Skippack Medical Lab offers a variety of tests including Covid-19 Testing, Molecular, Chemistry, Immunology, Hematology, and Toxicology.

Covid-19 Testing

New to our line of testing in 2020, we offer Gold Standard RT-PCR testing, Antibody testing, and rapid Antigen testing. Results are available within 24 hours. These result reports are valid for airline travel as well.

Molecular Testing

We perform respiratory pathogen panel amongst other tests.

Chemistry & Immunology Testing

Full menu of chemistry and immunochemistry tests available. We have fully automated, high capacity equipment to perform testing, with same day reporting.

Toxicology

The Toxicology department at Skippack Medical Lab provides drug monitoring expertise for patients in need for prescription medications. This service has expanded to include illicit drug of abuse testing.

We offer to our clients Liquid Chromatography-Tandem Mass Spectrometry (LC-MS) testing for over 80 prescription and illicit drugs in urine and oral fluid. This technology is so reliable that is the only one admissible for criminal cases prosecution. SML specializes in pain management testing with several panels of drugs that are optimized for clinical testing purposes only.

Additional information about other tests available by request.


Tests We Offer


Respiratory Pathogen Panel (RPP)

Respiratory pathogen panel test which differentiates between 20 different respiratory infections, including coronavirus 2019 (COVID-19) and influenza (flu), within 2 hours.

%Saturation

Differential diagnosis of anemia, especially with hypochromia and/or low MCV. The percent saturation sometimes is more helpful than is the iron result for iron deficiency anemia. Evaluate iron poisoning (toxicity) and overload in renal dialysis patients, or patients with transfusion dependent anemias


AFP (Tumor Marker)

AFP Testing is a safe and effective supplement to patient care when used as part of the overall management strategy for patients undergoing treatment for non-seminomatous Testicular Cancer or for patients being monitored after therapy is complete. Does not interpret serum AFP as absolute evidence of the presence of malignant disease.

ALT (SGPT)

A liver function test, ALT is more sensitive for the detection of hepatocyte injury than for biliary obstruction. ALT is more specific for liver injury than AST (SGOT). Useful for hepatic cirrhosis, other liver disease. Increased in Reye syndrome, with AST. Test for hepatitis. Acute hepatitis A or B can be confirmed serologically, as can hepatitis C. Negative serological findings in the presence of hepatitis-like chemistry abnormalities may also suggest acute drug-induced hepatitis, an impression supported by resolution after removal of the offending agent.


Albumin

Albumin measurements are used in the diagnosis and treatment of chronic inflammatory diseases, collagen diseases, and liver and kidney disorders.

Alkaline Phosphatase

Measurements of alkaline phosphatase or its isoenzymes are used in the diagnosis and treatment of liver, bone, parathyroid, and intestinal diseases.

Allergy Food Panel

This test is  used for the quantitative measurement of allergen-specific IgE in human serum, as an aid in the clinical diagnosis of IgE-mediated allergic disorders. The test results are to be used in conjunction with clinical findings and other laboratory tests.

Allergy Respiratory Panels

These tests are used for the quantitative measurement of allergen-specific IgE in human serum, as an aid in the clinical diagnosis of IgE-mediated allergic disorders. The test results are to be used in conjunction with clinical findings and other laboratory tests.


Amphetamines

Screening test for qualitative determination of amphetamines in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Amylase

Amylase is used in the differential diagnosis of acute or chronic pancreatitis. About 80% of subjects with acute pancreatitis have increased serum amylase within 24 hours.

ANA Screen, EIA

Qualitative enzyme immunoassay intended to screen for the presence of antinuclear antibodies in human serum

ANA Profile, EIA

Detects antibodies to nuclear antigens

Thyroid Peroxidase (TPO) Antibodies

The measurement of autoantibodies against thyroid peroxidase is useful in identifying patients with autoimmune thyroid disease. Anti-TPO antibodies are present in nearly all patients with Hashimoto’s thyroiditis and in greater than 70% of patients with Graves’ disease. Anti-TPO antibodies are also present in patients with atopic thyroiditis and primary myxedema.

Apolipoprotein A-1

Apo A-1 serves as an activator of LCAT which is involved in the transport of cholesterol from peripheral tissues to the liver were it is degraded. Decreased serum HDL cholesterol levels have been reported to correlate with increased risk of coronary artery disease (CAD); however, Apo A-1 has been suggested as a better discrimination of CAD than HDL.

Apolipoprotein B

LDL and its major protein, apolipoprotein B, play an essential role in lipid transport and metabolism. Apo B may be important in the genesis of atherosclerosis and its quantitation useful in the evaluation of patients at risk for or having coronary atherosclerosis (CAD). High levels indicate increased risk for CAD.

AST (SGOT)

AST measurements are used mainly to determine the progress and prognosis of patients with myocardial infarction and the diagnosis and monitoring of liver disease.

6-Acetylmorphine

Heroin (3,6-diacetylmorphine) is a naturally occurring alkaloid found in the seedpod resin of the opium poppy Papaver somniferum. It can also be synthesized by acetylation of morphine3. In vivo heroin has a half life of 2 to 8 minutes in serum and is rapidly deacetylated to 6-AM4. The hydrolysis reaction of heroin to 6-AM is catalyzed by cholinesterase and arylesterase. These reactions take place both in blood stream and liver. 6-AM has a half life of 10 – 40 minutes and detectable 2 to 24 hours after intake5. 6-AM is further hydrolyzed to morphine and morphine conjugates. The presence of 6-AM in urine is an indicator of heroin use

Barbiturates

Barbiturates are a class of central nervous system depressants. Barbiturates can be taken orally, intravenously, or intramuscularly. This group of drugs is absorbed quickly and includes short-acting drugs like pentobarbital and Secobarbital as well as long-acting drugs like Phenobarbital. Barbiturates are excreted in the urine either as a metabolite or unchanged drug

Buprenorphine

Buprenorphine is a synthetic thebaine derivative that has been used for analgesia and as an opiate antagonist. As an analgesic, Buprenorphine has approximately 25 – 40 times the potency of morphine. Overdose symptoms of the drug include confusion, dizziness, pinpoint pupils, hallucinations, hypotension, respiratory difficulty, seizures and coma1. Buprenorphine is predominantly metabolized by N-dealkylation to form Norbuprenorphine and conjugation to form conjugates of Buprenorphine and Norbuprenorphine

Basic Metabolic Panel

Components: Sodium, Potassium, CO2, Calcium, Glucose, Creatinine w/eGFR, BUN, B/C Ratio

Benzodiazepines

Benzodiazepines are structurally similar sedative-hypnotic drugs including Alprazolam, Chlordiazepoxide, Diazepam, Lorazepam, Oxazepam, and Triazolam. Benzodiazepines are taken orally and metabolized in the liver. The presence of benzodiazepines or their metabolites in urine may be used as an indication of abuse

Direct Bilirubin

Direct Bilirubin measurements are useful in the screening of liver function disorders or in the diagnosis of jaundice.

Total Bilirubin

Total Bilirubin measurements are used in the diagnosis and treatment of hemolytic, biliary, and liver disorders, including hepatitis and cirrhosis.

BNP

BNP can be used for a wide range of clinical applications, including diagnosis, monitoring and prognosis. The circulating levels of BNP increase with decreasing left ventricular function and increasing clinical severity of heart failure, which makes it an appropriate test for diagnosis and staging of heart failure. Increased levels of circulating BNP correlates with higher incidence of cardiac events and mortality in patients with heart failure and Acute Coronary Syndromes.

Blood Urea Nitrogen (BUN)

BUN measurements are used in the diagnosis and treatment of kidney disease, urinary tract obstruction, or acute or chronic renal failure.

CA 125

The test is intended for use as an aid in monitoring patients previously treated for ovarian cancer. Serial treating for CA 125 in the serum of patients who are clinically free of disease should be used in conjunction with other clinical methods used for early detection of cancer recurrence. The test is also intended for use as an aid in the managing of ovarian cancer patients with metastatic disease by monitoring the progression or regression of disease in response to treatment. CA 125 results obtained which different assay methods cannot be used interchangeably.

CA 15-3

Quantitative measurement of cancer antigen 15-3. When used in conjunction with other clinical and diagnostic procedures, serial testing with CA 15-3 assay is useful for monitoring the source of disease and therapy in metastatic breast cancer patients. Values obtained with different test methods should not be used interchangeably.

CA 19.9

Quantitative measurement of cancer antigen 19-9. This assay is indicated for the serial measurement of CA 19-9 to aid in the management of patients diagnosed with cancers of the exocrine pancreas. Values obtained with different test methods should not be used interchangeably.

Calcium, Serum

Calcium measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal failure, and tetany.

Cannabinoids

Screening test for qualitative determination of Cannabinoids in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Carbon Dioxide (CO2)

Carbon Dioxide measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.

CBC (Includes Diff/PLT)

A complete blood count is used as a screening test for various disease states including anemia, leukemia, and inflammatory processes.

CEA

This assay is intended for the in vitro quantitative determination of carcinoembryonic antigen in human serum and plasma.1 The Elecsys CEA assay is further indicated for serial measurement of CEA to aid in the management of cancer patients. The main indication for CEA determinations is the follow-up and therapy-management of colorectal carcinoma.

Childhood Allergy Screen

This test is used for the quantitative measurement of allergen-specific IgE in human serum, as an aid in the clinical diagnosis of IgE-mediated allergic disorders. The test results are to be used in conjunction with clinical findings and other laboratory tests.

Chloride, Serum

Chloride measurements are helpful in diagnosing disorders of acid-base and water balance. It is especially important to measure chloride during the correction of hypokalemic alkalosis and also during severe, prolonged vomiting, which can lower serum chloride level.

Cholesterol, Total

Cholesterol measurements are used in diagnosis and treatment of disorders involving excess cholesterol in the blood and in lipid and lipoprotein metabolism disorders.

Creatinine Kinase

CK measurements are used in diagnosis and treatment of myocardial infarction and muscles disease such as Duchenne progressive muscular dystrophy.

Cocaine Metabolites

Screening test for qualitative determination of Cocaine metabolites in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Compliment C3

Quantitation of C3 is used to detect individuals with inborn deficiency of this factor or those with immunologic disease in whom complement is consumed at an increased rate. These include lupus erythematosus, chronic active hepatitis, certain chronic infections, poststreptococcal and membranoproliferative glomerulonephritis, and other disorders.

Compliment C4

Quantitation of C4 is used to detect individuals with inborn deficiency of this factor or those with immunologic disease in whom hypercatabolism of complement causes reduced levels. These diseases include lupus erythematosus, serum sickness, certain glomerulonephritides, chronic active hepatitis, and others

Comprehensive Metabolic Panel

Components: Sodium, Potassium, Chloride, BUN, Creatinine w/eGFR, B/C Ratio, Glucose, Calcium, Carbon Dioxide, Bilirubin Total, ALT (SGOT), AST (SGPT), ALP, Albumin

Cortisol AM

The Cortisol test is primarily used to aid in the diagnosis of adrenal disorders, such as Addison’s disease, adrenal fatigue and Cushing’s disease.

Cortisol PM

The Cortisol test is primarily used to aid in the diagnosis of adrenal disorders, such as Addison’s disease, adrenal fatigue and Cushing’s disease.

C-Peptide

C-Peptide measurement is used as an aid in the diagnosis and treatment of patients with abnormal insulin secretion including diabetes mellitus.

Creatinine, Serum

Creatinine measurements are used in diagnosis and treatment of renal diseases, and in monitoring renal dialysis.

Creatinine, Random Urine

Creatinine measurements are used in diagnosis and treatment of renal diseases, and in monitoring renal dialysis.

Creatinine, 24-Hour Urine

Creatinine measurements are used in diagnosis and treatment of renal diseases, and in monitoring renal dialysis.

C-Reactive Protein

CRP measurements are used in the evaluation of infection, tissue injury, inflammatory disorders. Increases in CRP values are non-specific for many disease processes and should not be interpreted without a complete clinical evaluation.

Ethanol, Urine

Ethanol measurements are used to assist in the diagnosis and treatment of numerous potentially serious disorders associated with ethanol poisoning.

Ethyl Glucuronide (EtG)

EtG is a minor non-oxidative metabolite of ethyl alcohol formed by in-vivo conjunction of ethanol with glucuronic acid. EtG can be detected in human urine for up to three to five days following consumption of alcohol.

EDDP (Methadone Metabolite)

Methadone is a synthetic opiate agonist that metabolizes by mono and di-N-methylation to form its main metabolite, e-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) and then N-demethylates to its secondary metabolite, 2-ethyl-5-methyl-3,3-diphenylpyrroline (EMDP). Measuring EDDP for compliance is a preference in the methadone treatment program because individuals occasionally spike their own urine with methadone as a diversion, so as to cause the urine to test positive on methadone assay, when the patient has not ingested the drug.

DHEA-S

Aid in the evaluation of androgen excess (hirsutism and/or virilization), including Stein-Leventhal syndrome and adrenocortical disease, including congenital adrenal hyperplasia and adrenal tumor. DHEA-S is not increased with hypopituitarism.

Electrolyte Panel

Components: Sodium, Potassium, Chloride, Carbon Dioxide

ESR

Please contact lab for more information

Estradiol

Measuring the circulating levels of estradiol is important for assessing ovarian function and monitoring follicular development for assisted reproduction protocols.

Ecstasy (MDMA)

Screening test for qualitative determination of MDMA and closely related drugs in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Fasting Blood Sugar

Fasting blood sugar measurements are used to diagnose diabetes mellitus; evaluate disorders of carbohydrate metabolism including alcoholism; to monitor therapy in diabetics or evaluate presence of insulitoma.

Ferritin

Serum ferritin concentrations, when analyzed with other factors such as serum iron, TIBC, and tissue iron stores, is valuable in the diagnosis of iron-deficiancy anemias, anemias of chronic infections, and conditions such as thalassemia and hemochromatosis that are associated with iron overload.

Folate II

This test is used to detect folate deficiency; monitor therapy with folate; evaluate megaloblastic and macrocytic anemia; evaluate alcoholic patients and those with prior jejunoileal bypass for morbid obesity of those with intestinal blind-loop syndrome.

Food Panel 30

This test is used for the quantitative measurement of allergen-specific IgE in human serum, as an aid in the clinical diagnosis of IgE-mediated allergic disorders. The test results are to be used in conjunction with clinical findings and other laboratory tests.

Fructosamine

The measurements of Fructosamine are useful for monitoring diabetic patients. Glycated serum proteins (fructosamine) is a medium term indicator of diabetic control

FSH

FSH is pituitary product, useful to distinguish primary gonadal failure from secondary causes of gonadal failure, menstrual disturbances, and amenorrhea. Useful in defining menstrual cycle phases in infertility evaluation of women and testicular dysfunction in men.

GGT

A bilary enzyme that is especially used in the diagnosis of obstructive jaundice, intrahepatic cholestasis, and pancreatitis. GGT is more responsive to biliary obstruction than are aspartate aminotransferase (AST) and alanine aminotransferase (ALT).

Glucose Serum

Diagnose diabetes melitus; evaluate disorders of carbohydrate metabolism including alcoholism; evaluate dehydration, hypoglycemia of insulinoma, neuroglycopenia; evaluate acidosis and ketoacidosis. Random blood sugars can be used to monitor therapy in diabetics or evaluate presence of insulinoma.

GlycoMark

The GlycoMark test is an indicator of hyperglycemia and glycemic variability. Hyperglycemia and glycemic variability have been linked to diabetes-related health complications like stroke, dementia, vascular damage. GlycoMark can help to establish and maintain target blood glucose levels.

Glucose Tolerance Test

Please contact lab for more information

H. Pilory IgA/IgG/IgM Antibody

The test is used for qualitative detection of IgG antibodies to H. pylori in serum from symptomatic adults, as an aid in the diagnosis of H. Pylori Infection

HCG, Total – Serum

The test is used for quantitative determination of human chorionic gonadotropin (hCG) in serum. The results are used as an aid in the assessment of pregnancy status.

HDL

HDL measurements are used in the risk assessment of coronary artery disease.

Hematocrit

Test is the usual method for determining anemia and is used to calculate indices

Hemoglobin A1c

Assesses long term diabetic control in diabetes mellitus

Hepatic Function Panel

Components: T. Bilirubin, B. Bilirubin, ALP, ALT (SGOT), AST (SGPT), Albumin, Protein Total

Hepatitis A AB, Total

Measures both IgG and IgM forms of the antibody, but does not differentiate between these two forms. Hepatitis A antibody of IgG type is indicative of old infection and is found in almost 50% of adults

Hepatitis A IgM AB

Hepatitis A virus is a picornavirus, and antibody is made to capsid proteins. Fecal excretion of HAV peaks before symptoms develop. If hepatitis A antibody is IgM, the hepatitis A infection is probably acute. IgM antibody develops within a week of symptom onset, peaks in three months, and is usually gone after six months. Hepatitis A antibody of IgG type is indicative of old infection, is found in almost 50% of adults, and is not usually clinically relevant. Many cases of hepatitis A are subclinical, particularly in children. Presence of IgG antibody to HAV does not exclude acute hepatitis B or other forms of hepatitis

Hepatitis B Core Antibody, Total

Aid in the diagnosis of acute or chronic hepatitis B virus (HBV) infection and in the determination of the clinical status of HBV infected individuals in conjunction with other HBV serological markers. Aid in differential diagnosis of hepatitis. The presence of anti-HBC total antibody indicates previous or ongoing infection with HBV in an undefined time frame.

Hepatitis B Surface Antibody (Quant)

Hepatitis B surface antibody (anti-HBs) level can be measured to determine if vaccination is needed. Following a vaccination regimen, anti-HBs can be measured to determine if protective immunity has been achieved.

Hepatitis B Surface Antibody (QUAL)

Presence of anti−HBs is an indicator of clinical recovery and subsequent immunity to hepatitis B virus. This test is useful for evaluation of possible immunity in individuals who are at increased risks for exposure to the hepatitis B (ie, hemodialysis unit personnel, venipuncturists, etc). Evaluate the need for hepatitis B immune globulin after needlestick injury; evaluate the need for hepatitis B vaccine and follow immune status after hepatitis B vaccine

Hepatitis B Surface Antigen

Hepatitis B surface antigen is the earliest indicator of the presence of acute infection. Also indicative of chronic infection. Test is useful in the differential diagnosis of hepatitis.

Hepatitis B Surface Antigen Confirmatory

HBsAg Confirmatory Assay is a diagnostic immunoassay for the qualitative confirmation of the presence of hepatitis B surface antigen (HBsAg) in human serum

Hepatitis C Antibody

The assay detects antibody to a presumptive togavirus or flavivirus which may be an etiologic agent of non-A, non-B hepatitis (which may not be a unitary disease entity).

Hepatitis Panel

Comprehensive profile for detecting markers for HAV, HBV or HCV infections; can be used for all stages of infection

Components: Hepatitis Bs Ag, Hepatitis A IgM, Hepatitis B Core IgM, Hepatitis Bs Ab, Hepatitis C Ab, Hepatitis A Total, Hepatitis B Core

HIV Type 1 and 2, Ag/Ab Combo Assay

HIV antigen-antibody assay is acknowledged to detect acute HIV infection 4 to 12 days earlier than third-generation assays. Coupled with supplemental tests and clinical information, this cascade can help decrease the spread of HIV infection. According to the CLSI guideline, anyone testing positive by a fourth-generation screening assay and supplemental tests (either antibody or RNA detection) should initiate care and follow-up tests for clinical staging.

Histology/Surgical Pathology (Biopsies)

Please contact lab for more information

Homocysteine

Homocysteine test results are used in assessing the risk of developing coronary artery disease, stroke, atherosclerosis and other diseases including miscarriages and birth defects.

High Sensitive C-Reactive Protein

hsCRP measurements may be used as an independent risk marker for the identification of individuals at risk for future cardiovascular disease.

HSV Type I and II IgG

For the qualitative determination of type specific IgG antibodies to Herpes simplex virus Type I and II in human serum.

Insulin

Insulin levels are not typically used in the diagnosis or management of diabetic patients. Insulin levels can be useful in evaluating patients with fasting hypoglycemia, in determining insulin resistance in the general population, and in assessing abnormalities in beta cell secretory function.

Iron, Total

Iron measurements are used in the diagnosis and treatment of iron deficiency anemias and hemochromatosis.

LDH

LDH measurements are used in the diagnosis and treatment of myocardial and pulmonary infarction. They may also be used to monitor cancer chemotherapy.

LH

The primary clinical use of LH measurement is in evaluating the normalcy of hypothalamic-pituitary-gonadal axis. Measurement of serum gonadotropin levels will allow for distinguishing between primary gonadal failure and deficient gonadal stimulation. LH measurement may also be of clinical importance because growth hormone and LH are frequently the first hormones to be affected by pituitary disease. The serum analysis of LH has also been found to be very useful in the diagnosis and treatment of infertility in women.

Lipase

Lipase measurements are used in the diagnosis and treatment of diseases of the pancreas, such as acute pancreatitis and obstruction of the pancreatic duct.

LDL, Direct

LDL measurements are used in the risk assessment of coronary artery disease.

Lipid Panel

The measurements are used in the risk assessment of coronary artery disease.

Lipoprotein (a)

Measurement of Lipoprotein (a) may aid in the diagnosis of lipid metabolism and in assessing persons at risk for cardiovascular diseases when used in conjunction with clinical evaluation and other lipoprotein tests.

Lp-PLA2 Activity Assay

Lipoprotein-associated A2 (Lp-PLA2) is an enzymatic, specific marker of atherosclerosis-related vascular inflammation.

Magnesium, Serum

Magnesium measurements are used in the diagnosis and treatments of hypermagnesemia and to monitor patients receiving prolonged magnesium-free intravenous therapy.

Meperidine

Meperidine has approximately one-eighth to one-tenth the potency of Morphine. Overdoses of the drug can cause central nervous system escalation – tremors, muscle twitches and seizures. No anticonvulsant activity is observed. Tolerance to Meperidine develops more slowly than to morphine. The compound is metabolized in the liver to Normeperidine and Meperidine acid.

Methadone

Screening test for qualitative determination of Methadone in human urine. A more specific alternative analytical method must be used to obtain a cofnirmed analytical result.

Microalbumin

Measurements of albumin in urine are used in diagnosis and treatment of microalbuminuria and are helpful for the detection and treatment of patients at risk from renal disease.

Microalbumin, 24-Hour Urine

Measurements of albumin in urine are used in diagnosis and treatment of microalbuminuria and are helpful for the detection and treatment of patients at risk from renal disease.

Occult Blood, Stool

Rapid, visually read, qualitative immunochemical chromatographic method for detection of human hemoglobin from blood in fecal samples

Opiates

Screening test for qualitative determination of Opiates in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Oxycodone

Oxycodone is metabolized by N and O-demethylation. The Noroxycodone metabolite is relatively inactive, while Oxymorphone is a potent narcotic analgesic. 33-61% of a single dose of Oxycodone is excreted in the 24 hour urine as free (13 – 19%) and conjugated Oxycodone (7- 29%), conjugated Oxymorphone (13 – 14%) and an unknown amount of Noroxycodone

PCP (Phencyclidine)

Screening test for qualitative determination of Phencyclidine in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Phosphorus, Serum

Inorganic phosphorus measurements are used in diagnosis and treatment of kidney diseases, parathyroid disorders, and Vitamin D imbalance.

Platelet Count

Please contact lab for more information

Potassium, Serum

Potassium measurements are used to monitor electrolyte balance in the diagnosis and treatment of primary aldosterone’s, metabolic alkalosis, diarrhea, severe vomiting, diuretic administration, diabetic ketoacidosis, and other diseases.

Potassium, Plasma

Potassium measurements are used to monitor electrolyte balance in the diagnosis and treatment of primary aldosterone’s, metabolic alkalosis, diarrhea, severe vomiting, diuretic administration, diabetic ketoacidosis, and other diseases.

Progesterone II

Clinical evaluation of progesterone confirms ovulation and normal luteal function in nonpregnant women. Inadequate progesterone production by the corpus luteum may indicate luteal phase deficiency (LPD), which is associated with infertility and early miscarriage.

Prolactin

Consistently elevated serum prolactin levels greater than 30 ng/mL tn the absence of pregnancy and postpartum lactation are indicative of hyperprolactinemia, which is the most common hypothalamic-pituitary dysfunction encountered in clinical endocrinology. Renal failure, hypothyroidism, and prolactin-secreting pituitary adenomas are also common causes of abnormally elevated prolactin levels.

Propoxyphene

Screening test for qualitative determination of Propoxyphene in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Protein, Total (Serum)

Total protein measurements in serum are used in diagnosis and treatment of a variety of diseases involving the liver, kidney, or bone marrow, as well as other metabolic and nutritional disorders.

Protein, Total 24-Hour Urine

Total protein measurements in urine are used in diagnosis and treatment of proteinuria as well as conditions leading to breakdown of the blood-CNS barrier.

PSA, Free

Measurement of free PSA is used in conjunction with total PSA to determine a ratio of free PSA to total PSA (percent free PSA). The percent free PSA is used as an aid in discriminating prostate cancer from benign disease in men. Prostate biopsy is required for diagnosis of prostate cancer. Values obtained with different PSA assays cannot be used interchangeably.

PSA, Total

The measurements of total PSA are used as an aid in the detection of prostate cancer when used in conjunction with digital rectal examination (DRE) in men. This test is further indicated as an adjunctive test to aid in the management of prostate cancer patients. Values obtained with different PSA assays cannot be used interchangeably.

Prothrombin Time with INR

Screening test for abnormalities of coagulation factors that are involved in the extrinsic pathway.

PTH, Intact

Diagnosis of parathyroid disease and other diseases of calcium homeostasis; monitoring patients undergoing renal dialysis.

Partial Thromboplastin Time, Activated

Please contact lab for more information

Rheumatoid Factor IgM AB

Rheumatoid Factor measurements are used in the diagnosis of rheumatoid arthritis. Rheumatoid Factors are auto-antibodies directed against the Fc portion of IgG. The majority of rheumatoid factors are IgM, but may be IgG or IgA. Conditions giving rise to such factors include rheumatic conditions and chronic inflammatory processes.


RPR (DX) W/REFL TITER

This is a non-treponemal screening test for syphillis.

Rubella IgG, SemiQuant

For the qualitative determination of IgG Ab to rubella virus.

SHBG

Levels of SHBG are under positive control of estrogens and thyroid hormones, and are suppressed by androgens. These influences dynamically control the liver synthesis of this carrier protein. Decreased levels of SHBG are frequently seen in hirsutism, virilization, obese postmenopausal women, and in women with diffuse hair loss. Increased levels may be present in cases of hyperthyroidism, testicular feminization, cirrhosis, male hypogonadism, pregnancy, women using contraceptives, and prepubertal children.

Sodium

Sodium measurements are used in diagnosis and treatment of gross changes in water and salt balance, aldosterone’s, diabetes insipidus, adrenal hypertension, Addison’s disease, dehydration, inappropriate antidiuretic hormone secretion, diabetic acidosis, severe diarrhea, or diseases involving electrolyte imbalance.

TCA

Screening test for qualitative determination of Tricyclic Antidepressants in human urine. A more specific alternative analytical method must be used to obtain a confirmed analytical result.

Thyroid Binding Globulin (TBG)

The test is used for quantitative measurement of TBG in serum, as an aid in the diagnosis and treatment of thyroid disease.

Testosterone, Free

Evaluate hirsutism and masculinization in women; evaluate testicular function in clinical states where the testosterone binding proteins may be altered (obesity, cirrhosis, thyroid disorders)

Testosterone

Testosterone testing is used to evaluate androgen excess or deficiency related to gonadal function, adrenal function, or tumor activity. Testosterone levels may be helpful in men for the diagnosis of hypogonadism, hypopituitarism, and impotence (low values). Testosterone levels may be requested in women to investigate the cause of hirsutism, anovulation, amenorrhea, virilization, masculinizing tumors of the ovary, tumors of the adrenal cortices, and congenital adrenal hyperplasia (high values)

THINPREP

Please contact lab for more information

Thyroid Panel

Components: TSH, T4, T3, FTI, (Free Thyroxine Index)

Thyroglobulin Antibodies

This assay is intended to be used as an aid in the diagnosis of Hashimoto’s and Grave’s diseases which are autoimmune diseases affecting the thyroid gland.

TIBC

Measurement of Total Iron Binding Capacity in serum is used in diagnosis and treatment of anemia.

Total IgE

Immunoglobulins of the IgE class is a mediator of the allergic response. Quantitative measurements of serum IgE, when integrated with other clinical indicators, can provide useful information for the differential clinical diagnosis of atopic and non-atopic disease.

T3, Free

Free T3 levels correlate with T3 secretion and metabolism. In hypothyroidism and hyperthyroidism, free T3 levels parallel changes in total T3 levels. However, measuring free T3 is useful when altered levels of total T3 occur due to changes in T3 binding proteins, especially TBG.

T4, Free

Free T4 levels correlate with T4 secretion and metabolism. In hypothyroidism and hyperthyroidism, FT4 levels parallel changes in total T4 levels. Measuring free T4 is useful when altered levels of total T4 occur due to changes in T4 binding proteins, especially TBG.TBG levels remain relatively constant in healthy individuals, but certain conditions, such as normal pregnancy and steroid therapy, can alter these levels. In these conditions, free T4 levels are unchanged, while total T4 levels parallel the changes in TBG.

T3 Total

Triiodothyronine is a hormone that originates from direct thyroid synthesis and secretion and from peripheral conversion of T4 to T3. Diagnostically, T3 concentration is more sensitive to certain thyroid conditions than T4. While T4 levels are a sensitive (and superior) indicator of hypothyroidism, T3 blood levels better define hyperthyroidism. The T3 level is also an excellent indicator of the ability of the thyroid to respond to both simulatory and suppressive tests. Under conditions of strong thyroid stimulations, the T3 level offers a good estimation of thyroidal reserve as well.

T4 (Thyroxine), Total

Thyroxine is a hormone synthesized and secreted by the thyroid gland, and plays an important role in regulating metabolism. Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T4 or T3. In addition, as thyroid function is directly affected by TSH, malfunction of the pituitary or the hypothalamus influences the thyroid gland activity. Disease in any portion of the thyroid-pituitary-hypothalamus system may influence the levels of T4 and T3 in the blood.

T3 Uptake

T Uptake and total T4 are used to estimate the amount of circulating free T4. The estimate, or Free Thyroxine Index (FTI), is a normalized measurement that remains relatively constant in healthy individuals and compensates for abnormal levels of binding proteins, which can occur in many different physical conditions.

Tramadol

Tramadol is a centrally acting synthetic analgesic compound. Analgesia in human begins occur in approximately after one hour of administration and reaches a peak in approximately two to three hours. Tramadol is extensively metabolized after oral administration. Approximately 30% of the dose is excreted in human as unchanged drug, whereas 60% is excreted as metabolites. The major pathways appear to be N- and O-demethylation, glucoronidation or sulfation in the liver.

Transferrin

Transferrin measurements are used as an aid in the diagnosis of malnutrition, chronic infection, acute hepatitis, polycythemia, pernicious anemia, and red blood cells disorders, such as iron deficiency anemia.

Triglycerides

Triglycerides measurements are used in diagnosis and treatment of patients with suspected atherosclerosis, poorly controlled diabetes mellitus, nephrotic syndrome, liver disease or obstruction, and other diseases involving lipid metabolism.

TSH

Investigation of low thyroxine (T4) result; the differential diagnosis of primary hypothyroidism from normal, and the differential diagnosis of primary hypothyroidism from pituitary/hypothalamic hypothyroidism. TSH is high in primary hypothyroidism. Low TSH occurs in hyperthyroidism. Evaluation of therapy in hypothyroid patients receiving various thyroid hormone preparations: Low values are found in states of excessive thyroid replacement. Normal result on a sensitive TSH assay is acceptable evidence of adequate thyroid replacement.

Uric Acid, Serum

Uric Acid measurements are useful in the diagnosis and treatment of gout, renal failure, and a variety of other disorders including leukemia, psoriasis, starvation and other wasting conditions.

Uric Acid, Random Urine

Uric Acid measurements are useful in the diagnosis and treatment of gout, renal failure, and a variety of other disorders including leukemia, psoriasis, starvation and other wasting conditions.

Uric Acid, 24-Hour Urine

Uric Acid measurements are useful in the diagnosis and treatment of renal failure, and a variety of other disorders including leukemia, psoriasis, starvation and other wasting conditions.

Urinalysis, Complete

Please contact lab for more information

Vitamin B 12

This test helps to detect B12 deficiency as in pernicious anemia; diagnose folic acid deficiency; diagnose macrocytic anemia; diagnose megaloblastic anemia; evaluate malabsorption, neurological disorders, or the elevation of B12 as seen in liver cell damage or myeloid leukemia.

Vitamin D, 25-Hydroxy

Values of vitamin D vary with exposure to sunlight. The assay measures other vitamin D metabolites, including dehydroxylated metabolites such as 24,25, 25,26, and 1,25 dihydroxy vitamin D; however, since the physiological concentrations of these metabolites are insignificant compared to those of 25-hydroxy vitamin D, the accuracy in assessing vitamin D levels is not compromised.

Specimen Validity Test (SVT)

Specimen Validity Test is intended for use as an indicator of adulteration in human urine

WBC Count

Most commonly utilized test to monitor characteristic response to infection. Diagnostically useful for diseases such as leukemia, leukocyte disorders, as well as monitoring therapy of these diseases.

Mumps IgG

Semi-quantitative determination of IgG to mumps virus in human serum.

Varicella IgG, SemiQuant

Please contact lab for more information

Treponema Pallidum Ab

The qualitative determination of total antibodies directed against treponema pallidum in human serum

EBV Panel Qualt

Differentiation of acute from chronic or reactivated infections with Epstein-Barr virus

HIV 1/2 Ag/Ab Combo Assay, Qualitative

Comparison of the nucleic acid sequences for HIV-1 and HIV-2 shows approximately 60% homology in the conserved genes, such as gag and pol(encoding core proteins), and 30 to 40% homology in less conserved regions (encoding envelope proteins). HIV-1 has been subdivided into group M (subtypes A-H) and group O.

Vitamin D 1,25 OH

For the quantitative determination of 1,25 dihydroxyvitamin D in serum

Chlamydia trachomatis/Neisseria gonorrhoeae, NAA

CT/NG Assay is an automated in vitro diagnostic test for qualitative detection and differentiation of DNA from CT and NG

Trichomonas Vaginalis, NAA

TV Assay is an automated in vitro diagnostic test for qualitative detection of Trichomonas vaginalis (TV) genomic DNA

B. Burgdorferi IgG/IgM

For the qualitative presumptive detection og IgG and IgM antibodies to VIsE protein antigen of Barrelia burgdorferi in human serum

Measles IgG

Semi-quantitative determination of IgG to measles virus in human serum.

Methylmalonic Acid

Methylmalonic acid (MMA) in serum is measured to help diagnose a number of disorders, primarily Vitamin B12 deficiency.

Coenzyme Q10

CoQ10 is measured to assess body antioxidant defense. It should be noted that the CoQ10 values exceeding 1.80 µg/mL are not abnormal and could be beneficial to the patient.

Reverse T3

Reverse T3 is the third-most common iodothyronine produced by enzymatic removal of an iodine atom from T4. The process of rT3 conversion to diiodothyronine is inhibited by the wide variety of illnesses. Certain illnesses, such as euthyroid sick syndrome, may also cause elevated concentration of rT3.

Vitamin B1

Out of four Vitamin B1 forms, the principal biologically active form of thiamine is thiamine pyrophosphate (TPP) that serves as a coenzyme for essential decarboxylation reactions for carbohydrates, fats, and alcohol to metabolize and produce energy. In the whole blood roughly 80% of vitamin B1 is present in red blood cells, predominantly in TPP form. The concentration of TPP in erythrocytes has been shown to be a good indicator of the whole body stores because it depletes from erythrocytes at a rate similar to those of other major organs.

Vitamin B6

The active form of Vitamin B6, pyridoxal 5′phosphate, serves as a coenzyme in some enzyme reactions in amino acid, glucose, and lipid metabolism. Pyridoxal-5’phosphate (PLP) is the most clinically significant coenzyme form of vitamin B6 most commonly measured in plasma. Inverse associations have been shown between plasma PLP and chronic or acute diseases, including rheumatoid arthritis, cardiovascular disease, deep vein thrombosis, and cancer.

Toxicology: Oral Fluid

Oral Fluid (OF) drug testing is less invasive and reduces the possibility of adulteration as a specimen collection is performed under direct observation. This method is intended for identification and quantification of several classes of over 30 drugs in oral fluid (OF): Stimulants, Benzodiazepines, Opiates Natural and Semi-Synthetic, Synthetic Opioids, and Illicit drugs. The above listed analytes are extracted and analyzed under one method named Panel OF.

Toxicology: Urine

This method is intended for prescription compliance monitoring as well as drug abuse detection in urine. This method is intended for identification and quantification of several classes of over 60 drugs: Stimulants, Benzodiazepines, Opiates, Antidepressants, and Illicit drugs. It is not intended for use in forensic tests such as pre-employment drug testing or medical examiner/coroner work.

Barbiturates/THC

Barbiturates are drugs that act as central nervous system depressants, and can therefore produce a wide spectrum of effects, from mild sedation to total anesthesia. They are also effective as anxiolytics, hypnotics, and anticonvulsants (epilepsy).

Alcohol Biomarkers (ETG/ETS)

To identify and quantify the presence of the following alcohol metabolites in urine: Ethyl-ß-D-glucuronide (ETG), Ethyl sulfate (ETS). Both metabolites serve as biomarkers of drinking history and remain in urine 24-96 hrs after alcohol consumption has seased.

Cotinine

This procedure is intended to identify and quantify the presence of Cotinine (Nicotine metabolite) in urine to identify tobacco use or abstaining from smoking among participants for insurance purposes. It is not intended for use in forensic tests such as preemployment drug testing or medical examiner/coroner work.

D,L-Methamphetamine

The purpose of this SOP is to describe the identification and quantitation of Methamphetamine chiral isomers D-methamphetamine, also known as S-Methamphetamine and L-Methamphetamine, also known as R-Methamphetamine. This procedure is intended for prescription or drug abuse purposes in clinical environment, such as treatment/rehabilitation, pain management programs. It is not intended for use in forensic tests, such as preemployment drug testing or medical examiner/coroner work.

GI Profile, Stool, PCR

Multiplexed nucleic acid test intended for the simultaneous qualitative detection and identification of nucleic acids from multiple bacteria, viruses and parasites directly from stool samples in Cary-Blair transport media obtained from individuals with signs and/or symptoms of gastrointestinal infection

Respiratory Profile, PCR

Qualitative detection and identification of multiple respiratory viral and bacterial nucleic acids in nasopharyngeal swabs obtained from individuals suspected of respiratory tract infection