TEST

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILLING

LOC

C1 ESTERASE INHIBITOR

(COMPLEMENT C1)

(COMPLIMENT C1 ESTERASE INHIBITOR)

(C1 ESTERASE)

(C1 INHIBITOR)

C1INC

Serum, 2 mL

Centrifuge only

Store and transport refrigerated

TAT – 15 days

YELLOW SST

OHIP

LL

 

C1 ESTERASE INHIBITOR,

FUNCTIONAL

C1INF

Plasma, 2 mL

Centrifuge and separate

Store and transport frozen

TAT – 30 days

LIGHT BLUE

OHIP

LL

 

C1Q IMMUNE COMPLEXES

(C1Q COMPLEMENT BINDING ACTIVITY)

(C1Q IMMUNE COMPLEXES)

(COMPLEMENT C1Q)

C1Q

Serum, 1 mL

Centrifuge and separate within 1 hour of clotting

Store and transport frozen

TAT – 25 days

YELLOW SST

OHIP

LL

 

C2

(COMPLEMENT C2)

C2COMP

Serum, 2 mL

Collect in a pre-chilled tube

Centrifuge and separate within one hour of collection.

Store and transport frozen.

If thawed, specimen is unsuitable.

TAT – 30 days

YELLOW SST

$65.00

LL

 

C3

(COMPLEMENT C3)

C3

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

LL

 

C4

(COMPLEMENT C4)

C4

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

LL

 

 

C5

(COMPLEMENT C5)

 

RCML

Plasma, 2 mL

Centrifuge and separate

Store and transport frozen

TAT – 30 day

 

LAVENDER

 

OHIP

 

LL

 

 

C6

(COMPLEMENT C6)

 

RCML

Plasma, 2 mL

Centrifuge and separate into 2 aliquots of 1 mL each-keep aliquots together with elastic.

Store and transport frozen

TAT – 30 days

 

LAVENDER

 

OHIP

 

LL

 

CD4, CD8

(LYMPHOCYTE MARKER-T CELL ONLY)

(T CELL LYMPHOCYTE MARKER ONLY)

 

CD4

CD8

Blood

For Main Lab: Collect Mon-Wed and Thursday before 11 AM; if Friday is a statutory holiday, collect Mon-Tues and Wednesday by11 AM.

For all other collection facilities (including physician offices), collect Mon-Wed ONLY. If Friday is a statutory holiday, collect Mon-Tues ONLY.

Store and transport at room temperature.

Specimen must be tested within 24 hours of collection.

Complete a “LifeLabs Request for Lymphocyte Marker Analysis by Flow Cytometry Form” Date and time of collection must be recorded on this form.

Quebec patients should be referred to the Ottawa Hospital General Campus

FOR ALL OTHER MARKERS SEE – IMMUNOPHENOTYPING

TAT – 3 days

LAVENDER

OHIP

LL

 

CD19

(LYMPHOCYTE MARKERS)

(T & B CELLS)

See IMMUNO PHENOTYPING

           

C-PEPTIDE

C-PEP

Plasma, 2 mL

Fasting specimen required

Centrifuge and separate

Store and transport frozen

TAT – 5 days

GREEN

with heparin

OHIP

LL

 

C-REACTIVE PROTEIN

(CRP)

CRPQ

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

C-REACTIVE PROTEIN

HIGH SENSITIVITY

(CRP– HIGH SENSITIVITY)

 

CRPHS

Serum, 1 mL

Centrifuge only

TAT – 1- day

YELLOW SST

OHIP

BTL

 

C–TELOPEPTIDE

CTEL

Serum, 1 mL

Madatory the patient is fasting minimum 8 hours.

Centrifuge and separate

Store and transport frozen

TAT – 20 days

YELLOW SST

$75.00

LL

 

CA 125

(OV 125)

(CANCER ANTIGEN 125)

CA125

Serum, 1 mL

Centrifuge only

NOT to be used as a screening test

Malignancy must be established

TAT – 5 days

YELLOW SST

$35.00

LL

 

CA 15-3, BREAST

(CANCER ANTIGEN 15-3)

(CARBOHYDRATE ANTIGEN 15-3)

CA15

Serum, 1 mL

Centrifuge and separate

Store and transport frozen

(Same as CA 27, 29)

TAT - 10 days

YELLOW SST

$25.00

LL

 

CA 19– 9, PANCREAS

(CANCER ANTIGEN 19-9)

(CARBOHYDRATE ANTIGEN 19-9)

CA199

Serum, 1 mL

Centrifuge ONLY

Store and transport refrigerated

TAT – 3-5 days

YELLOW SST

$50.00

LL

 

CADMIUM

CAD

Whole blood

Do not open tube

Store and transport refrigerated

TAT – 21 days

ROYAL BLUE
with K2EDTA

$40.00

LL

 

CADMIUM SCREEN

 

RCML

Urine, 50 mL (random)

Submit in a white cap 90 mL container

TAT – 21 days

 

 

$40.00

 

LL

 

CADMIUM SCREEN

CADMIUM

24 Hour Urine (Acid Washed Container)

*Order Acid Washed Container from Main Lab as required.

Submit 7mL of urine in a labelled ROYAL BLUE top tube (WITHOUT ADDITIVE)

State total 24-hour volume on the OHIP Requisition and on the specimen container

Retain a duplicate 90mL urine sample in the fridge until test is reported

TAT – 1-2 weeks

 

$40.00

LL

 

CAFFEINE

(CAFFEINE- QUANTITATIVE)

CAFF

Serum,1 mL

Collect 10 – 12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection.

TAT – 15 days

PLAIN RED

$40.00

LL

 

CALCITONIN

CLT

Serum, 3 mL

Fasting sample required

Centrifuge and separate

Store and transport frozen

TAT – 30 days

YELLOW SST

OHIP

LL

 

CALCIUM

CA

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CALCIUM, CORRECTED

RCML

Serum

Centrifuge only

  • Testing includes serum calcium and albumin

TAT – 1 day

YELLOW SST

OHIP

LL

 

CALCIUM, IONIZED

(Ca ²+, Ca++, Free Calcium)

CAION

Serum

*Tube MUST be completely filled (full draw)

Centrifuge only

Do not remove tube stopper

Test result is invalid if specimen is exposed to air

TAT – 2 days

Quebec patients send-out instructions: ship chilled sample to Montfort (ice packs)

YELLOW SST

OHIP

LL

 

CALCIUM, URINE

24UCA

24 Hour Urine (no preservative)

(May also be accepted if collected with 6N HCl as preservative)

10 mL aliquot – submit in a sterile urine container

State total 24-hour volume on the OHIP Requisition, and on the specimen container

Storeandship refrigerated

Retain a duplicate 90 mL urine sample in the fridge until test is reported

TAT – 1 days

 

OHIP

LL

 

CALCIUM, URINE

UCM

Urine, 10 mL (random)

Submit in an orange or white cap container tube

TAT – 2 days

 

OHIP

LL

 

CALCULUS ANALYSIS

(STONE ANALYSIS)

RCML

Submit entire specimen

Indicate source

Submit unpreserved stone in clean labelled container.

TAT – 30 days

 

OHIP

LL

 

CALPROTECTIN, STOOL

(FECAL CALPROTECTIN)

CALP

Sterile Container

Collect undiluted feces in a clean, dry, sterile, leak-proof container. Do not add fixative or preservative.

Store and transport frozen.

TAT- 15 days

 

$110.00

LL

 

CAMPYLOBACTER

(STOOL CULTURE)

Stool-1

Stool

Place stool in Cary–Blair transport container to the “FILL LINE”

Shake to emulsify sample

*Data entry code stool-2, if a second sample received

*Data entry code stool-3, if a third sample received

TAT - 2 days

 

OHIP

BTL

 

CANCER ANTIGEN 15-3

(CARBOHYDRATE ANTIGEN 15-3)

See CA 15-3, BREAST

CA15

         

CANCER ANTIGEN 19-9

(CARBOHYDRATE ANTIGEN 19-9)

See CA 19– 9, PANCREAS

CA199

         

CANDIDA TITRE

 

TEST NO LONGER AVAILABLE

       

CANNABIS

(CANNABINOIDS SCREEN, MARIJUANA, TETRAHYDRO-CANNABINOIDS, THC)

UCB

Urine, 10 mL (random)

Submit in an orange or white cap container

TAT – 2 days

 

OHIP

LL

 

CARBAMAZEPINE

(TEGRETOL)

CARBM

Serum, 2 mL

Collect specimen 10 – 12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection

TAT – 1 day

PLAIN RED

OHIP

LL

 

CARBOHYDRATE

ANTIGEN 15-3

(CANCER ANTIGEN 15-3)

See CA 15-3, BREAST

CA15

         

CARBOHYDRATE

ANTIGEN 19-9

(CANCER ANTIGEN 19-9)

See CA 19- 9, PANCREAS

CA199

         

CARBON DIOXIDE

(CO2)

See BICARBONATE

CO2

         

CARBOXYHEMOGLOBIN

(CARBON MONOXIDE)

RCML

Blood

DO NOT OPEN TUBE

Refrigerate during storage and transport

TAT – 14 day

GREEN

with Heparin

OHIP

LL

 

CARCINOEMBRYONIC

ANTIGEN

(CEA)

CEA

Serum,minimum volume:1 mL

Centrifuge and separate

Store and transport refrigerated

A CEA Requisition Form completed and signed by the physician must accompany sample

Four weeks (28 days) must elapse between test requests

Testing is covered by OHIP for a patient who is:

(a) being treated for metastatic breast cancer

(b) receiving adjuvant therapy for resected colorectal cancer

(c) being treated for metastatic disease

Form available on BIO-TEST website

TAT – 4 days

 YELLOW SST

 OHIP

 LL

 

 CARCINOEMBRYONIC

ANTIGEN

(CEA)

 CEAN

 

Serum,minimum volume:1 mL

Centrifuge and separate

Store and transport refrigerated

A CEA Requisition Form completed and signed by the physician must accompany sample

Note: to be used when four weeks have NOT elapsed between CEA test requests OR when the patient does not meet the aforementioned criteria and not covered by OHIP

Form available on BIO-TEST website

TAT – 4 days

 YELLOW SST

 $35.00

 LL

 

CARDIOLIPIN ANTIBODY

See ANTI–CARDIOLIPIN AB

ACL

       

CARNITINE, FREE / TOTAL

CARN

ITIN

Serum, 1 mL

Centrifuge and separate

Store and transport frozen

TAT – 1-2 weeks

PLAIN RED

$60.00

LL

 

CAROTENE

(B–CAROTENE)

CAR

Serum, 4 mL

Protect from light

Centrifuge and separate

Store and transport frozen

TAT – 20 days

YELLOW SST

OHIP

LL

 
             

CAT SCRATCH FEVER

ANTIBODY

See BARTONELLA ANTIBODY

         

CATECHOLAMINES

(EPINEPHRINES)

(NOREPINEPHRINES)

RCML

Plasma

Patient must be supine for at least 15 minutes prior to & during specimen collection.

Fasting sample required

Provide list of medications.

Centrifuge and separate within 60 minutes of collection.

Freeze immediately and store and transport frozen.

If the specimen thaws, it is unsuitable for analysis.

TAT – 14 days

LAVENDER

OHIP

LL

 

CATECHOLAMINES

(EPINEPHRINE)

(NOREPINEPHRINE)

(DOPAMINE)

(ADRENALINE)

(NORADRENALINE)

24CAT

24 Hour Urine (6N HCl preservative)

50 mL aliquot – submit in a sterile urine container

Refrigerate during storage and transport

State total 24-hour volume on the OHIP Requisition, and on the specimen container

Retain a duplicate 50 mL aliquot in the fridge until test is reported

Avoid strenuous exercise prior to collection

The following foods and medications must be avoided for 3 days prior to and during collection:

*Patient must contact their physician before stopping an prescription or non-prescription meds

 

Foods to avoid: Caffeine (coffee, tea, cocoa, chocolate, caffeinated beverages), Amines (bananas, avocados, cheese, walnuts, alcohol, fruit and juices), Vanilla, Licorice, Tobacco

Medications to avoid: Acetaminophen (Tylenol), Cimitidine, Salicylate (Asprin), Labitalol, Methyldopa (Aldomet), Vitamin C, Cough medication, Antihistamine

After the specimen is collected, the patient may resume normal diet.

TAT – 1 week

 

OHIP

LL

 

CATECHOLAMINES,

TOTAL

 

TOTAL NO LONGER AVAILABLE, ONLY FRACTIONATED – SEE ABOVE

       

CEA

See CARCINOEMBRYONIC ANTIGEN

CEA

         

CEA

See CARCINOEMBRYONIC

ANTIGEN

CEAN

Note: to be used when four weeks have NOT elapsed between CEA test requests OR when the patient does not meet the aforementioned criteria and not covered by OHIP

       

CELIAC DISEASE PANEL

(CELIAC DISEASE TESTING)

(GLUTEN ANTIBODIES)

 

 

 

CELD

 

 

 

 

 

 

TTG

 

 

RCML

Serum, 2 mL

Centrifuge only

  • Testing includes Deamidated Gliadin Peptide IgG and Tissue Transglutaminase IgA Antibodies

 

Screen includes or can be ordered separately:

TTG – Tissue Transglutaminase/IgA

 

Deamidated Gliadin Peptide IgG

TAT – 3 days

YELLOW SST

 

 

 

 

$125.00

 

 

 

 

 

 

$60.00

 

 

$90.00

LL

 

CELONTIN

(METSUXIMIDE)

RCML

Plasma, 2 mL

Collect specimen 10 – 12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection

TAT – 20 days

GREEN

With Heparin

OHIP

LL

 

CENTROMERE ANTIBODIES

(ANF, ANTI–NUCLEAR ANTIBODY, SLE ANTIBODY)

See ANA

ANA

       

CERULOPLASMIN

(COPPER LEVELS)

CERU

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

 LL

 

CH50

(COMPLEMENT HEMOLYTIC)

(HEMOLYTIC COMPLEMENT FIXATION)

(COMPLEMENT TOTAL CH50)

RCML

Serum, 2 mL

Centrifuge and separate as soon as possible.

Store and transport frozen

TAT – 15 days

PLAIN RED

OHIP

LL

 

CHARCOT MARIE TOOTH (CMT1A)

See MOLECULAR GENETICS (III)

RCHEO

         

CHICKEN POX, CULTURE

(VARICELLA ANTIBODY)

(VARICELLA ZOSTER ANTIBODY)

(ZOSTER ANTIBODY SWAB)

VARI

Viral swab (from a “fresh” lesion) or vesicular fluid

Store and transport refrigerated

TAT – 16 days

 

N/C

PHL

 

CHICKEN POX, DIAGNOSTIC

(VARICELLA ANTIBODY)

(VARICELLA ZOSTER ANTIBODY)

(ZOSTER ANTIBODY)

VARI

Serum, 1 mL

Centrifuge only

● Testing includes Varicella IgG and IgM

TAT – 5 days

YELLOW SST

N/C

PHL

 

CHICKEN POX, IMMUNITY

(VARICELLA ANTIBODY)

(VARICELLA ZOSTER ANTIBODY)

(ZOSTER ANTIBODY)

VARI

Serum, 1 mL

Centrifuge only

  • Varicella IgM is not performed for immunity testing

TAT – 5 days

YELLOW SST

N/C

PHL

 

CHLAMYDIA, NON-GENITAL CULTURE

Male

Female

 

 

RPHL

Swab, tissue, aspirates or scrapings

Submit a swab in multi-organism transport media (not gel), or fluids/tissues in a sterile container

Store and transport refrigerated, within 48 hours of collections

TAT—7 days

 

N/C

PHL

 

CHLAMYDIA, PCR

(Lymphogranuloma venereum PCR)

(LGV)

Male

Female

 

 

 

 RPHL

Swab

Submit a swab in multi-organism transport media (not gel)

Store and transport refrigerated

TAT—28 days

 

N/C

PHL

 

CHLAMYDIA, PSITTACI

(PSITTACOSIS ANTIBODY)

CHLAB

Serum, 0.5 mL

Acute and convalescent sera preferred

Centrifuge only

Store and transport refrigerated

TAT—28 days

YELLOW SST

N/C

PHL

 

CHLAMYDIA, SEROLOGY

(Lymphogranuloma venereum SEROLOGY)

(LGV)

RPHL

Serum, 0.5 mL

Centrifuge only

Store and transport refrigerated

TAT—28 days

YELLOW SST

N/C

PHL

 
             

CHLAMYDIA, SWAB

(NAAT)

Male

Female

 

Chlamydia only

CHL

Chlamydia and GC

CHGC

Swab (GEN PROBE APTIMA)

Only female endocervical and male urethral swabs are acceptable for testing

Store and transport at room temperature within 60 days of collection.

● Testing includes Neisseria Gonorrhoeae if requested by ordering physician.

TAT— 3 days

 

OHIP

BTL

 
             

CHLAMYDIA, URINE

(NAAT)

 

 

UCHGC

(CT + GC)

 

UCHL

(CT only)

 

UGC

(GC only)

Urine (GEN PROBE APTIMA)

Collect 20.0 - 30.0 ml of urine (first catch) in a sterile container. Transfer 2.0 ml of urine from sterile container to the GEN-PROBE® APTIMA® Urine Transport tube.

Store and transport refrigerated within 30 days of collection.

● Testing includes Neisseria Gonorrhoeae if requested by ordering physician.

TAT— 24 hours

 

OHIP

BTL

 

CHLORDIAZEPOXIDE

(LIBRIUM)

RCML

Serum, 2 mL

Collect specimen 10 – 12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection.

TAT – 15 days

PLAIN RED

OHIP

LL

 

CHLORIDE

CL

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CHLORIDE

UCL

Urine, 10 mL (random)

Submit in an orange or white cap container tube

TAT – 2 day

 

OHIP

LL

 

CHLORIDE

24UCL

24 Hour Urine (no preservative)

10 mL aliquot – submit in a white cap conical tube

State total 24-hour volume on the OHIP Requisition, and on the specimen container

Retain a duplicate 50 mL urine sample in the fridge until test is reported

TAT – 2 days

 

OHIP

LL

 

CHLORPROMAZINE

(LARGACTIL)

CHLOR

Serum, 2 mL

Collect specimen 10 – 12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection

TAT – 15 days

PLAIN RED

OHIP

LL

 
             

CHOLESTEROL, FASTING

CHOL

Serum

Centrifuge only

Patient must be fasting >10 hrs. Indicate the number of hours fasting

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CHOLESTEROL, RANDOM

RCHOL

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CHOLINESTERASE, TOTAL

CHOLI

Serum, 2 mL

Centrifuge and separate

Store and transport frozen

If patient has had recent surgery, please wait 24 hours post-surgery before blood collection.

TAT – 10 days

YELLOW SST

OHIP

LL

 

CHOLINESTERASE, PHENOTYPE

(DIBUCAINE INHIBITION TEST) (PSEUDO-CHOLINESTERASE)

 

Serum, 2 mL

Centrifuge and separate

Store and ship frozen.

If patient has had recent surgery, please wait 24 hours post-surgery before blood collection.

TAT – 11 days

YELLOW SST

OHIP

LL

 

CHOLINESTERASE, RBC

(RBC CHOLINESTERASE)

See ACETYL CHOLINESTERASE

CHOL

RBC

         

CHOLINESTERASE, PHENOTYPING

(DIBUCAIN INHIBITION TEST)

(PSEUDO-CHOLINESTERASE)

RCML

Serum

Centrifuge only

TAT – 15 days

YELLOW SST

OHIP

LL

 

CHORIONIC GONADOTROPIN

See BETA HCG PREGNANCY

HCG

         

CHORIONIC GONADOTROPIN

See BETA HCG ONCOLOGY

HCG

         
CHROMIUM CHROM

24 Hour Urine (Acid Washed Container)

*Order Acid Washed Container from Main Lab

Submit a 20mL sample in a sterile urine container

Record total volume on requisition and on the specimen container

Store and ship refrigerated

Retain a duplicate 90mL urine sample in the fridge until test is reported

TAT – 10 days

  $55.00 LL

CHROMIUM

 

R-URINE TEST NO LONGER AVAILABLE

 

 

 

 

CHROMIUM

RCML

PLASMA TEST NO LONGER AVAILABLE

 

 

   

CHROMOGRANIN A

(CGA)

RCML

Plasma

Patient should abstain from proton pump inhibitor medication for 2 weeks prior to collection.

Centrifuge and separate within 1 hour of collection

Store and transport frozen

TAT – 10 days

PINK TOP (EDTA)

$65.00

LL

 

CHROMOSOME ANALYSIS

(KARYOTYPING)

See CYTOGENETICS TESTING

RCHEO

       

CIRCULATING ANTICOAGULANT

(LUPUS ANTICOAGULANT)

(NON–SPECIFIC COAGULATION INHIBITORS) (50/50 MIX) (INHIBITOR SCREEN) (MIXING STUDIES)

LUANT

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light

Blue top tube. Immediately centrifuge. Aliquot

plasma (do not aliquot any buffy coat layer or red

blood cells). Immediately centrifuge this plasma.

Aliquot the platelet poor plasma into another

pour-off tube (do not transfer any cells at the

bottom of the tube). Immediately freeze aliquot.

Store and transport frozen.

TAT – 2-3 days

LIGHT BLUE

OHIP

LL

 
             

CITRATE

(CITRIC ACID)

24CIT

24 Hour Urine (no preservative)

(Acceptable with 6N HCl preservative)

Submit a 20mL sample in a sterile urine container

Record total volume on reuquisition and on the specimen container

Store and ship refrigerated

Retain a duplicate 90 mL urine sample in the fridge until test is reported

TAT – 5-7 days

 

OHIP

LL

 

CK

(CPK, TOTAL CK)

(CREATINE PHOSPHOKINASE)

CK

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CK–MB

(CK-2 MB)

(CREATINE PHOSPHOKINASE-MB)

 

TEST NO LONGER AVAILABLE

       

CK ELECTROPHORESIS

(CK ISOENZYMES)

(CK FRACTIONATION)

 

TEST NO LONGER AVAILABLE

       

CLOBAZAM

(FRISIUM)

(DESMETHYLCLOBAZAM)

CLOB

Serum or plasma, 2 mL

Morning sample taken prior to the drug dose.

Do not use gel separator tubes.

Centrifuge and separate immediately

  • Testing includes Desmethyl Clobazam

Store and transport refrigerated

TAT – 10 days

PLAIN RED

or

GREEN

with Heparin

OHIP

LL

 

CLOMIPRAMINE

(ANAFRANIL)

CLOM

Serum, 2 mL

Centrifuge and separate

Collect specimen 10–12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection

Store and transport refrigerated

●Includes Desmethyclomipramine dose

TAT – 15 days

ROYAL BLUE

no additive

OHIP

LL

 

CLONAZEPAM

(RIVOTRIL)

RCML

Serum, 3 ml

Centrifuge and separate

Collect trough specimen immediately prior to next dose.

Store and transport frozen

TAT – 10 days

 

PLAIN RED

 

OHIP

 

LL

 

CLOSTRIDIUM DIFFICILE

CULTURE AND TOXIN STUDIES

(C. DIFFICILE)

 

CLOS

Stool, 10-15 mL

Only diarrheal stool is acceptable (no dry or formed stool).

Place stool in a sterile container with no additives

Specify culture and /or toxin studies

Store and transport REFRIGERATED, within 3 days (72 hours) of collection.

C. Diff will not be tested on children <12 months

Freezing of the sample is no longer required.

TAT – 2 to 10 days

 

N/C

PHL

 

CLOT RETRACTION

 

TEST NO LONGER AVAILABLE

       

CLOTTING TIME

 

TEST NO LONGER AVAILABLE

       

CLOZAPINE

(CLOZARIL)

RCML

Serum, 2 mL

Collect specimen immediately prior to next dose.

Centrifuge and separate

Store and transport frozen

TAT – 5 days

PLAIN RED

OHIP

LL

 
             

CMV

(CYTOMEGALOVIRUS ANTIBODY)

CMV

Serum, 1 mL

Centrifuge only

For Diagnostic serology, collect both acute and convalescent specimens

Store and transport refrigerated

  • CMV, Diagnostic includes CMV IgG and IgM. CMV, Immunity includes only CMV IgG

TAT – 5 days

YELLOW SST

N/C

PHL

 

CMV ISOLATION

(CYTOMEGALOVIRUS ISOLATION)

RPHL

Urine

Submit 2 mL urine in a dry, sterile container.

Store and transport refrigerated

TAT – 16 days

 

N/C

PHL

 

CMV QUANTITATIVE PCR

(CMV-PCR)

(CYTOMEGALOVIRUS PCR)

(CMV VIRAL LOAD)

(CMV ANTIGENEMIA)

RCML

Plasma

For Transplant Patients only

Centrifuge and separate

Store and transport frozen

For Main Lab: Collect Mon-Tues and Wednesday before 11 AM; if Friday is a statutory holiday, collect Mon-Tues only.

For all other collection facilities (including physician offices), collect Mon-Tuesday ONLY.

TAT – 4 days

 LAVENDER  OHIP  LL  

CO2

(CARBON DIOXIDE, CO 3)

See BICARBONATE

CO2

         

COBALT

COBALT

PLASMA TEST NO LONGER AVAILABLE

       

COBALT

COBALTU

Urine, 50 mL (random)

Submit in an orange or white cap container

TAT – 30 days

 

$55.00

LL

 

COBALT

RCML

24 Hour Urine (Acid Washed Container)

*Order Acid Washed Container from Main Lab as required.

Submit a 20mL sample in a sterile urine container

Record total volume on requisition and on the specimen container

Store and ship refrigerated

Retain a duplicate 90mL urine sample in the fridge until test is reported

TAT – 10 days

 

$55.00

LL

COCAINE SCREEN

RCML

Urine, 10 mL (random)

Submit in an orange or white cap container

TAT – 2 days

 

OHIP

LL

 

COCCIDIOIDOMYCOSIS

(VALLEY FEVER)

See FUNGAL SEROLOGY

           

CODEINE

 

RCML

Urine, 10 mL (random)

Submit in an orange or white cap container

State under notes and instructions “Check for Codeine

TAT – 10 days

 

OHIP

LL

 

COLD AGGLUTININ SCREEN

See AGGLUTINATION REACTION SCREEN

CAGG

         

COLOGIC

(GTA-446)

 

TEST NO LONGER AVAILABLE

 

 

   

COMPLEMENT C1

See C1 ESTERASE INHIBITOR

 

C1INC

         

COMPLEMENT C1Q

(C1Q COMPLEMENT BINDING ACTIVITY)

(IMMUNE COMPLEXES, C1Q)

See C1Q IMMUNE COMPLEXES

 

C1Q

         

COMPLEMENT C2

See C2

C2COMP

       

COMPLEMENT C3

See C3

C3

         

COMPLEMENT C4

See C4

C4

         

COMPLEMENT C5

See C5

RCML

         

COMPLEMENT C6

See C6

RCML

         

COMPLEMENT, HEMOLYTIC

(HEMOLYTIC COMPLEMENT FIXATION)

See CH50

 

RCML

         

COOMBS TEST

(DIRECT COOMBS)

(DIRECT ANTI–GLOBULIN)

(DIRECT ANTIHUMANGLOBULIN)

DAHGT

Blood

DO NOT SEPARATE

TAT – 1 day

LAVENDER

OHIP

BTL

 

COPPER

CU

Serum, 3 mL

Centrifuge and separate after clotting for 30 minutes.

Transfer an aliquot of serum to a new ROYAL BLUE no additive tube.

Store and transport refrigerated

TAT – 2 days

ROYAL BLUE

no additive

OHIP

LL

 

COPPER

24COP

24 Hour Urine (Acid Washed Container)

*Order Acid Washed Container from Main Lab as required.

Submit a 20mL sample in a sterile urine container

Record total volume on requisition and on the specimen container

Store and ship refrigerated

Retain a duplicate 90mL urine sample in the fridge until test is reported

TAT – 10 days

 

OHIP

LL

 

COPPER - RBC

(COPPER ERYTHROCYTES)

RCML

Red Cells

Centrifuge within 2 hours of collection.

Remove the plasma, buffy coat layer and a little of the red cells and place into an empty tube, cap and discard.

Keep the RED CELLS in the original Royal Blue tube. Ensure the cap is replaced tightly.

Store and transport refrigerated.

TAT – 1-3 weeks

ROYAL BLUE

with K2EDTA

$55.00

LL

 

COPROPORPHYRINS

(PORPHYRINS)

(UROPORPHYRINS)

See PORPHYRINS, QUANTITATIVE

           

CORTISOL

(CORTIZONE)

 

A.M.

P.M.

RANDOM

 

 

 

CORTA

CORTP

CORT

Plasma

Indicate time of collection (AM, PM, Random)

Note: Collect as close to 8:00am as possible. (indicate AM)

Note: Collect as close to 4:00pm as possible (indicate PM)

Store and ship refrigerated.

SERUM IS THE PREFERRED SPECIMEN

TAT – 3 days

GREEN

with Heparin

OHIP

LL

 

CORTISOL

(CORTIZONE)

 

A.M.

P.M.

RANDOM

 

 

CORTA

CORTP

RCML

Serum

Centrifuge only

Indicate time of collection (AM, PM, Random)

Note: Collect as close to 8:00am as possible. (indicate AM)

Note: Collect as close to 4:00pm as possible. (indicate PM)

Store and ship refrigerated.

SERUM IS THE PREFERRED SPECIMEN

TAT – 3 days

YELLOW SST

OHIP

LL

 

CORTISOL

 

(FREE CORTISOL)

RCML

24 Hour Urine (no preservative)

Min Vol required: 5mL (frozen conical tube) & 5mL (refrigerated conical tube)

Transfer 5mL of measured urine into TWO labelled transport tubes and cap tightly. Only fill half of the transport tubes.

State total 24-hour urine volume on the OHIP requisition, and on the specimen container

Store and ship Free Cortisol tube frozen.

Store and ship Creat tube refrigerated.

Retain a duplicate 50 mL urine sample in the fridge until test is reported

  • Testing includes urine creatinine and total volume.

TAT – 5 days

 

OHIP

LL

 

CORTISOL

 

FREE, RANDOM

RCML

Urine

Submit 2 x10 mL aliquots in an orange or white cap containers

● Testing includes Creatinine Random Urine

TAT—12 days

 

OHIP

LL

 

CORTISOL, TOTAL

 

TEST NO LONGER AVAILABLE

       

COUMADIN

(WARFARIN)

COUMA

Plasma, 3 mL

Record time in hours that have elapsed between last dose and specimen collection

TAT – 15 days

GREEN

with Heparin

$30.00

LL

 

COXSACKIE VIRUS, ISOLATION

(HAND, FOOT, MOUTH DISEASE)

(ENTEROVIRUS)

RPHL

Stool

Submit 1-2 g of stool in a sterile container

Store and transport refrigerated

Stool is the preferred specimen

TAT—12 days

 

N/C

PHL

 

COXSACKIE VIRUS, ISOLATION

(HAND, FOOT, MOUTH DISEASE)

(ENTEROVIRUS)

RPHL

Swab/Fluid

Submit swab in multi-organism transport medium, or fluids in a sterile container (min volume: 1 mL fluid)

Store and transport refrigerated

TAT—12 days

       

CREATINE

 

TEST NO LONGER AVAILABLE

       

CREATINE PHOSPHOKINASE

(CPK)

See CK

 

CK

       

CREATINE

PHOSPHOKINASE-MB

(CK-2 MB)

See CK - MB

CKF

         

CREATININE

(eGFR)

eGFR

Serum

Centrifuge

***FOR PATIENTS OVER 18 YEARS OF AGE***

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CREATININE

CREA

Serum

Centrifuge

*** FOR PATIENTS UNDER 18 YEARS OF AGE ***

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CREATININE

UCR

Urine, 10 mL (random)

Submit in an orange or white cap container

TAT – 2 days

 

 

OHIP

 

BTL

 

CREATININE

24UCRE

24 Hour Urine (no preservative)

10 mL aliquot – submit in an orange or white cap container tube labelled CREATININE

State total 24-hour volume on the OHIP Requisition, and on the specimen container

Retain a duplicate 90 mL urine sample in the fridge until test is reported

TAT – 1 day

 

OHIP

BTL

 

CREATININE CLEARANCE

CC

Serum and 24 Hour Urine

1 mL serum and 10 mL urine aliquot – submit in an orange or white cap conical tube

Collect blood specimen at the beginning or end of the 24-hour urine collection

State total 24-hour volume, height and weight on the OHIP Requisition, and on the specimen container

Retain a duplicate 50 mL urine sample in the fridge until test is reported

  • Testing Includes serum creatinine, urine creatinine.

TAT – 2 days

YELLOW SST

OHIP

BTL

 

CRP

(C–REACTIVE PROTEIN)

CRP

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CRP– HIGH SENSITIVITY

(C–REACTIVE PROTEIN

HIGH SENSITIVITY)

CRPHS

Serum, 1 mL

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

 

CRYOFIBRINOGEN

CRYOF

Serum & Plasma

Perferred that patient is fasting for min. 12 hours

Handling Instructions:

  • PLAIN RED - clot for 60 minutes then centrifuge and separate immediately.
  • LAVENDER - centrifuge and separate immediately.
  • Store and ship at room temperature.
  • KEEP AT ROOM TEMPERATURE
  • *Test includes Cryoglobulins
  • TAT - 7 days

1 PLAIN RED &

1 LAVENDER

OHIP

LL

 

CRYOGLOBULINS, QUALITATIVE

CRYOG

Serum, 2 mL

Preferred that patient is fasting for min. 12 hours

Handling Instructions:

PLAIN RED - clot for 60 minutes then centrifuge and separate immediately.

TAT – 7 day

PLAIN RED

OHIP

LL

 

CRYPTOCOCCOSIS

ANTIBODY

RPHL

Serum, 1 mL

Centrifuge only

Store and transport at room temperature

TAT—3 days

YELLOW SST

N/C

PHL

 
           

CULTURE & SENSITIVITY

 

BLOOD

BLDCULT1

Blood, 8-10mL per bottle

Cleanse venipuncture site with iodine, then with alcohol

Wipe the tube rubber stopper with alcohol

Collect patient’s blood using a butterfly needle and adapter.

 

1 set (anaerobic + aerobic) should be drawn first; 30 minutes later, a second set should be taken. (The second set may be collected from the other arm immediately after the first collection)

 

**Refer to SCC Manual for detail instructions**

 

Mix gently

Adult – 2 sets (2 anaerobic + 2 aerobic)

Child – 1 set (2 aerobic)

 

STATE THE DATE AND TIME OF COLLECTION ON THE BOTTLES. Also include 'Culture#1' and 'Culture#2' on the bottles.

 DO NOT REFRIGERATE BOTTLES

 

*Data Entry code BLDCULT2, if two(2) collections submitted (4 bottles)

*Data Entry code BLDCULT3, if three(3) collections submitted (6 bottles)

TAT – 7 days

BLOOD

CULTURE

BOTTLE

OHIP

BTL

CULTURE & SENSITIVITY

EAR

EYE / CONJUNTIVA

NOSE / NARES

 

misc1

EYE

NOSE

Swab – state source

Place swab in charcoal transport media

*Data entry code for ear lobe, is earLob

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

 

FEMALE G.C. ONLY

CERVICAL

ENDOCERVICAL

GONORRHEA

 

 

 

 

CX

Swab – state source

Place swab in charcoal transport media

*Refer to Data Entry code sheet for specific codes

Test is for N. gonorrhea only

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

GENITAL

CERVICAL/VAGINAL

LABIA

PENIS/PENILE

VAGINAL

VAGINAL/ANAL

VAGINAL/RECTAL

VULVA

VAG

CX

 

PENIS

VAG

 

VagREC

VULVA

Swab – state source

Place swab in charcoal transport media

*Refer to Data Entry code sheet for specific codes

Test is for N. gonorrhea, Yeast, Trichomonas and Bacterial Vaginosis

TAT – 2 days

 

 

OHIP

 

BTL

CULTURE & SENSITIVITY

GROUP B STREP

SCREEN ONLY

 

Swab – VAGINAL, VAG/RECTAL

Place swab in charcoal transport media

*Refer to Data Entry Code sheet for specific codes

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

ANY FLUID,

Except Semen

 

Body Fluid – state source

10 mL

Place fluid in a sterile container

*Refer to Data Entry code sheet for specific codes

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

MISCELLANEOUS

Includes wound, skin, all abscesses, axilla, groin, discharge, eye lid, mouth, perianal, pharynx, rectal abscess, tonsil

 

Swab – state source

Place swab in charcoal transport media

*Refer to Data Entry code sheets for specific codes

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

RECTAL / ANAL

 

Swab – Rectal

Place swab in charcoal transport media

*Refer to Data Entry code sheets for specific codes

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

SEMEN

 

SEMEN

Semen, 2 mL

Place in sterile container

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

SMEAR/SLIDE

SMEAR

Smear/Slide- state source

For Gram Stain

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

SPUTUM

SPUT1

Sputum

Deep cough specimen in sterile container

Use only 1 sample per requisition

*If second sample received, enter SPUT2

*If third sample received, enter SPUT3

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

STOOL

STOOL1

Stool

Place stool in Cary–Blair transport container to the “FILL LINE”

Shake to emulsify sample

*If second sample received, enter STOOL2

*If third sample received, enter STOOL3

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

THROAT

THRO

Swab – Throat

Place swab in charcoal transport media

State if patient in allergic to penicillin in “ Notes and Instructions”

Test is for Beta Streptococcus Group A only

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

THROAT FOR STREP

THRO

Swab – Throat

Place swab in charcoal transport media

State if patient is allergic to penicillin in “ Notes and Instructions”

Test is for Beta Streptococcus Group A ONLY

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

URETHRAL

URETH

Swab – Urethral – Male or Female

Submit swab in charcoal transport media

TAT – 2 days

 

OHIP

BTL

CULTURE & SENSITIVITY

URINE

U

Urine

Collect a minimum of 10 mL of mid–stream urine in an orange or white cap container

TAT – 2 days

 

OHIP

BTL

CYANIDE

CYAN

IDE

Whole blood, 7 mL

DO NOT CENTRIFRUGE—SEND ENTIRE TUBE

TAT – 29 days

ROYAL BLUE

with K2EDTA

$60.00

LL

CYCLOSPORINE, TRANSPLANT

 

*Must collected and tested at Hospital where transplant performed

     

CYCLOSPORIN,

NON TRANSPLANT

RCML

Blood

State on the tube “non–transplant”

Ensure that ALL of the patient information is complete and clearly indicated – especially date of birth.

Collect sample prior to next dose (trough)

Indicate date/time of last dose & date/time of collection on the requistion.

Store and ship at room temperature.

TAT – 5 days

LAVENDER

$80.00

 

LL

CYSTATIN-C

(CYSTATIN 3)

(GAMMA TRACE)

 

TEST NOT AVAILABLE

*Patient must go to CHEO for collection*

 

 

 

CYSTIC FIBROSIS

(CF)

See MOLECULAR GENETICS (I)

RCHEO

       

CYSTINE

(QUANTITATIVE)

(CYSTINURIA MONITORING)

CYSTR

Urine, 10 mL (random)

Submit in a 90 mL orange cap container.

No preservative.

FREEZE URINE AND SEND FROZEN

TAT—18 days

 

$140.00

LL

CYSTINE SCREEN

(METABOLIC SCREEN)

METAB

Urine, 10 mL (random)

Submit in a 90 mL white cap container

State Date of Birth and clinical diagnosis.

FREEZE URINE AND SEND FROZEN

TAT –15 days

 

$60.00

LL

CYSTINOSIS

See MOLECULAR GENETICS (I)

RCHEO

     

CYTOGENETICS TESTING

(CHROMOSOME ANALYSIS)

(KARYOTYPING)

(FISH)

(FLUORESCENT IN-SITU HYBRIDIZATION)

RCHEO

Whole Blood

Adults & children > 1yr. = 5-10ml blood

Newborns & infants = 2-3ml minimum

 

Label all tubes with minimum 2 patient identifiers

 

Submit Monday to Thursday before 4pm for best results

Deliver to the hospital by 14:00 hrs the day sample taken.

 

When possible, have the Courier deliver sample(s) directly to the hospital on the same day of collection

 

Pre-package sample(s) with completed Cytogenetics Form and a copy of the OHIP requisition in a separate brown paper bag

DO NOT REFRIGERATE

TAT – VARIABLE

GREEN

with Heparin

OHIP

CHEO

           

CYTOLOGY

ASPIRATION BIOPSY

 

Includes all aspirations and or slides from:

any tumour

lymph node

mass

neck

nodule

 

Or CYST from:

Breast

lymph node

salivary gland

thyroid

ASPP

Slide and / or Aspiration Fluid (1 mL)

(Slides are recommended)

 

The physician must print the patient's name on slide with a pencil.

Apply directly from source or by means of applicator to slide.

Fix slide immediately with cytospray.

NOTE: If the sample is from thyroid, please include an additional clearly labelled air-dried slide, is possible.

 

For fluid place sample in a labelled container, with name and source

Fix with an equal volume of 50% ethanol to sample.

 

Complete a Cytology Form for samples.

Assign the same accession number if a slide or fluid is submitted from the same site.

Assign a separate accession number if a slide or fluid is submitted from different sites.

Place a barcode on the mailer for easier identification. (NOTE: Bar code labels are in addition to the patient identification written directly on the slide).

The physician must provide the patient’s history and clinical diagnosis

NOTE: It is important to state if the lump disappears after aspiration

 

Do not code the Documentation Fee for this test.

TAT– 5 days

 

OHIP

LL

CYTOLOGY

BRONCHIAL WASHING

OR BRUSHING

CYTOF

Washings, ≥5 mL

 

Place specimen in labelled container

Fix washing with an equal volume of 50% alcohol to sample

 

Complete a Cytology Form for sample

Assign the same accession number if a slide or fluid is submitted from the same site.

Assign a separate accession number if a slide or fluid is submitted from different sites.

Clinical data requested on requisition must be provided

 

Do not code the Documentation Fee for this test

TAT – 5 days

 

OHIP

LL

CYTOLOGY

BUCCAL SMEAR

(FOR BARR BODIES)

 

TEST NO LONGER AVAILABLE

     

CYTOLOGY

DIRECT SMEAR

LARYNX

NIPPLE DISCHARGE

OPEN LESION

ORAL

VULVAR

ANAL

CYTOF

Slide

 

DO NOT CONFUSE WITH ASPIRATION BIOPSY

 

Refer to aspiration biopsy for source specification to ensure correct coding/processing

 

The physician must collect and prepare a moderately thick smear of cellular material that displays no evidence of air drying.

The physician must print the patient's name on slide with a pencil.

Apply directly from source or by means of applicator to slide.

Fix slide immediately with cytospray.

The physician must provide the patient’s history and clinical diagnosis

 

Complete a Cytology Form for each sample.

Assign a separate accession number for each body site.

Place a barcode on the mailer for easier identification.

 

NOTES:

· Barcode label is in addition to the patient information written on the slide.

· Samples collected and received in liquid-based

media are still considered a direct smear

 

Do not code the Documentation Fee for this test.

TAT – 5 days

 

OHIP

LL

CYTOLOGY

DIRECT SMEAR FOR HERPES

(VIRAL INCLUSION)

 

CYTOF

Slide

 

The physician must scrape the lesion at the base of the blister and prepare a moderately thick smear of cellular material that displays no evidence of air drying.

The physician must print the patient's name on slide with a pencil.

Apply directly from source or by means of applicator to slide.

Fix slide immediately with cytospray.

 

Complete a Cytology Form for sample.

Clinical data requested on requisition must be provided.

Place a barcode on the mailer for easier identification.

NOTE: Barcode label is in addition to the patient information written on the slide.

 

Do not code the Documentation Fee for this test.

TAT – 5 days

 

OHIP

LL

CYTOLOGY

GASTRIC WASHINGS

ESOPHAGEAL

GASTRIC OR

ENDOMETRIAL

CYTOF

Washings, ≥5 mL

 

Place specimen in labelled container

Fix washing with an equal volume of 50% alcohol to sample

 

Complete a Cytology Form for sample

Clinical data requested on requisition must be provided

 

Do not code the Documentation Fee for this test

TAT – 5 days

 

OHIP

LL

CYTOLOGY

MISCELLANEOUS FLUID

OR CYST

 

Includes:

cysts from sources

peritoneal fluid

pleural fluid

synovial fluid

 

Excludes:

breast cyst

lymph nodes cyst

salivary gland cyst

thyroid cyst

CYTOF

Fluids, ≥5 mL

 

For fluid sample place in a labelled container, fix with an equal volume of 50% ethanol to sample

OR two slides are recommended

Apply directly from source or by means of applicator to slide

Fix slide immediately with cytospray

The physician must print the patient’s name on the slides with a pencil.

 

Assign the same accession number if a slide or fluid is submitted from the same site.

Assign a separate accession number if s slide or fluid is submitted from different sites.

The physician must provide the patient’s history and clinical diagnosis

NOTE: It is important to state if the lump disappears after aspiration

 

Do not code the Documentation Fee for this test

TAT – 5 days

 

OHIP

LL

CYTOLOGY, PAP SMEAR

GY

CONVENTIONAL (SLIDE) PAP TEST NO LONGER AVAILABLE

 

OHIP

BTL

CYTOLOGY, PAP SMEAR

MONOLAYER/THINLAYER

 

GY

30 mL M/L container

 

The physician must print the patient's name on the container

 

Complete a Cytology Form for sample

Clinical data requested on requisition must be provided

Do not code the Documentation Fee for this test

TAT – 2 to 5 days

 

OHIP

BTL

           

CYTOLOGY

SPUTUM

CYTOF

Sputum, 1-5 mL

 

Instruct the patient to collect specimen early in the morning before eating.

Cough deeply from the lungs and deposit the sputum directly into the methyl alcohol preservative in the specimen container.

Collect specimens on 3 consecutive mornings.

Keep specimen refrigerated.

 

Complete a Cytology Form for each sample

Assign a separate accession number for each specimen

Clinical data requested on requisition must be provided

Do not code the Documentation Fee for this test

TAT – 14 days

 

OHIP

LL

CYTOLOGY

URINE

CYTOF

Urine, 25-100 mL

State if voided or catheterized urine collection

 

Instruct the patient to drink one glass of water every 30 minutes for a period of 3 hours.

Patient may urinate during this 3 hour period and discard urine.

At the end of the 3 hour period, when the next urge to urinate arises, void directly into the methyl alcohol preservative in the specimen container.

Suggest specimens be collected on 3 consecutive days.

Keep specimen refrigerated.

 

Complete a Cytology Form for each sample.

The physician must provide the patient’s history and clinical diagnosis

Assign a separate accession number for each specimen

Do not code the Documentation Fee for this test

TAT – 5 days

 

OHIP

LL

CYTOMEGALOVIRUS

ANTIBODY

See CMV

 

CMV

       

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