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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

ACTH (Adrenocorticotropic Hormone) Stimulation

Order Name: ACTH STIM Test Number: 2002151

TEST COMPONENTS Test Name: Cortisol Baseline Cortisol 30 Minute Specimen Cortisol 60 Minute Specimen Methodology: CIA CIA CIA

REV DATE:8/22/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 1 mL (0.5) Specimen: Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) See Instructions

Special Specimen stability: Ambient 8 hours. Refrigerated 48 hours. Freeze if > 48 hours. Instructions: GENERAL INFORMATION Testing Schedule: Mon - Fri Expected TAT: 1-3 days Clinical Use: Stimulation test performed to assess adrenal reserve and investigate hypocortisolism. If performed by RML pathologist consult charge added (cpt 80500). Notes: Cortrosyn Stimulation. For more information on this test, access our "Specialized Tests" section. Cpt Code(s): 82533x3, 80500

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Alpha-1 Antitrypsin (AAT) Mutation Analysis

Order Name: ALPH 1 MUT Test Number: 3805175

TEST COMPONENTS Test Name: Alpha-1 Antitrypsin (AAT) Mutation Analysis Methodology: PCR

REV DATE:8/3/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 5 mL (2) Specimen: Alternate 5 mL (2) Specimen: Specimen Type Whole Blood Whole Blood Specimen Container EDTA (Lavender Top) Sodium Heparin (Green Top) Transport Environment Room Temperature Room Temperature

Special Keep At Room Temperature or Refrigerated - DO NOT FREEZE ! Instructions: GENERAL INFORMATION Testing Schedule: Sun-Sat Expected TAT: 6-7 Days Clinical Use: Individuals who carry two copies (homozygous) for the Z allele are at a higher risk to develop liver disease and emphysema. Cpt Code(s): 83891; 83892; 83900; 83909; 83912

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Alpha-Fetoprotein (AFP) Amniotic Fluid analysis & reflex

Order Name: AFP AM FL Test Number: 3811175

TEST COMPONENTS Test Name: Alpha-Fetoprotein (AFP), Amniotic Fluid Alpha-Fetoprotein (AFP), Multple of Median Acetylcholinesterase, Amniotic Fluid (Possible Reflex Test) Fetal Hemoglobin, Amniotic Fluid (Possible Reflex Test) Methodology: LPBAS Calc EP RID

REV DATE:8/1/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 20-30 mL Specimen: Specimen Type Amniotic Fluid Specimen Container Sterile Screwtop Container Transport Environment Room Temperature

Special Required information: Instructions: Patient Diagnosis EDD (Estimated Date of Delivery) Gestational Age and method of determination: US or LMP 20-30 ml of amniotic fluid in well labeled sterile screw top tubes. Avoid contaminating the fluid with blood (discard the first 2 cc collected; syringes not acceptable). Gestational age (13-24 weeks) must be provided for interpretation of results. Ship at room temperature. DO NOT FREEZE. SPECIMEN VIABILITY DECREASES DURING TRANSIT. SEND SPECIMEN TO TESTING LAB FOR VIABILITY DETERMINATION. DO NOT REJECT.

GENERAL INFORMATION Testing Schedule: Everyday Expected TAT: 3-4 Days Clinical Use: Amniotic fluid collected by amniocentesis performed during the secondtrimester, preferably at 13 to 24 weeks of gestation is the most common sourceof fetal cells for prenatal diagnosis. It is used to determine geneticcause for mental retardation, congenital anomalies, infertility, miscarriage,stillbirth, and ambiguous genitalia and Confirm or exclude the diagnosis ofknown chromosomal syndromes. Notes: If the preliminary AFP is abnormal, reflexive Acetylcholinesterase testing is activated along with a Fetal Hemoglobin which is typically used to exclude the possibility fetal blood contamination. This particular assay "AFP AM FL" does not contain chromosome studies. For Chromosome studies on amniotic fluid see Chromosome Analysis - Amniotic in the test directory. Cpt Code(s): 82106

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Antidiuretic Hormone (ADH) / Osmolality, Random Urine

Order Name: ADH/OSMO U Test Number: 3007000

TEST COMPONENTS Test Name: Antidiuretic Hormone (ADH) / Osmolality, Random Urine Methodology: RIA

REV DATE:8/22/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 3 mL (1.1) Specimen: Alternate 3 mL (1.1) Specimen: Specimen Type Urine, Random Urine, 24-hour Specimen Container Sterile Screwtop Container 24 hour Urine Container Transport Environment Refrigerated Refrigerated

Special 3 mL Random urine or 24hr Urine. Do not use preservatives. Instructions: GENERAL INFORMATION Testing Schedule: Thr Expected TAT: 7-10 Days Clinical Use: Antidiuretic Hormone (also called ADH or Vasopressin) regulates water reabsorption in the kidney, reducing diuresis and increasing blood volume and pressure. The syndrome of inappropriate release of ADH has been labeled SIADH, occurring with neoplasia, pulmonary disorders (e. g. , pneumonia and tuberculosis), CNS disorders, and with specific drugs. Cpt Code(s): 84588; 83935

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Antidiuretic Hormone (ADH) / Osmolality, Serum

Order Name: ADH/OSMO Test Number: 3600235

TEST COMPONENTS Test Name: Antidiuretic Hormone (ADH, Arginine Vasopressin, AVP) Osmolality, Serum Methodology: RIA FPD

REV DATE:8/22/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred See Specimen: Instructions Specimen Type Plasma & Serum Specimen Container EDTA (lavender top) & Clot Activator SST (Red/Gray or Tiger Top) Transport Environment See Instructions

Special Collect Both Serum and Plasma Instructions: ADH: 4mL (1. 1) EDTA Plasma, Frozen. Osmolality: 1mL (0. 2) Serum, Frozen preferred. GENERAL INFORMATION Testing Schedule: Tue, Thr, Sat Expected TAT: See Individual Assays Cpt Code(s): See Individual Assays

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Antidiuretic Hormone (ADH, Arginine Vasopressin, AVP)

Order Name: ADH/VAS Test Number: 3600225

TEST COMPONENTS Test Name: Antidiuretic Hormone (ADH, Arginine Vasopressin, AVP) Methodology: RIA

REV DATE:8/22/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 4 mL (1.1) Specimen: Specimen Type Plasma Specimen Container EDTA (Lavender Top) Transport Environment Frozen

Special Draw blood in a pre-chilled lavender-top tube and keep tube chilled. Centrifuge immediately. Separate and Instructions: freeze immediately. Do not thaw. GENERAL INFORMATION Testing Schedule: Tue, Thr, Sat Expected TAT: Reports 5-7 days following set up. Clinical Use: Antidiuretic Hormone (also called ADH or Vasopressin) regulates water reabsorption in the kidney, reducing diuresis and increasing blood volume and pressure. The syndrome of inappropriate release of ADH has been labeled SIADH, occurring with neoplasia, pulmonary disorders (e. g. , pneumonia and tuberculosis), CNS disorders, and with specific drugs. Cpt Code(s): 84588

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Chromosome Analysis - Amniotic Fluid & AFP (Alpha-Fetoprotein) w/ Reflex

Order Name: AFP/CHRM Test Number: 1003950

TEST COMPONENTS Test Name: Chromosome Culture and Karyotype Alpha-Fetoprotein (AFP), Amniotic Fluid Alpha-Fetoprotein (AFP), Multple of Median Acetylcholinesterase, Amniotic Fluid (Possible Reflex Test) Fetal Hemoglobin, Amniotic Fluid (Possible Reflex Test) Methodology: Cult LPBAS Calc EP RID

REV DATE:8/1/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 20-30 mL Specimen: Specimen Type Amniotic Fluid Specimen Container Sterile Screwtop Container Transport Environment Room Temperature

Special Required information: Instructions: Patient Diagnosis EDD (Estimated Date of Delivery) Gestational Age and method of determination: US or LMP 20-30 ml of amniotic fluid in well labeled sterile screw top tubes. Avoid contaminating the fluid with blood (discard the first 2 cc collected; syringes not acceptable). Gestational age (13-24 weeks) must be provided for interpretation of results. Ship at room temperature. DO NOT FREEZE. SPECIMEN VIABILITY DECREASES DURING TRANSIT. SEND SPECIMEN TO TESTING LAB FOR VIABILITY DETERMINATION. DO NOT REJECT.

GENERAL INFORMATION Testing Schedule: Mon-Sat Expected TAT: AFP= 3-4 Days; Chromosomes= 10-15 Days Clinical Use: Amniotic fluid collected by amniocentesis performed during the second trimester, preferably at 13 to 24 weeks of gestation is the most common source of fetal cells for prenatal diagnosis. It is used to determine genetic cause for mental retardation, congenital anomalies, infertility, miscarriage, stillbirth, and ambiguous genitalia and Confirm or exclude the diagnosis of known chromosomal syndromes. Notes: If the preliminary AFP is abnormal, reflexive Acetylcholinesterase testing is activated along with a Fetal Hemoglobin which is typically used to exclude the possibility fetal blood contamination. See individual tests for cpt codes. Cpt Code(s): 88269; 88235; 88280; 88291; 82106 (Chromosomes & AFP only)

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Copper Serum/Plasma

Order Name: COPPER S/P Test Number: 3605025

TEST COMPONENTS Test Name: Copper Serum/Plasma Methodology: ICP/OES

REV DATE:8/6/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 1 mL (0.5) Specimen: Alternate 1 mL (0.5) Specimen: Specimen Type Serum Plasma Specimen Container No Additive Clot (Royal Blue Top, Trace-Elements Free) EDTA (Royal Blue Top/Trace Element Free) Transport Environment Refrigerated Refrigerated

Special Patient should refrain from taking vitamins, mineral or herbal supplements at least one week prior to specimen Instructions: collection. GENERAL INFORMATION Testing Schedule: Sun-Fri Expected TAT: 3-4 Days Cpt Code(s): 82525

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Coxsackie A Virus Antibodies - CSF

Order Name: COX A CS Test Number: 5575325

TEST COMPONENTS Test Name: Coxsackie A Virus Antibodies - CSF Methodology: CF

REV DATE:8/14/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 2 mL (1) Specimen: GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 3-4 Days Notes: Coxsackie A types: 2,4,7,9,10,11 Cpt Code(s): 86658x6 Specimen Type CSF (Cerebrospinal Fluid) Specimen Container Sterile Screwtop Container Transport Environment Refrigerated

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Coxsackie A Virus Antibody Panel - Serum

Order Name: COX A SERM Test Number: 5500175

TEST COMPONENTS Test Name: Coxsackie A Virus Antibody Panel - Serum Methodology: CF

REV DATE:8/14/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 2 mL (1) Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 3-5 Days Notes: Coxsackie A types: 2,4,7,9,10,11 Cpt Code(s): 86658x6

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Coxsackie B Virus Antibodies - CSF

Order Name: COX B CS Test Number: 5575250

TEST COMPONENTS Test Name: Coxsackie B Virus Antibodies - CSF Methodology: CF

REV DATE:8/14/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 2 mL (1) Specimen: GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 3-4 Days Clinical Use: Coxsackie B Types: 1-6 Cpt Code(s): 86658x6 Specimen Type CSF (Cerebrospinal Fluid) Specimen Container Sterile Screwtop Container Transport Environment Refrigerated

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Coxsackie B Virus Antibody Panel - Serum

Order Name: COXSA B A Test Number: 5502400

TEST COMPONENTS Test Name: Coxsackie B Virus Antibody Panel - Serum Methodology: CF

REV DATE:8/14/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 2 mL (0.5) Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

GENERAL INFORMATION Testing Schedule: Mon, Wed, Fri Expected TAT: 3-4 Days Notes: Coxsackie B types: 1-6 Cpt Code(s): 86658X6

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Cryofibrinogen Panel

Order Name: CRYOFIBRIN Test Number: 5512625

TEST COMPONENTS Test Name: Cryofibrinogen Cryoglobulin Qualitative Methodology: PRECIP PRECIP

REV DATE:8/13/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Specimen Type Specimen Container EDTA (lavender top) & Clot Activator SST (Red/Gray or Tiger Top) Transport Environment Room Temperature

Preferred Serum 5 mL (2) Serum & Plasma Specimen: & Plasma 3 mL (2)

Special 5ml fasting serum, and 3ml EDTA Plasma. Serum Collection: Allow specimen to clot at 37'c immediately Instructions: separate serum from clot. Plasma Collection: Collect plasma in EDTA tube at 37'c then separate plasma. Ship serum and plasma at room temperature. Do not refrigerate or freeze. GENERAL INFORMATION Testing Schedule: Mon - Fri Expected TAT: 6 Days Clinical Use: Cryofibrinogens are rarely occurring cold-precipitable proteins most often associated with neoplastic diseases such as pulmonary, gastric or colonic cancers, metastatic carcinoma of the prostate, multiple myeloma and certain inflammatory diseases such as acute rheumatic fever and ulcerative colitis. Occasional cryofibrinogens occur without any obvious underlying disease. Cryofibrinogens are of unknown significance. Cpt Code(s): 82585, 82595

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Echovirus Antibodies - CSF

Order Name: ECHO CSF Test Number: 5502425

TEST COMPONENTS Test Name: Echovirus Antibodies - CSF Methodology: CF

REV DATE:8/28/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 2 mL (1) Specimen: GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 3-5 Days Notes: Antibodies to Echovirus: 4, 7, 9, 11, 30 Cpt Code(s): 86658x6 Specimen Type CSF (Cerebrospinal Fluid) Specimen Container Sterile Screwtop Container Transport Environment Refrigerated

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Echovirus Antibody Panel, CF (Serum)

Order Name: ECHOVI AB Test Number: 5504100

TEST COMPONENTS Test Name: Echovirus Antibody Panel, CF (Serum) Methodology: CF

REV DATE:8/28/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 2 mL (1) Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

GENERAL INFORMATION Testing Schedule: Mon - Fri Expected TAT: 3-4 Days Notes: Antibodies to Echovirus: 4, 7, 9, 11, 30 Cpt Code(s): 86658X3

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Enterovirus Antibody Panel (CSF)

Order Name: CSF ENTERO Test Number: 5573150

TEST COMPONENTS Test Name: Coxsackie A Virus Antibodies - CSF Coxsackie B Virus Antibodies - CSF Echovirus Antibodies - CSF Poliovirus Antibodies - CSF Methodology: CF CF CF CF

REV DATE:8/28/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 7 mL (3.5) Specimen: Specimen Type CSF (Cerebrospinal Fluid) Specimen Container Sterile Screwtop Container Transport Environment Refrigerated

Special Preferred to have four (1 - 2mL) individual aliquots for testing the individual viruses. Instructions: GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 4-6 Days Cpt Code(s): See individual assays

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Latex Allergy Panel

Order Name: LATEXRAST3 Test Number: 5573975

TEST COMPONENTS Test Name: Latex Allergy Panel Methodology: RIA

REV DATE:8/15/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 2 mL (1) Specimen: GENERAL INFORMATION Testing Schedule: Set up on Tuesday, Reports Wednesday evening. Expected TAT: 3-9 Days Clinical Use: Used by Allergists to detect the specific type of Latex that can cause an allergic immune response. Notes: Includes the specific forms of latex: Ammoniated Latex- latex used to manufacture dipped latex products such as gloves and condoms. Buffered Latex- Non-Ammoniated latex collected in a pH buffer then seperated by ultracentrifugation; contains the most native latex proteins. Latex golves- An aqueous extract prepaird from a commercial latex exam glove. Cpt Code(s): 83519 Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Mycobacterium tuberculosis (CSF & Fluids) PCR

Order Name: TB PCR CSF Test Number: 6004150

TEST COMPONENTS Test Name: Mycobacterium tuberculosis (CSF & Fluids) PCR Methodology: PCR

REV DATE:8/13/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 3 mL (1) Specimen: Alternate 3 mL (1) Specimen: Specimen Type CSF (Cerebrospinal Fluid) Urine, First Void Clean Catch Specimen Container Sterile Screwtop Container Sterile Screwtop Container Transport Environment Refrigerated Refrigerated

Special 3 mL(1 mL min) CSF or First void clean catch urine or Urine with no preservative. Keep refrigerated In a sterile Instructions: crew-capped container. Alternate Specimens: Random urine or Random clean catch urine or Catheterized urine or Fresh (unfixed) tissue or Tissue biopsy or Amniotic fluid or Fluid or Cyst fluid or Gastric fluid or Pericardial fluid or Peritoneal fluid or Pleural fluid or Synovial fluid or Vitreous fluid. Tissue: Collect aseptically as much as possible, up to 2 grams. Specimen must be kept moist with transport media, saline, broth or buffer. Tissues fixed in formalin or paraffin blocks are NOT acceptable. Fluids: Collect aseptically, as much as possible, up to 150 mL (2 mL min). Gastric Lavage Fluids: Collect 5-10 mL of an early morning specimen, before food or water intake, in a sterile container without preservative. Adjust to normal pH with 100 mg of sodium carbonate within 4 hours of collection. Unneutralized specimens are not acceptable. Separate specimens collected on 3 consective days are recommended. GENERAL INFORMATION Testing Schedule: Sun-Sat Expected TAT: 2-5 Days Clinical Use: This is an amplified method used to detect Mycobacterium tuberculosis complex nucleic acid in the raw specimen. It is used to aid the physician in the rapid diagnosis and treatment of a possible tuberculosis infection. A negative result does not rule out disease. Results should be supported by additional alternate testing. Cpt Code(s): 87556

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Mycobacterium tuberculosis (Respiratory) PCR

Order Name: TB PCR RES Test Number: 6004250

TEST COMPONENTS Test Name: Mycobacterium tuberculosis (Respiratory) PCR Methodology: PCR

REV DATE:8/13/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 7 mL (2) Specimen: Alternate 7 mL (2) Specimen: 7 mL (2) Specimen Type Bronchial lavage/wash Sputum Tracheal lavage/wash Specimen Container Sterile Screwtop Container Sterile Screwtop Container Sterile Screwtop Container Transport Environment Refrigerated Refrigerated Refrigerated

Special 7mL(2mL) Bronchial lavage/wash, Tracheal lavage/wash or Sputum. Keep refrigerated in a sterile screw cap Instructions: container. Sputum specimens should not be frozen! GENERAL INFORMATION Testing Schedule: Sun-Sat Expected TAT: 2-5 Days Cpt Code(s): 87556

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Neutrophil Oxidative Index (NOI, Chemiluminescence)

Order Name: CHEMILUMIN Test Number: 5569200

TEST COMPONENTS Test Name: Particulate Stimulation Soluble Stimulate Methodology: FC FC

REV DATE:8/23/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 3 mL (1mL) Specimen: Specimen Type Whole Blood Specimen Container Transport Environment Room Temperature

Special Collect one 4ml EDTA Lavender and one 7ml Lithium Heparin no gel. Deliver to laboratory (flow cytometry) Instructions: ASAP. Do NOT centrifuge or refrigerate. GENERAL INFORMATION Testing Schedule: Mon - Thur Expected TAT: 2 days Clinical Use: Neutrophil metabolic killing function. Cpt Code(s): 88184; 88187; 88185x2

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Organic Acid Screen - Urine

Order Name: ORG A S U Test Number: 3002100

TEST COMPONENTS Test Name: Organic Acid Screen - Urine Methodology: GC/MS

REV DATE:8/28/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 15 mL (3) Specimen Type Urine, Random Specimen Container Sterile Screwtop Container Transport Environment Frozen

GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 5-7 Days Cpt Code(s): 83919

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Organic Acids Serum/Plasma

Order Name: ORG ACID P Test Number: 3607575

TEST COMPONENTS Test Name: Organic Acids Serum/Plasma Methodology: GC/MS

REV DATE:8/28/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 2 mL (0.5) Alternate Specimen: 2 mL (0.5) Specimen Type Serum Plasma Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Frozen EDTA (Lavender Top) Frozen

GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 4-5 Days Cpt Code(s): 83918

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Osmolality, Serum

Order Name: OSMO/ADH Test Number: 3600240

TEST COMPONENTS Test Name: Osmolality, Serum Methodology: FPD

REV DATE:8/22/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 1 mL (0.2) Specimen: Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Frozen

Special Specimen Stability: Room temperature= 1 Week; Refrigerated= 1 Week; Frozen= 4 Weeks Instructions: GENERAL INFORMATION Testing Schedule: Tue, Thr, Sat Expected TAT: 2-3 Days Clinical Use: Serum Osmolality assesses fluid and electrolyte balance by measuring the moles of a nonelectrolyte substance dissolved per kilogram of pure water. Cpt Code(s): 83930

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Poliovirus Antibodies - CSF

Order Name: POLIO CSF Test Number: 5502475

TEST COMPONENTS Test Name: Poliovirus Antibodies - CSF Methodology: CF

REV DATE:8/14/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 1 mL (0.5) Specimen: GENERAL INFORMATION Testing Schedule: Mon-Fri Expected TAT: 3-4 Days Cpt Code(s): 86658x3 Specimen Type CSF (Cerebrospinal Fluid) Specimen Container Sterile Screwtop Container Transport Environment Refrigerated

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Protein Electrophoresis - 24hr Urine (Analyzer)

Order Name: PEPU 24 AN Test Number: 5008175

TEST COMPONENTS Test Name: Protein Electrophoresis - 24hr Urine (Analyzer) Methodology: EP

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 20 mL (10) Specimen: Specimen Type Urine, 24-hour Specimen Container 24 hour Urine Container Transport Environment Refrigerated

Special Collect a 24hr urine with no preservative. Please note total volume on 24hr collection container along with any Instructions: and all pour off aliquots. GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 2 Days Clinical Use: Urine protein abnormalities. Notes: For more information on this Analyzer, access our "Specialized Tests" section of this guide for a complete listing of tests and CPT codes. Cpt Code(s): 84156; 84166; (80500 or 8416626) Initial testing only.

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Protein Electrophoresis - 24hr Urine (without reflex testing)

Order Name: PEP U 24 Test Number: 5002575

TEST COMPONENTS Test Name: Protein Urine Timed Urine Electrophoresis: Quant Urine Electrophoresis: Quant EP EP Methodology:

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 10 mL Specimen: Specimen Type Urine, 24-hour Specimen Container 24 hour Urine Container Transport Environment Refrigerated

Special Collect a 24hr urine with no preservative. Please note total volume on 24hr collection container along with any Instructions: and all pour off aliquots. GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 2 Days Clinical Use: Urine protein abnormalities Notes: Test includes a pathologist interpretation. Cpt Code(s): 84156; 84166; (81050 or 84166-26)

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Protein Electrophoresis - Random Urine (Analyzer)

Order Name: PEPU AN Test Number: 5004450

TEST COMPONENTS Test Name: Protein Electrophoresis - Random Urine (Analyzer) Methodology: EP

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 20 mL (10) Specimen: Specimen Type Urine, Random Specimen Container Sterile Urine container Transport Environment Refrigerated

Special Random urine no preservatives. Instructions: GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 1-3 Days Clinical Use: Initial testing: Protein Electrophoresis; Total Protein; Pathologist Interpretation. Notes: For more information on this Analyzer, access our "Specialized Tests" section of this guide for a complete listing of tests and CPT codes. Cpt Code(s): 84156; 84166; (80500 or 8416626) Initial testing only.

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Protein Electrophoresis - Random Urine (without reflex testing)

Order Name: PEPU NO AN Test Number: 5002175

TEST COMPONENTS Test Name: Methodology:

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 10 mL Specimen Type Urine, Random Specimen Container Sterile Urine container Transport Environment Refrigerated

Special Random urine no preservatives. Instructions: GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 3 Days Clinical Use: Urine protein abnormality Notes: Test includes a pathologist interpretation. Cpt Code(s): 84155; 84166; (80500 or 8416626)

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Protein Electrophoresis - Serum (Analyzer)

Order Name: PEP AN Test Number: 5004425

TEST COMPONENTS Test Name: Protein Electrophoresis - Serum (Analyzer) Methodology: EP

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 3 mL (1) Specimen: GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 1-3 Days Clinical Use: Initial testing: Protein Electrophoresis; Total Protein; Serum Free Light Chains (Kappa/Lambda); Pathologist Interpretation Notes: For more information on this Analyzer, access our "Specialized Tests" section of this guide for a complete listing of tests and CPT codes. Cpt Code(s): 84155; 84165; (80500 or 8416526) Initial testing only. Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

COPYRIGHT REGIONAL MEDICAL LABORATORY 2007: VISIT US ONLINE AT: WWW.RMLONLINE.COM

REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Protein Electrophoresis - Serum (without reflex testing)

Order Name: PEP NO AN Test Number: 5002125

TEST COMPONENTS Test Name: Protein Electrophoresis - Serum (without reflex testing) Methodology: EP

REV DATE:8/17/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred Specimen: 1 mL Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

GENERAL INFORMATION Testing Schedule: Mon - Sat Expected TAT: 3 Days Notes: Test includes a Total Protein in addition to the pathologist interpretation in the electrophoresis report. Cpt Code(s): 84155, 84165, (80500 or 8416526)

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Typhus Fever (Rickettsia typhi IgM,IgG Antibody)

Order Name: TYPHUS FEV Test Number: 3805300

TEST COMPONENTS Test Name: Typhus Fever (Rickettsia typhi IgM,IgG Antibody) Methodology: Imm

REV DATE:8/3/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 2 mL Specimen: GENERAL INFORMATION Testing Schedule: Tue-Fri Expected TAT: 4-5 Days Clinical Use: Endemic Murine Typhus, caused by the rickettsiae R. typhi, is maintained in rats and fleas with global distribution. Human infection is most common in Texas and Southern California. Symptoms of viral illness, rash, and pulmonary disease are characteristic of Endemic Murine Typhus. Cpt Code(s): 86757X2 Specimen Type Serum Specimen Container Transport Environment

Clot Activator SST (Red/Gray or Tiger Top) Refrigerated

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REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502

Vitamin B6

Order Name: VIT B6 Test Number: 3603660

TEST COMPONENTS Test Name: Vitamin B6 Methodology: REA

REV DATE:8/3/2007

SPECIMEN REQIREMENTS Specimen Volume(min) Preferred 1 mL (0.5) Specimen: Specimen Type Plasma Specimen Container EDTA (Lavender Top) Transport Environment Frozen

Special Wrap tube in aluminum foil to protect from light.Overnight fasting is required. Centrifuge, then aliquot 1mL Instructions: plasma into plastic aliquot tube and freeze. GENERAL INFORMATION Testing Schedule: Tues - Fri Expected TAT: 4 Days Clinical Use: Vitamin B6 is a cofactor in many metabolic pathways including heme synthesis. Vitamin B6 deficiency may be observed in patients with metabolic disorders, secondary to therapeutic drug use, or alcoholism. Deficiency affects the function of the immune system. Cpt Code(s): 84207

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