Phlebotomy Requisition Form Tests

CBC

Light LAVENDER

Complete Blood Count

Hematology

CBC W/Diff

Light LAVENDER

Complete Blood Count with Differential

Hematology

D Dimer

Light BLUE

Tests for Thrombus

Coagulation

H&H

Light LAVENDER

Hemoglobin & Hemocrit

Coagulation

PT

Light BLUE

Prothrombin Time

Coagulation

PTT

Light BLUE

Partial Thromboplastin Time

Coagulation

Retic Count

Light LAVENDER

Reticulocyte Count

Tests for types of anemia

Hematology

Sed Rate (ESR)

BLACK

Erythrocyte Sedimentation Rate

Detect Acute and Chronic Inflammation

Hematology

Sickle Cell Prep (HGBS)

Light LAVENDER

Identify presence of sickle cells (HGB-s)

Hematology

Smear Review

Light LAVENDER

Manual counting of WBCs

Hematology

T Cell CD4

Light LAVENDER

Track HIV Progression

Hematology

T Cells CD4/CD8

Light LAVENDER

Track HIV Progression

Hematology

ABO (Blood Grp)

Dark LAVENDER & SST

Tests for A, B or O blood group antigens

Serology/Immunology

AFP (Maternal)

SST

Alpha Fetoprotein

Tests for fetal abnormalities

Serology/Immunology

Alpha 1 Antitrypsin

SST

Tests for early onset emphysema

Serology/Immunology

ANA

SST

AntiNuclear Antibody

Tests for Autoimmune disorders

Serology/Immunology

Antibody Screen

Dark LAVENDER & SST

Tests for quantitative and qualitative antibodies

Serology/Immunology

Ceruloplasmin

Dark LAVENDER

Test for copper deficiency

Serology/Immunology

Preg Test Serum

SST

Pregnancy Test

Tests for HCG in blood

Serology/Immunology

C3

SST

Complement Testing

Tests for unexplained inflammation/edema

Serology/Immunology

C4

SST

Tests for unexplained inflammation/edema

Serology/Immunology

CRP High Sensitivity

SST

C-Reactive Protein, more sensitive

Tests for cardiovascular disease risk

Serology/Immunology

CRP Routine

SST

C-Reactive Protein, less sensitive

Tests for cardiovascular disease risk

Serology/Immunology

Direct Coombs

SST

Direct Antiglobulin Test

Tests hemolytic anemia causes

Serology/Immunology

H Pylori AB

SST

H. Pylori Antibody

Tests for peptic ulcer

Serology/Immunology

HIV Standard

SST

Screen for HIV

Serology/Immunology

HIV Viral Load (RNA)

SST (Or White)

Measures HIV RNA present

Serology/Immunology

Mono Screen

SST

Screen for Mononucleosis (Epstein-Barr)

Serology/Immunology

RF

SST

Rheumatoid Factor

Tests for Rheumatoid Arthritis

Serology/Immunology

RH (Blood Type)

Dark LAVENDER & SST

Tests for Rh antibody for blood typing (+/-)

Serology/Immunology

RPR

SST

Rapid Plasma Reagin

Tests for Syphilis

Serology/Immunology

Rubella Screen

SST

Tests newborns for Rubella

Serology/Immunology

Hep Panel Acute

SST

Tests acute liver infection from HAV, HBV, HCV

Hepatitis

Hep Panel Chronic

SST

Tests past or present (Chronic) liver infection from HAV, HBV, HCV

Hepatitis

Hep A AB IGM

SST

Hepatitis A Antibody Immunoglobulin A

Tests liver infection from HAV (IgM antibodies)

Hepatitis

Hep A AB Total

SST

Hepatitis A Antibody Total

Tests liver infection from HAV (all antibodies)

Hepatitis

Hep B Core AB

SST

Hepatitis B Core Antibody

Tests for past or present (chronic) HBV infection

Hepatitis

Hep B Core AB IGM

SST

Hepatitis B Core Antibody Immunoglobulin M

Tests for past or present (chronic) HBV infection (IgM Antibodies)

Hepatitis

Hep B Sur AB

SST

Hepatitis B Surface Antibody

Tests for HBV surface ANTIBODY

Indicates immunity to Hep B

Hepatitis

Hep B Sur AG

SST

Hepatitis B Surface Antigen

Tests for HBV surface ANTIGEN

Indicates active Hep B Infection

Hepatitis

Hep C AB

SST

Hepatitis C Antibody

Tests for HCV infection (acute or chronic)

Hepatitis

HCV RNA QL

SST

Hepatitis C RNA Qualitative (Viral Load)

Confirms HCV infection

Hepatitis

Hep C RNA Quant

SST

Hepatitis C RNA Quantitative (Viral Load)

Tests effectiveness of treatment

Hepatitis

Measles AB IGG

SST

Tests for measles vaccination

MMR V Immune

Mumps AB IGG

SST

Tests for mumps vaccination

MMR V Immune

Rubella IGG

SST

Tests for Rubella vaccination

MMR V Immune

Varicella

SST

Tests for chicken pox vaccination

MMR V Immune

ELP Hemoglobin

Dark LAVENDER

Determine types of Hemoglobin in blood

Electrophoresis

ELP Prot UR 24 HOUR

NO TUBE

Urine Protein Test (24 Hour)

Assesses kidney problems

Electrophoresis

ELP Prot UR Random

NO TUBE

Urine Protein Test (Random)

Assesses kidney problems

Electrophoresis

ELP Prot Serum

SST

Serum Proteins

Diagnostic tool for many conditions

Electrophoresis

Immunofix ELP Serum

SST

Serum Immunofixation Test

Tests for abnormal immunoglobulins

Electrophoresis

AFP Tumor MK

SST

Alpha Fetoprotein Tumor Marker

Tumors of liver, testes, ovaries

Tumor Markers

BHCG Tumor MK

SST

Beta-HCG Tumor Marker

Tumors of testes, ovaries

Tumor Markers

CA125

SST

Ovarian Cancer Screen

Tumor Markers

CA27.29

SST

Recurrent Breast Cancer Screen

Tumor Markers

CEA

SST

Monitor Colon Cancer

Tumor Markers

PAP Screen

SST

Papanicolaou Smear

Cervical Cancer screen

Tumor Markers

PAP Diagnostic

SST

Papanicolaou Diagnostic

Confirms cervical cancer

Tumor Markers

PSA Diagnostic

SST

Prostate Specific Antigen Diagnostic

Confirms prostate cancer

Tumor Markers

PSA Screen

SST

Prostate Specific Antigen Screen

Prostate cancer screen

Tumor Markers

HCG Quant

SST

Quantitative Human Chorionic Gonadotropin

Tests for Pregnancy

Endocrine

Cortisol

SST

Tests for adrenal disorders

Endocrine

TSH

SST

Thyroid Stimulating Hormone

Tests for thyroid disorders

Endocrine

DHEA Sulfate

SST

Dehydroepiandrosterone

Tests Adrenal function

Endocrine

Estradiol

SST

Tests ovarian function

Endocrine

Free T4

SST

Active form of Throxine

Tests thyroid function

Endocrine

FSH

SST

Follicle Stimulating Hormone

Tests infertility

Endocrine

Glucose Fasting

SST

Screening for diabetes, high or low blood sugar

Endocrine

HA1C + Glucose

SST & Dark LAVENDER

Monitor glucose control over time (Diabetes)

Endocrine

LH

SST

Luteinizing Hormone

Tests for Infertility and pituitary disorders

Endocrine

Progesterone

SST

Tests for pregnancy or infertility cause

Endocrine

Prolactin

SST

Tests for cause of breast milk production without pregnancy

Endocrine

Testosterone

SST

Tests erectile dysfunction, infertility

Endocrine

Albumin (ALB)

SST

Diagnoses variety of disorders

Chemistry

Alk P'tase (AP)

SST

Alkaline Phosphatase Test

Tests for liver disease and bone disorders

Chemistry

ALT (SGPT)

SST

Alanine Aminotransferase

Tests for liver injury

Chemistry

Amylase

SST

Tests for acute or chronic pancreatitis

Chemistry

B12

SST

B12 vitamin (amount)

General health and nutritional status

Chemistry

AST (SGOT)

SST

Aspartate aminotransferase

Tests for liver damage

Chemistry

Bili Total

SST

Total bilirubin

Tests for liver problems (esp. Jaundice)

Chemistry

Bilirubin T&D

SST

Bilirubin Total and Direct

Chemistry

BMP

SST

Basic Metabolic Panel

INCLUDES: Glucose, BUN, Creatinine, Na, K, Cl, Ca

Chemistry

BNP

Dark LAVENDER

Brain Natriuretic Peptide

Diagnoses heart failure

Chemistry

Calcium (Ca)

SST

Tests blood calcium levels

Chemistry

CK Cardiac

SST

Creatine Kinase - Heart

Tests for heart damage

Chemistry

CK Myopathy

SST

Creatine Kinase - Muscles

Tests for skeletal muscle damage

Chemistry

Chloride (Cl)

SST

Tests blood chloride levels

Chemistry

Carbon Dioxide (CO2)

SST

Tests blood carbon dioxide levels

Chemistry

Creatinine

SST

Tests kidney function

Chemistry

Electrolytes (LYTES)

SST

Electrolyte Panel

INCLUDES: Na, Ca, Cl, CO2

Chemistry

Ferritin

SST

Tests iron stores in body

Chemistry

Folate

SST

Folate vitamin (amount)

General health and nutritional status

Chemistry

BUN

SST

Blood Urea Nitrogen

Tests Kidney Function

Chemistry

Homocystine

SST + Dark LAVENDER

Tests for B12 or Folate deficiency

Chemistry

IGA Quant

SST

Tests amount of Immunoglobulin A

Chemistry

IGE Quant

SST

Tests amount of Immunoglobulin E (allergies)

Chemistry

IGG Quant

SST

Tests amount of Immunoglobulin G

Chemistry

IGM Quant

SST

Tests amount of Immunoglobulin M

Chemistry

GGT

SST

Gamma Glutamyl Transpeptidase

Tests for liver disease and bile duct obstructions

Chemistry