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MOST COMMONLY ORDERED TESTS - Calgary Laboratory …

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REQ9012PSC 2018-03-01FASTING HOURS (PC): # OF TUBES COLLECTED: TUBE TYPE: ACCESSION NUMBER: Appointment Walk-In Specimen Drop Off Arrival Time: ________ ____________ Initials __________MOST COMMONLY ORDERED TESTSCBC CBC includes INR (Prothrombin Time)U Urinalysis (Includes Microscopic as per Protocol)H BA1C Hemoglobin A1cCREA Creatinine (Serum or Plasma)EP Electrolytes (Na, K,Cl)LDL Lipid profile (Fasting not required by lab)A LT Alanine AminotransferaseFERR FerritinCOAGULATIONPTT PTTFLUID ANALYSISFluid Type _________________________________Volume ___________________________________ Cell Count Differential Protein & Glucose Crystals (Synovial Fluid Only)PREGNANCY/FERTILITY ________________ wks gestationUBHCG Beta HCG (Urine)BHCG Beta HCG (Plasma or Serum)GESTSC Gest. Diabetes Screen (50g)GTTP Glucose Tolerance (75g) (See page 2) Fasting Required Call 403-770-5136 to bookSYP Syphilis AntibodiesPVAS Exam for Sperm - Post VasCollection Date: __________ Time: ____:____M ATSC Quad Screen (2nd Trimester)* *Complete AHS Form CH-1247CHEMISTRY (SERUM OR PLASMA)ALB AlbuminALP Alkaline PhosphataseB I LT D Bilirubin - Total & DirectB I LT Bilirubin - Total OnlyCA CalciumCL ChlorideCHOL Cholesterol - TotalCRP C-Reactive ProteinCK Creatine K

Patient Service Centre Locations 1. North Hill #254 North Hill Shopping Centre, 1632 – 14 Avenue NW Mon-Fri 7:00 am - 4:30pm 2. Market Mall Professional Centre

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