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IDEXX Reference Laboratories

2018 Directory of Tests and Services


Service and Support

Diagnostic Consultation Installation and Technical Support


Your veterinary diagnostic consultant Our technical experts will:
will partner with you to determine which • Administer preinstallation site checks.
products and services will best serve the
• Install and train on new equipment.
needs of your practice by:
• Facilitate Integration Needs Assessment.
• Facilitating pricing.
• Conduct staff trainings.
• Facilitating ongoing staff training.
• Keeping you up-to-date on new Field support representative
promotions and programs.
________________________________
Veterinary diagnostic consultant
______________________________________
_____________________________________

______________________________________ Medical Support


Live expert support
Customer Support Available for expert and complimentary
consultation, our diagnostic support and
IDEXX Reference Laboratories
medical specialty consulting services offer:
Available 7 days a week
Monday–Friday, 7:30 a.m.–2:00 a.m. ET • Guidance in test selection and diagnostic
testing protocols, specimen submission
Saturday, 8:00 a.m.–11:00 p.m. ET
and interpretation of results for
Sunday, 10:00 a.m.–8:00 p.m. ET veterinary species.
1-888-433-9987 • Consultation on disease treatment
and patient management in the areas
In-house analyzer and SNAP® test of small- and large-animal internal
technical support medicine, dermatology, oncology and
24 hours a day, 7 days a week avian/exotic medicine.

1-800-248-2483 Medical consultations

1-888-433-9987
Order Supplies Online
Reference laboratory supplies,
SNAP® tests, IDEXX VetLab®
instrument slides and tubes
idexx.com/order
1-888-79-IDEXX

IDEXX account number: ________________________ VetConnect® PLUS:______________________________


IDEXX Reference Laboratories _____________________________________________________
account number: ________________________________ _____________________________________________________
Panels and Profiles Overview. . . . . . . . . . . . . . . . . . . . 2
A guide to the components of our most popular base panels and profiles.

Test Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
A quick guide to our full menu of tests organized by species, disease and test type.

Alphabetical Test List . . . . . . . . . . . . . . . . . . . . . . . 33


Our multispecies test list that provides detail on each test, including specimen
collection requirements, price and turnaround time. For even more tests offered
by IDEXX Reference Laboratories, visit vetconnectplus.com to utilize our Online
Test Directory.

Specimen Collection Guidelines . . . . . . . . . . . . . . . . . . 133


Detailed instructions on best-practice collection guidelines. Also includes a guide to
specimen collection tubes.

Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
We’ve compiled several helpful resources for your quick reference:
• Microbiology Guide to Interpreting Minimum Inhibitory Concentration (MIC) . . 155
• Avian Reference Intervals. . . . . . . . . . . . . . . . . . . 159
• Regional Allergen Guide.. . . . . . . . . . . . . . . . . . . 160
• Online Resources. . . . . . . . . . . . . . . . . . . . . . . . 178
• General Policies and Fees. . . . . . . . . . . . . . . . . . . . . 181
• Standard Terms and Conditions. . . . . . . . . . . . . . . . . . 183

Access our online directory here:

idexx.com vetconnectplus.com
Panels and Profiles Overview

General Canine/Feline Panels and Profiles Overview


The components of our most popular base panels and profiles are detailed in the following
charts to help you choose the most appropriate option for your patient. In many cases,
your preferred profile with the add-ons that you need has already been created (see the
Alphabetical Test List).

Components of Our Essential Chemistry Panels (included in our profiles)

Young Preanesthetic
Young Maintenance
IDEXX SDMA® Test

IDEXX SDMA® Test

IDEXX SDMA® Test

IDEXX SDMA® Test

IDEXX SDMA® Test

IDEXX SDMA® Test


Chem 10 with

Chem 11 with

Chem 18 with

Chem 21 with

Chem 25 with

Chem 27 with

Panel

Panel
Test Code 1915 1293 2214 1271 111 1113 2091 782
Albumin • • • • • • •
Albumin:globulin ratio • • • • • • •
ALP • • • • • • • •
ALT • • • • • • • •
Amylase • •
Anion gap • •
AST • • •
Bilirubin, conjugated • • •
Bilirubin, total • • • • •
Bilirubin, unconjugated • • •
BUN • • • • • • • •
BUN:creatinine ratio • • • • •
Calcium • • • •
Chloride • • • •
Cholesterol • • • •
CK • •
Creatinine • • • • • • • •
GGT • • •
Globulin • • • • • • •
Glucose • • • • • • • •
Lipase •
Phosphorus • • • •
Potassium • • • • •
IDEXX SDMA Test ®
• • • • • • • •
Sodium • • • •
Sodium:potassium ratio • • •
TCO2 (bicarbonate) • •
Total protein • • • • • • • •

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Panels and Profiles Overview

Components of Our General Profiles

Chem 10 with IDEXX SDMA® Test


Chem 11 with IDEXX SDMA® Test
Chem 18 with IDEXX SDMA® Test
Chem 21 with IDEXX SDMA® Test
Chem 25 with IDEXX SDMA® Test
Chem 27 with IDEXX SDMA® Test
Young Preanesthetic Panel

Feline Coronavirus by IFA


Coag Panel (PT/PTT)
Comprehensive CBC

FeLV/FIV by ELISA

Urinalysis
Total T4
Free T4
Test
Code
Adult Annual 2215 • •
Adult Screen 1850 • • •
Adult Wellness 1272 • •
Feline Combo™ Profile 54 • • •
Feline Combo™ Plus Profile 74 • • • •
Feline Comprehensive 885
Profile • • • • •
Feline Senior Profile 90 • • • • •
Feline Viral Plus 66 • • • • •
Geriatric Profile 2176 • • • • •
Geriatric Screen 2078 • • • • •
HealthChek™ Profile 1 • •
HealthChek™ Plus Profile 46 • • •
NSAID Profile 1 2667 • • •
Pre-Op Profile 2494 • • •
Senior Profile 780 • • • •
Senior Screen 865 • • • •
Total Health™ Profile 1013 • •
Total Health™ Plus Profile 75 • • •
Young Adult Profile 1294 • •
Young Adult Plus 1809 • • •
Young Preanesthetic Profile 783 • •
Young Preanesthetic Plus 1536 • • •
Young Wellness 2807 • •
For diagnostic panels, see the Test Index for organ/disease-specific testing options, such as
Hyperthyroid profiles, Liver Profile, Electrolyte Panel and Renal Profile.

IDEXX Reference Laboratories Directory 3


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Panels and Profiles Overview

Avian/Exotic Panels and Profiles Overview

Components of Avian and Reptilian/Amphibian Panels and Profiles

Comprehensive Profile
Avian Comprehensive

Avian Comprehensive

Avian Comprehensive

Comprehensive Panel
Reptilian/Amphibian

Reptilian/Amphibian

Reptilian/Amphibian
Avian Intermediate

Avian Mini Profile


Avian Mini Panel

Mini Profile
Profile

Profile
Panel

Plus
Test Code 2786 2787 2788 131 2793 2794 136 142 147
Albumin • • • • • • • •
Albumin:globulin ratio • • • • • •
ALP • • •
ALT • •
Amylase • • • •
AST • • • • • • • • •
Bile acids • • •
BUN • • •
Calcium • • • • • • • • •
Calcium:phosphorus • • • • •
ratio
Chloride • • •
Cholesterol • • • • • • • •
CK • • • • • • • •
GGT • • •
Globulin • • • • • •
Glucose • • • • • • • • •
LDH • • •
Phosphorus • • • • • • • • •
Potassium • • • • • •
Sodium • • • • • •
Sodium:potassium
ratio • • •
Total protein • • • • • • • • •
Triglycerides • • •
Uric acid • • • • • • • • •
Avian/exotic CBC • • • • • •
Plasma protein • • • • • •
Avian plasma protein •
electrophoresis

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Panels and Profiles Overview

Components of Exotic Mammals Panels and Profiles

Comprehensive Profile
Comprehensive Panel

Small-Mammal Mini
Ferret GI Profile

Small-Mammal

Small-Mammal
Dolphin Profile

Ferret Profile
Ferret Panel

Profile
Test Code 2594 1802 778 777 148 149 156
Albumin • • • • • •
Albumin:globulin ratio • • • • • •
ALP • • • • • •
ALT • • • • • • •
Amylase •
AST • • • • • • •
Bilirubin, conjugated •
Bilirubin, total • • • •
Bilirubin, unconjugated •
BUN • • • • • • •
BUN:creatinine ratio •
Calcium • • • • • • •
Chloride •
Cholesterol • • • • • •
CK • • • •
Creatinine • • • • • • •
GGT • • • • • •
Globulin • • • • • •
Glucose • • • • • • •
LDH •
Lipase •
Magnesium •
Phosphorus • • • • • • •
Potassium • • • • • •
IDEXX SDMA® Test* • • • • • • •
Sodium • • • • • •
Sodium:potassium ratio •
TCO2 (bicarbonate) •
Total protein • • • • • • •
Triglycerides •
Uric acid •
Comprehensive CBC • • • • •
Reticulocyte count •
Fibrinogen •
Serum iron •
Westergren sedimentation rate •
*IDEXX SDMA® Test is a new kidney test for dogs and cats.
No information is available on how to interpret SDMA in other species.
IDEXX Reference Laboratories Directory 5
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Panels and Profiles Overview

Equine and Large-Animal Panels and Profiles Overview

Components of Our General Large-Animal and Equine Panels and Profiles

Equine Early Detection Profile

Equine Early Detection Profile

Equine Early Detection Profile

Equine Early Detection Profile


McMasters Fecal Egg Count

McMasters Fecal Egg Count


Equine Custom Profile 2

with EIA by cELISA and

Large-Animal Profile 4
with EIA by AGID and

Large-Animal Profile
Large-Animal Panel
with EIA by cELISA

with EIA by AGID

Test Code 1335 3338 3349 3359 3360 113 11 2250


Albumin • • • • • • • •
Albumin:globulin ratio • • • • • • • •
ALP • • • • • • • •
ALT •
Anion gap • • •
AST • • • • • • • •
Bilirubin, conjugated • • •
Bilirubin, total • • • • • • • •
Bilirubin, unconjugated • • •
BUN • • • • • • • •
BUN:creatinine ratio • • •
Calcium • • • • • • • •
Chloride • • • • • • • •
Cholesterol • •
CK • • • • • • • •
Creatinine • • • • • • • •
GGT • • • • • • • •
Globulin • • • • • • • •
Glucose • • • • • • • •
LDH •
Magnesium • • • • •
Phosphorus • • • • • • • •
Potassium • • • • • • • •
Sodium • • • • • • • •
Sodium:potassium ratio • • •
TCO2 (bicarbonate) • • •
Total protein • • • • • • •
Comprehensive CBC • • • • • • •
Fibrinogen estimate by
heat precipitation • • • • • • •
EIA by cELISA • •
EIA by AGID • •
McMasters fecal egg
count • •
Plasma protein •

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Panels and Profiles Overview

Components of Our Diagnostic Equine Panels and Profiles

Equine Liver Profile


Equine Liver Panel
Sundrome Profile
Equine Metabolic
Equine Geriatric

Equine Geriatric

Equine Training

Equine Training
Equine Muscle
Profile 1

Profile 2

Panel 2

Profile
Panel
Test Code 3226 346 3227 28 26 2165 1336 270
Albumin • • • • •
Albumin:globulin ratio • • •
ALP • • • • •
Anion gap • • •
AST • • • • • •
Bile acids •
Bilirubin, conjugated • • • • •
Bilirubin, total • • • • •
Bilirubin, unconjugated • • • • •
BUN • • •
BUN:creatinine ratio • • •
Calcium • • •
Chloride • • •
Cholesterol • • •
CK • • • • • •
Creatinine • • •
GGT • • • • • •
Globulin • • • • •
Glucose • • • •
LDH •
Phosphorus • • •
Potassium • • •
SDH •
Sodium • • •
Sodium:potassium ratio • • •
TCO2 (bicarbonate) • • •
Total protein • • • • • •
Comprehensive CBC • • • • •
Fibrinogen estimate by
heat precipitation
• • • • •
Plasma protein •
Total T4 • •
Insulin • •

IDEXX Reference Laboratories Directory 7


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Standard vs. Comprehensive CBCs

Standard vs. Comprehensive CBCs


All CBCs performed at IDEXX utilize the most advanced technology available and include a
reticulocyte count (canine/feline only), regardless of anemia. IDEXX Reference Laboratories
offers a choice of a Standard CBC or a Comprehensive CBC, allowing you to select the best
option depending on your patient’s needs.
The Standard CBC option is available for canine, feline and equine patients. This option
provides an automated CBC, including hemogram with reticulocytes (for canine and feline),
five-part white blood cell (WBC) differential and platelets. Our Standard CBC option is
recommended when performing routine preanesthetic or preventive care screening on
clinically healthy patients. For these patients, the Standard CBC is an appropriate and
cost-effective option.
The Comprehensive CBC is the option recommended for sick patients. This option
includes the same components as a Standard CBC, as well as a blood smear evaluation
by a technician to evaluate for abnormal red and white blood cell morphology, unclassified
or immature cell lines, and blood parasites. A clinical pathologist review is automatically
included when unclassified cells are seen or when results are markedly abnormal based on
specific established criteria.
All CBC/chemistry profiles are also available in both Standard and Comprehensive CBC
versions. To order a profile with a Comprehensive CBC, use the default test code. To order
the same profile with a Standard CBC, add “9999” to the end of the default test code.

Understanding CBCs in this directory


Default test code includes the
Comprehensive CBC.

Add 9999 to the base code for


a Standard CBC.

In some cases, we strongly


recommend using the
Comprehensive CBC because
it may provide valuable,
additional information.
We indicate this with an icon.

Learn more about how to make the most of your CBC options at idexx.com/CBC.

8 IDEXX Reference Laboratories Directory


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Standard vs. Comprehensive CBCs

Standard CBC Comprehensive CBC


Hemogram
• RBC (red blood cells)

 
• Hematocrit
• Hemoglobin
•R ed blood cell indices
(MCV, MCHC, MCH)

WBC differential
• WBC (white blood cells)
• Neutrophils (% and absolute)
• Lymphocytes (% and absolute)
• Monocytes (% and absolute)
• Eosinophils (% and absolute)
• Basophils (% and absolute)
 
Platelets
 
Reticulocytes
• Performed on all canine and feline CBCs
• Includes % and absolute
reticulocyte count
 
Blood smear evaluation
• Verifies automated results
Only if


• Provides RBC and WBC
morphology markedly
• Identifies blood parasites, unclassified cells ABNORMAL*
and immature cell lines

Clinical pathologist review


• When results are markedly abnormal
•When unclassified cells If meets criteria†
are seen

*If automated results fall outside of established guidelines and the specimen is considered
significantly abnormal, a blood smear evaluation by a technician is performed. The
guidelines for a smear evaluation on a Standard CBC have been updated spring 2017.
†The criteria for a pathologist review were established by an international team of

pathologists, internal medicine specialists and operations specialists and have been
endorsed by the IDEXX Medical Review Board.

IDEXX Reference Laboratories Directory 9


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Turnaround Times

Results Delivery at a Glance


IDEXX is committed to providing the most timely and comprehensive diagnostic results to
our customers. We’ve indicated when you can expect results for every test in this directory
with the icon in the test description. The table below outlines the result delivery times you
can expect for the most common reference laboratory tests.

Test Pickup time Results delivery


Routine blood work and urinalysis Morning 6:00 p.m. same day
(chemistry, CBC, coagulation, Afternoon/evening 8:00 a.m. next morning
urinalysis, total T4)
Common infectious disease tests
(Lab 4Dx® Plus Test, heartworm antigen, All times 8:00 a.m. next morning
FIV and FeLV ELISAs)
Fecal Ova and Parasites Test All times 8:00 a.m. next morning‡
Fecal Dx™ Antigen Panels/Profiles All times 10:00 a.m. next morning‡
Cytology All times 3–5 working days (Standard)
1–2 working days (Priority)*
Histopathology All times 3–5 working days (Standard)
2–3 working days (Priority)†

All times are local to the submitting practice. Results delivery for all IDEXX tests is based on working days (Monday–Friday).
For IDEXX-Direct® service (FedEx®), times are central time. Specimens submitted for routine tests on Saturday using the
IDEXX-Direct service will have results delivered on Monday. Specimens submitted for routine tests using a Saturday courier
service will receive next-day results.

Turnaround times for send-out tests are estimates only and are dependent on the referral laboratory.

*Cytology priority requests submitted Friday are reported on Monday.



Histopathology priority requests submitted Friday are reported on Tuesday.
For fecal specimens submitted by the pet owner using the FecalChek™ Home Collection Kit, results are reported by noon
‡

the next day following receipt at the laboratory.

Note: There may be times when weather or operational considerations cause delays in providing test results. When this
happens, we will inform you as quickly as possible with the most complete information available.

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Test Index
Test Index

IDEXX Reference Laboratories Directory 11


Test Index

Test Index

A convenient index that organizes the full menu of tests categorically,


first by species, and then by disease and test type.
For even more tests offered by IDEXX Reference Laboratories, visit
vetconnectplus.com to utilize our Online Test Directory.

Canine/Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Avian/Exotic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Equine/Large-Animal. . . . . . . . . . . . . . . . . . . . . . . . . . 27

12 IDEXX Reference Laboratories Directory


Canine/Feline Test Index

Test Index
In This Index
Panels and Profiles . . . . . . . . . . . . . . . . . . . . . . . . 13–14
Cardiac Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Cytology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Dermatology. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Endocrinology/Reproduction. . . . . . . . . . . . . . . . . . . . . . 15
Fecal Tests/GI Infectious Agents . . . . . . . . . . . . . . . . . . . . . 16
Gastrointestinal/Pancreatic (Exocrine) Function. . . . . . . . . . . . . . . 16
Hematology/Coagulation . . . . . . . . . . . . . . . . . . . . . . 16–17
Histopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Immunology/Vaccine Titers . . . . . . . . . . . . . . . . . . . . . . 17
Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . 18–19
Lipid Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Liver Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Neurologic/Muscular Conditions . . . . . . . . . . . . . . . . . . . 20–21
Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Renal/Urinary Tract Disease. . . . . . . . . . . . . . . . . . . . . . 21
Respiratory Disease . . . . . . . . . . . . . . . . . . . . . . . . 21–22
Therapeutic Drug Monitoring/Toxicology . . . . . . . . . . . . . . . . . . 22
Urine Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Panels and Profiles


ADRChek® Profiles with Spec fPL® Test . . . . . . . . . . . . . . . . . . 38
Adult Annual . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Adult Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Adult Wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Chem 10–Chem 27 with IDEXX SDMA® Test. . . . . . . . . . . . . . . 57–58
Coccidioides and Ehrlichia canis Profiles . . . . . . . . . . . . . . . . . . 60
Diabetes Profile, Complete—Feline. . . . . . . . . . . . . . . . . . . . 65
Electrolyte Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Feline Combo™ Profiles. . . . . . . . . . . . . . . . . . . . . . . . 79
Feline Comprehensive Profiles . . . . . . . . . . . . . . . . . . . . . . 79
Feline Senior Profiles. . . . . . . . . . . . . . . . . . . . . . . . . 80
Feline Viral Plus. . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Geriatric Profiles. . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Geriatric Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
GI Profiles, Complete. . . . . . . . . . . . . . . . . . . . . . . . . 87
HealthChek™ Profiles. . . . . . . . . . . . . . . . . . . . . . . 89–91
Hyperthyroid Panels and Profiles . . . . . . . . . . . . . . . . . . . 92–93
Itchy Dog Panel and Profile . . . . . . . . . . . . . . . . . . . . . . . 96
Leptospirosis Profile—Canine . . . . . . . . . . . . . . . . . . . . . . 99
Liver Panels and Profiles . . . . . . . . . . . . . . . . . . . . . . . . 99
Lyme Quant C6® Monitoring Profile. . . . . . . . . . . . . . . . . . . . 100
NSAID Profile 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

IDEXX Reference Laboratories Directory 13


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Canine/Feline Test Index

Panels and Profiles, continued


Phenobarbital Monitoring Profile . . . . . . . . . . . . . . . . . . . . 105
Test Index

Pre-Op Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 106


Renal Panels and Profiles . . . . . . . . . . . . . . . . . . . . . 108–109
Senior Profiles. . . . . . . . . . . . . . . . . . . . . . . . . 113–114
Senior Screens . . . . . . . . . . . . . . . . . . . . . . . . . 115–116
Total Health™ Profiles . . . . . . . . . . . . . . . . . . . . . . 123–124
Young Adult Profiles . . . . . . . . . . . . . . . . . . . . . . . . . 130
Young Canine Maintenance Profile. . . . . . . . . . . . . . . . . . . . 130
Young Feline Maintenance Profile. . . . . . . . . . . . . . . . . . . . 130
Young Maintenance Panel. . . . . . . . . . . . . . . . . . . . . . . 130
Young Preanesthetic Panel and Profiles. . . . . . . . . . . . . . . . 130–131
Young Wellness Profiles. . . . . . . . . . . . . . . . . . . . . . 131–132

Cardiac Disease
Cardiopet® proBNP Test—Canine/Feline. . . . . . . . . . . . . . . . . . 56
Digoxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
HealthChek™ Profiles with Cardiopet® proBNP Test—Canine/Feline . . . . . . 89–90
Senior Screens with Cardiopet® proBNP Test—Canine/Feline . . . . . . . . . . 115
Taurine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Total Health™ Plus Profile with Cardiopet® proBNP Test—Canine . . . . . . . . 123
Troponin I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Cytology
Bone Marrow Cytology with Microscopic Description . . . . . . . . . . . . . 54
Cytology with Microscopic Description (Priority/Standard). . . . . . . . . . 62–63
Cytology without Microscopic Description (Priority/Standard). . . . . . . . . 62–63
Cytology, Professional Interest . . . . . . . . . . . . . . . . . . . . . 64
Cytology, Resubmission. . . . . . . . . . . . . . . . . . . . . . . . 63
Cytology, Second Opinion . . . . . . . . . . . . . . . . . . . . . . . 64
Fluid Analysis with Cytology (BAL/Body Cavity Effusion/CSF/Synovial) . . 63–64, 84–85
Immunophenotyping (Flow Cytometry) . . . . . . . . . . . . . . . . . 94–95
Semen Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Urine Cytology and Urinalysis. . . . . . . . . . . . . . . . . . . . . . 128

Dermatology
Aller-g-detect® Allergen Preliminary Panel. . . . . . . . . . . . . . . . . 41
Allergen Panel, Farm & Stable . . . . . . . . . . . . . . . . . . . . . . 42
Allergen Panel, Food. . . . . . . . . . . . . . . . . . . . . . . . . 42
Allergen Panel, Insect. . . . . . . . . . . . . . . . . . . . . . . . . 42
Allergen Panel, Malassezia Add-on. . . . . . . . . . . . . . . . . . . . 43
Allergen Panels, Secondary and Regional . . . . . . . . . . . . . . . . 43–45
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM) . . . . . . . . . . . . . . . . . . . . . . . 86
Itchy Dog Panel and Profile. . . . . . . . . . . . . . . . . . . . . . . 96
Ringworm (Dermatophyte) RealPCR™ Panel. . . . . . . . . . . . . . . . 111
Sarcoptes Antibody by ELISA—Canine . . . . . . . . . . . . . . . . . . 112

14 IDEXX Reference Laboratories Directory


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Canine/Feline Test Index

Endocrinology/Reproduction
Adrenal

Test Index
ACTH (Endogenous). . . . . . . . . . . . . . . . . . . . . . . . . 38
ACTH Stimulation . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Adrenal Panel (One Pre, One Post)—Canine/Feline . . . . . . . . . . . . . . 38
ALP, Corticosteroid-Induced (CIALP). . . . . . . . . . . . . . . . . . . 45
Cortisol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Dexamethasone Suppression. . . . . . . . . . . . . . . . . . . . . 64–65
Urine Cortisol:Creatinine Ratio . . . . . . . . . . . . . . . . . . . . . 127
Pancreatic (Endocrine)
Diabetes Profile, Complete—Feline. . . . . . . . . . . . . . . . . . . . 65
Fructosamine. . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Glucose/Glucose Curve—Canine/Feline . . . . . . . . . . . . . . . . . . 88
Insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Parathyroid
Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Hypercalcemia of Malignancy Profile. . . . . . . . . . . . . . . . . . . 92
Ionized Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Parathyroid Hormone (PTH) . . . . . . . . . . . . . . . . . . . . . . 104
Reproduction
Abortion RealPCR™ Panels—Canine/Feline . . . . . . . . . . . . . . . 35–36
Anti-Mullerian Hormone ELISA—Canine/Feline . . . . . . . . . . . . . . . . 47
Brucella canis. . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Estradiol Baseline (Estrogen)—Canine/Feline . . . . . . . . . . . . . . . . 75
HCG Stimulation (One Pre, One Post)—Canine/Feline. . . . . . . . . . . . . 89
Luteinizing Hormone. . . . . . . . . . . . . . . . . . . . . . . . . 99
Pre-Breeding Culture/Screen . . . . . . . . . . . . . . . . . . . . . . 106
Progesterone . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Relaxin (Canine Pregnancy Test) . . . . . . . . . . . . . . . . . . . . 108
Semen Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Testosterone. . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Thyroid
Free T4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
HealthChek™ Profile with Thyroid Comprehensive Screen—Canine. . . . . . . . 90
Hyperthyroid Panels/Profiles . . . . . . . . . . . . . . . . . . . . . 92–93
T3 Suppression . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
T4, Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Thyroglobulin Autoantibody—Canine . . . . . . . . . . . . . . . . . . . 119
Thyroid Comprehensive Screens—Canine . . . . . . . . . . . . . . . . 119
Thyroid Confirmation Panels—Canine. . . . . . . . . . . . . . . . 119–120
Thyroid Monitoring Panel . . . . . . . . . . . . . . . . . . . . . . . 120
Thyroid Panels 1–6. . . . . . . . . . . . . . . . . . . . . . . . 120–121
TSH, Endogenous—Canine . . . . . . . . . . . . . . . . . . . . . . 126

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Canine/Feline Test Index

Fecal Tests/GI Infectious Agents


Baermann (Lungworms) . . . . . . . . . . . . . . . . . . . . . . . 49
Test Index

Clostridium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Cryptosporidium . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Diarrhea RealPCR™ Panels—Canine/Feline . . . . . . . . . . . . . . . . . 66
Distemper Virus RealPCR™ Test—Canine. . . . . . . . . . . . . . . . . 67
E. coli O157:H7 Fecal Culture Screen . . . . . . . . . . . . . . . . . . . 68
Fecal Dx™ Antigen Panels . . . . . . . . . . . . . . . . . . . . . . . 76
Fecal Dx™ Profiles. . . . . . . . . . . . . . . . . . . . . . . . . 76–77
Fecal Enteric Pathogen Cultures. . . . . . . . . . . . . . . . . . . . . 77
Fecal Enteric Pathogen Culture Toxin Panel 1 . . . . . . . . . . . . . . . . 77
Fecal Exam Direct . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fecal Ova and Parasites. . . . . . . . . . . . . . . . . . . . . . . . 78
Fecal Ova and Parasites with Giardia . . . . . . . . . . . . . . . . . . . 78
Feline Coronavirus. . . . . . . . . . . . . . . . . . . . . . . . . . 79
Feline Panleukopenia . . . . . . . . . . . . . . . . . . . . . . . . . 80
Giardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™ Panels . . . . . . 92
Parvovirus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Rotavirus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Salmonella. . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Tritrichomonas blagburni (formerly T. foetus) RealPCR™ Test. . . . . . . . . . 125

Gastrointestinal/Pancreatic (Exocrine) Function


ADRChek® Profiles with Spec fPL® Test—Feline. . . . . . . . . . . . . . . 38
Amylase/Lipase . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Cobalamin (Vitamin B12) . . . . . . . . . . . . . . . . . . . . . . . . 60
Cobalamin and Folate. . . . . . . . . . . . . . . . . . . . . . . . . 60
Coccidioides and Ehrlichia canis Profile with Spec cPL® Test—Canine . . . . . . 61
Exocrine Pancreatic Insufficiency (EPI) Testing—
See Trypsin-Like Immunoreactivity . . . . . . . . . . . . . . . . . . . . . . . 125–126
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Feline ADR Combo™ Plus Profile . . . . . . . . . . . . . . . . . . . . 78
GI Panels with Spec cPL /Spec fPL Tests . . . . . . . . . . . . . . . . . 87
® ®

GI Profiles, Complete . . . . . . . . . . . . . . . . . . . . . . . . . 87
HealthChek™ Profiles with Spec cPL® Test—Canine. . . . . . . . . . . . 90–91
Senior Screen with Spec cPL® Test—Canine . . . . . . . . . . . . . . . . 116
Senior Screen with Spec fPL® Test—Feline. . . . . . . . . . . . . . . . 116
Spec cPL®/Spec fPL® Tests . . . . . . . . . . . . . . . . . . . . . . 116
Total Health™ Profiles with Spec cPL®/Spec fPL® Tests . . . . . . . . . . . . 124
Trypsin-Like Immunoreactivity (TLI), Cobalamin (Vitamin B12) and Folate . . . 125–126

Hematology/Coagulation
Anemia RealPCR™ Panels—Canine/Feline . . . . . . . . . . . . . . . 46–47
Blood Donor RealPCR™ Panels—Canine/Feline. . . . . . . . . . . . . . . 54
Blood Typing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

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Canine/Feline Test Index

CBC Comprehensive/Standard . . . . . . . . . . . . . . . . . . . . . 57
CBC, Smear Evaluation Add-on . . . . . . . . . . . . . . . . . . . . . 57

Test Index
Coagulation Panels and Profiles. . . . . . . . . . . . . . . . . . . . 59–60
Coombs (37°C)—Canine/Feline . . . . . . . . . . . . . . . . . . . . . 61
Cross-Match (Donor/Recipient) . . . . . . . . . . . . . . . . . . . . . 62
D-Dimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Feline Hemotropic Mycoplasma (FHM) RealPCR™ Test . . . . . . . . . . . . 80
Fibrinogen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Immune Panel/Profile 1—Canine . . . . . . . . . . . . . . . . . . . . . 93
Pathologist Review of CBC . . . . . . . . . . . . . . . . . . . . . . 105
Platelet Count. . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Pre-Op Profile (Includes PT/PTT) . . . . . . . . . . . . . . . . . . . . 106
PT and PTT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Reticulocytes. . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
von Willebrand Factor. . . . . . . . . . . . . . . . . . . . . . . . 129

Histopathology
Biopsy Recut Slide and H&E Stain . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Consultation. . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Preparation . . . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy with Microscopic Description. . . . . . . . . . . . . . . . . . . 51
Biopsy without Microscopic Description. . . . . . . . . . . . . . . . . . 51
Biopsy, Comprehensive Gastrointestinal Tract. . . . . . . . . . . . . . . . . 52
Biopsy, Entire Mammary Chain. . . . . . . . . . . . . . . . . . . . . 52
Biopsy, Professional Interest . . . . . . . . . . . . . . . . . . . . . . 52
Biopsy, Second Opinion. . . . . . . . . . . . . . . . . . . . . . . . 52
Immunohistochemistry Panels . . . . . . . . . . . . . . . . . . . . . 94
Liver Staining Panel Add-on to Biopsy . . . . . . . . . . . . . . . . . . . 99
Mast Cell Tumor Prognostic Panels—Canine . . . . . . . . . . . . . . . . 100
Necropsy, Multiple Tissue Specimens. . . . . . . . . . . . . . . . . . 102

Immunology/Vaccine Titers
2M Antibody (Antimasticatory Muscle Antibody) . . . . . . . . . . . . . . . 35
Acetylcholine Receptor Antibody Titer (Myasthenia Gravis). . . . . . . . . . . 37
Allergen Panels . . . . . . . . . . . . . . . . . . . . . . . . . . 41–45
Antinuclear Antibody (ANA) by IFA. . . . . . . . . . . . . . . . . . . . 47
Coombs (37°C)—Canine/Feline . . . . . . . . . . . . . . . . . . . . . 61
Distemper Antibody by SVN (Vaccine Titer)—Canine. . . . . . . . . . . . . 66
Feline Panleukopenia by HI (Vaccine Titer). . . . . . . . . . . . . . . . . 80
Immune Panels/Profiles. . . . . . . . . . . . . . . . . . . . . . . . 93
Masticatory Muscle Myositis—see 2M Antibody (Antimasticatory Muscle Antibody) . 35
Parvovirus Antibody by HI (Vaccine Titer)—Canine . . . . . . . . . . . . . 104
Protein Electrophoresis, Serum . . . . . . . . . . . . . . . . . . . . . 107
Rabies Serology (OIE FAVN/RFFIT). . . . . . . . . . . . . . . . . . . . 108
Vaccine Panels. . . . . . . . . . . . . . . . . . . . . . . . . . . 129

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Canine/Feline Test Index

Infectious Diseases
Infectious Disease Diagnostic Panels—Canine
Test Index

Abortion RealPCR™ Panels—Canine . . . . . . . . . . . . . . . . . . . 35


Anemia RealPCR™ Panels—Canine . . . . . . . . . . . . . . . . . . . 46
Blood Donor RealPCR™ Panel with Lab 4Dx® Plus Test—Canine . . . . . . . . 54
Canine Lungworm RealPCR™ Panel . . . . . . . . . . . . . . . . . . . 56
Conjunctivitis RealPCR™ Panel—Canine . . . . . . . . . . . . . . . . . 61
Diarrhea RealPCR™ Panels . . . . . . . . . . . . . . . . . . . . . 65–66
Export Panels . . . . . . . . . . . . . . . . . . . . . . . . . . 75–76
Fecal Dx™ Antigen Panels/Profiles . . . . . . . . . . . . . . . . . . 76–77
Fever of Unknown Origin RealPCR™ Panels—Canine . . . . . . . . . . . . . 82
Fungal Serology Panels . . . . . . . . . . . . . . . . . . . . . . . . 86
Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™ Panels. . . . . . 92
Lab 4Dx® Plus Test—Canine. . . . . . . . . . . . . . . . . . . . . . 97
Leptospira spp. Panel . . . . . . . . . . . . . . . . . . . . . . . . 98
Leptospirosis Profile . . . . . . . . . . . . . . . . . . . . . . . . . 99
Lyme Quant C6® Monitoring Profile . . . . . . . . . . . . . . . . . . . 100
Neurologic RealPCR™ Panels—Canine. . . . . . . . . . . . . . . . . 103
Respiratory Disease (CRD) RealPCR™ Panels—Canine . . . . . . . . . . . 110
Systemic Mycoses RealPCR™ Panel . . . . . . . . . . . . . . . . . . 118
Tick Serology Panels . . . . . . . . . . . . . . . . . . . . . . . . 121
Tick Profile with Lyme Quant C6® Test. . . . . . . . . . . . . . . . . . 122
Tick/Vector Comprehensive RealPCR™ Panels. . . . . . . . . . . . . . . 122
Tick/Vector RealPCR™ Panel (Tick Analysis) . . . . . . . . . . . . . . . 122
Uveitis RealPCR™ Panel—Canine. . . . . . . . . . . . . . . . . . . 129
Infectious Disease Diagnostic Panels—Feline
Abortion RealPCR™ Panels—Feline . . . . . . . . . . . . . . . . . . . 36
Anemia RealPCR™ Panels—Feline . . . . . . . . . . . . . . . . . . . 46
Blood Donor RealPCR™Panel with FeLV/FIV by ELISA—Feline . . . . . . . . . 54
Conjunctivitis RealPCR™ Panel—Feline . . . . . . . . . . . . . . . . . . 61
Diarrhea RealPCR™ Panels . . . . . . . . . . . . . . . . . . . . . . 66
Fecal Dx™ Antigen Panels/Profiles . . . . . . . . . . . . . . . . . . 76–77
Feline Viral Panels and Profiles. . . . . . . . . . . . . . . . . . . . 80–81
Feline Viral RealPCR™ Panel. . . . . . . . . . . . . . . . . . . . . . 81
Fever of Unknown Origin RealPCR™ Panels—Feline . . . . . . . . . . . . . 82
Fungal Serology Panels. . . . . . . . . . . . . . . . . . . . . . . . 86
Gingivitis RealPCR™ Panel—Feline . . . . . . . . . . . . . . . . . . . 88
Neurologic RealPCR™ Panels—Feline . . . . . . . . . . . . . . . . . . 103
Systemic Mycoses RealPCR™ Panel . . . . . . . . . . . . . . . . . . 118
Tick/Vector RealPCR™ Panel—Feline . . . . . . . . . . . . . . . . . . 122
Tick/Vector RealPCR™ Panel (Tick Analysis) . . . . . . . . . . . . . . . 122
Upper Respiratory Disease (URD) RealPCR™ Panels—Feline. . . . . . . . . 126
Uveitis RealPCR™ Panel—Feline . . . . . . . . . . . . . . . . . . . . 128

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Canine/Feline Test Index

Individual Disease Agent Testing


Anaplasma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Test Index
Aspergillus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Babesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Bartonella . . . . . . . . . . . . . . . . . . . . . . . . . . . 49–50
Blastomyces . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Brucella canis . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Canine Influenza . . . . . . . . . . . . . . . . . . . . . . . 56, 88, 96
Canine Pneumovirus. . . . . . . . . . . . . . . . . . . . . . . . . 56
Cat Scratch Fever—See Bartonella . . . . . . . . . . . . . . . . . . 49–50
Clostridium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Coccidioides . . . . . . . . . . . . . . . . . . . . . . . . . . 60–61
Cryptococcus. . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Cryptosporidium . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Distemper . . . . . . . . . . . . . . . . . . . . . . . . . . . 66–67
Ehrlichia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Feline Calicivirus. . . . . . . . . . . . . . . . . . . . . . . . . . 79
Feline Coronavirus (FCoV) . . . . . . . . . . . . . . . . . . . . . 79, 83
Feline Hemotropic Mycoplasma (FHM) . . . . . . . . . . . . . . . . . . 80
Feline Panleukopenia . . . . . . . . . . . . . . . . . . . . . . . . . 80
FeLV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
FIP Virus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
FIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM). . . . . . . . . . . . . . . . . . . . . . . 86
Giardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
H3N2 Canine Influenza Virus . . . . . . . . . . . . . . . . . . . . 88, 96
Heartworm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Knott’s Test—See Heartworm Microfilariae by Filter . . . . . . . . . . . . . 91
Leishmania spp. . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Leptospirosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Lyme. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Neospora caninum . . . . . . . . . . . . . . . . . . . . . . . . . 102
Parvovirus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Ringworm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Rocky Mountain Spotted Fever. . . . . . . . . . . . . . . . . . . . . 111
Rotavirus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Salmonella . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Sarcoptes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Toxoplasma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Tritrichomonas blagburni (formerly T. foetus) . . . . . . . . . . . . . . . 125
Valley Fever—See Coccidioides. . . . . . . . . . . . . . . . . . . 60–61
Lipid Disorders
Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Lipid Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Triglycerides and Cholesterol/Triglycerides, Fluid/Serum. . . . . . . . . . . . 125

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Canine/Feline Test Index

Liver Disease
ALP (Alkaline phosphatase). . . . . . . . . . . . . . . . . . . . . . . 45
Test Index

ALP, Corticosteroid-Induced (CIALP) . . . . . . . . . . . . . . . . . . . 45


ALT (Alanine Aminotransferase). . . . . . . . . . . . . . . . . . . . . 46
Ammonia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
AST (Aspartate Aminotransferase). . . . . . . . . . . . . . . . . . . . 47
Bile Acids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Bilirubin, Fraction . . . . . . . . . . . . . . . . . . . . . . . . . . 50
GGT (Gamma-Glutamyl Transferase) . . . . . . . . . . . . . . . . . . . 86
Leptospirosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Liver Panels and Profile . . . . . . . . . . . . . . . . . . . . . . . . 99
Liver Staining Panel (Add-on to Biopsy). . . . . . . . . . . . . . . . . . 99
Urine Bile Acids:Creatinine Ratio . . . . . . . . . . . . . . . . . . . . 127

Microbiology
Acid-Fast Stain for Mycobacteria . . . . . . . . . . . . . . . . . . . . . 37
Aerobic and Anaerobic Cultures . . . . . . . . . . . . . . . . . . . . . 39
Aerobic Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 39–40
Blood Culture. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Environmental Culture . . . . . . . . . . . . . . . . . . . . . . . . . 68
Fecal Enteric Pathogen Cultures. . . . . . . . . . . . . . . . . . . . . 77
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM) . . . . . . . . . . . . . . . . . . . . . . . 86
Gram Stains. . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Methicillin-Resistant Staphylococcus (MRS) Screening Culture. . . . . . . . . 101
Mycobacteria (Rapid-Growing) Culture. . . . . . . . . . . . . . . . . . 101
Mycoplasma Culture . . . . . . . . . . . . . . . . . . . . . . . . . 101
Pre-Breeding Culture/Screen . . . . . . . . . . . . . . . . . . . . . . 106
Urine Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 127–128

Neurologic/Muscular Conditions
2M Antibody (Antimasticatory Muscle Antibody) . . . . . . . . . . . . . . . 35
Acetylcholine Receptor Antibody Titer (Myasthenia Gravis). . . . . . . . . . . 37
Blastomyces. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Bromide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Coccidioides. . . . . . . . . . . . . . . . . . . . . . . . . . . 60–61
Creatine Kinase (CK, CPK) . . . . . . . . . . . . . . . . . . . . . . . 61
Cryptococcus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Distemper . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66–67
Fluid Analysis with Cytology (CSF/Synovial/Joint). . . . . . . . . . . . . 84–85
Magnesium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Masticatory Muscle Myositis—See 2M Antibody (Antimasticatory Muscle Antibody) . 35
Myasthenia Gravis—See Acetylcholine Receptor Antibody Titer. . . . . . . . . 37
Neospora caninum. . . . . . . . . . . . . . . . . . . . . . . . . . 102
Neurologic RealPCR™ Panels—Canine/Feline . . . . . . . . . . . . . . . 103
Phenobarbital. . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

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Canine/Feline Test Index

Phenobarbital and Bromide . . . . . . . . . . . . . . . . . . . . . . 105


Phenobarbital Monitoring Profile . . . . . . . . . . . . . . . . . . . . 105

Test Index
Toxoplasma. . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Oncology
Biopsy with Microscopic Description. . . . . . . . . . . . . . . . . . . 51
Biopsy, Entire Mammary Chain. . . . . . . . . . . . . . . . . . . . . 52
Bone Marrow Cytology. . . . . . . . . . . . . . . . . . . . . . . . 54
Cytology with Microscopic Description. . . . . . . . . . . . . . . . . 62–63
Fluid Analysis with Cytology. . . . . . . . . . . . . . . . . . 63–64, 84–85
Hypercalcemia of Malignancy Profile . . . . . . . . . . . . . . . . . . . 92
Immunohistochemistry Panels . . . . . . . . . . . . . . . . . . . . . 94
Immunophenotyping of Canine Lymphoma (Lymph Node). . . . . . . . . . . 94
Immunophenotyping of Lymphocytosis—Canine/Feline. . . . . . . . . . . . 95
Mast Cell Tumor Prognostic Panels . . . . . . . . . . . . . . . . . . . 100
Pathologist Review of CBC . . . . . . . . . . . . . . . . . . . . . . 105

Renal/Urinary Tract Disease


BUN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
BUN:Creatinine Ratio with IDEXX SDMA® Test. . . . . . . . . . . . . . . . 55
Creatinine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Ethylene Glycol (Qualitative) . . . . . . . . . . . . . . . . . . . . . . 75
Leptospira spp. . . . . . . . . . . . . . . . . . . . . . . . . . . 98–99
Lyme Quant C6® Monitoring Profile. . . . . . . . . . . . . . . . . . . . 100
Renal Panels/Profiles. . . . . . . . . . . . . . . . . . . . . . . 108–109
Renal RealPCR™ Panel with Lab 4Dx® Plus Test—Canine . . . . . . . . . . 109
IDEXX SDMA® Test. . . . . . . . . . . . . . . . . . . . . . . . . . 112
Senior Profiles with Reflex UPC (if Indicated) . . . . . . . . . . . . . . . . 114
Stone Analysis, Quantitative (Comprehensive) . . . . . . . . . . . . . . . 117
Urinalyses. . . . . . . . . . . . . . . . . . . . . . . . . . . 126–127
Urine Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 127–128
Urine Cytology and Urinalysis. . . . . . . . . . . . . . . . . . . . . . 128
Urine Protein:Creatinine Ratio. . . . . . . . . . . . . . . . . . . . . . 128
Urine, Routine Microscopic Exam (Sediment). . . . . . . . . . . . . . . . 128

Respiratory Disease
Baermann Test (Lungworms). . . . . . . . . . . . . . . . . . . . . . 49
Blastomyces. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Canine Influenza. . . . . . . . . . . . . . . . . . . . . . . . 56, 88, 96
Canine Lungworm RealPCR™ Panel. . . . . . . . . . . . . . . . . . . 56
Canine Pneumovirus RealPCR™ Test . . . . . . . . . . . . . . . . . . . 56
Coccidioides. . . . . . . . . . . . . . . . . . . . . . . . . . . 60–61
Conjunctivitis RealPCR™ Panel—Feline. . . . . . . . . . . . . . . . . . 61
Cryptococcus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Distemper . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66–67
Fluid Analysis with Cytology (BAL Cell Count) . . . . . . . . . . . . . . 84–85
H3N2 Canine Influenza Virus RealPCR™ Test. . . . . . . . . . . . . . . 88, 96

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Canine/Feline Test Index

Respiratory Disease, continued


Heartworm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Test Index

Respiratory Disease (CRD) RealPCR™ Panel­s—Canine. . . . . . . . . . . . 110


Systemic Mycoses RealPCR™ Panel. . . . . . . . . . . . . . . . . . . 118
Triglycerides Fluid/Triglycerides Serum/Triglycerides and Cholesterol . . . . . . . 125
Upper Respiratory Disease (URD) RealPCR™ Panel­­s—Feline. . . . . . . . . . 126
Valley Fever—See Coccidioides . . . . . . . . . . . . . . . . . . . 60–61

Therapeutic Drug Monitoring/Toxicology


Bromide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Diabetes Profile, Complete—Feline. . . . . . . . . . . . . . . . . . . . 65
Digoxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Ethylene Glycol (Qualitative) . . . . . . . . . . . . . . . . . . . . . . 75
Fructosamine. . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Glucose Curve . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Hyperthyroid Panels and Profiles . . . . . . . . . . . . . . . . . . . 92–93
Lead (Blood)— Avian/Mammals . . . . . . . . . . . . . . . . . . . . . 98
NSAID Profile 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Phenobarbital. . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Phenobarbital and Bromide . . . . . . . . . . . . . . . . . . . . . . 105
Phenobarbital Monitoring Profile . . . . . . . . . . . . . . . . . . . . 105
T4, Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Thyroid Monitoring Panel. . . . . . . . . . . . . . . . . . . . . . . 120

Urine Tests
Gram Stain, Direct Add-on to Urinalysis. . . . . . . . . . . . . . . . . . 88
Stone Analysis, Quantitative (Comprehensive) . . . . . . . . . . . . . . . 117
Urinalyses. . . . . . . . . . . . . . . . . . . . . . . . . . . 126–127
Urine Bile Acids:Creatinine Ratio. . . . . . . . . . . . . . . . . . . . 127
Urine Cortisol:Creatinine Ratio . . . . . . . . . . . . . . . . . . . . . 127
Urine Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 127–128
Urine Cytology and Urinalysis. . . . . . . . . . . . . . . . . . . . . . 128
Urine Protein:Creatinine Ratio. . . . . . . . . . . . . . . . . . . . . . 128
Urine, Routine Microscopic Exam (Sediment). . . . . . . . . . . . . . . . 128

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Avian/Exotic Test Index

Avian/Exotic Test Index

Test Index
In This Index
Panels and Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Cytology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Dermatology. . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Endocrinology/Reproduction. . . . . . . . . . . . . . . . . . . . . . 24
Gastrointestinal/Pancreatic (Exocrine) Disease. . . . . . . . . . . . . . . 24
Hematology/Coagulation . . . . . . . . . . . . . . . . . . . . . . . 24
Histopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . 24–25
Lipid Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Liver Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . 25–26
Neurologic/Muscular Conditions . . . . . . . . . . . . . . . . . . . . . 26
Nutrition/Toxicology. . . . . . . . . . . . . . . . . . . . . . . . . 26
Renal/Urinary Tract Disease. . . . . . . . . . . . . . . . . . . . . . 26
Respiratory Disease . . . . . . . . . . . . . . . . . . . . . . . . . 26

Panels and Profiles


Avian Comprehensive Panel and Profiles . . . . . . . . . . . . . . . . 47–48
Avian Intermediate Profile. . . . . . . . . . . . . . . . . . . . . . . 48
Avian Mini Panel and Profile . . . . . . . . . . . . . . . . . . . . . . 48
Dolphin Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Electrolyte Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Ferret GI Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Ferret Panel/Profile. . . . . . . . . . . . . . . . . . . . . . . . . . 82
Reptilian/Amphibian Comprehensive Panel and Profile . . . . . . . . . . . . 109
Reptilian/Amphibian Mini Profile . . . . . . . . . . . . . . . . . . . . 109
Small-Mammal Comprehensive Panel and Profile . . . . . . . . . . . . . . 116
Small-Mammal Mini Profile . . . . . . . . . . . . . . . . . . . . . . 116
Cytology
Bone Marrow Cytology with Microscopic Description . . . . . . . . . . . . . 54
Cytology with Microscopic Description—Priority/Standard . . . . . . . . . 62–63
Cytology without Microscopic Description—Priority/Standard. . . . . . . . 62–63
Cytology, Professional Interest . . . . . . . . . . . . . . . . . . . . . 64
Cytology, Resubmission. . . . . . . . . . . . . . . . . . . . . . . . 63
Cytology, Second Opinion . . . . . . . . . . . . . . . . . . . . . . . 64
Fluid Analysis with Cytology (BAL/Body Cavity Effusion/CSF/Synovial) . . 63–64, 84–85

Dermatology
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM) . . . . . . . . . . . . . . . . . . . . . . . 86
Psittacine Beak and Feather Disease (PBFD) by DNA Probe . . . . . . . . . . 107

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Avian/Exotic Test Index

Endocrinology/Reproduction
Avian Sexing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Test Index

Calcium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Ferret Androgen (Adrenal) Panel . . . . . . . . . . . . . . . . . . . . . 81
Glucose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Insulin by RIA—Exotics/Feline . . . . . . . . . . . . . . . . . . . . . . 96
Ionized Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
T4 by RIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Gastrointestinal/Pancreatic (Exocrine) Disease


Clostridium Fecal Toxins. . . . . . . . . . . . . . . . . . . . . . . . 59
Cryptosporidium . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
E. coli O157:H7 Fecal Culture Screen . . . . . . . . . . . . . . . . . . . 68
Fecal Cultures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fecal Exam, Direct. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fecal Ova and Parasites. . . . . . . . . . . . . . . . . . . . . . . . 78
Fecal Ova and Parasites with Giardia . . . . . . . . . . . . . . . . . . . 78
Fecal Ova and Parasites with Reflex Parasite Stain . . . . . . . . . . . . . . 78
Fecal Screens 1 and 2—Avian/Exotics . . . . . . . . . . . . . . . . . . 78
Ferret Diarrhea RealPCR™ Panel . . . . . . . . . . . . . . . . . . . . . 81
Ferret GI Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Giardia Antigen by DFA—Avian/Reptile. . . . . . . . . . . . . . . . . . 87
Hamster Wet Tail RealPCR™ Panel. . . . . . . . . . . . . . . . . . . . 89

Hematology/Coagulation
Avian/Exotic CBC with Plasma Protein . . . . . . . . . . . . . . . . . . . 48
CBC, Comprehensive . . . . . . . . . . . . . . . . . . . . . . . . . 57
Pathologist Review of CBC . . . . . . . . . . . . . . . . . . . . . . 105
Reticulocyte Count—Avian/Reptilian . . . . . . . . . . . . . . . . . . . 110

Histopathology
Biopsy Recut Slide and H&E Stain . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Consultation. . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Preparation . . . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy with Microscopic Description. . . . . . . . . . . . . . . . . . . 51
Biopsy without Microscopic Description. . . . . . . . . . . . . . . . . . 51
Biopsy, Professional Interest . . . . . . . . . . . . . . . . . . . . . . 52
Biopsy, Second Opinion. . . . . . . . . . . . . . . . . . . . . . . . 52
Necropsy, Fish (Multiple Tissue Specimens). . . . . . . . . . . . . . . . 101
Necropsy, Medium-Exotic . . . . . . . . . . . . . . . . . . . . . . . 102
Necropsy, Multiple Tissue Specimens. . . . . . . . . . . . . . . . . . 102
Necropsy, Small Whole Fish . . . . . . . . . . . . . . . . . . . . . . 102

Infectious Diseases
Aspergillus Panel—Avian . . . . . . . . . . . . . . . . . . . . . . . 47
Chlamydophila (Chlamydia) . . . . . . . . . . . . . . . . . . . . . 58–59
Clostridium Fecal Toxins. . . . . . . . . . . . . . . . . . . . . . . . 59

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Avian/Exotic Test Index

Cryptosporidium . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Distemper Virus (CDV) RealPCR™ Test . . . . . . . . . . . . . . . . . . 67

Test Index
E. coli O157:H7 Fecal Culture Screen . . . . . . . . . . . . . . . . . . . 68
Encephalitozoon cuniculi Panel—Rabbit. . . . . . . . . . . . . . . . . . 68
Ferret Diarrhea RealPCR™ Panel . . . . . . . . . . . . . . . . . . . . . 81
Giardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Guinea Pig Acute Disease RealPCR™ Panel. . . . . . . . . . . . . . . . . 88
Hamster Wet Tail RealPCR™ Panel. . . . . . . . . . . . . . . . . . . . 89
Mouse ADR RealPCR™ Panel . . . . . . . . . . . . . . . . . . . . . 101
Mycoplasma Culture . . . . . . . . . . . . . . . . . . . . . . . . . 101
Pasteurella. . . . . . . . . . . . . . . . . . . . . . . . . . 104–105
Polyoma/PBFD/Chlamydophila (Chlamydia) by DNA Probe—Avian. . . . . . . . 106
Polyoma/Psittacine Beak and Feather Disease (PBFD) by DNA Probe . . . . . . . 106
Polyomavirus by DNA Probe . . . . . . . . . . . . . . . . . . . . . . 106
Protein Electrophoresis, Plasma—Avian. . . . . . . . . . . . . . . . . . 107
Psittacine Beak and Feather Disease (PBFD). . . . . . . . . . . . . . . . 107
Rabbit ADR RealPCR™ Panel. . . . . . . . . . . . . . . . . . . . . . 107
Rat ADR RealPCR™ Panel. . . . . . . . . . . . . . . . . . . . . . . 108
Streptobacillus moniliformis. . . . . . . . . . . . . . . . . . . . . . 117
West Nile Virus Antibody by SVN. . . . . . . . . . . . . . . . . . . . 129

Lipid Disorders
Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Triglycerides and Cholesterol. . . . . . . . . . . . . . . . . . . . . . 125
Triglycerides, Fluid/Triglycerides, Serum. . . . . . . . . . . . . . . . . . 125

Liver Disease
ALT (Alanine Aminotransferase). . . . . . . . . . . . . . . . . . . . . 46
AST (Aspartate Aminotransferase). . . . . . . . . . . . . . . . . . . . 47
Bile Acids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
GGT (Gamma-Glutamyl Transferase) . . . . . . . . . . . . . . . . . . . 86
LDH (Lactate Dehydrogenase). . . . . . . . . . . . . . . . . . . . . . 98

Microbiology
Acid-Fast Stain for Mycobacteria . . . . . . . . . . . . . . . . . . . . . 37
Aerobic and Anaerobic Cultures . . . . . . . . . . . . . . . . . . . . . 39
Aerobic and Fungal Combination Cultures—Avian/Reptilian (Two Sites) . . . . . . 39
Aerobic and Fungal Cultures—Avian/Reptilian . . . . . . . . . . . . . . . . 39
Aerobic Combination Cultures—Avian/Reptilian (Two Sites). . . . . . . . . . . 39
Aerobic Culture (ID and Susceptibility)—Avian/Reptilian. . . . . . . . . . . . 40
Aerobic Culture (ID and Susceptibility)—Rabbit/Rodent . . . . . . . . . . . . 40
Blood Culture (One Timepoint) . . . . . . . . . . . . . . . . . . . . . 53
Environmental Culture . . . . . . . . . . . . . . . . . . . . . . . . . 68
Fecal Enteric Pathogen Cultures. . . . . . . . . . . . . . . . . . . . . 77
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM) . . . . . . . . . . . . . . . . . . . . . . . 86
Gram Stain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

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Avian/Exotic Test Index

Microbiology, continued
Gram Stain, Direct Add-on to Culture. . . . . . . . . . . . . . . . . . . 88
Test Index

Gram Stain, Direct Add-on to Urinalysis. . . . . . . . . . . . . . . . . . 88


Mycoplasma Culture . . . . . . . . . . . . . . . . . . . . . . . . . 101

Neurologic/Muscular Conditions
Creatine Kinase (CK, CPK) . . . . . . . . . . . . . . . . . . . . . . . 61
Distemper Virus (CDV) RealPCR™ Test . . . . . . . . . . . . . . . . . . 67
Encephalitozoon cuniculi Panel—Rabbit. . . . . . . . . . . . . . . . . . 68
Fluid Analysis with Cytology (CSF/Synovial/Joint). . . . . . . . . . . . . 84–85
Lead (Blood). . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Magnesium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Pasteurella. . . . . . . . . . . . . . . . . . . . . . . . . . 104–105
West Nile Virus Antibody by SVN. . . . . . . . . . . . . . . . . . . . 129

Nutrition/Toxicology
Lead (Blood). . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Trace Element Screen—Exotics. . . . . . . . . . . . . . . . . . . . . 124
Zinc (Blood)—Avian/Exotics. . . . . . . . . . . . . . . . . . . . . . 132
Renal/Urinary Tract Disease
BUN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Creatinine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Electrolyte Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Uric Acid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Urinalysis. . . . . . . . . . . . . . . . . . . . . . . . . . . 126–127

Respiratory Disease
Aspergillus Panel—Avian . . . . . . . . . . . . . . . . . . . . . . . 47
Chlamydophila (Chlamydia) . . . . . . . . . . . . . . . . . . . . . 58–59
Fluid Analysis with Cytology (BAL Cell Count) . . . . . . . . . . . . . . 84–85
Pasteurella. . . . . . . . . . . . . . . . . . . . . . . . . . 104–105
Triglycerides Fluid/Triglycerides Serum/Triglycerides and Cholesterol . . . . . . . 125

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Equine/Large-Animal Test Index

Equine/Large-Animal Test Index

Test Index
In This Index
Panels and Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Cytology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Dermatology. . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Endocrinology/Reproduction. . . . . . . . . . . . . . . . . . . . . . 28
Gastrointestinal/Pancreatic (Exocrine) Disease. . . . . . . . . . . . . . . 28
Hematology/Coagulation . . . . . . . . . . . . . . . . . . . . . . . 29
Histopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Immunology/Vaccine Titers . . . . . . . . . . . . . . . . . . . . . . 29
Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . 29–30
Lipid Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Liver Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . 30–31
Neurologic/Muscular Conditions . . . . . . . . . . . . . . . . . . . . . 31
Renal/Urinary Tract Disease. . . . . . . . . . . . . . . . . . . . . . 31
Respiratory Disease . . . . . . . . . . . . . . . . . . . . . . . . . 31
Therapeutic Drug Monitoring/Toxicology . . . . . . . . . . . . . . . . . . 31

Panels and Profiles


Equine Custom Profile 2. . . . . . . . . . . . . . . . . . . . . . . . 69
Equine Early Detection Profiles . . . . . . . . . . . . . . . . . . . . 70–71
Equine Geriatric Profiles. . . . . . . . . . . . . . . . . . . . . . . . 71
Equine Liver Panel/Profile . . . . . . . . . . . . . . . . . . . . . . 72–73
Equine Metabolic Syndrome Profile . . . . . . . . . . . . . . . . . . . . 73
Equine Muscle Panel 2 . . . . . . . . . . . . . . . . . . . . . . . . 73
Equine Training Panel/Profile. . . . . . . . . . . . . . . . . . . . . 74–75
Large-Animal Panel and Profiles . . . . . . . . . . . . . . . . . . . . . 97

Cytology
Bone Marrow Cytology with Microscopic Description . . . . . . . . . . . . . 54
Cytology with Microscopic Description (Priority/Standard). . . . . . . . . . 62–63
Cytology without Microscopic Description (Priority/Standard). . . . . . . . . 62–63
Cytology, Professional Interest . . . . . . . . . . . . . . . . . . . . . 64
Cytology, Resubmission. . . . . . . . . . . . . . . . . . . . . . . . 63
Cytology, Second Opinion . . . . . . . . . . . . . . . . . . . . . . . 64
Fluid Analysis with Cytology (BAL/Body Cavity Effusion/CSF/Synovial) . . 63–64, 84–85
Semen Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . 113

IDEXX Reference Laboratories Directory 27


Back to Table of Contents
Equine/Large-Animal Test Index

Dermatology
Aller-g-detect® Allergen Preliminary Panel—Equine. . . . . . . . . . . . . . 41
Test Index

Allergen Panel, Comprehensive Regional—Equine . . . . . . . . . . . . . . 42


Allergen Panel, Secondary Regional . . . . . . . . . . . . . . . . . . . 45
Corynebacterium pseudotuberculosis (Pigeon Fever) RealPCR™ Test . . . . . . . 61
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Endocrinology/Reproduction
Abortion/Postpartum Sick Mare RealPCR™ Panels. . . . . . . . . . . . . . 37
ACTH (Endogenous)—Equine . . . . . . . . . . . . . . . . . . . . . . 38
Calcium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Dexamethasone Suppression (One Pre, One Post)—Equine . . . . . . . . . . . 64
Equine Endocrine Profile with Endogenous ACTH. . . . . . . . . . . . . . . 71
Equine Geriatric Profiles. . . . . . . . . . . . . . . . . . . . . . . . 71
Equine Herpesvirus . . . . . . . . . . . . . . . . . . . . . . . . 71–72
Equine Metabolic Syndrome Profile . . . . . . . . . . . . . . . . . . . . 73
Estrone Sulfate by Kinetic ELISA—Equine . . . . . . . . . . . . . . . . . 75
HCG Stimulation Test (One Pre, One Post Testosterone)—Equine. . . . . . . . . 89
Infertile Mare RealPCR™ Panels. . . . . . . . . . . . . . . . . . . . . 95
Insulin by RIA—Canine/Equine. . . . . . . . . . . . . . . . . . . . . 96
Insulin Panel—Canine/Equine. . . . . . . . . . . . . . . . . . . . . . 96
Ionized Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Oral Sugar Tests. . . . . . . . . . . . . . . . . . . . . . . . 103–104
Parathyroid Hormone (PTH) . . . . . . . . . . . . . . . . . . . . . . 104
Pre-Breeding Culture/Screen . . . . . . . . . . . . . . . . . . . . . . 106
Progesterone by RIA—Large Animal . . . . . . . . . . . . . . . . . . . 107
Semen Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Testosterone . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Thyroid Panel (Complete)—Equine. . . . . . . . . . . . . . . . . . . . 120
Thyroid Panel 1—Equine. . . . . . . . . . . . . . . . . . . . . . . 120
Thyroid Panel 2 with FT4ED—Canine/Feline/Equine . . . . . . . . . . . . . 120
Thyroid Panel 7 with FT4ED—Equine. . . . . . . . . . . . . . . . . . . 121
TRH Stimulation Test—Equine. . . . . . . . . . . . . . . . . . . . . 125
Tritrichomonas foetus RealPCR™ Test—Bovine . . . . . . . . . . . . . . 125

Gastrointestinal/Pancreatic (Exocrine) Disease


Calcium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Clostridium spp. Fecal Toxins. . . . . . . . . . . . . . . . . . . . . . 59
E. coli O157:H7 Fecal Culture Screen . . . . . . . . . . . . . . . . . . . 68
Equine Diarrhea RealPCR™ Panels (Comprehensive/Standard). . . . . . . . . 69
Fecal Enteric Pathogen Cultures. . . . . . . . . . . . . . . . . . . . . 77
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Foal Diarrhea/Enterocolitis RealPCR™ Panel. . . . . . . . . . . . . . . . 85
Lawsonia intracellularis. . . . . . . . . . . . . . . . . . . . . . . 97–98
McMasters Fecal Egg Count—Large Animal. . . . . . . . . . . . . . . . 100
Salmonella spp. RealPCR™ tests . . . . . . . . . . . . . . . . . . . . 112

28 IDEXX Reference Laboratories Directory


Back to Table of Contents
Equine/Large-Animal Test Index

Hematology/Coagulation
Anaplasma phagocytophilum. . . . . . . . . . . . . . . . . . . . . . 46

Test Index
Babesia spp. RealPCR™ Test. . . . . . . . . . . . . . . . . . . . . . 49
CBC, Smear Evaluation Add-on . . . . . . . . . . . . . . . . . . . . . 57
Coagulation Panels and Profiles. . . . . . . . . . . . . . . . . . . . 59–60
Cross-Match (Donor/Recipient). . . . . . . . . . . . . . . . . . . . . 62
D-Dimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Equine Comprehensive/Standard CBC . . . . . . . . . . . . . . . . . . . 69
Equine Infectious Anemia . . . . . . . . . . . . . . . . . . . . . . . 72
Equine Tick Screens. . . . . . . . . . . . . . . . . . . . . . . . . 74
Equine Tick/Vector Panels . . . . . . . . . . . . . . . . . . . . . . . 74
Fecal Occult Blood. . . . . . . . . . . . . . . . . . . . . . . . . . 77
Fibrinogen Estimate by Heat Precipitation (Large Animal) . . . . . . . . . . . . 83
Pathologist Review of CBC . . . . . . . . . . . . . . . . . . . . . . 105
Platelet Counts. . . . . . . . . . . . . . . . . . . . . . . . . . . 105
PT and PTT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Histopathology
Biopsy Recut Slide and H&E Stain . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Consultation. . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy Slide Preparation . . . . . . . . . . . . . . . . . . . . . . . . 53
Biopsy with Microscopic Description. . . . . . . . . . . . . . . . . . . 51
Biopsy without Microscopic Description. . . . . . . . . . . . . . . . . . 51
Biopsy, Professional Interest . . . . . . . . . . . . . . . . . . . . . . 52
Biopsy, Second Opinion. . . . . . . . . . . . . . . . . . . . . . . . 52
Immunohistochemistry Panels . . . . . . . . . . . . . . . . . . . . . 94
Liver Staining Panel (Add-on to Biopsy). . . . . . . . . . . . . . . . . . 99
Necropsy, Multiple Tissue Specimens. . . . . . . . . . . . . . . . . . 102

Immunology/Vaccine Titers
Aller-g-detect® Allergen Preliminary Panel—Equine . . . . . . . . . . . . . . 41
Allergen Panel, Comprehensive Regional—Equine . . . . . . . . . . . . . . 42
Allergen Panel, Secondary Regional . . . . . . . . . . . . . . . . . . . 45
IgG by RID (Quantitative)—Equine. . . . . . . . . . . . . . . . . . . . 93
IgG Screen (Semiquantitative)—Equine . . . . . . . . . . . . . . . . . . 93
Protein Electrophoresis, Serum . . . . . . . . . . . . . . . . . . . . . 107

Infectious Diseases
Abortion/Postpartum Sick Mare RealPCR™ Panels. . . . . . . . . . . . . . 37
Anaplasma phagocytophilum. . . . . . . . . . . . . . . . . . . . . . 46
Babesia spp.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Coggins Test—See Equine Infectious Anemia. . . . . . . . . . . . . . . . 72
Corynebacterium pseudotuberculosis (Pigeon Fever) RealPCR™ Test . . . . . . . 61
Equine Diarrhea RealPCR™ Panels (Comprehensive/Standard). . . . . . . . . 69
Equine Herpesvirus . . . . . . . . . . . . . . . . . . . . . . . . 71–72
Equine Infectious Anemia . . . . . . . . . . . . . . . . . . . . . . . 72
Equine Neurologic Disease Panel . . . . . . . . . . . . . . . . . . . . . 73

IDEXX Reference Laboratories Directory 29


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Equine/Large-Animal Test Index

Infectious Diseases, continued


Equine Protozoal Myeloencephalitis (EPM) . . . . . . . . . . . . . . . . . 73
Test Index

Equine Respiratory RealPCR™ Panels . . . . . . . . . . . . . . . . . . . 74


Equine Tick Screens. . . . . . . . . . . . . . . . . . . . . . . . . 74
Equine Tick/Vector Panels . . . . . . . . . . . . . . . . . . . . . . . 74
Foal Diarrhea/Enterocolitis RealPCR™ Panel. . . . . . . . . . . . . . . . 85
Infertile Mare RealPCR™ Panels. . . . . . . . . . . . . . . . . . . . . 95
Lawsonia intracellularis. . . . . . . . . . . . . . . . . . . . . . . 97–98
Leptospira spp. . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Lyme by Multiplex Antibody—Equine . . . . . . . . . . . . . . . . . . . 99
Neorickettsia risticii (Ehrlichia risticii) Antibody by IFA (Potomac Horse Fever). . . . 102
Rhodococcus equi RealPCR™Test. . . . . . . . . . . . . . . . . . . . 110
Salmonella spp. RealPCR™ Tests . . . . . . . . . . . . . . . . . . . . 112
Strangles RealPCR™ Screen . . . . . . . . . . . . . . . . . . . . . . 117
Streptococcus equi subsp. equi . . . . . . . . . . . . . . . . . . 117–118
Tritrichomonas foetus RealPCR™ Test—Bovine . . . . . . . . . . . . . . 125
Uveitis RealPCR™ Panel—Equine . . . . . . . . . . . . . . . . . . . . 128
West Nile Virus IgM Antibody by Capture ELISA. . . . . . . . . . . . . . . 129

Lipid Disorders
Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Triglycerides and Cholesterol. . . . . . . . . . . . . . . . . . . . . . 125
Triglycerides, Fluid/Triglycerides, Serum. . . . . . . . . . . . . . . . . . 125

Liver Disease
ALP (Alkaline phosphatase). . . . . . . . . . . . . . . . . . . . . . . 45
Bile Acids (Single Sample) . . . . . . . . . . . . . . . . . . . . . . . 50
Bilirubin, Fraction . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Equine Liver Panels and Profiles . . . . . . . . . . . . . . . . . . . 72–73
GGT (Gamma-Glutamyl Transferase) . . . . . . . . . . . . . . . . . . . 86
LDH (Lactate Dehydrogenase). . . . . . . . . . . . . . . . . . . . . . 98
Liver Staining Panel (Add-on to Biopsy). . . . . . . . . . . . . . . . . . 99

Microbiology
Aerobic and Anaerobic Cultures . . . . . . . . . . . . . . . . . . . . . 39
Aerobic Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 39–40
Blood Culture. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Environmental Culture . . . . . . . . . . . . . . . . . . . . . . . . . 68
Fecal Enteric Pathogen Cultures. . . . . . . . . . . . . . . . . . . . . 77
Fungal Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Fungal Wet Mount (DTM) . . . . . . . . . . . . . . . . . . . . . . . 86
Gram Stain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Gram Stain, Direct Add-on to Culture. . . . . . . . . . . . . . . . . . . 88
Gram Stain, Direct Add-on to Urinalysis. . . . . . . . . . . . . . . . . . 88
Methicillin-Resistant Staphylococcus (MRS) Screening Culture. . . . . . . . . 101
Pre-Breeding Culture/Screen . . . . . . . . . . . . . . . . . . . . . . 106
Salmonella spp. RealPCR™ Tests with Culture . . . . . . . . . . . . . . . 112

30 IDEXX Reference Laboratories Directory


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Equine/Large-Animal Test Index

Streptococcus equi subsp. equi . . . . . . . . . . . . . . . . . . 117–118


Urine Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 127–128

Test Index
Neurologic/Muscular Conditions
AST (Aspartate Aminotransferase). . . . . . . . . . . . . . . . . . . . 47
Creatine Kinase (CK, CPK) . . . . . . . . . . . . . . . . . . . . . . . 61
Equine Herpesvirus . . . . . . . . . . . . . . . . . . . . . . . . 71–72
Equine Muscle Panel 2 . . . . . . . . . . . . . . . . . . . . . . . . 73
Equine Neurologic Disease Panel . . . . . . . . . . . . . . . . . . . . . 73
Equine Protozoal Myeloencephalitis (EPM) . . . . . . . . . . . . . . . . . 73
Equine Tick Screen . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Equine Training Panel/Profile. . . . . . . . . . . . . . . . . . . . . 74–75
Fluid Analysis with Cytology (CSF/Synovial/Joint). . . . . . . . . . . . . 84–85
LDH (Lactic Dehydrogenase). . . . . . . . . . . . . . . . . . . . . . 98
Lyme by Multiplex Antibody—Equine . . . . . . . . . . . . . . . . . . . 99
Magnesium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
West Nile Virus IgM Antibody by Capture ELISA. . . . . . . . . . . . . . . 129

Renal/Urinary Tract Disease


BUN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
BUN:Creatinine Ratio. . . . . . . . . . . . . . . . . . . . . . . . . 55
Calcium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Creatinine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Gram Stain, Direct Add-on to Urinalysis. . . . . . . . . . . . . . . . . . 88
Ionized Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
IDEXX SDMA™ Test . . . . . . . . . . . . . . . . . . . . . . . . . 112
Stone Analysis, Quantitative (Comprehensive) . . . . . . . . . . . . . . . 117
Urinalyses. . . . . . . . . . . . . . . . . . . . . . . . . . . 126–127
Urine Cultures . . . . . . . . . . . . . . . . . . . . . . . . . 127–128
Urine Protein:Creatinine Ratio. . . . . . . . . . . . . . . . . . . . . . 128
Urine, Routine Microscopic Exam (Sediment). . . . . . . . . . . . . . . . 128

Respiratory Disease
Coccidioides . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Equine Herpesvirus . . . . . . . . . . . . . . . . . . . . . . . . 71–72
Equine Respiratory RealPCR™ Panels . . . . . . . . . . . . . . . . . . . 74
Fluid Analysis with Cytology (BAL Cell Count) . . . . . . . . . . . . . . 84–85
Rhodococcus equi. . . . . . . . . . . . . . . . . . . . . . . . . . 110
Strangles RealPCR™ Screen . . . . . . . . . . . . . . . . . . . . . . 117
Streptococcus equi subsp. equi . . . . . . . . . . . . . . . . . . 117–118
Valley Fever—See Coccidioides . . . . . . . . . . . . . . . . . . . . . 60

Therapeutic Drug Monitoring/Toxicology


Equine Drug Screen Level 1 . . . . . . . . . . . . . . . . . . . . . . 70
T4, Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

IDEXX Reference Laboratories Directory 31


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Notes

32 IDEXX Reference Laboratories Directory


Alphabetical Test List
Alphabetical Test List

IDEXX Reference Laboratories Directory 33


Alphabetical Test List

Alphabetical Test List

Our multispecies test list provides detail on each test, including specimen collection
requirements, price and turnaround time.
For even more IDEXX Reference Laboratories tests, visit vetconnectplus.com to utilize
our Online Test Directory.

Symbol key Abbreviation key‡


S-CBC Standard CBCs include an automated differential. LTT Lavender-top tube (EDTA)
A blood smear evaluation is not performed on RTT Red-top tube
every specimen. See pages 8–9 for more details SST Serum separator tube
on Standard vs. Comprehensive CBCs.
GNTT Green-top tube

We strongly recommend using the test code with (lithium heparin)
the Comprehensive CBC. The Comprehensive
BTT Blue-top tube
CBC may provide valuable additional information
(sodium citrate)
in sick patients.
WTT White-top tube
Specimen requirements
(plain plastic tube)
Turnaround time


See Specimen Collection Tube and Swab Guide on pages 139–141 for detailed information.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

34 IDEXX Reference Laboratories Directory


Can’t find what you’re looking for? Call us at 1-888-433-9987.
Test Name Test Code Fee
A
#
 2M Antibody (Antimasticatory Muscle Antibody)† 1352 $157.09 B
1 mL serum
7–10 working days C

A D
Abortion Panels and Profile—Canine
Abortion Rea­lPCR™ Panel—Canine 3552 $82.19 E
Brucella canis, Campylobacter jejuni, canine distemper virus (CDV),
canine herpesvirus type 1 (CHV-1), Leptospira spp., minute virus F
(parvovirus type 1), Leishmania spp., Neospora caninum,
Salmonella spp. and Toxoplasma gondii RealPCR™ tests
G
 With Culture 3553 $100.19
Abortion Rea­lPCR™ Panel—Canine, aerobic culture with susceptibilities H
 Abortion Profile (Comprehensive)­—Canine 3554 $232.69
Brucella canis, Campylobacter jejuni, canine distemper virus I
(CDV), canine herpesvirus type 1 (CHV-1), Leptospira spp., minute
virus (parvovirus type 1), Leishmania spp., Neospora caninum, J
Salmonella spp., Streptococcus canis, Streptococcus dysgalactiae
subsp. equisimilis, Streptococcus equi subsp. zooepidemicus
and Toxoplasma gondii RealPCR™ tests, aerobic culture with K
susceptibilities, biopsy with microscopic description (up to 5 sites)
For RealPCR™ Panel: Fresh placental tissue (preferred); fresh fetal L
spleen, liver and kidney; and 2 mL fetal stomach contents and/or
2 mL EDTA whole blood (LTT) and 2 mL urine in a sterile container M
from bitch. Submit tissue, fluids and dry, plastic-stemmed swabs,
without transport media, in RTTs or empty, sterile containers.
Submit placental tissue and fetal specimens in separate containers
N
and label as “fetal” or “placental.” Collect specimens prior to
antibiotic administration; keep refrigerated. O
When ordering a panel that includes a culture, also submit either
one culture swab in transport media or one sterile container with P
pooled fresh placental tissue and fresh fetal lung.
When ordering a panel that includes a biopsy, also submit
Q
specimens in 10% formalin. Recommended sites for biopsies in
order of priority are placenta, fetal liver, fetal lung, maternal uterus,
fetal heart and fetal brain. R
1–3 working days; allow additional time for culture
S

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 35
Back to Test Index
Find real-time, comprehensive information in the Online Test Directory at vetconnectplus.com.

Test Name Test Code Fee


A
Abortion Panels and Profile—Feline 0 0
B  Abortion RealPCR™ Panel—Feline 3555 $72.09
Chlamydophila felis, feline coronavirus (FCoV), feline herpesvirus
C type 1 (FHV-1), feline panleukopenia virus, FeLV, FIV,
Leptospira spp. and Toxoplasma gondii RealPCR™ tests

D  With Culture 3556 $90.19


Abortion RealPCR™ Panel—Feline, aerobic culture with susceptibilities
E  Abortion Profile (Comprehensive)—Feline 3557 $240.89
Chlamydophila felis, feline coronavirus (FCoV), feline herpesvirus
F type 1 (FHV-1), feline panleukopenia virus, FeLV, FIV, Leptospira
spp., Streptococcus canis, Streptococcus dysgalactiae
subsp. equisimilis, Streptococcus equi subsp. zooepidemicus
G and Toxoplasma gondii RealPCR™ tests, aerobic culture with
susceptibilities, biopsy with microscopic description (up to 5 sites)
H For RealPCR™ Panel: Fresh placental tissue (preferred); fresh fetal
spleen, liver and kidney; and 2 mL fetal stomach contents and/or 2
I mL EDTA whole blood (LTT) and 2 mL urine in a
sterile container from queen. Submit tissue, fluids and dry, plastic-
stemmed swabs, without transport media, in RTTs or empty,
J
sterile containers. Submit placental tissue and fetal specimens
in separate containers and label as “fetal” or “placental.” Collect
K specimens prior to antibiotic administration; keep refrigerated.
When ordering a panel that includes a culture, also submit either
L one culture swab in transport media or one sterile container with
pooled fresh placental tissue and fresh fetal lung.
M When ordering a panel that includes a biopsy, also submit
specimens in 10% formalin. Recommended sites for biopsies in
order of priority are placenta, fetal liver, fetal lung, maternal uterus,
N fetal heart and fetal brain.
1–3 working days; allow additional time for culture
O

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

36 IDEXX Reference Laboratories Directory


Back to Test Index
Can’t find what you’re looking for? Call us at 1-888-433-9987.
Test Name Test Code Fee
A
Abortion RealPCR™ Panels—Equine 0 0
Abortion/Postpartum Sick Mare RealPCR™ Panel—Equine 3558 $92.19 B
Amycalotopsis spp., Bartonella spp., Candida albicans, Crossiella
equi, equine herpesvirus type 1 (EHV-1) and type 4 (EHV-4), C
Leptospira spp., Salmonella spp., Streptococcus dysgalactiae
subsp. equisimilis and Streptococcus equi subsp. zooepidemicus
RealPCR™ tests D
With Biopsy 3559 $171.79
E
Abortion/Postpartum Sick Mare RealPCR™ Panel—Equine, biopsy
with microscopic description (placental or endometrial)
F
Abortion RealPCR™ Panel with EAV and CEM—Equine 3562 $107.09
Amycalotopsis spp., Bartonella spp., Candida albicans, Crossiella
equi, equine arteritis virus (EAV), equine herpesvirus type 1 G
(EHV-1) and type 4 (EHV-4), Leptospira spp., Salmonella spp.,
Streptococcus dysgalactiae subsp. equisimilis, Streptococcus H
equi subsp. zooepidemicus and Taylorella equigenitalis (CEM)
RealPCR™ tests
I
With Biopsy 3563 $186.59
Abortion RealPCR™ Panel with EAV and CEM, biopsy with J
microscopic description (placental or endometrial)
Note: Biopsy will be read by a pathologist with a special interest in K
equine reproductive pathology.
For RealPCR™ Panel: Endometrial swab or Cytobrush®,
L
swab from clitoral fossa and sinus, and 2 mL EDTA whole blood
(LTT) and 2 mL urine in a sterile container from mare; keep
refrigerated. If available, also include 2 mL (0.1 mL minimum) M
umbilical cord blood (LTT), fresh placental tissue (from cotyledons),
fresh fetal spleen, fresh fetal lung and/or N
2 mL fetal stomach contents. Submit tissue, fluids and dry,
plastic-stemmed swabs, without transport media, in RTTs or empty,
O
sterile containers. Submit placental tissue and fetal specimens
in separate containers and label as “fetal” or “placental.” Collect
specimens prior to antibiotic administration. P
When ordering a panel that includes a biopsy, also include placental
or endometrial specimen in 10% formalin. Q
1–3 working days
 Acetylcholine Receptor Antibody Titer (Myasthenia Gravis)† 848 $182.79 R
2 mL serum
7–10 working days S
 Acid-Fast Stain for Mycobacteria 408 $74.29
T
Slide, culture swab or sterile container
1–2 working days
U
 ACTH Stimulation (One Pre, One Post)—Canine/Feline* 119 $89.29
Baseline cortisol, one post-ACTH cortisol V
1 mL serum per specimen; label tubes as “pre” and “post”
Daily W
 ACTH Stimulation (One Pre, Two Posts)—Canine/Feline* 125 $119.69
Baseline cortisol, two post-ACTH cortisols X
1 mL serum per specimen; label tubes as “pre” and either
“post 30 minutes,” “post one hour” or “post two hours” Y
Daily
Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 37
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Test Name Test Code Fee


A
 ACTH, Endogenous—Canine* 808 $116.69
B 1 mL EDTA plasma (spun, separated into a WTT [plain plastic
tube] with a plastic pipette, labeled as EDTA plasma, and frozen)
after an overnight fast
C
3–5 working days

D  ACTH, Endogenous—Equine* 1881 $116.69


1 mL EDTA plasma (spun, separated into a WTT [plain plastic
tube] with a plastic pipette, labeled as EDTA plasma, and frozen)
E
3–5 working days

F  ADRChek® Profile Plus with Spec fPL® Test—Feline 2732 $106.49


S-CBC 27329999 $98.99
G Chem 25 with IDEXX SDMA® Test, CBC,
Spec fPL® Test, total T4
H 2 mL serum (fasting specimen preferred), 1 mL LTT
1–2 working days
I ADRChek® Profile with Spec fPL® Test—Feline 2731 $99.89
S-CBC 27319999 $92.39
J Chem 25 with IDEXX SDMA® Test, CBC,
Spec fPL® Test
K 2 mL serum (fasting specimen preferred), 1 mL LTT
1–2 working days
L  Adrenal Panel (One Pre, One Post)—Canine/Feline*† 2088 $314.29
Baseline and post-ACTH cortisol, estradiol, androstenedione,
M progesterone, 17-hydroxyprogesterone, testosterone
2 mL serum per specimen (RTT only, no SST; spun, separated into
N an RTT or a WTT [plain plastic tube], and frozen; label tubes as
“pre” and “post”)
O 7–10 working days
 Adult Annual 2215 $71.29
P S-CBC 22159999 $63.79
Albumin, albumin:globulin ratio, ALP, ALT, amylase, total bilirubin,
Q BUN, calcium, chloride, cholesterol, creatinine, GGT, globulin,
glucose, phosphorus, potassium, IDEXX SDMA® Test, sodium,
R total protein, CBC
2 mL serum, 1 mL LTT
S 8:00 a.m.
 Adult Screen 1850 $88.09
T S-CBC 18509999 $80.59
Chem 25 with IDEXX SDMA® Test, CBC, urinalysis
U
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
8:00 a.m.
V
Adult Wellness 1272 $74.69
W S-CBC 12729999 $67.19
Chem 21 with IDEXX SDMA® Test, CBC
X 2 mL serum, 1 mL LTT
8:00 a.m.
Y

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

38 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Aerobic and Anaerobic Cultures 401 $124.99
Aerobic culture (organism ID and susceptibility), anaerobic culture B
(organism ID only)
Note: Direct Gram Stain Add-on (Test Code 402) available for
C
an additional charge.
One culture swab in transport media or tissue/fluid in sterile
container (no formalin); please specify site
D
Up to 3 working days for negative results, longer depending
on growth E
 Aerobic and Anaerobic Cultures (ID only) 40127 $73.69
F
Note: Susceptibilities may be added to the aerobic culture for an
additional charge (Test Code 4009) if requested within 3 days of
finalization of the culture. Direct Gram Stain Add-on (Test Code 402) G
available for an additional charge.
One culture swab in transport media or tissue/fluid in sterile H
container (no formalin); please specify site
Up to 3 working days for negative results, longer depending on growth I
Aerobic and Fungal Combination Cultures—Avian/Reptilian 419 $161.99
(Two Sites) J
Avian/reptilian aerobic cultures (organism ID and susceptibility),
Gram stains and fungal cultures for two sites (cloacal and choanal) K
One culture swab in transport media or tissue/fluid in sterile
container (no formalin) per site; please specify sites L
Up to 3 working days for negative results for aerobic culture,
longer depending on growth; fungal culture checked weekly, final M
report usually by 2–3 weeks, depending on growth
 Aerobic and Fungal Cultures—Avian/Reptilian 415 $117.79 N
Avian/reptilian aerobic culture (organism ID and susceptibility),
Gram stain, fungal culture
O
One culture swab in transport media or tissue/fluid in sterile
container (no formalin); please specify site
P
Up to 3 working days for negative results for aerobic culture,
longer depending on growth; fungal culture checked weekly, final
report usually by 2–3 weeks, depending on growth Q
 Aerobic Combination Cultures—Avian/Reptilian (Two Sites) 420 $150.89
R
Avian/reptilian aerobic cultures (organism ID and susceptibility)
and Gram stains for two sites (cloacal and choanal)
One culture swab in transport media or tissue/fluid in sterile S
container (no formalin) per site; please specify sites
Up to 3 working days for negative results, longer depending on growth T
 Aerobic Culture (ID and Susceptibility) 400 $91.99
U
Note: If two swabs are submitted from different sites (e.g., right and
left eye), please submit each swab with its own requisition form to
be plated separately. If you would prefer these swabs to be cultured V
together on the same plate under a single test code, please submit
together and indicate this on the requisition form. W
One culture swab in transport media or tissue/fluid in sterile
container (no formalin); please specify site X
Up to 3 working days for negative results, longer depending on growth
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 39
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Test Name Test Code Fee


A
 Aerobic Culture (ID and Susceptibility)—Avian/Reptilian 435 $100.29
B Aerobic culture (organism ID and susceptibility), Gram stain
One culture swab in transport media or tissue/fluid in sterile
container (no formalin); please specify site
C
Up to 3 working days for negative results, longer depending on growth
D  Aerobic Culture (ID and Susceptibility)—Rabbit/Rodent 437 $100.29
Aerobic culture (organism ID and small-mammal-specific
E susceptibility), Gram stain
One culture swab in transport media or tissue/fluid in sterile
F container (no formalin); please specify site
Up to 3 working days for negative results, longer depending on growth
G  Aerobic Culture (ID Only) 427 $57.79
Note: Susceptibilities may be added on for an additional charge (Test
H Code 4009) if requested within 3 days of finalization of the culture.
One culture swab in transport media or tissue/fluid in sterile
I container (no formalin); please specify site
Up to 3 working days for negative results, longer depending on growth
J Aerobic Ear Culture (ID and Susceptibility) 3860 $91.99
Note: If swabs for both left and right ears are submitted, they will
K be cultured together for a single culture result. If you wish to have
the left and right ears cultured separately, or the inner and outer
ears evaluated separately, please see Aerobic Ear Culture (ID and
L Susceptibility)—Two Sites (Test Code 3862).
Aerobic culture (organism ID and ear-specific susceptibility)
M
One culture swab in transport media or tissue/fluid in sterile
container (no formalin); please specify left or right ear
N
Up to 3 working days for negative results, longer depending on growth
Aerobic Ear Culture (ID and Susceptibility)—Two Sites 3862 $142.19
O
Note: Includes separate cultures for two ear sites (left and right ears
or inner and outer ears). Please indicate sites on culture swabs.
P If you would prefer that the sites be cultured together as a single
culture, please see Aerobic Ear Culture (ID and Susceptibility)(Test
Q Code 3860).
Aerobic culture (organism ID and ear-specific susceptibility) for two
R sites (left and right ears or inner and outer ears)
One culture swab per site in transport media or tissue/fluid in
S sterile container (no formalin); please specify left, right, inner or
outer ear
T Up to 3 working days for negative results, longer depending on growth
 Aerobic Eye Culture (ID and Susceptibility) 414 $96.19
U Aerobic culture (organism ID and eye-specific susceptibility)
One culture swab in transport media or tissue/fluid in sterile
V container (no formalin); please specify left or right eye,
conjunctival or corneal scraping
W Up to 3 working days for negative results, longer depending on growth
 Aerobic Urine Culture X X
X See Urine Culture and MIC Susceptibility

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

40 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Albumin 200 $23.39
1 mL serum B
8:00 a.m.
Allergen Panels C
Note: To view a complete list of environmental allergens and testing options by region,
refer to the Regional Allergen Guide on pages 160–177. D
To select the correct regional panel for your geographic area, use the ZIP Code-based
region look-up tool available at idexx.com/allergy, or call Laboratory Customer Support E
at 1-888-433-9987. Submission of a Pet History Form is recommended. Download form
at vetconnect.com or call Laboratory Customer Support to request a form.
Allergen-specific immunotherapy prescriptions are available for environmental allergens (ordering F
information will be provided with results). Immunotherapy is not available for food allergens
or for Malassezia. There is no scientific evidence to support serum allergen testing for food G
allergens. A strict hypoallergenic dietary trial is the preferred method for diagnosis of food
sensitivity/allergy. H
 Aller-g-detect® Allergen Preliminary Panel—Canine/Feline 3478 $23.09
I
This is a qualitative assay that tests for the presence of
allergen-specific IgE against four different representative
environmental allergen groups (mites/molds, grasses, weeds, and J
trees). For a quantitative analysis against unique allergens for your
geographic area, please see the Allergen Panels, Regional— K
Canine/Feline.
Note: Immunotherapy prescriptions cannot be formulated based on L
Aller-g-detect® Allergen Preliminary Panel results. Submission of 5
mL serum is recommended to allow add-on of additional allergen
testing for patients that test positive on the preliminary panel. M
1 mL serum
N
2–4 working days
 Aller-g-detect® Allergen Preliminary Panel—Equine 3479 $31.49
O
This is a qualitative assay that tests for the presence of
allergen-specific IgE against six different representative
environmental allergen groups (mites, molds, insects, grasses, P
weeds and trees).
For a quantitative analysis against unique allergens for your Q
geographic area, please see the Allergen Panel, Comprehensive
Regional—Equine. R
Note: Immunotherapy prescriptions cannot be formulated based on
Aller-g-detect® Allergen Preliminary Panel results. Submission of 6
S
mL serum is recommended to allow add-on of additional allergen
testing for patients that test positive on the preliminary panel.
T
1 mL serum
2–4 working days
U

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 41
Back to Test Index
Find real-time, comprehensive information in the Online Test Directory at vetconnectplus.com.

Test Name Test Code Fee


A
Allergen Panels, continued
B Note: To view a complete list of environmental allergens and testing options by region,
refer to the Regional Allergen Guide on pages 160–177.
To select the correct regional panel for your geographic area, use the ZIP Code-based
C
region look-up tool available at idexx.com/allergy, or call Laboratory Customer Support
at 1-888-433-9987. Submission of a Pet History Form is recommended. Download form
D at vetconnect.com or call Laboratory Customer Support to request a form.
Allergen-specific immunotherapy prescriptions are available for environmental allergens (ordering
E information will be provided with results). Immunotherapy is not available for food allergens
or for Malassezia. There is no scientific evidence to support serum allergen testing for food
allergens. A strict hypoallergenic dietary trial is the preferred method for diagnosis of food
F
sensitivity/allergy.
Allergen Panel, Comprehensive Regional—Equine 0 $236.19
G
Maritime Northwest 3301

H California 3302
Interior West 3303
I Lowland Southwest 3304
Tropical 3305
J Northeast/Great Lakes 3306
Midwest/Prairies 3307
K South Atlantic/Gulf 3308
IgE for 72 allergens, including the Regional Allergen Panel (48 common
L geographically specific environmental allergens, including pollens [from weeds,
trees and grasses], molds, flea and mites), the Insect Allergen Panel (12 insect
M allergens), and the Farm & Stable Allergen Panel (12 allergens common to the farm
and stable).
N 5 mL serum, completed Pet History Form (recommended)
2–4 working days
O Allergen Panel, Farm & Stable—Canine/Feline 3292 $68.69
IgE for 12 common farm & stable allergens, including cat dander, grain dusts,
P grain smuts, molds (Candida albicans and Rhodotorula mucilaginosa) and pollens
(alfalfa, bromegrass, red clover, corn, cultivated oats, cultivated rye and orchard grass).
Q 1 mL serum, completed Pet History Form (recommended)
2–4 working days
R  Allergen Panel, Food—Canine/Feline 3293 $93.39
IgE for 24 common pet food components, including barley, beef, beet pulp,
S brewer’s yeast, chicken, corn, duck, eggs (chicken), ground flaxseed, kangaroo, lamb,
liver (beef), milk (cow), oats, pinto beans, pork, potato (white), rabbit, rice, soybean,
T turkey, venison, wheat and whitefish (cod, flounder, halibut, mackerel, tuna).
Note: Immunotherapy is not available for food allergens. There is no scientific
evidence to support serum allergen testing for food allergens. A strict hypoallergenic
U
dietary trial is the preferred method for diagnosis of food sensitivity/allergy.
2 mL serum, completed Pet History Form (recommended)
V
2–4 working days

W  Allergen Panel, Insect—Canine/Feline 3291 $68.69


IgE for 12 common insect allergens, including American cockroach, black ant,
caddisfly, Culicoides, deerfly, fire ant, German cockroach, horsefly, housefly,
X
Lepidoglyphus destructor (storage mite), mayfly and mosquito.
1 mL serum, completed Pet History Form (recommended)
Y
2–4 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

42 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
Allergen Panels, continued
 Allergen Panel, Malassezia Add-on—Canine/Feline 3299 $14.49 B
IgE for Malassezia
Note: Add-on to any canine or feline allergen panel. C
Immunotherapy is not available for Malassezia.
1 mL serum, completed Pet History Form (recommended) D
2–4 working days
 Allergen Panel, Regional—Canine/Feline 0 $100.89 E
Maritime Northwest 3283
California 3284 F
Interior West 3285
G
Lowland Southwest 3286
Tropical 3287
H
Northeast/Great Lakes 3288
Midwest/Prairies 3289 I
South Atlantic/Gulf 3290
IgE for 36 common core environmental allergens plus IgE for an additional J
12 environmental allergens specific to the selected region. Allergens
tested include pollens (from weeds, trees and grasses), molds, flea and mites. K
2 mL serum, completed Pet History Form (recommended)
2–4 working days L
 Allergen Panel, Regional with Farm & Stable—Canine/Feline $135.49
Maritime Northwest 32835 M
California 32845
Interior West 32855 N
Lowland Southwest 32865
Tropical 32875 O
Northeast/Great Lakes 32885
P
Midwest/Prairies 32895
South Atlantic/Gulf 32905
Q
Regional Allergen Panel and Farm & Stable Allergen Panel.
3 mL serum, completed Pet History Form (recommended) R
2–4 working days
 Allergen Panel, Regional with Farm & Stable and Insect— 0 $170.19 S
Canine/Feline
Maritime Northwest 32837 T
California 32847
Interior West 32857 U
Lowland Southwest 32867
Tropical 32877 V
Northeast/Great Lakes 32887
Midwest/Prairies 32897 W
South Atlantic/Gulf 32907
X
Regional Allergen Panel, Farm & Stable Allergen Panel and
Insect Allergen Panel.
Y
4 mL serum, completed Pet History Form (recommended)
2–4 working days
Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 43
Back to Test Index
Find real-time, comprehensive information in the Online Test Directory at vetconnectplus.com.

Test Name Test Code Fee


A
Allergen Panels, continued
B Note: To view a complete list of environmental allergens and testing options by region,
refer to the Regional Allergen Guide on pages 160–177.
To select the correct regional panel for your geographic area, use the ZIP Code-based
C
region look-up tool available at idexx.com/allergy, or call Laboratory Customer Support
at 1-888-433-9987. Submission of a Pet History Form is recommended. Download form
D at vetconnect.com or call Laboratory Customer Support to request a form.
Allergen-specific immunotherapy prescriptions are available for environmental allergens (ordering
E information will be provided with results). Immunotherapy is not available for food allergens
or for Malassezia. There is no scientific evidence to support serum allergen testing for food
allergens. A strict hypoallergenic dietary trial is the preferred method for diagnosis of food
F
sensitivity/allergy.
 Allergen Panel, Regional with Food—Canine/Feline 0 $176.49
G
Maritime Northwest 32833

H California 32843
Interior West 32853
I Lowland Southwest 32863
Tropical 32873
J Northeast/Great Lakes 32883
Midwest/Prairies 32893
K South Atlantic/Gulf 32903
Regional Allergen Panel and Food Allergen Panel.
L
3 mL serum, completed Pet History Form (recommended)
2–4 working days
M
 Allergen Panel, Regional with Food and Insect—Canine/Feline 0 $211.09
N Maritime Northwest 32834
California 32844
O Interior West 32854
Lowland Southwest 32864
P Tropical 32874
Northeast/Great Lakes 32884
Q Midwest/Prairies 32894
South Atlantic/Gulf 32904
R
Regional Allergen Panel, Food Allergen Panel and Insect Allergen Panel.
4 mL serum, completed Pet History Form (recommended)
S
2–4 working days
T

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

44 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
Allergen Panels, continued
 Allergen Panel, Regional with Food, Insect and Farm & Stable— 0 $245.79 B
Canine/Feline
Maritime Northwest 32836 C
California 32846
Interior West 32856 D
Lowland Southwest 32866
Tropical 32876 E
Northeast/Great Lakes 32886
Midwest/Prairies 32896 F
South Atlantic/Gulf 32906
Regional Allergen Panel, Food Allergen Panel, Insect Allergen Panel and G
Farm & Stable Allergen Panel.
5 mL serum, completed Pet History Form (recommended) H
2–4 working days
I
 Allergen Panel, Regional with Insect—Canine/Feline 0 $135.49
Maritime Northwest 32832
J
California 32842
Interior West 32852
K
Lowland Southwest 32862
Tropical 32872 L
Northeast/Great Lakes 32882
Midwest/Prairies 32892 M
South Atlantic/Gulf 32902
Regional Allergen Panel and Insect Allergen Panel. N
3 mL serum, completed Pet History Form (recommended)
2–4 working days O

 Allergen Panel, Secondary Regional Add-on—Canine/Feline/Equine $68.69


P
Maritime Northwest 32831
California 32841
Q
Interior West 32851
Lowland Southwest 32861 R
Tropical 32871
Northeast/Great Lakes 32881 S
Midwest/Prairies 32891
South Atlantic/Gulf 32901 T
IgE for an additional 12 environmental allergens specific to the selected region.
U
Note: To be added on to a Regional Allergen Panel. Use for patients who spend
significant time in more than one geographic region or reside near the border of two
geographic regions. V
1 mL serum, completed Pet History Form (recommended)
2–4 working days W
 ALP (Alkaline phosphatase) 201 $23.39
X
1 mL serum
8:00 a.m.
Y
 ALP, Corticosteroid-Induced (CIALP) 2273 $70.69
1 mL serum Z
3–5 working days
S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 45
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Find real-time, comprehensive information in the Online Test Directory at vetconnectplus.com.

Test Name Test Code Fee


A
 ALT (Alanine Aminotransferase) 225 $23.39
B 1 mL serum
8:00 a.m.
C  Ammonia* 202 $86.59
1 mL EDTA or heparinized plasma (spun, separated into an RTT or
D a WTT [plain plastic tube], labeled as plasma, and frozen)
1–2 working days
E  Amylase/Lipase 124 $32.19
Add-on 2032 $25.29
F 1 mL serum
8:00 a.m.
G
 Anaplasma phagocytophilum Antibody by IFA—Canine 721 $74.79
1 mL serum
H
1–3 working days

I  Anaplasma phagocytophilum Antibody by IFA—Equine 7721 $86.19


2 mL serum
J 7–10 working days
 Anaplasma spp. RealPCR™ Test 2824 $51.19
K Anaplasma phagocytophilum and Anaplasma platys RealPCR™ tests
2 mL EDTA whole blood (LTT); keep refrigerated.
L Collect specimen prior to antibiotic administration.
1–3 working days; allow additional time for speciation
M if Anaplasma spp. PCR positive
 Anemia RealPCR™ Panel—Canine 2938 $88.29
N Anaplasma spp., Babesia spp., Canine Hemotropic Mycoplasma,
Ehrlichia spp., Hepatozoon spp., Leptospira spp. and Rocky Mountain
O spotted fever (Rickettsia rickettsii) RealPCR™ tests. Includes
speciation for Anaplasma spp., Babesia spp. and
Ehrlichia spp. if PCR positive.
P
2 mL EDTA whole blood (LTT) and 2 mL urine in a sterile
container; keep refrigerated. Collect specimens prior to antibiotic
Q administration.
1–3 working days; allow additional time for speciation if
R Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive
 Anemia RealPCR™ Panel with Lab 4Dx® Plus Test—Canine 2907 $100.59
S Anaplasma spp., Babesia spp., Canine Hemotropic Mycoplasma,
Ehrlichia spp., Hepatozoon spp., Leptospira spp. and Rocky Mountain
T spotted fever (Rickettsia rickettsii) RealPCR™ tests,
Lab 4Dx® Plus Test. Includes speciation for Anaplasma spp.,
U Babesia spp. and Ehrlichia spp. if PCR positive.
1 mL serum for ELISAs, 2 mL EDTA whole blood (LTT) and 2 mL
urine in a sterile container for RealPCR tests; keep refrigerated.
V
Collect specimens prior to antibiotic administration.
1–3 working days; allow additional time for speciation if
W Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

46 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Anemia RealPCR™ Panel—Feline 3572 $86.89
Anaplasma spp., Bartonella spp., Cytauxzoon felis, Ehrlichia spp., B
Feline Hemotropic Mycoplasma (FHM), FeLV and FIV RealPCR™
tests. Includes speciation for Anaplasma spp. and Ehrlichia spp. if
PCR positive. Includes subtyping for FIV if PCR positive. C
2 mL EDTA whole blood (LTT); keep refrigerated. Collect specimen
prior to antibiotic administration. D
1–3 working days; allow additional time for speciation or
subtyping if Anaplasma spp., Ehrlichia spp. or FIV PCR positive E
 Anemia RealPCR™ Panel with FeLV/FIV by ELISA—Feline 2906 $105.89
Anaplasma spp., Bartonella spp., Cytauxzoon felis, Ehrlichia spp., F
Feline Hemotropic Mycoplasma (FHM), FeLV and FIV RealPCR™
tests, FeLV antigen and FIV antibody by ELISA. Includes speciation G
for Anaplasma spp. and Ehrlichia spp. if PCR positive. Includes
subtyping for FIV if PCR positive.
H
1 mL serum for ELISAs, 2 mL EDTA whole blood (LTT) for
RealPCR tests; keep refrigerated. Collect specimens prior to
I
antibiotic administration.
1–3 working days; allow additional time for speciation or
subtyping if Anaplasma spp., Ehrlichia spp. or FIV PCR positive J

Anti-Müllerian Hormone ELISA—Canine/Feline† 3655 $142.59


K
Note: Recommended only for dogs and cats who have reached
reproductive maturity and are at least 30 days post-spay surgery.
L
1 mL serum (RTT only, no SST); spun and separated into an RTT
or WTT and frozen after an overnight fast
7–10 working days M

 Antinuclear Antibody (ANA) by IFA 700 $59.19


N
Add-on 7001 $53.79
1 mL serum
O
2–3 working days
 Aspergillus Antibody by AGID—Non-Avian 1021 $84.09 P
1 mL serum
2–6 working days Q
 Aspergillus Panel—Avian† 3105 $159.79
Aspergillus antibody by ELISA, antigen (galactomannan), R
avian plasma protein electrophoresis
0.3 mL heparinized plasma (no hemolysis or lipemia) S
5–7 working days
 AST (Aspartate Aminotransferase) 224 $23.39
T
1 mL serum
U
8:00 a.m.
 Avian Comprehensive Panel 2786 $57.69
V
Albumin, albumin:globulin ratio, amylase, AST, bile acids,
BUN, calcium, calcium:phosphorus ratio, chloride, cholesterol,
CK, GGT, globulin, glucose, phosphorus, potassium, sodium, W
sodium:potassium ratio, total protein, triglycerides, uric acid
0.3 mL heparinized plasma (preferred) or serum X
8:00 a.m.
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 47
Back to Test Index
Find real-time, comprehensive information in the Online Test Directory at vetconnectplus.com.

Test Name Test Code Fee


A
 Avian Comprehensive Profile 2787 $86.19
B Avian Comprehensive Panel, avian/exotic CBC, plasma protein
0.3 mL heparinized plasma (preferred) or serum,
C 0.3 mL LTT/GNTT for manual WBC, two blood smears
1–3 working days
D  Avian Comprehensive Plus 2788 $159.19
Avian Comprehensive Profile, avian plasma protein electrophoresis
E 0.6 mL heparinized plasma, 0.3 mL LTT/GNTT for manual WBC,
two blood smears
F 4–5 working days
 Avian Intermediate Profile 131 $103.69
G Albumin, albumin:globulin ratio, ALP, amylase, AST, calcium,
cholesterol, CK, globulin, glucose, LDH, phosphorus, potassium,
H sodium, total protein, uric acid, avian/exotic CBC,
plasma protein
I 0.3 mL heparinized plasma (preferred) or serum,
0.3 mL LTT/GNTT for manual WBC, two blood smears
1–3 working days
J
 Avian Mini Panel 2793 $43.89
K Albumin, AST, calcium, calcium:phosphorus ratio, cholesterol, CK,
glucose, phosphorus, total protein, uric acid
L 0.3 mL heparinized plasma (preferred) or serum
8:00 a.m.
M  Avian Mini Profile 2794 $68.19
Avian Mini Panel, avian/exotic CBC, plasma protein
N 0.3 mL heparinized plasma (preferred) or serum,
0.3 mL LTT/GNTT for manual WBC, two blood smears
O 1–3 working days
 Avian Sexing† 1703 $69.49
P Note: Please call for more information or see protocol on
vetconnectplus.com for detailed specimen collection instructions.
Q Please specify breed.
0.1 mL whole blood (LTT or GNTT), blood collection card
R or 10–15 plucked feathers
3–5 working days
S  Avian/Exotic CBC with Plasma Protein 137 $49.39
Hct, RBC morphology, WBC estimate/count, WBC differential,
T thrombocyte evaluation, blood parasite screen, plasma protein
Note: For small-mammals please use CBC, Comprehensive
U (Test Code 300).
0.3 mL LTT/GNTT for manual WBC, two blood smears
V 1–3 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

48 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
B
 Babesia Antibody Panel*† 2002 $193.09 B
Babesia canis and Babesia gibsoni antibodies by IFA
Note: See protocol on vetconnectplus.com or call for additional C
information on specimen requirements for export purposes
2 mL serum D
5–7 working days
E
 Babesia canis Antibody by IFA*† 832 $118.09
Note: See protocol on vetconnectplus.com or call for additional
information on specimen requirements for export purposes F
1 mL serum
3–5 working days G

 Babesia gibsoni Antibody by IFA*† 1396 $157.09


H
Note: See protocol on vetconnectplus.com or call for additional
information on specimen requirements for export purposes
I
1 mL serum
5–7 working days
J
 Babesia spp. RealPCR™ Test—Canine/Feline 2633 $51.19
Babesia canis canis, Babesia canis rossi, Babesia canis vogeli, K
Babesia conradae, Babesia felis and Babesia gibsoni RealPCR™ tests
2 mL EDTA whole blood (LTT); keep refrigerated L
1–3 working days; allow additional time for speciation
if PCR positive
M
 Babesia spp. RealPCR™ Test—Equine 3657 $51.19
Babesia caballi and Babesia equi RealPCR™ tests N
2 mL EDTA whole blood (LTT); keep refrigerated
1–3 working days; allow additional time for speciation O
if PCR positive
 Baermann Test (Lungworms)* 510 $67.69 P
3–5 g fresh feces in a clean plastic container (no formalin)
2–4 working days Q
 Bartonella Antibody by IFA †
1351 $112.89
For cats, includes IgG antibody levels against Bartonella henselae R
and Bartonella clarridgeiae. For dogs, includes IgG antibody
levels against Bartonella henselae, Bartonella clarridgeiae and S
Bartonella vinsonii.
1 mL serum T
7–10 working days
 Bartonella ePCR—Feline† 3631 $308.49 U
PCR on original specimen and PCR on sample obtained following
7 days of liquid enrichment culture in BAPGM. V
Note: Includes preenrichment culture utilizing the patented Bartonella
Alphaproteobacteria growth medium (BAPGM) followed by a highly W
sensitive PCR assay. Please use sterile technique with careful aseptic
preparation of the skin when collecting blood specimen.
X
2 mL EDTA whole blood (LTT) collected aseptically
3–4 weeks Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 49
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Test Name Test Code Fee


A
 Bartonella ePCR—Canine †
2601 $388.59
B PCR on original specimen and PCR on sample obtained following
7 days of liquid enrichment culture in BAPGM.

C Note: Includes preenrichment culture utilizing the patented Bartonella


Alphaproteobacteria growth medium (BAPGM) followed by a highly
sensitive PCR assay. Please use sterile technique with careful aseptic
D preparation of the skin when collecting blood specimen.
2 mL EDTA whole blood (LTT) collected aseptically
E
3–4 weeks
 Bartonella spp. RealPCR™ Test—Feline 2267 $51.19
F
2 mL EDTA whole blood (LTT); keep refrigerated. Collect specimen
prior to antibiotic administration.
G
1–3 working days

H  Bile Acids (Single Sample) 258 $47.19


Add-on 2570 $39.09
I 1 mL serum (0.3 mL heparinized plasma or serum for avian/exotics)
Daily
J  Bile Acids Panel (Pre- and Postprandial)* 257 $72.99
Add-on* 2571 $64.79
K 1 mL serum per specimen (0.3 mL heparinized plasma or serum
for avian/exotics); label tubes as “pre” and “post”
L Daily
 Bilirubin, Fraction 204 $23.39
M Conjugated bilirubin, total bilirubin, unconjugated bilirubin
1 mL serum
N
8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Biopsy

Priority Priority Standard Standard B


Biopsy with Biopsy without Biopsy with Biopsy without
Microscopic Microscopic Microscopic Microscopic C
Description Description Description Description
Turnaround Time 2–3 working days 3–5 working days D
Test Code/Fee
See idexx.com/PathologySpecimenGuidelines E
for additional information on how different sites are billed.
601 608 2701 2711 F
1 Site/Lesion
$130.09 $109.69 $119.59 $99.19
6012 6082 2702 2712 G
2 Sites/Lesions
$173.69 $153.29 $163.19 $142.79
H
6013 6083 2703 2713
3 Sites/Lesions
$217.29 $196.89 $206.79 $186.39
I
6014 6084 2704 2714
4 Sites/Lesions
$260.89 $240.49 $250.39 $229.99
J
See vetconnectplus.com for test codes for additional sites­—now available for up to 15 sites.
Fee per K
Additional Site/ $43.60 $43.60 $43.60 $43.60
Lesion
L
Service includes trimming, macroscopic (gross) evaluation or dissection of tissues,
special stains (nonimmunohistochemical), decalcification, evaluation of surgical
M
margins and internal consultation where applicable.
All reports include source/history (provided by you); interpretation; comments
regarding biological behavior, etiology, margins and references where applicable.
N
Mitotic index and tumor margins are also included where applicable. Digital image
included with report at no additional charge exclusively on vetconnectplus.com or via O
IDEXX VetConnect® PLUS from within your Cornerstone®
or AVImark® practice management software. P
Microscopic description report includes the pathologist’s notes regarding the
morphologic changes that led to the final interpretation. Q
Note: All biopsies are processed the same and receive a complete evaluation
regardless of whether they are requested as “with microscopic description” or
R
“without microscopic description.” If a microscopic description report is desired after
results have been reported on a Biopsy without Microscopic Description, it can be
added on using Microscopic Description (Biopsy)—Add-on (Test Code 655). S
Specimens requiring decalcification or additional fixation may have delayed results.
The standard biopsy option can be used when a longer turnaround time is acceptable. T
For critical cases in which a shorter turnaround time is needed, the priority biopsy
option is recommended. U
Specimens in 10% formalin
V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 51
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Test Name Test Code Fee


A
Biopsy, Priority with Microscopic Description— 601017 $258.99
Comprehensive Gastrointestinal Tract
B
Submit multiple sites within the gastrointestinal tract from any of the
following anatomic regions: esophagus, stomach, small intestine,
C large intestine and associated mesenteric lymph nodes for trimming,
macroscopic (gross) evaluation or dissection of tissue, special stains
D (nonimmunohistochemical), decalcification, evaluation of surgical
margins and internal consultation where applicable.
E Includes same services as Biopsy, Priority with Microscopic
Description (test code 601). Each region will be reviewed and
reported on independently.
F
Specimens in 10% formalin; please label each specimen with
patient’s name and specific site (e.g., duodenum, ileum)
G
2–3 working days

H Biopsy, Priority with Microscopic Description— 601016 $228.99


Entire Mammary Chain
Submit the entire mammary chain for trimming, macroscopic
I
(gross) evaluation or dissection of tissue, special stains
(nonimmunohistochemical), decalcification, evaluation of surgical
J margins and internal consultation where applicable.
Includes same services as Biopsy, Priority with Microscopic
K Description (test code 601). Each discrete lesion will be reviewed and
reported on independently.
L Specimens in 10% formalin. Please label left or right chain.
2–3 working days
M  Biopsy, Professional Interest (1 Site/Lesion) 634 $84.29
2 Sites/Lesions 6342 $127.89
N 3 Sites/Lesions 6343 $171.49
4 Sites/Lesions 6344 $215.09
O
Report includes same services as Biopsy without Microscopic
Description (Test Code 608). The service is provided as a professional
P courtesy to veterinarians who want a histologic evaluation of biopsy
or necropsy tissues on a particular case where the client is unwilling
Q to pay the charges or the case is of academic interest to the clinical
veterinarian. There is a two-case limit per month.
R Note: Specimens requiring decalcification or additional fixation may
have delayed results.
Specimens in 10% formalin
S
7–10 working days
T  Biopsy, Second Opinion 651 $50.59
Consultation with the original pathologist is provided at no charge on
U all biopsy or necropsy cases. If the original pathologist is unavailable,
another pathologist is available at no charge to answer questions on
any pathology case. However, if you require evaluation by another
V IDEXX pathologist in addition to, or in lieu of, consultation with the
original pathologist, there is a charge for this service. The second
W opinion will be reported in a separate report with a new accession
number and will include the second pathologist’s microscopic
X interpretation and pertinent comments. You may request a specific
IDEXX pathologist to review the case; we will try our best to
accommodate such requests.
Y
Original slide(s)
2–3 working days (from time of receipt of slide(s) and request;
Z
there may be additional time required if you request a specific pathologist)

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

52 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Biopsy Recut Slide and H&E Stain 629 $38.59
This test can be requested for personal interest or when a B
second opinion from a non-IDEXX source is desired. Slides will be
recut, stained and returned to the submitting veterinarian within
24–48 hours of request. C
2–3 working days
D
 Biopsy Slide Consultation 649 $107.59
Note: This test code is to be used when submitting previously
E
prepared H&E slides from another laboratory for IDEXX pathologist
evaluation. Please include a case summary and copy of the original
pathology report. F
Report includes: Source/history (provided by you); microscopic
description of lesions; interpretation; comments regarding biological G
behavior, etiology, margins and references where applicable.
Slides H
1–2 working days (depending on availability and location
of requested pathologist and location of originating laboratory, I
transport delays can be a factor)
 Biopsy Slide Preparation 630 $64.39 J
Service includes tissue trimming and processing,
embedding in paraffin and a single H&E slide. There is no K
pathologist evaluation. Block and slide are returned to submitter.
Specimen in 10% formalin
L
2–3 working days
 Biopsy Trimming Fee Complimentary M
Complex trimming services, such as with whole organs, are included
in your biopsy and do not incur an additional charge. N
 Blastomyces Antigen by ELISA† 2193 $157.09
2 mL urine (preferred specimen), serum, plasma, CSF, O
tracheal wash or other body cavity effusion
5–7 working days P
 Blood Culture (One Timepoint)* 406 $117.79
 Two Timepoints* 4062 $168.09 Q
Aerobic culture (organism ID and susceptibility), anaerobic culture
(organism ID only), Gram stain R
Note: If fungal organisms are suspected, please also submit 1.5 mL
blood in a yellow-top Wampole® Isolator™ tube for Fungal Culture S
Add-on (Test Code 4051).
One 84 mL blood culture bottle per timepoint. In one 84 mL bottle, T
collect 5 mL whole blood for patients 5–20 lb, 7.5 mL for patients
20–40 lb or 10 mL for patients >40 lb. For patients <5 lb, place
1.5 mL in one yellow-top Wampole Isolator tube. Keep at room
U
temperature.
7–8 working days (4 weeks if fungal organisms suspected) V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 53
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Test Name Test Code Fee


A
 Blood Donor RealPCR™ Panel with FeLV/FIV by ELISA—Feline 2908 $108.49
B Anaplasma spp., Bartonella spp., Cytauxzoon felis, Ehrlichia spp.,
feline coronavirus (FCoV), Feline Hemotropic Mycoplasma (FHM),
FeLV and FIV RealPCR™ tests, FeLV antigen and FIV antibody
C by ELISA. Includes speciation for Anaplasma spp. or Ehrlichia spp. if
PCR positive. Includes subtyping for FIV if PCR positive.
D 1 mL serum for ELISAs, 2 mL EDTA whole blood (LTT) for
RealPCR tests; keep refrigerated. Collect specimens prior to
E antibiotic administration.
1–3 working days; allow additional time for speciation or
F subtyping if Anaplasma spp., Ehrlichia spp. or FIV PCR positive
 Blood Donor RealPCR™ Panel with Lab 4Dx® Plus Test—Canine 2909 $101.39
G Anaplasma spp., Babesia spp., Bartonella spp., Brucella canis,
Canine Hemotropic Mycoplasma, Ehrlichia spp. and Leishmania spp.
Quant RealPCR™ tests, Lab 4Dx® Plus Test. Includes quantification
H
of Leishmania if PCR positive. Includes speciation for
Anaplasma spp., Babesia spp. and Ehrlichia spp. if PCR positive.
I
1 mL serum for ELISAs, 2 mL EDTA whole blood (LTT) for
RealPCR tests; keep refrigerated. Collect specimens prior to
J antibiotic administration.
1–3 working days; allow additional time for speciation if
K Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive
 Blood Typing Complete—Canine*† 1972 $142.79
L Typing for DEA 1, 4, 5 and 7 antigens, screen for
anti-DEA antibodies
M 2 mL EDTA whole blood (LTT) and 1 mL serum
7–10 working days
N
 Blood Typing—Canine/Feline* 1005 $168.99
Typing for DEA 1.1 antigen (canine); typing for A, B and AB (feline)
O
Note: This test is recommended for emergency screening of patients
where turnaround time is a factor. Blood Typing Complete—Canine
P (Test Code 1972) is recommended when screening for potential
blood donors.
Q 2 mL EDTA whole blood (LTT)
2–4 working days
R
 Bone Marrow Cytology with Microscopic Description 607 $115.49
Note: Concurrent CBC submission (or copy of most recent CBC
S results) is needed for accurate cytological interpretation.
Report includes: Source/history (provided by you); microscopic
T description that includes overall cellularity, cell types and appearance;
cytologic interpretation; and comments regarding biological behavior,
U etiology and prognosis. Digital image included with report at no
additional charge exclusively on vetconnectplus.com or via IDEXX
VetConnect PLUS from within your Cornerstone or AVImark practice
V
management software.
Slides, extra specimen in an LTT recommended
W
1–2 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

54 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Bromide* 839 $97.09
Serum drug levels for potassium or sodium bromide B
1 mL serum
2–5 working days C
 Brucella canis Antibody by AGID*† 748 $98.59
Brucella canis antibody by AGID and rapid slide agglutination (RSAT) D
1 mL serum
5–7 working days E

 Brucella canis Antibody by IFA 702 $52.49


F
1 mL serum
1–4 working days
G
 Brucella canis Antibody by ME Tube Agglutination† 703 $37.09
Export to Australia H
1 mL serum
7–10 working days I
 Brucella canis Antibody by Rapid Slide Agglutination (RSAT) 7022 $39.99
Export to New Zealand J
1 mL serum
1–3 working days K

 Brucella canis RealPCR™ Test 2865 $51.19


L
2 mL EDTA whole blood (LTT), vaginal or preputial swab, or semen
in a sterile container; keep refrigerated. Collect specimen prior to
antibiotic administration. M
1–4 working days
N
 Buffy Coat Smear Evaluation by Technician* 319 $64.19
Evaluation for mast cells and inclusions (rickettsial-type, distemper,
protozoal). Please indicate reason for testing. O
Note: Concurrent comprehensive CBC is recommended. PCR tests,
performed on whole blood collected prior to initiation of antibiotic P
therapy, are more sensitive for detection of infectious organisms
(compared to buffy coat evaluation). Q
1 mL LTT (may also include air-dried buffy coat smear in addition
to LTT to preserve cellular morphology) R
1–2 working days
 BUN 207 $23.39 S
1 mL serum
8:00 a.m. T
 BUN:Creatinine Ratio with IDEXX SDMA® Test 261 $28.09
BUN, BUN:creatinine ratio, creatinine, IDEXX SDMA® Test
U
1 mL serum
V
8:00 a.m.

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 55
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Test Name Test Code Fee


A
C
B  Calcium 208 $23.39
1 mL serum
C 8:00 a.m.
 Canine Influenza Virus (H3N8) RealPCR™ Test 2522 $65.59
D Note: See also Influenza Virus RealPCR™ Panel—Canine
(Test Code 3731).
E Deep pharyngeal swab (with visible organic material on swab;
please rub firmly) and a conjunctival swab (wipe eye clean;
F swab inside of eyelid) in the same tube. Please submit dry,
plastic-stemmed swabs, without transport media, in an RTT or
a WTT (plain plastic tube); keep refrigerated.
G
1–3 working days
H Canine Lungworm RealPCR™ Panel 3545 $60.79
Angiostrongylus vasorum (French heartworm) and Crenosoma vulpis
I (fox lungworm) RealPCR™ tests
5 g (1 g minimum) fresh feces, 2 mL (0.1 mL minimum) tracheal
wash fluid, or 2 mL EDTA whole blood (LTT); keep refrigerated
J
1–3 working days
K Canine Pneumovirus RealPCR™ Test 3546 $51.19
Deep pharyngeal swab (with visible organic material on swab;
L please rub firmly) and a conjunctival swab (wipe eye clean;
swab inside of eyelid) in the same tube. Please submit dry,
plastic-stemmed swabs, without transport media, in an RTT
M or a WTT (plain plastic tube); keep refrigerated.
1–3 working days
N
 Cardiopet® proBNP Test—Canine* 2665 $75.99
Add-on* 26651 $25.09
O
Note: Avoid grossly hemolyzed specimens. Plasma is the preferred
specimen in dogs. Serum specimens must be kept cold to prevent
P degradation.
1 mL EDTA plasma (preferred; spin and separate plasma into
Q an RTT or a WTT [plain plastic tube]) or 1 mL serum (keep
refrigerated).
R 1–2 working days
 Cardiopet® proBNP Test—Feline* 2666 $75.99
S Add-on* 26661 $25.09
Note: Avoid grossly hemolyzed specimens.
T
1 mL serum or 1 mL EDTA plasma (LTT; spin and separate plasma
into an RTT or a WTT [plain plastic tube])
U
1–2 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

56 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 CBC, Comprehensive 300 $43.99
WBC, RBC, hemoglobin, hematocrit, erythrocyte indices (MCV, B
MCH, MCHC), % and absolute reticulocyte count (canine/feline
only), platelet count/estimate (automated count if obtainable,
otherwise estimate from slide), WBC differential (% and absolute C
neutrophils, lymphocytes, monocytes, eosinophils and basophils),
blood smear evaluation by technician performed on all specimens for D
RBC and WBC morphology and parasite screen, pathologist review
automatically performed when results are markedly abnormal based
E
on established guidelines or if unclassified cells are seen.
Note: The Comprehensive CBC is the option recommended for sick
F
patients. Reticulocytes are performed on all canine and feline CBCs
regardless of the presence of anemia. A pathologist review of the CBC
will be automatically performed at no additional charge if specific G
established criteria are met (see protocol information in the Online
Test Directory at vetconnectplus.com). If you would like to request a H
pathologist review of a CBC regardless of whether the criteria are met,
you may use Pathologist Review of CBC add-on (Test Code 399). For
this test code, a pathologist review will be performed and a charge will
I
be applied whether or not criteria are met.
1 mL LTT J
8:00 a.m.
K
 CBC, Standard 375 $36.49
WBC, RBC, hemoglobin, hematocrit, erythrocyte indices (MCV,
L
MCH, MCHC), % and absolute reticulocyte count (canine/feline only),
platelet count/estimate (automated count if obtainable, otherwise
estimate from slide), automated WBC differential (% and absolute M
neutrophils, lymphocytes, monocytes, eosinophils and basophils).
Note: The standard CBC option is available for canine, feline and N
equine patients only and is recommended when performing routine
preanesthetic or preventive care screening on clinically healthy O
animals. Reticulocytes are performed on all canine and feline CBCs
regardless of the presence of anemia. See pages 8–9 for additional
information on standard versus comprehensive CBCs. P
1 mL LTT
Q
8:00 a.m.
CBC Smear Evaluation Add-on 3900 $7.50
R
Add on to a Standard CBC previously performed at the reference
laboratory. Smear evaluation by a technician performed for RBC
and WBC morphology and parasite screen. Pathologist review S
automatically performed when results are markedly abnormal based
on established guidelines or if unclassified cells are seen. T
Note: Must be ordered within 72 hours of initial Standard CBC.
1 mL LTT U
8:00 a.m.
V
 Chem 10 with IDEXX SDMA® Test 1915 $39.29
Albumin, albumin:globulin ratio, ALP, ALT, BUN, BUN:creatinine ratio,
creatinine, globulin, glucose, IDEXX SDMA® Test, total protein W
1 mL serum
X
8:00 a.m.

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 57
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Test Name Test Code Fee


A
 Chem 11 with IDEXX SDMA Test ®
1293 $42.99
B Albumin, albumin:globulin ratio, ALP, ALT, total bilirubin, BUN,
BUN:creatinine ratio, creatinine, globulin, glucose, IDEXX SDMA®
Test, total protein
C
2 mL serum
8:00 a.m.
D
 Chem 18 with IDEXX SDMA® Test 2214 $57.29
E Albumin, albumin:globulin ratio, ALP, ALT, amylase, total bilirubin,
BUN, calcium, chloride, cholesterol, creatinine, GGT, globulin,
glucose, phosphorus, potassium, IDEXX SDMA® Test, sodium,
F total protein
2 mL serum
G
8:00 a.m.
 Chem 18 with IDEXX SDMA® Test and Total T4 2207 $73.29
H
2 mL serum
I 8:00 a.m.
 Chem 21 with IDEXX SDMA® Test 1271 $58.09
J Albumin, albumin:globulin ratio, ALP, ALT, AST, conjugated bilirubin,
total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine
ratio, calcium, chloride, cholesterol, creatinine, globulin,
K
glucose, phosphorus, potassium, IDEXX SDMA® Test, sodium,
sodium:potassium ratio, total protein
L
2 mL serum
8:00 a.m.
M
 Chem 25 with IDEXX SDMA® Test 111 $66.39
Albumin, albumin:globulin ratio, ALP, ALT, AST, conjugated bilirubin,
N
total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine ratio,
calcium, chloride, cholesterol, CK, creatinine, GGT, globulin,
O glucose, phosphorus, potassium, IDEXX SDMA® Test, sodium,
sodium:potassium ratio, TCO2 (bicarbonate), total protein, anion gap
P 2 mL serum
8:00 a.m.
Q
 Chem 25 with IDEXX SDMA® Test and Total T4 1602 $77.19
2 mL serum
R
8:00 a.m.

S  Chem 27 with IDEXX SDMA® Test 1113 $73.29


Albumin, albumin:globulin ratio, ALP, ALT, amylase, AST, conjugated
bilirubin, total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine
T ratio, calcium, chloride, cholesterol, CK, creatinine, GGT, globulin,
glucose, lipase, phosphorus, potassium, IDEXX SDMA® Test, sodium,
U sodium:potassium ratio, TCO2 (bicarbonate), total protein, anion gap
2 mL serum
V 8:00 a.m.
 Chem 27 with IDEXX SDMA® Test and Total T4 1603 $81.09
W
2 mL serum
8:00 a.m.
X
Chlamydophila (Chlamydia) Antibody by IFA—Avian† 1385 $89.79
Y 0.3 mL serum or heparinized plasma
3–5 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

58 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Chlamydophila (Chlamydia) Antigen by ELISA* 729 $83.29
Two cloacal/choanal swabs in an RTT (plastic-stemmed DACRON® B
or rayon swabs without transport media)
1–2 working days
C
 Chlamydophila (Chlamydia) by DNA Probe—Avian† 1384 $71.29
Cloacal/choanal swab using a sterile plastic-stemmed swab D
without transport media or 0.3 mL heparinized whole blood
3–5 working days E
 Cholesterol 211 $23.39
1 mL serum after an overnight fast F
8:00 a.m.
 Clostridium difficile Toxin A (Fecal Toxin) by ELISA 4031 $72.99 G
3–5 g fresh feces in a clean plastic container (no culture swabs,
formalin or fecal culture transport media); keep refrigerated H
1–3 working days
 Clostridium perfringens CPnetE/F Toxin Gene Quant RealPCR™ 3773 $61.09 I
Test—Canine
Includes quantification of Clostridium perfringens CPnetE/F toxin J
gene if PCR positive.
Note: CPnetE/F toxin is a newly recognized toxin produced by certain K
strains of Clostridium perfringens. This toxin is associated with
canine hemorrhagic gastroenteritis (HGE). See also Hemorrhagic L
Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™ Panel (Test Code
3759).
M
5 g (1 g minimum) fresh feces in a sterile container; keep
refrigerated. Collect specimen prior to antibiotic administration.
N
1–3 working days
 Clostridium perfringens CPnetE/F Toxin Gene RealPCR™ 3760 $51.19
O
Test—Foal
Note: CPnetE/F toxin is a newly recognized toxin produced
by certain strains of Clostridium perfringens. This toxin is
P
associated with necrotizing enterocolitis in foals. See also the
Foal Diarrhea/Enterocolitis RealPCR™ Panel (Test Code 3758). Q
5 g (1 g minimum) fresh feces in a sterile container; keep
refrigerated. Collect specimen prior to antibiotic administration. R
1–3 working days
 Coagulation Panel 1* 56 $67.89 S
Platelet count (manual if indicated), PT, PTT
1 mL LTT, two blood smears, citrated plasma (one full BTT spun, T
separated into a WTT [plain plastic tube without clot activator],
labeled as citrated plasma, and frozen) U
Daily
 Coagulation Panel 2 1284 $114.99 V
Fibrin split products (FDPs), fibrinogen (quantitative), platelet count
(manual if indicated), PT, PTT W
1 mL LTT, two blood smears, 2 mL whole blood in FDP tube
(unspun, refrigerated), citrated plasma (one full BTT spun, X
separated into a WTT [plain plastic tube without clot activator],
labeled as citrated plasma, and frozen) Y
Preliminary results daily; 1–4 working days for FDPs
Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 59
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Test Name Test Code Fee


A
 Coagulation Profile* 6 $100.79
B S-CBC 69999 $93.29
CBC, fibrinogen (quantitative), manual platelet count (if indicated),
C PT, PTT
1 mL LTT, two blood smears, citrated plasma (one full BTT spun,
separated into a WTT [plain plastic tube without clot activator],
D
labeled as citrated plasma, and frozen)
Daily
E
 Coagulation Profile with D-Dimer† 2309 $123.79
F S-CBC 23099999 $116.29
CBC, D-dimer, fibrinogen (quantitative),
manual platelet count (if indicated), PT, PTT
G
2 mL LTT, two blood smears, two tubes of citrated plasma (two
full BTT spun, separated into a WTT [plain plastic tube without clot
H
activator], labeled as citrated plasma, and frozen)
3–5 working days
I
 Cobalamin (Vitamin B12)* 2013 $56.59
1 mL serum after an overnight fast
J
1–2 working days
K  Cobalamin (Vitamin B12) and Folate* 2014 $110.29
1 mL serum after an overnight fast
L 1–2 working days
 Coccidioides and Ehrlichia canis Profile 929 $146.89
M S-CBC 9299999 $139.39
Chem 27 with IDEXX SDMA® Test, CBC, Coccidioides screen and titer
N by AGID, Ehrlichia canis antibody by IFA, total T4
3 mL serum, 1 mL LTT
O 3–7 working days
 Coccidioides and Ehrlichia canis Profile with Spec cPL® Test— 2501 $159.89
P Canine
S-CBC 25019999 $152.39
Q
Chem 27 with IDEXX SDMA Test, triglycerides, CBC, Coccidioides
®

screen and titer by AGID, Ehrlichia canis antibody by IFA,


R Spec cPL® Test, total T4
4 mL serum after an overnight fast, 1 mL LTT
S 3–7 working days
 Coccidioides Profile 933 $135.19
T
S-CBC 9339999 $127.69
Chem 27 with IDEXX SDMA® Test, CBC, Coccidioides screen and titer
U
by AGID, total T4
2 mL serum, 1 mL LTT
V
3–7 working days

W  Coccidioides Screen and Titer by AGID 706 $65.09


Add-on 7061 $61.69
X 1 mL serum
3–7 working days
Y

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Coccidioides Screen and Titer by AGID and 928 $112.19
Ehrlichia canis Antibody by IFA
B
Add-on 9281 $102.09
2 mL serum C
3–7 working days
Conjunctivitis RealPCR™ Panel—Canine 3661 $90.79 D
Canine adenovirus type 2, canine distemper virus (CDV) Quant,
canine herpesvirus type 1 (CHV-1), canine influenza virus (H3N8), E
canine parainfluenza virus, canine pneumovirus, canine respiratory
coronavirus (CRCoV), Mycoplasma cynos RealPCR™ tests. Includes
quantification of canine distemper viral particles if PCR positive. F
Deep pharyngeal swab (with visible organic material on swab;
please rub firmly) and a conjunctival swab (wipe eye clean; G
swab inside of eyelid) in the same tube. Please submit dry,
plastic-stemmed swabs, without transport media, in an RTT or H
a WTT (plain plastic tube); keep refrigerated. Collect specimens
prior to antibiotic administration.
I
1–3 working days
 Conjunctivitis RealPCR™ Panel—Feline 3551 $55.69 J
Chlamydophila felis, feline calicivirus, feline herpesvirus type 1
(FHV-1) Quant and Mycoplasma felis RealPCR™ tests. Includes K
quantification of feline herpesvirus type 1 (FHV-1) viral particles
if PCR positive.
L
Deep pharyngeal swab (with visible organic material on swab;
please rub firmly) and a conjunctival swab (wipe eye clean;
swab inside of eyelid) in the same tube. Please submit dry, M
plastic-stemmed swabs, without transport media, in an RTT or
a WTT (plain plastic tube); keep refrigerated. Collect specimens N
prior to antibiotic administration.
1–3 working days O
 Coombs (37°C)—Canine/Feline 303 $58.89
1 mL LTT P
Daily
 Cortisol 800 $63.99 Q
Add-on 8001 $46.59
1 mL serum R
Daily
S
 Corynebacterium pseudotuberculosis (Pigeon Fever) 3564 $51.19
RealPCR™ Test
T
Skin biopsy (fresh tissue in sterile container), swab of purulent
material from abscess, aspirate of abdominal fluid (when internal
abscess is suspected), skin scraping from affected area or insect U
vector (including housefly) from affected farm in a sterile container.
Submit dry, plastic-stemmed swabs, without transport media, in V
an RTT or a WTT (plain plastic tube). Keep specimens refrigerated.
Collect specimens prior to antibiotic administration.
W
1–3 working days
 Creatine Kinase (CK, CPK) 212 $23.39 X
1 mL serum
8:00 a.m. Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Creatinine 213 $23.59
B 1 mL serum
8:00 a.m.
C  Cross-Match
Donor Submission* 3041 $68.59
D   Recipient Submission* 304 $72.59
2 mL LTT and 2 mL serum per specimen
E 1–2 working days
 Cryptococcus Antigen by Latex Agglutination 718 $84.09
F 1 mL serum or CSF (RTT only, no SST)
2–3 working days
G  Cryptosporidium Antigen by ELISA—Mammals 514 $72.99
3–5 g fresh feces in a clean plastic container or formalin
H 1–2 working days
 Cryptosporidium by Acid-Fast Stain—Avian/Reptilian 4088 $71.69
I
2–5 g fresh feces in a clean plastic container (preferred), slide or culture swab
1–2 working days
J
 Cryptosporidium spp. RealPCR™ Test 2630 $51.19
K 5 g fresh feces (1 g minimum) in a sterile container; keep refrigerated
1–3 working days
L  Cytology
See also Bone Marrow Cytology with Microscopic Description, Fluid Analysis with Cytology,
M and Urine Cytology and Urinalysis

Priority Priority Standard Standard


N Cytology with Cytology without Cytology with Cytology without
Microscopic Microscopic Microscopic Microscopic
O Description Description Description Description
Turnaround Time 1–2 working days 3–5 working days
P
Test Code/Fee

Q 605 600 2801 2811


1 Site
$115.49 $89.69 $105.09 $79.29
R 647 6470 2802 2812
2 Sites
$189.99 $164.19 $179.59 $153.79
S 648 6480 2803 2813
3 Sites
$264.49 $238.69 $254.09 $228.29
T 6484 64840 2804 2814
4 Sites
$338.99 $313.19 $328.59 $302.79
U See vetconnectplus.com for test codes for additional sites.
Fee per
V $74.50 $74.50 $74.50 $74.50
Additional Site
All reports include source/history (provided by you); cytologic interpretation;
W comments regarding biological behavior, etiology and prognosis where applicable.
Digital image included with report at no additional charge exclusively on
X vetconnectplus.com or via IDEXX VetConnect PLUS from within your Cornerstone or
AVImark practice management software.
Y Microscopic description report includes the pathologist’s notes regarding the
morphologic changes that led to the final interpretation. This report may include
overall cellularity, cell types and appearance.
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Cytology, continued
Note: All cytologies are processed the same and receive a complete evaluation B
regardless of whether they are requested as “with microscopic description” or
“without microscopic description.” If a microscopic description report is desired after
results have been reported on a Cytology without Microscopic Description, it can be C
added on using Microscopic Description (Cytology)—Add-on (Test Code 6550).
Aspirates of multiple lymph nodes may be submitted as a single site. Please clearly D
label slides with the location of the lymph node(s) aspirated.
The standard cytology option can be used when a longer turnaround time is E
acceptable. For critical cases in which a shorter turnaround time is needed, the
priority cytology option is recommended. F
1–3 slides per site
 Cytology with Microscopic Description, Resubmission 6507 $82.79 G
Report includes the same services as Standard Cytology with
Microscopic Description (Test Code 2801). Following a nondiagnostic H
cytology, this service allows resubmission of a cytology at a reduced
price as a professional courtesy. Must be ordered within one month
I
of initial cytology. Accession number from previous submission must
be included with submission.
J
1–3 slides, prior accession number
3–5 working days
K
 Cytology without Microscopic Description, Resubmission 6500 $64.39
Report includes the same services as Standard Cytology without
L
Microscopic Description (Test Code 2811). Following a nondiagnostic
cytology, this service allows resubmission of a cytology at a reduced
price as a professional courtesy. Must be ordered within one month M
of initial cytology. Accession number from previous submission must
be included with submission. N
1–3 slides, prior accession number
3–5 working days O
Cytology, Priority (1 Site) and Body Cavity Effusion Fluid Analysis 9057 $189.99
with Cytology P
Includes same services as Priority Cytology with Microscopic
Description (Test Code 605) performed on a tissue or mass aspirate Q
and a Body Cavity Effusion Fluid Analysis with Cytology
(Test Code 905)
R
Note: Recommended for evaluation of a single mass lesion with
accompanying body cavity effusion (e.g., cytology of lung mass
S
aspirate and fluid analysis with cytology on associated pleural
effusion; or cytology of liver mass aspirate and fluid analysis with
cytology on associated ascites.) T
For cytology on mass lesion: 1–3 slides; for body cavity effusion
fluid analysis: fluid in an LTT, slides (if culture may also be U
ordered, include fluid in a WTT [plain plastic tube]). Please label all
specimens with source and patient’s name. V
1–2 working days
W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 63
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Test Name Test Code Fee


A
Cytology, Priority (2 Sites) and Body Cavity Effusion Fluid Analysis 9058 $264.49
with Cytology
B
Includes same services as Priority Cytology with Microscopic
Description­—2 Sites (Test Code 647) performed on two tissue
C or mass aspirates and a Body Cavity Effusion Fluid Analysis with
Cytology (Test Code 905)
D Note: Recommended for evaluation of two mass lesions with
accompanying body cavity effusion (e.g., cytology of two distinct
E lung mass aspirates and fluid analysis with cytology on associated
pleural effusion; or cytology of aspirates of liver mass and enlarged
local lymph node and fluid analysis with cytology on associated
F
ascites.)
For cytologies on mass lesions: 1–3 slides per site; for body cavity
G effusion fluid analysis: fluid in an LTT, slides (if culture may also be
ordered, include fluid in a WTT [plain plastic tube]). Please label all
H specimens with source and patient’s name.
1–2 working days
I Cytology, Professional Interest 650 $67.59
2 Sites 6502 $122.69
J
3 Sites 6503 $177.79
4 Sites 6504 $232.89
K
Report includes the same services as Priority Cytology without
Microscopic Description (Test Code 600). This service is provided
L as a form of professional courtesy/price break to veterinarians who
want a cytologic evaluation on a particular case where the client is
M unwilling to pay the charges or the case is of academic interest to the
clinical veterinarian. There is a two-case limit per month.
N 1–3 slides
7–10 working days
O  Cytology, Second Opinion 1965 $41.99
An IDEXX clinical pathologist will perform a second evaluation of a
P case initially read by another IDEXX clinical pathologist. Additional
pathologist’s interpretation and comments will be provided in a new
Q report. Please call for more information.
Original slide(s)
R 1–3 working days
D
S  D-Dimer† 2161 $54.99
Citrated plasma (one full BTT spun, separated into a WTT [plain
T plastic tube without clot activator], labeled as citrated plasma, and
frozen)
U 3–5 working days
 Dexamethasone Suppression (One Pre, One Post)—Canine/Feline* 274 $89.29
V Baseline cortisol, 8-hour post-dexamethasone cortisol
1 mL serum per specimen; label tubes as “pre” and “post”
W
1–2 working days
 Dexamethasone Suppression (One Pre, One Post)—Equine* 2121 $89.29
X
Baseline cortisol, one post-dexamethasone cortisol
Y 1 mL serum per specimen; label tubes as “pre” and “post”
1–3 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Dexamethasone Suppression (One Pre, Two Posts)—Canine/Feline* 275 $119.99
Baseline cortisol, two post-dexamethasone cortisols B
1 mL serum per specimen; label tubes as “pre,”
“post 4 hours” and “post 8 hours” C
1–2 working days
 Diabetes Profile, Complete—Feline 2736 $153.59 D
S-CBC 27369999 $146.09
Chem 25 with IDEXX SDMA® Test, CBC, fructosamine, Spec fPL® E
Test, total T4, urinalysis
2 mL serum (fasting specimen preferred; no hemolysis), F
1 mL LTT, 5 mL urine in a sterile container
1–3 working days G
 Diarrhea RealPCR™ Panels—Canine 0 0
See also Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™Panel—Canine. H
 Standard—Canine 3270 $79.09
Campylobacter coli, Campylobacter jejuni, Cryptosporidium spp., I
Giardia spp. and Salmonella spp. RealPCR™ tests.
 Comprehensive—Canine 2625 $86.49 J
Add-on to fecal ova and parasites or fecal culture 26251 $51.89
Campylobacter coli, Campylobacter jejuni, canine circovirus, canine K
distemper virus (CDV), canine enteric coronavirus (CECoV), canine
parvovirus 2 (CPV-2), Clostridium difficile, Clostridium perfringens L
alpha toxin (CPA) gene Quant, Clostridium perfringens enterotoxin
(CPE) gene Quant, Clostridium perfringens CPnetE/F toxin gene M
Quant, Cryptosporidium spp., Giardia spp. and Salmonella spp.
RealPCR™ tests. Includes quantification of Clostridium perfringens
enterotoxin (CPA, CPE and CPnetE/F) genes if PCR positive. N
Comprehensive Plus—Canine 3257 $139.99
Diarrhea RealPCR™ Panel (Comprehensive)—Canine, and if positive
O
for Campylobacter spp. or Salmonella spp., a culture on selective
media (with susceptibilities for Salmonella) will be automatically P
performed at no additional charge.
Note: The reflex culture will only be performed if a specimen in fecal Q
culture transport media is received.
5 g (1 g minimum) fresh feces in a sterile container R
(keep refrigerated) for RealPCR panel and 3–5 g fresh feces
in fecal culture transport media for reflex culture if indicated.
S
Collect specimen prior to antibiotic administration.
1 –3 working days for RealPCR panel; allow additional time for
culture if indicated
T

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 65
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Test Name Test Code Fee


A
 Diarrhea RealPCR™ Panels—Feline 0 0
B Standard—Feline 2626 $79.09
Cryptosporidium spp., Giardia spp. and Tritrichomonas blagburni
C (formerly T. foetus) RealPCR™ tests
 Comprehensive—Feline 2627 $86.49
D Add-on to fecal ova and parasites or fecal culture 26271 $51.89
Campylobacter coli, Campylobacter jejuni, Clostridium perfringens
E alpha toxin (CPA) gene Quant, Clostridium perfringens enterotoxin
(CPE) gene Quant, Cryptosporidium spp., feline coronavirus
(FCoV), feline panleukopenia virus, Giardia spp., Salmonella spp.,
F Toxoplasma gondii and Tritrichomonas blagburni (formerly T.
foetus) RealPCR™ tests. Includes quantification of Clostridium
G perfringens enterotoxin (CPA and CPE) genes if PCR positive.
 Comprehensive Plus—Feline 3258 $139.99
H Diarrhea RealPCR™ Panel (Comprehensive)—Feline, and if positive
for Campylobacter spp. or Salmonella spp., a culture on selective
I media (with susceptibilities for Salmonella) will be automatically
performed at no additional charge.
J Note: The reflex culture will only be performed if a specimen in
fecal culture transport media is received.
K 5 g (1 g minimum) fresh feces in a sterile container
(keep refrigerated) for RealPCR panel and 3–5 g fresh feces
in fecal culture transport media for reflex culture if indicated.
L Collect specimen prior to antibiotic administration.
1 –3 working days for RealPCR panel; allow additional time for
M culture if indicated
 Diarrhea RealPCR™ Panel (Comprehensive) 3808 $62.49
N with Fecal Dx™ Profile—Canine
Diarrhea RealPCR™ Panel (Comprehensive)—Canine, fecal ova and
O parasites, hookworm, roundworm and whipworm antigens by ELISA
5 g (1 g minimum) fresh feces in a sterile container (keep
P refrigerated) for RealPCR Panel and 3–5 g fresh feces in a clean
plastic container for fecal ova and parasites and fecal antigen tests.
Collect specimen prior to antibiotic administration.
Q
1–3 working days
R  Diarrhea RealPCR™ Panel (Comprehensive) 3882 $62.49
with Fecal Dx™ Profile—Feline
S Diarrhea RealPCR™ Panel (Comprehensive)—Feline, fecal ova and
parasites, hookworm, roundworm and whipworm antigens by ELISA
5 g (1 g minimum) fresh feces in a sterile container (keep
T
refrigerated) for RealPCR Panel and 3–5 g fresh feces in a clean
plastic container for fecal ova and parasites and fecal antigen tests.
U Collect specimen prior to antibiotic administration.
1–3 working days
V
 Digoxin* 1001 $68.59
1 mL serum (RTT only, no SST)
W
1–3 working days

X  Distemper Antibody by SVN (Vaccine)—Canine*† 1232 $78.59


Note: See also Vaccine Panel by SVN/HI—Canine*† (Test Code 1291).
Y 1 mL serum or CSF
7–10 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Distemper Antibody IgG and IgM by IFA—Canine* 758 $84.49
1 mL serum B
1–2 working days
 Distemper Virus (CDV) RealPCR™ Test—Canine 2265 $65.59 C
Note: For dogs with respiratory manifestations that have been
vaccinated with a modified-live vaccine in the last four weeks, D
please see Test Code 3265, Distemper Virus (CDV) Quant RealPCR
Test—Canine.
E
Ideal specimen depends on clinical manifestation.
Keep all specimens refrigerated.
F
For neurological manifestations: 2 mL EDTA whole blood
(LTT), 0.5 mL (0.1 mL minimum) CSF and a conjunctival swab
(preferred); or 2 mL EDTA whole blood (LTT), 2 mL urine and a G
conjunctival swab. For conjunctival swab, wipe eye clean and
swab inside of eyelid. Please submit dry, plastic-stemmed swab, H
without transport media, in an RTT or an empty, sterile tube.
For respiratory manifestations: Deep pharyngeal swab I
(with visible organic material on swab; please rub firmly)
and a conjunctival swab (wipe eye clean; swab inside of eyelid),
in the same tube. Please submit dry, plastic-stemmed swabs, J
without transport media, in an RTT or an empty, sterile tube.
For GI manifestations: 2 mL EDTA whole blood (LTT) and K
5 g (1 g minimum) fresh feces in a sterile container.
With no distinct clinical manifestations: 2 mL EDTA L
whole blood (LTT); conjunctival swab (wipe eye clean; swab inside
of eyelid). Please submit dry, plastic-stemmed swabs, without
M
transport media, in an RTT or a WTT (plain plastic tube).
1–3 working days
N
 Distemper Virus (CDV) Quant RealPCR™ Test—Canine 3265 $75.29
Add-on 32651 $71.09 O
Includes quantification of distemper viral particles if PCR positive.
Note: Use for dogs with respiratory signs consistent with canine P
distemper virus that have been vaccinated with a modified live
vaccine within the previous 4 weeks or for whom a quantitative
Q
value is required. For dogs with clinical manifestations requiring
other nonrespiratory specimen types or in dogs for which vaccine
interference is not a concern, please see Distemper Virus (CDV) R
RealPCR™ Test—Canine (Test Code 2265). The Distemper Virus
(CDV) Quant RealPCR™ Test can only be performed on swabs from S
respiratory mucosal surfaces.
Deep pharyngeal swab (with visible organic material on swab; T
please rub firmly) and a conjunctival swab (wipe eye clean;
swab inside of eyelid) in the same tube. Please submit dry
plastic-stemmed swabs, without transport media, in an RTT U
or a WTT (plain plastic tube); keep refrigerated.
1–3 working days V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 67
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Test Name Test Code Fee


A
 Dolphin Profile 2594 $149.59
B Albumin, albumin:globulin ratio, ALP, ALT, AST, conjugated bilirubin,
total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine ratio,
calcium, chloride, cholesterol, CK, creatinine, GGT, globulin, glucose,
C LDH, magnesium, phosphorus, potassium, IDEXX SDMA® Test,
sodium, sodium:potassium ratio, TCO2 (bicarbonate), total protein,
D triglycerides, uric acid, comprehensive CBC, fibrinogen by heat
precipitation, reticulocyte count, serum iron, Westergren
sedimentation rate
E
3 mL serum, 2 mL LTT
F 1–3 working days
E
G  E. coli O157:H7 Fecal Culture Screen* 4029 $80.59
Add-on to any fecal culture 40291 $32.49
H Screen for E. coli O157:H7 only.
3–5 g fresh feces in fecal culture transport media (preferred),
I RTT, culture swab in transport media or sterile container
2–3 working days
J
 Ehrlichia canis Antibody by IFA 719 $67.89
Add-on 7191 $61.69
K
1 mL serum
L 1–3 working days
 Ehrlichia spp. RealPCR™ Test 2854 $51.19
M Ehrlichia canis, Ehrlichia chaffeensis and Ehrlichia ewingii
RealPCR™ tests
N 2 mL EDTA whole blood (LTT); keep refrigerated.
Collect specimen prior to antibiotic administration.
O 1–3 working days; allow additional time for speciation
if Ehrlichia spp. PCR positive

P  Electrolyte Panel 957 $50.69


Anion gap, chloride, potassium, sodium, sodium:potassium ratio,
TCO2 (bicarbonate)
Q
1 mL serum
R 8:00 a.m.
 Encephalitozoon cuniculi Panel—Rabbit† 941 $137.29
S Add-on 9411 $118.09
Encephalitozoon cuniculi IgG and IgM antibodies by ELISA,
T C-reactive protein
0.3 mL heparinized plasma
U 5–7 working days
 Environmental Culture 3395 $57.79
V Aerobic culture (organism ID only)
Note: Use for monitoring after sterilization of room or equipment. If
W a susceptibility is required (e.g., for comparison to patient culture in
case of suspected nocosomial infection), also order Test Code 4009,
X Susceptibility Only. If multiple organisms are isolated, the four most
prevalent and/or pathogenic organisms will be identified and reported.
Y One culture swab in transport media or specimen in sterile
container (no formalin); please specify source
Z Up to 3 working days for negative results, longer depending
on growth

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Equine Comprehensive CBC 316 $57.19
S-CBC 3169999 $49.69 B
CBC, fibrinogen estimate by heat precipitation, plasma protein
2 mL LTT C
8:00 a.m.
Equine Custom Profile 2 1335 $91.59 D
S-CBC 13359999 $84.09
Albumin, albumin:globulin ratio, ALP, ALT, anion gap, AST, conjugated E
bilirubin, total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine
ratio, calcium, chloride, CK, creatinine, GGT, globulin, glucose, F
LDH, phosphorus, potassium, IDEXX SDMA® Test, sodium,
sodium:potassium ratio, TCO2 (bicarbonate), CBC, fibrinogen estimate G
by heat precipitation, plasma protein
2 mL serum, 2 mL LTT
H
8:00 a.m.
 Equine Diarrhea RealPCR™ Panels 0 0 I
See also Foal Diarrhea/Enterocolitis RealPCR™Panel.
Standard 29350 $89.69 J
2–11 Specimens 29352 $81.59
12 or More Specimens 29353 $67.69 K
Clostridium difficile toxin A gene, Clostridium difficile toxin B gene,
Clostridium perfringens alpha toxin (CPA) gene, equine rotavirus, L
Lawsonia intracellularis and Salmonella spp. RealPCR™ tests.
Comprehensive 29110 $98.89 M
2–11 Specimens 29112 $88.09
12 or More Specimens 29113 $73.49 N
Clostridium difficile toxin A gene, Clostridium difficile toxin B
gene, Clostridium perfringens alpha toxin (CPA) gene, Clostridium O
perfringens CPnetE/F toxin gene, Cryptosporidium spp.,
equine coronavirus, equine rotavirus, Lawsonia intracellularis, P
Neorickettsia risticii (Potomac horse fever), Rhodococcus equi and
Salmonella spp. RealPCR™ tests.
Q
Comprehensive with Lawsonia intracellularis Antibody 3381 $123.99
Equine Diarrhea RealPCR™ Panel (Comprehensive), Lawsonia R
intracellularis antibody by IPMA.
Note: The Salmonella spp. RealPCR Test is performed on original
S
specimen and preliminary results reported. Negative results are
further confirmed by repeat RealPCR test performed on the specimen
following a 24-hour enrichment step. If positive for Salmonella spp., T
a culture with susceptibilities on selective media for Salmonella will
be automatically performed at no additional charge. U
5 g (1 g minimum) fresh feces in a sterile container (keep
refrigerated). Collect specimens prior to antibiotic administration. V
When ordering a panel that includes Lawsonia intracellularis
antibody, also submit 1 mL serum.
W
 reliminary results in 1–3 working days; allow additional time for
P
the Salmonella spp. RealPCR Test result on enriched specimen and
culture if indicated; 7–10 working days for serology X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Equine Drug Screen Level 1 †
3110 $195.79
B Screening by HPLC or TLC for nonsteroidal anti-inflammatory drugs
(phenylbutazone, oxyphenbutazone, flunixin, naproxen, ketoprofen,
and meclofenamic acid).
C
Note: Confirmatory testing available at an additional charge and with
additional specimen submission. See the Online Test Directory at
D vetconnectplus.com or call for more extensive drug screen testing options.
10 mL urine, frozen; ship with cold pack
E
5–7 working days
Equine Early Detection Profile with EIA by AGID 3349 $84.19
F
S-CBC 33499999 $76.69
Albumin, albumin:globulin ratio, ALP, AST, total bilirubin, BUN,
G
calcium, chloride, CK, creatinine, GGT, globulin, glucose, magnesium,
phosphorus, potassium, sodium, total protein, CBC, fibrinogen by
H heat precipitation, equine infectious anemia (EIA) by AGID
Note: EIA test cannot be performed without a completed and signed
I federal form. Label each tube with the horse’s name. Name on tube
must match name on form.
J 3 mL serum, 2 mL LTT
2–3 working days
K Equine Early Detection Profile with EIA by AGID and 3360 $105.09
McMasters Fecal Egg Count
L S-CBC 33609999 $97.59
Albumin, albumin:globulin ratio, ALP, AST, total bilirubin, BUN,
M calcium, chloride, CK, creatinine, GGT, globulin, glucose, magnesium,
phosphorus, potassium, magnesium, sodium, CBC, fibrinogen
N by heat precipitation, equine infectious anemia (EIA) by AGID,
McMasters fecal egg count
O Note: EIA test cannot be performed without a completed and signed
federal form. Label each tube with the horse’s name. Name on tube
must match name on form.
P
3 mL serum, 2 mL LTT, 10 g fresh feces
2–3 working days
Q
Equine Early Detection Profile with EIA by cELISA 3338 $84.19
R S-CBC 33389999 $76.69
Albumin, albumin:globulin ratio, ALP, AST, total bilirubin, BUN,
S calcium, chloride, CK, creatinine, GGT, globulin, glucose, magnesium,
phosphorus, potassium, sodium, total protein, CBC, fibrinogen by
heat precipitation, equine infectious anemia (EIA) by cELISA
T
Note: EIA test cannot be performed without a completed and signed
federal form. Label each tube with the horse’s name. Name on tube
U must match name on form. Some destinations may not accept cELISA
results and may require AGID. Positives must be confirmed by AGID.
V 3 mL serum, 2 mL LTT
1–2 working days
W

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Equine Early Detection Profile with EIA by cELISA and 3359 $105.09
McMasters Fecal Egg Count
B
S-CBC 33599999 $97.59
Albumin, albumin:globulin ratio, ALP, AST, total bilirubin, BUN, C
calcium, chloride, CK, creatinine, GGT, globulin, glucose, magnesium,
phosphorus, potassium, sodium, total protein, CBC, fibrinogen
by heat precipitation, equine infectious anemia (EIA) by cELISA, D
McMasters fecal egg count.
Note: EIA test cannot be performed without a completed and signed E
federal form. Label each tube with the horse’s name. Name on tube
must match name on form. Some destinations may not accept cELISA F
results and may require AGID. Positives must be confirmed by AGID.
3 mL serum, 2 mL LTT, 10 g fresh feces G
2–3 working days
 Equine Endocrine Profile with Endogenous ACTH* 3566 $148.29 H
Endogenous ACTH, glucose, insulin by RIA, insulin:glucose ratio,
total T4 I
Note: See protocol in the Online Test Directory on vetconnectplus.com
for important information regarding timing of samples. J
3 mL serum and 3 mL EDTA plasma (spun, separated into a WTT
[plain plastic tube] with a plastic pipette, labeled as EDTA plasma, K
and frozen) for endogenous ACTH
5–7 working days
L
 Equine Geriatric Profile 1 3226 $151.79
S-CBC 32269999 $144.79 M
Large-Animal Profile, insulin
2 mL serum, 2 mL LTT N
3–5 working days
 Equine Geriatric Profile 2 346 $104.59 O
S-CBC 3469999 $97.09
P
Large-Animal Profile, total T4
2 mL serum, 2 mL LTT
Q
8:00 a.m.
Equine Herpesvirus (EHV) RealPCR™ Panel 3548 $71.89 R
Equine herpesvirus type 1 (EHV-1), type 2 (EHV-2), type 4 (EHV-4)
and type 5 (EHV-5) RealPCR™ tests
S
Note: Nasal swabs are used to detect animals shedding the virus
or that were recently exposed to a confirmed case. A whole blood
T
specimen is recommended from symptomatic animals to
detect viremia. Submission of both specimen types is ideal.
2 mL EDTA whole blood and/or deep nasopharyngeal swabs (one U
from each nostril). Please submit dry, plastic-stemmed swabs,
without transport media, in an RTT or a WTT (plain plastic tube); V
keep refrigerated.
1–3 working days W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Equine Herpesvirus Type 1 (EHV-1) RealPCR™ Test* 2566 $73.49
B 2–11 Specimens 25662 $51.59
12 or More Specimens 25663 $36.99
C Note: Nasal swabs are used to detect animals shedding the virus
or that were recently exposed to a confirmed case. A whole blood
specimen is recommended from symptomatic animals to detect
D
viremia. Submission of both specimen types is ideal.
2 mL EDTA whole blood and/or deep nasopharyngeal swabs
E
(one from each nostril). Please submit dry, plastic-stemmed
swabs, without transport media, in an RTT or a WTT (plain plastic
F tube); keep refrigerated.
1–3 working days
G  Equine Herpesvirus Types 1 (EHV-1) and 4 (EHV-4) RealPCR™ Tests* 2699 $93.99
2–11 Specimens 26992 $65.89
H
12 or More Specimens 26993 $47.29
Note: Nasal swabs are used to detect animals shedding the virus
I
or that were recently exposed to a confirmed case. A whole blood
specimen is recommended from symptomatic animals to detect
J viremia. Submission of both specimen types is ideal.
2 mL EDTA whole blood and/or deep nasopharyngeal swabs
K (one from each nostril). Please submit dry, plastic-stemmed
swabs, without transport media, in an RTT or a WTT (plain plastic
L tube); keep refrigerated.
1–3 working days
M  Equine Infectious Anemia by AGID (Coggins)* 707 $35.09
3 or More Specimens* 7073 $31.79
N Note: Test cannot be performed without a completed and signed
federal form. Label each tube with the horse’s name. Name on tube
O must match name on form. This is the required confirmatory test
following a positive cELISA.

P 2 mL serum
2–3 working days
Q  Equine Infectious Anemia by cELISA* 7077 $35.09
3 or More Specimens* 70773 $31.79
R Note: Test cannot be performed without a completed and signed
federal form. Label each tube with the horse’s name. Name on tube
S must match name on form. Some destinations may not accept
cELISA results and may require AGID. Positives must be confirmed
by AGID.
T
1 mL serum
1–2 working days
U
 Equine Liver Panel 28 $54.09
V Albumin, ALP, conjugated bilirubin, total bilirubin, unconjugated
bilirubin, GGT, globulin, total protein
W 2 mL serum
8:00 a.m.
X

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Equine Liver Profile 26 $82.79
S-CBC 269999 $75.29 B
Equine Liver Panel, bile acids, SDH, CBC, fibrinogen estimate
by heat precipitation C
2 mL serum, 2 mL LTT, 0.5 mL serum (spun, separated into an
RTT or a WTT [plain plastic tube], and frozen; no hemolysis or
D
lipemia) for SDH
1–3 working days
E
 Equine Metabolic Syndrome Profile 3227 $164.49
S-CBC 32279999 $156.99 F
Large-Animal Profile, insulin, total T4
3 mL serum, 2 mL LTT G
3–5 working days
 Equine Muscle Panel 2 2165 $41.29 H
AST, CK, GGT, glucose, LDH, total protein
2 mL serum I
8:00 a.m.
J
 Equine Neurologic Disease Panel 2619 $142.89
EPM by Western blot (serum), West Nile virus IgM antibody by
capture ELISA, equine herpesvirus type 1 (EHV-1) RealPCR™ Test
K
2 mL EDTA whole blood and/or deep nasopharyngeal swabs (for
EHV-1 RealPCR™ Test) and 2 mL serum (no hemolysis or lipemia). L
Please submit dry, plastic-stemmed swabs, without transport
media, in an RTT or a WTT (plain plastic tube); keep refrigerated. M
3–10 working days
 Equine Protozoal Myeloencephalitis (EPM) by Western Blot (CSF)* 2137 $95.89 N
1 mL CSF (RTT)
3–10 working days O

 Equine Protozoal Myeloencephalitis (EPM) by Western Blot (Serum)* 1704 $95.89


P
1 mL serum
3–10 working days
Q
 Equine Protozoal Myeloencephalitis (EPM) Panel by IFAT† 1704 $67.29
1 Site (Serum or CSF) 3387 $201.09 R
2 Sites (Serum and CSF) 3388 $235.69
Sarcocystis neurona and Neospora hughesi antibodies by IFAT S
1 mL serum and/or 1 mL CSF (RTT)
7–10 working days T
 Equine Protozoal Myeloencephalitis (EPM) Panel I 2140 $145.09
EPM by Western blot (serum and CSF)
U
1 mL serum, 1 mL CSF (RTT)
V
3–10 working days

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 73
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Test Name Test Code Fee


A
 Equine Respiratory RealPCR™ Panels 0 0
B  Standard 2740 $134.19
Equine influenza virus (EIV/H3N8), equine herpesvirus type 1
C (EHV-1) and type 4 (EHV-4), Streptococcus dysgalactiae subsp.
equisimilis, Streptococcus equi subsp. equi and Streptococcus
equi subsp. zooepidemicus RealPCR™ tests. Includes
D culture (organism ID only) on selective media for ß-hemolytic
Streptococcus spp.
E  With EAV 2741 $140.59
Equine Respiratory RealPCR™ Panel (Standard), equine arteritis
F virus (EAV) RealPCR™ Test
With Rhinitis 3325 $134.19
G Equine Respiratory RealPCR™ Panel (Standard), equine rhinitis A
virus (ERAV) and equine rhinitis B virus (ERBV) RealPCR™ tests
H Comprehensive 3324 $140.59
Equine adenovirus, equine herpesvirus type 1 (EHV-1), type 2
I (EHV-2) and type 5 (EHV-5), equine influenza virus (EIV/H3N8),
equine rhinitis A virus (ERAV), equine rhinitis B virus (ERBV),
J Streptococcus dysgalactiae subsp. equisimilis, Streptococcus
equi subsp. equi and Streptococcus equi subsp. zooepidemicus
RealPCR™ tests
K
Deep nasopharyngeal swabs (one from each nostril). Please submit
dry, plastic-stemmed swabs, without transport media, in an RTT or
L a WTT (plain plastic tube); keep refrigerated. Collect specimen prior
to antibiotic administration.
M 1–4 working days for RealPCR panel; allow additional time for culture
Equine Tick Screen 2614 $35.59
N ELISAs for Anaplasma phagocytophilum and Lyme C6 antibodies
1 mL serum, EDTA whole blood (LTT) or plasma
O
1–3 working days

P Equine Tick Screen with Tick/Vector RealPCR™ Panel 3667 $66.09


Equine Tick Screen, Anaplasma spp. and Neorickettsia risticii
(Potomac Horse Fever) RealPCR™ tests
Q
1 mL serum for ELISAs and 2 mL EDTA whole blood (LTT) for
RealPCR tests; keep refrigerated. Collect specimens prior to
R antibiotic administration.
1–3 working days
S
 Equine Tick/Vector Panel 1† 1827 $128.09
Anaplasma phagocytophilum and Neorickettsia risticii antibodies
T
by IFA
2 mL serum
U
7–10 working days

V Equine Tick/Vector Panel 2† 3228 $134.69


ELISAs for Anaplasma phagocytophilum and Lyme C6 antibodies,
Neorickettsia risticii antibody by IFA
W
2 mL serum
X 7–10 working days
 Equine Training Panel 1336 $37.79
Y AST, CK
1 mL serum
Z 8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Equine Training Profile 270 $76.09
S-CBC 2709999 $68.59 B
Equine Training Panel, equine CBC
2 mL serum, 2 mL LTT C
8:00 a.m.
 Estradiol Baseline (Estrogen)—Canine/Feline*† 802 $85.69 D
Note: Please indicate whether patient is neutered or intact.
2 mL serum (RTT only, no SST) E
7–10 working days
F
 Estrone Sulfate by Kinetic ELISA—Equine*† 812 $91.09
2 mL serum
G
5–10 working days
 Ethylene Glycol (Qualitative)* 266 $128.79 H
2 mL EDTA or heparinized plasma
Daily I
 Export Panel (Australia)—Intact Dogs† 3502 $374.29
Brucella canis antibody by serum agglutination, Ehrlichia canis J
antibody by IFA, Leishmania infantum antibody by IFA, Leptospira
canicola antibody by microscopic agglutination test (MAT) K
Note: Please indicate microchip number, date of specimen collection
and travel destination on the requisition form. Blood specimens must L
be collected on the same day. Specimen tube must be clearly labeled
with owner’s name, patient’s name and microchip number. For export
to Australia, this panel should be submitted within 30 days of export. M
For neutered dogs, see Export Panel (Australia)—Neutered Dogs
(Test Code 3633). N
Requirements for export may change periodically. We recommend
consulting your local consulate to confirm latest requirements. This O
panel does not include a rabies titer, which is also required for export
to Australia (see Rabies Serology [OIE FAVN] [Test Code 1250]).
P
3 mL serum, microchip number and travel destination
10–12 working days
Q
 Export Panel (Australia)—Neutered Dogs† 3633 $250.59
Ehrlichia canis antibody by IFA, Leishmania infantum antibody by IFA, R
Leptospira canicola antibody by microscopic agglutination test (MAT)
Note: Please indicate microchip number, date of specimen collection S
and travel destination on the requisition form. Blood specimens must
be collected on the same day. Specimen tube must be clearly labeled
with owner’s name, patient’s name and microchip number. For export T
to Australia, this panel should be submitted within 30 days of export.
For intact dogs, see Export Panel (Australia)—Intact Dogs (Test Code U
3502).
Requirements for export may change periodically. We recommend V
consulting your local consulate to confirm latest requirements. This
panel does not include a rabies titer, which is also required for export
to Australia (see Rabies Serology [OIE FAVN] [Test Code 1250]). W
3 mL serum, microchip number and travel destination
X
10–12 working days

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Export Panel (South Africa)—Canine †
3503 $388.09
B Babesia gibsoni antibody by IFA, Babesia spp. giemsa smear
evaluation, Brucella canis antibody by serum agglutination, heartworm
microfilaria by filtration, Leishmania infantum antibody by IFA
C
Note: Please indicate microchip number, date of specimen collection
and travel destination on the requisition form. Blood specimens must
D be collected on the same day. Specimen tube must be clearly labeled
with owner’s name, patient’s name and microchip number.
E Rabies titers are not currently required for export to South Africa,
however requirements for export may change periodically. We
F recommend consulting your local consulate to confirm latest
requirements.
3 mL serum for serology and 1 mL LTT for microfilaria and giemsa
G
smear, microchip number and travel destination
10–12 working days
H
 Export Panel (New Zealand)—Canine† 3501 $346.39
I Babesia gibsoni antibody by IFA, Brucella canis antibody by serum
agglutination, canine heartworm antigen by ELISA, Leptospira
canicola antibody by microscopic agglutination test (MAT)
J
Note: Please indicate microchip number, date of specimen collection
and travel destination on the requisition form. Blood specimens must
K be collected on the same day. Specimen tube must be clearly labeled
with owner’s name, patient’s name and microchip number.
L Requirements for export may change periodically. We recommend
consulting your local consulate to confirm latest requirements. This
M panel does not include a rabies titer, which is also required for export
to New Zealand (see Rabies Serology [OIE FAVN] [Test Code 1250]).
3 mL serum, microchip number and travel destination
N
10–12 working days
O F
 Fecal Dx™ Antigen Panel 5199 $13.69
P Add-on 51991 $11.59
Hookworm, roundworm and whipworm antigens by ELISA
Q 3–5 g (0.2 g minimum) fresh feces in a clean plastic container
10:00 a.m.
R
 Fecal Dx™ Antigen Panel with Giardia 5299 $24.99
Add-on 52991 $22.99
S
Giardia, hookworm, roundworm and whipworm antigens by ELISA
T 3–5 g (0.2 g minimum) fresh feces in a clean plastic container
10:00 a.m.
U Fecal Dx™ Profile 5013 $25.59
Fecal ova and parasites, hookworm, roundworm and whipworm
V antigens by ELISA
3–5 g fresh feces in a clean plastic container
W 10:00 a.m.
Fecal Dx™ Profile with Diarrhea RealPCR™ Panels
X See Diarrhea RealPCR™ Panels with Fecal Dx™ Profile.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Fecal Dx™ Profile with Giardia 24639 $29.79
Fecal ova and parasites, Giardia, hookworm, roundworm and B
whipworm antigens by ELISA
3–5 g fresh feces in a clean plastic container
C
10:00 a.m.
 Fecal Dx™ Profile with Heartworm—Canine 31793 $29.99 D
Canine heartworm antigen by ELISA, fecal ova and parasites,
hookworm, roundworm and whipworm antigens by ELISA E
1 mL serum, 3–5 g fresh feces in a clean plastic container
10:00 a.m. F
 Fecal Dx™ Profile with Lab 4Dx Plus Test—Canine®
31803 $36.89
Fecal ova and parasites, Lab 4Dx® Plus Test, hookworm, roundworm G
and whipworm antigens by ELISA
1 mL serum, 3–5 g fresh feces in a clean plastic container H
10:00 a.m.
 Fecal Enteric Pathogen Culture 1* 4021 $80.29
I
Fecal culture of enteric pathogens, including Yersinia (primates only),
Salmonella, Shigella, Aeromonas, Edwardsiella and Plesiomonas J
3–5 g (1 g minimum) fresh feces in fecal culture transport media (preferred),
RTT, culture swab in transport media or specimen in sterile container K
3 working days, longer depending on growth
 Fecal Enteric Pathogen Culture 1 with Campylobacter* 4022 $110.39 L
Fecal culture of enteric pathogens, including Yersinia (primates only),
Campylobacter, Salmonella, Shigella, Aeromonas, Edwardsiella and M
Plesiomonas
3–5 g (1 g minimum) fresh feces in fecal culture transport media (preferred), N
RTT, culture swab in transport media or specimen in sterile container
3–6 working days, longer depending on growth O
 Fecal Enteric Pathogen Culture, Campylobacter Only* 4026 $90.79
3–5 g (1 g minimum) fresh feces in fecal culture transport media (preferred), P
RTT, culture swab in transport media or specimen in sterile container
3–6 working days, longer depending on growth Q
 Fecal Enteric Pathogen Culture Toxin Panel 1* 4032 $208.99
Clostridium difficile toxin A by ELISA, Clostridium perfringens R
enterotoxin by ELISA, Fecal Enteric Pathogen Culture 1 with
Campylobacter S
3–5 g fresh feces in fecal culture transport media (preferred),
RTT or culture swab in transport media for cultures and 3–5 g T
fresh feces in a clean plastic container for ELISAs
3–6 working days, longer depending on growth U
 Fecal Exam, Direct 517 $21.79
3–5 g fresh feces in a clean plastic container V
1–2 working days
 Fecal Occult Blood* 907 $40.59 W
3–5 g fresh feces in a clean plastic container
1–2 working days X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 77
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A Test Name Test Code Fee

 Fecal Ova and Parasites 5010 $15.39


B Note: See also Fecal Dx™ Profile (Test Code 5013).
3–5 g fresh feces in a clean plastic container per specimen.
C Special collection vials are available.
8:00 a.m.
D  Fecal Ova and Parasites with Giardia—Avian/Reptile 3660 $27.29
Fecal ova and parasites, Giardia antigen by DFA
E 3–5 g fresh feces in a clean plastic container
1–5 working days
F
 Fecal Ova and Parasites with Giardia—Mammals 2463 $27.29
Fecal ova and parasites, Giardia antigen by ELISA
G
Note: See also Fecal Dx™ Profile with Giardia (Test Code 24639).
H 3–5 g fresh feces in a clean plastic container
10:00 a.m.
I  Fecal Ova and Parasites with Reflex Parasite Stain (if Indicated)— 3231 $72.29
Primate
J Fecal ova and parasites, parasite stain if indicated
Note: If amoebic protozoa are identified on fecal ova and parasite
K testing, a parasite stain will be automatically added on at no
additional charge.
L 3–5 g fresh feces in SAF
Preliminary results in 1–2 working days; parasite stain in
M 10–14 working days
Fecal Panels
N See Fecal Dx™ Profiles
 Fecal Screen 1—Avian/Reptile 4023 $87.39
O Aerobic culture (organism ID and susceptibility), Gram stain
Note: For small mammals, please see Fecal Enteric Pathogen Culture
P 1 with Campylobacter (Test Code 4022).
Fresh feces in an RTT, culture swab in transport media or
Q specimen in sterile container (no formalin)
3–5 working days
R  Fecal Screen 2—Avian/Reptile 4027 $101.49
Aerobic culture (organism ID and susceptibility), Gram stain,
S Salmonella screen
Note: For small mammals, please see Fecal Enteric Pathogen Culture
T 1 with Campylobacter (Test Code 4022).
Fresh feces in an RTT, culture swab in transport media or
U specimen in sterile container (no formalin)
3–5 working days
V Feline ADR Combo™ Plus Profile 2733 $130.39
S-CBC 27339999 $122.89
W Chem 25 with IDEXX SDMA® Test, CBC, FeLV antigen and FIV
antibody by ELISA, Spec fPL® Test, total T4
X 2 mL serum (fasting specimen preferred), 1 mL LTT
1–2 working days
Y

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Feline Calicivirus RealPCR™ Test 2514 $65.59
Deep pharyngeal swab (with visible organic material on swab; B
please rub firmly) and a conjunctival swab, in the same tube.
Please submit dry, plastic-stemmed swabs, without transport
media, in a RTT or a WTT (plain plastic tube); keep refrigerated. C
1–3 working days
D
Feline Combo™ Plus Profile 74 $117.39
S-CBC 749999 $109.89
E
Chem 25 with IDEXX SDMA® Test, CBC, FeLV antigen and
FIV antibody by ELISA, total T4
F
2 mL serum, 1 mL LTT
8:00 a.m.
G
 Feline Combo™ Plus Complete Profile 169 $124.59
S-CBC 1699999 $117.09 H
Chem 27 with IDEXX SDMA® Test, CBC, FeLV antigen and
FIV antibody by ELISA, total T4 I
2 mL serum, 1 mL LTT
8:00 a.m. J
 Feline Combo™ Profile 54 $111.39
S-CBC 549999 $103.89 K
Chem 25 with IDEXX SDMA® Test, CBC,
FeLV antigen and FIV antibody by ELISA L
2 mL serum, 1 mL LTT
8:00 a.m. M
 Feline Comprehensive Profile 885 $124.59
N
S-CBC 8859999 $117.09
Chem 27 with IDEXX SDMA® Test, CBC, feline coronavirus (FCoV)
antibody by IFA, FeLV antigen and FIV antibody by ELISA, total T4 O
2 mL serum, 1 mL LTT
P
2–4 working days
 Feline Comprehensive Profile with Free T4 and T3 887 $141.89 Q
S-CBC 8879999 $134.39
Chem 27 with IDEXX SDMA® Test, CBC, feline coronavirus (FCoV) R
antibody by IFA, FeLV antigen and FIV antibody by ELISA, free T4,
total T3, total T4
S
3 mL serum, 1 mL LTT
2–4 working days
T
 Feline Coronavirus (FCoV) Antibody by IFA 710 $61.09
Add-on 7101 $52.89 U
1 mL serum
2–4 working days V
 Feline Coronavirus (FCoV) RealPCR™ Test 1714 $65.59
Note: For cats clinically suspect for FIP, see the FIP Virus RealPCR™ W
Test (Test Code 3630), which includes biotyping to differentiate
between the less virulent FECV biotype and the pathogenic FIPV X
biotype.
5 g (1 g minimum) fresh feces in a sterile container; Y
keep specimens refrigerated.
1–3 working days Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Feline Hemotropic Mycoplasma (FHM) RealPCR™ Test* 1717 $51.19
B Add-on* 17171 $44.89
Mycoplasma haemofelis (formerly Haemobartonella felis),
C Candidatus Mycoplasma haemominutum and Candidatus
Mycoplasma turicensis RealPCR™ tests
2 mL EDTA whole blood (LTT); keep refrigerated.
D
Collect specimen prior to antibiotic administration.
1–3 working days
E
 Feline Panleukopenia by HI (Vaccine Titer)† 1233 $78.59
F Note: See also Vaccine Panel by SVN/HI—Feline*† (Test Code 2061).
1 mL serum
G 5–7 working days
 Feline Panleukopenia RealPCR™ Test 2655 $51.19
H 5 g fresh feces (1 g minimum) in a sterile container;
keep refrigerated
I 1–3 working days
 Feline Senior Profile 90 $143.59
J S-CBC 909999 $136.09
Chem 27 with IDEXX SDMA® Test, CBC, FeLV antigen and
K FIV antibody by ELISA, total T4, urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
L 8:00 a.m.
 Feline Senior Profile with Mg, Osmolality, Triglycerides and 2104 $192.19
M Heartworm
S-CBC 21049999 $184.69
N
Chem 27 with IDEXX SDMA® Test, osmolality (calculated),
magnesium, triglycerides, CBC, FeLV antigen and FIV antibody by
O ELISA, feline heartworm antibody by ELISA, total T4, urinalysis
3 mL serum after an overnight fast, 1 mL LTT,
P 5 mL urine in a sterile container
1–3 working days
Q  Feline Viral Panel 761 $76.39
Add-on 7610 $63.19
R Feline coronavirus (FCoV) antibody by IFA, FeLV antigen and
FIV antibody by ELISA
S 1 mL serum
2–4 working days
T
 Feline Viral Plus 66 $121.39
S-CBC 669999 $113.89
U
Chem 25 with IDEXX SDMA® Test, CBC, feline coronavirus (FCoV)
antibody by IFA, FeLV antigen and FIV antibody by ELISA, total T4
V
2 mL serum, 1 mL LTT
2–4 working days
W

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Feline Viral RealPCR™ Panel 3543 $71.89
Feline calicivirus, feline coronavirus (FCoV), FeLV and FIV RealPCR™ tests. B
Includes subtyping for FIV if PCR positive.
2 mL EDTA whole blood (LTT); keep refrigerated
C
1–3 working days; allow additional time for subtyping if FIV
positive
D
 FeLV Antigen and FIV Antibody by ELISA 24 $46.79
Add-on 1045 $38.09 E
3 or More Specimens 2433 $43.89
1 mL serum F
8:00 a.m.
 FeLV Antigen by ELISA 709 $26.79 G
Add-on 18 $17.99
3 or More Specimens 7093 $21.79 H
1 mL serum
I
8:00 a.m.
 FeLV Antigen by IFA 717 $67.59 J
Add-on 7171 $58.89
1 mL LTT, buffy coat smear or unstained, unfixed K
bone marrow smear
2–4 working days L
 FeLV RealPCR™ Test 2635 $51.19
Note: Serology (SNAP® test or reference laboratory ELISA) is M
recommended for initial screening for FeLV infections.
2 mL EDTA whole blood (LTT); keep refrigerated N
1–3 working days
 Ferret Androgen (Adrenal) Panel† 1315 $209.19 O
Androstenedione, estradiol, 17-hydroxyprogesterone
0.5 mL serum (RTT only, no SST; spun, separated into an RTT or a P
WTT [plain plastic tube], and frozen)
7–10 working days Q
 Ferret Diarrhea RealPCR™ Panel 3664 $69.89
Campylobacter jejuni, canine distemper virus (CDV), R
Cryptosporidium spp., ferret enteric coronavirus (FRECV), Giardia
spp, Helicobacter spp. and Lawsonia intracellularis RealPCR™ tests S
5 g fresh feces (1 g minimum) in a sterile container; keep
refrigerated. Collect specimens prior to antibiotic administration. T
1–3 working days
 Ferret GI Profile 1802 $133.39 U
Albumin, albumin:globulin ratio, ALP, ALT, amylase, AST, total
bilirubin, BUN, calcium, cholesterol, CK, creatinine, GGT, globulin, V
glucose, lipase, phosphorus, potassium, IDEXX SDMA® Test, sodium,
total protein, comprehensive CBC W
0.3 mL heparinized plasma (preferred) or serum,
0.5 mL LTT/GNTT, two blood smears
X
8:00 a.m.
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Ferret Panel 778 $77.79
B Albumin, albumin:globulin ratio, ALP, ALT, AST, total bilirubin,
BUN, calcium, cholesterol, CK, creatinine, GGT, globulin, glucose,
phosphorus, potassium, IDEXX SDMA® Test, sodium, total protein
C
0.3 mL heparinized plasma (preferred) or serum
8:00 a.m.
D
 Ferret Profile 777 $120.79
E Ferret Panel, comprehensive CBC
0.3 mL heparinized plasma (preferred) or serum,
F 0.5 mL LTT/GNTT, two blood smears
8:00 a.m.
G Fever of Unknown Origin RealPCR™ Panels—Canine 0 0
Standard—Canine 3541 $81.09
H Anaplasma spp., Babesia spp., Bartonella spp., Brucella canis,
Cryptococcus spp., Ehrlichia spp., Neospora caninum, Rocky
I Mountain spotted fever (Rickettsia rickettsii) and Toxoplasma gondii
RealPCR™ tests. Includes speciation for Anaplasma spp.,
Babesia spp. and Ehrlichia spp. if PCR positive.
J
Comprehensive—Canine 3539 $114.49
Anaplasma spp., Babesia spp., Bartonella spp., Blastomyces
K
dermatitidis, Brucella canis, Coccidioides spp., Cryptococcus
spp., Ehrlichia spp., Hepatozoon spp., Histoplasma capsulatum,
L Leishmania spp. Quant, Leptospira spp., Neospora caninum, Rocky
Mountain spotted fever (Rickettsia rickettsii), Toxoplasma gondii
M and Trypanosoma cruzi RealPCR™ tests. Includes quantification of
Leishmania if PCR positive. Includes speciation for Anaplasma spp.,
Babesia spp. and Ehrlichia spp. if PCR positive.
N
2 mL EDTA whole blood (LTT) and 2 mL urine (Comprehensive
panel only) in a sterile container; keep refrigerated. Collect
O specimens prior to antibiotic administration.
1 –3 working days; allow additional time for speciation if
P Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive
Fever of Unknown Origin RealPCR™ Panels—Feline 0 0
Q
Standard—Feline 3542 $82.19
Anaplasma spp., Bartonella spp., Cryptococcus spp., Cytauxzoon
R felis, Ehrlichia spp., feline calicivirus, feline coronavirus (FCoV),
FeLV, FIV and Toxoplasma gondii RealPCR™ tests. Includes
S speciation for Anaplasma spp. or Ehrlichia spp. if PCR positive.
Includes subtyping for FIV if PCR positive.
T Comprehensive—Feline 3540 $111.39
Anaplasma spp., Bartonella spp., Cryptococcus spp., Cytauxzoon felis,
U Ehrlichia spp., feline calicivirus, feline coronavirus (FCoV), feline hemotropic
mycoplasma (FHM), feline panleukopenia virus, FeLV, FIV, Salmonella spp.
and Toxoplasma gondii RealPCR™ tests. Includes speciation for Anaplasma spp or
V Ehrlichia spp if PCR positive. Includes subtyping for FIV if PCR positive.
2 mL EDTA whole blood (LTT); keep refrigerated. Collect specimen
W prior to antibiotic administration.
1 –3 working days; allow additional time for speciation or subtyping
X if Anaplasma spp., Ehrlichia spp. or FIV PCR positive

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Fibrinogen (Quantitative)* 308 $39.09
Add-on* 3081 $31.59 B
Citrated plasma (one full BTT spun, separated into a WTT [plain
plastic tube without clot activator], and frozen) C
8:00 a.m.
 Fibrinogen Estimate by Heat Precipitation—Large Animal* 306 $31.59 D
1 mL LTT/BTT
8:00 a.m. E
FIP Virus Profile 3632 $154.99
S-CBC 36329999 $147.49 F
Chem 25 with IDEXX SDMA® Test, CBC, FeLV antigen and
FIV antibody by ELISA, FIP Virus RealPCR™ Test G
2 mL serum, 1 mL LTT. For RealPCR test: 2 mL (0.1 mL minimum)
pleural or abdominal effusion (preferred specimen), tissue H
aspirates or fresh tissue in an empty, sterile container (preferred
specimen) or 1 mL EDTA whole blood (LTT). Keep specimens I
refrigerated.
1–3 working days J
 FIP Virus RealPCR™ Test 3630 $52.99
Add-on 36301 $10.59 K
Feline coronavirus (FCoV) RealPCR™ Test. If positive for FCoV,
the biotype is identified as either the pathogenic feline infectious L
peritonitis virus (FIPV) biotype or the less virulent feline enteric
coronavirus (FECV) biotype.
M
Note: The FIPV biotype is defined by the presence of either of two
spike gene mutations that are highly correlated with the development
of feline infectious peritonitis (FIP). The FECV biotype is defined by N
the absence of both spike gene mutations.
Whole blood can be submitted; however, because of low viral loads in O
peripheral blood, biotyping may not be possible in some cases. Feces
are not an acceptable specimen for feline coronavirus biotyping. P
Cats with FIP may have intestinal infection with the FECV biotype but
systemic infection with the mutated FIPV biotype.
Q
The add-on test code can be used to request biotyping on a positive
(nonfecal) Feline Coronavirus (FCoV) RealPCR™ Test.
2 mL (0.1 mL minimum) pleural or abdominal effusion (preferred R
specimen), tissue aspirates or fresh tissue in an empty, sterile
container (preferred specimen) or 1 mL EDTA whole blood (LTT). S
Keep specimens refrigerated.
1–3 working days T
 FIV Antibody by ELISA 1039 $45.99
Add-on 1043 $37.79 U
1 mL serum
8:00 a.m. V

 FIV Antibody by IFA 1046 $131.99


W
1 mL serum
2–5 working days
X
 FIV Antibody by Western Blot 896 $137.29
Add-on 8961 $128.49 Y
1 mL serum
5–7 working days Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 83
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Test Name Test Code Fee


A
 FIV RealPCR™ Test 2866 $65.59
B FIV subtype A, B, C, D and F RealPCR™ tests
Note: Serology (SNAP® test or reference laboratory ELISA) is
C recommended for initial screening for FIV infections.
2 mL EDTA whole blood (LTT); keep refrigerated
D 1–3 working days; allow additional time for subtyping if FIV
PCR positive
E  Fluid Analysis with Cytology 935 $68.09
See also Cytology, Priority and Body Cavity Effusion Fluid Analysis
F with Cytology, pages 63–64, for evaluation of mass lesion(s) with
associated body cavity effusion.
G  Body Cavity Effusion 905 $115.49
2 Sites 9052 $189.99
H 3 Sites 9053 $264.49
Report includes: Source/history (provided by you); volume; nucleated cell
I count; RBC; total protein; cytology with brief microscopic description, which
includes overall cellularity, cell types and appearance, cytologic interpretation,
comments regarding biological behavior, etiology and prognosis where applicable.
J Digital image included with report at no additional charge exclusively on
vetconnectplus.com or via VetConnect PLUS from within your Cornerstone or
K AVImark practice management software.
Note: Use for assessment of peritoneal, pericardial or pleural effusions.
L For fluid specimens collected from cutaneous and/or cystic lesions, please
use Cytology with Microscopic Description (Test Code 605).
M Bronchioalveolar Lavage (BAL) Cell Count 935 $115.49
Report includes: Source/history (provided by you), nucleated cell count,
N RBC, cytology with brief microscopic description, which includes overall cellularity,
cell types and appearance, cytologic interpretation, comments regarding biological
behavior, etiology and prognosis where applicable Digital image included with report
O at no additional charge exclusively on vetconnectplus.com or via VetConnect PLUS
from within your Cornerstone or AVImark practice management software.
P Note: For slides without fluid or other respiratory specimens (e.g., transtracheal
washes or fine needle aspirates), please use Cytology with Microscopic
Q Description (Test Code 605).
 Cerebral Spinal Fluid (CSF) 900 $115.49
R 2 Sites 9002 $189.99
Report includes: Source/history (provided by you); volume; nucleated
S cell count (manual); RBC (manual); glucose; total protein; cytology with brief
microscopic description, which includes overall cellularity, cell types and
T appearance, cytologic interpretation, comments regarding biological behavior,
etiology and prognosis where applicable Digital image included with report at no
additional charge exclusively on vetconnectplus.com or via VetConnect PLUS from
U within your Cornerstone or AVImark practice management software.
Note: If insufficient volume is received to perform the entire fluid analysis,
V prioritization is given in the following order: gross examination (volume,
color/clarity), cytology, cell counts, protein and glucose.
W

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Fluid Analysis with Cytology, continued
 Synovial/Joint 906 $115.49 B
2 Sites 9062 $189.99
3 Sites 9063 $264.49 C
4 Sites 9064 $338.99
Report includes: Source/history (provided by you); volume; nucleated cell count; D
RBC; total protein; viscosity; cytology with brief microscopic description, which
includes overall cellularity, cell types and appearance, cytologic interpretation, E
comments regarding biological behavior, etiology and prognosis where applicable.
Digital image included with report at no additional charge exclusively on
vetconnectplus.com or via VetConnect PLUS from within your Cornerstone
F
or AVImark practice management software.
Note: For slides without fluid, please use Cytology with Microscopic G
Description (Test Code 605)
Fluid in an LTT, slides (if culture may also be ordered, include H
fluid in a WTT (plain plastic tube). Please label all specimens with
source and patient’s name. I
1–2 working days
 Foal Diarrhea/Enterocolitis RealPCR™ Panel 3758 $60.79 J
Clostridium perfringens CPnetE/F toxin gene, Clostridium difficile
toxin A gene, Clostridium difficile toxin B gene, Cryptosporidium spp., K
equine coronavirus, rotavirus and Salmonella spp. RealPCR™ tests.
Note: CPnetE/F toxin is a newly recognized toxin produced by certain L
stains of Clostridium perfringens. This toxin is associated with
necrotizing enterocolitis in foals.
M
5 g (1 g minimum) fresh feces in a sterile container; keep
refrigerated. Collect specimen prior to antibiotic administration.
N
1–3 working days
 Free T4—Canine/Feline 849 $75.69 O
Add-on 850 $68.59
1 mL serum P
1–2 working days
 Free T4 by Equilibrium Dialysis 8499 $78.59 Q
Add-on 8509 $71.19
1 mL serum R
2–5 working days
S
 Fructosamine 245 $52.49
Add-on 2451 $43.49
T
1 mL serum (no hemolysis)
1–3 working days U
 Fungal Culture* 405 $78.99
Add-on* 4051 $69.79 V
One culture swab in transport media, hair/skin scrapings in an RTT
or a WTT (plain plastic tube); fresh tissue in a sterile container (no W
formalin); feed/bedding in a closed container/bag; please specify
site
X
Checked weekly; final report usually by 2–3 weeks, depending
on growth
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 85
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Test Name Test Code Fee


A
 Fungal Serology Panel 1 835 $154.59
B Coccidioides screen and titer, Blastomyces antibody,
Histoplasma antibody

C 2 mL serum
3–7 working days
D  Fungal Serology Panel 2 8352 $167.39
Coccidioides screen and titer, Blastomyces antibody,
E Histoplasma antibody, Aspergillus antibody
3 mL serum
F 3–7 working days
 Fungal Serology Panel 6 8356 $226.89
G Coccidioides screen and titer, Cryptococcus antigen by latex
agglutination, Blastomyces antibody, Histoplasma antibody,
H Aspergillus antibody
3 mL serum (RTT only, no SST)
I 3–7 working days
 Fungal Wet Mount* 407 $45.19
J Note: DTM slants without growth are not acceptable specimens and
will not be held. The test will be changed to Fungal Culture (Test Code
K 405), where the specimen will be replated on appropriate growth
media and examined for fungal growth for a period of 2 weeks.
L DTM slant with growth
Preliminary results in 2–3 working days
M G
 Geriatric Profile 2176 $143.99
N
S-CBC 21769999 $136.49
Chem 27 with IDEXX SDMA® Test, CBC, free T4, total T4, urinalysis
O
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
1–2 working days
P
 Geriatric Profile with Reflex UPC (if Indicated) 2664 $149.29
Q S-CBC 26649999 $141.79
Chem 27 with IDEXX SDMA® Test, CBC, free T4, total T4, urinalysis
R with reflex urine protein:creatinine (UPC) ratio if indicated
Note: If the urinalysis is positive for protein and the sediment is not
S active, a UPC ratio is automatically performed. If the urinalysis is
negative for protein, or if there is an active sediment (white blood
cells ≥6/hpf, red blood cells ≥100/hpf, color is red or pink, and/or
T bacteria are seen), the UPC ratio will not be performed. The test price
is the same whether or not a UPC ratio is performed.
U 2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
1–2 working days
V
 Geriatric Screen 2078 $136.49
S-CBC 20789999 $128.99
W
Chem 25 with IDEXX SDMA® Test, CBC, free T4, total T4, urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
X
1–2 working days
Y  GGT (Gamma-Glutamyl Transferase) 214 $23.39
1 mL serum
Z 8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 GI Panel with Spec cPL Test—Canine*
®
2365 $163.09
Cobalamin (vitamin B12), folate, trypsin-like immunoreactivity (TLI), B
Spec cPL® Test
2 mL serum (RTT preferred) after an overnight fast C
2–3 working days
 GI Panel 1 with Spec fPL® Test—Feline* 2734 $146.39 D
Cobalamin (vitamin B12), folate, Spec fPL® Test
2 mL serum after an overnight fast E
1–2 working days
 GI Panel 2 with Spec fPL® Test—Feline*† 2283 $187.09 F
Cobalamin (vitamin B12), folate, trypsin-like immunoreactivity (TLI),
Spec fPL® Test G
2 mL serum (RTT preferred) after an overnight fast
5–7 working days H

 GI Profile, Complete—Canine 3006 $194.99


I
S-CBC 30069999 $187.49
Chem 25 with IDEXX SDMA® Test, CBC, cobalamin (vitamin B12),
J
folate, Spec cPL® Test, total T4
3 mL serum after an overnight fast, 1 mL LTT
K
1–2 working days
 GI Profile, Complete—Feline 2737 $194.99 L
S-CBC 27379999 $187.49
Chem 25 with IDEXX SDMA® Test, CBC, cobalamin (vitamin B12), M
folate, Spec fPL® Test, total T4
3 mL serum after an overnight fast, 1 mL LTT N
1–2 working days
 Giardia Antigen by DFA—Avian/Reptile 5139 $48.99 O
1 g fresh feces in a clean plastic container
1–5 working days P
 Giardia Antigen by ELISA—Mammals 513 $48.99
Add-on 5131
Q
$48.39
Note: For nonmammalian species, see Giardia Antigen by DFA—
Avian/Reptile (Test Code 5139). R
3–5 g fresh feces in a clean plastic container
S
10:00 a.m.
 Giardia/Cryptosporidium by ELISA—Mammals 508 $110.39 T
3–5 g fresh feces in a clean plastic container
1–2 working days U
 Giardia spp. RealPCR™ Test—Mammals 2631 $51.19
5 g fresh feces (1 g minimum) in a sterile container; keep V
refrigerated. Collect specimen prior to antibiotic administration.
1–3 working days W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 87
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Test Name Test Code Fee


A
 Gingivitis RealPCR™ Panel—Feline 3662 $87.89
B Bartonella spp., feline calicivirus, feline herpesvirus type 1 (FHV-1),
FeLV, FIV, Mycoplasma felis RealPCR™ tests. Includes subtyping for
FIV if PCR positive.
C
Fresh gingival tissue in an RTT or a WTT (plain plastic tube)
(no formalin)
D
1–3 working days; allow additional time for subtyping
if FIV PCR positive
E
 Glucose* 215 $23.39
1 mL serum spun and separated
F
8:00 a.m.

G  Glucose Curve—Canine/Feline* 232 $72.59


Includes up to six timepoints
H 1 mL serum spun and separated for each specimen
Daily
I  Gram Stain 409 $45.99
 Two Sites 423 $61.59
J  Add-on to a profile 4091 $38.49
Slide, culture swab or sterile container
K 1–2 working days
 Gram Stain, Direct Add-on to Culture 402 $10.59
L
Add-on to Aerobic Culture (Test Code 400), Aerobic Culture
(ID Only) (Test Code 427), Aerobic and Anaerobic Cultures
M (Test Code 401) or Urine Culture and MIC Susceptibility
(Test Code 4035)
N Slide, culture swab or sterile container
1–2 working days
O
 Gram Stain, Direct Add-on to Urinalysis 40910 $10.59
5 mL urine in a sterile container
P
1–2 working days

Q  Guinea Pig Acute Disease RealPCR™ Panel 3580 $69.89


Bordetella bronchiseptica, guinea pig adenovirus, Salmonella spp.
and Streptococcus equi subsp. zooepidemicus RealPCR™ tests
R
Oral cavity swab and fecal pellet in a sterile container;
keep refrigerated. Please submit dry, plastic-stemmed swabs,
S without transport media, in an RTT or a WTT (plain plastic tube).
Collect specimens prior to antibiotic administration.
T 1–3 working days
H
U
H3N2 Canine Influenza Virus RealPCR™ Test 3730 $65.59

V Note: See also Influenza Virus RealPCR™ Panel—Canine


(Test Code 3731).
Deep pharyngeal swab (with visible organic material on swab;
W
please rub firmly) and a conjunctival swab (wipe eye clean;
swab inside of eyelid) in the same tube. Please submit dry,
X plastic-stemmed swabs, without transport media, in an RTT
or a WTT (plain plastic tube); keep refrigerated.
Y 1–3 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Hamster Wet Tail RealPCR™ Panel 3579 $69.89
Clostridium difficile toxin A gene, Clostridium difficile B
toxin B gene, Clostridium perfringens, Clostridium piliforme,
Lawsonia intracellularis and Salmonella spp. RealPCR™ tests
C
Fecal pellet in a sterile container; keep refrigerated. Collect
specimens prior to antibiotic administration.
D
1–3 working days
 HCG Stimulation Test (One Pre, One Post Testosterone)* 0 0
E
Canine 3275 $122.59
Feline 3276 $122.59 F
Equine 3234 $122.59
Baseline testosterone and one post-HCG testosterone G
2 mL serum per specimen (RTT only, no SST;
label tubes as “pre” and “post”) H
1–3 working days
 HealthChek™ Profile 1 $86.89 I
S-CBC 19999 $79.39
Chem 25 with IDEXX SDMA® Test, CBC J
2 mL serum, 1 mL LTT
8:00 a.m. K

HealthChek™ Profile with Cardiopet® proBNP Test—Canine* 2768 $111.89


L
S-CBC 27689999 $104.39
Chem 25 with IDEXX SDMA® Test, CBC, canine Cardiopet®
M
proBNP Test
Note: Avoid grossly hemolyzed specimens. Plasma is the preferred
N
specimen in dogs for the Cardiopet proBNP Test. Serum must be kept
cold to prevent degradation.
2 mL serum, 1 mL LTT, and 1 mL EDTA plasma for Cardiopet®
O
proBNP Test.
1–2 working days P
HealthChek™ Profile with Cardiopet® proBNP Test—Feline* 3130 $111.89
Q
S-CBC 31309999 $104.39
Chem 25 with IDEXX SDMA® Test, CBC, feline Cardiopet®
R
proBNP Test
Note: Avoid grossly hemolyzed specimens
S
3 mL serum, 1 mL LTT
1–2 working days
T
 HealthChek™ Profile with Free T4 1139 $117.99
S-CBC 11399999 $110.49 U
Chem 25 with IDEXX SDMA® Test, CBC, free T4
2 mL serum, 1 mL LTT V
1–2 working days
 HealthChek™ Profile with Lab 4Dx® Plus Test 2504 $102.39 W
S-CBC 25049999 $94.89
X
Chem 25 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test
2 mL serum, 1 mL LTT
Y
8:00 a.m.

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 HealthChek™ Profile with Spec cPL Test—Canine ®
2337 $99.89
B S-CBC 23379999 $92.39
Chem 25 with IDEXX SDMA® Test, triglycerides, CBC, Spec cPL® Test
C 2 mL serum after an overnight fast, 1 mL LTT
1–2 working days
D  HealthChek™ Profile with Thyroid Comprehensive Screen—Canine 2835 $157.29
S-CBC 28359999 $149.79
E Chem 25 with IDEXX SDMA® Test, CBC, endogenous cTSH, free T4,
total T4, thyroglobulin autoantibody
F 3 mL serum, 1 mL LTT
3–5 working days
G
 HealthChek™ Plus Profile 46 $93.49
S-CBC 469999 $85.99
H
Chem 25 with IDEXX SDMA® Test, CBC, total T4

I 2 mL serum, 1 mL LTT
8:00 a.m.
J  HealthChek™ Plus Profile with Cardiopet® proBNP Test—Feline* 2773 $118.49
S-CBC 27739999 $110.99
K Chem 25 with IDEXX SDMA® Test, CBC, feline Cardiopet®
proBNP Test, total T4
L Note: Avoid grossly hemolyzed specimens.
3 mL serum, 1 mL LTT
M 1–2 working days
 HealthChek™ Plus Profile with Fecal Dx™ Profile and Lab 4Dx® Plus 25643 $127.89
N Test—Canine
S-CBC 25643999 $120.39
O Chem 25 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
Lab 4Dx® Plus Test, hookworm, roundworm and whipworm antigens
P by ELISA, total T4.
2 mL serum, 1 mL LTT, 3–5 g fresh feces in a clean
Q plastic container
10:00 a.m.
R  HealthChek™ Plus Profile with Heartworm Antibody—Feline 2689 $124.99
S-CBC 26899999 $117.49
S Chem 25 with IDEXX SDMA® Test, CBC, feline heartworm antibody
by ELISA, total T4
T 2 mL serum, 1 mL LTT
1–3 working days
U
 HealthChek™ Plus Profile with Lab 4Dx® Plus Test 2816 $109.39
S-CBC 28169999 $101.89
V
Chem 25 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test, total T4
2 mL serum, 1 mL LTT
W
8:00 a.m.
X

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee A


 HealthChek™ Plus Profile with Spec cPL Test—Canine ®
2376 $106.49
S-CBC 23769999 $98.99 B
Chem 25 with IDEXX SDMA® Test, triglycerides, CBC, total T4,
Spec cPL® Test C
2 mL serum after an overnight fast, 1 mL LTT
1–2 working days D
 Heartworm Antibody by ELISA—Feline 1238 $62.99
Add-on 12381 $56.69 E
1 mL serum
F
1–3 working days
 Heartworm Antigen by ELISA—Canine 723 $14.79
G
Add-on 7231 $14.29
3 or More Specimens 7233 $12.19 H
1 mL serum
8:00 a.m. I
 Heartworm Antigen by ELISA—Feline 1237 $26.59
Add-on 12371 $21.49 J
1 mL serum
Daily K
Heartworm Antigen by ELISA with Heat Treatment—Canine/Feline 7232 $31.99
L
Add-on 72321 $15.79
Heartworm antigen by ELISA pre- and post-heat treatment
M
Note: In specific situations, immune-complexing may cause
false-negative results on heartworm antigen tests. Heat treatment is a
special process used to break down the immune complexes, allowing N
the antigen to be detected.
Add-on test may be added-on to a negative heartworm test O
performed at the reference laboratory within 6 days of initial test.
1 mL serum or EDTA plasma P
1–3 working days
Q
 Heartworm Microfilariae by Filter 503 $26.59
Add-on 5031 $24.89
R
2 mL LTT
Daily
S
 Heartworm Panel—Canine 271 $39.39
Canine heartworm antigen by ELISA, microfilariae by filter T
1 mL serum, 2 mL LTT
Daily U
 Heartworm Panel—Feline 1239 $76.39
Add-on 12391 $70.09 V
Feline heartworm antigen and antibody by ELISA
W
1 mL serum
1–3 working days
X
 Heartworm Panel 1—Canine 1515 $36.99
Young Preanesthetic Panel, canine heartworm antigen by ELISA
Y
2 mL serum
8:00 a.m. Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™ 3759 $73.79
Panel—Canine
B
Campylobacter coli, Campylobacter jejuni, canine circovirus, canine
parvovirus 2 (CPV-2), Clostridium perfringens CPnetE/F toxin gene
C Quant and Salmonella spp. RealPCR™ tests. Includes quantification
of Clostridium perfringens CPnetE/F toxin gene if PCR positive.
D Note: CPnetE/F toxin is a newly recognized toxin produced by certain
stains of Clostridium perfringens. This toxin is associated with
E hemorrhagic gastroenteritis in dogs.
With Culture if Indicated 3774 $103.49
F Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR
Panel—Canine. If the RealPCR test is positive for Salmonella spp.,
G a culture with susceptibilities on selective media for Salmonella
will be automatically performed at no additional charge. Includes
quantification of Clostridium perfringens CPnetE/F toxin gene
H if PCR positive.
Note: The reflex culture will only be performed if a specimen in fecal
I culture transport media is received.
5 g (1 g minimum) fresh feces in a sterile container (keep
J refrigerated) for RealPCR™ panel. Collect specimens prior to
antibiotic administration.
K When ordering a panel that includes a culture, also include 3–5 g
fresh feces in fecal culture transport media.
L 1–2 working days for RealPCR panel; allow additional time for
culture if indicated
M Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™ 3899 $57.19
Panel with Fecal Dx™ Profile—Canine
N Hemorrhagic Gastroenteritis (HGE)/Bloody Diarrhea RealPCR™
Panel­—Canine, fecal ova and parasites, hookworm, roundworm and
whipworm antigens by ELISA.
O
5 g (1 g minimum) fresh feces in a sterile container (keep
refrigerated) for RealPCR™ panel and 3–5 g fresh feces in a clean
P plastic container for fecal ova and parasites and fecal antigen
tests. Collect specimen prior to antibiotic administration.
Q 1–3 working days
Hip Dysplasia DNA Dysgen Test®† 3537 $190.89
R PCR for seven genetic markers for predisposition to hip dysplasia in
the Labrador retriever
S 2 mL EDTA whole blood (LTT); keep refrigerated
7–14 working days
T
 Hypercalcemia of Malignancy Profile*† 1846 $158.39
PTH, ionized calcium, PTHrP
U
1 mL EDTA plasma (spun, separated into an RTT or a WTT [plain
plastic tube], labeled as EDTA plasma, and frozen) and 1 mL
V serum (spun, separated into an RTT or a WTT [plain plastic tube],
and frozen) after an overnight fast
W 5–7 working days
 Hyperthyroid Panel 1 1456 $44.29
X BUN, creatinine, IDEXX SDMA® Test, total T4
1 mL serum
Y
8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Hyperthyroid Profile 1 1253 $63.09
S-CBC 12539999 $55.59 B
BUN, creatinine, IDEXX SDMA® Test, CBC, total T4
2 mL serum, 1 mL LTT C
8:00 a.m.
 Hyperthyroid Profile 2 2152 $68.19 D
S-CBC 21529999 $60.69
ALP, ALT, BUN, creatinine, glucose, IDEXX SDMA® Test, CBC, total T4 E
2 mL serum, 1 mL LTT
F
8:00 a.m.
I G
 IDEXX SDMA® Test 3638 $19.99
1 mL serum (preferred) or 1 mL EDTA or heparinized plasma (LTT H
or GNTT; spun and separated)
8:00 a.m. I
 IgG by RID (Quantitative)­—Equine† 10081 $112.89
2 mL serum J
5–7 working days
 IgG Screen (Semiquantitative)—Equine 733 $72.59 K
2 mL serum
L
1–2 working days
 Immune Panel—Canine 1362 $93.29
M
ANA, Coombs, rheumatoid factor
2 mL serum, 1 mL LTT N
2–3 working days
 Immune Profile 1—Canine 8 $123.79 O
S-CBC 89999 $116.29
ANA, Coombs, rheumatoid factor, CBC, manual platelet count P
(if indicated)
2 mL serum, 2 mL LTT, two blood smears Q
2–3 working days
R

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Immunohistochemistry Panel—1 Antibody 6971 $180.79
B 2 Antibodies 6972 $210.99
3 Antibodies 6973 $241.19
C 4 Antibodies 6974 $271.39
5 Antibodies 6975 $301.59
D This service uses specialized immunohistochemical testing to
demonstrate the presence of various antigens, etiologic agents or
E tissue markers in histologic specimens. The immunohistochemistry
report includes the following: antibodies utilized, the type of antigen
or tissue marker detected, the results of the procedure(s) on the
F patient’s tissues and an interpretive summary.
Note: Must have ordered a prior IDEXX biopsy (please specify
G
accession number) or concurrent biopsy. If immunohistochemical
studies would be helpful in a particular case, the IDEXX pathologist
H will include a recommendation on the biopsy report to add on this
test. Call us at 1-888-433-9987 if you would like to initiate the
I studies.
Original tissue blocks
J 10–14 working days
 Immunophenotyping of Canine Lymphoma (Lymph Node)* 2881 $245.29
K Immunophenotyping (flow cytometry) of an aspirate from an affected
lymph node previously diagnosed with lymphosarcoma by cytology
L or histopathology. Immunophenotyping provides quantitative data
on lymphocyte surface marker expression to help determine T cell
versus B cell lineage. The current antibody panel for lymphoma
M includes CD3 and CD5 (pan-T cells), CD4 (helper T cells), CD8
(cytotoxic T cells), CD21 (B cells) and CD45 (panleukocyte marker).
N Note: Order special lymph node aspirate transport tubes online at
idexx.com/order or call 1-888-433-9987. Viable intact neoplastic
O cells are required for testing. Low cellularity specimens, aged
specimens, nonrefrigerated specimens or specimens containing
P primarily lysed cells may be nondiagnostic. Collect specimens prior
to chemotherapy or prednisone administration. Submit specimens on
same day of collection, Monday–Wednesday, for best results.
Q
Aspirate in lymph node aspirate transport tube (for
immunophenotyping) and 1–3 slides (for correlation with
R immunophenotyping results); keep transport tube refrigerated
(do not freeze) and ship with a cold pack
S 3–5 working days
 Immunophenotyping of Canine Lymphoma (Lymph Node)—Add-on* 28811 $187.19
T Immunophenotyping (flow cytometry) of an aspirate from an affected
lymph node.
U Note: Requires a prior IDEXX lymph node cytology (please specify
accession number) with a diagnosis of lymphosarcoma. Order
V special lymph node aspirate transport tubes at idexx.com/order or
call 1-888-433-9987. Viable intact neoplastic cells are required for
testing. Low cellularity specimens, aged specimens, nonrefrigerated
W
specimens or specimens containing primarily lysed cells may
be nondiagnostic. Collect specimens prior to chemotherapy or
X prednisone administration. Submit specimens on same day of
collection, Monday–Wednesday, for best results.
Y 1–3 slides (for cytology) and aspirate in transport tube
(for immunophenotyping); keep transport tube refrigerated
Z (do not freeze) and ship with a cold pack
3–5 working days
*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.
† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Immunophenotyping of Lymphocytosis (Blood)—Canine/Feline* 2880 $219.19
Standard CBC and immunophenotyping (flow cytometry) of B
whole blood. Animals with a neoplastic lymphocytosis (primary
lymphoid leukemia, leukemic phase of lymphoma) typically have a
homogenous circulation population because of an expansion of a C
specific lymphocyte type/subset. Nonneoplastic conditions that result
in lymphocytosis are generally characterized by a heterogeneous D
lymphocyte population. A panel of antibodies is utilized to identify
T cells and B cells and to determine their relative percentages in E
circulation.
Note: Not recommended for specimens with overall low white blood
F
cell count or lymphocyte count. Specimens in which the cell line
of interest (e.g., lymphocytes, unclassified cells) is less than
5,000 cells/µL may have inconclusive results because of low G
specimen cellularity. Collect specimens prior to chemotherapy
or prednisone administration. Submit specimens on same day of H
collection, Monday–Wednesday, for best results.
1 mL LTT (keep refrigerated), two blood smears I
3–5 working days
 Immunophenotyping of Lymphocytosis (Blood)—Canine/Feline 28801 $187.19 J
Add-on to CBC*
Immunophenotyping (flow cytometry) of whole blood. K
Note: If the specimen is of sufficient volume and less than
24 hours postcollection, immunophenotyping can be added on to a L
previous CBC reported with lymphocytosis. Not recommended for
specimens with overall low white blood cell count or lymphocyte
M
count. Specimens in which the cell line of interest (e.g., lymphocytes,
unclassified cells) is less than 5,000 cells/µL may have inconclusive
results because of low specimen cellularity. Collect specimens prior N
to chemotherapy or prednisone administration.
1 mL LTT (keep refrigerated), two blood smears O
3–5 working days
 Infertile Mare RealPCR™ Panel 3560 $82.69 P
Amycolatopsis spp., Bartonella spp., Candida albicans, Crossiella
equi, Leptospira spp., Salmonella spp., Streptococcus dysgalactiae Q
subsp. equisimilis and Streptococcus equi subsp. zooepidemicus
RealPCR™ tests R
With Biopsy 3561 $162.19
Infertile Mare RealPCR™ Panel, biopsy with microscopic description S
(endometrial)
Note: Biopsy will be read by a pathologist with a special interest in T
equine reproductive pathology.
Endometrial swab or Cytobrush, swab from clitoral fossa and U
sinus, and 2 mL EDTA whole blood (LTT) and 2 mL urine in a
sterile container; keep refrigerated. Submit dry, plastic-stemmed
swabs, without transport media, in an RTT or a WTT (plain plastic V
tube). When ordering a panel that includes a biopsy, also include
endometrial specimen in 10% formalin. W
1–3 working days
X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
Influenza Virus RealPCR™ Panel—Canine 3731 $68.89
B Canine influenza virus (H3N8), H1N1 pandemic influenza virus, H3N2
canine influenza virus and influenza A virus RealPCR™ tests
Deep pharyngeal swab (with visible organic material on swab;
C
please rub firmly) and a conjunctival swab (wipe eye clean;
swab inside of eyelid) in the same tube. Please submit dry,
D plastic-stemmed swabs, without transport media, in an RTT or a
WTT (plain plastic tube); keep refrigerated.
E 1–3 working days
 Insulin by RIA—Canine/Equine* 805 $77.99
F 1 mL serum
3–5 working days
G
 Insulin by RIA—Exotics/Feline*† 8059 $76.79
1 mL serum or heparinized plasma
H
7–10 working days
I  Insulin Panel—Canine/Equine* 1365 $84.49
Insulin by RIA, glucose, amended insulin:glucose ratio
J Note: Specimen ideally should be drawn when the blood glucose
level is less than 60 mg/dL. Spin and separate the serum within 30
minutes of draw.
K
1 mL serum
L 3–5 working days
 Ionized Calcium 2285 $72.59
M 1 mL serum refrigerated (spun, separated and frozen, if possible;
no hemolysis)
N 1–3 working days
 Itchy Dog Panel 3634 $56.39
O Ringworm (Dermatophyte) RealPCR™ Panel and Sarcoptes Antibody
by ELISA
P 1 mL serum for ELISA and for RealPCR panel: plucked hair
with follicles and skin scrapings from the active border of lesion
Q (preferred) in an RTT or a WTT (plain plastic tube); nails with
nail bed scrapings in sealed fungal envelope or sterile container;
or aspirated purulent material in a sterile container. If no distinct
R lesions are present, please submit hair from a thorough coat
brushing, using a toothbrush, in a sterile container. Keep
S specimens refrigerated.
1–4 working days
T  Itchy Dog Profile 3605 $86.99
S-CBC 36059999 $79.49
U Chem 25 with IDEXX SDMA® Test, CBC, Ringworm (Dermatophyte)
RealPCR™ Panel, Sarcoptes Antibody by ELISA, total T4
V 3 mL serum, 1 mL LTT and for RealPCR panel: plucked hair
with follicles and skin scrapings from the active border of lesion
W (preferred) in an RTT or a WTT (plain plastic tube); nails with
nail bed scrapings in sealed fungal envelope or sterile container;
or aspirated purulent material in a sterile container. If no distinct
X
lesions are present, please submit hair from a thorough coat
brushing, using a toothbrush, in a sterile container. Keep
Y specimens refrigerated.
1–4 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
L
 Lab 4Dx® Plus Test—Canine 7244 $23.59 B
Add-on 72441 $21.19
ELISAs for heartworm antigen, Ehrlichia canis, Ehrlichia ewingii, C
Anaplasma phagocytophilum, Anaplasma platys and
Lyme C6 antibodies D
Note: Formerly test code 72440.
1 mL serum E
8:00 a.m.
 Lab 4Dx® Plus Test with Reflex Lyme Quant C6® Test (if Indicated) 2889 $43.19 F
ELISAs for heartworm antigen, Ehrlichia canis, Ehrlichia ewingii,
Anaplasma phagocytophilum, Anaplasma platys and Lyme C6 G
antibodies. If positive for Lyme on the Lab 4Dx® Plus Test,
a Lyme Quant C6® Test will be automatically run at no additional H
charge.
1 mL serum I
1–3 working days
Lab Feline Triple® Test 3755 $26.39 J
SNAP® Feline Triple® Test run for you at the reference laboratory.
ELISAs for heartworm antigen, FeLV antigen and FIV antibody K
1 mL serum or EDTA plasma
8:00 a.m. L
 Large-Animal Panel 113 $66.09
Albumin, albumin:globulin ratio, ALP, anion gap, AST, conjugated M
bilirubin, total bilirubin, unconjugated bilirubin, BUN, BUN:creatinine
ratio, calcium, chloride, cholesterol, CK, creatinine, GGT, globulin, N
glucose, phosphorus, potassium, sodium, sodium:potassium ratio,
TCO2 (bicarbonate), total protein
O
2 mL serum
8:00 a.m. P
 Large-Animal Profile 11 $93.99
S-CBC 119999 $86.49 Q
Large-Animal Panel, CBC, fibrinogen estimate by heat precipitation
2 mL serum, 2 mL LTT R
8:00 a.m.
S
 Large-Animal Profile 4 2250 $66.09
S-CBC 22509999 $58.59
T
Albumin, albumin:globulin ratio, ALP, AST, total bilirubin, BUN,
calcium, chloride, CK, creatinine, GGT, globulin, glucose, magnesium,
phosphorus, potassium, sodium, total protein, CBC, fibrinogen U
estimate by heat precipitation
2 mL serum, 2 mL LTT V
8:00 a.m.
W
 Lawsonia intracellularis Antibody by IPMA† 3380 $80.49
Add-on to a base profile or RealPCR™ test 33801 $67.89
X
1 mL serum
7–10 working days
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Lawsonia intracellularis Panel 3379 $85.29
B Lawsonia intracellularis antibody by IPMA, Lawsonia intracellularis
RealPCR™ Test, total protein
1 mL serum for serology and 5 g (1 g minimum) fresh feces in
C
a sterile container (keep refrigerated) for RealPCR test. Collect
specimen prior to antibiotic administration.
D
1–3 working days for RealPCR test; 7–10 working days
for serology
E
 LDH (Lactate Dehydrogenase) 218 $23.39
Add-on 2181 $17.99
F
1 mL serum (no hemolysis); keep at room temperature
Daily
G
 Lead (Blood)—Avian/Exotics† 1357 $113.49
H 0.3 mL EDTA whole blood (LTT)
3–5 working days
I  Lead (Blood)—Avian/Mammals* 1002 $104.59
2 mL EDTA whole blood (LTT)
J 5–7 working days
Leishmania spp. Quant RealPCR™ Test (Blood) 3570 $61.79
K Includes quantification of Leishmania spp. if PCR positive.
2 mL EDTA whole blood (LTT); keep refrigerated. Collect
L specimens prior to antibiotic administration.
1–3 working days
M
Leptospira spp. Panel—Canine 3569 $52.99
Leptospira spp. RealPCR™ Test, Leptospira spp. antibody by ELISA
N
2 mL EDTA whole blood (LTT) and 2 mL urine in a sterile container
for RealPCR tests (keep refrigerated) and 1 mL serum for serology.
O Collect specimens prior to antibiotic administration.
1–3 working days
P
 Leptospira spp. RealPCR™ Test 2628 $42.39
Detects pathogenic strains only.
Q
2 mL EDTA whole blood (LTT) and 2 mL urine in a sterile
container; keep refrigerated. Collect specimens prior to antibiotic
R administration.
1–3 working days
S
Leptospira spp. Antibody by ELISA—Canine 3568 $21.19
Note: Results reported as positive or negative for Leptospira spp. only.
T
1 mL serum
U Daily
 Leptospirosis Antibody Panel by Microagglutination 712 $93.29
V L. bratislava, L. canicola, L. grippotyphosa,
L. icterohaemorrhagiae, L. pomona, L. autumnalis
W Note: Results include a quantitative titer for each serovar.
2 mL serum
X 3–5 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Leptospirosis Profile—Canine 3567 $109.59
S-CBC 35679999 $102.09 B
Chem 25 with IDEXX SDMA® Test, CBC, Leptospira spp. antibody
by ELISA, urinalysis C
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
Daily D
 Lipid Profile 291 $72.59
Cholesterol, triglycerides, HDL cholesterol, LDL cholesterol (calculated) E
1 mL serum after an overnight fast
1–3 working days F
 Liver Chemistries 1449 $44.39
G
Albumin, albumin:globulin ratio, ALP, ALT, AST, conjugated bilirubin,
total bilirubin, unconjugated bilirubin, BUN, cholesterol, GGT, globulin,
glucose, total protein H
2 mL serum
8:00 a.m. I
 Liver Panel 1387 $85.79
J
Albumin, albumin:globulin ratio, ALP, ALT, AST, bile acids (pre- and
postprandial), conjugated bilirubin, total bilirubin, unconjugated
bilirubin, BUN, cholesterol, GGT, globulin, glucose, K
total protein
2 mL serum per specimen; label tubes as “pre” and “post” L
Daily
 Liver Profile 1391 $113.09 M
S-CBC 13919999 $105.59
N
Liver Panel, CBC
2 mL serum per specimen (label tubes as “pre” and “post”),
1 mL LTT O
Daily
P
 Liver Staining Panel Add-on to Biopsy 6981 $115.79
Copper, iron, reticulin and trichrome stains
Q
Note: Must have ordered a prior IDEXX biopsy (please specify
accession number). If liver staining studies would be helpful in a
R
particular case, the IDEXX pathologist will include a recommendation
on the biopsy report to add on this test. Call us at 1-888-433-9987 if
you would like to initiate the studies. S
Original tissue blocks
3–5 working days T
Luteinizing Hormone* 2160 $75.29
U
Note: If the patient is currently showing heat signs, consider vaginal
cytology or delay luteinizing hormone testing by 2 weeks.
V
1 mL serum (spun, separated into an RTT or a WTT (plain plastic
tube), and frozen; no hemolysis or lipemia)
2–4 working days W

 Lyme by Multiplex Antibody—Equine† 9362 $161.29


X
2 mL serum
5–7 working days
Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Lyme Quant C6 Antibody Test
®
7246 $72.09
B Add-on 72461 $33.09
1 mL serum
C 2–3 working days
 Lyme Quant C6® Monitoring Profile 2360 $159.19
D S-CBC 23609999 $151.69
Chem 11 with IDEXX SDMA® Test, CBC, Lyme Quant C6® Test,
E urinalysis, urine protein:creatinine ratio
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
F 2–3 working days
M
G
 Magnesium 220 $31.79
Add-on 2201 $13.39
H
1 mL serum
I 8:00 a.m.
 Mast Cell Tumor Prognostic Panel­—IHC and PCR (Canine)† 3375 $355.09
J Add-on to biopsy
Immunohistochemistry testing for KIT and Ki67, histochemical
K staining for AgNOR, PCR analysis for mutations in exon 8 and
exon 11 of the c-KIT gene and interpretation.
L Note: Must have ordered a prior IDEXX biopsy (please specify
accession number) and have a diagnosis of mast cell tumor at the
site submitted for IHC and PCR analysis.
M
Original tissue blocks, prior accession number
N 7–15 working days
 Mast Cell Tumor Prognostic—IHC (Canine) 3373 $277.39
O Add-on to biopsy
Immunohistochemistry testing for KIT and Ki67, histochemical
P staining for AgNOR and interpretation.
Note: Must have ordered a prior IDEXX biopsy (please specify
Q accession number) and have a diagnosis of mast cell tumor at the
site submitted for IHC.
R Original tissue blocks, prior accession number
7–10 working days
S  Mast Cell Tumor Prognostic Panel—PCR (Canine)† 3374 $265.19
PCR analysis for mutations in exon 8 and exon 11 of the c-KIT gene
T and interpretation.
Note: Must have a prior diagnosis of mast cell tumor at the site
U submitted for PCR analysis for c-KIT gene mutations. This service
includes interpretation of the PCR results only and does not include
histopathologic evaluation of the specimen.
V
Original tissue blocks, prior accession number
7–15 working days
W
 McMasters Fecal Egg Count—Large Animal 1702 $43.19
X 3 or More Specimens 17023 $25.49
10 g fresh feces per specimen
Y 1–2 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Methicillin-Resistant Staphylococcus (MRS) Screening Culture* 2497 $102.19
Screening for MRS, with MIC if positive for MRS B
Note: This test is used to screen for nonclinical carriers
of MRS. When culturing an infected lesion with suspicion of C
methicillin-resistant Staphylococcus spp., an Aerobic Culture
(ID and Susceptibility), Test Code 400, is recommended.
D
Two culture swabs in transport media (swabs taken from nasal
passages and rectum)
Preliminary results within 1–3 working days
E

 Mouse ADR RealPCR™ Panel 3578 $69.89


F
CAR Bacillus spp., Citrobacter rodentium, fur mites,
Mycoplasma pulmonis and Salmonella spp. RealPCR™ tests
G
Oral cavity swab, fur swab and fecal pellet in a sterile container;
keep refrigerated. Please submit dry, plastic-stemmed swabs,
without transport media, in an RTT or a WTT (plain plastic tube). H
Collect specimens prior to antibiotic administration.
1–3 working days I
 Mycobacteria (Rapid-Growing) Culture 497 $92.89
Add-on 4971 $50.19 J
Isolation only; complete identification and/or susceptibility requires
testing at an outside laboratory for an additional charge K
One culture swab in transport media or fresh tissue in sterile
container (no formalin) L
5 working days
 Mycoplasma Culture* 411 $127.49
M
Add-on* 4111 $92.49
N
Mucus in Amies transport media without charcoal (preferred);
semen in sterile container; or respiratory specimens in sterile
container (preferred) or by culture swab in transport media; O
please specify site
5 working days P
N
Q
 Necropsy, Fish (Multiple Tissue Specimens) 69904 $175.39
This service is for tissues collected by you after an onsite necropsy
and includes up to 6 tissues. Necropsy will be directed to a
R
pathologist with exotics expertise. Includes same services as Biopsy
without Microscopic Description (Test Code 608). S
Note: For small fish (<30 g, submitted whole in formalin),
use Necropsy, Small Whole Fish (Test Code 69903). T
Up to 6 specimens in 10% formalin. Recommended specimens
include gill, heart, liver, spleen and kidney on most cases. U
3–5 working days
V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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A Test Name Test Code Fee

 Necropsy, Medium-Exotic (<30 g) 69902 $157.29


B This service is for small- to medium-exotic animals (birds,
amphibians, reptiles, mammals) that are <30 g (approximately the
C size of a golf ball), where the body is submitted whole in formalin
AND the organs/tissues can be histologically evaluated in 2–3 tissue
blocks/slides. Necropsy will be directed to a pathologist with exotics
D expertise. Includes same services as Biopsy without Microscopic
Description (Test Code 608).
E Body of medium-exotic animal to be submitted whole in adequate
volume of 10% formalin (10 parts formalin to 1 part tissue) and
F should have the coelomic cavity opened to allow for formalin
fixation of the internal organs
G 3–5 working days
 Necropsy, Small Whole Fish 69903 $138.49
H This service is for small fish <30 g (approximately the size of a
golf ball), submitted whole in formalin, which can be evaluated in
I 1–2 tissue blocks/slides. Necropsy will be directed to a pathologist
with exotics expertise. Includes same services as Biopsy without
Microscopic Description (Test Code 608).
J
Fish should be submitted whole in 10% formalin in a sealable
container with a leak-proof lid and should have the coelomic cavity
K opened to allow for formalin fixation of the internal organs
3–5 working days
L
 Necropsy, Multiple Tissue Specimens 69000 $337.09
This test code is for tissue specimens collected during a necropsy. If
M you need guidance on selection of tissues for submission, please call
the pathologist on duty for recommendations at 1-888-433-9987.
N Includes same services as Biopsy without Microscopic Description
(Test Code 608).
O Note: For cases in which only a limited number of organ specimens
are submitted (fewer than 10), you can use one of the following:
P Biopsy with Microscopic Description (Test Codes 601, 6012–6019),
Biopsy without Microscopic Description (Test Codes 608, 6082–6089)
or Professional Interest Biopsy (Test Codes 634, 6343–6349).
Q
Specimens in 10% formalin
7 working days
R
 Neorickettsia risticii (Ehrlichia risticii) Antibody by IFA/Potomac 855 $120.69
Horse Fever—Canine/Equine*†
S
1 mL serum

T 7–10 working days


 Neospora caninum Antibody by IFA† 1319 $79.29
U 1 mL serum or CSF
7–10 working days
V

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
Neurologic RealPCR™ Panels—Canine 0 0
Neurologic RealPCR™ Panel (Comprehensive)—Canine 3627 $91.99 B
Anaplasma spp., Bartonella spp., Blastomyces dematitidis, Borrelia
burgdorferi, canine distemper virus (CDV), Coccidioides spp., C
Cryptococcus spp., Ehrlichia spp., Histoplasma capsulatum,
Neospora spp., Rocky Mountain spotted fever (Rickettsia spp.),
Toxoplasma gondii and West Nile virus RealPCR™ tests. Includes D
speciation for Anaplasma spp. or Ehrlichia spp. if PCR positive.
With Lab 4Dx® Plus Test—Canine 3658 $105.79 E
Neurologic RealPCR™ Panel (Comprehensive)—Canine,
Lab 4Dx® Plus Test F
0.5 mL (0.1 mL minimum) CSF for RealPCR tests; keep
refrigerated. Collect specimens prior to antibiotic administration. G
When ordering a panel that includes a Lyme Quant C6® or
Lab 4Dx® Plus Test, also submit 1 mL serum. H
1–3 working days; allow additional time for speciation
if Anaplasma spp. or Ehrlichia spp. PCR positive I
Neurologic RealPCR™ Panels—Feline 0 0
Neurologic RealPCR™ Panel—Feline 30332 $85.79 J
Bartonella spp., Cryptococcus spp., feline coronavirus (FCoV),
FeLV, FIV and Toxoplasma gondii RealPCR™ tests. Includes K
subtyping for FIV if PCR positive.
With FeLV/FIV by ELISA—Feline 3033 $104.89 L
Neurologic RealPCR™ Panel—Feline, FeLV antigen and FIV antibody
by ELISA M
0.5 mL (0.1 mL minimum) CSF for RealPCR tests; keep
refrigerated. Collect specimens prior to antibiotic administration. N
When ordering a panel that includes a FeLV or FIV by ELISA, also
submit 1 mL serum.
O
1–3 working days; allow additional time for subtyping if FIV PCR
positive
P
 NSAID Profile 1 2667 $66.09
S-CBC 26679999 $58.59
Q
Chem 11 with IDEXX SDMA® Test, CBC, urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container R
8:00 a.m.
O S
 Oral Sugar Test (One Pre, One Post)—Equine 3623 $153.09
Baseline glucose and insulin by RIA, glucose and insulin by RIA T
levels for one timepoint post-glucose administration
Note: See protocol on vetconnectplus.com for important information U
regarding collection of specimens.
1 mL serum per specimen, spun and separated; label tubes as V
“pre” and “post”
3–5 working days W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
Oral Sugar Test (One Pre, Two Posts)—Equine 3624 $225.49
B Baseline glucose and insulin by RIA, glucose and insulin by RIA
levels for two timepoints post-glucose administration
Note: See protocol on vetconnectplus.com for important information
C
regarding collection of specimens.
1 mL serum per specimen, spun and separated; label tubes as
D
“pre”, “post 1” and “post 2”
3–5 working days
E
Oral Sugar Test (Post Only)—Equine 3622 $78.89
Glucose and insulin by RIA levels for one timepoint post-glucose
F
administration
Note: See protocol on vetconnectplus.com for important information
G
regarding collection of specimens.
1 mL serum, spun and separated
H
3–5 working days

I P
 Parathyroid Hormone (PTH)*† 813 $130.09
J Includes ionized calcium
1 mL serum (spun, separated into an RTT or a WTT [plain plastic
K tube], and frozen) after an overnight fast
5–7 working days
L  Parvovirus 2 (CPV-2) RealPCR™ Test—Canine 2649 $51.19
5 g (1 g minimum) fresh feces in a sterile container;
M keep refrigerated
1–3 working days
N  Parvovirus 2 (CPV-2) Strain Identification Add-on—Canine 24699 $10.59
Add-on to a positive Parvovirus 2 (CPV-2) RealPCR™ result.
O Identification of positive canine parvovirus as type 2a, 2b or 2c
5 g (1 g minimum) fresh feces in a sterile container;
P (keep refrigerated); indicate prior accession number
1–3 working days
Q  Parvovirus Antibody Vaccine Titer by HI—Canine*† 1231 $78.59
Note: See also Vaccine Panel by SVN/HI—Canine*†
R
1 mL serum
7–10 working days
S
 Parvovirus, Fecal Antigen by ELISA—Canine 713 $57.49
T Add-on 7131 $50.99
3–5 g fresh feces in a clean plastic container
U 1–2 working days
 Pasteurella Antibody by ELISA­—Rabbit† 940 $63.99
V 0.3 mL serum
6–8 working days
W
 Pasteurella by DNA Probe—Rabbit† 2438 $75.69
Nasal swab
X
3–5 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Pasteurella Profile—Rabbit †
2439 $112.89
Pasteurella antibody titer, Pasteurella by DNA probe B
0.3 mL serum and nasal swab
6–8 working days C
 Pathologist Review of CBC 399 $42.59
Note: Add-on to a standard CBC, avian/exotic CBC or comprehensive CBC. D
For comprehensive CBCs, a pathologist review is included in the CBC and
will be automatically performed at no additional charge if specific established E
criteria are met (see protocol information in the Online Test Directory at
vetconnectplus.com). Test Code 399 is not required for the automatic reflexed
pathologist review on comprehensive CBCs.
F
If you would like to request a pathologist review of a comprehensive CBC, either when
criteria are not met or in advance regardless of whether the criteria are met, you may G
use Test Code 399. For this test code, a pathologist review will be performed and a
charge will be applied whether or not criteria are met. H
1 mL LTT, two blood smears
1–2 working days I
 Phenobarbital (One Sample)* 1000 $62.29
Two samples (peak and trough)* 10010 $93.29 J
1 mL serum per specimen (RTT only, no SST);
label tubes as “peak” or “trough” K
1–2 working days
L
Phenobarbital and Bromide 2184 $157.99
2 mL serum (RTT only, no SST)
M
3–5 working days
 Phenobarbital Monitoring Profile 2119 $162.89 N
S-CBC 21199999 $155.39
Albumin, albumin:globulin ratio, ALP, ALT, AST, conjugated bilirubin, O
total bilirubin, unconjugated bilirubin, BUN, cholesterol, GGT, globulin,
glucose, total protein, CBC, bile acids (pre- and postprandial),
phenobarbital concentration P
2 mL serum per specimen (RTT only, no SST; label tubes as “pre”
and “post”), 1 mL LTT Q
1–2 working days
R
 Platelet Count* 309 $24.59
Add-on* 3091 $18.29
S
Automated platelet count, platelet smear evaluation and platelet
estimate, if indicated
T
1 mL LTT, two blood smears
8:00 a.m.
U
 Platelet Count, Manual (if Indicated) 3099 $31.79
Add-on to CBC or automated platelet count 30991 $24.89 V
Automated platelet count, platelet smear evaluation and, if indicated,
manual platelet count. A manual count will be performed if the W
automated platelet count is <10,000 or if the automated count and
the slide estimate do not agree (e.g., because of large platelets,
lipemia or mild platelet clumping.) If severe platelet clumping is X
present, a platelet estimate will be performed.
1 mL LTT, two blood smears Y
Daily
Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Polyoma/PBFD/Chlamydophila (Chlamydia) by DNA Probe—Avian †
1382 $167.09
B Choanal/cloacal swab using a plastic-stemmed swab without
transport media (preferred specimen for polyomavirus and
Chlamydophila) and/or 0.3 mL heparinized or EDTA whole blood in
C a mini tube (preferred specimen for PBFD)
3–5 working days
D
Polyoma/Psittacine Beak and Feather Disease (PBFD)† 1381 $120.69
Choanal/cloacal swab using a plastic-stemmed swab without
E
transport media (preferred specimen for polyomavirus) and/or
0.3 mL heparinized or EDTA whole blood in a mini tube (preferred
F specimen for PBFD)
3–5 working days
G  Polyomavirus by DNA Probe† 1380 $73.99
Choanal/cloacal swab using a plastic-stemmed swab without
H transport media (preferred) or 0.3 mL LTT/GNTT
3–5 working days
I
 Potassium 229 $23.39
1 mL serum
J
8:00 a.m.

K  Potassium and Sodium 226 $36.59


1 mL serum
L 8:00 a.m.
 Pre-Breeding Culture 404 $101.29
M Aerobic culture and susceptibility
One culture swab in transport media or tissue in sterile container
N (no formalin)
Up to 3 working days for negative culture results,
O longer depending on growth
 Pre-Breeding Screen 859 $125.19
P Aerobic culture and susceptibility, cytology with microscopic
description
Q One culture swab in transport media or tissue in sterile container
(no formalin) for culture, 1–3 slides for cytology
R Up to 3 working days for negative culture results,
longer depending on growth
S  Pre-Op Profile 2494 $84.99
S-CBC 24949999 $77.49
T Albumin, albumin:globulin ratio, ALP, ALT, BUN, BUN:creatinine ratio,
creatinine, globulin, glucose, IDEXX SDMA® Test, total protein,
CBC, prothrombin time (PT), partial thromboplastin (PTT)
U
1 mL serum, 1 mL LTT, citrated plasma w(one full BTT, spun,
separated into a WTT [plain plastic tube without clot activator],
V labeled as citrated plasma, and frozen)
8:00 a.m.
W
Prevaccination Panels x x
X See Vaccine Panels

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Progesterone by Chemiluminescence—Canine/Feline 806 $86.39
3 or More Specimens* 8063 $65.09 B
1 mL serum (RTT only, no SST; spun and separated into another
RTT or WTT) per specimen C
Daily
 Progesterone by RIA—Large Animal 8060 $77.99 D
3 or More Specimens* 80630 $57.49
1 mL serum (RTT only, no SST) per specimen E
1–3 working days
 Protein Electrophoresis, Plasma­—Avian 2789 $93.69 F
Add-on 27891 $84.49
G
0.3 mL heparinized plasma
4–5 working days
H
 Protein Electrophoresis, Serum 223 $93.69
Add-on 2231 $84.49 I
1 mL serum
4–5 working days J
 Psittacine Beak and Feather Disease (PBFD) by DNA Probe †
1379 $73.99
0.3 mL heparinized or EDTA whole blood K
3–5 working days
 PT (Prothrombin Time)* 311 $33.79 L
Citrated plasma (one full BTT spun, separated into a WTT [plain
plastic tube without clot activator], labeled as citrated plasma, and M
frozen)
8:00 a.m. N
 PT (Prothrombin Time) and PTT (Partial Thromboplastin Time)* 324 $61.09
Citrated plasma (one full BTT spun, separated into a WTT [plain O
plastic tube without clot activator], labeled as citrated plasma, and
frozen) P
8:00 a.m.
 PTT (Partial Thromboplastin Time)* 312 $33.79 Q
Citrated plasma (one full BTT spun, separated into a WTT [plain
plastic tube without clot activator], labeled as citrated plasma, and R
frozen)
8:00 a.m. S
R
Rabbit ADR RealPCR™ Panel 3581 $69.89
T
Bordetella bronchiseptica, Clostridium difficile toxin A gene,
Clostridium difficile toxin B gene, Clostridium perfringens and U
Salmonella spp. RealPCR™ tests
Oral cavity swab and fecal pellet in a sterile container; keep V
refrigerated. Please submit dry, plastic-stemmed swab, without
transport media, in an RTT or a WTT (plain plastic tube). Collect W
specimens prior to antibiotic administration.
1–3 working days X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Rabies Serology (OIE FAVN) †
1250 $228.39
B Use for export purposes. Label tube with patient’s name and
microchip number. The FAVN form is required and is available by
calling 1-888-433-9987.
C
2 mL serum (spun and separated into an RTT or a WTT [plain
plastic tube]), FAVN form with vaccination history, destination of
D export and microchip number
4 weeks
E
 Rabies Serology (RFFIT)† 1150 $135.59
2 mL serum (spun and separated into an RTT or a WTT [plain
F plastic tube])
4 weeks
G
Rat ADR RealPCR™ Panel 3576 $69.89
CAR Bacillus spp., fur mites, Mycoplasma pulmonis, rat coronavirus,
H
Salmonella spp. and Streptobacillus moniliformis RealPCR™ tests
Oral cavity swab, fur swab and fecal pellet in a sterile container;
I keep refrigerated. Please submit dry, plastic-stemmed swabs,
without transport media, in an RTT or a WTT (plain plastic tube).
J Collect specimens prior to antibiotic administration.
1–3 working days
K  Relaxin (Canine Pregnancy Test)* 1680 $128.59
1 mL heparinized or EDTA plasma (GNTT or LTT) or 1 mL serum;
L spun and separated into an RTT or a WTT (plain plastic tube),
and frozen
M 2–4 working days
 Renal Panel 114 $46.09
N Albumin, albumin:globulin ratio, BUN, BUN:creatinine ratio,
calcium, chloride, cholesterol, creatinine, globulin, phosphorus,
O potassium, IDEXX SDMA® Test, sodium, sodium:potassium ratio, total
protein, anion gap, TCO2 (bicarbonate)
P 2 mL serum
8:00 a.m.
Q  Renal Profile 115 $64.79
S-CBC 1159999 $57.29
R Renal Panel, CBC
2 mL serum, 1 mL LTT
S 8:00 a.m.
 Renal Profile, Complete 4 $72.59
T
S-CBC 49999 $65.09
Renal Panel, CBC, urinalysis
U
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
V 8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Renal Profile, Complete with Reflex UPC (if Indicated) 3744 $69.99
S-CBC 37449999 $62.49 B
Renal Panel, CBC, urinalysis with reflex urine protein:creatinine (UPC)
ratio if indicated C
Note: If the urinalysis is positive for protein and the sediment is not
active, a UPC ratio is automatically performed. If the urinalysis is
D
negative for protein or if there is an active sediment (white blood cells
≥6/hpf, red blood cells ≥100/hpf, color is red or pink, and/or bacteria
are seen), the UPC ratio will not be performed. The test price is the E
same whether or not a UPC ratio is performed.
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container F
Daily
 Renal RealPCR™ Panel with Lab 4Dx® Plus Test—Canine 3672 $97.39
G
Anaplasma spp., Bartonella spp., Babesia spp., Brucella canis,
canine adenovirus type 1, Ehrlichia spp., Leishmania spp. and H
Leptospira spp. RealPCR™ tests, Lab 4Dx® Plus Test. Includes
speciation if PCR positive for Anaplasma spp., Babesia spp. or I
Ehrlichia spp.
Note: Use for investigation of infections that may contribute to the J
development of protein-losing nephropathy.
1 mL serum for ELISAs, 2 mL EDTA whole blood (LTT) and K
2 mL urine in a sterile container for RealPCR tests
1–3 working days; allow additional time for speciation if
L
Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive.
 Reptilian/Amphibian Comprehensive Panel 136 $78.79 M
Albumin, albumin:globulin ratio, ALP, ALT, AST, calcium, cholesterol,
CK, globulin, glucose, LDH, phosphorus, potassium, sodium, total
protein, uric acid N
0.3 mL heparinized plasma or serum
O
8:00 a.m.
 Reptilian/Amphibian Comprehensive Profile 142 $105.69 P
Reptilian/Amphibian Comprehensive Panel, avian/exotic CBC,
plasma protein
Q
0.3 mL heparinized plasma or serum,
0.3 mL GNTT for manual WBC, two blood smears
R
1–3 working days
 Reptilian/Amphibian Mini Profile 147 $71.09 S
AST, calcium, glucose, phosphorous, total protein, uric acid,
avian/exotic CBC, plasma protein
T
0.3 mL heparinized plasma or serum,
0.3 mL GNTT for manual WBC, two blood smears
U
1–3 working days

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Respiratory Disease (CRD) RealPCR™ Panels—Canine 0 0
B  Respiratory Disease (CRD) RealPCR™ Panel (Comprehensive)— 2524 $97.09
Canine
C Bordetella bronchiseptica, canine adenovirus type 2, canine
distemper virus (CDV) Quant, canine herpesvirus type 1 (CHV-1),
canine parainfluenza virus, canine pneumovirus, canine respiratory
D coronavirus (CRCoV), H3N2 canine influenza virus, influenza A
virus (includes H3N8, H1N1, H7N2), Mycoplasma cynos, and
E Streptococcus equi subsp. zooepidemicus RealPCR™ tests. Includes
quantification of distemper viral particles if PCR positive. Includes
influenza A strain identification if PCR positive.
F
 With Culture (if Indicated)—Canine 3036 $118.79
G Respiratory Disease (CRD) RealPCR™ Panel (Comprehensive)—
Canine. If positive for Bordetella bronchiseptica or Streptococcus
equi subsp. zooepidemicus, a culture with susceptibilities on
H selective media will be automatically performed at no additional
charge.
I Note: Culture will only be performed if an additional culture swab in
transport media is submitted.
J For RealPCR™ panel: Deep pharyngeal swab (with visible organic
material on swab; please rub firmly) and a conjunctival swab (wipe
K eye clean; swab inside of eyelid) in the same tube. Please submit
dry, plastic-stemmed swabs, without transport media, in an RTT or
an empty, sterile tube; keep refrigerated. Collect specimens prior to
L
antibiotic administration.
When ordering a panel that includes a culture, also submit one
M culture swab in transport media for aerobic culture if indicated.
1 –3 working days; allow additional time for influenza A
N strain identification and culture if indicated
Respiratory Disease (URD) RealPCR™ Panels—Feline
O See Upper Respiratory Disease (URD) RealPCR™ Panels—Feline
 Reticulocyte Count—Avian/Reptilian 2785 $26.59
P
0.2 mL EDTA (preferred) or heparinized whole blood
Daily
Q
 Reticulocyte Panel 313 $26.59
R Add-on 3131 $18.29
Absolute reticulocyte count, Hct, RBC, reticulocyte percentage
S Note: Reticulocytes are now included as part of all our canine and
feline comprehensive and standard CBCs.
T 1 mL LTT and two blood smears
8:00 a.m.
U  Rhodococcus equi RealPCR™ Test 26380 $58.49
2–11 Specimens 263820 $50.99
V 12 or More Specimens 263830 $40.99
Includes culture (organism ID only) on selective media for R. equi.
W
5–10 mL tracheal wash fluid in a sterile tube without preservatives;
keep refrigerated and send with cold pack within 24 hours of
X collection. Collect specimen prior to antibiotic administration.
1–4 working days for RealPCR test; allow additional time for culture
Y

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Ringworm (Dermatophyte) RealPCR™ Panel 3565 $42.39
Microsporum canis, Microsporum spp. and Trichophyton spp. B
RealPCR™ tests
Plucked hair with follicles (minimum 10–20 hairs) and skin C
scrapings from the active border of lesion (preferred) in an RTT or
a WTT (plain plastic tube); nails with nail bed scrapings in sealed
fungal envelope or sterile container; or aspirated purulent material D
in a sterile container. If no distinct lesions are present, pluck hairs
from site of prior lesions (if known; preferred) and/or submit hair E
from a thorough coat brushing, using a toothbrush, in a sterile
container. Keep specimens refrigerated.
F
1–3 working days
 Ringworm (Dermatophyte) RealPCR™ Panel with Fungal Culture 3685 $67.79 G
Microsporum canis, Microsporum spp. and Trichophyton spp.
RealPCR™ tests and fungal culture on selective dermatophyte media H
Note: A fungal culture will be performed regardless of the results of the
PCR panel.
I
Plucked hair with follicles (minimum 10–20 hairs) and skin
scrapings from the active border of lesion (preferred) in an RTT or
J
a WTT (plain plastic tube); nails with nail bed scrapings in sealed
fungal envelope or sterile container; or aspirated purulent material
in a sterile container. If no distinct lesions are present, pluck hairs K
from site of prior lesions (if known; preferred) and/or submit hair
from a thorough coat brushing, using a toothbrush, in a sterile L
container. Keep specimens refrigerated.
1–3 working days for RealPCR panel; up to 2–3 weeks for the M
fungal culture
 Rocky Mountain Spotted Fever Antibody by IFA 756 $72.59 N
1 mL serum
2–3 working days O
 Rocky Mountain Spotted Fever (Rickettsia rickettsii) 2825 $51.19
RealPCR™ Test P
Rickettsia spp. (including Rocky Mountain spotted fever) RealPCR™ Test
2 mL EDTA whole blood (LTT); keep refrigerated. Q
Collect specimen prior to antibiotic administration.
1–3 working days R
 Rotavirus RealPCR™ Test 3282 $65.59
5 g (1 g minimum) fresh feces in a sterile container; keep refrigerated. S
1–3 working days
T

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
S
B  Salmonella spp. RealPCR™ Test 2647 $51.19
If positive for Salmonella spp., a culture with susceptibilities on
C selective media for Salmonella will be automatically performed at no
additional charge.
D Note: The reflex culture will only be performed if a specimen in fecal
culture transport media is received. For equine patients, please use
Salmonella RealPCR™ Test with Reflex Culture—Equine (Test Code
E 29250).
5 g (1 g minimum) fresh feces in a sterile container (keep
F refrigerated) for RealPCR™ test and 3–5 g fresh feces in fecal
culture transport media for reflex Salmonella culture if indicated.
G Collect specimens prior to antibiotic administration.
1–3 working days for RealPCR test; allow additional time for the
H culture if indicated
 Salmonella spp. RealPCR™ Test with Culture (ID Only)—Equine 23690 $104.89
I 2–11 Specimens 236920 $92.09
12 or More Specimens 236930 $69.09
J The Salmonella spp. RealPCR Test is performed on original specimen
and preliminary results reported. Negative results are further
K confirmed by repeat RealPCR test performed on the specimen
following a 24-hour enrichment step. Includes culture (organism ID
only) on selective media for Salmonella.
L
Fecal swab (in transport media without charcoal)
or 5 g (1 g minimum) fresh feces in a sterile container; keep
M refrigerated. Collect specimen prior to antibiotic administration.
Preliminary results in 1–3 working days; allow additional time for
N RealPCR test on enriched specimen and culture
 Salmonella spp. RealPCR™ Test with 29250 $81.19
O
Reflex Culture (if Indicated)—Equine
2–11 Specimens 292520 $53.89
P 12 or More Specimens 292530 $46.29
The Salmonella spp. RealPCR Test is performed on original specimen
Q and preliminary results reported. Negative results are further
confirmed by repeat RealPCR test performed on the specimen
R following a 24-hour enrichment step. If positive for Salmonella spp.,
a culture with susceptibilities on selective media for Salmonella
S will be automatically performed at no additional charge.
Fecal swab (in transport media without charcoal)
or 5 g (1 g minimum) fresh feces in a sterile container; keep
T
refrigerated. Collect specimen prior to antibiotic administration.
Preliminary results in 1–3 working days, allow additional time for
U RealPCR test on enriched specimen and culture if indicated
Sarcoptes Antibody by ELISA—Canine 3538 $21.19
V
1 mL serum
1–4 working days
W
IDEXX SDMA® Test 3638 $19.99
X 1 mL serum (preferred) or 1 mL EDTA or heparinized plasma
(LTT or GNTT; spun and separated)
Y 8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
IDEXX SDMA Test with Creatinine
®
3741 $19.99
1 mL serum B
8:00 a.m.
 Semen Analysis 908 $89.29 C
Color, appearance, sperm count, abnormal forms
1 mL semen in an RTT (room temperature), report quantity D
of semen collected
Daily E
 Senior Profile 780 $114.49
S-CBC 7809999 $106.99 F
Chem 27 with IDEXX SDMA® Test, CBC, total T4, urinalysis
G
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
8:00 a.m.
H
 Senior Profile with Fecal Dx™ Profile 26943 $134.59
S-CBC 26943999 $127.09 I
Chem 27 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
hookworm, roundworm and whipworm antigens by ELISA,
J
total T4, urinalysis
2 mL serum, 1 mL LTT, 3–5 g fresh feces, 5 mL urine in a sterile
K
container
10:00 a.m.
L
 Senior Profile with Fecal Dx™ Profile and Heartworm 24473 $144.79
S-CBC 24473999 $137.29
M
Chem 27 with IDEXX SDMA® Test, CBC, canine heartworm antigen
by ELISA, fecal ova and parasites, hookworm, roundworm and
N
whipworm antigens by ELISA, total T4, urinalysis
2 mL serum, 1 mL LTT, 3–5 g fresh feces, 5 mL urine in a
sterile container O
10:00 a.m.
P
 Senior Profile with Fecal Dx™ Profile and 24483 $154.89
Lab 4Dx® Plus Test—Canine
Q
S-CBC 24483999 $147.39
Chem 27 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
Lab 4Dx® Plus Test, hookworm, roundworm and whipworm antigens
R
by ELISA, total T4, urinalysis
2 mL serum, 1 mL LTT, 3–5 g fresh feces, 5 mL urine in a S
sterile container
10:00 a.m. T
 Senior Profile with Heartworm 60 $122.69
U
S-CBC 609999 $115.19
Chem 27 with IDEXX SDMA® Test, CBC, canine heartworm antigen
by ELISA, total T4, urinalysis V
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
W
8:00 a.m.

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Senior Profile with Heartworm and Reflex UPC (if Indicated) 2495 $128.09
B S-CBC 24959999 $120.59
Chem 27 with IDEXX SDMA® Test, CBC, canine heartworm antigen by
C ELISA, total T4, urinalysis, urine protein:creatinine (UPC) ratio
if indicated.
Note: If the urinalysis is positive for protein and the sediment
D
is not active, a UPC ratio is automatically performed. If the urinalysis
is negative for protein, or if there is an active sediment (white blood
E cells ≥6/hpf, red blood cells ≥100/hpf, color is red or pink, and/or
bacteria are seen), the UPC ratio will not be performed. The test price
F is the same whether or not a UPC ratio is performed.
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
G Daily
 Senior Profile with Lab 4Dx® Plus Test—Canine 2695 $137.69
H S-CBC 26959999 $130.19
Chem 27 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test, total T4,
I urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
J 8:00 a.m.
 Senior Profile with Mg, Osmolality, Triglycerides and Heartworm 2105 $128.09
K
S-CBC 21059999 $120.59
Chem 27 with IDEXX SDMA® Test, magnesium, osmolality
L
(calculated), triglycerides, CBC, canine heartworm antigen by ELISA,
total T4, urinalysis
M 3 mL serum after an overnight fast, 1 mL LTT, 5 mL urine in a
sterile container
N 8:00 a.m.
Senior Profile with Reflex UPC (if Indicated) 2663 $119.49
O
S-CBC 26639999 $111.99
Chem 27 with IDEXX SDMA® Test, CBC, total T4, urinalysis, urine
P protein:creatinine (UPC) ratio if indicated
Note: If the urinalysis is positive for protein and the sediment is not
Q active, a UPC ratio is automatically performed. If the urinalysis is
negative for protein, or if there is an active sediment (white blood
R cells ≥6/hpf, red blood cells ≥100/hpf, color is red or pink, and/or
bacteria are seen), the UPC ratio will not be performed. The test price
S is the same whether or not a UPC ratio is performed.
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container
T Daily
 Senior Profile with Spec cPL® Test—Canine 2502 $127.49
U S-CBC 25029999 $119.99
Chem 27 with IDEXX SDMA® Test, triglycerides, CBC, Spec cPL®
V Test, total T4, urinalysis
2 mL serum after an overnight fast, 1 mL LTT, 5 mL urine in
W sterile container
1–2 working days
X

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Senior Screen 865 $111.39
S-CBC 8659999 $103.89 B
Chem 25 with IDEXX SDMA® Test, CBC, total T4, urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container C
8:00 a.m.
 Senior Screen with Cardiopet® proBNP Test—Canine* 2770 $136.39 D
S-CBC 27709999 $128.89
Chem 25 with IDEXX SDMA® Test, CBC, canine Cardiopet® E
proBNP Test, total T4, urinalysis
Note: Avoid grossly hemolyzed specimens. Plasma is the preferred F
specimen in dogs for the Cardiopet proBNP Test. Serum specimens
must be kept cold to prevent degradation. G
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container and 1 mL
EDTA plasma for Cardiopet® proBNP Test. H
1–2 working days
 Senior Screen with Cardiopet® proBNP Test—Feline* 2774 $136.39 I
S-CBC 27749999 $128.89
Chem 25 with IDEXX SDMA® Test, CBC, feline Cardiopet® J
proBNP Test, total T4, urinalysis
Note: Avoid grossly hemolyzed specimens. K
3 mL serum, 1 mL LTT, 5 mL urine in a sterile container.
1–2 working days L

 Senior Screen with Fecal Dx™ Profile 28373 $129.79


M
S-CBC 28373999 $122.29
Chem 25 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
N
hookworm, roundworm and whipworm antigens by ELISA,
total T4, urinalysis
2 mL serum, 1 mL LTT, 3–5 g fresh feces, 5 mL urine in a O
sterile container
10:00 a.m. P
 Senior Screen with Fecal Dx™ Profile and 25653 $145.59
Lab 4Dx® Plus Test—Canine Q
S-CBC 25653999 $138.09
Chem 25 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
R
Lab 4Dx® Plus Test, hookworm, roundworm and whipworm antigens
by ELISA, total T4, urinalysis S
2 mL serum, 1 mL LTT, 3–5 g fresh feces, 5 mL urine in a
sterile container T
10:00 a.m.
 Senior Screen with Lab 4Dx® Plus Test—Canine 2819 $126.39 U
S-CBC 28199999 $118.89
Chem 25 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test, V
total T4, urinalysis
2 mL serum, 1 mL LTT, 5 mL urine in a sterile container W
8:00 a.m.
X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Senior Screen with Spec cPL Test—Canine ®
2500 $124.39
B S-CBC 25009999 $116.89
Chem 25 with IDEXX SDMA® Test, triglycerides, CBC, Spec cPL®
C Test, total T4, urinalysis
2 mL serum after an overnight fast, 1 mL LTT, 5 mL urine
in a sterile container
D
1–2 working days
E  Senior Screen with Spec fPL® Test—Feline 2743 $124.39
S-CBC 27439999 $116.89
F Chem 25 with IDEXX SDMA® Test, CBC, Spec fPL® Test, total T4,
urinalysis
G 2 mL serum (fasting specimen preferred), 1 mL LTT, 5 mL urine
in a sterile container
H 1–2 working days
 Small-Mammal Comprehensive Panel 148 $82.29
I Albumin, albumin:globulin ratio, ALP, ALT, AST, BUN, calcium,
cholesterol, creatinine, GGT, globulin, glucose, phosphorus,
potassium, IDEXX SDMA® Test, sodium, total protein
J
0.3 mL heparinized plasma or serum
K 8:00 a.m.
 Small-Mammal Comprehensive Profile 149 $106.19
L Small-Mammal Comprehensive Panel, comprehensive CBC
0.3 mL heparinized plasma or serum, 0.3 mL LTT/GNTT for
M manual WBC
8:00 a.m.
N  Small-Mammal Mini Profile 156 $87.49
ALT, AST, BUN, calcium, creatinine, glucose, phosphorus,
O IDEXX SDMA® Test, total protein, comprehensive CBC
0.3 mL heparinized plasma or serum, 0.3 mL LTT/GNTT for
P manual WBC
8:00 a.m.
Q  Spec cPL® Test—Canine* 1849 $59.99
Add-on* 18491 $13.09
R Canine pancreas-specific lipase
1 mL serum (fasting specimen preferred)
S
1–2 working days

T  Spec fPL® Test—Feline* 2493 $59.99


Add-on* 24931 $13.09
U Feline pancreas-specific lipase
1 mL serum (fasting specimen preferred)
V 1–2 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Stone Analysis, Quantitative (Comprehensive)* 90900 $123.79
This analysis utilizes spectroscopy to determine calculi composition. B
Infrared spectroscopy is an analytical method providing fast and
precise identification of chemical substances. Infrared light is passed
through the specimen and certain wavelengths are absorbed. C
The absorption spectrum of the stone(s) is registered and the
components identified according to their specific spectrum. We will D
mail you a full report, including a physical description of the stone, a
full-color digital photo of the stone and a semiquantitative analysis of E
the stone’s composition.
Tips for submission:
F
• Ship in a clearly labeled clean, dry container.
•S  tones should not be placed in formalin
(formalin dissolves the stone and affects its integrity)
G
•S  tones should not be submitted in a bloody state
(they should be washed and dried before submitting). H
• T his analysis can only be performed on stones or gross sediment.
Dry calculi in a clean, dry container I
1–5 working days
J
Strangles RealPCR™ Screen—1–5 Specimens 3549 $44.59
6–11 Specimens 35492 $41.39
K
12 or More Specimens 35493 $37.19
Streptococcus dysgalactiae subsp. equisimilis, Streptococcus
L
equi subsp. equi and Streptococcus equi subsp. zooepidemicus
RealPCR™ tests. If positive for Streptococcus equi subsp. equi,
a culture (organism ID only) on selective media for ß-hemolytic M
Streptococcus spp. will be automatically performed at no
additional charge. N
Note: Culture will only be performed if an additional culture swab in
transport media is submitted. O
One culture swab in transport media for aerobic culture if
indicated; and guttural pouch or nasal wash in a sterile tube P
(preferred) or deep nasopharyngeal swabs (one from each nostril)
for RealPCR tests; keep refrigerated. Please submit dry,
plastic-stemmed swabs, without transport media, in an RTT or Q
a WTT (plain plastic tube). Collect specimens prior to antibiotic
administration. R
1–3 working days for RealPCR panel; allow additional time for
culture if indicated S
Streptobacillus moniliformis RealPCR™ Test 35344 $51.19
Oral cavity swab and fecal pellet in a sterile container; keep T
refrigerated. Please submit dry, plastic-stemmed swabs, without
transport media, in an RTT or a WTT (plain plastic tube). Collect U
specimens prior to antibiotic administration.
1–3 working days
V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Streptococcus equi subsp. equi Antibody by ELISA— 2138 $86.79
1–5 Specimens
B
6–11 Specimens 21382 $78.59

C 12 or More Specimens 21383 $56.69


Note: This test may be used for screening of horses being relocated
or prior to vaccination with S. equi. For horses with clinical signs,
D
PCR and culture is preferred over antibody testing; see Strangles
RealPCR™ Screen (Test Code 3549) or Equine Respiratory
E RealPCR™ Panel (Comprehensive) (Test Code 33324).
1 mL serum per specimen
F 2–5 working days
 Streptococcus equi subsp. equi RealPCR™ Test 23700 $95.19
G
with Culture—1 Specimen
2–11 Specimens 237020 $77.19
H
12 or More Specimens 237030 $59.99
Includes culture (organism ID only) on selective media for
I
ß-hemolytic Streptococcus spp.
Guttural pouch or nasal wash in a sterile tube (preferred) or deep
J nasopharyngeal swabs (one from each nostril) for RealPCR tests;
keep refrigerated. Please submit dry, plastic-stemmed swabs
K without transport media, in an RTT or a WTT (plain plastic tube).
Collect specimens prior to antibiotic administration.
L 1–4 working days for RealPCR test; allow additional time for culture
 Systemic Mycoses RealPCR™ Panel 3104 $76.29
M Blastomyces dermatitidis, Coccidioides spp., Cryptococcus spp. and
Histoplasma capsulatum RealPCR™ tests
N Note: Please see the RealPCR Specimen Collection Guidelines,
page 152, for detailed instructions on submitting tissue aspirates or
O biopsies.
Ideal specimen depends on clinical manifestation. Keep all specimens
refrigerated. Collect specimens prior to antifungal administration.
P
For respiratory manifestations:
•D  eep pharyngeal swab and/or nasal swab (with visible organic material
Q on swab; please rub firmly). Please submit dry, plastic-stemmed swabs,
without transport media, in an RTT or a WTT (plain plastic tube).
R • 0.5 mL (0.1 mL minimum) tracheal wash or bronchoalveolar lavage fluid.
• Aspirate or biopsy of nasal mass.
S For ocular manifestations: 0.5 mL (0.1 mL minimum) uveal fluid, ocular
tissue aspirate or biopsy.
T For neurological manifestations: 0.5 mL (0.1 mL minimum) CSF.
For GI manifestations: 5 g (1 g minimum) fresh feces in a sterile container.
U For skin lesions: Tissue aspirate, 0.5 mL (0.1 mL minimum) fluid, if available,
or biopsy.
For bone lesions: Bone aspirate or biopsy.
V
For systemic, nonspecific manifestations: 2 mL EDTA whole blood (LTT).
1–3 working days
W

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
T
 T3 Suppression B
Pre Sample* 1371 $58.89
 Post Sample* 1372 $58.89 C
Pre and post total T3 and total T4
Note: These tests must be ordered together. D
1 mL serum per specimen; label tubes as “pre” and “post”
E
1–2 working days
 T4 by RIA 814 $42.19 F
Add-on 357 $35.09
Mammal: 1 mL serum; G
Avian: 0.3 mL serum, heparinized plasma (GNTT)
or EDTA plasma (LTT)
H
1–3 working days
 T4, Total* 804 $40.59 I
Add-on* 22 $31.79
1 mL serum J
8:00 a.m.
 Taurine, Whole Blood† 2022 $223.79 K
1 mL frozen heparinized whole blood (GNTT)
10–15 working days L
 Testosterone 807 $69.89
M
Note: Please indicate whether patient is neutered or intact.
See also HCG Stimulation Test (One Pre, One Post Testosterone)—
Equine (Test Code 3234), Canine (Test Code 3275) or N
Feline (Test Code 3276).
2 mL serum (RTT only, no SST) O
1–3 working days
P
 Thyroglobulin Autoantibody—Canine 1316 $54.99
Add-on 13161 $50.69
Q
1 mL serum
3–5 working days
R
 Thyroid Comprehensive Screen—Canine 2149 $132.59
Add-on 21491 $125.49 S
Endogenous cTSH, free T4, total T4, thyroglobulin autoantibody
3 mL serum T
3–5 working days
 Thyroid Comprehensive Screen with FT4ED—Canine 3016 $132.59 U
Endogenous cTSH, free T4 by equilibrium dialysis, total T4,
thyroglobulin autoantibody V
3 mL serum
3–5 working days W
 Thyroid Confirmation Panel—Canine 2205 $107.79
X
Add-on 22051 $105.89
Endogenous cTSH, free T4, thyroglobulin autoantibody
Y
2 mL serum
3–5 working days Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Thyroid Confirmation Panel with FT4ED—Canine 3017 $107.79
B Add-on 3018 $105.89
Endogenous cTSH, free T4 by equilibrium dialysis,
C thyroglobulin autoantibody
2 mL serum
D 3–5 working days
 Thyroid Monitoring Panel* 3397 $60.49
E Baseline total T4, post-pill total T4
Note: When monitoring hormone supplement levels, collect trough
F specimen prior to next dose and peak specimen 4–6 hours after
administration.
G 1 mL serum per specimen; label tubes as “pre” and “post-pill”
Daily
H  Thyroid Panel (Complete)—Equine† 3604 $132.39
Free T3, free T4 by equilibrium dialysis, total T3, total T4
I 3 mL serum (spun and separated)
5–7 working days
J
 Thyroid Panel 1 13 $60.69
Add-on 1399 $52.29
K
Total T3, total T4
L 1 mL serum
1–2 working days
M  Thyroid Panel 1—Equine 1513 $60.69
Add-on 15131 $52.29
N Total T3, total T4
2 mL serum
O 2–5 working days
 Thyroid Panel 2—Canine/Feline 851 $80.09
P
Free T4, total T4
1 mL serum
Q
1–2 working days
R  Thyroid Panel 2 with FT4ED 3010 $80.09
Free T4 by equilibrium dialysis, total T4
S 1 mL serum
2–5 working days
T  Thyroid Panel 3—Canine 854 $72.99
Endogenous cTSH, total T4
U 1 mL serum
2–3 working days
V
 Thyroid Panel 4—Canine 879 $115.39
Endogenous cTSH, free T4, total T4
W
2 mL serum
X 2–3 working days
 Thyroid Panel 4 with FT4ED—Canine 3015 $115.39
Y Endogenous cTSH, free T4 by equilibrium dialysis, total T4
2 mL serum
Z 2–5 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

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Test Name Test Code Fee
A
 Thyroid Panel 5—Canine †
830 $211.19
Endogenous cTSH, free T3, free T4 by equilibrium dialysis, total T3, B
T3 autoantibody, total T4, T4 autoantibody, thyroglobulin autoantibody
4 mL serum
C
5–7 working days
 Thyroid Panel 6—Canine 852 $103.09 D
Add-on 1298 $100.49
Endogenous cTSH, free T4 E
2 mL serum
2–3 working days F
 Thyroid Panel 6 with FT4ED—Canine 3012 $103.09
G
Add-on 3014 $100.49
Endogenous cTSH, free T4 by equilibrium dialysis
H
2 mL serum
2–5 working days I
 Thyroid Panel 7 with FT4ED—Equine 3229 $107.49
Free T4 by equilibrium dialysis, total T3, total T4 J
2 mL serum
2–5 working days K
 Tick Panel with Lyme Quant C6 Test ®
3716 $108.79
Add-on 37161 $100.89 L
Ehrlichia canis and Rocky Mountain spotted fever (Rickettsia
rickettsii) antibodies by IFA, Lyme Quant C6® Test M
2 mL serum
2–3 working days N

 Tick Panel 4 with Lyme Quant C6® Test 2354 $110.39


O
Add-on 2355 $102.09
Anaplasma phagocytophilum and Ehrlichia canis antibodies by IFA,
P
Lyme Quant C6® Test
2 mL serum
Q
2–3 working days
 Tick Panel 6 with Lyme Quant C6® Test 2356 $126.39 R
Add-on 2357 $117.79
Anaplasma phagocytophilum, Ehrlichia canis and Rocky Mountain S
spotted fever (Rickettsia rickettsii) antibodies by IFA, Lyme Quant C6® Test
3 mL serum T
2–3 working days
 Tick Panel 14 with Lyme Quant C6® Test 2295 $114.59 U
Anaplasma phagocytophilum and Rocky Mountain spotted fever
(Rickettsia rickettsii) antibodies by IFA, Lyme Quant C6® Test V
2 mL serum
2–3 working days W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
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Test Name Test Code Fee


A
 Tick Profile with Lyme Quant C6 Test ®
13896 $175.09
B S-CBC 13896999 $167.59
Chem 25 with IDEXX SDMA® Test, CBC, Ehrlichia canis and
C Rocky Mountain spotted fever (Rickettsia rickettsii) antibodies by IFA,
Lyme Quant C6® Test
2 mL serum, 1 mL LTT
D
2–3 working days
E  Tick/Vector Comprehensive RealPCR™ Panel—Canine 2870 $88.29
Anaplasma spp., Babesia spp., Bartonella spp., Canine Hemotropic
F Mycoplasma, Ehrlichia spp., Hepatozoon spp., Leishmania spp.
Quant, Neorickettsia risticii and Rocky Mountain spotted fever
(Rickettsia rickettsii) RealPCR™ tests. Includes quantification of
G Leishmania if PCR positive. Includes speciation if PCR positive for
Anasplasma spp., Babesia spp. or Ehrlichia spp.
H  With Lab 4Dx® Plus Test—Canine 2871 $101.39
Tick/Vector Comprehensive RealPCR™ Panel—Canine,
I Lab 4Dx® Plus Test.
 With Lyme Quant C6® Test—Canine 2828 $110.79
J Tick/Vector Comprehensive RealPCR™ Panel—Canine,
Lyme Quant C6® Test.
K With Lab 4Dx® Plus Test and Reflex Lyme Quant C6® Test 2902 $117.69
(if Indicated)—Canine
L Tick/Vector Comprehensive RealPCR™ Panel—Canine,
Lab 4Dx® Plus Test. If the Lab 4Dx® Plus Test is positive for Lyme, a
M Lyme Quant C6® Test is automatically run at no additional charge.
2 mL EDTA whole blood (LTT); keep refrigerated.
N Collect specimens prior to antibiotic administration.
When ordering a panel that includes a Lyme Quant C6® or
Lab 4Dx® Plus Test, also submit 1 mL serum
O
1–3 working days; allow additional time for speciation if
Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive.
P
 Tick/Vector RealPCR™ Panel—Feline 2827 $76.29
Anaplasma spp., Bartonella spp., Cytauxzoon felis, Ehrlichia spp.
Q
and Feline Hemotropic Mycoplasma (FHM) RealPCR™ tests. Includes
speciation if PCR positive for Anasplasma spp. or Ehrlichia spp.
R 2 mL EDTA whole blood (LTT); keep refrigerated.
Collect specimens prior to antibiotic administration.
S 1–3 working days; allow additional time for speciation if
Anaplasma spp. or Ehrlichia spp. PCR positive.
T  Tick/Vector RealPCR™ Panel (Tick Analysis) 3396 $124.69
Anaplasma spp., Babesia spp., Bartonella spp., Borrelia burgdorferi,
U Canine Hemotropic Mycoplasma, Cytauxzoon felis, Ehrlichia
spp., Hepatozoon spp., Leishmania spp., Neorickettsia risticii and
V Rickettsia spp. (includes Rocky Mountain spotted fever [Rickettsia
rickettsii]) RealPCR™ tests. Includes speciation if PCR positive for
Anasplasma spp., Babesia spp. or Ehrlichia spp.
W
Tick in sterile container (no formalin); keep refrigerated

X 1–3 working days; allow additional time for speciation if


Anaplasma spp., Babesia spp. or Ehrlichia spp. PCR positive.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

122 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Total Health™ Profile 1013 $90.29
S-CBC 10139999 $82.79 B
Chem 27 with IDEXX SDMA® Test, CBC
2 mL serum, 1 mL LTT C
8:00 a.m.
 Total Health™ Profile with Free T4 1141 $121.99 D
S-CBC 11419999 $114.49
Chem 27 with IDEXX SDMA® Test, CBC, free T4 E
2 mL serum, 1 mL LTT
F
1–2 working days
 Total Health™ Profile with Spec cPL® Test—Canine 2338 $103.29 G
S-CBC 23389999 $95.79
Chem 27 with IDEXX SDMA® Test, triglycerides, CBC, Spec cPL® Test H
2 mL serum after an overnight fast, 1 mL LTT
1–2 working days I
 Total Health™ Plus Profile 75 $100.49
S-CBC 759999 $92.99 J
Chem 27 with IDEXX SDMA Test, CBC, total T4
®

2 mL serum, 1 mL LTT K
8:00 a.m.
L
 Total Health™ Plus Profile with Cardiopet® proBNP Test—Canine* 2772 $125.49
S-CBC 27729999 $117.99
M
Chem 27 with IDEXX SDMA® Test, CBC, canine Cardiopet®
proBNP Test, total T4
N
Note: Avoid grossly hemolyzed specimens. Plasma is the preferred
specimen in dogs for the Cardiopet proBNP Test. Serum specimens
must be kept cold to prevent degradation. O
2 mL serum, 1 mL LTT and 1 mL EDTA plasma for
Cardiopet® proBNP Test P
1–2 working days
Q
 Total Health™ Plus Profile with Free T4 751 $125.29
S-CBC 7519999 $117.79
R
Chem 27 with IDEXX SDMA® Test, CBC, free T4, total T4
2 mL serum, 1 mL LTT S
1–2 working days
 Total Health™ Plus Profile with Heartworm 53 $109.19 T
S-CBC 539999 $101.69
Chem 27 with IDEXX SDMA® Test, CBC, canine heartworm antigen U
by ELISA, total T4
2 mL serum, 1 mL LTT V
8:00 a.m.
W

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 123
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Test Name Test Code Fee


A
 Total Health™ Plus Profile with Lab 4Dx Plus Test—Canine ®
2597 $122.69
B S-CBC 25979999 $115.19
Chem 27 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test, total T4
C 2 mL serum, 1 mL LTT
8:00 a.m.
D  Total Health™ Plus Profile with T3 and Free T4 886 $124.59
S-CBC 8869999 $117.09
E Chem 27 with IDEXX SDMA® Test, CBC, free T4, total T3, total T4
2 mL serum, 1 mL LTT
F
1–2 working days

G  Total Health™ Plus Profile with Spec cPL® Test—Canine 2377 $113.49
S-CBC 23779999 $105.99
H Chem 27 with IDEXX SDMA® Test, triglycerides, CBC,
Spec cPL® Test, total T4

I 2 mL serum after an overnight fast, 1 mL LTT


1–2 working days
J  Total Health™ Plus Profile with Spec fPL® Test—Feline 2779 $113.49
S-CBC 27799999 $105.99
K Chem 27 with IDEXX SDMA® Test, CBC, Spec fPL® Test, total T4
2 mL serum (fasting specimen preferred), 1 mL LTT
L 1–2 working days
 Total Health™ Plus Profile with Triglycerides 1601 $100.89
M
S-CBC 16019999 $93.39
Chem 27 with IDEXX SDMA® Test, triglycerides, CBC, total T4
N
2 mL serum after an overnight fast, 1 mL LTT

O 8:00 a.m.
 Toxoplasma gondii RealPCR™ Test 2654 $51.19
P Ideal specimen depends on clinical manifestation. 5 g fresh feces
(1 g minimum) in a sterile container, 2 mL EDTA whole blood
or 0.5 mL (0.1 mL minimum) CSF; keep refrigerated. Collect
Q
specimen prior to antibiotic administration.
1–3 working days
R
 Toxoplasma Split Titer (IgG and IgM) by ELISA† 7157 $92.39
S 1 mL serum
5–7 working days
T  Toxoplasma Titer (IgG) by IFA 715 $72.99
Add-on 7151 $61.09
U 1 mL serum
1–4 working days
V  Toxoplasma Titers (IgG and IgM) by IFA 7155 $119.99
1 mL serum
W
1–4 working days
 Trace Element Screen—Exotics† 1724 $123.29
X
Cobalt, copper, iron, manganese, molybdenum, selenium, zinc

Y 0.3 mL EDTA whole blood (for selenium) and 1 mL (0.5 mL minimum)


serum (royal BTT). Avoid contact with rubber stoppers.
5–7 working days
Z

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

124 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
TRH Stimulation Test—Equine* 3619 $188.19
One pre- and one post-TRH endogenous ACTH B
Note: Significant seasonal variations in plasma ACTH concentration
have been reported. Testing should only be performed December–June C
until seasonally adjusted reference ranges are available. See detailed
protocol on vetconnectplus.com.
D
3 mL EDTA plasma per specimen (spun, separated into a WTT
[plain plastic tube] with a plastic pipette, and frozen; label tubes as
“pre” and “post”) E
3–5 working days
F
 Triglycerides, Fluid 1369 $35.09
1 mL pleural or abdominal fluid (RTT)
G
8:00 a.m.
 Triglycerides, Serum 242 $35.09 H
Add-on 2421 $25.49
1 mL serum after an overnight fast I
8:00 a.m.
 Triglycerides and Cholesterol 1370 $37.79 J
1 mL pleural or abdominal fluid (RTT) or 1 mL serum
after an overnight fast K
8:00 a.m.
 Tritrichomonas foetus RealPCR™ Test—Bovine 3663 $51.19 L
Note: Collect specimen in culture medium per manufacturer’s
instructions. Culture medium not provided by IDEXX. M
Semen, preputial wash or vaginal discharge in culture medium
(InPouch TF™ or Diamond medium); keep at room temperature N
1–3 working days
 Tritrichomonas blagburni (formerly T. foetus) RealPCR™ Test— 2629 $51.19 O
Feline
5 g (1 g minimum) fresh feces in a sterile container; P
keep refrigerated. Collect specimen prior to antibiotic
administration. Q
1–3 working days
 Troponin I—Canine/Feline 2879 $93.29 R
1 mL serum
1–3 working days S
 Trypsin-Like Immunoreactivity (TLI)—Canine* 2011 $93.29
1 mL serum (RTT preferred) after an overnight fast T
2–3 working days
U
 Trypsin-Like Immunoreactivity (TLI)—Feline*† 20111 $96.79
1 mL serum (RTT preferred) after an overnight fast
V
5–7 working days
Trypsin-Like Immunoreactivity (TLI), Cobalamin (Vitamin B12) 2156 $127.79 W
and Folate—Canine*
Note: See also GI Panel with Spec cPL® Test—Canine X
(Test Code 2365).
2 mL serum (RTT preferred) after an overnight fast
Y
2–3 working days
Z

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 125
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Test Name Test Code Fee


A
 Trypsin-Like Immunoreactivity (TLI), Cobalamin (Vitamin B12) 2157 $135.89
and Folate—Feline*†
B
Note: See also GI Panel 2 with Spec fPL® Test—Feline (Test Code 2283).

C 2 mL serum (RTT preferred) after an overnight fast


5–7 working days
D  TSH, Endogenous—Canine 853 $58.89
Add-on 8531 $50.69
E 1 mL serum
2–3 working days
F
U
 Upper Respiratory Disease (URD) RealPCR™ Panel­—Feline 2512 $87.89
G
Bordetella bronchiseptica, Chlamydophila felis, feline calicivirus,
feline herpesvirus type 1 (FHV-1) Quant, influenza A virus (includes
H H3N2, H1N1, H3N8), H7N2 avian influenza virus, and Mycoplasma
felis RealPCR tests. Includes quantification of feline herpesvirus
I type 1 (FHV-1) viral particles if PCR positive. Includes influenza A
strain identification if PCR positive.
J With Culture (if Indicated)—Feline 3037 $107.09
Upper Respiratory Disease (URD) RealPCR™ Panel—Feline
K If positive for Bordetella bronchiseptica, a culture with susceptibilities
on selective media for Bordetella will be automatically performed at
no additional charge.
L
Note: Culture will only be performed if an additional culture swab in
transport media is submitted.
M
For RealPCR™ Panel: Deep pharyngeal swab (with visible organic
material on swab; please rub firmly) and a conjunctival swab
N (wipe eye clean; swab inside of eyelid), in the same tube for
RealPCR tests. Please submit dry plastic-stemmed swabs for
O RealPCR tests, without transport media, in an RTT or an empty,
sterile tube; keep refrigerated. Collect specimens prior to antibiotic
administration.
P
When ordering a panel that includes a culture, also submit one
culture swab in transport media for aerobic culture if indicated.
Q
1–3 working days; allow additional time for influenza A
strain identification and culture if indicated
R
 Uric Acid 228 $23.39
0.3 mL heparinized plasma or serum
S
8:00 a.m.

T  Urinalysis 910 $29.69


Add-on 9101 $22.99
U Physical, chemical and microscopic analyses
Note: Do not submit syringes with needles. If review of the urine
V sediment by a pathologist is desired (e.g., when transitional cell
carcinoma is suspected), use Urine Cytology and Urinalysis
(Test Code 1386).
W
5 mL urine in a sterile container

X 8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

126 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Urinalysis with Reflex UPC (if Indicated) 2326 $34.29
If the urinalysis is positive for protein and the sediment is not active, B
a urine protein:creatinine (UPC) ratio is automatically performed. If
the urinalysis is negative for protein, or if there is an active sediment
(white blood cells ≥6/hpf, red blood cells ≥100/hpf, color is red or C
pink, and/or bacteria are seen), the UPC ratio will not be performed.
The test price is the same whether or not a UPC ratio is performed. D
Note: Do not submit syringes with needles.
5 mL urine in a sterile container E
Daily
F
 Urinalysis, Urine Culture and MIC Susceptibility* 1394 $106.99
Urinalysis: physical, chemical and microscopic analyses
G
Urine culture: organism ID and susceptibility
Note: Urine culture is performed regardless of findings of urinalysis.
Do not submit syringes with needles. H
5 mL urine in a sterile container (collection by cystocentesis and
submission in a WTT preferred) I
8:00 a.m. for urinalysis; 1–2 working days for negative culture
results, longer depending on growth. J
 Urinalysis with Urine Culture and MIC Susceptibility (if indicated) 3901 $73.99
Urinalysis with reflex urine culture if indicated. If the urinalysis has K
a low specific gravity (≤1.015), has white blood cells (>5/hpf),
and/or bacteria are seen, a urine culture will be automatically run L
at no additional charge.
Note: The test price is the same whether a urine culture is performed M
or not.
5 mL urine in a sterile container (collection by cystocentesis and N
submission in a WTT preferred for culture)
8:00 a.m. for urinalysis; 1–2 working days for negative culture
O
results, longer depending on growth.
 Urine Bile Acids:Creatinine Ratio* 9258 $73.59
P
Add-on* 92581 $65.39
5 mL urine Q
3–4 working days
 Urine Cortisol:Creatinine Ratio* 946 $60.49 R
Add-on* 9461 $50.69
5 mL urine S
1–4 working days
T
 Urine Culture and MIC Susceptibility* 4035 $92.99
5 mL (0.5 mL minimum) urine in a sterile container (collection by
cystocentesis and submission in a WTT preferred) U
1–2 working days for negative results, longer depending
on growth V

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 127
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Test Name Test Code Fee


A
 Urine Culture and MIC Susceptibility (if Indicated) 9430 $53.99
B Add-on to a urinalysis or a profile containing a urinalysis
If the urinalysis has a low specific gravity (≤1.015), has white blood
cells (>5/hpf), and/or bacteria are seen, a urine culture will be
C
automatically run at no additional charge.
Note: The test price is the same whether a urine culture is performed
D or not. Must be ordered concurrent with a urinalysis.
5 mL urine in a sterile container (collection by cystocentesis and
E submission in a WTT preferred)
1–2 working days for negative results, longer depending
F on growth
 Urine Cytology and Urinalysis* 1386 $109.99
G Urinalysis, cytology without microscopic description. This test should
be submitted when a review of the urine sediment by a pathologist is
H desired (e.g., when transitional cell carcinoma is suspected).
5 mL urine in a sterile container and air-dried slides
I 1–2 working days
 Urine Protein:Creatinine Ratio 994 $58.89
J Add-on 997 $50.69
2 mL urine in a sterile container
K
8:00 a.m.

L  Urine, Routine Microscopic Exam (Sediment) 916 $18.69


2 mL urine
M Daily
Uveitis RealPCR™ Panel—Equine 3659 $77.69
N Anaplasma spp., Blastomyces dermatitidis, Coccidioides spp.,
Cryptococcus spp. and Leptospira spp. RealPCR™ tests. Includes
O speciation for Anaplasma spp. if PCR positive.
0.5 mL (0.1 mL minimum) aqueous humor (preferred specimen);
or 2 mL EDTA whole blood (LTT) and 2 mL urine in a sterile
P
container; keep refrigerated. Collect specimens prior to antibiotic
or antifungal administration.
Q 1–3 working days; allow additional time for speciation if
Anaplasma spp. PCR positive.
R
Uveitis RealPCR™ Panel—Feline 3544 $63.09
Bartonella spp., Cryptococcus spp., feline coronavirus (FCoV),
S feline herpesvirus type 1 (FHV-1), FeLV, FIV and Toxoplasma gondii
RealPCR™ tests. Includes subtyping for FIV if PCR positive.
T 0.5 mL (0.1 mL minimum) aqueous humor (preferred specimen)
or 2 mL EDTA whole blood (LTT); keep refrigerated. Collect
U specimen prior to antibiotic or antifungal administration.
1–3 working days; allow additional time for subtyping if FIV
V PCR positive.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

128 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
Uveitis RealPCR™ Panel with Lab 4Dx Plus Test—Canine ®
3669 $100.49
Anaplasma spp., Blastomyces dermatitidis, Brucella canis, canine B
adenovirus type 1, Coccidioides spp., Cryptococcus spp., Ehrlichia
spp., Hepatozoon spp., Leishmania spp., Leptospira spp. and
Toxoplasma gondii RealPCR™ tests, Lab 4Dx® Plus Test. Includes C
speciation for Anaplasma spp. or Ehrlichia spp. if PCR positive.
2 mL serum for ELISAs and 0.5 mL (0.1 mL minimum) aqueous D
humor (preferred specimen); or 2 mL EDTA whole blood (LTT)
and 2 mL urine in a sterile container for RealPCR panel; E
keep refrigerated. Collect specimens prior to antibiotic or antifungal
administration.
F
1–3 working days; allow additional time for speciation if
Anaplasma spp. or Ehrlichia spp. PCR positive.
G
V
 Vaccine Panel by ELISA—Canine* 1278 $65.09 H
Distemper and parvovirus by ELISA
Note: Results reported as positive or negative only. The ELISA I
antibody tests are screening tests and may be less sensitive than
serum virus neutralization (SVN) and hemagluttination inhibition (HI) J
titers. In instances where quantitation is desired or revaccination
presents a significant risk, the Vaccine Panel by SVN/HI—Canine
(Test Code 1291) is recommended. K
1 mL serum
L
1–3 working days
Vaccine Panel by SVN/HI—Canine*† 1291 $124.99
M
Distemper by SVN and parvovirus by HI
Note: Results include a quantitative titer. This is the recommended N
test when revaccination presents a significant risk.
2 mL serum
O
7–10 working days
Vaccine Panel by SVN/HI—Feline*† 2061 $171.09 P
Calicivirus by SVN, herpesvirus by SVN, panleukopenia by HI
1 mL serum Q
7–10 working days
 von Willebrand Factor*† R
1009 $115.39
Citrated plasma (one full BTT, spun immediately,
separated into a WTT [plain plastic tube without clot activator], S
using a plastic pipette, labeled as citrated plasma, and frozen)
3–5 working days T
W
U
 West Nile Virus Antibody by SVN† 2286 $106.49
0.2 mL serum
V
7–10 working days
 West Nile Virus IgM Antibody by Capture ELISA—1 Specimen* 2587 $93.89 W
2–11 Specimens* 25872 $54.19
12 or More Specimens* 25873 $39.59 X
1 mL serum (no hemolysis or lipemia)
2–10 working days Y

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 129
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Test Name Test Code Fee


A
Y
B Young Adult Plus 1809 $70.49
S-CBC 18099999 $62.99
C Chem 11 with IDEXX SDMA Test, CBC, total T4
®

2 mL serum, 1 mL LTT
D 8:00 a.m.
  Young Adult Profile 1294 $57.49
E
S-CBC 12949999 $49.99
Chem 11 with IDEXX SDMA® Test, CBC
F
2 mL serum, 1 mL LTT
G 8:00 a.m.
Young Adult with Lab 4Dx® Plus Test—Canine 2313 $64.39
H S-CBC 23139999 $56.89
Chem 11 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test
I 2 mL serum, 1 mL LTT
8:00 a.m.
J
 Young Canine Maintenance Profile 2090 $47.69
S-CBC 20909999 $40.19
K
Albumin, albumin:globulin ratio, ALP, ALT, BUN, creatinine, globulin,
glucose, potassium, IDEXX SDMA® Test, total protein, CBC, canine
L heartworm antigen by ELISA
2 mL serum, 1 mL LTT
M 8:00 a.m.
 Young Feline Maintenance Profile 2092 $54.39
N
S-CBC 20929999 $46.89
Albumin, albumin:globulin ratio, ALP, ALT, BUN, creatinine, globulin,
O
glucose, potassium, IDEXX SDMA® Test, total protein, CBC, feline
heartworm antibody by ELISA
P
2 mL serum, 1 mL LTT
1–3 working days
Q
 Young Maintenance Panel 2091 $47.69
Albumin, albumin:globulin ratio, ALP, ALT, BUN, creatinine, globulin,
R
glucose, potassium, IDEXX SDMA® Test, total protein
1 mL serum
S
8:00 a.m.
T  Young Preanesthetic Panel 782 $38.19
ALP, ALT, BUN, creatinine, glucose, IDEXX SDMA® Test, total protein
U 1 mL serum
8:00 a.m.
V  Young Preanesthetic Plus 1536 $81.29
S-CBC 15369999 $73.79
W Young Preanesthetic Panel, CBC, total T4
2 mL serum, 1 mL LTT
X
8:00 a.m.

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

130 IDEXX Reference Laboratories Directory


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Test Name Test Code Fee
A
 Young Preanesthetic Profile 783 $51.69
S-CBC 7839999 $44.19 B
Young Preanesthetic Panel, CBC
1 mL serum, 1 mL LTT C
8:00 a.m.
 Young Preanesthetic Profile Complete 1390 $59.29 D
S-CBC 13909999 $51.79
Young Preanesthetic Profile, anion gap, chloride, potassium, E
sodium, sodium:potassium ratio, TCO2 (bicarbonate)
2 mL serum, 1 mL LTT F
8:00 a.m.
G
 Young Preanesthetic Profile with Fecal Dx™ Profile and Heartworm 24463 $91.09
S-CBC 24463999 $83.59
H
Young Preanesthetic Panel, CBC, canine heartworm antigen by
ELISA, fecal ova and parasites, hookworm, roundworm and
whipworm antigens by ELISA I
2 mL serum, 1 mL LTT, 3–5 g fresh feces in a clean
plastic container J
10:00 a.m.
K
 Young Preanesthetic Profile with Lab 4Dx® Plus Test 2312 $66.29
S-CBC 23129999 $58.79
L
Young Preanesthetic Panel, CBC, Lab 4Dx® Plus Test
2 mL serum, 1 mL LTT
M
8:00 a.m.
 Young Wellness 2807 $47.29 N
S-CBC 28079999 $39.79
Chem 10 with IDEXX SDMA® Test, CBC O
2 mL serum, 1 mL LTT
8:00 a.m. P
 Young Wellness with Fecal Dx™ Profile 26063 $64.79
Q
S-CBC 26063999 $57.29
Chem 10 with IDEXX SDMA® Test, CBC, fecal ova and parasites,
hookworm, roundworm and whipworm antigens by ELISA R
2 mL serum, 1 mL LTT, 3–5 g fresh feces in a clean
plastic container S
10:00 a.m.
T
 Young Wellness with Fecal Dx™ Profile, Giardia and Lab 4Dx® Plus 26752 $92.89
Test—Canine
S-CBC 26752999 $85.39 U
Chem 10 with IDEXX SDMA Test, CBC, fecal ova and parasites,
®

Giardia antigen by ELISA, hookworm, roundworm and whipworm V


antigens by ELISA, Lab 4Dx® Plus Test
2 mL serum, 1 mL LTT, 3–5 g fresh feces in a clean W
plastic container
10:00 a.m. X

S-CBC Standard CBCs include an automated differential. A smear evaluation is not performed on every specimen.
We strongly recommend using the test code with the Comprehensive CBC. It may provide valuable additional information in sick patients.
IDEXX Reference Laboratories Directory 131
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Test Name Test Code Fee


A
 Young Wellness with Fecal Dx™ Profile and Lab 4Dx Plus Test— ®
26043 $79.69
Canine
B
S-CBC 26043999 $72.19

C Chem 10 with IDEXX SDMA Test, CBC, fecal ova and parasites,
®

hookworm, roundworm and whipworm antigens by ELISA,


Lab 4Dx® Plus Test
D
2 mL serum, 1 mL LTT, 3–5 g fresh feces in a clean
plastic container
E 10:00 a.m.
 Young Wellness with Lab 4Dx® Plus Test—Canine 2605 $60.49
F
S-CBC 26059999 $52.99
Chem 10 with IDEXX SDMA® Test, CBC, Lab 4Dx® Plus Test
G
2 mL serum, 1 mL LTT
H 8:00 a.m.
Z
I  Zinc (Blood)—Avian/Exotics† 1326 $87.19
0.3 mL serum or heparinized plasma (GNTT), spun and separated
J into a Royal BTT or a WTT (plain plastic tube). Avoid contact with
rubber stoppers.
K 3–5 working days

*Additional protocol information is available in the Online Test Directory at vetconnectplus.com.


† Send-out test. Turnaround time is estimate only. Fee subject to change.

132 IDEXX Reference Laboratories Directory


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Specimen Collection

Specimen Collection Guidelines

IDEXX Reference Laboratories Directory 133


We take pride in the quality and accuracy of our reference laboratory services. In
order to insure the most accurate results and the best possible service, proper
collection and handling of specimens are critical.
This section has a variety of resources to aid you and your team in specimen
collection and transport. Please also visit the IDEXX Learning Center at
idexxlearningcenter.com for other useful specimen collection information,
educational videos and more.

How to Submit Quality Specimens . . . . . . . . . . . . . . . . . . . . 135

Specimen Collection Tube and Swab Guide. . . . . . . . . . . . . . . . 139

Specimen Collection Guidelines by Testing Category. . . . . . . . . . . . . 142

Avian/Exotic Specimen Collection Guidelines. . . . . . . . . . . . . . . . 144

Microbiology Specimen Collection Guidelines. . . . . . . . . . . . . . . . 146

Pathology Specimen Collection Guidelines . . . . . . . . . . . . . . . . . 149

RealPCR™ Specimen Collection Guidelines. . . . . . . . . . . . . . . . 152


Specimen Collection

Specimen Collection Guidelines

134 IDEXX Reference Laboratories Directory


How to Submit Quality Specimens
Quality results begin with the proper specimen collection and handling. Please refer to the
guidelines below or log on to vetconnectplus.com and consult the Online Test Directory for
details on specimen collection protocols, interferences, storage and stability specific to
each test.

Step 1: Choose Proper Collection Tubes and Containers


The wrong tube or container can affect results. For example, while a serum separator tube
(SST) is easy to use and appropriate for a serum chemistry panel, the gel in the tube can
interfere with results of some specialized tests, including many endocrinology and drug
tests. Refer to this directory or go to vetconnectplus.com to determine the proper collection
tube or container for each test type.

Step 2: Use Proper Collection Techniques


Filling syringes
Choose the largest accessible vein possible to secure a good, free-flowing stick when filling
the syringe. Slow draws and difficult sticks can rupture red cells, adversely affecting CBC
results and certain chemistries.
Transferring specimens
After collection, transfer blood as soon as possible to the appropriate blood collection tube.
The longer the blood stays in the syringe, the greater the risk of degraded results that are
due to clumped platelets and clots.
• For vacuum tubes (e.g., Vacutainer® tubes), pierce the stopper with the needle and allow
the specimen to draw naturally into the tube by vacuum. Avoid forcing clotted blood into a
vacuum tube as cells will lyse, causing hemolysis and inaccurate results.
• For nonvacuum tubes (e.g., a screw-top or flip-top plastic tube), remove the top from the
blood collection tube. Carefully remove the needle from the syringe and slowly depress
the plunger of the syringe to allow the blood to trickle down the side of the collection tube.

Specimens clotted during blood draw may result in:


• Platelet clumps
• Falsely decreased cell counts (platelets, red blood cells and white blood cells on CBC)
• Hemolysis (when forcing blood into tube)

EDTA contamination may cause:


• Falsely decreased calcium
Specimen Collection

• Falsely increased potassium


• Interference with many specialized tests

Excess anticoagulant (underfilled tube) may result in:


• Decreased RBC count and Hct due to dilution
• Altered cell morphology
• Inaccurate MCV, MCH, MCHC and Hgb
• Falsely prolonged clotting times

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Filling tubes with additives
• Always fill tubes without additives first to prevent carry-over of tube additives. For
example, if you are filling an EDTA tube and an SST, always fill the SST first. Even a small
amount of EDTA can interfere with many chemistry results.
• Overfilling or underfilling tubes causes the wrong ratio of additives and will cause
inaccurate results; therefore, fill lavender-top (EDTA) or blue-top (citrate) tubes as much
as vacuum will allow.
• To mix with any additives and avoid clotting, always mix lavender-top (EDTA), blue-top
(citrate) or green-top (heparin) tubes well immediately after filling.
Centrifuging
Proper centrifugation is just as important as proper collection technique. Make sure
specimens are fully clotted before tubes are centrifuged; otherwise, the centrifuged specimen
sent to the laboratory will be plasma. Note that some specimens may take longer to clot than
others.
Checking for hemolysis and lipemia
Before sending in your specimen, check for excessive hemolysis or lipemia. Hemolysis
and lipemia can interfere with many tests. The reference laboratory will attempt to improve
lipemic specimens by ultracentrifugation. However, lipemia can lead to hemolysis, which
cannot be removed by ultracentrifugation. In addition, whole blood specimens cannot
be ultracentrifuged, and CBC results can be altered by marked hemolysis or lipemia. If
excessive lipemia is present upon specimen collection, consider redrawing the specimen or
delaying elective testing until after an overnight fast.
Interferences information: Consult the Online Test Directory at vetconnectplus.com, or you
can also call Laboratory Customer Support at 1-888-433-9987, if you have questions about
whether hemolysis or lipemia will affect a particular test.

Hemolysis can result in:* Lipemia may result in:


• Increased MCH and MCHC • Secondary hemolysis
• Inability to read CBC parameters in severe cases • Decreased AST
• Altered bilirubin values • Interference with
• Decreased RBC count, ALP and GGT specialized testing
• Increased albumin, fructosamine, total protein, • Altered RBC morphology
AST, ALT, CK, phosphorus and potassium • Falsely increased Hgb, MCH
• Interference with specialized testing and MCHC

*Chemistry values affected vary depending on species, methodology and degree of hemolysis.
Specimen Collection

Step 3: Label Specimens Properly


Identify each specimen with the patient’s first and last
names, the date and identification of contents. Identifying
the specimen as serum, plasma, urine, fluid, etc., is
especially important when multiple specimen tubes are
submitted. Label all cytology slides with the patient’s
name and the site. Do not cover the entire specimen tube
with a label, as this will prevent the technologist from
assessing color and clarity of the specimen.

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Step 4: Submit a Slide with the Tube
Air-dried slides should be included with specimens submitted for fluid analysis or urine
cytology for accurate cytologic interpretation. This will preserve cell morphology and help
with accurate interpretation.
Note: Submission of blood smear is no longer required when submitting for a CBC.
For your convenience, a hematology technician will now prepare blood smears for all
comprehensive CBCs upon receipt of the specimen at the reference laboratory. However,
if you suspect blood-borne parasites, especially Babesia, submission of a blood smear
prepared from an earprick collection is recommended.

Step 5: Include a Test Requisition Form


Complete and include an IDEXX Reference
Laboratories test requisition form with all
specimens. Save time and eliminate errors
by using your practice management system
or VetConnect® PLUS services to create an
electronic bar-coded requisition. For more
information about VetConnect PLUS services,
please see pages 179–180 or call
1-888-433-9987. To obtain paper forms,
call 1-888-79-IDEXX (1-888-794-3399) or order
online at idexx.com/order.

Step 6: Ensure Proper Storage and Packaging of Specimens


Specimens may require refrigeration, freezing or room temperature storage. Consult the
individual test guidelines for instruction on proper storage.
Make sure that specimens are not exposed to heat or direct sunlight in warm weather or
allowed to freeze in cold weather. Do not place specimens directly on or near air vents. All
specimens must be well insulated during transportation to the laboratory.
Packaging for transport
• Secure all caps and lids.
• Do not place cold or hot packs directly on LTTs. Direct exposure to extreme cold or heat
can cause cell damage and make it difficult or impossible to accurately perform a CBC.
• Protect slides, blood smears and cytologies from condensation by avoiding direct contact
with cold packs. Use plastic slide containers for blood smears and cytology slides.
• Always package nonhistology specimens separately from histology as items may be
compromised if they come into contact with moisture or formalin.
• Place containers in the plastic specimen bag along with some absorbent cushioning
Specimen Collection

material (e.g., paper towels) to protect specimens from breaking and to absorb spills.
Seal the plastic specimen bag.
• Insert the test requisition form in the rear pouch of the bag.
• If shipping via IDEXX-Direct®: Place the
sealed plastic specimen bag, containing the
patient specimens and test requisition form,
in an IDEXX-Direct shipping box. More than
one patient specimen can be packaged in
the box if tubes/jars are properly labeled,
bagged and sealed. To order more specimen bags
or boxes, call 1-888-79-IDEXX (1-888-794-3399)
or order online at idexx.com/order.

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Packaging for cold weather
• Keep specimens inside as long as possible.
• Insulate specimen bags by wrapping in layers of newspaper and bubble wrap before
placing them in the lockbox or IDEXX-Direct shipping box.
• In the lockbox only: Place a bag of hot saline solution or a plastic bottle filled with hot
water at the bottom of the lock box.
Packaging for warm weather
• Keep specimens inside as long as possible.
• Place a cold pack in a separate sealed bag at the bottom of the lockbox or IDEXX-Direct
shipping box.
• Insulate specimen bags by wrapping in layers of newspaper and bubble wrap before
placing them on top of the cold pack in the lockbox or shipping box.

Step 7: Shipping Your Specimen for IDEXX-Direct Customers


• See step 6 for instructions on correctly packaging specimens in the IDEXX-Direct
shipping box.
• Place the shipping box containing exempt-animal
specimens into a FedEx® Clinical Pak and seal.
• Attach a preprinted FedEx Express® return label for
FedEx Priority Overnight® shipping to your package.
Retain the tracking number for your records.
• Arrange a FedEx Express pickup by going to fedex.com
or calling 1-800-GoFedEx (1-800-463-3339) and say
“schedule a pickup.”

Step 8: Reorder Your Supplies


IDEXX Reference Laboratories supplies can be ordered direct from
IDEXX Online Orders at idexx.com/order (see page 178 for details).
Specimen Collection

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Specimen Collection Tube and Swab Guide

SST Mini SST RTT WTT


Type

Serum separator Gold-top Red-top tube, White-top tube; plain


tube serum tube, RTT plastic tube without
Available in 4 mL and with clot activator clot activator
8 mL; red cap with Available in 4 mL and Available in 6 mL; white
yellow ring 9 mL; red cap with cap with black ring
black ring
Contains a gel medium Contains a gel medium Plastic, silicone-coated Plain, no-additive,
Description

that forms a barrier that forms a barrier plain red-top tube with silicone-coated plastic
between the red blood between the red blood clot activator tube without clot
cells and serum after cells and serum after activator
centrifugation centrifugation
Serum for chemistries, Serum for chemistries, Serum for chemistries, Transport of serum or
Purpose

immunology, serology, immunology, serology, immunology, serology, plasma for chemistries,


endocrinology endocrinology endocrinology, endocrinology,
Do not use for transport therapeutic drug immunology, serology,
of fluid specimens or monitoring; also therapeutic drug
urine used for transport of monitoring, coagulation
separated serum or testing; urine for
plasma urinalysis, culture or
cytology; fluids for
culture or cytology
Gel interferes with Same as for SST. Centrifugation and After centrifugation,
Comments

certain therapeutic Used primarily for separation of serum into serum or plasma
drug monitoring avian/exotic patients a second RTT or a WTT collected in other tube
tests (phenobarbital, for which specimen is recommended. types can be transferred
digoxin, theophylline) volume is an issue. Clot activator into a WTT for transport.
and progesterone (use will interfere with Preferred tube type for
RTT with clot activator microscopic evaluation submission of urine
instead). of urine or fluids for urinalysis or urine
submitted for cytology. culture.

LTT Mini LTT GNTT Mini GNTT


Type

Lavender-top tube Lavender-top tube Green-top tube Green-top tube


Available in 2 mL and Available in 3 mL;
9 mL; lavender cap with green cap with
Specimen Collection

white ring black ring


Plastic tube with Plastic tube with Plastic tube with lithium Plastic tube with lithium
Purpose Description

EDTA anticoagulant EDTA anticoagulant heparin anticoagulant heparin anticoagulant

Whole blood for Whole blood for Heparinized whole Heparinized whole
hematology; may also avian/exotic hematology blood or plasma; blood for avian/exotic
be used for submission heparinized plasma hematology;
of fluids for cytology may be used for most heparinized plasma
chemistries may be used for most
chemistries
Proper blood-to- Same as for LTT. If plasma is desired, Same as for GNTT.
Comments

anticoagulant ratio is Used primarily for specimen must be spun Used primarily for
important for accurate avian/exotic patients and separated into a avian/exotic patients
results. EDTA plasma is for which specimen RTT or a WTT. for which specimen
not acceptable for most volume is an issue. volume is an issue.
chemistries.

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Mini light GNTT BTT Royal BTT
Type

Light green-top Blue-top tube Dark blue-top tube,


(mint green-top) tube Available in 2.7 mL; trace element tube
light blue top with Available in 6 mL; royal
black ring blue cap with black ring
Plastic tube with lithium Contains sodium citrate Plastic tube with clot
Description

heparin anticoagulant anticoagulant activator; special


and a gel medium that stopper contains lower
forms a barrier between levels of trace elements
the red blood cells and
plasma
Heparinized plasma Citrated plasma for Use for collection
Purpose

can be used for most coagulation testing of serum for trace


chemistries elements, e.g., zinc
Use primarily for avian/ Correct ratio of blood-
Comments

exotic patients for which to-anticoagulant very


specimen volume is an important. Specimen
issue. Cannot use for should be immediately
hematology. centrifuged and plasma
separated into a WTT
(plain plastic tube
without clot activator)
and frozen.

Fecal culture Fecal O&P tube Lymph node


Type

transport media aspirate


Enteric pathogen transport tube
transport media
Fecal culture media Empty, sterile plastic Contains preservative
Purpose Description

ideal for enteric tube with scoop


pathogens

Feces for culture Feces for fecal O&P, Suspends cells


fecal antigen testing or aspirated from an
fecal PCR affected lymph node or
other visceral organ
Specimen Collection

Avoid contamination Collect fresh specimens Use for submission for


Comments

with urine and soil. only. Specimens immunophenotyping


Refrigerate promptly allowed to sit on soil (flow cytometry) only.
to prevent overgrowth. may be contaminated Store tubes in the
with free-living refrigerator prior to use.
nematodes from the Do not use for whole
environment. Avoid blood. Refrigerate
specimens that have all specimens after
been sitting in kitty collection.
litter.

Note: Tube and swab images are representative of those supplied by IDEXX. Tubes from other manufacturers may have
different tube top colors.

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Culture swab in Mini-tip culture PCR swab Chlamydia ELISA
Type

transport media swab swab


Aerobic/anaerobic Aerobic culture swab,
culture swab, regular tip mini tip
Plastic-stemmed, Wire-stemmed, sterile, Plastic-stemmed, Plastic-stemmed,
Description

sterile, regular-tip swab mini-tip, yellow-capped sterile, polyester swab sterile, mini-tip,
with gel-based culture swab with gel-based DACRON® swab
media (Amies without culture media (Amies
charcoal) without charcoal)
Use for collection, Use for collection, Use for collection of Use for collection
Purpose

transport and transport and respiratory specimens of choanal or


preservation of preservation of or tissue aspirates for cloacal specimens
specimens for aerobic specimens for aerobic RealPCR™ tests for Chlamydophila
or anaerobic culture or anaerobic culture (Chlamydia) Antigen
of small sites, such as by ELISA; use also
respiratory, choanal or for choanal or cloacal
cloacal specimens from swabs for PCR where
exotics a mini-tip swab is
preferred
Refrigerate culture Refrigerate mini-tip Submit swabs dry, Submit swabs dry,
Comments

swabs promptly culture swabs promptly without transport without transport


following specimen following specimen media, in an RTT or in media, in the provided
collection to prevent collection to prevent an empty sterile tube. shipping canister, or in
overgrowth. For overgrowth. Keep refrigerated. For an RTT, or in an empty
instructions on instructions on sampling sterile tube.
sampling specific sites, specific sites, see the
see the Microbiology RealPCR Specimen
Specimen Collection Collection Guidelines,
Guidelines, pages page 152.
146–149.

Oxoid Signal® Wampole® Urine culture tube


Type

blood culture bottle Isolator™ Yellow-top tube


Available in 84 mL blood culture tube Note: WTT is the
Yellow-top tube preferred tube type for
routine urine cultures
Blood culture media 1.5 mL pediatric blood 4 mL tube containing
Description

ideal for both aerobic culture collection tube boric acid as a


Specimen Collection

and anaerobic preservative to


organisms prevent overgrowth of
contaminants
Whole blood for culture; Whole blood for culture; Urine for culture; use
Purpose

use for patients >5 lb. use for patients <5 lb. only when a delay in
or to culture blood for submission to the lab
fungal organisms following collection is
anticipated
Keep at room Keep at room Keep at room
Comments

temperature. temperature. temperature. Urine in a


Collection using sterile Collection using sterile urine culture tube is not
technique is critical for technique is critical for suitable for urinalysis
accurate results. See accurate results. See or urine chemistries.
Microbiology Specimen Microbiology Specimen Underfilling (<3 mL
Collection Guidelines, Collection Guidelines, urine) of tube may
pages 146–149. pages 146–149. result in suppression of
growth on culture.

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Specimen Collection Guidelines by Testing Category
Type of Testing Specimen Container Description Protocol Storage
Avian/Exotic See Avian/Exotic Specimen
Specimens Collection Guidelines,
pages 144–145.

Microbiology See Microbiology Specimen


Collection Guidelines,
pages 146–149.

Pathology See Pathology Specimen


Collection Guidelines, pages
149–151.

RealPCR™ See RealPCR™ Specimen


Tests Collection Guidelines,
page 152.

Chemistry, Serum RTT (red-top tube, Sterile, Let specimen clot for Refrigerate
Immunology, serum tube) empty with 15–20 minutes or until a
Endocrinology, clot activator distinct clot has formed. Some
Therapeutic specimens may take up to 30
Drug minutes to fully clot. Centrifuge
Monitoring at 2,500 rpm for 10–15
minutes, pipette serum from
clot and transfer to a second
RTT or a WTT (plain plastic
tube).

Chemistry, Serum SST (serum Gel to Let specimen clot for Refrigerate
Immunology, separator tube) separate 15–20 minutes or until a
Endocrinology serum from distinct clot has formed. Some
clot and specimens may take up to 30
clot activator minutes to fully clot. Centrifuge
at 2,500 rpm for 10–15
minutes.
Do NOT use SST for
progesterone or therapeutic
drug monitoring (phenobarbital,
digoxin or theophylline).

Hematology Whole LTT (lavender-top EDTA Fill tube as much as vacuum Refrigerate;
blood tube) anticoagulant will allow to obtain proper do NOT
blood-to-anticoagulant ratio. freeze
Invert gently several times.
Specimen Collection

Coagulation Citrated Collect in BTT Sodium Correct blood-to-anticoagulant Keep frozen


(PT, PTT, plasma (blue-top tube), citrate ratio is very important. Fill and ship
D-dimer, VWD then transfer anticoagulant tube as much as vacuum will with cold
and quantitative plasma to a WTT allow to obtain proper ratio. pack
fibrinogen) (plain plastic Invert gently several times after
tube without clot filling. Centrifuge immediately
activator) at 1,500 rpm for 15 minutes.
Pipette plasma from cells and
transfer to a WTT (plain plastic
tube without clot activator).
Label as citrated plasma and
freeze.

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Type of Testing Specimen Container Description Protocol Storage
Parasitology Feces Fecal O&P tube No additive Collect fresh fecal specimen Refrigerate
(fecal O&P, fecal or clean plastic from bowel movement or fecal or room
antigen tests) container loop. Do not allow specimen to temperature
sit on soil or in kitty litter.

Urinalysis, Urine WTT (plain No additive Do NOT submit a culture swab Refrigerate
Urine Culture plastic tube or syringe; transfer specimen and prevent
without clot to sterile tube and tightly seal. UV/sunlight
activator) Indicate method of collection. exposure

Stone Urolith Dry sterile No additive DO NOT place in formalin Room


Analysis container or other liquid. temperature

Specimen Collection

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Avian/Exotic Specimen Collection Guidelines
Accurate results depend on quality specimens. Please follow the guidelines detailed below:

Chemistry
• Use a GNTT (green-top tube), an RTT (red-top tube) or a serum mini tube (gold-top tube).
Invert the GNTT 6–8 times immediately after adding blood and then spin down. Allow the
RTT or the gold-top serum mini tube to clot for 15–20 minutes before spinning.
• Use of a light GNTT (containing plasma-separator gel) is preferred for chemistries.
The light GNTT should be spun but does not require separation.
• When using a dark GNTT, an RTT or a gold-top serum mini tube, it is important
to separate the serum or plasma after spinning to avoid artifactual changes in
chemistry values.

Hematology
• For differentials, immediately make air-dried, unstained blood smears using glass slides.
Do not use coverslips. U se an individual slide holder for each patient.
• Submit blood in an EDTA lavender-top tube(LTT) or dark GNTT (without plasma-separator
gel). Invert tube 6–8 times immediately after adding blood. Minimum blood volume in
GNTT/LTT should be ≥0.3 mL.
• DO NOT use an LTT with reptile, kookaburra, crow, ostrich or emu specimens.

Chemistry/hematology: single specimen


• If specimen size is limited, please indicate priority of testing in case the specimen size is
inadequate.
• If submitting a single specimen for both chemistry and hematology, submit an unspun
dark GNTT (without plasma-separator gel) with an unstained, air-dried blood smear. Some
chemistry values may be affected.

Microbiology
In psittacine or passerine avian microbiology, organisms are categorized as nonpathogenic
(reported as normal Gram-positive flora), including a-hemolytic streptococci (alpha-strep)
and g-hemolytic streptococci (gamma-strep), Enterococcus, Corynebacterium, Lactobacillus,
nonhemolytic staphylococci; or pathogenic, including Enterobacteriaceae and other
Gram-negative rods, fungi, Mycoplasma, hemolytic staphylococci, Pasteurella and yeast on
respiratory and fecal samples. Yeast are noted as present but are not identified.
Susceptibility testing is routinely performed on all Enterobacteriaceae, Gram-negative rods
and hemolytic staphylococci. Pasteurella is NOT tested because it is routinely susceptible to
all avian antibiotics.
Note: Antibiotics tested for avians are dependent on the organism and may include amikacin,
Specimen Collection

ampicillin, amoxicillin/clavulanic acid, cefotaxime, ceftazidime, cephalexin, chloramphenicol,


ciprofloxacin, enrofloxacin, gentamicin, piperacillin, tetracycline, tobramycin and
trimethoprim/sulfa. Other antibiotics available upon request.

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Microbiology specimen collection recommendations
In birds, the major microbiology analyses are for respiratory infection, diarrhea
and abscesses.
• Respiratory—The best site is one or more of the following: choanal slit, laryngeal
opening or sinus (obtained through sinus flush using nonbacteriostatic saline).
• Diarrhea—When a cloacal/fecal culture is indicated, the cloaca alone is often dry
and yields poor results. We recommend including a portion of freshly produced feces,
collected aseptically. Moisten the culture swab with sterile saline and swab the cloaca,
then touch the top of a fresh fecal sample.
• Abscess—Most abscesses in birds contain caseous pus and yield poor results.
Include a choanal swab with the specimen submission.

Pathology
IDEXX Reference Laboratories has a team of clinical and anatomic pathologists with special
expertise in avian and exotic species. If you would prefer your biopsy, cytology or other
relevant testing to be read by a member of this team, please specify “Direct case to exotics
pathologist” on your requisition form. Note that this may result in a slightly longer turnaround
time to allow for routing of your case to a particular pathologist.

IMPORTANT: Always prioritize tests on your requisition form in case the specimen
size is inadequate.

Specimen Collection

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Microbiology Specimen Collection Guidelines
Source Container/Storage Protocol Test to Request
Abscess or Culture swab in transport media Aseptically prepare collection site. Aerobic and/or
wound or tissue/fluid in sterile tube* Aspirate fluid or pus from abscess, Anaerobic Culture
pustule or vesicular wounds.

Blood One blood culture bottle per Collection using sterile technique is Blood Culture
time point. Do not submit swabs, critical for accurate results. Aseptically with or without
serum or whole blood prepare venipuncture site. Disinfect Fungal Culture
in LTT or RTT. the top of culture bottle with alcohol Add-on
For animals ≥5 lb, and let dry. Ideally two samples
use 84 mL Oxoid Signal® blood drawn approximately one hour apart
culture bottle. from different venous sites should be
submitted.
For animals <5 lb, (and for
add-on fungal culture if desired) >40 lb, place 10 mL blood
use yellow-top Wampole® in one 84 mL bottle
Isolator™ blood culture tube. 20–40 lb, place 7.5 mL blood
Keep at room temperature. in one 84 mL bottle
5–20 lb, place 5 mL blood
in one 84 mL bottle
<5 lb or for fungal culture, place
1.5 mL blood in one Isolator blood
culture tube

Bone marrow Sterile tube (WTT or RTT)* Aseptically prepare collection site. Aerobic and/or
Anaerobic Culture

Brucella canis Specimens should not be submitted for


culture if Brucella canis is suspected.
See page 148 for additional details.

Cerebrospinal Sterile tube (WTT or RTT)* Collect CSF by aseptic subdural Aerobic and/or
fluid (CSF) Keep at room temperature. tap, ventricular aspiration or lumbar Anaerobic Culture
puncture.

Ears Culture swab in transport media Posterior pharyngeal cultures Aerobic Culture
may also reveal organisms
causing otitis media.
Note: topical treatments may inhibit
bacterial growth.

Eyes Culture swab in transport media Use swab to collect Aerobic Culture
suppurative material from
cul-de-sac or medial canthus.
Specimen Collection

Note: topical anesthetic may inhibit


bacterial growth.

Feces Fecal culture transport media Avoid contamination with urine and Fecal Culture
(preferred) or sterile tube (WTT soil. If Clostridium perfringens and
or RTT)* Clostridium difficile enterotoxin testing
will be performed, include 3–5 g fresh
feces in sterile container.

Hair Sterile tube (WTT or RTT)* Hair should be plucked (not cut) in Fungal Culture
order to include roots.

Joint fluid Sterile tube (WTT or RTT)* or Aseptically inject fluid into Aerobic and/or
blood culture bottle. sterile tube or blood culture bottle. Anaerobic Culture
Keep at room temperature. Specimens >48 hours
old are not suitable for culture.

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Source Container/Storage Protocol Test to Request
MRSA Culture swab in If screening for nonclinical carrier, collect If screening
transport media swabs from nasal passages and rectum. for nonclinical
For clinical patients, collect specimen from carriers: MRSA
lesion and submit for Aerobic Culture. Screen
Staphylococcus spp. isolated If lesion
in routine cultures are screened for methicillin is present:
resistance and further identified to species Aerobic Culture
level when indicated.

Nail or Skin Sterile tube (WTT or RTT)* Use sterile blade or swab to collect material Aerobic and/or
from infected nail. Scrape or swab active Fungal Culture
border of skin lesions.

Sinus Culture swab in transport Aspirate from maxillary, frontal or other Aerobic and/or
media or tissue/fluid in sinuses. Anaerobic
sterile tube* Note: chronic sinusitis often involves Culture
anaerobic bacteria.

Tissue Sterile tube (WTT or RTT)* Place tissue in sterile tube with small amount Aerobic and/or
of sterile LRS to keep specimen hydrated. Anaerobic
Culture

Tracheal Sterile tube (WTT or RTT)* Place wash fluid in sterile tube. Best results Aerobic Culture
wash/BAL can be expected when buffered solution, such
as LRS, is used rather than acidic isotonic
saline solutions.

Urine Sterile container (WTT [plain Indicate collection method. Cystocentesis Urine Culture
plastic tube] preferred)* is strongly recommended (except in large
animals). Avoid contamination with feces.
Swabs are not acceptable specimens for
semiquantitative urine culture.

*An LTT is not recommended for cultures as it may inhibit bacterial growth. An SST (serum separator tube) is not appropriate
for cultures. A urine culture tube with boric acid is only recommended for use when submission of urine may be significantly
delayed. Do not underfill urine culture tubes.

Special instructions
• Inform the laboratory if the animal is being treated with antimicrobial drugs.
• Indicate if the patient is immunocompromised.
• DO NOT submit syringes with needles.
Specimen Collection

• Clearly specify sites of all cultures, including method of collection for urine specimens.
• Urine, fluids, aspirates and tissues may be submitted in a WTT (plain plastic tube) or an
RTT. An LTT is not recommended for cultures as it may inhibit bacterial growth. An SST
(serum separator tube) is not appropriate for cultures.
• Culture specimens should be refrigerated promptly to prevent overgrowth, with the
exception of blood cultures, CSF and joint fluid, which should be kept at room temperature.
• Recent antibiotic therapy (within the previous 2 weeks) may result in lower yield or
negative cultures. Withdrawal from antibiotics for a minimum of 72 hours, ideally
7–10 days, is recommended when culturing a patient following antibiotic administration.
• When submitting two swabs from different sites, submit each swab with its own
requisition form to be plated separately. If you would prefer these swabs to be cultured
together on the same plate under a single test code, submit together and indicate this on
the requisition form.

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Microbiology Specimen Collection Guidelines, continued
Normal Flora, Predictable Susceptibility Patterns and Nonpathogenic Organisms
IDEXX follows guidelines set by the Clinical and Laboratory Standards Institute (CLSI)
as well as our own interpretive standards gained from years of experience in performing
susceptibility testing. We believe these are the “best practice” microbiology techniques, and
we would be happy to discuss the following policies with you:
• Susceptibilities will not be performed on normal flora or nonpathogenic organisms.
• Pathogens with predictable susceptibility patterns or with no CLSI interpretive standards
will be reported with a recommended list of antimicrobials. Examples include ß-hemolytic
streptococci (beta-strep) and Pasteurella in nonsterile sites.
• Pathogens with atypical growth characteristics (i.e., slow-growing or anaerobic) render
susceptibility testing inaccurate and misleading. Therefore, recommended antibiotics
will be reported in an effort to guide therapy. Examples include Corynebacterium
pseudotuberculosis and Actinomyces.

Direct Gram Stains


• Aerobic cultures on avians, reptiles, rabbits or rodents automatically receive Gram stains.
(See Test Codes 415 [Aerobic and Fungal Cultures—Avian/Reptilian],
435 [Aerobic Culture—Avian/Reptilian], 437 [Aerobic Culture—Rabbit/Rodent],
4023 [Fecal Screen 1—Avian/Exotics] and 4027 [Fecal Screen 2—Avian/Exotics].)
• Direct Gram stains for other cultures must be requested and will incur an extra fee.
(See Test Code 402 [Gram Stain, Direct Add-on to Culture].)
• Direct Gram stains for urinalysis must be requested and will incur an extra fee.
(See Test Code 40910 [Gram Stain, Direct Add-on to Urinalysis].)
• The best sources for valuable direct Gram stain information are wounds, abscesses,
fluids, tracheal washes and sterile sites.

Submission of Highly Pathogenic Zoonoses


There are no designated BSL-3 microbiology laboratories at IDEXX Reference Laboratories
in the United States. Therefore, specimens suspected of containing organisms requiring
BSL-3 containment should NEVER be sent for culture and will NOT be accepted for culture.
These highly pathogenic zoonotic organisms include, but are not limited to, the following:
• Bacillus anthracis
• Brucella abortus
• Brucella canis
• Brucella melitensis
Specimen Collection

• Brucella suis
• Burkholderia (formerly Pseudomonas) mallei
• Burkholderia (formerly Pseudomonas) pseudomallei
• Francisella tularensis
• Mycobacterium bovis
• Mycobacterium tuberculosis
• Prions, such as bovine spongiform encephalopathy (BSE), etc.
• Rabies virus
• Yersinia pestis

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If any of the previously listed organisms are suspected, please contact your state
veterinarian and/or state veterinary diagnostic laboratory. See also the Centers for Disease
Control and Prevention (CDC) Web site at cdc.gov for more information on handling and
diagnosing these highly pathogenic zoonotic organisms.
In addition, agar plates with fungal growth or environmental specimens suspected of
containing the following organisms will not be accepted for culture testing:
• Blastomyces dermatitidis
• Coccidioides immitis
• Coccidioides posadasii
• Histoplasma capsulatum

Cytology or histology of affected sites or fungal serology tests may be more appropriate
alternatives for the diagnosis of the above organisms.

Pathology Specimen Collection Guidelines


Accurate results depend on quality specimens. Please follow the guidelines detailed below:

Patient history and clinical findings contribute to an accurate result.

Histopathology
Preparing and sending your specimen
Provide patient signalment, history and clinical signs to help our pathologists give you the
most comprehensive diagnosis. Please also provide the following with your submission:
• Number of sites/lesions for evaluation and number of specimens submitted
• Gross lesion description with specific anatomic location, size, shape, consistency,
symmetry and definition of borders
• Radiographic and ultrasonographic findings and reference (with accession numbers)
to any prior laboratory results
• Any specific questions you would like answered
Choose the appropriate biopsy test code to meet your needs: priority or standard turnaround
Specimen Collection

time, number of sites, and with or without microscopic description (see page 51). For more
information on the histopathology fee policy and correct test code selection, please visit
idexx.com/PathologySpecimenGuidelines.
Place specimen(s) in the appropriate-sized IDEXX-provided formalin container(s).
• Use separate, individually labeled jars for each site.
• Do not reuse container or use containers not approved for formalin.
• Order containers for large specimens through IDEXX Online Orders at idexx.com/order.
Use 10X formalin volume to specimen volume to allow adequate fixation.
• If specimen is very small, place in a microcassette before putting in a formalin container
(microcassettes are available through IDEXX Online Orders).
• Do not wrap small fragments or place them on tongue depressors.
• Do not cut specimen edges if margin evaluation is important.

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Pathology Specimen Collection Guidelines, continued
Store at room temperature; DO NOT freeze.
Label each container with the patient’s first and last names, collection date, specimen ID
(site/source), and veterinarian’s name.
Package submission(s) individually for each patient, along with their requisition form, and
place in an IDEXX specimen bag. Submit your histology specimens per your usual FedEx or
courier service process.

Large-tissue specimen shipping instructions


1. Large specimens (too large to fit in an IDEXX-provided formalin jar) should be shipped
fresh, wrapped in gauze wetted with saline (not soaked).
2. Triple-bag the specimen, using 1–5 gallon freezer bags or 10-gallon red biohazard bags.
(This meets the DOT requirements for three layers of packaging.) Place absorbents and
cold packs inside the middle-layer bag.
3. For FedEx shipping, use a box that fits the submission and place an IDEXX-provided
prepaid shipping label on the outside of the box.
4. Please send larger specimens to IDEXX on Monday–Thursday only. Specimens can be
prepared and stored in a refrigerator if obtained on Friday–Sunday.
Note: Larger specimens require additional time for fixation. Please anticipate a possible delay
with normal turnaround time.

Necropsy specimen submission


With the exception of whole small avian, exotic and fish specimens, IDEXX Reference
Laboratories does not perform whole-body necropsy. Options for submitting tissue
specimens for necropsy evaluation for non-exotic species include the following:
• For less than 10 organ specimens, submit as a biopsy, selecting the appropriate
test code (see page 51) for the number of sites or masses sampled.
• For 10 or more organ specimens, use Necropsy, Multiple Tissue Specimens
(Test Code 69000).
• Several options are available for zoo/aquarium clients who are submitting smaller
avian/exotics or fish for necropsy. Please see individual test listings (pages 101–102)
for detailed specimen submission protocols.
• Specimen submission guidelines for necropsy evaluation are the same as for biopsy
submissions as outlined above.
To learn more, view the Getting the Most Out of Your Biopsy Pathology Submissions
tutorial at the IDEXX Learning Center.

Cytology
Specimen Collection

Preparing and sending your specimen


Collect specimen
• Sample by fine-needle aspiration or nonaspiration biopsy technique, scrapings or imprints.
• Prepare slides in-clinic using either “squash” technique or blood-smear technique.
• Stain 1 representative slide to ensure adequate cellularity.
• Include 1–3 air-dried slides (at least 1 unstained).
• Do not fix slides, heat slides or spray them with hairspray. Do not add coverslip.
Label specimen with patient name, site/source and collection date.

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Provide patient signalment, history and clinical signs to help our pathologists give you the
most comprehensive diagnosis. Please also provide the following with your submission:
• Number of sites/lesions for evaluation and number of specimens submitted
• Gross lesion description with specific anatomic location, size, shape, consistency,
symmetry and definition of borders
• Radiographic and ultrasonographic findings and reference (with accession numbers)
to any prior laboratory results
• Any specific questions you would like answered
Choose the appropriate cytology test code to meet your needs: priority or standard
turnaround time, number of sites, and with or without microscopic description
(see pages 62–63).
Store slides at room temperature and protect from moisture, insects, formalin fumes and
temperature extremes.
Package submission(s) individually for each patient, along with their requisition form, and
place in an IDEXX specimen bag. Submit your cytology specimens per your usual FedEx
or courier service process.
• Protect slides from condensation by avoiding direct contact with cold packs.
• Use plastic slide holders for blood smears and cytology slides.
• Always package slides separately from formalin-containing biopsy jars.

Fluid Analysis with Cytology specimens


• Submit fluid or washes in an EDTA tube (LTT), accompanied by 1–3 air-dried, freshly
prepared slides to preserve cell morphology.
• Label all specimens with source and patient’s first and last names.
• DO NOT submit fluid in a serum separator tube (STT), in a serum RTT with clot
activator or in a syringe.
• If culture may also be ordered, collect additional fluid in a WTT (plain plastic tube)
To learn more, view the Getting the Most Out of Your Cytology Pathology Submissions
tutorial at the IDEXX Learning Center.
Specimen Collection

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RealPCR™ Specimen Collection Guidelines
PCR testing offers a versatile testing modality for infectious diseases. However, accurate
results depend on collecting the appropriate specimen type for the clinical manifestation.
Provided below are detailed protocols for each specimen type.
All specimens should be stored and shipped refrigerated, unless otherwise indicated.
Specimens should be collected prior to antibiotic, antifungal or antiviral treatment directed
against the organism of interest, or collected at least 2 weeks after withdrawal of these
medications. Specimens received within 72 hours of collection are preferred, but most
specimens are stable for up to 10 days if stored refrigerated, unless otherwise indicated.
Vaccination with an attenuated or modified live vaccine may result in positive PCR test
results for up to a few weeks postvaccination.
Every RealPCR™ specimen submission is processed with up to 7 quality controls. If a
specimen fails the preanalytical quality control (DNA and RNA), a repeat extraction is
attempted. If quality control criteria are still not met for a particular diagnostic specimen, the
submitting veterinarian will be contacted and encouraged to submit a fresh specimen at no
additional charge.
Whole blood: 2 mL (0.1 mL minimum) EDTA whole blood (LTT).
Feces: 5 g (1 g minimum) fresh feces in a sterile container (preferred) or empty,
clean container. Do not submit feces in SAF.
Urine: 2 mL (0.1 mL minimum) urine in a sterile container.
Fluid (CSF, pleural effusion, respiratory wash specimens, uveal fluid, ascites, abscess
aspirates, etc.): 0.5 mL (0.1 mL minimum) fluid in a sterile tube (LTT [preferred], RTT or
WTT [plain plastic tube]).
Swabs: Submit dry, plastic-stemmed swabs, without transport media, in an RTT or a WTT
(plain plastic tube). Respiratory specimens may include a deep pharyngeal swab (with
visible organic material on swab; please rub firmly), and a conjunctival swab (wipe eye
clean; swab inside of eyelid), which can be submitted together in the same tube, or a nasal
swab (equine respiratory panels or systemic mycoses). When acquiring a pharyngeal swab,
precautions should be taken to prevent patient from biting and/or ingesting part of swab.
Collect specimens prior to fluorescein staining.
Tissue aspirates: Submitting tissue aspirates on a swab (see below) improves stability
of the specimen. 1–3 air-dried, unstained slides (keep refrigerated) are also acceptable
specimens but may result in lower sensitivity.
Suggested protocol for tissue aspirates
1. Aspirate tissue into the hub of the needle using standard techniques.
2. Remove the syringe from the needle and fill syringe with air.
Specimen Collection

3. Reattach the syringe to the needle and squirt out aspirate onto the end of a dry,
plastic-stemmed swab.
4. Submit the swab in an RTT or a WTT (plain plastic tube); keep refrigerated.
Tissue biopsies: PCR testing can be performed on previously submitted histopathology
specimens (formalin-fixed, paraffin-embedded tissue). Fresh, refrigerated tissue specimens
submitted within 24 hours of collection are also acceptable. Freezing is not recommended
unless the specimen can be maintained frozen until arrival at the PCR laboratory.

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Resources

Resources

IDEXX Reference Laboratories Directory 153


We’ve compiled several helpful resources for your quick reference:

Microbiology Guide to Interpreting Minimum Inhibitory Concentration (MIC) . . . . 155

Avian Reference Intervals . . . . . . . . . . . . . . . . . . . . . . . 159

Regional Allergen Guide . . . . . . . . . . . . . . . . . . . . . . . . 160

Ordering Supplies Using IDEXX Online Orders . . . . . . . . . . . . . . . . 178

IDEXX VetConnect® PLUS. . . . . . . . . . . . . . . . . . . . . . . 179

General Policies and Fees. . . . . . . . . . . . . . . . . . . . . . . 181

Standard Terms and Conditions. . . . . . . . . . . . . . . . . . . . . 183


Resources

Resources

154 IDEXX Reference Laboratories Directory


Microbiology Guide to Interpreting
Minimum Inhibitory Concentration (MIC)
Historically, in vitro susceptibility testing was routinely performed by disk diffusion
(Kirby-Bauer) method. The size of the growth-free zone determined whether the bacterium
was considered to be susceptible, resistant or intermediate to a particular antibiotic.
Although a useful guide for selecting an effective antibiotic, Kirby-Bauer testing could not tell
the clinician the exact concentration of antibiotic needed to achieve a therapeutic result. The
minimum inhibitory concentration (MIC) is a quantitative method of susceptibility testing and
provides the ability to precisely determine the concentration of antibiotic required to inhibit
growth of a pathogen.
Your IDEXX microbiology results will show the identity of the organism and the appropriate
antibiotic sensitivity pattern against each organism. Most antibiograms will include MICs in
order to determine the most effective antibiotic that will result in effective treatment.
This guide provides a detailed explanation of the following concepts important
in implementing the MIC:
• The MIC number is the lowest concentration (in μg/mL) of an antibiotic that inhibits the
growth of a given strain of bacteria. (See the “What Is an MIC?” section.)
• An MIC number for one antibiotic CANNOT be compared to the MIC number for another
antibiotic. (See the “How Are MICs Used?” section.)
• The choice of antibiotic should be based on the MIC number, the site of infection and
an antibiotic’s breakpoint. Consider safety, ease of use and cost when determining the
optimum antibiotic.
• The attached tables will aid in MIC interpretation and antibiotic selection.

What Is an MIC?
The MIC, or minimum inhibitory concentration, is the lowest concentration (in μg/mL) of
an antibiotic that inhibits the growth of a given strain of bacteria. At IDEXX, a commercial
automated system is used to determine MICs. A quantitative method of susceptibility testing,
an MIC helps determine which class
of antibiotic is most effective. This Culture result, susceptibility
information can lead to an appropriate Test VITEK® results Manual results
choice of an antibiotic that will increase Organism E. coli  E. coli
chances of treatment success and help Amoxicillin S 2 μg/mL Sensitive
in the fight to slow antibiotic resistance. Amox/Clav Acid S 8 μg/mL Sensitive
Piperacillin S ≤4 μg/mL Sensitive
How Is the MIC Reported? Cephalexin S 8 μg/mL Sensitive
Next to each antibiotic is the Cefpodoxime S ≤0.25 μg/mL Sensitive
susceptibility interpretation: S Ceftiofur S ≤1 μg/mL Sensitive
(sensitive), I (intermediate) or R Cefovecin* S Sensitive
(resistant), followed by the MIC in Ceftazidime* S Sensitive
μg/mL. Sensitive implies that the Cefotaxime* S Sensitive
organism is inhibited by the serum Imipenem S 2 μg/mL Sensitive
concentration of the drug that is Amikacin S ≤2 μg/mL Sensitive
achieved using the usual dosage; Gentamicin S ≤0.5 μg/mL Sensitive
intermediate implies that the organisms Tobramycin S ≤1 μg/mL Sensitive
are inhibited only by the maximum Enrofloxacin S 0.5 μg/mL Sensitive
recommended dosage; and resistant Marbofloxacin S 0.5 μg/mL Sensitive
implies that the organisms are resistant Ciprofloxacin* S Sensitive
Resources

to the usually achievable serum drug Tetracycline R ≥16 μg/mL Resistant


levels. These interpretive standards Nitrofurantoin S 32 μg/mL Sensitive
have been established by the Clinical Chloramphenicol S 8 μg/mL Sensitive
and Laboratory Standards Institute Trimethoprim/Sulfa S ≤10 μg/mL Sensitive
(CLSI). *MIC not available

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When Are MICs Not Performed?
MICs are not performed when:
• The growth requirements of some organisms require the sensitivity testing to be
performed by another method.
• Interpretive criteria is not available from CLSI. In these cases, recommended
antibiotics will usually be reported based on clinical efficacy studies.
• Certain antibiotics are not available on our commercial system.
• The drug is known to be clinically ineffective against the organism,
regardless of the in vitro results.

How Are MICs Used?


The breakpoint and range of dilutions differ by drug and bacterial species (see chart on page
158). Therefore, comparing MICs of different antibiotics is not based solely on the numerical
value but on how far the MIC is from the breakpoint, the site of the infection and other
considerations, such as the age, species and health of the animal. Possible side effects of
the drug, price, frequency and route of administration are also important factors.
For example: A strain of Escherichia coli has an MIC of 2 μg/mL for amoxicillin and an
MIC of 8 μg/mL for cephalexin. Looking at the dilutions for amoxicillin, at 2 μg/mL, this
strain of E. coli is four dilutions away from the breakpoint. For cephalexin, the same strain
of E. coli at an MIC of 8 μg/mL is two dilutions away from the breakpoint. So, based on
MICs, this strain of E. coli is more susceptible to amoxicillin than cephalexin. Other factors
to take into consideration are the site of the infection, the animal’s health, frequency and
route of administration and cost of the antibiotic.
An antibiotic breakpoint is the dilution where bacteria begin to show resistance.
In vitro efficacy of amoxicillin (predicts ampicillin) For example: Amoxicillin is
Sensitive (MIC) Intermediate Resistant four dilutions away from its
breakpoint while cephalexin is
2 4 8 16 32
only two dilutions away from
Tested concentrations of amoxicillin (µg/mL) Breakpoint
its breakpoint. Therefore, in this
case, the E. coli strain is more
(predicts first-generation
In vitro efficacy of cephalexin cephalosporins, except cephazolin) susceptible to amoxicillin.
Sensitive (MIC) Intermediate Resistant
4 8 16 32
Tested concentrations of cephalexin (µg/mL) Breakpoint
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Class-Reference Antibiotics
Some antibiotics are used to determine the susceptibility of other antibiotics in the same
class. For example, the presence of methicillin-resistant staphylococci (MRS) is tested in
the laboratory with oxacillin and not methicillin. The name MRS is used because of
convention over years of use in scientific articles and textbooks.

Amoxicillin/Clavulanic acid Predicts susceptibility of Clavamox®.


Amoxicillin Predicts susceptibility of ampicillin.
Cephalexin Predicts susceptibility of all first-generation cephalosporins,
except cefazolin.
Clindamycin Predicts susceptibility of lincomycin. Should not be used in
horses, rabbits and other herbivores. Not effective against
aerobic Gram-negative bacteria.
Enrofloxacin Use not recommended in young animals.
Erythromycin Predicts susceptibility of azithromycin and clarithromycin.
Not effective against aerobic Gram-negative bacteria.
Oxacillin Predicts susceptibility to methicillin.
Tetracycline Predicts susceptibility of doxycyline and minocycline.
Use not recommended in young animals.
Trimethoprim/Sulfa Predicts susceptibility of other potentiated sulfonamides.

Antibiotics
When selecting an antibiotic, keep in mind that other factors in addition to the MIC are
important. The location of the infection is important because lipid-soluble drugs reach
higher levels in the tissue than they do in serum. Drugs excreted by the kidney reach much
higher bladder levels than serum levels. Also, some drugs are more effective against
Gram-negative bacteria than Gram-positive bacteria and vice versa. Species considerations
are also important because certain antibiotics are toxic in some species.
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The ranges for the antibiotics currently available for MIC testing are listed below:

Resistant
Antibiotic Susceptible Intermediate Breakpoint
Amikacin Enterobacteriaceae ≤16 32 ≥64
Amikacin Pseudomonas, Gram-positive ≤4 8 ≥16
Amoxicillin (skin and soft tissue) ≤0.25 0.5 ≥1
Amoxicillin (urine) ≤8 ≥16
Amoxicillin/Clavulanic acid ≤0.25/≤0.12 0.5/0.25 ≥1/≥0.5
(skin and soft tissue)
Amoxicillin/Clavulanic acid (urine) ≤8/≤4 ≥16/≥8
Benzylpenicillin Enterococcus ≤8 ≥16
Benzylpenicillin Staphylococcus ≤0.12 ≥0.25
Cefalexin ≤2 4 ≥8
Cefovecin ≤2 4 ≥8
Cefpodoxime ≤2 4 ≥8
Ceftazidime Enterobacteriaceae ≤4 8 ≥16
Ceftazidime Pseudomonas ≤8 16 ≥32
Chloramphenicol ≤8 16 ≥32
Clindamycin Gram-positive ≤0.5 1–2 ≥4
Ciprofloxacin Gram-negative ≤1 2 ≥4
Colistin Gram-negative ≤2 4 ≥8
Doxycycline Gram-negative ≤4 8 ≥16
Doxycycline Staphylococcus ≤0.12 0.25 ≥0.5
Doxycycline Enterococcus ≤4 8 ≥16
Enrofloxacin ≤0.5 1–2 ≥4
Erythromycin 0.5 1–4 ≥8
Florfenicol ≤2 4 ≥8
Gentamicin Gram-negative ≤2 4 ≥8
Gentamicin Staphylococcus ≤4 8 ≥16
Imipenem Gram-negative ≤2 4 ≥8
Marbofloxacin ≤1 2 ≥4
Nitrofurantoin (only reported on ≤32 64 ≥128
urine cultures)
Oxacillin Staphylococcus aureus ≤2 ≥4
Oxacillin Staphylococcus (non-S. aureus) ≤0.25 ≥0.5
Pradofloxacin ≤0.25 0.5–1 ≥2
Trimethoprim/Sulfa ≤40 ≥80

The information contained herein is intended to provide general guidance only. As with any diagnosis or
treatment, you should use clinical discretion with each patient based on a complete evaluation of the patient,
including history, physical presentation and complete laboratory data. With respect to any drug therapy or
monitoring program, you should refer to product inserts for a complete description of dosages, indications,
interactions and cautions.
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Avian Reference Intervals

African Gray

Budgerigar/

Cockatiel

Cockatoo
Parakeet
Amazon

Macaw
Conure
Parameter Units L H L H L H L H L H L H L H

WBC Count 10 /µL


3
3 15 5 15 2.5 8 3.5 11 4 14 3.5 11 5 20

Hematocrit % 40 53 39 54 40 57 40 60 38 52 40 55 38 54

Bands 103/µL 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Heterophils 103/µL 1 12 1.5 11 0.9 5 1 9 1.5 10 1 6 1.1 15

Lymphocytes 103/µL 0.6 7 1 10 0.9 4.5 0.4 4 1 7 1 5.5 0.7 8.7

Monocytes 103/µL 0 0.6 0 0.4 0 0.4 0 0.7 0 0.5 0 0.5 0 0.6

Eosinophils 103/µL 0 0.2 0 0.3 0 0.1 0 0.2 0 0.2 0 1 0 0.1

Basophils 103/µL 0 0.5 0 0.4 0 0.4 0 0.6 0 0.3 0 0.4 0 0.4


Statistical analyses were performed using nonparametric methods to establish normal reference intervals (n=83–1069).
Source: Lumsden JH, Mullen K. On establishing reference values. Can J Comp Med. 1978;42(3):293–301.
African Gray

Budgerigar/

Cockatiel

Cockatoo
Parakeet
Amazon

Macaw
Conure

Parameter Units L H L H L H L H L H L H L H

Albumin g/dL 1.0 2.0 1.0 2.3 NA NA 0.8 1.7 0.9 1.8 1.0 2.0 0.8 2.0

Amylase U/L 200 600 100 600 NA NA 140 350 300 1100 300 700 320 750

AST (SGOT) U/L 80 235 100 300 100 400 100 350 100 280 100 350 74 225

Bile Acids µmol/L 7 95 10 100 5 65 6 100 10 75 4 100 3 66

Calcium mg/dL 8.0 10.0 7.6 14.0 6.4 10.0 6.8 13.2 7.2 11.2 7.2 11.2 7.6 11.2

Chloride mEq/L 107 125 104 122 NA NA 101 127 110 130 103 125 101 120

Cholesterol mg/dL 162 417 135 405 NA NA 116 400 120 350 100 300 89 266

CK U/L 140 400 100 350 150 500 40 400 100 500 50 500 112 350

Globulin g/dL 1.4 2.8 1.5 3.3 NA NA NA NA 1.2 3.3 1.2 2.3 1.3 2.8

Glucose mg/dL 186 308 216 360 180 450 213 425 198 378 198 396 193 366

Phosphorus mg/dL 1.2 5.6 2.8 5.6 NA NA 1.5 4.0 1.2 4.3 1.9 4.3 2.2 5.3

Potassium mEq/L 1.8 4.6 2.5 4.5 NA NA 1.8 4.5 2.0 5.0 1.6 4.0 2.0 4.0

Total Protein g/dL 2.7 4.5 3.0 5.0 1.7 3.5 1.8 4.2 2.5 5.0 2.3 4.2 2.5 4.6

Sodium mEq/L 148 160 140 160 NA NA 135 160 140 160 140 164 132 162
Resources

Uric Acid mg/dL 2.1 10.0 2.0 9.2 2.5 10.1 2.2 12.0 2.1 10.5 2.5 10.1 2.4 13.0

Statistical analyses were performed using nonparametric methods to establish normal reference intervals (n=85–704).
Source: Lumsden JH, Mullen K. On establishing reference values. Can J Comp Med. 1978;42(3):293–301.
NA = not available

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Regional Allergen Guide

Regional Allergen Guide


Serum allergy testing with a simple blood test is a convenient and accurate method to
determine these specific allergens. Once a patient’s specific environmental allergens have
been identified, then immunotherapy can be used to hyposensitize the pet. Currently,
immunotherapy is the only available therapy that has the potential to change the long-term
course of the disease by reducing symptoms and drug dependency, and immunotherapy
should be offered to clients whenever feasible.

Allergen Testing Options


For most atopic patients, ordering the standard regional allergen panel of environmental
allergens is indicated. Additional panels that are less commonly indicated but can either be
ordered alone or in combination with the standard regional allergen panel include an Insect
Panel, Farm & Stable Panel, Food Panel and Malassezia Allergen Add-on.

Regional Allergen Panels


The Regional Allergen Panels test for IgE against 36 core environmental allergens common
to all regions and 12 additional geographically specific allergens. See pages 162–177 for
regional allergen maps and specific allergens included in each regional panel. To select the
correct regional panel for your geographic area, use the ZIP Code-based region look-up tool
available at idexx.com/allergy or call Laboratory Customer Support at 1-888-433-9987.
Patients who live near the border of a region may benefit from the addition of a Secondary
Regional Allergen Panel.

Additional Allergen Panels


Insect Allergen Panel includes IgE for common household and biting insects.
Farm & Stable Allergen Panel includes IgE for common farm allergens, including cat
dander, grain dusts and smuts, molds, and pollens.
Food Allergen Panel includes IgE for common pet food components. Immunotherapy is
not available for food allergens. A strict hypoallergenic dietary trial is recommended to
appropriately diagnose food sensitivity/allergy.
Malassezia Allergen Add-on is available if sensitivity to this yeast is clinically suspected.
Immunotherapy is not available for Malassezia.

Recommended Timing for Serum Allergy Testing


A specific time for when to test has not been determined since many intrinsic factors can
affect allergy testing. However, many dermatologists recommend testing late in the allergy
season and/or within 1 month after seasonal allergy symptoms are lessening. The ideal goal
is to allergy test the pet after the pet has been exposed to every pollen and dust allergen for
that season. For example, in cold weather areas, this means allergy testing should be done
in later summer to fall just after pollination cycles are complete. However, these principles
are partially theoretical and will vary with climate and the individual pet.
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Regional Allergen Guide

Impact of Medications on Serum Allergy Testing


Antihistamine and cyclosporine therapies do not interfere with serum allergy testing.

Although serum allergy testing appears to be less influenced by glucocorticoid therapy,


in cases where it is medically feasible, it may be ideal for glucocorticoid therapy to be
discontinued for at least 4–12 weeks prior to serum allergy testing or reduced to the lowest
possible every other day dosing. However, mandatory discontinuation of steroids is
not required.

A small study suggests that a short course (2 weeks) of Apoquel® likely does not interfere
with serum allergy testing. Studies looking at the effects of longer term use of Apoquel are
not yet available. It may be ideal to consider discontinuation of Apoquel for at least 4–12
weeks prior to testing if an animal has been on this medication long-term.

Immunotherapy Options
Along with your patient’s serum allergen-specific IgE panel results, you will be provided a
letter with guidance for ordering the appropriate GREER® Aller-g-complete® immunotherapy
based on the results and owner preference for delivery.

GREER® Aller-g-complete® now has two immunotherapy options for your atopic patients,
either subcutaneous or sublingual. The new sublingual immunotherapy, GREER® Aller-g-
complete® Drops, may help increase compliance for some pet owners because of the ease
of oral administration. This therapy option is new to veterinary medicine, and studies have
shown that it is a safe alternative to subcutaneous immunotherapy.

Side-by-Side Comparison of Immunotherapy Options


Subcutaneous Sublingual
Administration route Injections (needle) Oral drops (pump)
Build-up phase 3 months 3 weeks
Maintenance dose 2–3 times/month Once daily
Strengths 10,000 or 20,000 PNU 20,000 PNU
Refrigeration Yes Yes
Allergens/prescription Up to 24* Up to 12
Solution Aqueous Glycerin

*A 2-vial set is required for prescriptions over 12 allergens.


Resources

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Regional Allergen Guide

Maritime Northwest Allergen Panels

Maritime Northwest
Test Code 3283

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

and Insect
Test Code 3283 32831 32832 32833 32834 32835 32836 32837 3301
Maritime Northwest Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

162 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Maritime Northwest
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bermuda grass Rhodotorula mucilaginosa
Johnsongrass
Kentucky bluegrass/June grass
Meadow fescue Food Panel
Perennial ryegrass Oats
Barley
Quack grass Pinto beans
Beef
Redtop Pork
Beet pulp
Timothy Potato (white)
Brewer’s yeast
Insect Flea Rabbit
Chicken
Rice
Mites Dust mite (Dermatophagoides Corn
Soybean
pteronyssinus) Duck
Turkey
Dust mite (D. farinae) Eggs (chicken)
Venison
Storage mite (Acarus siro) Ground flaxseed
Wheat
Storage mite (Tyrophagus) Kangaroo
Whitefish (cod,
Trees Alder, red* Lamb
flounder, halibut,
Ash mix Liver (beef) mackerel, tuna)
Cedar, red (juniper) Milk (cow)
Cottonwood*
Elm*
Maple mix Insect Panel
Mulberry, red American cockroach
Oak mix Black ant
Olive* Caddisfly
Pine mix Culicoides
Walnut, black* Deerfly
White pine* Fire ant
Willow, black* German cockroach
Weeds Cocklebur Horsefly
Dandelion Housefly
Dock/sorrel mix Lepidoglyphus destructor (storage mite)
English plantain Mayfly
Goldenrod Mosquito
Kochia/fire bush*
Lamb’s-quarter
Nettle*
Resources

Pigweed mix
Ragweed mix
Russian thistle*
Sage mix*
Scale mix* *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 163


Back to Table of Contents
Regional Allergen Guide

California Allergen Panels

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


California
Panel Add-on

Test Code

and Insect
3284

Test Code 3284 32841 32842 32843 32844 32845 32846 32847 3302
California Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

164 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

California
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Curvularia/Drecshlera Grains
Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Orchard grass
Molds
Stemphylium Red clover
Candida albicans
Grasses Bermuda grass Rhodotorula mucilaginosa
Johnsongrass
Kentucky bluegrass/June grass
Meadow fescue Food Panel
Perennial ryegrass Oats
Barley
Quack grass Pinto beans
Beef
Redtop Pork
Beet pulp
Timothy Potato (white)
Brewer’s yeast
Insect Flea Rabbit
Chicken
Rice
Mites Dust mite (Dermatophagoides Corn
Soybean
pteronyssinus) Duck
Dust mite (D. farinae) Turkey
Eggs (chicken)
Storage mite (Acarus siro) Venison
Ground flaxseed
Storage mite (Tyrophagus) Wheat
Kangaroo
Whitefish (cod,
Trees Acacia* Lamb
flounder, halibut,
Alder, red* Liver (beef) mackerel, tuna)
Ash mix Milk (cow)
Cedar, red (juniper)
Cottonwood*
Eucalyptus* Insect Panel
Maple mix American cockroach
Mulberry, red Black ant
Oak mix Caddisfly
Olive* Culicoides
Orange* Deerfly
Palm* Fire ant
Pine mix
German cockroach
Walnut, black*
Horsefly
Weeds Cocklebur Housefly
Dandelion Lepidoglyphus destructor (storage mite)
Dock/sorrel mix Mayfly
English plantain Mosquito
Goldenrod
Kochia/fire bush*
Lamb’s-quarter
Resources

Pigweed mix
Ragweed mix
Russian thistle*
Sage mix*
Scale mix* *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 165


Back to Table of Contents
Regional Allergen Guide

Interior West Allergen Panels

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

Interior West

and Insect
Test Code 3285

Test Code 3285 32851 32852 32853 32854 32855 32856 32857 3303
Interior West Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

166 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Interior West
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bermuda grass Rhodotorula mucilaginosa
Johnsongrass
Kentucky bluegrass/June grass
Meadow fescue Food Panel
Perennial ryegrass Oats
Barley
Quack grass Pinto beans
Beef
Redtop Pork
Beet pulp
Timothy Potato (white)
Brewer’s yeast
Insect Flea Rabbit
Chicken
Rice
Mites Dust mite (Dermatophagoides Corn
Soybean
pteronyssinus) Duck
Turkey
Dust mite (D. farinae) Eggs (chicken)
Venison
Storage mite (Acarus siro) Ground flaxseed
Wheat
Storage mite (Tyrophagus) Kangaroo
Whitefish (cod,
Trees Alder, red* Lamb
flounder, halibut,
Ash mix Liver (beef) mackerel, tuna)
Cedar, red (juniper) Milk (cow)
Cottonwood*
Elm*
Hackberry* Insect Panel
Maple mix American cockroach
Mesquite* Black ant
Mulberry, red Caddisfly
Oak mix Culicoides
Pine mix Deerfly
Russian olive* Fire ant
Willow, black* German cockroach
Weeds Cocklebur Horsefly
Dandelion Housefly
Dock/sorrel mix Lepidoglyphus destructor (storage mite)
English plantain Mayfly
Goldenrod Mosquito
Kochia/fire bush*
Lamb’s-quarter
Nettle*
Resources

Pigweed mix
Ragweed mix
Russian thistle*
Sage mix*
Scale mix* *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 167


Back to Table of Contents
Regional Allergen Guide

Lowland Southwest Allergen Panels

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

Lowland

and Insect
Southwest
Test Code 3286

Test Code 3286 32861 32862 32863 32864 32865 32866 32867 3304
Lowland Southwest Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

168 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Lowland Southwest
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bermuda grass Rhodotorula mucilaginosa
Johnsongrass
Kentucky bluegrass/June grass
Meadow fescue Food Panel
Perennial ryegrass Oats
Barley
Quack grass Pinto beans
Beef
Redtop Pork
Beet pulp
Timothy Potato (white)
Brewer’s yeast
Insect Flea Rabbit
Chicken
Rice
Mites Dust mite (Dermatophagoides Corn
Soybean
pteronyssinus) Duck
Turkey
Dust mite (D. farinae) Eggs (chicken)
Venison
Storage mite (Acarus siro) Ground flaxseed
Wheat
Storage mite (Tyrophagus) Kangaroo
Whitefish (cod,
Trees Acacia* Lamb
flounder, halibut,
Arizona cypress* Liver (beef) mackerel, tuna)
Ash mix Milk (cow)
Cedar, red (juniper)
Cottonwood*
Maple mix Insect Panel
Mesquite* American cockroach
Mulberry, red Black ant
Oak mix Caddisfly
Olive* Culicoides
Palm* Deerfly
Pine mix Fire ant
Sycamore* German cockroach
Walnut, black* Horsefly
Willow, black*
Housefly
Weeds Cocklebur Lepidoglyphus destructor (storage mite)
Dandelion Mayfly
Dock/sorrel mix Mosquito
English plantain
Goldenrod
Lamb’s-quarter
Resources

Pigweed mix
Ragweed mix
Russian thistle*
Sage mix*
Scale mix* *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 169


Back to Table of Contents
Regional Allergen Guide

Tropical Allergen Panels

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

and Insect
Tropical
Test Code 3287

Test Code 3287 32871 32872 32873 32874 32875 32876 32877 3305
Tropical Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

170 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Tropical
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bahia grass* Rhodotorula mucilaginosa
Bermuda grass
Johnsongrass
Kentucky bluegrass/June grass Food Panel
Meadow fescue Oats
Barley
Perennial ryegrass Pinto beans
Beef
Quack grass Pork
Beet pulp
Redtop Potato (white)
Brewer’s yeast
Timothy Rabbit
Chicken
Insect Flea Rice
Corn
Soybean
Mites Blomia tropicalis* Duck
Turkey
Dust mite (Dermatophagoides Eggs (chicken)
Venison
pteronyssinus) Ground flaxseed
Wheat
Dust mite (D. farinae) Kangaroo
Whitefish (cod,
Storage mite (Acarus siro) Lamb
flounder, halibut,
Storage mite (Tyrophagus) Liver (beef) mackerel, tuna)
Trees Acacia* Milk (cow)
Ash mix
Australian pine*
Bald cypress* Insect Panel
Bayberry/wax myrtle* American cockroach
Cedar, red (juniper) Black ant
Mango* Caddisfly
Maple mix Culicoides
Melaleuca* Deerfly
Mulberry, red Fire ant
Oak mix German cockroach
Orange* Horsefly
Palm*
Housefly
Peppertree*
Lepidoglyphus destructor (storage mite)
Pine mix
Mayfly
Weeds Cocklebur Mosquito
Dandelion
Dock/sorrel mix
Dog fennel*
Resources

English plantain
Goldenrod
Lamb’s-quarter
Pigweed mix
Ragweed mix *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 171


Back to Table of Contents
Regional Allergen Guide

Northeast/Great Lakes Allergen Panels

Northeast/Great Lakes
Test Code 3288

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

and Insect
Test Code 3288 32881 32882 32883 32884 32885 32886 32887 3306
Northeast/Great Lakes Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

172 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Northeast/Great Lakes
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bermuda grass Rhodotorula mucilaginosa
Johnsongrass
Kentucky bluegrass/June grass
Meadow fescue Food Panel
Perennial ryegrass Oats
Barley
Quack grass Pinto beans
Beef
Redtop Pork
Beet pulp
Sweet vernal grass* Potato (white)
Brewer’s yeast
Timothy Rabbit
Chicken
Insect Flea Rice
Corn
Soybean
Mites Dust mite (Dermatophagoides Duck
Turkey
pteronyssinus) Eggs (chicken)
Venison
Dust mite (D. farinae) Ground flaxseed
Wheat
Storage mite (Acarus siro) Kangaroo
Whitefish (cod,
Storage mite (Tyrophagus) Lamb
flounder, halibut,
Trees Alder, red* Liver (beef) mackerel, tuna)
Ash mix Milk (cow)
Bayberry/wax myrtle*
Beech*
Birch* Insect Panel
Cedar, red (juniper) American cockroach
Cottonwood* Black ant
Elm* Caddisfly
Hazelnut* Culicoides
Hickory/pecan* Deerfly
Maple mix Fire ant
Mulberry, red German cockroach
Oak mix Horsefly
Pine mix
Housefly
Sycamore, eastern*
Lepidoglyphus destructor (storage mite)
Walnut, black*
Mayfly
Willow, black*
Mosquito
Weeds Cocklebur
Dandelion
Dock/sorrel mix
Resources

English plantain
Goldenrod
Lamb’s-quarter
Pigweed mix
Ragweed mix *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 173


Back to Table of Contents
Regional Allergen Guide

Midwest/Prairies Allergen Panels

Midwest/Prairies
Test Code 3289

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

and Insect
Test Code 3289 32891 32892 32893 32894 32895 32896 32897 3307
Midwest/Prairies Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

174 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

Midwest/Prairies
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bermuda grass Rhodotorula mucilaginosa
Corn pollen*
Johnsongrass
Kentucky bluegrass/June grass Food Panel
Meadow fescue Oats
Barley
Orchard grass* Pinto beans
Beef
Perennial ryegrass Pork
Beet pulp
Quack grass Potato (white)
Brewer’s yeast
Redtop Rabbit
Chicken
Timothy Rice
Corn
Wheat pollen* Soybean
Duck
Insect Flea Turkey
Eggs (chicken)
Venison
Mites Dust mite (Dermatophagoides Ground flaxseed
Wheat
pteronyssinus) Kangaroo
Whitefish (cod,
Dust mite (D. farinae) Lamb
flounder, halibut,
Storage mite (Acarus siro) Liver (beef) mackerel, tuna)
Storage mite (Tyrophagus) Milk (cow)
Trees Ash mix
Birch*
Cedar, red (juniper) Insect Panel
Cottonwood* American cockroach
Elm* Black ant
Hackberry* Caddisfly
Hickory/pecan* Culicoides
Maple mix Deerfly
Mulberry, red Fire ant
Oak mix German cockroach
Pine mix Horsefly
Sycamore, eastern*
Housefly
Willow, black*
Lepidoglyphus destructor (storage mite)
Weeds Cocklebur Mayfly
Dandelion Mosquito
Dock/sorrel mix
English plantain
Goldenrod
Resources

Kochia/fire bush*
Lamb’s-quarter
Pigweed mix
Ragweed mix
Sage mix* *Region-specific environmental allergens.

IDEXX Reference Laboratories Directory 175


Back to Table of Contents
Regional Allergen Guide

South Atlantic/Gulf Allergen Panels

Equine Comprehensive Regional


Regional with Food, Insect, and
Regional with Food and Insect
Secondary Regional Allergen

Regional with Farm & Stable

Regional with Farm & Stable


Regional Allergen Panel

Regional with Insect

Regional with Food

Farm & Stable


Panel Add-on

and Insect
South Atlantic/Gulf
Test Code 3290

Test Code 3290 32901 32902 32903 32904 32905 32906 32907 3308
South Atlantic/Gulf Environmental Allergens

36 Common Allergens • • • • • • • •

12 Region-Specific
• • • • • • • • •
Allergens
Additional Allergens

Farm & Stable Panel • • • •

Food Panel • • •

Insect Panel • • • • •

For most atopic patients, ordering the Regional Allergen Panel is indicated. This panel
tests for IgE against 36 core environmental allergens common to all regions and
12 additional allergens specific to your region. These 48 allergens include pollens (from
weeds, trees and grasses), molds and mites (including storage mites often found in pet
food). If the patient lives near the border of a region, an Add-on Secondary Regional
Allergen Panel from the neighboring region may also be indicated.
Additional panels that are less commonly indicated, but can be ordered in combination
with the Regional Allergen Panel, include the Farm & Stable Panel (for common
farm allergens, such as alfalfa, oats etc.), Food Panel and Insect Panel (for common
household and biting insects).
Resources

176 IDEXX Reference Laboratories Directory


Back to Table of Contents
Regional Allergen Guide

South Atlantic/Gulf
Environmental Allergens Additional Allergens
(36 common plus 12 region-specific allergens)
Molds Alternaria Farm & Stable Panel
Aspergillus Animal Pollens
Cephalosporium Cat dander Alfalfa
Cladosporium Bromegrass
Grains
Curvularia/Drecshlera Corn
Mucor mix Grain dusts
Cultivated oats
Penicillium Grain smuts
Cultivated rye
Pullularia/Aureobasidium Molds Orchard grass
Stemphylium Candida albicans Red clover
Grasses Bahia grass* Rhodotorula mucilaginosa
Bermuda grass
Johnsongrass
Kentucky bluegrass/June grass Food Panel
Meadow fescue Oats
Barley
Perennial ryegrass Pinto beans
Beef
Quack grass Pork
Beet pulp
Redtop Potato (white)
Brewer’s yeast
Timothy Rabbit
Chicken
Insect Flea Rice
Corn
Soybean
Mites Dust mite (Dermatophagoides Duck
Turkey
pteronyssinus) Eggs (chicken)
Venison
Dust mite (D. farinae) Ground flaxseed
Wheat
Storage mite (Acarus siro) Kangaroo
Whitefish (cod,
Storage mite (Tyrophagus) Lamb
flounder, halibut,
Trees Ash mix Liver (beef) mackerel, tuna)
Bald cypress* Milk (cow)
Bayberry/wax myrtle*
Cedar, red (juniper)
Elm* Insect Panel
Hickory/pecan* American cockroach
Maple mix Black ant
Mulberry, red Caddisfly
Oak mix Culicoides
Palm* Deerfly
Pine mix Fire ant
Sweet gum* German cockroach
Sycamore, eastern* Horsefly
Walnut, black*
Housefly
Willow, black*
Lepidoglyphus destructor (storage mite)
Weeds Cocklebur Mayfly
Dandelion Mosquito
Dock/sorrel mix
Dog fennel*
English plantain
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Goldenrod
Lamb’s-quarter
Pigweed mix
Ragweed mix
Sage mix* *Region-specific environmental allergens.

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Ordering All Your IDEXX Reference Laboratory Supplies
at IDEXX Online Orders

It’s quicker and easier than ever to order all the veterinary tests and supplies
your practice needs, direct from IDEXX Online Orders at idexx.com/order
• Order from any device, at any time, including your smartphone and tablet.
• Search and quickly reorder from your frequently ordered products.
• Create scheduled orders to automatically send the SNAP® tests, slides,
and reference laboratory supplies you need.
• Manage inventory efficiently with batch numbers and expiration dates included
in every order.
• Plus free shipping on all orders* at idexx.com/order.
• Registration is simple. For assistance in setting up your account, call 1-888-79-IDEXX.
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*All orders that include IDEXX in-house laboratory supplies are shipped with next-day delivery (available in the contiguous United
States only). For next-day delivery, orders must be placed before 9:00 p.m. ET, Monday–Thursday. Friday–Sunday orders ship
on Monday. All orders not eligible for next-day delivery are shipped via ground shipping with delivery within 3 business days.
Shipping to all locations is free.

178 IDEXX Reference Laboratories Directory


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TEST RESULT REFERENCE VALUE

WBC 11.24 2.87 - 17.02 K/µL 10.6

% Neutrophil 66.9 % 74.7

% Lymphocyte 21.4 % 16.7

% Monocyte 4.2 % 3.1


VetConnect
% Eosinophil
®
PLUS6.7 % 4.7

% Basophil 0.8 % 0.8


Transform the way you view and share your patients’ results
Neutrophil 7.52 1.48 - 10.29 K/µL 7.93
See more historical data than ever before in a single online location, whether you’re a current
Lymphocyte 2.41 0.92 - 6.88 K/µL 1.77
VetConnect® user, you have IDEXX in-house analyzers or IDEXX Digital Imaging Systems,
Monocyte
or you’re an IDEXX Reference Laboratories 0.05
0.47 - 0.67 K/µL
customer—or all three. VetConnect® PLUS is 0.33

Eosinophilway IDEXX can 0.75


another help you deliver the0.17
best- 1.57 K/µL
client experience possible while improving 0.5

practice
Basophil communication0.09
internally, across multiple sites
0.01 - 0.26 K/µLand with referral centres. 0.09

Platelet
• View all of each 364
patient’s diagnostic data151
and- 600 K/µL
trending graphs combined on one screen. 330

• Access results anywhere, anytime—safely and securely.


• Easily share important patient data in or out of the office.
Chemistry
• Reinforce
 the value of preventive care visits by sharing client-friendly diagnostic
10/15/15 3:52 PM 10/15/15
summaries, such as vector-borne disease and preventive care summaries. 3:48 PM

TEST RESULT REFERENCE VALUE


Easily
Glucose
trend analytes169
for a more meaningful view of individual
71 - 159 mg/dL H
results
An
BUNindividual result may
32 appear unremarkable…
16 - 36 mg/dL

Creatinine 2.2 0.8 - 2.4 mg/dL

BUN:Creatinine 15
Until
Ratio you look at it this way:
Phosphorus 4.7 3.1 - 7.5 mg/dL

Calcium 9.5 7.8 - 11.3 mg/dL

Sodium

Potassium

Chloride

Total Protein 7.1 5.7 - 8.9 g/dL

Albumin 3.4 2.3 - 3.9 g/dL

Globulin 3.7 2.8 - 5.1 g/dL

Alb:Glob Ratio 0.9

ALT 49 12 - 130 U/L

ALP 125 14 - 111 U/L H


With VetConnect PLUS, it’s easy to quickly spot trends and abnormal results for individual
patients with access to interactive graphs. The above example illustrates that an incremental
Generated by VetConnect ® PLUS August 8, 2016 07:12 AM
increase in creatinine, within the context of results over time, can indicate early renal disease
even if values are still within the reference interval.

Access your patients’ pathology


images and reports from IDEXX
Reference Laboratories for a more
comprehensive view of every case.
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IDEXX Reference Laboratories Directory 179


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Order diagnostic tests
Quickly find and order diagnostic tests from IDEXX Reference Laboratories using the
powerful search capabilities of the VetConnect PLUS directory of services.
• Dynamic search directory makes looking up tests easier than ever with a flexible search
input field and helpful categories like “Diseases” to browse through.
• Save time and make less errors than with handwritten paper form submissions by
requesting IDEXX Reference Laboratories tests online using VetConnect PLUS.

VetConnect® PLUS mobile app


VetConnect® PLUS mobile app for iPhone® or Android™ instantly alerts you
when a patient’s results are ready—now with a graph of patient history.
• Stay up-to-the-minute on every case for better patient care and more
responsive client service.
• Quickly and easily access complete diagnostic information any time,
from any location.
• More easily spot trends and abnormalities with patient history graphs
on your mobile device.
Download the VetConnect PLUS mobile app today.
Available now on the App Store and at Google Play.

Your account is free—here’s how to get started


Call 1-888-433-9987, and IDEXX References Laboratories will provide you with a user name
and password.

Increase your benefits when you integrate


with your practice management system
Call 1-888-433-9987 to learn more. Visit the IDEXX Learning Center to learn how to
quickly review patient test requests and results on the VetConnect PLUS website
(vetconnectplus.com) and use other key features of VetConnect PLUS.

To learn more about VetConnect PLUS and the VetConnect PLUS Mobile App,
visit www.idexxlearningcenter.com/vetconnectplus
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General Policies and Fees
IDEXX provides many enhanced service options, designed to fit your specific needs.

Send-out Tests
There are some esoteric tests that are not performed by an IDEXX reference laboratory.
As an added service, IDEXX will send many of these tests to specialized or university
laboratories. Turnaround times listed for these tests are subject to change according to the
individual laboratory that runs the test.

ASAP Turnaround
Check the ASAP box on your test requisition form, and if feasible, we’ll give your specimens
priority during the regular run. Please reserve this option for critical patients as it may cause
delays in processing of specimens from other patients.

Reduced Charge Add-on Tests


You can add on certain tests at a reduced charge to a qualifying profile after initial
submission, provided enough specimen remains. Qualifying profiles include a CBC and
a chemistry panel with at least two biochemistry tests. Some add-on tests can be added
on to other specimen types and, if so, are indicated in the test information (e.g., urine
protein:creatinine ratio may be added on to a urinalysis). Simply call us to make your
request. Note: We hold serum and urine specimens for 6 days and whole blood and feces
for 48 hours.
Add-on tests are listed with the base tests within the Alphabetical Test List.

Reduced Charge Follow-up and Monitoring Tests


To help you with patient monitoring, you can request the following tests at a reduced charge:
• 30-day follow-up HealthChek™ Profile, HealthChek™ Plus Profile, Chem 25 with IDEXX
SDMA® Test, Large-Animal Profile, Comprehensive CBC
• 6-week monitoring Total T4, Free T4
• 6-month follow-up Urine Culture
See the online directory at vetconnectplus.com for other tests available for these programs.

Procedure When No Test Is Requested


We will attempt to inform you via fax or phone if any of the following occurs:
• No test is marked on the requisition form.
• The test request is unclear.
• The specimen does not match the test requested.
• The name on the specimen and requisition form do not match.
The specimen will be held for the standard retention time and will not have default
testing performed.

Microbiology Cancellation Fee


No fee is applied if cancellation is requested on a culture prior to plating of the culture.
If we have started processing the specimen, a fee of $31.89 will be charged to cover
the costs incurred.

Referral Test Cancellation Fee


No fee is applied if cancellation is requested prior to processing of referral tests. If the test
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has been processed and forwarded to the referral lab, a fee of $30.69 will be charged to
cover costs incurred.

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Histopathology Fee Policies
Fees are determined by the number of sites, lesions/masses or organs submitted. Use the
appropriate test code based on the number of sites. If you have questions about this fee
policy, please contact customer support at 1-888-433-9987 and request the anatomic
pathologist on duty.
• For mammary chains, each mass in the chain is charged as a separate site.
Lymph nodes in the mammary chain are sectioned and reviewed; they are not charged
separately. However, if the lymph node is labeled and submitted individually in a separate
container, it will be considered an additional site and charged accordingly.
• Endoscopic biopsies from anatomically distinct regions are considered separate sites.
However, if multiple specimens are in an anatomically similar location and included in
the same jar, they will be charged as a single site and will be reviewed and interpreted
as a whole. If the same specimens are submitted in separate jars, they will be charged
separately and reviewed independently.
• Punch biopsies of generalized skin conditions are charged as follows:
– 1–5 punches from skin region = 1 site
– 6–10 punches = 2 sites
• Punch biopsies of small masses removed with a surgical biopsy punch tool are charged
per site as individual masses.
• Needle biopsies from the same anatomical location are charged as 1 site.
• Uterus and ovaries submitted en bloc are charged as 3 sites.
– Uterus only is 1 site.
– One ovary is 1 site; both ovaries are 2 sites.
• Each testicle is charged as a separate site.
• Individually labeled lymph nodes and masses are charged as separate sites.

Histopathology Cancellation Fee


No fee is applied if cancellation is requested on a biopsy prior to tissue processing.
If we have started processing the specimen, a fee of $51.65 will be charged to cover
costs incurred.
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IDEXX Reference Laboratories Standard Terms and Conditions
Unless otherwise agreed in an agreement signed by IDEXX Reference Laboratories (collectively, “IDEXX,”
“we,” “us” or “our”), laboratory testing and consulting services (data collection, analysis and interpretation,
and reference laboratory services) that we provide to you, the client, are subject solely to the terms and
conditions stated herein and in any terms appearing on the back of our invoices and billing statements to you.
The terms and conditions stated herein control in the event of any conflict.
Confidentiality. We agree to maintain in confidence all of your proprietary and nonpublic materials, data,
reports, plans, records, technical and other information and to use such confidential information only for the
purpose of performing analyses of specimens and providing reports on our findings to you. We shall protect
your confidential information by using the same degree of care, but not less than a reasonable degree of
care, to prevent the unauthorized use, dissemination or publication of the confidential information as we use
to protect our own confidential information of a like nature. In any instance where information is subpoenaed
by, and must be released to, a governmental agency, or is otherwise required to be disclosed pursuant to
law or regulation, we will promptly notify you. You authorize us to reference, use and disclose de-identified
and aggregated data included in our analysis, reports or other services provided that such de-identified
and aggregated data is combined with other de-identified data from other clients. You agree not to use the
IDEXX name and/or data in any manner that might cause harm to our reputation and/or business. Under no
circumstances is the name of IDEXX to be published—either alone or in association with that of any other
party—without our approval in writing.
Payment Terms. All fees are charged or billed directly to you. Payment in advance is required for all clients
except those whose credit has been established with our company. For clients with approved credit, our
standard terms are net the 25th day of the month following the date of invoice. Overdue payments are subject
to finance charges of the lower of 1½% per month or the maximum interest rate allowed by law. We may
change payment terms at any time or revoke any credit previously extended. We must agree in writing to any
extension of payment beyond our standard terms. If at any time you have not paid all amounts due, other than
amounts disputed in good faith, then without prejudice to any other rights we may suspend all work for you,
including warranty service. If you default in payment for services rendered, you are responsible for reasonable
collection and/or legal fees.
Delivery of Results. Upon timely delivery of specimens, we will use commercially reasonable efforts to
meet standard turnaround times. We will advise you if we receive specimens in damaged, contaminated or
improperly preserved condition, or which do not meet specimen volume requirements. We assume the risk
of loss or damage to a specimen at the time possession of the specimen is delivered to an IDEXX employee.
We reserve the right to refuse to accept or to rescind acceptance of any specimen, which in our judgment is
likely to pose any unreasonable risk in handling and/or analysis. You represent and warrant that any specimen
containing any hazardous substance, which is to be delivered to us, will be packaged, labeled, transported
and delivered in accordance with applicable laws.
Quality Assurance. We will perform services consistent with our quality assurance standard operating
procedures. It is your exclusive responsibility to confirm that our standard practices will meet your needs
before placing any order for work.
Retention of Specimens. After we report analytical results, we routinely retain fecal specimens in our storage
facilities for forty-eight (48) hours, and whole blood and serum specimens for six (6) days, after which we
may destroy the specimens.
Hazardous Materials and Human Specimens. We may return to you unused portions of specimens found or
suspected to be hazardous, or to contain hazardous materials according to state or federal guidelines upon
completion of the analytical work. We will not accept or analyze human specimens. We may invoice you for
the cost of returning the specimen.
Specimen Containers. We may provide specimen containers upon request. We reserve the right to charge a
fee for specimen containers. All specimens become the property of IDEXX upon delivery to an IDEXX facility.
Retention of Reports. Unless otherwise agreed in writing, we shall retain copies of reports for a period of
one (1) year, after which we may destroy the reports.
Limited Warranty and Limits of Liability. In accepting work, we warrant that we shall provide services in a
professional manner using qualified personnel, and we warrant the accuracy of test results for the specimen
as submitted.
EXCEPT AS STATED IN THIS LIMITED WARRANTY, WE MAKE NO OTHER WARRANTY, REPRESENTATION
OR CONDITION, EXPRESS OR IMPLIED, WRITTEN OR ORAL, AND THERE IS NO WARRANTY OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE OR NONINFRINGEMENT. We do not
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assume, nor do we authorize any employee, agent or other person to assume for us, any other liability in
connection with our services.

IDEXX Reference Laboratories Directory 183


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If you qualify as a “consumer” under applicable law, then you may be entitled to implied warranties allowed
by law, limited to the period of the express warranties and the remedies set forth in this limited warranty.
Some jurisdictions do not allow limitations on how long an implied warranty lasts, so the above limitations
may not apply to you.
We are not liable for failure to perform due to circumstances beyond our reasonable control. UNDER NO
CIRCUMSTANCES WILL WE BE LIABLE TO YOU OR ANY OTHER PERSON FOR LOSS OF PROFIT OR USE,
SPECIAL, INCIDENTAL, CONSEQUENTIAL, INDIRECT, EXEMPLARY, PUNITIVE OR MULTIPLE DAMAGES,
INCLUDING WITHOUT LIMITATION FOR LOSS OF GOODWILL, DATA OR EQUIPMENT OR FOR BUSINESS
INTERRUPTION, ARISING OUT OF THE SALE OR PROVISION OF OUR SERVICES OR FAILURE OR DELAY IN
DELIVERING SUCH SERVICES, WHETHER BASED ON WARRANTY, CONTRACT, TORT OR OTHERWISE, EVEN
IF WE WERE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR LOSSES.
OUR ENTIRE LIABILITY TO YOU IN CONNECTION WITH THE PROVISION OF LABORATORY TESTING OR
CONSULTING SERVICES, WHETHER BASED ON WARRANTY, CONTRACT, TORT OR OTHERWISE, SHALL NOT
EXCEED THE AMOUNT YOU PAID FOR SUCH LABORATORY TEST OR CONSULTATION SERVICE. We accept no
legal responsibility for the purposes for which you use our analyses, reports or other services.
Some jurisdictions do not allow the exclusion or limitation of special, incidental, consequential, indirect,
exemplary, punitive or multiple damages or the limitation of liability to the actual price paid for the product or
service, so the above limitations may not apply to you. Our limited warranty gives you specific legal rights,
and you may also have other rights that vary from jurisdiction to jurisdiction.
We shall not accept any purchase order or other order for work that includes any conditions that vary from
these Standard Terms and Conditions, and we hereby object to any conflicting terms contained in any
acceptance or order submitted by you.
Collection and use of personal information. IDEXX collects your personal information to respond to your
request for products, services or information, to fulfill our obligations to you under orders or contracts, to
arrange for and process payments owed by you in connection with orders or contracts, or for other limited
purposes. IDEXX does not share your personal information with third parties unless required to do so by law,
or as reasonably necessary to fulfill or administer orders or contracts made with IDEXX. IDEXX may also
use your personal information to send you educational information, information about upcoming seminars,
information about new tests that become available, and information about products and services offered by
IDEXX and its partners that we think may be of interest to you. Please note that your information may be
stored and processed in the United States, countries of the European Union, and elsewhere. Full information
about IDEXX’s privacy policies can be viewed at idexx.com.
If you do not want to receive unsolicited commercial information, please contact IDEXX by telephone at
1-800-544-1104 or by email at fax-unsubscribe@idexx.com. Incoming telephone calls to a laboratory may
be monitored for training purposes only.
Governing Law; Waiver of Jury Trial. These Standard Terms and Conditions and the transactions
contemplated hereby, and all related disputes between the parties under or relating to these Standard Terms
and Conditions, whether in contract, tort or otherwise, shall be governed by the laws of the State of Maine
(or Ontario, for Canadian sales), without reference to conflict of laws principles, and any related legal actions
must be brought in the court of appropriate jurisdiction in the State of Maine (or in the province of Ontario, for
Canadian sales), which shall have exclusive jurisdiction (except that either of us may bring an action for an
injunction or similar equitable relief against the other in any proper jurisdiction). You hereby waive any claim
of lack of jurisdiction or inconvenient forum. YOU AND WE WAIVE TRIAL BY JURY IN ANY LEGAL ACTION BY
OR AGAINST US IN SUCH LEGAL ACTIONS. We each further waive any claims against the other for multiple,
punitive or exemplary damages in any legal actions relating to these Standard Terms and Conditions. The
prevailing party in any such legal actions shall be entitled to an award of its reasonable legal fees and costs.
Equal Opportunity/Affirmative Action Notice. We are an equal opportunity/affirmative action employer and
comply with all the regulations of executive order 11246 and the regulations promulgated thereunder.
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Notice to veterinarians: IDEXX Reference Laboratories provides consultation and interpretation services on a
professional-to-professional basis. Without personally having made a physical examination of and conducted
all tests on a patient, IDEXX veterinarians, in providing consultations and interpreting test results, rely on data
communicated by you, the primary care veterinarian. By providing consultations, IDEXX does not purport to
diagnose or treat your patient. The test protocols and interpretations in this directory are based on
recommendations from current veterinary literature and are provided for general guidance only. As with any
diagnosis or treatment, you should use clinical discretion with each patient based on a complete evaluation
of the patient, including history, physical presentation and complete laboratory data. With respect to any
drug therapy or monitoring program, you should refer to product inserts for a complete description of
dosages, indications, interactions and cautions. Diagnoses and treatment decisions are the ultimate
responsibility of the primary care veterinarian.
4Dx, ADRChek, Aller-g-complete, Aller-g-detect, Cardiopet, Fecal Dx, Feline ADR Combo, Feline Combo,
HealthChek, LabREXX, Quant C6, RealPCR, SNAP, Spec cPL, Spec fPL, Total Health, VetConnect and
vetconnectplus.com are trademarks or registered trademarks of IDEXX Laboratories, Inc. or its affiliates in the
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United States and/or other countries. Dysgen Test is a registered trademark of Bioibérica. All other product and
company names and logos are trademarks of their respective holders.
PCR testing is a service performed pursuant to an agreement with Roche Molecular Systems, Inc.
© 2018 IDEXX Laboratories, Inc. All rights reserved. 09-61564-22
The IDEXX Privacy Policy is available at idexx.com.

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IDEXX SDMA® Test Algorithm
SDMA can increase with both active or acute kidney injury,
as well as chronic kidney disease.
Take action when SDMA* results are increased. Follow this algorithm to
determine if kidney disease is probable and what steps you should take to
investigate, manage, and monitor the disease.

When SDMA result is ≥20 µg/dL When SDMA result is 15–19 µg/dL†

Perform a complete urinalysis Perform a complete urinalysis

Other evidence of kidney disease?


Supporting evidence includes inappropriate
urine specific gravity, active urine sediment,
proteinuria, and other clinical signs and
physical examination and diagnostic findings
To see more, visit idexx.com/algorithm

Recheck in
YES NO 2–4 weeks

If SDMA
Kidney disease probable—act immediately
remains increased

Follow investigate, manage, monitor


(IMM) protocol

Investigate
for underlying causes or confounding conditions

Visit
Manage idexx.com/algorithm
identified underlying causes or confounding
conditions, provide kidney support immediately, to see the full protocol
and adjust preanesthetic protocols

Monitor
and act as indicated

*Symmetric dimethylarginine.
To see the proof and a complete list of references, visit idexx.com/sdma.

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