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1 This catalog contains information about tests performed at Green Clinic Laboratory. For samples to be sent to Quest Diagnostics or any other reference lab please contact the Green Clinic Laboratory ( ) for sample collection instructions. Information may be changed without notice after date of publication June 2018 Online catalog Green Clinic Laboratory Test Catalog Page 1

2 Sample Collection Notes 1. Laboratory is open to receive samples from 7:00 am to 5:00 pm Monday thru Friday. 2. Check to see if sample container is not outdated before use. 3. Look for each test s sample requirements before collection. 4. Follow sample container labeling requirements. Sample Labeling Patient s Full Name Patient s Date of Birth John Doe 9/24/1951 5/28/ :00 LC Date and Time of Collection Initials of Nurse or Phlebotomist 5. If centrifuging serum samples before submitting sample to the lab allow the blood samples to clot for 30 min before centrifuging. Centrifuge for 10 to 15 minutes at 3000 rpm. Do not re-centrifuge s. 6. All serum samples must be received at the lab within two hours of collection. 7. Be sure to use a waste before filling a blue top citrate. Blood must be at the fill line to be accepted. Green Clinic Laboratory Test Catalog Page 2

3 8. Follow order of draw (found on page 5) when performing phlebotomy. 9. Complete a Green Clinic Lab requisition with all information requested. Sodium Citrate (Blue top ) vacutainer instructions Green Clinic Laboratory Test Catalog Page 3

4 Green Clinic Laboratory Test Catalog Page 4

5 Green Clinic Laboratory Test Catalog Page 5

6 Green Clinic Laboratory 1200 South Farmerville St Ruston, La Date and Time of Collection: Initials of Nurse or Phlebotomist: Patient s Name: Patient s Date of Birth: Billing Address of Patient: Patient s Medicare or Medicaid number: Ordering Provider: Name of Hospice or Home Health Agency: Billing Address of Hospice, If Hospice is to be billed: Diagnosis Codes (ICD10): Tests Requested: Number Report to be faxed to: Number Critical to be Called to: Green Clinic Laboratory Test Catalog Page 6

7 Green Clinic Laboratory Test Catalog Chemistry Panels **All serum chemistry samples must be received into the lab or the serum separated from the cells within two hours of collection. Out of date vacutainer s will be rejected.** Panel Includes Patient Basic Metabolic Panel Calcium CO2 Chloride Creatinine with egfr Glucose Potassium Sodium BUN BUN/Creatinine Ratio Anion Gap Fasting Preferred Yellow(Gold), Tiger or Red instructions Other Reject Criteria Comprehensive Metabolic Panel Electrolyte Panel Calcium CO2 Chloride Creatinine with egfr Glucose Potassium, Sodium BUN BUN/Creatinine Ratio Anion Gap Albumin Total Protein Total Bilirubin ALT AST Alk Phos CO2 Chloride Potassium Sodium Anion Gap Fasting Preferred Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Green Clinic Laboratory Test Catalog Page 7

8 Lipid Panel Includes Patient Lipid with Reflex to Quantitative LDL (Will reflex to quantitative LDL if triglyceride is over 400mg/dl) Liver Function Panel Renal Function Panel Thyroid Panel Cholesterol Triglyceride HDL Calculated LDL HDL/LDL ratio Cholesterol Triglyceride HDL Calculated LDL HDL/LDL ratio Albumin Total Protein Total Bilirubin Direct Bilirubin ALT AST Alk Phos Calcium CO2 Chloride, Creatinine with egfr Glucose Potassium Phosphorus Sodium BUN BUN/Creatinine Ratio, Anion Gap TSH ft4 Fasting Fasting Fasting Preferred Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red instructions Other Reject Criteria, Green Clinic Laboratory Test Catalog Page 8

9 Chemistry Tests **All serum chemistry samples must be received into the lab or the serum separated from the cells within two hours of collection. Test Out of date vacutainer s will be rejected.** Patient Instructions A1C, Hemoglobin Purple top (whole Blood) Albumin Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Alkaline Phosphatase ALT Yellow(Gold), Tiger or Red Amylase Yellow(Gold), Tiger or Red AST Yellow(Gold), Tiger or Red Bilirubin, Direct Yellow(Gold), Tiger or Red Pediatric Light Protected Capillary Tube Bilirubin, Neonatal Bilirubin, Pediatric Light Protected Neonatal Total Capillary Tube and Direct Bilirubin, Total Yellow(Gold), Tiger or Red (BUN) Urea Nitrogen Yellow(Gold), Tiger or Red Calcium Yellow(Gold), Tiger or Red Cholesterol Fasting Yellow(Gold), Tiger or Red Chloride Yellow(Gold), Tiger or Red Carbon dioxide Yellow(Gold), Tiger or Red Creatinine Kinase (CK) Creatinine with egfr Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red temperature Protect From Light Protect From Light Digoxin Red Ferritin Yellow(Gold), Tiger or Red Folate Yellow(Gold), Tiger or Red Other Reject Criteria Clotted Drawn in serum separator.,, Green Clinic Laboratory Test Catalog Page 9

10 Test Patient GGT Yellow(Gold), Tiger or Red Glucose Fasting Yellow(Gold), Tiger or Red Preferred HCG, Quantitative Yellow(Gold), Tiger or Red HDL Fasting Yellow(Gold), Tiger or Red Iron Yellow(Gold), Tiger or Red Potassium Yellow(Gold), Tiger or Red Protein, Total Yellow(Gold), Tiger or Red LDH Yellow(Gold), Tiger or Red Lipase Yellow(Gold), Tiger or Red Magnesium Yellow(Gold), Tiger or Red Parathyroid Hormone, Intact Phosphorus, Inorganic (PO4) Instructions Red Must be received in the Lab within 30 Minutes of collection. temperature Yellow(Gold), Tiger or Red Prealbumin Yellow(Gold), Tiger or Red PSA Yellow(Gold), Tiger or Red PSA Screen(Medicare) Rheumatoid Factor Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Sodium Yellow(Gold), Tiger or Red ft4 Yellow(Gold), Tiger or Red Total Iron Binding Capacity Yellow(Gold), Tiger or Red Testosterone, Yellow(Gold), Tiger or Red Total Males Triglyceride Fasting Yellow(Gold), Tiger or Red Reject Criteria,, Yellow or Tiger Tube,,,, Green Clinic Laboratory Test Catalog Page 10

11 Test Patient TSH Yellow(Gold), Tiger or Red Uric Acid Yellow(Gold), Tiger or Red Vancomycin, Random Vancomycin, Peak Vancomycin, Trough 1 Hour After Dose 30 Minutes Before Dose Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Yellow(Gold), Tiger or Red Vitamin B12 Yellow(Gold), Tiger or Red Test Creatinine Clearance Microalbumin, Random Microalbumin/Creatinine Ratio, Random Urine Total Protein, Random Urine Total Protein/Creatinine Ratio, Random Urine Total Protein, 24 Hour Urine Urine Total Protein/Creatinine Ratio, 24 Hour Urine Urine Chemistry Tests Patient Report patient weight and height to lab 24 Hour Urine and Yellow or Red Random Urine Sample Random Urine Sample Random Urine Sample Random Urine Sample Instructions instructions Refrigerated Refrigerated Refrigerated Refrigerated Refrigerated Other Reject Criteria, Drawn in serum separator Drawn in serum separator Drawn in serum separator, Reject Criteria 24 hour urine volume less than 600 ml. Serum sample must be drawn within 24 hours of urine collection Hematuria Hematuria 24 Hour Urine Refrigerated 24 hour urine volume less than 600 ml. 24 Hour Urine Refrigerated 24 hour urine volume less than 600 ml. Glucose Testing Green Clinic Laboratory Test Catalog Page 11

12 The following tests offered by Green Clinic Laboratory must be collected at Green Clinic Laboratory Glucose Tolerance, Gestational, (2 Hour) 75 gram dose Glucose Tolerance, Gestational, (3 Hour) 100 gm dose Glucose 1 Hr Post Dose Glucose 1 Hr Post Dose w Fasting Glucose Glucose Fasting and Postprandial, (2Hour) Glucose Tolerance Test (2 Hour) Glucose Tolerance Test (3 Hour) Glucose Tolerance Test (5 Hour) Test Prothrombin Time (PT INR) Partial Thromboplastin Time (PTT) Patient Coagulation 3.2% Sodium Citrate Blue Top Tube 3.2% Sodium Citrate Blue Top Tube instructions Must receive sample within 24 hours Must receive sample within 4 hours Reject Criteria Underfilled, Overfilled, Clotted,, Icteric, Underfilled, Overfilled, Clotted,, Icteric, Hematology Green Clinic Laboratory Test Catalog Page 12

13 Test Includes Patient CBC with Automated Diff CBC without Diff CBC with Manual Diff WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, RDW- CV, Neutrophil%, Lymphocyte%, Monocyte%, Eosinophil%, & Basophil% WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, RDW- CV WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, RDW- CV, Manual Differential Count: Neutrophil%, Lymphocyte%, Monocyte%, Eosinophil%, Basophil%, & RBC Morphology EDTA, Whole blood Lavender top EDTA, Whole blood Lavender top EDTA, Whole blood Lavender top Hemoglobin HGB EDTA, Whole blood Lavender top Hematocrit HCT EDTA, Whole blood Lavender top Platelet Count PLT EDTA, Whole blood Lavender top White Blood Cell Count Reticulocyte Count ESR-Erythrocyte Sedimentation Rate WBC EDTA, Whole blood Lavender top RETIC EDTA, Whole blood Lavender top ESR EDTA, Whole blood Lavender top Microbiology instructions Reject Criteria Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Underfilled or Clotted s Green Clinic Laboratory Test Catalog Page 13

14 Test Urine Culture Patient A freshly voided (clean catch midstream) or CATH urine specimen collected in a clean container Urine collected by Clean Catch Method or CATH sample Instructions Culture within 2 hours or refrigerate sample. BD Vacutainer Urine Tubes for Culture and Sensitivity are used (sample good for 48 hours at room temp). Reject Criteria Under filled or expired Culture Tube Sample not refrigerated within 2 hours Wound/Abscess Culture Swab transport or sterile container temperature Expired transport medium Nasal Culture Swab transport temperature Expired transport medium Sinus Culture Swab transport or sinus washings in sterile container temperature Expired transport medium Beta Strep Culture Swab transport temperature Expired transport medium specimen MRSA Culture Swab transport temperature Expired transport medium specimen Peds Strep Culture Swab transport temperature Expired transport medium Test Patient Reject Criteria Green Clinic Laboratory Test Catalog Page 14

15 Instructions Throat Culture Swab transport temperature Expired transport medium Ear Culture Swab transport temperature Expired transport medium Sputum Culture Patient should not use mouth wash before collection Collect early in the morning before eating or drinking Rinse mouth with water, take deep breath, and then cough deeply Sputum in sterile container Eye Culture Swab transport Collect in sterile container and deliver to the lab within 2 hours of collection (if longer than 2 hours keep cool for no longer than 24 hours) temperature Expired transport medium Uro-genital Culture Swab transport temperature Expired transport medium Joint Fluid Culture Capped Syringe temperature Green Clinic Laboratory Test Catalog Page 15

16 Test Patient Gram Stain Any specimen type performed in-house Instructions Reject Criteria temperature C. Difficile Collect and transport raw specimen to lab within 24 hours of collection. must be kept refrigerated Fecal Leukocyte (Stool WBC) Collect and transport raw specimen to lab within 2 hours Stool Refrigerated not refrigerated Collected greater than 24 hours Stool Receive in lab within 2 hours of collection; prepare smears immediately upon receipt; refrigerate only if necessary Green Clinic Laboratory Test Catalog Page 16

17 Test BNP (B-Type Natriuratic Peptide) Patient Serology EDTA, Whole blood Lavender top instructions Temp < 7 hours of collection Reject Criteria Clotted, Hemolyzed, >7 hours old Cardiac Markers (CK-MB, Troponin) EDTA, Whole blood Lavender top FLU A & B Nasopharyngeal Foam Swab HCG,Serum Qualitative HCG,Urine Qualitative MonoScreen (IgM) NMP-22 (Nuclear Mitotic Apparates Protein) (OCB) Occult Blood, Fecal RSV (Respiratory Syncytial Virus) Patients should follow the Patient Instructions at least 7 days prior to and continuing through the collection period. Testing performed on patients < 5 years old Yellow, Red, or Tiger top serum s Urine (First morning urine is preferred but not necessary) EDTA, Whole blood Lavender top Voided Urine collected in a plastic container OCB card(s) with stool applied or stool Nasal Wash Strep A Screen Throat swab (Polyester or Rayon Swab) Temp < 4 hours of collection Temp, < 1 hour Viral Media <72 hours Temp 2-8⁰C Refrigerated < 48 hours 2-8⁰C Refrigerated <24 hours Temp ONLY < 2 hours OCB card Temp Stool specimen 2-8⁰C Refrigerated <24 hours Temp, < 4 hours; 2-8⁰C Refrigerated < 24 hours Temp < 8 hours; 2-8⁰C Refrigerated <72 hours Clotted, Hemolyzed, >4 hours old Any swab other than Foam Swab or Viral Media, Expired Swab Tube not centrifuged within 2 hours Urine >1 hour old at room temp or >48 hours old at 2-8⁰C Clotted Received refrigerated, >2 hours old, Not a voided urine Stool applied to the incorrect side of the OCB cards, OCB cards with stool applied that are >14 days old >4 hours at Temp Wooden tip swabs, Expired Swab Green Clinic Laboratory Test Catalog Page 17

18 Test Urinalysis Chem Only Urinalysis with Microscopy Urinalysis with Reflex to Microscopy Urinalysis with Microscopy with Reflex to Culture Urinalysis with Reflex to Microscopy and With Reflex to Culture Wet Prep Post Vas Patient A freshly voided (clean catch midstream) or CATH urine specimen collected in a clean container. No special patient preparation required. No special patient preparation required. Urinalysis 12 ml of sample is required. For both male and female, a clean catch mid stream specimen is preferred if the sample is not a CATH sample. For urinalysis, urine submitted in BD Vacutainer Urinalysis Transfer Straw Kits are also acceptable (< 72 hours at room temp). Vaginal secretions collected in a small, clean test containing 0.5 ml of non-bacteristatic saline. Semen sample collected in a clean container. instructions The sample should be brought to the laboratory as soon as possible. If there is to be a delay of more than 1 hour from the time of collection until the sample is submitted to the laboratory, the sample should be refrigerated. Urine analysis is to be performed within 6 hours from the time of collection. Sample should be sent to the laboratory immediately after collection. Sample should be sent to the laboratory immediately after collection. Reject Criteria Analysis of the urine sample will not be performed if standards listed in and Instructions are not met. s are rejected if received > 2 hours after collection. s are rejected if received > 2 hours after collection. Green Clinic Laboratory Test Catalog Page 18

19 Alphabetical Index Test Page A1C, Hemoglobin 9 Albumin 9 Alkaline Phosphatase 9 ALT 9 Amylase 9 AST 9 Basic Metabolic Panel 7 Beta Strep Culture 14 Bilirubin, Direct 9 Bilirubin, Neonatal 9 Bilirubin, Neonatal Total and Direct 9 Bilirubin, Total 9 BNP (B-Type Natriuratic Peptide) 17 BUN (Urea Nitrogen) 9 C Difficle 16 Calcium 9 Carbon dioxide 9 Cardiac Markers 17 (CK-MB, Troponin) CBC with Automated Diff 13 CBC with Manual Diff 13 CBC without Diff 13 Chloride 9 Cholesterol 9 Comprehensive Metabolic Panel 7 CK MB (Cardiac Markers) 17 Creatinine Clearance 11 Creatinine Kinase (CK) 9 Creatinine with egfr 9 Culture, Beta Strep 14 Culture, Ear 15 Culture, Eye 15 Culture, Joint Fluid 14 Culture, MRSA 14 Culture, Nasal 14 Culture, Peds Strep 14 Culture, Sinus 14 Culture, Sputum 15 Culture, Throat 15 Culture, Urine 14 Culture, Uro-genital 15 Culture, Wound/Abscess 14 Digoxin 9 Ear Culture 15 Electrolyte Panel 7 Green Clinic Laboratory Test Catalog Page 19

20 ESR-Erythrocyte Sedimentation Rate 13 Eye Culture 15 Fecal Leukocyte (Stool WBC) 16 Ferritin 9 FLU A & B 17 Folate 9 ft4(free Thyroxine) 10 Glucose 10 Glucose 1 Hr Post Dose 12 Glucose 1 Hr Post Dose w Fasting 12 Glucose Glucose Fasting and Postprandial, 12 (2Hour) Glucose Tolerance Test (2 Hour) 12 Glucose Tolerance Test (3 Hour) 12 Glucose Tolerance Test (5 Hour) 12 Glucose Tolerance, Gestational, (2 12 Hour) 75 gram dose Glucose Tolerance, Gestational, (3 12 Hour) 100 gm dose GGT 10 Gram Stain 16 HCG, Quantitative 10 HCG, Serum Qualitative 17 HCG, Urine Qualitative 17 HDL 10 Hematocrit 13 Hemoglobin 13 Iron 10 Joint Fluid Culture 15 LDH 10 Lipase 10 Lipid 8 Lipid with reflex to quantitative LDL 8 Liver 8 Magnesium 10 Microalbumin, Random 11 Microalbumin/Creatinine Ratio, 11 Random MonoScreen (IgM) 17 MRSA Culture 14 Nasal Culture 14 NMP-22 (Nuclear Mitotic Apparates 17 Protein) (OCB) Occult Blood, Fecal 17 Parathyroid Hormone, Intact 10 Partial Thromboplastin Time (PTT) 12 Peds Strep Culture 14 Phosphorus, Inorganic (PO4) 10 Platelet Count 13 Post Vas 18 Green Clinic Laboratory Test Catalog Page 20

21 Potassium 10 Prealbumin 10 Protein, Total 10 Pregnancy Test (Serum) 17 Pregnancy Test (Urine) 17 Prothrombin Time (PT-INR) 12 PSA 10 PSA Screen(Medicare) 10 PT-INR 12 PTT 12 Renal 8 Reticulocyte Count 13 Rheumatoid Factor 10 RSV (Respiratory Syncytial Virus) 17 Sed Rate 13 Sinus Culture 14 Sodium 10 Sputum Culture 15 Strep A Screen 17 T4 (Free) 10 Testosterone, Total Males 10 Throat Culture 15 Thyroid Panel 8 Total Iron Binding Capacity 10 Triglyceride 10 TSH 11 Uric Acid 11 Urinalysis Chem Only 18 Urinalysis with Microscopy 18 Urinalysis with Microscopy with Reflex 18 to Culture Urinalysis with Reflex to Microscopy 18 Urinalysis with Reflex to Microscopy and 18 With Reflex to Culture Urine Culture 14 Urine Total Protein, 24 Hour Urine 11 Urine Total Protein, Random 11 Urine Total Protein/Creatinine Ratio, Hour Urine Urine Total Protein/Creatinine Ratio, 11 Random Uro-genital Culture 15 Vancomycin, Peak 11 Vancomycin, Random 11 Vancomycin, Trough 11 Vitamin B12 11 Wet Prep 18 White Blood Cell Count 13 Wound/Abscess Culture 14 Green Clinic Laboratory Test Catalog Page 21

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