MOST COMMONLY ORDERED TESTS - Calgary …

1 REQ9012 PSC 2018-03-01 FASTING 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 ANALYSISF luid 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: ____.

2 ____M ATSC Quad Screen (2nd Trimester)* *Complete AHS Form CH-1247 CHEMISTRY (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 KinaseGGT Gamma Glutamyl TransferaseGLUF Glucose - Fasting (Fasting required)GLU Glucose RandomGTTNP Glucose Tolerance Non-Preg (75g) (Fasting Required) Call 403-770-5136 to bookGLUMR Glucose Meter Check Meter Type and _____ _____ mmol/L (Lab Use Only)IRN Iron/TIBCLD Lactate DehydrogenaseLIP LipaseMG MagnesiumPHOS PhosphateSPE Protein ElectrophoresisTP Protein - TotalPSA PSATNT TroponinURA UrateUREA UreaURINE DRUG SCREENUDSR Drugs of Abuse Screen (See CLS Website)FDSU Drug Screen Comprehensive Requires History Form PX4162 (See CLS Website)DRSCMISC Drugs of Abuse Screen Non-Medical Patient Paid (Chain of Custody) Call 403-770-5136 to BookSpecify Panel _____ _____ _____PROTEINS/SEROLOGYIMMGLOB IgG, IgA, IgMMONOT MonotestRF Rheumatoid FactorRUBG Rubella Immune Status IgG (Non-Pregnant)ENDOCRINEESTRAD Estradiol (Non-Pregnant)FSH FSHLH LHTSH TSHACTIVE HEPATITISHEPSC Acute Hepatitis Screen (ALT, Anti-HAV, IGM, HBsAg)HBSAG Hepatitis B Surface AntigenAHAVM Anti-HAV IgMHEPATITIS IMMUNE STATUSAHAVT Anti-Hepatitis A Virus, IgGAHBS Hepatitis B Surface AntibodyCHEMISTRY (URINE)Height and weight required for all Creatinine Clearance ordersLab Use Only Start EndTime _____:_____ _____.

3 _____Date _____ _____ Urine Volume mL _____ _____UMALB Albumin Creatinine RatioUCAD CalciumUCORD CortisolU24H CreatinineCREACL Creatinine ClearanceHeight _____ cm Weight _____kgU24 MALB Albumin (24 hr)UTPD Protein (24 hr)UPED Protein Electrophoresis (24 hr)THERAPEUTIC DRUG MONITORINGLast Dose: Time _____:____ Date: _____ Pre Post RandomRoute: Oral IV Other Dose Regimen _____Dose Duration _____CYCLO CyclosporinDIG Digoxin (Collect 8 hours after last dose)CARB CarbamazepineLI LithiumPTN PhenytoinSIRO SirolimusTACRO TacrolimusVALP ValproateSPECIAL HEMATOLOGYHBELEC Hemoglobinopathy/Thalassemia Screen (includes Hb S Quantitation)Ethnic background: _____ _____ Prenatal: Yes No SICKLES Sickle Cell ScreenMISCELLANEOUSHIV HIV Serology ProvLab (Medical Reasons)HIVDSC HIV Serology CLS (Patient Paid: Visa, Insurance, Immigration, Company Use)FIT Colorectal Cancer Screening (Asymptomatic 50-74 years of age)Date _____ Time TESTSM HP H.

4 Pylori Antigen (Stool)OTHER TESTS NOT LISTEDP atient Service Centre Locations1. North Hill #254 North Hill Shopping Centre, 1632 14 Avenue NW Mon-Fri 7:00 am - 4:30pm2. Market Mall Professional Centre 300, 4935 40 Avenue NW Mon-Fri 6:30 am - 6:00pm, Sat/Sun 7:00am - 3:00pm3. Cochrane Communith Health Centre 60 Grande Blvd., Cochrane, AB Mon-Fri 7:00 am - 4:30pm4. Ranchlands 150 1829 Ranchlands Blvd., NW Mon-Fri 6:30 am - 4:00pm Sat/Holidays 7:00 am - 3:00pm Appointment Only5. Beddington Town Centre 209 8120 Beddington Blvd, NW Mon-Fri 6:30 am - 6:00pm, Sat 7:00am - 3:00pm6. Airdrie Patient Service Centre 103 217 Centre Avenue SW, Airdrie, AB Mon-Fri 7:00 am - 4:30pm7. McKnight Village 5426 Falsbridge Drive NE Mon-Fri 6:30 am - 4:00pm, Sat 7:00am - 3:00pm8. Sunridge 3, 2681 36 Street NE Mon-Fri 6:30 am - 6:00pm, Sat/Sun 7:00am - 3:00pm9. Chestermere Health Centre Appointment Only 288 Kinniburgh Blvd.

5 , Chestermere, AB Mon-Fri 8:30 am - 12:00pm10. Marlborough #455 Marlborough Mall Prof. Tower, 433 Marlborough Way NE Mon-Fri 6:30 am - 4:00pm, Sat 7:00am - 3:00pm11. Gulf Canada Square 344, 401 9th Avenue SW Mon-Fri 7:00 am - 4:30pm12. Sheldon Chumir Health Centre 1213 4th Street SW Mon-Fri 7:00 am - 4:30pm13. Glenbrook Plaza 154, 3715 51 Street SW Mon-Fri 6:30 am - 6:00pm, Sat 7:00am - 3:00pm14. Sloane Square 210, 5920 1A Street SW Mon-Fri 7:00 am - 4:30pm, Sat 7:00am - 3:00pm15. Glenmore Landing D264, 1600 90 Avenue SW Mon-Fri 7:00 am - 4:30pm16. Riverbend 180 200 Rivercrest Drive SE (Riverbend Atrium) Mon-Fri 7:00 am - 4:30pm17. Avenida Village Bay 517 12445 Lake Fraser Drive SE Mon-Fri 6:30 am - 4:00pm18. South Calgary Health Centre 211 31 Sunpark Plaza SE, South Entrance Mon-Fri 6:30 am - 6:00pm, Sat/Sun/Holidays 7:00am - 3:00pm181716151413121111098243765 Biotin: Biotin oral supplements may interfere with lab TESTS .

6 CLS recommends all patients discontinue Biotin supplements for 48 hours prior to specimen collection. If your Health Care Provider recommended you take Biotin, contact them for further Pregnant patients: The glucose drink is not given if the fasting glucose is high enough to suggest gestational diabetes mellitus (GDM). Write Give glucose drink regardless of fasting glucose on the requisition if you wish to override this procedure, mother at high-risk of GDM and patient early in pregnancy (<20 weeks gestation).Lipid Profile: Fasting not required by the lab. For more information, please contact your physician or visit all Patient information and inquiries, visit the CLS website: requiring test results, contact the CLS Laboratory Information CentreCommunity Stat TESTS : Only the following TESTS are available with results reported within 8 hours of stat test should only be requested in an emergency medical Aminotransferase (ALT)Beta HCG (Qualitative Urine)Beta HCG (Quantitative Serum)Bilirubin, Direct, Neonatal, Total CalciumCBCC hlorideCreatinineGlucoseLipaseMagnesiumP otassiumPseudocholinesteraseProthrombin Time/INRPTTS odiumUrinalysisDRUG LEVELSA cetaminophenDigoxinPhenytoinLithiumSalic ylateValproat