C-1-Q IMMUNE COMPLEX Immune Complex, C-1-Q Binding Assay

C-1-Q IMMUNE COMPLEX Immune Complex, C-1-Q Binding Assay 5 ml blood, gel tube Special Instructions: Avoid hemolysis. Transfer serum to plastic vial immediately after centrifugation and freeze. Less than 4 ug Eq/mL 3-6 days Day(s) Test Set Up: Tuesday and Thursday CPT Code: 86332 CA15-3 Cancer Antigen 27.29 CA2729 2 ml blood, gel tube <24 U/mL Day(s) Test Set Up: Monday-Friday CPT Code: 86300 CA19-9 Carbohydrate Antigen 19-9 CA199 2 ml blood, gel tube <34 U/mL Day(s) Test Set Up: Monday-Friday CPT Code: 86301 CA-125 Cancer Antigen 125 CA125 2.5 ml blood, gel tube 0.0-35.0 U/mL Day(s) Test Set Up: Monday - Friday CPT Code: 86304 CALCITONIN CALC 2.5 ml blood, gel tube on ice Special Instructions: Transfer serum to plastic vial and freeze Interpretive report with results 2-5 days Day(s) Test Set Up: Tuesday-Saturday CPT Code: 82308 Page 1 2/19/2013

CALCIUM CA 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 8.4-10.4 mg/dl CPT Code: 82310 CALCIUM, IONIZED CA, Ionized CAI 2.5 ml blood, green top tube (Na or Li Heparin) NO GEL Special Instructions: Do not uncap vial. 1.13-1.32 mmol/l 4.50-5.28 mg/dl CPT Code: 82330 CALCIUM - URINE RANDOM CAUR 10 ml urine Undefined for random specimens CPT Code: 82340 CALCIUM - URINE 24 HOUR CA24 Total collection, 24 hour urine Special Instructions: Requires 15 ml 6N HCl prior to start of collection. Specify starting date/time and ending date/time. 100-300 mg/24 hr CPT Code: 82340 CARDIOLIPIN ANTIBODY See Anti-cardiolipin Antibody CARBAMAZEPINE CARB Special Instructions: 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. Peak: draw 6 18 hours after oral injestion. Valley: draw just prior to next dose after 2 6 days of oral dosing 8.0 12.0 µg/ml 4 hours Daily Day(s) Test Set Up: CPT Code: 80156 Page 2 2/19/2013

CAROTENE CARO 12.5 ml blood, gel tube Special Instructions: Protect from light 8.0-120.0 ug/dl 2-4 days Day(s) Test Set Up: Monday - Friday CPT Code: 82380 CAT SCRATCH FEVER ANTIBODIES CAT Special Instructions: Day(s) Test Set Up: CPT Code: Includes: 2.5 ml blood (1.5 ml minimum), red top tube Separate serum from cells within 4 hours of collection. See report 2-4 days Monday - Friday 88611X4 Bartonella Henselae, IgG and IgM; Bartonella Quintana IgG and IgM. CATECHOLAMINES, FRACTIONATED - URINE 24 HOUR CATF Special Instructions: 10mL aliquot of 24 hour urine collection Requires 30 ml 6N HCl added to container prior to collection. See caution regarding urine preservatives in specimen collection section of this manual. Specify starting day and time and ending day and time. Range will be provided with individual tests 2-3 days Monday - Saturday Day(s) Test Set Up: CPT Code: 82384 Test Includes: Epinephrine, Norepinephrine, Dopamine ------------------------------------------------------------------- CATECHOLAMINES, TOTAL AND FRACTIONATED, PLASMA CATU 4 ml blood, green top tube, on ice Special Instructions: Transfer plasma to plastic vial and freeze. Please indicate whether patient is supine(30 mins), sitting or standing (30 mins) when drawn. Interpretive report with results 2-3 days Day(s) Test Set Up: Monday - Friday CPT Code: 82384 Test Includes: Epinephrine, Norepinephrine, Dopamine Page 3 2/19/2013

CATH TIP (Intravenous) CULTURE CTIP Short segment near tip, use sterle scissors to cut. Submit in sterile container. Special Instructions: Decontamination of skin and careful asceptic removal mandatory. If culture setup is delayed greater than 30 mins add 1ml sterile saline to prevent drying. Held 72 hrs Day(s) Test Setup: Daily CPT Code: Varies _ CBC Complete Blood Count Test Includes: Hgb, Hct, RBC, WBC, Indices, Platelet Count, Automated Differential. 5 ml blood (min 1.0 ml), lavender top tube or 0.25 ml collected in a microtainer tube. See below CPT Code: 85024 12yr- adult 12 yr-adult 2mo - 2yr 0-2 mo MALE FEMALE CHILD NEONATE WBC 3. 4-10.6 3.3-10.6 4.0-11.6 5.0-24.0 RBC 3.86-5.40 3.68-5.00 4.25-5.42 3.20-6.1 HGB 12.9-16.1 10.3-14.3 12.5-16.0 12.4-20.0 HCT 36.0-47.0 33.0-41.0 35.0-49.0 37.0-62.0 MCV 82.0-92.0 82.0-92.0 75.0-85.0 101.0-111.0 MCH 27.0-33.5 27.0-33.5 22.0-33.0 36.0-40.0 MCHC 32.0-36.0 32.0-36.0 31.0-35.0 31.0-34.0 RDW 11.5-15.8 11.5-15.8 11.5-15.8 14.0-18.5 PLT 150-450 150-450 160-500 140-350 PERCENTAGE COUNTS ABSOLUTE COUNTS Adults Neutrophils 36.0-75.2 2,266-7,676 Lymphocytes 20.5-51.1 832-3,140 Monocytes 2.0-11.0 123-804 Eosinophils 0-7.5 0-400 Basophils 0.3-1.5 0-200 Male Children(age 5-16yrs) Neutrophils 32.5-70.0 1,420-5,200 Lymphocytes 21.0-55.0 1,500-3,600 Monocytes 2.5-12.5 120-886 Eosinophils 2.0-12.0 0-700 Basophils 0.0-2.5 20-108 Female Children(age 5-16yrs) Neutrophils 36.0-73.5 1,550-6,500 Lymphocytes 18.0-53.0 1,200-3,600 Page 4 2/19/2013

Monocytes 2.0-13.0 112-850 Eosinophils 2.0-11.5 0-800 Basophils 0.0-3.0 20-100 Children (age 0-4yrs) Neutrophils 16.0-60.0 1,000-12,000 Lymphocytes 20.0-70.0 1,500-8,500 Monocytes 0-7.0 0-450 Eosinophils 0-8.0 0-600 Basophils 0-1.0 0-100 _ CBC WITHOUT DIFF CBCD Test Includes: Hgb, Hct, WBC, Indices, Platelet Count 5 ml blood (min 1.0 ml), lavender top tube or 0.25 ml collected in a microtainer tube See CBC with DIFF 4 hours Daily Day(s) Test Set Up: CPT Code: 85027 C. DIFFICILE TOXIN - STOOL Clostridium Difficile Toxin with GDH antigen, reflex PCR Special Instructions: 5 gm diarheal (liquid or unformed) stool Cannot be performed on specimen submitted on stool transport medium or on transport swabs. Refrigerate after collection. Must be transported to laboratory within 24 hrs. or keep frozen if > 24 hrs. Negative Specimens that test positive for the GDH antigen/negative for toxin screen, will reflex C. diff toxin PCR. 3 days Daily Day(s) Test Set Up: CPT Code: 87230 CEA Carcinoembryonic Antigen 2.5 ml blood (0.6 ml minimum), gold gel tube only. 0-3 ng/ml CPT Code: 82378 _ CELL COUNT CSF CELLC Test Includes: RBC, WBC, Differential if WBC greater than 5 At least 1 ml CSF Special Instructions: Must be delivered to laboratory immediately; call for STAT courier pickup < 6 total cells Page 5 2/19/2013

CPT Code: 89050 CELL COUNT - FLUID CELLF Test Includes: RBC, WBC, Differential if WBC greater than 5 At least 1 ml body fluid, transfer to lavender top tube immediately after collection Special Instructions: Specify type of fluid < 6 total cells 1 day CPT Code: 89050 CERULOPLASMIN CER 5 ml blood, gel tube Adult Males: 18-42mg/dL Adult Females: 21-53mg/dL 2-3 days Day(s) Test Set Up: Monday - Saturday CPT Code: 82390 C-1 ESTERASE INHIBITOR, NON-FUNCTIONAL C-1 Esterase Inhibitor, Quantitative 2.5 ml blood, gel tube 6-25 mg/dl 2-4 days Day(s) Test Set Up: Tuesday,Thursday and Saturday CPT Code: 86160 C-1 ESTERASE INHIBITOR, FUNCTIONAL BY ANTI-C1r C1, ESTERASE 2.5 ml blood, plain red top tube Special Instructions: Transfer serum to plastic vial and freeze within 1 hour of time drawn Adequate Functional Activity 2-4 days Day(s) Test Set Up: Monday, Wednesday and Friday CPT Code: 86161 CHEM 8 PROFILE Basic Metabolic Profile, BCP, BMP 3.0 ml blood (0.8 ml minimum), gold or green gel tube or 1 full microtainer Special Instructions: Centrifuge. Store upright at room temperature, do not uncap vial. Reference Range : See individual tests Page 6 2/19/2013

CPT Code: 80048 Test Includes: BUN, Sodium, Potassium, Chloride, CO2, Calcuim Glucose, Creatinine (Calculated: egfr, Anion Gap, Osmolality) CHLAMYDIA CULTURE CHL Specimen Sources: Specimen in M4 Viral Transport Media: Abdomen, Bronchial Alveolar Lavage (BAL), Cervix, Eye, Lymph Node, Nasal Aspirate, Rectum, Throat, Urethra None Detected Monday-Friday: cut off 6:00AM; set-up 10:00 AM exp rel 48 hours Saturday-Sunday: cut off 6:00AM; set-up 10:00 AM exp rel 48 hours Daily Day(s) Test Set Up: CPT Codes: 87110, 87140 CHLAMYDIA /GC DNA PROBE GCCHLAM, CHLAMGC Endocervical or urethral swab in M4 Viral Transport Store and transport at 2-8 C. Media. Avoid contact with alcohol. Discard cleaning swab. Place collection swab in media. DO NOT USE POWDERED GLOVES DURING COLLECTION. Endocervical or urethral swab in PCR Transport media, store and transport at room temp. Male Urine in PCR Transport media, store and transport at room temp. Negative 1 day Day(s) Test Set Up: Monday-Friday CPT Code: 87491 CHLAMYDIA SEROLOGY Chlamydia Trachomatis Antibody Panel CHLTABS 5 ml blood, gel tube See Report 2-3 days Day(s) Test Set Up: Monday, Wednesday and Friday CPT Code: 86632/86631 x2 CHLORIDE CL Day(s) Test Set Up: 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 95-110 mmol/l 4 hours Daily Page 7 2/19/2013

CPT Code: 82435 CHLORIDE - URINE RANDOM CLU 10 ml urine 10-150 mmol/l CPT Code: 82436 CHLORIDE - URINE 24 HOUR CL24 Total collection, 24 hour urine Special Instructions: Refrigerate during collection. Provide starting date, time and ending date and time. Must be delivered to the laboratory within 24 hours of end of collection. 110-250 mmol/24 hr CPT Code: 82436 CHOLESTEROL CHOL 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. Special Instructions: 8 hour fast preferred Adult: less than 200 mg/dl CPT Code: 82465 CHOLINESTERASE, PSEUDO CHOLIN 2.5 ml blood, gel tube 4600-11800 U/L 3-5 days Day(s) Test Set Up: Monday - Friday CPT Code: 82480 CHROMOSOME ANALYSIS Chromosome Analysis, Banded, PHA - Stimulated Special Instructions: Common Indications: 6 ml whole blood, green top tube (10 ml size). Should be Na Heparin, not Li Heparin. Draw Monday - Thursday only. Do not refrigerate or Freeze. Requires patient age, sex and presumptive diagnosis. Previous family history of chromosomal abnormality, children with multiple congenital abnormalities, habitual abortions or infertility, mental retardation of undetermined origin, pre-term indications of Page 8 2/19/2013

CPT Code: abnormalities. Interpretive report provided with results 29 days CK-MB CPK MB 5.0 ml blood (1.0 ml minimum), gold gel or green tube or 2 full microtainers. Special Instructions: Centrifuge, remove serum and freeze 0 4.9 ng/ml Male 0-2.9 ng/ml Female CPT Code: 82553 Test Includes: CPK, CKMB, CK-MB Index CMV SEROLOGY Cytomegalovirus 5 ml blood, gel tube Special Instructions: Avoid hemolysis, very important See Report 3-5 days Day(s) Test Set Up: Tuesday-Saturday CPT Code: 86644 CMV-IGM SEROLOGY Cytomegalovirus - IGM 2.5 ml blood, gel tube See Report 3-5 days Day(s) Test Set Up: Tuesday-Saturday CPT Code: 86645 CO2 Carbon Dioxide 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 23-29 mmol/l CPT Code: 82374 COAGULATION FACTOR ASSAYS (see FACTOR) 2 FULL Blue top tubes: 4.5cc in large tube; 2.7cc in small tube See Report 2 days Page 9 2/19/2013

Days set up: Monday-Friday COCAINE SCREEN - URINE COCU 50 ml urine Special Instructions: Specimen volume for single test or combined with other drug screens. Special Instructions: Positives sent to reference lab for confirmation Negative if negative CPT Code: 80101 COCCIDIOIDES SEROLOGY COCAB 2.5 ml blood, gel tube Negative 2-3 days Day(s) Test Set Up: Tuesday,Thursday and Saturday CPT Code: 86635 COLD AGGLUTININS COLD AGG 10 ml blood, 2 small or 1 large lavender top tube Wrap in a heel warmer to deliver to laboratory. Special Instructions: Allow to clot at 37 C for one hour. Spin immediately and separate serum from cells. Pipette serum into plastic vial and store at room temperature. Negative 1 day CPT Code: 86156 COLONY COUNT Clean catch or catherized urine specimen collected in a sterile container or a gray-top urine transport tube. Routinely performed on urine cultures when organisms are present. COMPLEMENT, C-2 Special Instructions: Day(s) Test Set Up: 2.5mL ( minimum 1.5 ml)blood in red-top tube Separate serum within one hour of time drawn and refrigerate. 1.6-3.5 mg/dl 4-7 days Tuesday and Thursday Page 10 2/19/2013

CPT Code: 86160 _ COMPLEMENT, C-3 2.5 ml (minimum 1.5 ml) blood, gel tube 86-184 mg/dl Day(s) Test Set Up: Monday -Friday CPT Code: 86160 COMPLEMENT, C-4 2.5 ml ( 1.5 ml minimum )blood, gel tube 20-59 mg/dl Day(s) Test Set Up: Monday -Friday CPT Code: 86160 COMPLEMENT, TOTAL CH50 C50 5 ml blood (2.0 ml minimum), gel tube Special Instructions: Avoid hemolysis. Allow specimen to clot. Separate serum into a plastic tube and freeze sample within one hour of time drawn. 48-153 CAE Units 1-3 days Day(s) Test Set Up: Monday - Saturday CPT Code: 86162 CMP PROFILE Comprehensive Metabolic Profile 3.0 ml blood (0.8 ml minimum), gel tube, gold or green or 2 full microtainers. Special Instructions: Centrifuge. Store upright at room temperature, do not uncap vial. Reference Range : See individual tests CPT Code: 80048 Test Includes: BUN, Sodium, Potassium, Chloride, CO2, Calcuim Glucose, Creatinine, Protein, Albumin, Total Bilirubin, SGOT, SGPT, Alkaline Phosphatase (Calcualted: egfr, Anion Gap, Globulin) COOMBS, DIRECT DAT Page 11 2/19/2013

1 ml blood, lavender top tube or ½ lavender microtainer tube Negative 1 day CPT Code: 86880 COOMBS, INDIRECT IC 5 ml blood, lavender top tube or 1 full lavender microtainer tube. Negative 1 day CPT Code: 86886 COPPER COP 5.0mL blood in royal blue top trace metal tube 510-1610 ug/dl 2-3 days Day(s) Test Set Up: Monday - Friday CPT Code: 82525 COPPER - URINE 24 HOUR COP24 7ml aliquot of 24 hour urine collection Special Instructions: Preserve with 20 ml 6 N HCl prior to start of collection. See cautions regarding urine preservative in specimen collection section of this manual. 2-30 ug/l 2-5 days Day(s) Test Set Up: Tuesday -Saturday CPT Code: 82525 CORONARY RISK PROFILE CORRSK 3 ml, blood (0.8 ml minimum), gel tube, gold or green or 2 full microtainers. Special Instructions: Patient should be fasting 12 hours. See individual tests 4 day Days Test Set Up: Daily CPT Code: 80061 Test Includes : Cholesterol, Triglyceride, HDL, (Calculated: LDL, HDL/Total Ratio, Chol/HDL Ratio and VLDL) CORTISOL,SERUM CORTL Page 12 2/19/2013

2.5 ml blood, gel tube Special Instructions: AM preferred collection is 07:00 10:00 PM preferred collection is 16:00 20:00 4.0-24.0 ug/dl A.M. Draw 2.0-16.8 ug/dl P.M. Draw 8 hours CPT Code: 82533 CORTISOL, FREE - URINE 24 HOUR CORTF 20mL aliquot of 24 hour urine collection Special Instructions: Refrigerate during collection See Report 2-3 days Day(s) Test Set Up: Monday - Saturday CPT Code: 82530 COXSACKIE B1-6 SEROLOGY COXB 5.0 ml blood, gel tube Less than 8-Serum Less than 2-CSF 2-4 days Day(s) Test Set Up: Monday,Wednesday and Friday CPT Code: 86658 x6 C-PEPTIDE REACTIVITY CPEP 2mL serum or heparinized plasma. (Red top, SST, or Green top tube) Special Instructions: 8 hour fast required. Centrifuge and transfer serum or plasma to plastic vial, freeze. 0.5-2.0 ng/ml 1-3 days Day(s) Test Set Up: Monday-Saturday CPT Code: 84681 CPK CK 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 24-195 IU/L CPT Code: 82550 Page 13 2/19/2013

CPK ISOENZYMES CKISO Test Includes: CPK, CPK-MM, CPK-MB, CPK-BB 5 ml blood, gel tube Interpretive report provided with results 2-5 days CPT Code: 82552 CREATININE CRE 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 0.5-1.4 mg/dl CPT Code: 82565 CREATININE - URINE RANDOM CREU 10 ml urine 80-170 mg/dl CPT Code: 82570 CREATININE - URINE 24 HOUR CRE24 Total collection, 24 hour urine Special Instructions: Refrigerate during collection. Provide starting date/time and ending date/time. Male: 800-2000 mg/24hr Female: 600-1800 mg/24hr CPT Code: 82570 CREATININE CLEARANCE CRCL Test Includes: Special Instructions: Blood creatinine, urine creatinine in mg/dl, 24 hour urine creatinine, Creatinine clearance 2.5 ml blood, gel tube and total collection, 24 hour urine Refrigerate urine during collection. Provide starting date, time and ending date and time. 97-137 ml/min 4 hours Page 14 2/19/2013

CPT Code: 82570 CRP QUANTITATIVE C-Reactive Protein 2.5 ml blood (0.6 ml minimum), gold gel or green tube or 1 full microtainer. 0-0.5 mg/dl CPT Code: 86140 CRYOGLOBULINS CRYO 20 ml blood, plain red top tube. Wrap specimen in heel warmer until delivery to the laboratory. Special Instructions: Allow to clot at 37C for about one hour. Centrifuge and transfer serum to a plastic vial. Do not refrigerate. 10 ml preferred; 7 ml serum minimum Negative 4-7 Days CPT Code: 82595 CRYPTOCOCCAL ANTIGEN 1mL of CSF or 5mL blood,red gel tube Negative CPT Code: 86403 CRYSTALS, BODY FLUID CRYSTALS Test Includes: Crystals, Type At least 1 ml; Aspirate into sterile, heparinized syringe transferring to sterile container Special Instructions: Specify type of fluid Negative for Crystals Analytical time: 1 day Day(s) set up: Daily CPT code: 89060 CYCLOSPORINE CYC 2.5mL EDTA whole blood (1 ml minimum) 150-400ng/mL CPT Code: 80158 Page 15 2/19/2013

CYTOLOGY - GYN Pap Smear 1 or 2 slides (prefer 1) fixed with cytologic spray fixative or 95% alcohol bottle. Special Instructions: Label frosted end of slide with patient's full name using pencil Within normal limits. 10 days Day(s) Test Set Up: Monday - Friday CPT Code: 88164 CYTOLOGY - NON-GYN Fluids - Two 10 ml green top tubes Sputum - 4 oz. cup Urines - 4 oz. cup containing 50% alcohol Special Instructions: Fluids - Invert tubes 6-8 time to prevent clotting. Sputum - Deep cough specimens, avoid saliva. Urines - Add equal volume of urine to alcohol cup Negative for malignant cells 3-5 days Day(s) Test Set Up: Monday - Friday CPT Code: 88108 Page 16 2/19/2013