01/12/20XX 15:58:57 Laboratory Accreditation Program Page 1 of 9 CHEMISTRY 1501 ALT, serum/plasma 1502 Albumin, serum/plasma 1504 Alkaline phosphatase, serum/plasma 1506 Amylase, serum/plasma 1508 Bilirubin, direct, serum/plasma 1509 Bilirubin, total, serum/plasma 1510 Calcium, serum/plasma 1514 Cholesterol, serum/plasma 1516 Creatine kinase (CK) 1517 Creatinine, serum/plasma 1521 Glucose, cerebrospinal fluid 1522 Glucose, serum/plasma 2702 Hemoglobin A1C 1530 LD, serum 1535 Magnesium, serum/plasma 1537 Bilirubin, direct, diazo (neonatal), serum/plasma 1539 Bilirubin, total (neonatal), serum/plasma 1540 Osmolality, serum/plasma 1541 Osmolality, urine 1544 Phosphorus, werum/plasma 1546 Potassium, serum/plasma 1548 Protein, total serum 1549 Protein, total, CSF 1551 Sodium, serum/plasma 1554 Triglycerides, serum/plasma 1559 Uric acid, serum 1561 Chloride, serum/plasma 1600 AST, serum/plasma 1835 Urea, serum
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 2 of 9 CHEMISTRY 1499 Acetone 1505 Ammonia 1520 Glucose, body fluid 1907 Lipase, body fluid 1594 Amylase, body fluid 1857 LDH, body fluid
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 3 of 9 COAGULATION 1302 Fibrinogen, plasma 1303 PT, plasma 1305 PTT, plasma 2273 D-dimer, quantitative 1307 Bleeding time, any method 1310 FDP, serum
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 4 of 9 HEMATOLOGY 807 Special stains, Hematology 197 Hemoglobin, non-waived 198 Platelet count (PLT) 201 RBC count 202 Reticulocyte count, manual 203 WBC count, automated 204 WBC count, manual 220 Hematocrit, automated 225 Hemoglobin solubility (sickling test) 261 CBC differential, automated 262 CBC differential, manual 1409 Parasite ID, malaria 2699 ESR, automated, non-waived 219 RBC indices (e.g., MCV, RDW) 254 Bone marrow morphology interpretation 740 Leukocyte alkaline phosphatase score 756 Eosinophil count
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 5 of 9 SPECIAL CHEMISTRY 1798 Therapeutic drug monitoring 1634 Acetaminophen 1637 Carbamazepine 1641 Digoxin 1651 Phenobarbital 1652 Phenytoin 1662 Salicylate 1668 Theophylline 1673 Valproic acid
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 6 of 9 Subdiscipline Category Activity ID Activity Name TOXICOLOGY URINALYSIS ) 1821 Medical Testing 1800 Urine drug screen, immunoassay, basic (UDS) 1896 Alcohol/volatiles, serum, medical 703 hcg, urine, non-waived 708 Osmolality, urine 711 Reducing substances, urine 714 Urinalysis microscopic manual (inc. Crystal ID) 2107 Crystal identification, body fluid 2753 Urinalysis dipstick, automated, non-waived 897 Eosinophils, urine 1014 Specific gravity, body fluid
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 7 of 9 PATHOLOGY Checklist Anatomic Pathology Subdiscipline Category ANATOMIC PATHOLOGY PROCESSING Activity ID 1393 1396 1397 1398 1399 Activity Name Immunohistochemistry staining Tissue processing, Autopsy Pathology Routine processing, Surgical Pathology Special stains, histochemistry Immunofluorescene staining, tissue biopsy AUTOPSY PATHOLOGY INTRAOPERATIVE CONSULTATION 13 16 Dissection Microscopic evaluation, Autopsy Pathology 2137 Intraoperative consultation (e.g. frozen sections) 5059 EBV, ISH
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 8 of 9 PATHOLOGY Checklist Anatomic Pathology Subdiscipline Category Activity ID Activity Name SURGICAL PATHOLOGY ) 1 Gross evaluation, pathologist 4 Microscopic evaluation, Surgical Pathology 5 Oral pathology (oral specimen exam) 10 Gross evaluation, non-pathologist 3881 ER and/or PgR, IHC staining and path interp on-site * Alternative PT includes participation in ungraded PT programs or non CAP-accepted PT programs, split sample analysis with reference or other laboratories or an established in-house method, assayed materials, regional pools, clinical validation by chart review or other suitable and documented means for validating performance of an analyte.
01/12/20XX 15:58:57 Laboratory Accreditation Program Page 9 of 9 PATHOLOGY Checklist Cytopathology Subdiscipline Category Activity ID Activity Name CYTOLOGY PROCESSING 2048 FNA processed in cytology 2049 Specimen staining, cytology CYTOLOGY SCREENING 2051 2053 Screening by cytotech, gynecologic cytology Primary screening by pathologist, gyn cytology GYNECOLOGIC CYTOPATHOLOGY ) 2060 Pathologist interpretation, gynecologic cytology NON-GYNECOLOGIC CYTOPATHOLOGY 2056 Pathologist interpretation, FNA 2057 Pathologist interpretation, non-gyn cytology * Alternative PT includes participation in ungraded PT programs or non CAP-accepted PT programs, split sample analysis with reference or other laboratories or an established in-house method, assayed materials, regional pools, clinical validation by chart review or other suitable and documented means for validating performance of an analyte.