR Ab
(TRAB)
(LATS)
(TBII)
TTG
TYLENOL
Refer to ACETAMINOPHEN
(ACETAMINOPHEN)
(R.AKARI)
(RICKETTSIA ANTIBODY)
(RMSP)
(ROCKY MOUNTAIN SPOTTED FEVER)
TYROSINE
Refer to PHENYLALANINE
TEST NAME
CODE
UIBC
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
_________________________________________________________________________________________________________
UNIPHYL
Refer to THEOPHYLLINE
(AMINOPHYLLINE)
(THEOPHYLLINE)
URATE
252
(URIC ACID)
Serum
Centrifuge only
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
HLRC
OHIP
CML
TAT 1 day
URATE
252U
(URIC ACID)
24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days
UREA
251
UREA
Serum
Centrifuge only
GOLD SST
TAT 1 day
251U
(BUN)
24-Hour Urine
50 mL aliquot submit in a white cap 90 mL container
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 15 days
UREAPLASMA
URIC ACID
Refer to URATE
(MYCOPLASMA ISOLATION)
(URATE)
252RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days
TEST NAME
URINALYSIS, CHEMICAL
CODE
281
(URINALYSIS ROUTINE)
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube
BILL
OHIP
LOC
CML
299
(URINALYSIS MICRO)
Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube
OHIP
CML
(DRUGS OF ABUSE)
(DRUG SCREEN)
(NARCOTIC SCREEN)
(STREET DRUGS)
UROBILINOGEN
292
Urine
10 mL random urine
Protect from light by transferring urine
into an amber transport tube.
TAT 1 day
UROBILINOGEN
UROPORPHYRIN
(COPROPORPHYRINS)
(PORPHYRINS)
OHIP
CML
TEST NAME
CODE
VALPROATE
257
(DEPAKENE)
(DIVALPROEX)
(EPIVAL)
(VALPROIC ACID)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 12 hours after last dose
BILL
LOC
OHIP
CML
VALIUM
(DIAZEPAM)
99999
Urine
ACID WASHED CONTAINER UNINSURED LL
Min volume: 10ml
Patient must avoid gadolinium-based contrast media
used for MRIs for 48 hours prior to collection.
Collect urine in 90ml sterile container and transfer
WITHOUT DELAY into a labelled NMS Labs 60ml ACID WASHED container
Store and ship refrigerated.
TAT 1-2 weeks
VANCOMYCIN, PEAK
9105
Serum
PLAIN RED
Minimum Volume required: 1 mL
Indicate peak specimen (post)
Collect the peak specimen one hour following an IM injection,
or 15 minutes following a 60 minute IV infusion,
or 30 minutes following a 30 minute IV administration.
OHIP
HLRC
OHIP
HLRC
9106
Serum
Minimum Volume required: 1 mL
Indicate trough specimen (pre)
Collect the trough specimen immediately
before the IM injection or IV infusion.
PLAIN RED
TEST NAME
VANILLYMANDELATE
CODE
261
(VMA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
24-Hour Urine
OHIP
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container labelled VMA
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
CML
9062
PLAIN RED
N/C
PHL
PLAIN RED
N/C
PHL
9051
99999
(VIP)
Plasma 2 tubes
LAVENDER
Collect 2 Lavender top tubes.
Mix thoroughly by gentle inversion.
Spin IMMEDIATELY and transfer plasma aliquot to
labelled tube
Store and ship FROZEN
UNINSURED LL
9903
Plasma
Collect in pre-chilled tube
Minimum volume required: 3 mL
LAVENDER
Refer to SYPHILIS
(SYPHILIS)
(VDRL ROUTINE)
UNINSURED HLRC
TEST NAME
CODE
9747
(VLDL)
(ULTRACENTRIFUGATION HDL/LDL)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
3 GOLD SST
Minimum Volume required: 7 mL
Must be centrifuged within 6 hours of collection
Alliquote serum into an empty red top vacutainer
BILL
LOC
OHIP
SMH
N/C
PHL
N/C
PHL
N/C
PHL
(CHOLESTEROL IN VLDL)
VIRAL LOAD
VIRAL STUDIES
9005
PLAIN RED
9049
Stool
5 g. (Approx. 1 teaspoon) random stool
DO NOT USE CARY BLAIR MEDIA
Submit in VIRUS TM media kit
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 10 days
VIRAL STUDIES
(VIRUS ISOLATION)
637C
TEST NAME
VISCOSITY, RELATIVE
CODE
9746
QUANTITATIVE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LAVENDER
OHIP
Whole blood
4 mL
LOC
HLRC
Do NOT centrifuge
Store and transport at room temperature
Submit Monday, Tuesday, Wednesday ONLY
TAT 15 days
Refer to RETINOL
VITAMIN A
(RETINOL)
Refer to THIAMINE
VITAMIN B1
(THIAMINE)
VITAMIN B6
Refer to PYRIDOXINE
VITAMIN B12
Refer to COBALAMINS
VITAMIN C
Refer to ASCORBATE
(PYRIDOXAL PHOSPHATE)
(PYRIDOXINE)
(B12)
(COBALAMINS)
(ASCORBIC ACID)
(ASCORBATE)
Refer to CALCITRIOL
VITAMIN D
(1,25 DIHYDROXY VITAMIN D)
(CALCITRIOL)
VITAMIN D (UNINSURED)
(25 HYDROXYVITAMIN D)
(CALCIDIOL)
VITAMIN D (INSURED)
(25 HYDROXYVITAMIN D)
(CALCIDIOL)
Refer to TOCOPHEROL
VITAMIN E
(TOCOPHEROL)
VLDL
(VERY LOW DENSITY LIPOPROTEIN)
(ULTRACENTRIFUGATION HDL/LDL)
Refer to VANILLYMANDELATE
VMA
(VANILLYMANDELIC ACID)
9983
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
UNINSURED HLRC
TEST NAME
CODE
9982
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
BILL
LOC
UNINSURED HLRC
9980
Plasma
2 LIGHT BLUE
Minimum Volume required: 4 aliquots of 1ml
Keep together with elastic band. Label all samples.
UNINSURED HLRC
UNINSURED
UNINSURED
UNINSURED
TAT 20 days
9950
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
UNINSURED HLRC
VINYL CHLORIDE
99999
Urine
Collect specimen at the end of the workshift
Collect random urine in a sterile urine container and cap tightly.
Store and ship refrigerated.
TAT 1-2 weeks
UNINSURED LL
TEST NAME
WARFARIN
CODE
SPECIMEN REQUIREMENT
9201
Plasma
Minimum Volume required: 3 mL
(COUMADIN)
VACUTAINER
BILL
LOC
GREEN
- with Heparin
UNINSURED HLRC
PLAIN RED
N/C
PHL
N/C
PHL
TAT 15 days
Refer to COMPLETE BLOOD COUNT
WBC
(LEUKOCYTE COUNT)
(WHITE BLOOD CELL COUNT)
WEIL'S DISEASE
(LEPTOSPIRA ANTIBODY)
(LEPTOSPIROSIS ANTIBODIES)
9911
WET PREPARATION
(TRICH)
(TRICHOMONAS VAGINALIS)
NO LONGER AVAILABLE
(BORDETELLA PERTUSSIS
ANTIBODY)
WHOOPING COUGH
Refer to DERMATOPHYTOSIS
(DERMATOPHYTOSIS)
(RINGWORM OF SCALP)
WORM IDENTIFICATION
9090
Stool
Submit whole specimen without contamination from other fluids
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
TEST NAME
WORM IDENTIFICATION
CODE
9091
SPECIMEN REQUIREMENT
VACUTAINER
Worm
Submit whole worm without contamination from other fluids
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
BILL
N/C
LOC
PHL
TEST NAME
CODE
XYLOSE ABSORPTION
SPECIMEN REQUIREMENT
Blood
VACUTAINER
GRAY
BILL
LOC
OHIP
DYN
(XYLOSE TOLERANCE)
Code
265
Test
Adult Test: Greater than 18 years of age
Must fast 8-hours before test
Drink 25g Xylose dissolved in 250 mL of water
followed by another 250 mL of water
Collect blood 2-hours after consumption of drink
Enter height and weight in Notes & Instructions.
265T
265P
TAT 14 days
XYLENE EXPOSURE
99999
Urine
(METHYLHIPPURIC ACID)
UNINSURED LL
TEST NAME
YERSINIA ANTIBODIES
CODE
9073
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
N/C
LOC
PHL
TEST NAME
CODE
ZARONTIN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
ROYAL BLUE
- no additive
OHIP
HLRC
OHIP
DYN
Refer to ETHOSUXIMIDE
(ETHOSUXIMIDE)
ZINC
266
Serum
Minimum Volume required: 2 mL
Centrifuge
Aliquot into an empty plastic transfer tube
Refrigerate during storage and transport.
TAT 15 days
ZINC
266U
24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP Requisition
on the specimen container and in Notes & Instructions.
TAT 12 days
ZINC PROTOPORPHYRIN
9143
Whole Blood
Do not centrifuge
ROYAL BLUE
K2EDTA
Refer to SERTRALINE
(SERTRALINE)
ZYPREXA
Refer to OLANZAPINE
(OLANZAPINE)
UNINSURED HLRC