test directory - phoenix lab · 2020-01-08 · test directory effective 1/1/2020 phoenix lab | 4338...

Test Directory Effective 1/1/2020

Phoenix Lab | 4338 Harbour Point Blvd. SW | Mukilteo, WA 98275

main: 425.355.5252 | toll free: 800.347.0043 | fax: 425.355.3676

www.phoenixlab.com

Index

Submission Guidelines............................................................ 1

Canine PanelsACTH Response....................................................................... 3Adult Routine Screen............................................................... 4Antinuclear Antibody.............................................................. 4Autoimmune Panel.................................................................. 5Basic Canine Chemistry.......................................................... 5Basic Health Profile.................................................................. 6Bile Acids Panel........................................................................ 6Bile Acids, Single Sample........................................................ 7Blood Typing, Canine............................................................ 7Brucella Screen, Canine........................................................... 7Canine Breeding Panel............................................................ 8Canine GI Panel (cPL/TLI/Cobalamin/Folate).................... 8Canine Heartworm Panel........................................................ 9Canine Immunization Screen................................................. 9Canine PLI and TLI................................................................ 10Canine PLI/Cobalamin/Folate............................................. 10CBC w/ Differential............................................................... 10CBC, Follow-up...................................................................... 11CBC, Platelet if Indicated...................................................... 11Chemistry Screen................................................................... 11Chemistry Screen, Follow-up............................................... 12Coagulation Panel I................................................................ 12Coagulation Panel II.............................................................. 13Coagulation Panel III............................................................. 13Cobalamin (Vitamin B12).................................................... 14Cobalamin and Folate........................................................... 14Coombs................................................................................... 14Cortisol, Resting..................................................................... 15Canine PLI.............................................................................. 15Crossmatch Complete........................................................... 16Dexamethasone Suppression................................................ 17Distemper, FA........................................................................ 18Electrolytes Screen................................................................. 18Endocrine Panel..................................................................... 19Ethylene Glycol....................................................................... 19Fecal Parasite Combo w/ Giardia/Crypto IFA .................. 20Fecal Parasite Screen.............................................................. 20Folate........................................................................................ 21Free T4..................................................................................... 21Free T4, Add-on..................................................................... 22

General Diagnostic w/ Thyroid II........................................ 23

General Diagnostic................................................................. 22

General Diagnostic w/ Triglycerides................................... 24

General Diagnostic w/ T4..................................................... 23

General Diagnostic w/ T4 and Cobalamin/Folate............. 24

General Diagnostic w/ T4, Follow-up................................. 25

General Diagnostic w/ Coagulation I.................................. 25General Diagnostic, Follow-up............................................. 26General Endocrine, Canine................................................... 27Giardia ELISA......................................................................... 28Giardia/Cryptosporidium IFA............................................ 28Heartworm Antigen............................................................... 28Heartworm Antigen, Add-on............................................... 29IgA Quantitative, Canine...................................................... 29Immune Mediated Hemolytic Anemia (IMHA) Panel..... 30Insulin...................................................................................... 30Juvenile Routine Screen......................................................... 31Leptospirosis Rapid Screen................................................... 31Liver Chemistry Panel........................................................... 32Liver Profile............................................................................. 33Luteinizing Hormone............................................................ 34Microfilaria.............................................................................. 34Oncology Profile..................................................................... 35Ova & Parasite......................................................................... 35Ova & Parasite Combo w/ IFA............................................. 36Parvovirus Antibody, Serum................................................. 36Parvovirus Antigen, Fecal..................................................... 36Phenobarbital.......................................................................... 37Phenobarbital, Peak & Trough............................................. 38Pre-Op Panel........................................................................... 39Pre-Op Panel, Follow-up....................................................... 39Progesterone, Canine............................................................. 40Progesterone, Follow-up....................................................... 40Protein Electrophoresis......................................................... 41Relaxin, Canine or Feline...................................................... 41Relocated Canine Routine Screen........................................ 42Renal Panel, Chronic............................................................. 42Renal Profile............................................................................ 43Renal Profile w/ Urinalysis.................................................... 43Resting Cortisol...................................................................... 44Senior Routine Screen............................................................ 44Senior Screen........................................................................... 45Senior Screen w/ CBC............................................................ 45Senior Screen w/ cTSH.......................................................... 46Senior Screen w/ Cholesterol................................................ 46T3 (Triiodothyronine)........................................................... 47Thyroid I.................................................................................. 47Thyroid II................................................................................ 47Thyroid III............................................................................... 48Thyroid IV............................................................................... 48Thyroid Screen........................................................................ 49TLI, Canine.............................................................................. 49TLI/Cobalamin/Folate (Canine Only)................................. 50Total Body Diagnostic........................................................... 50

Total Body Diagnostic w/o Urinalysis................................. 51

Total Body Diagnostic, Follow-up....................................... 52TSH (Thyroid Stimulation Hormone)................................ 52Urinalysis................................................................................. 53Urinalysis w/ Culture and Sensitivity.................................. 53

Urine Cortisol/Creatinine Ratio.......................................... 54

Urine Protien Electrophoresis.............................................. 55Vector/Tick Borne Disease Screen....................................... 56Wellness Screen II.................................................................. 56Wellness Screen II w/ SDMA........................................ 57Wellness Screen III........................................................ 57Wellness Screen IV........................................................ 58Wellness/Geriatric Panel............................................... 58

Wellness/Geriatric Panel w/ Triglycerides................... 59Wellness Geriatric Panel, Follow-up............................ 60

Wellness/Geriatric Panel w/ SDMA............................. 59

Feline Panels

Total Body Diagnostic w/o Urinalysis, Follow-up............. 51

ACTH Response, Feline................................................. 61Adult Routine Screen..................................................... 62Antinuclear Antibody............................................................ 62Autoimmune Panel................................................................ 63Basic Feline.............................................................................. 63Basic Health Profile......................................................... 64Bile Acids, Single Sample...................................................... 64Blood Typing, Feline.............................................................. 65CBC w/ Differential............................................................... 65CBC, Follow-up...................................................................... 65CBC, Platelet if Indicated...................................................... 65Chemistry Screen................................................................... 66Chemistry Screen w/ T4 and Feline Viral II....................... 66Chemistry Screen, Follow-up............................................... 67Coagulation Panel I................................................................ 67Coagulation Panel II.............................................................. 68Coagulation Panel III............................................................. 68Cobalamin (Vitamin B12)..................................................... 69Cobalamin and Folate............................................................ 69Coombs.................................................................................... 69Cortisol, Resting..................................................................... 70Crossmatch Complete........................................................... 70Electrolytes Screen................................................................. 71Ethylene Glycol....................................................................... 71Fecal Parasite Combo w/ Giardia Crypto IFA................... 71Fecal Parasite Screen.............................................................. 72Feline ADR Panel................................................................... 72Feline Calicivirus Titer.......................................................... 73Feline Coronavirus (FIP) Screen.......................................... 73Feline Coronavirus (FIP) Screen, Add-on.......................... 74Feline Coronavirus (FIP), Titered........................................ 74Feline Heartworm Panel........................................................ 75

Feline Heartworm Screen...................................................... 75Feline Herpesvirus Titer.................................................... 75Feline Immunization Screen I.......................................... 76Feline Immunization Screen II......................................... 76Feline Immunization Screen III........................................... 77Feline Panel............................................................................. 77Feline Panleukopenia Virus Titer........................................ 78Feline Screen........................................................................... 78Feline TLI/PLI/Cobalamin/Folate....................................... 79Feline Toxoplasmosis IgG/IgM............................................ 79Feline Viral I........................................................................... 80Feline Viral II.......................................................................... 80Feline Viral III........................................................................ 81FeLV (ELISA)......................................................................... 81FeLV, Add-on......................................................................... 82FIV........................................................................................... 82FIV, Add-on............................................................................ 82Folate....................................................................................... 83Feline PLI/Cobalamin/Folate............................................... 83Free T4..................................................................................... 84General Diagnostic................................................................ 84General Diagnostic w/ Feline Viral I................................... 85General Diagnostic w/ Feline Viral II................................. 85

General Diagnostic w/ T4 and Feline Viral II.................... 87General Diagnostic w/ T4 and FeLV................................... 87General Diagnostic w/ Triglycerides................................... 88

General Diagnostic w/ T4..................................................... 86General Diagnostic w/ T4 and Feline Viral I..................... 86

General Diagnostic W/ T4 and Cobalamin/Folate........... 88General Diagnostic w/ T4, Follow-up................................. 89General Diagnostic w/ Coagulation I.................................. 89General Diagnostic, Follow-up............................................ 90Giardia, ELISA........................................................................ 90Giardia Cryptosporidium IFA............................................. 90Heartworm Antibody, Feline............................................... 91Immune Mediated Hemolytic Anemia (IMHA) Panel.... 91Juvenile Routine Screen........................................................ 92Liver Chemistry Panel........................................................... 92Liver Profile............................................................................ 93Luteinizing Hormone............................................................ 94Microfilaria............................................................................ 94Mycoplasma haemofelis (Hemobartonella)....................... 95Oncology Profile.................................................................... 95Ova & Parasite........................................................................ 95Ova & Parasite Combo w/ IFA............................................ 96Panleukopenia, Fecal............................................................. 96Pre-Op Panel.......................................................................... 96Pre-Op Panel, Follow-up...................................................... 97Protein Electrophoresis......................................................... 97Relaxin, Canine or Feline...................................................... 98Relocated Feline Routine Screen......................................... 99Renal Panel, Chronic............................................................. 99Renal Profile......................................................................... 100 Renal Profile w/ Urinalysis................................................. 100Senior Routine Screen......................................................... 101Senior Screen........................................................................ 101

Urinalysis w/ Culture, Follow-Up........................................ 54

Urine Culture, Follow-Up .................................................... 55

Senior Scree w/ CBC............................................................ 102Senior Screen w/ Cholesterol.............................................. 102T3 (Triiodothyronine)......................................................... 103T3 Suppression I................................................................... 103T3 Suppression II................................................................. 104Thyroid II.............................................................................. 104Thyroid Screen..................................................................... 105TLI/Cobalamin/Folate (Feline Only)................................ 105Total Body Diagnostic......................................................... 106Total Body Diagnostic w/o Urinalysis.............................. 106Total Body Diagnostic w/o Urinalysis, Follow-up.......... 107Total Body Diagnostic, Follow-up.................................... 107Urinalysis.............................................................................. 108Urinalysis w/ Culture and Sensitivity............................... 108

Urine Cortisol/Creatinine Ratio........................................ 109

Urine Protein Electrophoresis........................................... 110Vector/Tick Borne Disease Screen.................................... 111Wellness Screen II................................................................ 111Wellness Screen II w/ SDMA............................................. 112Wellness Screen III.............................................................. 112Wellness Screen IV.............................................................. 113Wellness/Geriatric Panel.................................................... 113Wellness/Geriatric Panel w/ SDMA.................................. 114Wellness/Geriatric Panel w/ Triglycerides....................... 114Wellness/Geriatric Panel, Follow-up................................ 115Wellness/Geriatric Panel w/ Feline Viral I....................... 115Wellness/Geriatric Panel w/ Feline Viral II..................... 116

Equine/Large Animal PanelsACTH Plasma, Endogenous............................................... 117Bovine Chemistry Panel...................................................... 117Bovine Panel for Calcium Supplement............................. 118CBC w/ Fibrinogen and Plasma Protein........................... 118CBC w/ Plasma Protein....................................................... 118Chemistry Screen, Large Animal....................................... 119Coggins EIA, AGID............................................................. 119Coggins EIA, ELISA............................................................ 120Culture, Equine Uterine...................................................... 120Dexamethasone Suppression, Equine............................... 121Equine Chemistry Screen.................................................... 121Equine General Endocrine................................................. 122Equine Immunodeficiency................................................. 122Equine Insulin/ACTH, Endogenous................................. 123Equine Pre-Op Panel........................................................... 123Equine Screen....................................................................... 124Equine Screen, Follow-up................................................... 124Equine Senior Wellness I.................................................... 125Equine Senior Wellness II................................................... 126Equine Special w/ Insulin................................................... 127Equine Total Body............................................................... 128Fecal Parasite, Quantitative................................................ 128Fibrinogen, Semi-quantitative........................................... 128IgG, Camelid......................................................................... 129IgG, Equine........................................................................... 129

IgM, Equine.......................................................................... 129Insulin................................................................................ 130Large Animal Liver Chemistry.......................................... 130Occult Blood........................................................................ 131Pre-Op Panel, Large Animal.............................................. 131Progesterone, Non-Canine................................................. 132Ruminant Screen................................................................. 132Ruminant Screen, Follow-up............................................. 133Sorbitol Dehydrogenase (SDH)......................................... 133Special Equine Profile......................................................... 134T3 (Triiodothyronine)........................................................ 134TRH Stimulation Test........................................................ 135Urinalysis............................................................................. 135Uterine Screen, Equine....................................................... 136

Avian and Exotic PanelsAvian and Exotic Sample Guidelines................................ 137Avian Liver Chemistry........................................................ 138Avian Mini Liver Panel....................................................... 138Avian Mini Renal Panel...................................................... 138Avian Panel........................................................................... 139Avian Panel, Follow-up....................................................... 139Avian Renal Chemistry....................................................... 140Avian/Nonmammalian 13-Chemistry Screen................. 140Avian/Nonmammalian 10-Chemistry Screen................. 140Avian/Nonmammalian 13-Chemistry w/ CBC............... 141Avian/Nonmammalian 13-Chemistry

w/ CBC and Protein Electrophoresis............................. 141Avian/Nonmammalian 13-Chemistry

w/ CBC, Follow-up........................................................... 142Avian/Nonmammalian 18-Chemistry Screen................. 142Avian/Nonmammalian 18-Chemistry w/ CBC............... 143Avian/Nonmammalian 18-Chemistryw/ CBC and Protein Electrophoresis................................ 144Avian/Nonmammalian 21-Chemistry.............................. 144Avian/Nonmammalian 21-Chemistry w/ CBC............... 145Avian/Nonmammalian 21-Chemistry

w/ CBC and Protein Electrophoresis............................. 146Avian/Reptile CBC............................................................... 146Avian/Reptile CBC, Follow-up........................................... 147Avian/Reptile Giardia/Crypto w/ Modified Acid Fast.... 147Reptile Mini Liver Panel...................................................... 147Reptile Mini Renal Panel..................................................... 148Reptile Profile....................................................................... 148Reptile Profile, Follow-up................................................... 149

Small Mammal PanelsCBC, Exotic/Small Mammal............................................... 151CBC, Platelet if Indicated.................................................... 151Small Mammal Chemistry Screen I................................... 151Small Mammal Chemistry Screen II.................................. 152Small Mammal Comprehensive Chemistry Screen......... 152Small Mammal Comprehensive Panel.............................. 153Small Mammal Comprehensive Panel

w/ Protein Electrophoresis.............................................. 154

Urinalysis w/ Culture, Follow-Up..................................... 109

Urine Culture, Follow-Up.................................................. 110

Small Mammal Comprehensive Panel, Follow-up.......... 155Small Mammal Mini Liver Panel....................................... 155Small Mammal Mini Renal Panel...................................... 156Small Mammal Panel I........................................................ 156Small Mammal Panel I, Follow-up.................................... 157Small Mammal Panel II....................................................... 157Small Mammal Panel II w/ Protein Electrophoresis....... 158Small Mammal Panel II, Follow-up................................... 158

Cytology PanelsCytology Submission Guidelines....................................... 159Body Cavity/Joint Fluid Cytology...................................... 161Body Cavity/Joint Fluid Cytology, Additional Source.... 161Bone Marrow Cytology....................................................... 162Bone Marrow Cytology w/ CBC........................................ 163Buffy Coat Cytology............................................................. 164CSF Analysis......................................................................... 164CSF Analysis, Multiple Sites............................................... 164CSF Panel, Special................................................................ 165Cytology................................................................................ 166Cytology Slide Prep Only.................................................... 167Mini-Cytology...................................................................... 168Semen Evaluation................................................................. 169

EndocrinologyACTH Plasma, Endogenous............................................... 171ACTH Response................................................................... 172ACTH Response, Feline...................................................... 173Basic Feline........................................................................... 173Basic Health Profile............................................................. 174Canine Breeding Panel........................................................ 174Chemistry Screen w/ T4 and Feline Viral II..................... 175Cortisol, Resting................................................................... 175Cortisol, Urine...................................................................... 176Dexamethasone Suppression............................................. 176Dexamethason Suppression, Equine................................. 177Endocrine Panel................................................................... 178Equine General Endocrine................................................. 179Equine Insulin/ACTH, Endogenous................................. 179Equine Senior Wellness I.................................................... 180Equine Senior Wellness II................................................... 181Equine Special w/ Insulin.................................................... 182Feline Panel........................................................................... 183Free T4................................................................................... 183Free T4, Add-on................................................................... 184General Diagnostic w/ Thyroid II...................................... 184General Diagnostic w/ T4 and Feline Viral II.................. 185General Diagnostic w/ T4 and FeLV................................. 185General Diagnostic w/ T4................................................... 186General Diagnostic w/ T4 and Feline Viral I................... 186General Diagnostic w/ T4 and Cobalamin/Folate........... 187General Diagnostic w/ T4, Follow-up............................... 187General Endocrine, Canine................................................ 188Insulin.................................................................................... 189Lipid Panel w/ T4................................................................. 189Luteinizing Hormone.......................................................... 190

Progesterone, Canine........................................................ 191Progesterone, Follow-up..................................................... 191Progesterone, Non-Canine................................................. 192Relaxin, Canine or Feline.................................................... 192Resting Cortisol.................................................................... 193RX - Methimazole I.............................................................. 193RX - Methimazole II............................................................. 194RX - Thyroxine/Soloxine..................................................... 194RX - Cushing's (Trilostane, Mitotane).............................. 195Senior Routine Screen.......................................................... 196Senior Screen......................................................................... 196Senior Screen w/ Calcium and HCT.................................. 197Senior Screen w/ CBC and Free T4.................................... 197Senior Screen w/ TSH.......................................................... 198Senior Screen w/ Free T4..................................................... 198Senior Screen w/ Calcium................................................... 199Senior Screen w/ Cholesterol.............................................. 199Special Equine Profile.......................................................... 200T3 (Triiodothyronine)......................................................... 200T3 Suppression I................................................................... 201T3 Suppression II.................................................................. 202Thyroid I................................................................................ 202Thyroid II.............................................................................. 203Thyroid III............................................................................. 203Thyroid IV............................................................................. 204Thyroid Panel V.................................................................... 204Thyroid Screen...................................................................... 205Total T4.................................................................................. 205Total T4, Add-on.................................................................. 205TRH Stimulation Test.......................................................... 206TSH (Thyroid Stimulation Hormone).............................. 206TSH, Add-on......................................................................... 207Urine Cortisol/Creatinine Ratio......................................... 207Urine, Cortisol...................................................................... 207Wellness Screen II................................................................ 208Wellness Screen II w/ SDMA.............................................. 208Wellness Screen II w/ Urine to Follow.............................. 209Wellness Screen III............................................................... 209Wellness Screen IV............................................................... 210Wellness/Geriatric Panel..................................................... 210Wellness/Geriatric Panel w/ SDMA.................................. 211Wellness/Geriatric Panel w/ Triglycerides........................ 211Wellness/Geriatric Panel, Follow-up................................. 212Wellness/Geriatric Panel w/ Feline Viral I........................ 212Wellness/Geriatric Panel w/ Feline Viral II...................... 213

HistopathologyHistopathology Submission Guidelines............................ 215Histopathology Single Tissue -

Mini Path Review, Slides Only........................................ 217Histopathology Single Tissue -

Full Path Review, Slides Only.......................................... 217Histopathology Complex Tissue -

Full Path Review, Slides Only......................................... 218

Panels

Histopathology Additional Skin Punches - Full, Slides Only............................................................ 218

Histopathology Add'l SingleTissue - Full, Slides Only............................................................ 219

Histopathology Add'l Single Tissue x2 - Full, Slides Only............................................................ 219

Histopathology Add'l Single Tissue x3 - Full, Slides Only............................................................... 220

Histopathology Add'l Single Tissue x4 - Full, Slides Only.............................................................. 220

Histopathology Skin Punch Biopsies - Mini, Slides Only............................................................ 221

Histopathology Skin Punch Biopsies - Full, Slides Only.............................................................. 221

Histopathology Additional Skin Punches - Mini, Slides Only............................................................ 221

Histopathology Add'l Single Tissue - Mini, Slides Only............................................................ 222

Histopathology Add'l Single Tissue x2 - Mini, Slides Only............................................................ 222



Histopathology Complex Tissue - Mini Path Review, Slides Only..................................... 224

Histopathology Single Tissue - Mini Report................... 224Histopathology Single Tissue - Full Report..................... 225Histopathology Complex Tissue - Full Report................ 225Histopathology Complex Tissue x2 - Full Report........... 226Histopathology Complex Tissue x3 - Full Report........... 226Histopathology Complex Tissue x4 - Full Report........... 227Histopathology Necropsy................................................... 227Histopathology Limb Dissection....................................... 228Histopathology Additional Skin Punch Biopsies -

Full Report...................................................................... 228Histopathology Additional Single Tissue -

Full Report...................................................................... 229Histopathology Additional Single Tissue x2 -



Full Report...................................................................... 230Histopathology Skin Punch Biopsies - Mini Report....... 231Histopathology Skin Punch Biopsies - Full Report........ 231Histopathology Additional Skin Punch Biopsies -

Mini Report.................................................................... 232Histopathology Additional Single Tissue -

Mini Report.................................................................... 232Histopathology Additional Single Tissue x2 -



Mini Report.................................................................... 234

Histopathology Complex Tissue - Mini Report............. 234Histopathology Complex Tissue x2 - Mini Report......... 235Histopathology Complex Tissue x3 - Mini Report.......... 235Histopathology Special Stain.............................................. 236Histopathology Special Stain x2......................................... 236Histopathology Special Stain x3......................................... 236Histopathology Special Stain x4......................................... 237

Microbiology PanelsMicrobiology Submission Guidelines.............................. 239Acid Fast Stain...................................................................... 241Add-on Sensi/Yeast/Topicals............................................. 241Culture & Sensitivity, Aerobic........................................... 242Culture & Sensitivity, Milk................................................. 242Culture ID/Sensitivity if Indicated, Avian........................ 242Culture, Aerobic ID Only................................................... 243Culture, Aerobic ID only, Anaerobic ID only.................. 243Culture, Aerobic w/ Sensitivity-

Anaerobic Culture, ID only....................................... 243Culture, Anaerobic (ID Only)............................................ 244Culture, Blood...................................................................... 244Culture, Dermatology.......................................................... 244Culture, Equine Uterine...................................................... 245Culture, Feces....................................................................... 245Culture, Fungal..................................................................... 245Culture, Mycoplasma.......................................................... 246Culture, Urine....................................................................... 246Dermatophilus Prep............................................................ 246Fecal Baermann.................................................................... 247Fecal Combo Screen w/ Giardia ELISA............................ 247Fecal Parasite Combo w/ Giardia/Crypto IFA................. 247Fecal Parasite Screen............................................................ 248Fecal Parasite, Quantitative................................................ 248Gram Stain............................................................................ 248Modified Acid Fast Stain..................................................... 248Ova & Parasite...................................................................... 249Ova and Parasite Combo w/ IFA....................................... 249Tritrichomonas Fecal.......................................................... 250Urinalysis w/ C&S................................................................ 250Urinalysis w/ Culture, Follow-up...................................... 251Urine Culture & Sensitivity, Add-on................................ 251Urine Culture, Follow-up................................................... 252

Test List, Alphabetical................................ 253

Sample Collection and Submission To get the most out of diagnostic testing, it is critical that samples are handled and submitted properly. Phoenix Lab is here to help. Read on for general sample submission guidelines and be sure to review any special submission guidelines for individual tests.

Before Collection • Please examine all specimen collection and transportation supplies to make sure they are

not expired.• When collecting blood samples, select the appropriate size syringe and needle to ensure

enough sample is collected and to help avoid hemolysis. When possible, use a 22g needle orlarger for blood collection; larger gauge needles are recommended for large dogs or largeanimals.

• Make sure you have the proper tubes available. Additives that preserve a sample for onetype of test may actually interfere with a different test (ex: EDTA will cause chemistry resultsto be unreliable).

• Select the proper sized tubes for the anticipated volume – use smaller tubes for smallerpatients. Tubes that are too large can result in inaccurate results due to dilution or “QNS”(quantity not sufficient) errors.

• Ensure your patient is properly prepared for the collection. Ensure patients are fasting whensubmitting fasting specimens or indicate otherwise. Fasting samples are helpful to avoidlipemia which can interfere with analysis. Medications should be administered at the propertime before or during the testing process.

Using the Correct Tube – Common Collection Tube Abbreviations Abbreviation Tube Abbreviation Tube SST Serum separator tube (gel barrier) RBTT Royal blue top tube m-SST Microtainer serum separator tube GRNTT Green top tube (Li Heparin) RTT Red top tube m-GnTT Microtainer green top tube m-RTT Microtainer red top tube LTT Lavender top tube (EDTA) BTT Blue top tube (buffered Na citrate) m-LTT Microtainer lavender top tube GTT Grey top tube (K Oxalate, Na fluoride) Slides Glass slides m-GTT Microtainer Grey top tube Crits Hematocrit tube CTT Clear top tube (no additive, sterile) Urine tube 15 mL conical tube (nonsterile)

Immediately After Collection The easiest and most important way to ensure quality is to properly label the sample. All samples should be labeled with the first and last name of the patient. Labeling date and time of collection is especially important for tests like pre- and post-bile acids, ACTH stimulation tests, or dexamethasone suppression tests. Other post-collection considerations include:

• When transferring the blood from the syringe to the tubes, avoid excessive pressure whichcan cause RBC lysis.Immediately and gently, invert the tube 5-10 times to mix the sample with any additives.

• Allow serum samples to clot for a minimum of 15 minutes before centrifugation. Centrifugeand separate serum or plasma from red cells within 30-60 minutes of collection. Red cells

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can falsely decrease glucose and falsely elevate potassium in some species if not separated quickly. Delayed separation can also lead to hemolysis within the serum, which can interfere with analysis. If the serum/plasma (after centrifugation) is markedly lipemic or markedly hemolyzed, and there is not a known process as the cause (hyperlipidemia, IMHA etc), please collect a fresh sample from the patient.

• Serum or plasma samples with no gel separator should be transferred to a different tubeand labeled “serum” or “plasma.”

• For CBCs, please make 1-2 blood smears as soon as possible after collection and allow to airdry completely before putting into a container for transport to our laboratory and do notrefrigerate. If the CBC sample is clotted (either in the syringe or in the LTT), please collect anew, non-clotted sample from the patient.

Urine Collection The most common urine collection considerations:

• Mark the method of collection – free catch, catheter, or cystocentesis• Store specimens in a urine tube or sterile CTT. Secure lids to avoid leakage.• Store in a cool place, such as a refrigerator.

Outdoor Specimen Lockboxes Samples should stay indoors and stored at the proper temperature until collected by the courier. Evening sample pickups after closing may make this impossible, and samples may be placed outside in a lockbox until the courier arrives. Lockboxes should be insulated with Styrofoam, should close properly, and should not have any rust/damage. If your lockbox needs repair, please notify Phoenix Lab. For clients whose specimen lockboxes must be placed outdoors, adding a frozen gel pack to the lockbox during warmer weather will help provide a moderate temperature inside the lockbox until your Phoenix courier collects the specimens. They should be frozen solid prior to being placed in the lockbox, and they should be frozen solid before each use, even though they may be used with specimens that are not frozen. To avoid freezing the samples, wrap the ice pack in paper towels or other insulating material. Gel packs should be prepared for use by placing them in a freezer for four hours or longer.

Number of Frozen Gel Packs RecommendedApproximate Outdoor Temperature Frozen Gel Packs Recommended

Below 80°F One frozen gel pack 80°F − 100°F Two frozen gel packs 100°F − 120°F Three frozen gel packs

If it is not possible to avoid placing the specimen lockbox in direct sunlight, add 20°F to the temperatures listed above to determine how many frozen gel packs to use.

Cold Weather When temperatures are below freezing, a thawed (room temperature) gel pack in the lock box can help prevent sample freezing.

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Canine Panels

39 ACTH Response

Methodology: Chemiluminescent Immunoassay

Pre Cortisol

Specimen Requirements 0.5 mL Serum each RTTx2; Pre, 1 hour Post. DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE

Reported Time Same Day

Post Cortisol

Collection Notes PROTOCOL:1. Collect a resting sample in a RTT, 0.5 mL of serum is required. Separate serum if possible and refrigerate. 2. Inject 0.25 mg (250 µg) of Cortrosyn IM or IV (1 vial). 3. Collect a second sample EXACTLY 1 HOUR post injection in RTT, label clearly as to the collection status (post), and preserve in the same manner as the first sample.

NOTE: The test has been validated using Cortrosyn. Although compounded gels are available, they vary greatly in peak times and are not recommended.

ALTERNATE CANINE PROTOCOL (Microdose): In order to keep Cortrosyn costs down, use the specific dose of 5 ug/kg IV - up to the maximum dose of 250 ug (one vial) per dog. Whatever is left over can then be split into aliquots of 25 ug or 50 ug using small plastic syringes. Normally 1 mL of sterile physiologic saline is used as diluent. If so, 25 ug would be 100 uL or 0.1 mL. ***When the patient is receiving Trilostane/Vetoryl, the timing of the test is important. The pre-cortisol sample should be drawn 3-5 hours after the morning capsule. The test is a one hour test, so in other words, the ACTH Response test should be completed 4-6 hours after the medication, which is usually given once a day in the morning.

Additional Comments: Pre and Post sample required. In addition to diagnosis of naturally occurring hyperadrenocorticism (Cushing's disease), this is the only diagnostic test for hypoadrenocorticism (Addison's disease), iatrogenic hyperadrenocorticism, and monitoring response to medical therapy of Cushing's disease. Prednisone, prednisolone, and other corticosteroids (except dexamethasone) will cross react. Recommend these drugs be discontinued at least 48 hrs before testing. If dog has been on prolonged steroids, patient must be tapered with the drug stopped for at least 3 weeks to let the adrenal gland recover. INTERPRETATION HYPERADRENOCORTICISM: An ACTH response test is done to CONFIRM clinical suspicion of hyperadrenocorticism. Stressful diseases (ill diabetics, renal failure, etc.) and current drug therapy may cause false positives. If the cortisol results are normal (and an adequate dose of Cortrosyn was administered) and there is high clinical suspicion of hyperadrenocorticism, sex hormone hyperadrenocorticism (atypical Cushing's) should be considered. Additional testing on the serum from this ACTH stimulation test can be performed. Please contact us within 7 days of this cortisol result for further testing options. A low-dose dexamethasone suppression test should also be considered, as some patients with Cushing's will be positive on one test but not on the other.INTERPRETATION HYPOADRENOCORTICISM: Pre and post cortisol <2 ug/dL are supportive of hypoadrenocorticism but need to be interpreted in light of other clinical findings and history. Failure to stimulate can occur with iatrogenic hyperadrenocorticism, dogs being treated for hyperadrenocorticism and Addison's disease.

For Feline Protocol See ACTH Response, Feline 1039

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1719 Adult Routine Screen

CBCAlbuminALP (Alkaline Phosphatase)BUN (Blood Urea Nitrogen)CreatinineUrinalysis

Specimen Requirements Chemistry: 1.0 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrinalysis: 5 mL fresh urine


BUN/Creat RatioGlobulinGlucosePotassiumALT (Alanine Transaminase)

Total ProteinAlbumin/Globulin ratioChlorideSodiumSodium/Potassium Ratio

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Submit sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: None

602 Antinuclear Antibody

Methodology: IFA

Specimen Requirements 0.5 mL Serum, SST/RTT. Minimum: 0.2 mL Serum. EDTA/heparinized plasma is OK.

Reported Time Tuesday/Thursday, Same Day

Collection Notes Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: If positive, results will be held and a confirmatory titer will be run Wednesday/ Friday.Steroids will affect this test result.

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52 Autoimmune Panel

CBCPlatelet Count

Specimen Requirements ANA: 0.5 mL Serum, SST/RTTCBC and Coombs: 1.5 mL whole blood LTT(1.0 mL minimum) and air dried peripheral blood smears

Reported Time See Comment

Coombs ANA (Antinuclear Antibody)


Corticosteroids can cause false negative Coombs results, therefore consider discontinuing corticosteroid use 2-3 weeks prior to testing.

Additional Comments: Coombs performed Mon-Sat on Days. ANA is performed Tues/Thurs AM. A positive ANA will be held and is titered the next day (Wed/Fri)

Steroids will affect this test result, however, studies have shown that corticosteroid therapy of <7 days do not cause false negatives.

21 Basic Canine Chemistry

Methodology: Spectrophotometry

Chemistry ScreenCK (Creatine Kinase)

Specimen Requirements 0.5 mL Serum, SST/RTT, 1.0 mL GTT


Amylase Lipase

Collection Notes Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


Page 5 of 448

92 Basic Health Profile

CBCUrinalysis

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smears; Urinalysis: 5 mL fresh urine


Chemistry Screen Total T4

Collection Notes Please indicate method of urine collection.Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Submit sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.


46 Bile Acids Panel


Bile acids, Pre

Specimen Requirements Pre and Post required, 0.3 mL (minimum 0.1 mL) serum each, SST/RTT.


Bile acids, Post

Collection Notes Pre Sample: 12 hour fasting samplePost Sample: 2 hour post prandial Use a standard meal such as maintenance or puppy formula food. Minimum recommendations = Feeding 2 tsp <10 lbs, 2 tbsp >10 lbs of canned, high quality food.PLEASE NOTE: The animal should be off Actigall (Ursodiol) 48 hours prior to running a bile acid study.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Post prandial values in normal dogs/cats do not usually exceed 20 umol/L. Bile acids testing is helpful in assessing liver function.GI motility abnormalities such as vomiting or diarrhea may affect results. If bilirubin is elevated then Bile acids are not necessary; they will be increased as well.

Page 6 of 448

104 Bile Acids, Single Sample


Specimen Requirements 0.25 mL Serum SST/RTT; Can test either Pre Sample (12 hour fasted sample) or Post sample (2 hour post prandial)


Collection Notes Use a standard meal such as maintenance or puppy formula food. Minimum recommendations = Feeding 2 tsp <10 lbs, 2 tbsp >10 lbs of canned, high quality food.Please Note: Animal should be off Actigall (Ursodiol 48 hours prior to running bile acids study.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: This is a single sample evaluation, Pre OR Post sample. If BOTH Pre and Post are needed, order Bile Acids Panel 46. GI motility abnormalities such as vomiting or diarrhea may affect results. If bilirubin is elevated then Bile acids are not necessary; they will be increased as well.

610 Blood Typing, Canine

Methodology: RIM

Specimen Requirements 0.5 mL Whole Blood, LTT

Reported Time Daily AM - Same Day

Collection Notes None

Additional Comments: Types for DEA 1 only. Call the Lab for universal blood donor information.

201 Brucella Screen, Canine

Methodology: IFA

Specimen Requirements 0.5 mL Serum, SST/RTT



Additional Comments: Positive results should be confirmed by AGID. This is a send-out test to Cornell University (SO4 - Brucellosis Confirmation). Additional charges will apply. This will not be sent without client approval.

Page 7 of 448

1647 Canine Breeding Panel

Progesterone

Specimen Requirements Progesterone: 0.5 mL RTTCytology: 1-3 Vaginal Smears (Slides)


Cytology, Vaginal

Collection Notes Prepare the cytology sample by GENTLY rolling the swab over the slide. This technique will deliver optimal cellular material for review. Thoroughly dry the smears. DO NOT put slides into the slides holder until completely dry and do not refrigerate. Consistent labeling of tubes and smears: "Last Name, Owner, Animal, date" is very helpful when comparing serial results.Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Timing of Sampling in Early Proestrus: 1) Progesterone should be monitored every 2-3 days to detect the preovulatory rise. 2) Vaginal Cytology should be evaluated every 2 days until >60% cornified. Rechecking: If progesterone is 1.0 - 3.0 ng/mL, consider confirming ovulation with serum progesterone concentration after at least 3 days. At ovulation, serum progesterone ranges from 3.8 - 10 ng/mL. Optimal breeding (fresh semen) is 2 days after ovulation.

1012 Canine GI Panel (cPL/TLI/Cobalamin/Folate)

Methodology: Chemiluminescent Immunoassay/Lateral Flow

CobalaminFolate

Specimen Requirements 1.0 mL Serum SST/RTT, hemolyzed samples should NOT be submitted for Folate testing.

Reported Time Mon, Wed, Fri, Same day

cPLI TLI

Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive) It is recommended to separate serum and freeze the sample if transport to lab is to be delayed.

Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: For Felines see Feline TLI/PLI/Cobalamin/Folate 1689.

Page 8 of 448

58 Canine Heartworm Panel

Methodology: ELISA/Knotts

Heartworm Antigen

Specimen Requirements 0.5 mL Serum, SST/RTT, and 1.0 mL Whole Blood, LTT(Test can be run on only LTT, volume 2.0 mL Whole Blood)


Microfilaria


Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. High worm burdens can have false negative antigen results. If the result is unexpected, consider re-testing with heat treatment.Positive antigen results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Feline Heartworm Panel 1629).

To run only Heartworm antigen or microfilaria see: Heartworm Antigen 238 or Microfilaria 212.

156 Canine Immunization Screen

Methodology: IFA

Canine Distemper virus


Reported Time Monday, Thursday: Same Day

Parvovirus


Additional Comments: For Vaccination status. Screens for antibodies to Canine Distemper virus and Parvovirus.

Page 9 of 448

1005 Canine PLI and TLI


Specimen Requirements 0.5 mL Serum SST/RTT For cPLI: Excessive hemolysis may obscure the results and sample could be rejected.

Reported Time Same Day/Next Day

Collection Notes Serum must be fasted 12-18 hours (diabetic animals 6-8 hours) and non-hemolyzed/non-lipemic.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments:

1013 Canine PLI/Cobalamin/Folate


cPLI



Cobalamin Folate



Additional Comments: For Felines see Feline PLI/Cobalamin/Folate 4689.

44 CBC w/ Differential

Methodology: Flow Cytometry

Specimen Requirements 0.5 mL Whole Blood, LTT, and air dried peripheral blood smears


Collection Notes Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.


Page 10 of 448

73 CBC, Follow-Up


Specimen Requirements 1.0 mL Whole Blood, LTT. Air dried peripheral blood smears also recommended



Additional Comments: Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.

1044 CBC, Platelet if Indicated





Additional Comments: It is possible a platelet count cannot be performed due to clumping.

1 Chemistry Screen


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)

Specimen Requirements 0.5 mL Serum, SST/RTTMinimum is 250uL serum


Anion GapCalciumPhosphorusTotal ProteinAlbuminGlobulinA/G Ratio

Bilirubin, TotalALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCalculated Osmolality

Collection Notes Prolonged contact with cells can dramatically affect glucose valuesFor accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


Page 11 of 448

71 Chemistry Screen, Follow-up


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChloride

Specimen Requirements 0.5 mL Serum, SST/RTT, 1.0 mL GGT


CO2 (Carbon Dioxide)Anion GapCalciumPhosphorusTotal ProteinAlbuminGlobulinA/G Ratio




83 Coagulation Panel I

Methodology: Endpoint Clot Detection

Prothrombin Time (PT)

Specimen Requirements 1 BTT Citrated Plasma required, see collection note for volume details.


APTT

Collection Notes Citrated tubes (BTT) provided by Phoenix Laboratory hold 2.7 mL of blood (to the top of the label). Tubes must be filled with 2.7 mL of blood. If collecting a smaller volume of blood (<2.7mL) the blood to anticoagulant ratio should be 9:1. Please call lab with any questions.Protocol: 1. Draw fresh venous blood into BTT until full (to top of label) but not beyond the top of the tube label. No clotting should be observed in the tube. 2. Cool to 4° C (refrigeration) until analysis. 3. If a delay greater than 24 hours is expected prior to analysis, then the BTT should be spun in a centrifuge, the plasma separated and placed in a CTT or other non-additive tube to be frozen until analysis.

Additional Comments: The ratio of blood to anticoagulant is critical for valid coagulation results. Any clotting will results in the tube being rejected for analysis.

Page 12 of 448

10 Coagulation Panel II

CBC w/DifferentialPlatelet Count

Specimen Requirements 1 BTT, Centrifuge and Separate plasma (0.5mL minimum) and refrigerate. 1 LTT and 2 air-dried Blood smears


FibrinogenAPTT



Additional Comments: The ratio of blood to anticoagulant is critical for valid coagulation results. Any clotting will results in the tube being rejected for analysis.Fibrinogen performed by heat precipitation.

18 Coagulation Panel III

CBCPlatelet Count

Specimen Requirements CBC and Fibrinogen: 1.5 mL LTT and air dried peripheral blood smearsCoagulation: 1 BTT, Centrifuge and separate plasma (0.5 mL minimum) and refrigerate.


D-DimerFibrinogen

Prothrombin Time (PT)APTT



Page 13 of 448

70 Cobalamin (Vitamin B12)


Specimen Requirements 0.5 mL Serum, SST/RTT.

Reported Time Mon/Wed/Fri

Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.Cover sample with foil, vet wrap, or a paper towel to protected from light. sensitive).It is recommended to separate serum and freeze the sample if transport to lab is to be delayed.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Cobalamin is run in-house Monday, Wednesday, and Friday; reported out same day. Cobalamin results >1000 are re-run on dilution and reported out.

2689 Cobalamin and Folate


Specimen Requirements Serum must be fasted 12-18 hours (diabetic animals 6-8 hours). Sample must be non-hemolyzed for folate testing and avoid lipemic samples. Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin are light sensitive)


Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. Folates >24.0 ug/dL and cobalamin >1000 are re-run on dilution and reported.

362 Coombs

Methodology: Direct Antiglobulin


Reported Time Daily, AM

Collection Notes Corticosteroids can cause false negative Coombs results if >7 days of therapy, therefore consider discontinuing corticosteroid use 2-3 weeks prior to testing.

Additional Comments: Steroids will affect this test result, however, studies have shown that corticosteroid therapy of <7 days do not cause false negatives.

Page 14 of 448

2231 Cortisol, Resting


Specimen Requirements 0.5 mL Serum, RTT


Collection Notes If the patient has been on steroids for >14 days, patient should be taperdown and discontinue for at least 2 weeks prior to testing. If <14 days, discontinue for 38 hours prior to testing.DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE

Additional Comments: A patient with a resting cortisol >2.0 ug/dL has a 99% chance of NOT having Addison's disease.With a resting cortisol of <2.0 ug/dL, an ACTH Response 39 is needed to rule-in Addison's disease. This interpretation is valid if no oral or topical steroids have been given in the last 6 weeks. A resting cortisol cannot be used to rule- in or out hyperadrenocorticism. A LDDS 38 and/or ACTH Response 39 needs to be performed.

1000 cPL

Methodology: Lateral Flow

Specimen Requirements 0.25 mL Serum SST/RTT. Excessive hemolysis may obscure the results and sample could be rejected.

Reported Time Same Day AM/PM

Collection Notes Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis. EDTA, sodium and lithium heparin sample tubes are acceptable.

Additional Comments: Semi-quantitative Canine Pancreatic Lipase Test. This test is specific for the determination of pancreas-specific lipase levels in canine serum or plasma.

Page 15 of 448

27 Crossmatch Complete

Methodology: Tube Agglutination

Crossmatch Major

Specimen Requirements 1.0 mL Serum, RTT and Whole Blood, LTT required for Recipient and for each donor tested. **Samples can not be hemolyzed.**


Crossmatch Minor


Additional Comments: Major: Determines if donor's RBCs are compatible with the recipient's serum.Minor: Determines if donor's plasma is compatible with the recipient's RBCs.A crossmatch is used prior to transfusion to determine if the blood to be transfused is compatible with the animal that will be receiving the transfusion. Individual charge for each tested donor. For Canine or feline only.

For only Major or Minor testing, see Crossmatch, Major 314, or Crossmatch, Minor 313.

Page 16 of 448

38 Dexamethasone Suppression


Pre Cortisol

Specimen Requirements 0.5 mL Serum each RTTx3; Pre, 4 hour, 8 hour post. DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE


4 hr Post Cortisol 8 hr Post Cortisol

Collection Notes Collection Protocol:

Low Dose: NOTE: During the low dose dexamethasone suppression test, patient stress should be kept to a minimum. No other diagnostic procedures or grooming should be performed during the testing period.1. Collect 0.5 mL serum pre-injection. (RTT,CTT)2. Inject 0.01 mg/kg dexamethasone sodium phosphate IV.3. Collect 2 post samples at 3-4 and 8 hours post injection. (RTT,CTT) Centrifuge, separate serum into a sterile transport tube (RTT,CTT), and refrigerate or freeze until transport to the Lab.

High Dose:1. Collect 0.5 mL serum pre-injection. (RTT,CTT)2. Inject 0.1 mg/kg dexamethasone sodium phosphate IV.3. Collect 2 post samples at 4 and 8 hours post injection. Label each tube accordingly. (RTT,CTT) Centrifuge, separate serum into a sterile transport tube (RTT,CTT), and refrigerate or freeze until transport to the Lab. DO NOT FREEZE SPECIMENS IN GLASS TUBES.

Additional Comments: PLEASE NOTE: All three samples should be submitted together. A dexamethasone suppression is done to CONFIRM clinical suspicion of hyperadrenocorticism. Stressful diseases (ill diabetics, renal failure, etc.) and current drug therapy may cause false positives. Prednisone, prednisolone, and other corticosteroids (except dexamethasone) will cross react. Long term steroid therapy will suppress adrenal function. Recommend these drugs be discontinued at least 48 hrs before testing. Extra charge for more than 3 samples - please call the Laboratory for information. Up to 40% of pituitary dependent and adrenal dependent hyperadrenocorticoid dogs do not show suppression in LDDST. These dogs require HDDST, ACTH concentrations and/or abdominal imaging for further characterization.

Page 17 of 448

621 Distemper, FA

Methodology: FA

Specimen Requirements 1.0 mL Whole Blood LTT or conjunctival smears/swab or can run on both.

Reported Time Next Day


Additional Comments: May be positive for up to 3 weeks, post infection, in conjunctival smears; 2-5 days in whole blood.

Test set up next day, resulted by end of day.

16 Electrolytes Screen


SodiumPotassium



ChlorideCarbon Dioxide (CO2)

Anion GapSodium/Potassium Ratio



Page 18 of 448

1008 Endocrine Panel

Chemistry Screen

Specimen Requirements 3 RTTs, Label each with draw time (0, 4, and 8 hour) 0.5 mL each ( minimum 0.1 mL for 4 and 8 hr posts).DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE


Dexamethasone Suppression - 3 Cortisols

Collection Notes Collection Protocol: Low Dose: NOTE: During the low dose dexamethasone suppression test, patient stress should be kept to a minimum. No other diagnostic procedures or grooming should be performed during the testing period.1. Collect 0.5 mL serum pre-injection. (RTT,CTT)2. Inject 0.01 mg/kg dexamethasone, IV.3. Collect 2 post samples at 3-4 and 8 hours post injection. (RTT,CTT) Centrifuge, separate serum into a sterile transport tube (RTT,CTT), and refrigerate or freeze until transport to the Lab.

High Dose:1. Collect 0.5 mL serum pre-injection. (RTT,CTT)2. Inject 0.1 mg/kg dexamethasone, IV.3. Collect 2 post samples at 4 and 8 hours post injection. Label each tube accordingly. (RTT,CTT) Centrifuge, separate serum into a sterile transport tube (RTT,CTT), and refrigerate or freeze until transport to the Lab. DO NOT FREEZE SPECIMENS IN GLASS TUBES.


625 Ethylene Glycol

Methodology: Enzymatic

Specimen Requirements 0.5 mL Plasma, LTT/GrnTT


Collection Notes Separate from cells as soon as possible.

Additional Comments: Ethylene glycol levels peak 2 hours after ingestion in canines.

Page 19 of 448

2409 Fecal Parasite Combo w/ Giardia/Crypto IFA

Fecal Screen

Specimen Requirements 10 grams of Fresh Feces, Fecal Tube or bag. Sample can not contain clay litter.


Giardia/Crypto IFA

Collection Notes Do not collect sample contaminated with clay kitty litter. It causes interference with IFA testing. Wheat/corn litter OK.

Additional Comments: Fecal float includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. IFA testing will detect the antigen of Giardia species and most Cryptosporidia.It will not detect some species of Cryptosporidium that are associated with birds and reptiles.

For avian/non-mammalian testing, order Avian/Non-Mammalian Giardia/Cryptosporidium 1530.

409 Fecal Parasite Screen

Methodology: Centrifugation/Flotation

Specimen Requirements 5-10 grams of Fresh Feces, Fecal Tube or bag. For most accurate results, please submit fresh feces (less than 24 hours old).

Reported Time Next day


Additional Comments: Test includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia/Crypto IFA (241) is recommended to confirm the presence of Giardia as noted.

Page 20 of 448

69 Folate


Specimen Requirements 0.5 mL Serum, SST/RTT. Sample MUST be non-hemolyzed for folate testing and avoid lipemic samples.

Reported Time Mon/Wed/Fri, Same day

Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate can be light sensitive).It is recommended to separate serum and freeze the sample if transport to lab is to be delayed.

Additional Comments: Folate is run in-house Monday, Wednesday, and Friday; reported out same day. Folates >24.0 ug/dL are re-run on dilution and reported.

2247 Free T4






Page 21 of 448

1247 Free T4, Add-On


Specimen Requirements 0.5 mL Serum SST/RTT



Additional Comments: Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

2 General Diagnostic

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChloride

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0 mL GTT CBC: 1.0 mL LTT and air dried peripheral blood smears


Carbon Dioxide (CO2)Anion GapCalciumPhosphorusTotal ProteinAlbuminGlobulinA/G Ratio


Collection Notes Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.


Page 22 of 448

77 General Diagnostic w/ T4

CBC





Additional Comments: Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

2072 General Diagnostic w/ Thyroid II

CBCChemistry Screen



Total T4 cTSH (Thyroid Stimulating Hormone)


Additional Comments: TSH only validated on canines, but has been used in felines.

Page 23 of 448

770 General Diagnostic w/ Triglycerides

CBC

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0 mL GTT CBC: 1.0 mL LTT and air dried peripheral blood smears.


Chemistry Screen Triglycerides


Additional Comments: For triglycerides on body cavity fluid, see Body Cavity Fluid Triglycerides 2144

777 General Diagnostic w/T4 and Cobalamin/Folate

CBCChemistry Screen

Specimen Requirements Chemistry: 1.5 mL Serum, SST/RTT, 1.0 mL GTT CBC: 1.0 mL LTT and air dried peripheral blood smears. Sample MUST be non-hemolyzed for folate testing and avoid lipemic samples.

Reported Time See additional comments Below

CobalaminFolate

Total T4

Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours). Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil or a paper towel to protected from light (folate and cobalamin are light sensitive).Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: Chemistries and CBC run same day. Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day.Folates >24.0 ug/dL and cobalamin >1000 are re-run on dilution and reported.

Page 24 of 448

7711 General Diagnostic w/T4, Follow-Up

CBC






Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.

1283 General Diagnostic with Coagulation I

CBCChemistry Screen

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smearsCoag: 1 BTT, See Collection Note for volume


PT (Prothrombin Time) APTT

Collection Notes Citrated tubes (BTT) provided by Phoenix Laboratory hold 2.7 mL of blood (to the top of the label). Tubes must be filled with 2.7 mL of blood. If collecting a smaller volume of blood (<2.7mL) the blood to anticoagulant ratio should be 9:1. Please call lab with any questions. Protocol: 1. Draw fresh venous blood into BTT until full (to top of label) but not beyond the top of the tube label. No clotting should be observed in the tube. 2. Cool to 4° C (refrigeration) until analysis. 3. If a delay greater than 24 hours is expected prior to analysis, then the BTT should be spun in a centrifuge, the plasma separated and placed in a CTT or other non-additive tube to be frozen until analysis.

For Chemistry: Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


Page 25 of 448

72 General Diagnostic, Follow-Up

CBC



Chemistry Screen



Page 26 of 448

61 General Endocrine, Canine

Chemistry Screen

Specimen Requirements 2 RTTs, Pre/Post 0.5 mL Serum Each, 1.0 mL GTTDO NOT USE SST TO SPIN DOWN SAMPLE


Total T4 ACTH Response (Pre and Post Cortisols)

Collection Notes A grey top tube is recommended but not necessary if the RTT is centrifuged and serum is transferred to a transport tube. PROTOCOL:1. Collect a resting sample in a RTT, 0.5 mL of serum is required. Separate serum if possible and refrigerate. 2. Inject 0.25 mg (250 µg) of Cortrosyn IM or IV (1 vial). 3. Collect a second sample EXACTLY 1 HOUR post injection in RTT, label clearly as to the collection status (post), and preserve in the same manner as the first sample. NOTE: The test has been validated using Cortrosyn. Although compounded gels are available, they vary greatly in peak times and are not recommended.




Page 27 of 448

2401 Giardia ELISA

Methodology: ELISA

Specimen Requirements 2 grams of Fresh Feces, Fecal Tube or bag.




240 Giardia/Cryptosporidium IFA

Methodology: IFA

Specimen Requirements 3-5 grams of Fresh Feces, Fecal Tube or bag. Sample can not contain clay litter.


Collection Notes Do not collect sample contaminated with clay kitty litter. It causes interference with testing. Wheat/corn litter OK.

Additional Comments: IFA testing will detect the antigen of Giardia species and most Cryptosporidia. It will not detect some species of Cryptosporidium that are associated with birds and reptiles.

For avian/non-mammalian testing, see Avian/Non-Mammalian Giardia/Cryptosporidium 1530.

238 Heartworm Antigen

Methodology: ELISA




Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. Immature heartworms, including microfilaria, are not detected, see Microfilaria 212.High worm burdens can have false negative results. If the result is unexpected, consider re-testing with heat treatment.Positive results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Heartworm Antibody 629).To combine with microfilaria, order Heartworm Panel 58.

Page 28 of 448

2380 Heartworm Antigen, Add-On

Methodology: ELISA




Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. Immature heartworms, including microfilaria, are not detected, see Microfilaria 212.High worm burdens can have false negative results. If the result is unexpected, consider re-testing with heat treatment.Positive results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Heartworm Antibody 629).To combine with microfilaria, order Heartworm Panel 58.Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

632 IgA Quantitative, Canine

Methodology: Radial Immunodiffusion (RID)


Reported Time 48 Hours



Page 29 of 448

13 Immune Mediated Hemolytic Anemia (IMHA) Panel

CBCCoombs

Specimen Requirements 1.0 mL Whole Blood LTT and air dried peripheral blood smears


Platelet Count Reticulocyte Count


Additional Comments: Coombs run on day shift only.Steroids will affect this test result, however, studies have shown that corticosteroid therapy of <7 days do not cause false negatives.

634 Insulin


Specimen Requirements 1.0 mL Serum, Minimum: 0.5 mL, SST/RTT, Frozen**Serum can NOT be hemolyzed as hemolysis will interfere with testing.**


Collection Notes Centrifuge tube within 20-30 minutes of collection. Separate serum into a transport tube. Sample should be tested or frozen within 24 hours. If unable to centrifuge, use GTT for collection of glucose samples. GTT tubes must have a minimum of 1 mL of blood for accurate results.

Additional Comments: In combination with clinical signs and concurrent blood glucose concentration, determination of serum insulin may be useful in diagnosing an insulinoma. In assessing whether the serum insulin concentration is appropriate, it must be compared to the serum glucose concentration (taken concurrently; included in the cost of insulin test). Measurement of serum insulin concentrations is most useful when the blood glucose concentration is 59 mg/dL or less.Equine insulin and glucose levels have been suggested for diagnosing pituitary adenoma/Cushing's disease, but can be abnormal in any disease causing insulin resistance. Testing not recommended on samples >24 hours old due to rapid deterioration.

Page 30 of 448

1718 Juvenile Routine Screen

CBCAlbuminALP (Alkaline Phosphatase)BUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements Chemistry: 1.0 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smears


BUN/Creat RatioGlobulinPotassiumALT (Alanine Transaminase)Total Protein

Albumin/Globulin ratioChlorideSodiumSodium/Potassium RatioGlucose


Additional Comments: Does not include a urinalysis.

385 Leptospirosis Rapid Screen

Methodology: RIM



Collection Notes Leptospirosis is a zoonotic disease, transmitted by contact of the organism with mucous membranes. Take extra caution when handling animals/samples suspected of infection.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Test includes, but can not distinguish between, serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, and Pomona. For additional Leptospirosis testing including MAT and PCR testing , see our Sendout Catalog.

Page 31 of 448

1084 Liver Chemistry Panel


AlbuminALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AST (Aspartate Transaminase)

Specimen Requirements Chemistry: Two SST/RTT samples, Pre and Post, 0.5 mL each


Total ProteinGlobulinA/G RatioPre Bile AcidsPost Bile Acids

Bilirubin, DirectBilirubin, IndirectBilirubin, TotalGGT (Gamma-glutamyltransferase)

Collection Notes Pre Sample: 12 hr fastingPost: 2 hr post prandial.Use a standard meal such as maintenance or puppy formula food. Minimum recommendations = Feeding 2 tsp <10 lbs, 2 tbsp >10 lbs of canned, high quality food.PLEASE NOTE: The animal should be off Actigall (Ursodiol) 48 hours prior to running a bile acid study.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Post prandial values in normal dogs/cats do not usually exceed 20 umol/L. Bile acids testing is used to assess liver function.

Page 32 of 448

85 Liver Profile

CBCAlbuminALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AST (Aspartate Transaminase)

Specimen Requirements Chemistry: Two SST/RTT samples, Pre and Post, 0.5 mL eachCBC: 1.0 mL LTT and air dried peripheral blood smears


Total ProteinGlobulinA/G RatioPre Bile Acids SamplePost Bile Acids Sample

Bilirubin DirectBilirubin IndirectBilirubin TotalGGT (Gamma-glutamyltransferase)

Collection Notes Pre Sample: 12 hour fasting samplePost Sample: 2 hour post prandialUse a standard meal such as maintenance or puppy formula food. Minimum recommendations = Feeding 2 tsp <10 lbs, 2 tbsp >10 lbs of canned, high quality food.PLEASE NOTE: The animal should be off Actigall (Ursodiol) 48 hours prior to running a bile acid study.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.


Page 33 of 448

620 Luteinizing Hormone

Methodology: RIM



Collection Notes Please allow sample to clot (up to 20 minutes) and then spin down sample. If using a RTT, remove serum and put into a fresh RTT/CTT. Avoid lipemia and hemolysis.

Additional Comments: OVARIAN REMNANT DETERMINATION: Test when the dog is NOT showing signs of estrus: A positive result means high LH concentrations, indicating no ovarian tissue. (Occasionally false positives may occur with the 24 hr LH surge.) A negative result means low LH concentrations, indicating the presence of ovarian tissue. Exposure to estrogen creams will also cause a negative LH result.OVULATION TIMING IN THE BITCH: The duration of the LH peak varies from dog to dog and lasts only 24 hours in approximately 40% of the bitches. For this reason, serum should be tested for LH every day beginning on the 4th or 5th day of proestrus or when vaginal cytology approaches 50% cornification. When a positive result is obtained this is considered "Day 0". A progesterone test should be done on Day 0 and Day 3 to confirm a rise in progesterone. If the detected increase in LH was the actual preovulatory surge, progesterone concentrations should increase above 2 ng/mL within 3 days and stay elevated. If the progesterone remains low, less than 2 ng/mL, it indicates that a proestrus fluctuation in LH was identified. Continue daily testing until the true LH surge occurs. Days 4 through 7 post LH surge encompass the true fertile period with peak fertility on Days 5 and 6. Breeding on Days 2, 4, and 6 post LH surge will completely cover the fertile period and maximize viable sperm numbers on the bitch's most fertile days. Indeterminant results may indicate a negative result or that the LH surge is approaching or recently peaked. For animals with unknown ovarian status, this result may indicate that the animal has been ovariectomized. NOTE: This test has not been validated for, but has been used in, cats with similar interpretations as in dogs.

212 Microfilaria

Methodology: Modified Knotts




Additional Comments: Recommend testing only in dogs 7 months of age and older. Microfilaria are rarely detected in cats.Test included in Heartworm Panels, see Heartworm panel 58 or Feline Heartworm Panel 1629.

Page 34 of 448

8502 Oncology Profile

CBCGlucoseBUN (Blood Urea Nitrogen)


Reported Time Same day

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AlbuminCalcium

CreatinineTotal ProteinGlobulin


A grey top tube is recommended but not necessary if the SST submitted has complete separation after centrifugation, or the RTT is centrifuged and serum is transferred to a transport tube.

Additional Comments: This test is for monitoring effects of chemotherapy.

213 Ova & Parasite

Methodology: Centrifugation/Microscopic

Specimen Requirements 5 grams Fresh Feces, Fecal Tube or bag



Additional Comments: Test includes a direct smear as well as a sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia/Crypto IFA add-on #241 is recommended to confirm the presence of Giardia as noted.

Page 35 of 448

2213 Ova & Parasite Combo w/IFA

Ova & Parasite



Giardia/Crypto IFA


Additional Comments: Ova and parasite test includes a direct smear as well as a sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. IFA testing will detect the antigen of Giardia species and most Cryptosporidia. It will not detect some species of Cryptosporidium that are associated with birds and reptiles.


215 Parvovirus Antibody, Serum

Methodology: IFA




Additional Comments: Used to detect parvovirus antibody, differentiating between IgG and IgM. Can also be used to evaluate for adequate titer post vaccine.

214 Parvovirus Antigen, Fecal

Methodology: RIM




Additional Comments: Used to evaluate for clinical infection in dogs only. Virus is shed for only a short-time.

Page 36 of 448

216 Phenobarbital


Specimen Requirements 0.5 mL Serum, RTT, peak OR trough sample


Collection Notes Drawn as single sample, trough or peak. Trough levels usually are most helpful. Trough: Just prior to next dose Peak: 4-6 hours post dose Protocol: 1. Select the desired dosing regimen and administer the drug until steady state is reached (2 weeks after change in dose). 2. Collect the sample as trough (preferably just prior to next dose) or peak (preferably 4-6 hours post dose)Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: In dogs with well-controlled seizures, after steady state is reached (2 weeks after a change in dose), trough levels of phenobarbital should be monitored periodically. Ideally, these samples should be collected as a fasting sample prior to the next dose (i.e. if the dog receives phenobarbital at 8am and 8pm, the blood should be collected at 8am or 8pm, prior to phenobarbital administration). When toxicity is suspected, (or sometimes in animals with poorly controlled seizures), trough and peak serum phenobarbital concentration determination may be helpful, see Pheonbarbital, Peak and Trough 79.The time of peak blood phenobarbital concentrations is variable; usually a sample collected 6 hours after phenobarbital administration may be considered adequate for peak serum phenobarbital concentration.The half-life of phenobarbital varies widely among individual animals, therefore monitoring of serum levels aids in establishing an appropriate dose. Phenobarbital concentrations are also useful for evaluating owner compliance. Phenobarbital is the active component of primidone.

Page 37 of 448

79 Phenobarbital, Peak & Trough


Phenobarbital, Peak

Specimen Requirements 0.5 mL Serum, 2 RTT, sample Label accordingly (Peak/Trough)


Phenobarbital, Trough

Collection Notes Protocol:1. Select the desired dosing regimen and administer the drug until steady state is reached (2 weeks after change in dose).2. Collect the trough sample (preferably just prior to next dose) and collect the peak sample (preferably 6 hours post dose).

Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: In dogs with well-controlled seizures, after steady state is reached (2 weeks after a change in dose), trough levels of phenobarbital should be monitored periodically. Ideally, these samples should be collected as a fasting sample prior to the next dose (i.e. if the dog receives phenobarbital at 8am and 8pm, the blood should be collected at 8am or 8pm, prior to phenobarbital administration). When toxicity is suspected, (or sometimes in animals with poorly controlled seizures), trough and peak serum phenobarbital concentration determination may be helpful. The time of peak blood phenobarbital concentrations is variable; usually a sample collected 6 hours after phenobarbital administration may be considered adequate for peak serum phenobarbital concentration.The half-life of phenobarbital varies widely among individual animals, therefore monitoring of serum levels aids in establishing an appropriate dose. Phenobarbital concentrations are also useful for evaluating owner compliance. Phenobarbital is the active component of primidone.

Page 38 of 448

850 Pre-Op Panel





ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Albumin



1851 Pre-Op Panel, Follow-up


Specimen Requirements Chemistry: 0.5 mL Serum,SST/RTT, 1.0 mL GTT CBC: 1.0 mL LTT and air dried peripheral blood smears


CreatinineTotal ProteinAlbumin

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Globulin



Page 39 of 448

547 Progesterone, Canine




Collection Notes Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Canine: To best predict optimal breeding dates, serial progesterone results should be interpreted in conjunction with Vaginal Cytology (Canine Breeding Panel, Test 1647). At ovulation, serum progesterone concentration ranges from 3.8-10 ng/mL. Optimal breeding (fresh semen) is 2 days after ovulation (if frozen semen: 4 days after ovulation). For timing of whelping, progesterone decreases to <2 ng/mL 36-48 hours prior to whelping. After the initial test, follow-up testing is offered; order Progesterone Follow-up, Canine 747.

This test code is for canine use only. All other species use Progesterone test code #647

747 Progesterone, Follow-Up





Additional Comments: This is to be used for canine prebreeding or prewhelping if multiple testing is needed.


Page 40 of 448

31 Protein Electrophoresis

Agarose Gel Electrophoresis

Specimen Requirements 0.25 mL Serum, SST/RTT. Can be run on heparinized plasma for avians/nonmammalians.

Reported Time Monday and Thursday, Same Day


Additional Comments: Test can also be performed on body cavity effusions to assist in diagnosis of FIP.

300 Relaxin, Canine or Feline

Methodology: RIM

Specimen Requirements 0.5 mL Serum, SST/RTT.Test can also be run on heparinized or EDTA Plasma (GrnTT/LTT).Markedly hemolyzed or lipemic samples should not be used.



Additional Comments: Day 20 of gestation is found to be the earliest day of pregnancy detection. Relaxin rises after implantation of a fertilized egg. Implantation occurs 26-31 days after the LH surge. Any negative result is considered indicative of non-pregnancy; however, two negative results one week apart may be required for confirmation of this status, especially when date of mating is unknown. A positive result is considered indicative of pregnancy. A weak positive result may be observed at the beginning of the pregnancy. It is recommended to repeat the test on a fresh sample one week later to confirm pregnancy.

Page 41 of 448

1724 Relocated Canine Routine Screen

CBCUrinalysisVector/Tick Borne Disease ScreenAlbuminGlobulinAlb/Glob Ratio



GlucoseBUN ( Blood Urea Nitrogen)CreatinineBUN/Crea RatioTotal proteinHeartworm Panel (in 6 months)

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)SodiumPotassiumChloride

Collection Notes Please indicate method of urine collection.Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Use code 17246 and include original accession number when submitting the 6 month follow up Canine Heartworm Panel. Follow Up testing must be submitted within 12 months.

5023 Renal Panel, Chronic


BUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements 0.3 mL Serum, SST/RTT. Please call our Client Services for information about minimums on short samples.


Phosphorus Potassium



Page 42 of 448

5025 Renal Profile

HCT (Hematocrit)Creatinine

Specimen Requirements 0.5 mL of each, Serum, SST/RTT0.1 mL Whole Blood, LTT.A sealed crit w/ blood also accepted in lieu of LTT.


PotassiumCalcium

PhosphorusBUN (Blood Urea Nitrogen)


Additional Comments: Run every 3 to 6 months depending on clinical signs.

5027 Renal Profile w/ Urinalysis

UrinalysisHCT (Hematocrit)BUN (Blood Urea Nitrogen)

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTUrinalysis: 5 mL fresh urine, Urine Tube/CTT


CreatininePhosphorus

PotassiumCalcium

Collection Notes Please indicate method of urine collection.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Run every 3 to 6 months depending on clinic signs.

Page 43 of 448

2231 Resting Cortisol






1716 Senior Routine Screen

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineBUN/Creat RatioSodiumPotassium



Sodium/Potassium RatioChlorideCalciumPhosphorusTotal ProteinAlbuminGlobulin

Albumin/Globulin ratioBilirubin TotalALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Total T4Urinalysis

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.


Page 44 of 448

11 Senior Screen


GlucosePotassiumPhosphorusChloride



BUN (Blood Urea Nitrogen)CreatinineNa/K RatioTotal T4

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Sodium



For a Senior Screen w/ CBC, order 899

899 Senior Screen w/ CBC

CBCGlucosePotassiumSodium



PhosphorusBUN (Blood Urea Nitrogen)CreatinineChloride

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Na/K RatioTotal T4



Page 45 of 448

2071 Senior Screen W/ TSH

GlucosePotassiumSodiumPhosphorus

Specimen Requirements 0.5 mL Serum, SST/RTT, 1 mL GTT


BUN (Blood Urea Nitrogen)CreatinineChlorideTotal T4

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Na/K RatioTSH (Thyroid Stimulating Hormone)


Additional Comments: TSH only validated on canines, but has been used in felines. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

1101 Senior Screen w/Cholesterol


GlucosePotassiumSodiumNa/K Ratio

Specimen Requirements 0.5 mL Serum SST/RTT, 1.0 mL GTT


BUN (Blood Urea Nitrogen)CreatinineTotal T4Chloride

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)CholesterolPhosphorus



Page 46 of 448

651 T3 (Triiodothyronine)



Reported Time Mondays, Same day


Additional Comments: Test is run every Monday.

74 Thyroid I


Free T4



TSH (Thyroid Stimulating Hormone)



75 Thyroid II

Total T4






Page 47 of 448

864 Thyroid III




Total T4 Free T4

Collection Notes Peak samples are drawn 4-6 hours post pill Trough samples are drawn just before the next dose.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: TSH only validated on canines, but has been used in felines.Feline T4: Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

874 Thyroid IV

Total T4



Free T4

Collection Notes Peak samples are drawn 4-6 hours post pill. Trough samples are drawn just before the next dose.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


Page 48 of 448

49 Thyroid Screen

Total T4



T3 (Triiodothyronine)


Additional Comments: T4 run same day, T3 run every Monday. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

68 TLI, Canine




Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Used to diagnose exocrine pancreatic insuffiency (EPI).

Page 49 of 448

689C TLI/Cobalamin/Folate (CANINE ONLY)




Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive). It is recommended to separate serum and freeze the sample if transport to lab is to be delayed.We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Tests are run in-house Monday, Wednesday, and Friday; reported out same day.Folates >24.0 ug/dL and Cobalamin >1000 are re-run on dilution and reported.

3 Total Body Diagnostic

CBCChemistry Screen



AmylaseLipase

CK (Creatine Kinase)Urinalysis

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.


Page 50 of 448

35 Total Body Diagnostic w/o Urinalysis

CBCChemistry Screen



LipaseAmylase

CK (Creatine Kinase)


Additional Comments: If you would like this panel and a Urinalysis, See Total Body Diagnostic 3

1035 Total Body Diagnostic w/o Urinalysis, Follow Up

CBCChemistry Screen



AmylaseLipase




Page 51 of 448

1003 Total Body Diagnostic, Follow-Up

CBCChemistry Screen

Specimen Requirements Chemistry: SST/RTT Minimum: 0.5 mL serum CBC: 2 air dried slides, 1.0mL LTT Urinalysis: 5mL urine


AmylaseLipase


Collection Notes Please indicate method of urine collection.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.


248 TSH (Thyroid Stimulation Hormone)


Specimen Requirements 0.5 mL Serum, SST/RTT. Minimum: 0.2 mL Serum.



Additional Comments: Run on canines (for confirmation of hypothyroidism) and felines (for confirmation of hyperthyroidism.)

TSH only validated on canines, but has been used in felines.

Page 52 of 448

159 Urinalysis

Specimen Requirements 5 mL Urine, Urine Tube/CTT


Collection Notes Please indicate method of collection.Submit sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Includes: Urine specific gravity run on analyzer, verified by refractometer, Chemistries (pH, Glucose, Protein, Ketones, Blood, and Bilirubin) run on Urine analyzer, and microscopic examination of sediment. Low volume samples will use dipstick readings. Low volumes may also be changed to Urine Sediment Only 155.

548 Urinalysis w/ C&S

Urinalysis

Specimen Requirements 5 mL Urine, Urine Tube/CTT. For the most accurate results 1 mL urine in sterile container should be submitted in addition to 5 mL urine.


Urine Culture

Collection Notes Please indicate method of urine collection.Do not submit syringes with needles, they are not accepted. Whenever possible, urine should be collected by cystocentesis. When this is not possible, free-catch urine into sterile container.Submit sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Turn around time is same day for the UA and 36 - 72 hours for Culture. Culture includes sensitivity panels for 2 pathogens. Additional sensitivities can be requested for an additional charge. No growth cultures are finalized after 48 hours of incubation. Urine collected on a swab or thio will not allow a colony count to be provided.

Page 53 of 448

552 Urinalysis w/ Culture, Follow-up

Urinalysis


Reported Time See Comments

Urine Culture


Additional Comments: Please include all antibiotic history with urine culture.Turn around time is same day for the UA and 36 - 72 hours for Culture. Culture includes sensitivity panels for 2 pathogens. Additional sensitivities can be requested for an additional charge. No growth cultures are finalized after 48 hours of incubation. Urine collected on a swab or thio will not allow a colony count to be provided.

Submit within 30 days of original test. Previous Case ID is required to activate the discounted price

234 Urine Cortisol/Creatinine Ratio

Urine Cortisol

Specimen Requirements 0.5 mL Urine, Urine Tube/CTTIf sample is bloody or very cloudy/cellular, submit a larger volume (1.0 mL minimum) as the sample will need to be centrifuged.


Urine Creatinine Ucor/Ucreat Ratio

Collection Notes If the patient has been on steroids for >14 days, discontinue for 2 weeks prior to testing. If <14 days, discontinue for 48 hours prior to testing.

Additional Comments: INTERPRETATION:An elevated urine cortisol/creatinine ratio (> 20) provides additional support for canine hyperadrenocorticism but is not specific for that condition. Many disorders cause an increased result. A normal result (<20) makes hyperadrenocorticism very unlikely. Further testing (low dose Dexamethasone Suppression Test and/or ACTH Stimulation Test) is advised to establish a diagnosis of hyperadrenocorticism.

*Note that both cortisol and creatinine have been converted to moles to get this ratio.

Page 54 of 448

551 Urine Culture, Follow-up

Methodology: Culture

Specimen Requirements 1.0 mL Urine, CTTCollected via cystocentesis preferred

Reported Time 36-72 hours

Collection Notes Whenever possible, urine should be collected by cystocentesis. If not possible, collect catheterized or free catch urine sample into sterile container. Refrigerate urine sample after collection.

Additional Comments: Please include all antibiotic history with urine culture.Colony counts are not possible if a plate, broth, or swab is submitted. Culture includes sensitivities on up to 2 isolates. Cultures are quantitated and reported in CFU/mL. No growth cultures are finalized after 48 hours of incubation.

Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.To include with a urinalysis, refer to Urinalysis with Culture, Follow-up 552.

1031 Urine Protein Electrophoresis

Methodology: Agarose Gel Electrophoresis

Specimen Requirements 5 mL Urine, CTT/Urine Tube

Reported Time Monday/Thursday


Additional Comments: Please submit one day before testing to allow for urine concentration.

Page 55 of 448

387 Vector/Tick Borne Disease Screen


Specimen Requirements 0.5 mL Serum, SST/RTT. Plasma or whole blood (EDTA or heparinized) may be used.



Additional Comments: Test includes: Ehrlichia canis, Ehrlichia ewirgii, Ehrlichia chaffeensis, Anaplasma phagocytophilum, Anaplasma platys, Borrelia burgdorferi (Lyme Disease), and Heartworm (D. immitis).

Test methodology unable to differentiate between Anaplasma phagocytophilum and Anaplasma platys. Also unable to differentiate between Ehrlichia canis, Ehrlichia chaffeensis, and Ehrlichia ewingii.

Also see Canine Tick-borne Disease panel, SO666 if screening for Rocky Mountain Spotted Fever is desired.

1711 Wellness Screen II

CBCChemistry ScreenUrinalysis



AmylaseLipase

CK (Creatine Kinase)Total T4

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: To request this panel, but submit the urinalysis portion later, see Wellness Screen II w/ Urine to Follow 1711NU

Page 56 of 448

1721 Wellness Screen II w/ SDMA

CBCChemistry Screen Urinalysis


Reported Time See comment

AmylaseLipaseSDMA


Collection Notes Please indicate method of collection.Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: CBC, Chemistries, and urinalysis run same day, SDMA Results Next Day. See SDMA SO513 for more details about test.

1712 Wellness Screen III

CBCChemistry ScreenFree T4



AmylaseLipase



Additional Comments: Panel includes Wellness Screen I and Free T4. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

Page 57 of 448

1713 Wellness Screen IV




AmylaseLipaseFree T4




15 Wellness/Geriatric Panel

CBCChemistry Screen



AmylaseLipase




Page 58 of 448

1722 Wellness/Geriatric Panel w/ SDMA

CBCChemistry ScreenSDMA



AmylaseLipase



Additional Comments: CBC and Chemistries run same day, SDMA results next day. See SDMA SO513 for more details about test.

1160 Wellness/Geriatric Panel w/Triglycerides

CBCChemistry ScreenTriglycerides

Specimen Requirements Chemistry: 0.5 mL serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT, air dried peripheral blood smears


AmylaseLipase




Page 59 of 448

1015 Wellness/Geriatric Panel, Follow-Up

CBCChemistry Screen



AmylaseLipase




Page 60 of 448

Feline Panels

1039 ACTH Response, Feline


Pre Cortisol

Specimen Requirements 3 RTT Minimum: 0.25 mL for each sampleAvoid severe lipemia


30 min Post Cortisol 60 min Post Cortisol

Collection Notes FELINE PROTOCOL: DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE1. Collect a resting sample in a RTT, 0.5 mL of serum is required. Separate serum if possible and refrigerate. 2. Inject 0.125 mg of Cortrosyn IM or IV, (1/2 vial). 3. Collect a sample exactly 30 min and 60 min post injection in a RTT, label clearly as to the status (post-30, post-60), and preserve in the same manner as the first sample.

Additional Comments: Feline hyperadrenocorticism is very rare, we suggest consulting with an internist/clinical pathologist at the Laboratory prior to diagnostic testing. Dexamethasone suppression test is the favored diagnostic test for hyperadrenocorticism in cats. ACTH Response test is not recommended.NOTE: The test has been validated using Cortrosyn. Although compounded gels are available, they vary greatly in peak times and are not recommended. Prednisone, prednisolone, and other corticosteroids (except dexamethasone) will cross react. Recommend these drugs be discontinued at least 48 hrs before testing. If the patient has been on steroids >14 days, patient must be tapered and discontinue steroids for at least two weeks prior to testing.

Page 61 of 448










Methodology: IFA





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52 Autoimmune Panel

CBCPlatelet Count








57 Basic Feline

CBCChemistry Screen




FeLV (ELISA)FIV (IFA)


Additional Comments: Chemistries, CBC and FELV done same day.IFA testing done next day.In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

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CBCUrinalysis












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611 Blood Typing, Feline

Methodology: Agglutination




Additional Comments: Test consists of two antigens: A and B. Test cannot be performed on samples that exhibit auto-agglutination. Cats with type B erythrocytes will suffer an immediate and severe anaphylactic reaction when transfused with type A blood.







73 CBC, Follow-Up












Page 65 of 448

1 Chemistry Screen









853 Chemistry Screen w/ T4 and Feline Viral II

Chemistry ScreenTotal T4




FCoV (FIP) Screen (IFA)

Test Alias: Special Feline w/Chemistry Screen


Additional Comments: Chemistry, and FeLV run same day, FIV/FIP run daily, AM. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

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APTT



Page 67 of 448





FibrinogenAPTT





CBCPlatelet Count



D-DimerFibrinogen




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362 Coombs






Page 69 of 448









Crossmatch Major



Crossmatch Minor




Page 70 of 448



SodiumPotassium







625 Ethylene Glycol







Fecal Screen



Giardia/Crypto IFA




Page 71 of 448







1720 Feline ADR Panel


Specimen Requirements Chemistry: 1.5 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrinalysis: 5 mL fresh urineO&P/Gardia/Crypto: 5 grams fresh feces


FIPFeLVFIV

Ova and ParasiteGiardia/Crypto IFAFecal Culture

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.For most accurate results, please submit fresh feces (less than 24 hours old). Do not collect sample contaminated with clay kitty litter. It causes interference with testing. Wheat/Corn litter OK.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: O&P: Test includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia/Crypto IFA testing will detect the antigen of Giardia species and most Cryptosporidia. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)Not recommended testing for juveniles. CBC, Chemistries, urinalysis, and FeLV run same day. FIP/FIV performed Mon - Sat AM, reported in afternoon. Fecal Culture reported in 36 - 72 hours; Fecal culture for the detection of Salmonella and Campylobacter. Shigella and Yersinia can be ruled out upon request. Additional charges may apply.

Page 72 of 448

1612 Feline Calicivirus Titer

Methodology: IFA


Reported Time Monday, Same Day


Additional Comments: This test is for checking immunization status.

209 Feline Coronavirus (FIP) Screen

Methodology: IFA

Specimen Requirements 0.5 mL Serum, SST/RTT. Test can also be run on abdominal fluid.



Additional Comments: This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217.

Test can also be run on abdominal fluid, however, Body Cavity Fluid Cytology (#14) with Feline Coronavirus Antigen FA (SO529) recommended.

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249 Feline Coronavirus (FIP) Screen, Add-On

Methodology: IFA




Additional Comments: This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400.For titered results see Coronavirus (FIP) titer 217.


Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

217 Feline Coronavirus (FIP), Titered

Methodology: IFA




Additional Comments: This is a quantitative titer testing method. It is NOT specific for FIP. Test involves eight serial dilutions ranging from 1:100 to 1:25,600.


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1629 Feline Heartworm Panel

Feline Heartworm Antibody

Specimen Requirements 0.5 mL Serum, SST/RTT and 1.0 mL Whole Blood LTT


Microfilaria (Knott's Test)


Additional Comments: This test includes Feline Antibody test and microfilaria. Microfilaria are rarely detected in cats.For Feline heartworm antibody and antigen see Feline Heartworm Screen 2629

2629 Feline Heartworm Screen

Methodology: RIM/ELISA




Heartworm Antigen


Additional Comments: This test includes heartworm antibody and antigen and is recommended by the American Heartworm Society (www.heartwormsociety.com).

For Feline Antibody test and microfilaria order Feline Heartworm Panel 1629.

1611 Feline Herpesvirus Titer

Methodology: IFA





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161 Feline Immunization Screen I

Methodology: IFA

Feline Calicivirus



Feline Herpesvirus


Additional Comments: This screen is for checking immunization status. This screen is limited to feline calici and herpes virus. Also available are Immunization Screen II 1161, which screens for feline panleukopenia and herpes virus, and Immunization Screen III 2161, which screens for all three viruses.

1161 Feline Immunization Screen II

Methodology: IFA

Feline Panleukopenia virus



Feline Herpesvirus


Additional Comments: This test is run every Monday with results out that same day. This screen is limited to feline panleukopenia and herpes virus.Also available are Immunization Screen I 161 which tests for feline calici and herpes virus, and Immunization Screen III 2161 which screens for all three viruses.Titer <1:50 recommend vaccination.

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2161 Feline Immunization Screen III

Methodology: IFA




Feline Herpesvirus Feline Calicivirus


Additional Comments: This screen is inclusive of Feline Immunization Screens I 161 and II 1161.Limited to feline panleukopenia, herpes, and calici viruses.

859 Feline Panel

CBCChemistry Screen




FeLV (ELISA)FIV (IFA)FCoV (FIP) Screen (IFA)

Collection Notes Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: Chemistry, CBC and FeLV run same day. FIV/FIP run daily, AM. FIV Recommend repeat in 6-8 weeks, if result is weak positive. Vaccinated cats will have a positive antibody response indistinguishable from that of infected cats for at least one year post vaccination.

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1613 Feline Panleukopenia Virus Titer

Methodology: IFA





4689 Feline PLI/Cobalamin/Folate

fPLI (Spec fPL™)


Reported Time Mon, Wed, Fri

Cobalamin Folate

Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin are light sensitive)

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. fPLI (Spec fPL™) are shipped to Steiner GI Laboratory, Texas A&M University Monday, Wednesday, Thursday; turn around time is 4-7 days.

For canines order Canine PLI/Cobalamin/Folate 1013.

Page 78 of 448

5 Feline Screen

Chemistry Screen



CBC FeLV (ELISA)



1689 Feline TLI/PLI/Cobalamin/Folate

TLIfPLI (Spec fPL™)



Cobalamin Folate

Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive).

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. TLI and fPLI (Spec fPL™) are shipped to Steiner GI Laboratory, Texas A&M University Monday, Wednesday, Thursday; turn around time is 4-7 days.For Canines see Canine TLI/PLI/Cobalamin/Folate 1012.

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1696 Feline Toxoplasmosis IgG/IgM

Methodology: IFA


Reported Time Run M,W,F on days


Additional Comments: This test code is for felines only. Positive titers will be repeated andreported on the next run day

For other species see: Canine Toxoplasmosis IgG/IgM SO696 or Toxoplasmosis IgG/IgM, Other SO495

865 Feline Viral I

FeLV (ELISA)

Specimen Requirements 0.3 mL Serum, SST/RTT.EDTA or Heparinized Plasma OK.


FIV (IFA)


Additional Comments: FeLV run same dayFIV run Daily, AM.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

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78 Feline Viral II

FeLV (ELISA)

Specimen Requirements 0.5 mL Serum, SST/RTT. EDTA or Heparinized Plasma OK.


FIV (IFA) FCoV (FIP) Screen (IFA)


Additional Comments: FeLV run same day. FIP/FIV performed Mon - Sat AM, reported in afternoon. This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

860 Feline Viral III


Specimen Requirements 1.0 mL Serum, SST/RTT and 0.5 mL LTT and/or air dried peripheral blood smears


FIP (FCoV) Screen (IFA) Mycoplasma hemofelis (Hemobartonella) (Smear Evaluation)


Additional Comments: FeLV and Mycoplasma hemofelis (Hemobartonella) run same day.FIV and FIP set up daily, AM. This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)Mycoplasma hemofelis (Hemobartonella) test is a smear evaluation that will not diagnose occult infections. Consider Mycoplasma hemofelis (Hemobartonella felis) PCR testing SO1638 as clinically indicated.

Page 81 of 448

321 FeLV (ELISA)

Methodology: ELISA

Specimen Requirements 0.5 mL Serum, SST/RTT. Can be performed on EDTA or heparinized Plasma.



Additional Comments: Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

361 FeLV, Add-On

Methodology: ELISA

Specimen Requirements 0.5 mL Serum, SST/RTTCan be performed on EDTA or heparinized Plasma.




668 FIV

Methodology: IFA

Specimen Requirements 0.5 mL Serum, SST/RTT. Minimum: 0.1 mL serum.EDTA or heparinized plasma OK.

Reported Time Daily, Same Day


Additional Comments: Positive results will be held for additional testing and will be resulted next day. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 82 of 448

768 FIV, Add-On

Methodology: IFA

Specimen Requirements 0.3 mL Serum, SST/RTT. EDTA or heparinized plasma OK.




Available as add-on to existing panel (within 7 days). Previous case ID is required to activate the discounted price.

69 Folate






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2247 Free T4














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857 General Diagnostic w/ Feline Viral I

CBCChemistry Screen



FeLV (ELISA) FIV (IFA)

Test Alias: Feline Screen w/FIV


Additional Comments: Chemistry, CBC and FeLV run same day. FIV run daily, AM. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

856 General Diagnostic W/ Feline Viral II

CBCChemistry Screen





Test Alias: Special Feline w/General Diag, (no Total T4)


Additional Comments: Chemistry, CBC and FeLV run same day. FIV/FIP run daily, AM.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 85 of 448


CBC






8571 General Diagnostic w/ T4 and Feline Viral I

CBCChemistry Screen



Total T4FeLV (ELISA)

FIV (IFA)

Test Alias: General Diag w/T4+FELV/FIV


Additional Comments: Chemistry, CBC and FeLV run same day. FIV run daily, AM.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 86 of 448

855 General Diagnostic w/ T4 and Feline Viral II

CBCChemistry Screen




FCoV (FIP) Screen (IFA)FIV (IFA)

Test Alias: Special Feline w/General Diagnostic, T4


Additional Comments: Chemistry, CBC, and FeLV run same day, FIV/FIP run daily, AM.

Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

2077 General Diagnostic w/ T4 and FeLV

CBCChemistry Screen



Total T4 FeLV

Test Alias: Spec Feline 77 w/FeLV


Additional Comments: Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 87 of 448


CBC







CBCChemistry Screen



CobalaminFolate

Total T4



Page 88 of 448


CBC








CBCChemistry Screen







Page 89 of 448


CBC



Chemistry Screen



2401 Giardia ELISA

Methodology: ELISA






Methodology: IFA






Page 90 of 448

629 Heartworm Antibody, Feline

Methodology: RIM




Additional Comments: Infections in felines are often single-sex worms in small numbers (1-3 worms). Antibodies are first detected in some cats at 50 -60 days. This test is the recommended Heartworm test for cats.To combine with Microfilaria, please order Feline Heartworm Panel #1629


CBCCoombs






Page 91 of 448


















Page 92 of 448

85 Liver Profile








Page 93 of 448


Methodology: RIM





212 Microfilaria






Page 94 of 448

328 Mycoplasma haemofelis (Hemobartonella)

Methodology: Microscopic Examination

Specimen Requirements 1.0 mL LTT and air dried peripheral blood smears



Additional Comments: Exam of blood smear for Mycoplasma hemofelis (H. felis) is included in the CBC. Hemobartonella felis has been reclassified as Mycoplasma sp. Molecular testing (PCR) can differentiate Mycoplasma hemofelis (large form Hemobartonella) from Mycoplasma hemominutum (small form Hemobartonella). See test SO1638 Mycoplasma (Hemobartonella) hemofelis (PCR) for details.










213 Ova & Parasite






Page 95 of 448


Ova & Parasite



Giardia/Crypto IFA




239 Panleukopenia, Fecal

Methodology: RIM




Additional Comments: FPV may only be detectable 24-48 hours post infection. False positives may occur up to two weeks post vaccination.

850 Pre-Op Panel








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Page 97 of 448


Methodology: RIM





Page 98 of 448

1723 Relocated Feline Routine Screen

CBCUrinalysisHeartworm AntibodyAlbuminGlobulinAlb/Glob Ratio



GlucoseBUN ( Blood Urea Nitrogen)CreatinineBUN/Crea RatioTotal proteinFeline Heartworm Screen (in 6 months)



Additional Comments: Use code 17236 and include original accession number when submitting the 6 month follow up Feline Heartworm Panel. Follow Up testing must be submitted within 12 months.









Page 99 of 448

5025 Renal Profile




PotassiumCalcium









PotassiumCalcium



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11 Senior Screen










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Page 102 of 448







9 T3 Suppression I


Pre Total T4

Specimen Requirements 2 SST/RTT, Pre T4/Post T4, 0.3 mL Serum each


Post Total T4

Collection Notes Protocol: 1. Day 1: Collect baseline (pre) T4 sample. Label tube "Pre" 2. Day 1 & 2: Administer 25 ug PO of T3 supplement (Cytobin or Cytomel) every 8 hours for 7 doses. 3. Day 3: Administer the last (7th) dose of T3 supplement on the morning of the third day and 2-4 hours later draw sample for a second T4 determination. Label tube "Post".Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: T3 suppression is done to CONFIRM feline hyperthyroidism. Interpretation of Post-suppression T4 concentration: Normal cats: < 1.5 ug/dL or suppression greater than 50% of pre-T4 value.Inconclusive: 1.5 - 2.0 ug/dL Hyperthyroid: > 2.0 ug/dL. If the post T4 sample is not adequately suppressed, it may be due to: 1) the cat did not receive an adequate amount of T3, or 2) the cat is hyperthyroid. Measurement of T3 concentration in the pre and post suppression samples (Test 1009 - T3 Suppression II) can be useful in verifying that the patient received the hormone supplementation.

Page 103 of 448

1009 T3 Suppression II

Methodology: Chemiluminescent Immunoassay /Spectro

Pre and Post T4

Specimen Requirements Pre and Post required, 0.5 mL (minimum 0.3mL) serum each.

Reported Time Mondays, Same Day

Pre and Post T3

Collection Notes Protocol: 1. Day 1 - collect baseline (pre) T3 and T4. Label tube "Pre" 2. Day 1&2 - administer 25ug PO of T3 supplement Cytobin or Cytomel) every 8 hours for 7 doses.3. Day 3 - administer the last (7th) dose of T3 supplement on the morning of the third day and 2-4 hours later collect sample for a second T3 and T4 determination. Label tube "Post".Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: T3 suppression is done to CONFIRM feline hyperthyroidism. Submit both samples at one time to allow analysis on the same instrument run. Interpretation of Post-suppression T4 concentration: Normal cats: < 1.5 ug/dL or suppression greater than 50% of pre-T4 value.Inconclusive: 1.5 - 2.0 ug/dL Hyperthyroid: > 2.0 ug/dL. If the post T4 sample is not adequately suppressed, it may be due to: 1. The cat did not receive an adequate amount of T3 2. the cat is hyperthyroid.

75 Thyroid II

Total T4






Page 104 of 448

49 Thyroid Screen

Total T4






689F TLI/Cobalamin/Folate (FELINE ONLY)

Methodology: Chemiluminescent Immunoassay/RIA



Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive).We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. Folates >24.0 ug/dL and cobalamin >1000 are re-run on dilution and reported. TLI are sent to Texas GI Lab, reported in 3-7 days.

Page 105 of 448


CBCChemistry Screen



AmylaseLipase





CBCChemistry Screen



LipaseAmylase




Page 106 of 448


CBCChemistry Screen



AmylaseLipase





CBCChemistry Screen



AmylaseLipase




Page 107 of 448

159 Urinalysis






Urinalysis



Urine Culture



Page 108 of 448


Urinalysis



Urine Culture





Urine Cortisol







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Page 110 of 448













AmylaseLipase




Page 111 of 448





AmylaseLipaseSDMA








AmylaseLipase




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CBCChemistry Screen



AmylaseLipase




Page 113 of 448





AmylaseLipase








AmylaseLipase




Page 114 of 448


CBCChemistry Screen



AmylaseLipase




881 Wellness/Geriatric Profile w/ Feline Viral I

CBCChemistry ScreenAmylase



LipaseCK (Creatine Kinase)Total T4


Test Alias: Feline Panel 881


Additional Comments: Chemistry, CBC, and FeLV run same day, FIV run daily, AM. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 115 of 448

858 Wellness/Geriatric Profile w/ Feline Viral II






Test Alias: Total Feline Panel


Additional Comments: Chemistry, CBC, and FeLV run same day, FIV/FIP run daily, AM. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 116 of 448

Equine/Large Animal Panels

697 ACTH Plasma, Endogenous


Specimen Requirements 0.5 mL EDTA Plasma, Separated and Frozen, CTT


Collection Notes Spin down LTT immediately and separate from cells. Freeze as soon as possible. Frozen plasma stable for 14 days. Avoid grossly hemolyzed and/or lipemic samples

Additional Comments: Dexamethasone suppression test is no longer recommended as the primary test for diagnosis of PPID/Cushing's Disease in horses. Endogenous ACTH is the preferred test. Also see test code 6971 for information about TRH stimulation testing.

887 Bovine Chemistry Panel


AlbuminTotal BilirubinBUN (Blood Urea Nitrogen)GlucoseCreatinineCalcium



MagnesiumPhosphorusPotassiumSodiumTotal ProteinAlb/Glob Ratio

ChlorideCholesterolCK (Creatine Kinase)GGT (Gamma-glutamyltransferase)Globulins



Page 117 of 448

8871 Bovine Panel for Ca Supplement


AlbuminCalciumChlorideAlb/Glob Ratio



MagnesiumPhosphorusPotassium

SodiumTotal ProteinGlobulin



34 CBC w/ Fibrinogen and Plasma Protein

Methodology: Flow Cytometry/Refractometry





24 CBC w/ Plasma Protein






Page 118 of 448

98 Chemistry Screen, Large Animal


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCO2 (Carbon Dioxide)Anion Gap



Calcium PhosphorusCa/Phos RatioCalculated OsmolalityTotal ProteinAlbuminGlobulinAlbumin/GlobulinBilirubin, Total

ALP (Alkaline Phosphatase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCK (Creatine Kinase)AmylaseLipaseBile Acids



614 Coggins EIA, AGID

Methodology: AGID


Reported Time Up to 36 hours

Collection Notes The animal's name MUST be on the tube and MUST match the name listed on the form. Veterinarian signature and animal location is also REQUIRED.

Please allow sample to clot (up to 20 minutes) and then spin down sample. If using a RTT, remove serum and put into a fresh RTT/CTT. Avoid lipemia and hemolysis.

Additional Comments: USDA Equine Anemia Special Form or Global Vet Link Form required. Please print clearly as illegible documents can cause delay. Veterinarian signature and animal location are REQUIRED. Blood tube MUST be labeled with the animal's name that is listed on the accompanying form. If any of these are missing it can cause a delay or return of sample and/or form for corrections (additional charges may apply).

Page 119 of 448

601 Coggins, ELISA

Methodology: ELISA





Additional Comments: USDA Equine Anemia Special Form or Global Vet Link Form required. Please print clearly, as illegible documents can cause delay. Veterinarian signature and animal location are REQUIRED. Blood tube MUST be labeled with the animal's name that is listed on the accompanying form. If any of these are missing it can cause a delay or return of sample and/or form for corrections (additional charges may apply).

508 Culture, Equine Uterine


Specimen Requirements Bacterial culture swab with transport medium

Reported Time 2-5 Days


Additional Comments: Normal test value is "No Beta-hemolytic streptococci isolated."

Refer to test #862 Equine Uterine Screen for combo test with uterine cytology.

Page 120 of 448

2038 Dexamethasone Suppression, Equine


Cortisol Pre

Specimen Requirements Pre and Post required, 0.5 mL (minimum 0.3mL) serum each, RTT ONLY


Cortisol 19-hr Post

Collection Notes PROTOCOL: DO NOT USE SST TO COLLECT OR SPINDOWN SAMPLE1. Begin test between 4-6 PM. 2. Draw a pre-injection blood sample into a RTT and label PRE. 3. Inject 40 ug/kg of DEXAMETHASONE intramuscularly. 4. Nineteen hours post-injection, draw a blood sample into a RTT and label POST-19. 5. Blood samples should be centrifuged, the serum separated, placed in a clean tube, and refrigerated or frozen until submitted to the Lab. 6. Submit both samples at one time.

Additional Comments: This test is no longer recommended as the primary test for diagnosis of Pituitary Pars Intermedia Dysfunction (PPID)/Equine Cushing's Disease. Please see test code 697 (ACTH, plasma) for additional information on testing for PPID. Normal horses: Cortisol </= 1.0 ug/dL 19 hours post dexamethasone. Interpret with clinical signs and rule out other conditions. Also, if performing this test in the fall, starting in September, interpret a failure to suppress with caution as false positives occasionally occur at that time of the year. Prednisone, prednisolone, and other corticosteroids (except dexamethasone) will cross react. Recommend these drugs be discontinued at least 24 hrs before testing.

30 Equine Chemistry Screen





Anion GapCalciumPhosphorusCalculated OsmolalityTotal ProteinAlbuminGlobulinAlbumin/Globulin ratio

Bilirubin TotalALP (Alkaline Phosphatase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCK (Creatine Kinase)Sorbitol Dehydrogenase (SDH)



Page 121 of 448

8 Equine General Endocrine

Equine Chemistry Screen

Specimen Requirements Chemistry: 1.0 mL Serum, SST/RTT, 1.0 mL GTTACTH Endo: 0.5 mL EDTA Plasma, Separated and Frozen, CTT.


ACTH Endogenous Total T4

Collection Notes For ACTH: Spin down LTT immediately and separate from cells. Freeze as soon as possible.Frozen plasma stable for 14 days. Avoid Grossly hemolyzed and/or lipemic samplesFor Chemistry: Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Dexamethasone suppression test is no longer recommended as the primary test for diagnosis of PPID/Cushing's Disease in horses. Endogenous ACTH is the preferred test. Chemistry Screen and Total T4 done same day.ACTH Endogenous run Mon/Wed/Fri with results out same day.Also see test code 6971 for information about TRH stimulation testing.

12 Equine Immunodeficiency

CBC

Specimen Requirements IgG/IgM minimum: 0.2 mL Serum CBC: 1.0 mL LTT (0.5 mL minimum), Air dried peripheral blood smears


Immunoglobulin M, Equine Immunoglobulin G, Equine


Additional Comments: Results for CBC will be out same day, IgG/IgM results out next day (24 hr final) A 4hr preliminary can be requested by calling laboratory.

Page 122 of 448

1634 Equine Insulin/ACTH, Endogenous

Insulin

Specimen Requirements Insulin: 0.5 mL serum, Frozen, RTT/CTTEndogenous ACTH: 1.0 mL EDTA Plasma, separated and frozen, CTT.


Glucose Endogenous ACTH

Collection Notes For ACTH, Endo: Spin down LTT immediately and separate from cells. Freeze as soon as possible. Frozen plasma stable for 14 days. Avoid Grossly hemolyzed and/or lipemic samples.For Insulin: Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection; this limits hemolysis which can affect results. Separate serum into transport tube and freeze.Avoid lipemia and hemolysis.

Additional Comments: Report includes reference ranges and interpretation. Equine insulin and glucose levels have been suggested for diagnosing insulin dysregulation, but can be abnormal in any disease causing insulin resistance. For more information, please visit our website to view our test service update on Equine insulin testing.Testing not recommended on samples >24 hours old due to rapid deterioration.

750 Equine Pre-Op Panel

CBCFibrinogenGlucose

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT 1.0 mL GTT CBC: 1.5 mL LTT and air dried peripheral blood smears


BUN (Blood Urea Nitrogen)Total ProteinAlbumin

GlobulinGGT (Gamma-glutamyltransferase)


Additional Comments: Fibrinogen performed by heat precipitation..

Page 123 of 448

4 Equine Screen

CBCEquine Chemistry Screen



Fibrinogen Plasma Protein


Additional Comments: SDH is included in Equine Chemistry Screen.Fibrinogen performed by heat precipitation.

89 Equine Screen, Follow-Up






Additional Comments: SDH is included in Equine Chemistry Screen. Fibrinogen performed by heat precipitation.


Page 124 of 448

2404 Equine Senior Wellness I

CBCFibrinogenPlasma Protein

Specimen Requirements Chemistry/Insulin: 1.5 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.5 mL LTT and air dried peripheral blood smearsACTH Endo: 1.0 mL Frozen EDTA Plasma, CTT.Samples for Insulin testing CAN NOT be hemolyzed.


InsulinGlucoseACTH Endogenous

Total T4Plasma Glucose

Collection Notes The LTT for ACTH Endo MUST be spun down within 30 minutes of collection and the plasma separated into a non-additive tube such as a CTT. Freeze until transported to lab. Insulin samples MUST be spun down within 30 minutes; if submission is to be delayed, draw a second tube or, volume allowing, pull some serum off the SST/RTT and Freeze for insulin testing.Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 30 minutes of collection; this then does not require collection of a GTT; this also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: Equine insulin and glucose levels have been suggested for diagnosing insulin dysregulation, but can be abnormal in any disease causing insulin resistance. For more information, please visit our website to view our test service update on Equine insulin testing.Testing not recommended on samples >24 hours old due to rapid deterioration.

Chemistries and CBC reported out same day. ACTH Endo and Insulin run Monday/Wednesday/Friday, reported out same day.

Fibrinogen performed by heat precipitation.

Page 125 of 448

2405 Equine Senior Wellness II

CBCFibrinogen

Specimen Requirements Chemistry/Insulin: 2.0 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.5 mL LTT and air dried peripheral blood smearsACTH Endo: 1.0 mL Frozen EDTA Plasma, CTT. Samples for Insulin testing CAN NOT be hemolyzed.


InsulinACTH Endogenous

Total T4Equine Chem Screen

Collection Notes The LTT for ACTH Endo MUST be spun down within 30 minutes of collection and the plasma separated into a non-additive tube such as a CTT. Freeze until transported to lab. Insulin samples MUST be spun down within 30 minutes; if submission is to be delayed, draw a second tube or, volume allowing, pull some serum off the SST/RTT and freeze for insulin testing. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 30 minutes of collection; this then does not require collection of a GTT; this also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: SDH is included in Equine Chemistry Screen.Equine insulin and glucose levels have been suggested for diagnosing insulin dysregulation, but can be abnormal in any disease causing insulin resistance. For more information, please visit our website to view our test service update on Equine insulin testing.Testing not recommended on samples >24 hours old due to rapid deterioration.

Chemistries and CBC reported out day. ACTH, Endo and Insulin run Monday/Wednesday/Friday, reported out same day.


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2872 Equine Special w/ Insulin

CBCFibrinogen

Specimen Requirements Chemistry/Insulin: 1.0 mL Serum, SST/RTT, 1.0 mL GTT CBC: 1.5 mL LTT and air dried peripheral blood smears.



Insulin

Collection Notes Insulin samples MUST be spun down within 30 minutes; if submission is to be delayed, draw a second tube or, volume allowing, pull some serum off the SST/RTT and freeze for insulin testing. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 30 minutes of collection; this then does not require collection of a GTT; this also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.


Chemistry and CBC results out same day.Insulin run Monday/Wednesday/Friday with results out same day.


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40 Equine Total Body




Fibrinogen Urinalysis


Additional Comments: SDH is included in Equine Chemistry Screen.


1409 Fecal Parasite, Quantitative


Specimen Requirements 1.0 gram Fresh Feces, Fecal tube or bag



Additional Comments: Results will be reported out as type of parasite and number of eggs per gram of feces.

325 Fibrinogen, Semi-quantitative

Methodology: Heat Precipitation

Specimen Requirements 0.5 mL Plasma (1.0 mL Whole Blood) LTT or BTT



Additional Comments: If a BTT is used, it will be corrected for the citrate dilution factor.

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852 IgG, Camelid RID





Additional Comments: Acceptable for Alpaca, Llama, and Camel. A 4-hr preliminary result is available upon request.

210 IgG, Equine RID


Specimen Requirements 0.25 mL Serum, SST/RTT. Colostrum can also be used.



Additional Comments: A 4-hr preliminary result is available upon request. Final result at 24 hours.

211 IgM, Equine RID





Additional Comments: Final result at 24 hours.

Page 129 of 448

634 Insulin






12085 Large Animal Liver Chemistry


AlbuminALP (Alkaline Phosphatase)Total Bilirubin



Sorbitol Dehydrogenase (SDH)Total ProteinGlobulin

Direct BilirubinGGT (Gamma-glutamyltransferase)



Page 130 of 448

341 Occult Blood

Methodology: Oxidation

Specimen Requirements 0.5 grams of Fresh Feces, Fecal Tube or bag.Fecal sample should be at least pea sized.See Collection Notes on dietary restrictions.


Collection Notes Patient should be on a high residue diet starting 48 hours prior to sample collection. (This excludes pet foods containing Red or rare meat or poultry products, raw fruits and vegetables containing high peroxidase activity. Please call our client service department with any questions.) High doses of vitamin C (>250 mg/day) can cause false negative results. Discontinue supplements, fruits and vegetables high in vitamin C for 48 hours prior to testing.

Additional Comments: Consuming a meat diet could result in false positives. See Collection Notes. Anti-inflammatory medicines and other diseases of the gastrointestinal tract may cause false positiveGastrointestinal lesions may bleed intermittently and blood in feces is not distributed uniformly, thus a negative results does not rule out the possability of gastrointestinal lesions.

851 Pre-Op Panel, Large Animal





ALP (Alkaline Phosphatase)AST (Aspartate Transaminase)Globulin



Page 131 of 448

647 Progesterone, Non-Canine


Specimen Requirements 0.5 mL Serum, RTTMinimum: 0.3 mL Serum



Additional Comments: Mare: Corpus luteal values are 7-8 ng/mL by 6 days after ovulation. There is a transient decrease at 28 days of pregnancy to around 5 ng/mL and then concentration increases to day 50 and plateaus at day 140 (15-20 ng/mL). Values then decline so that at 180-200 days levels are below 1 ng/mL. Cow: Levels of 6 ng/mL are required to maintain pregnancy. Camelids: Values of about 2.0 ng/mL indicate luteal activity.

For canines, please order Canine Progesterone 547

6 Ruminant Screen

CBCChemistry Screen



FibrinogenMagnesium



Additional Comments: Fibrinogen performed by heat precipitation

Page 132 of 448

1106 Ruminant Screen, Follow-Up

CBCChemistry Screen

Specimen Requirements Chemistry: 0.5 mL serum; CBC: 1.0 mL LTT, Air dried peripheral blood smears


MagnesiumFibrinogen





131 Sorbitol Dehydrogenase (SDH)





Additional Comments: This test is included in the equine chemistry screen and all panels that include equine chemistries.

Page 133 of 448

872 Special Equine Profile




Total T4 Fibrinogen









Page 134 of 448

6971 TRH Stimulation Test


ACTH, Endo Pre

Specimen Requirements 0.5 mL EDTA Plasma for Pre and Post samples, Separated and Frozen, CTT


ACTH, Endo Post

Collection Notes Procedure:HORSES CAN BE FASTED OR MAY HAVE BEEN RECENTLY FED HAY, BUT NOT GRAIN. DO NOT PERFORM IMMEDIATELY AFTER AN ORAL SUGAR TEST.1. Collect 0 hour (PRE) TRH sample in LTT. Spin and separate plasma into a plastic transport tube within 1 hour of collection. Recommended to freeze immediately. Clearly label as 0 hour / PRE-sample.2.Inject 1 mg TRH (Tyrotropin Releasing Hormone) intravenously (IV) for horses >250 kg; inject 0.5 mg TRH IV for horses and ponies <250 kg. TRH can be obtained from compounding pharmacies.The online pharmacy Wedgewood sells TRH under the brand name Protirelin.3. At exactly 10 minutes after administration of TRH, collect second sample in LTT. Spin and separate plasma into a plastic transport tube within 1 hour of collection. Recommended to freeze immediately. Clearly label tube 10 minutes /POST-sample.

Additional Comments: Endogenous ACTH is tested on both samples. Recommended to perform test mid-November to mid-July since seasonally adjusted reference intervals have not yet been established. This is currently the recommended test for early detection of equine Pituitary Pars Intermedia Dysfunction (PPID) if a horse has clinical signs, and endogenous ACTH is inconclusive/negative.Transient yawning, coughing, mouth chomping and display flehmen response can follow administration of TRH. These side effects will subside within a few minutes.

159 Urinalysis





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862 Uterine Screen, Equine

Uterine Culture

Specimen Requirements Saline Flush in sterile container (CTT) is the preferred sample. (Allows for cytospin prep which provides the best cell interpretation and can be used for both cytology and culture). OR 2 transport swabs AND freshly made slides are OK


Uterine Cytology

Collection Notes Slides are ideally prepared immediately after collection. Prepare the cytology sample by GENTLY ROLLING (NOT SMEARING) the swab over the slide.This technique will deliver optimal cellular material for review. Thoroughly dry the smears. DO NOT put slides into the slide holder until completely dry or all the cells will rupture. Do not refrigerate slides.

Please note: Slides prepared at lab from swabs have variable quality. Smears prepared on non-sterile slides may result in contamination of the culture.

Additional Comments: Cytology reported the same day (Monday - Saturday on Days). Culture report time 36 - 72 hours.

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Avian and Exotic Sample Guidelines Diagnostics for small avian and exotic patients presents very unique challenges. Small patient sizes and patient handling considerations can make it exceptionally difficult to obtain a sufficient amount for testing. When possible, please obtain sample volumes for testing as outlined below.

For best CBC results, always submit slides made directly from fresh blood (no EDTA or heparin exposure). This preserves the morphology of the cells and allows for the most accurate evaluation.

Panel Serum/plasma required

Approx. whole blood required (for avians/reptiles/non-ferret sm mammals with a normal Hct)

Approx. whole blood required (for ferrets with a normal Hct)

Electrolytes only 100 µL (0.1 mL) 0.25 mL 0.4 mL Single chemistry test 100 µL (0.1 mL) 0.25 mL 0.4 mL 10 chemistry Screen 100 µL (0.1 mL) 0.25 mL 0.4 mL 13 chemistry Screen 150 µL (0.15 mL) 0.35 mL 0.6 mL 18 chemistry Screen 200 µL (0.2 mL) 0.45 mL 0.7 mL 21 chemistry Screen 250 µL (0.2 mL) 0.55 mL 0.9 mL

If it is not possible to obtain these sample volumes, consider selecting a Mini Panel that prioritizes analytes and allows the veterinarian to direct diagnostics based on clinical impression. Phoenix Lab Mini Panels typically require 100-150 uL (0.1-0.15 mL) of plasma or serum and were created with the support of a boarded avian and exotic specialist to target the most important analytes for common conditions.

Whenever possible, please prioritize analytes or submit a back-up panel request in case of insufficient sample volume. This allows the lab to perform and result testing without delay.

Good sample collection relies heavily on using the appropriate tubes for collection. Below are the commonly used abbreviations for avian and exotic sample collection.

Abbreviation Corresponding tube RTT Red top tube M-RTT Micro red top tube M-SST Micro serum separator m-GnTT Micro green top tube m-LTT Micro lavender top tube

Page 137 of 448

Avian/Non-Mammalian Panels

3003 Avian Liver Chemistry


AlbuminAST (Aspartate Transaminase)

Specimen Requirements 0.3 mL heparinized plasma (minimum 100 µL) or 250 µL whole blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


CholesterolCK (Creatine Kinase)

Bile Acids



1187 Avian Mini Liver Panel


Total ProteinAlbumin

Specimen Requirements 0.2 mL Serum, m-SST/m-RTT (Minimum: 0.1 mL)Heparinized plasma or 0.25 mL whole blood from m-GrnTT is also accepted.


CK (Creatine Kinase)Bile Acids

AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)



5024 Avian Mini Renal Panel


Uric AcidPhosphorous

Specimen Requirements 0.2 mL Serum m-SST/m-RTT (minimum: 0.1 mL Serum). Heparinized plasma or 250 µL whole blood from m-GrnTT is also accepted.


BUN (Blood Urea Nitrogen) CalciumCa/Phos Ratio



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7 Avian Panel

WBC Est/DiffHematocrit (HCT)GlucoseCalcium

Specimen Requirements Chemistry: 0.3 mL (minimum: 100 µL), heparinized plasma or 250 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


Total ProteinAST (Aspartate Transaminase)CK (Creatine Kinase)Cholesterol

Uric AcidBile AcidPhosphorusCa/Phos Ratio

Collection Notes One m-GrnTT can be used, volume allowing. Submit m-GrnTT without centrifugation in order for HCT and WBC to be done on same tube. Prepare Slides at clinic.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer (M-GrnTTor M-LTT) is not submitted, WBC is estimated from the blood smear.

82 Avian Panel, Follow-Up







Additional Comments: If a microtainer (M-GrnTT or M-LTT) is not submitted, WBC is estimated from the blood smear. Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.

Page 139 of 448

3002 Avian Renal Chemistry


BUN (Blood Urea Nitrogen)CalciumPhosphorus

Specimen Requirements 0.3 mL heparinized Plasma (minimum 100 µL) or 250 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


Ca/Phos RatioTotal ProteinAlbumin

GlobulinA/G RatioUric Acid



3004 Avian/ Nonmammalian 13 Chemistry Screen


GlucoseCalciumPhosphorusCa/Phos RatioTotal Protein

Specimen Requirements 0.3 mL heparinized Plasma (Minimum: 150µL) or 350 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


AlbuminGlobulinA/G RatioAST (Aspartate Transaminase)

CK (Creatine Kinase)CholesterolUric AcidBile Acids



907 Avian/Nonmammalian 10-Chemistry Screen


GlucoseCalciumTotal ProteinCK (Creatine Kinase)

Specimen Requirements 0.3 mL (minimum: 100 µL) heparinized plasma or 250 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short


CholesterolUric AcidBile Acids

AST (Aspartate Transaminase)PhosphorusCa/Phos Ratio



Page 140 of 448

3005 Avian/Nonmammalian 13 Chemistry w/ CBC

CBCGlucoseCalciumPhosphorusCa/Phos Ratio

Specimen Requirements Chemistry: 0.3 mL (minimum 150 µL), heparinized plasma or 350 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


Total ProteinAlbuminGlobulinA/G RatioAST (Aspartate Transaminase)



Additional Comments: If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear and PCV will be cancelled.

3006 Avian/Nonmammalian 13 Chemistry w/ CBC and PEP




Total ProteinAlbuminGlobulinA/G RatioPEP (Protein Electrophoresis)

AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolUric AcidBile Acids


Additional Comments: Chemistries and CBC reported out same day. PEP run Monday and Thursday with results out same day.If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear

Page 141 of 448

3010 Avian/Nonmammalian 13 Chemistry w/ CBC, Follow-up


Specimen Requirements Chemistry: 0.3 mL (minimum 150 µL) heparinized plasma or 350 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


Total ProteinAlbuminGlobulinA/G RatioBile Acids

AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolUric Acid


Additional Comments: If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear.


3008 Avian/Nonmammalian 18 Chemistry Panel


GlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements 0.3 mL heparinized Plasma( Minimum: 0.2 mL) or 450 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric Acid Bile Acids

Ca/Phos RatioTotal ProteinAlbuminGlobulinA/G RatioGGT (Gamma-glutamyltransferase)



Page 142 of 448


CBCGlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements Chemistry: 0.3 mL (minimum: 0.2 mL) heparinized plasma or 450 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric AcidBile Acids



Additional Comments: If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear

Page 143 of 448

3012 Avian/Nonmammalian 18 Chemistry w/ CBC and Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements Chemistry: 0.3 mL (minimum: 0.25 mL) heparinized plasma or 550 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays) Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric AcidBile AcidsPEP (Protein Electrophoresis)



Additional Comments: Chemistries and CBC reported out same day. PEP run Monday and Thursday with results out same day. If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear

3013 Avian/Nonmammalian 21 Chemistry


GlucoseBUN (Blood Urea Nitrogen)SodiumPotassiumSodium/Potassium RatioChlorideCalcium

Specimen Requirements 0.3 mL heparinized plasma (Minimum: 0.25 mL) or 550 µL Whole Blood, m-GrnTT Please call our Client Services for information about minimums on short


AST (Aspartate Transaminase)CholesterolTriglyceridesCK (Creatine Kinase)Uric AcidAmylaseBile Acids

PhosphorusCa/Phos RatioTotal ProteinAlbuminGlobulinA/G RatioGGT (Gamma-glutamyltransferase)



Page 144 of 448

3015 Avian/Nonmammalian 21-Chemistry w/ CBC

CBCGlucoseBUN (Blood Urea Nitrogen)SodiumPotassiumSodium/Potassium RatioChlorideCalcium

Specimen Requirements Chemistry: 0.3 mL heparinized plasma (minimum 250 µL) or 550 µL of whole blood.CBC: 2 air dried slides and 0.1 mL of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.






Page 145 of 448

3016 Avian/Nonmammalian 21-Chemistry w/ CBC and PEP


Specimen Requirements Chemistry: 0.3 mL (minimum: 0.27 mL) heparinized plasma or 550 µL Whole BloodCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolTriglyceridesCK (Creatine Kinase)Uric AcidAmylaseBile AcidsPEP (Protein Electrophoresis)




36 Avian/Reptile CBC

Methodology: Manual

Specimen Requirements Air dried Peripheral Blood smears and 0.25 mL whole blood, m-LTT/m-GrnTT. (Minimum: 30 µL whole blood)Heparin preferred for some species (e.g. Crows, Jays)


Collection Notes It is always best to submit well-prepared, fresh, air-dried peripheral blood smears with your blood sample to prevent cell lysis and clumping. Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer is submitted, a WBC count and estimate from the slide made at the lab will be done. If only peripheral blood smears were submitted, a WBC estimate will be done from review of the peripheral blood smears.

Page 146 of 448

1036 Avian/Reptile CBC, Follow-Up

Methodology: Manual



Collection Notes It is always best to submit well-prepared, fresh, air-dried peripheral blood smears with your blood sample to prevent cell lysis and cell clumping.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer is submitted, a WBC count and estimate from the slide made here will be done, if you send peripheral blood smears, a WBC estimate will be done from review of the peripheral blood smears. The WBC count that looks most accurate will be reported.Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.

1530 Avian/Reptile, Giardia/Crypto w/ Modified Acid Fast

Giardia/Cryptosporidium (IFA)

Specimen Requirements 3-5 grams Fresh Feces, Fecal Tube


Modified Acid Fast Stain


Additional Comments: Screening for Giardia and Cryptosporidium in avian and non-mammalian species.To rule out Giardia and Cryptosporidia in mammalian species, see Giardia/Cryptosporidia IFA #240

1188 Reptile Mini Liver Panel



Specimen Requirements 0.1 mL Serum, m-SST/m-RTT Heparinized plasma or 0.25 mL whole blood from m-GrnTT is also accepted.Please call our Client Services for information about minimums on short samples.






Page 147 of 448

5026 Reptile Mini Renal Panel


Uric AcidCa/Phos Ratio



Phosphorous Calcium



87 Reptile Profile


Specimen Requirements Chemistry: 0.3 mL (minimum: 100 µL), heparinized plasma or 250 µL Whole BloodCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood. Heparin is preferred for most species.Please call our Client Services for information about minimums on short samples.


PhosphorusBile AcidTotal ProteinCholesterol

Uric AcidCa/Phos RatioAST (Aspartate Transaminase)

Collection Notes One m-GrnTT can be used, volume allowing. Submit m-GrnTT without centrifugation in order for HCT and chemistries to be done an same tube. Prepare slides at clinic.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer (M-GrnTT or M-LTT) is not submitted, WBC is estimated from the blood smear.

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88 Reptile Profile, Follow-up









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Small Mammal Panels

55 CBC, Exotic/Small Mammal

Methodology: Manual

Specimen Requirements Hematocrit and 3 air dried slides.



Additional Comments: Includes Hct, WBC estimate, and differential. Used for "short" sample specimens.







101004 Small Mammal Chem Screen II


GlucoseBUN (Blood Urea Nitrogen)CreatinineCalciumPhosphorusTotal ProteinBilirubin, Total

Specimen Requirements Chemistry: 1 m-SST or m-GrnTT Minimum: 250 uL serum/plasma OR 550 µL whole blood for non-ferrets (1 mL whole blood for ferrets).


AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolAmylaseLipaseBile Acids

AlbuminGlobulinA/G RatioALP (Alkaline Phosphatase)GGT (Gamma-glutamyltransferase)ALT (Alanine Transaminase)

Test Alias: Ferret/Small Mammal 20-Chem

Collection Notes Please call our Client Services for information about minimums on short samples.

Additional Comments: Chemistry screen does NOT includes: electrolytes, carbon dioxide, osmolality, or anion gap.

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956 Small Mammal Chemistry Screen I


GlucoseBUN (Blood Urea Nitrogen)CreatinineCalcium

Specimen Requirements 0.3 mL, m-SST/m-RTT, (Minimum: 150 µL serum) Heparinized plasma or 350 µL whole blood for non-ferrets(0.6 mL whole blood for ferrets) m-GrnTT OKPlease call our Client Services for information about minimums on short samples.


PhosphorusTotal ProteinAlbuminGlobulin

A/G RatioALT (Alanine Transaminase)AST (Aspartate Transaminase)

Test Alias: Ferret/Small Mammal 12-Chem Panel



101002 Small Mammal Comprehensive Chemistry Screen


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)Anion Gap

Specimen Requirements 2 m-SST or m-GrnTT, Minimum: 300 uL serum/plasma OR 650 µL whole blood for non-ferrets (1 mL whole blood for ferrets).


CalciumPhosphorusCalculated OsmolalityTotal ProteinAlbuminGlobulinAlbumin/GlobulinBilirubin, Total

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCK (Creatine Kinase)AmylaseLipaseBile Acids




Page 152 of 448

1002 Small Mammal Comprehensive Panel

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)Anion Gap

Specimen Requirements Chemistry: 2 m-SST or m-GrnTT, Minimum: 300 uL serum/plasma OR 650 µL whole blood for non-ferrets (1 mL whole blood for ferrets).CBC: 2 air dried slides, and 1 m-LTT or m-GrnTT Minimum: 250 uL whole blood




Test Alias: Ferret/Small Mammal 27-Chem w/CBC

Collection Notes Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.Please call our Client Services for information about minimums on short samples.

Additional Comments: If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear.

Page 153 of 448

10022 Small Mammal Comprehensive Panel w/ Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)Anion Gap

Specimen Requirements Chemistry: 2 m-SST or m-GrnTT Minimum: 300 uL serum or plasma OR 650 µL whole blood for non-ferrets (1 mL whole blood for ferrets).CBC: 2 air dried slides, and 1 m-LTT or m-GrnTT Minimum: 250 uL whole blood for CBC

Reported Time Same Day, PEP Mon/Thur Same Day



Test Alias: Ferret/Small Mammal 27-Chem w/CBC and PEP


Additional Comments: If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear. Protein Electrophoresis is run Monday and Thursdays, with results out same day

Page 154 of 448

11002 Small Mammal Comprehensive Panel, Follow-Up






Test Alias: Ferret/Small Mammal 27-Chem/CBC, Follow-up




1186 Small Mammal Mini Liver Panel


CK (Creatine Kinase)Bilirubin Total

Specimen Requirements 0.15 mL Serum m-SST/m-RTT. Heparinized plasma or 0.35 mL whole blood (0.6 mL for ferrets) from m-GrnTT is also accepted.


ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)




Page 155 of 448

5028 Small Mammal Mini Renal Panel


CreatinineBUN (Blood Urea Nitrogen)Sodium

Specimen Requirements 0.15 mL Serum, m-SST/m-RTT. Heparinized plasma or 0.35 mL whole blood (0.6 mL for ferrets) from m-GrnTT is also accepted.


ChloridePotassiumCalcium

PhosphorousTotal ProteinAlbumin



56 Small Mammal Panel I

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineCalcium

Specimen Requirements 0.3 mL, m-SST/m-RTT, (Minimum: 150 µL serum), Heparinized plasma or 350 µL whole blood for non-ferrets(0.6 mL whole blood for ferrets) m-GrnTT OKCBC: Minimum: 250 uL EDTA whole blood (heparinized whole blood OK), 2 air dried slides.Please call our Client Services for information about minimums on short samples.







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84 Small Mammal Panel I, Follow-Up

CBCGlucoseBUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements Chemistry: 0.3 mL, m-SST/m-RTT, Minimum: 150 uL serum (heparinized plasma OK) or 350 µL whole blood for non-ferrets, 0.6 mL whole blood for ferrets.CBC: Minimum: 250 uL EDTA whole blood (heparinized whole blood OK), 2 air dried slides.Please call our Client Services for information about minimums on short samples.


CalciumPhosphorusTotal ProteinAlbumin

GlobulinA/G RatioALT (Alanine Transaminase)AST (Aspartate Transaminase)

Ferret/Small Mammal 12-Chem/CBC, Follow-up



1004 Small Mammal Panel II

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineCalciumPhosphorusBilirubin, Total

Specimen Requirements Chemistry: 1 m-SST or m-GrnTT Minimum: 250 uL serum/plasma OR 550 µL whole blood for non-ferrets (1 mL whole blood for ferrets).CBC: 2 air dried slides, and 1 m-LTT or m-GrnTT Minimum: 250 uL whole blood



Total ProteinAlbuminGlobulinA/G RatioALP (Alkaline Phosphatase)GGT (Gamma-glutamyltransferase)ALT (Alanine Transaminase)



Additional Comments: Panel does NOT includes: electrolytes, carbon dioxide, osmolality, or anion gap. If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear.

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10044 Small Mammal Panel II w/ Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseBUN (Blood Urea Nitrogen)CreatinineCalciumPhosphorus



AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolAmylaseLipaseBile AcidsBilirubin, Total


Test Alias: Ferret/Small Mammal 20-Chem w/CBC & PEP


Additional Comments: Panel does NOT includes: electrolytes, carbon dioxide, osmolality, or anion gap. If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear. Protein electrophoresis is run Monday and Thursday, with results out same day.

11004 Small Mammal Panel II, Follow-Up





Total ProteinAlbuminGlobulinA/G RatioALP (Alkaline Phosphatase)GGT (Gamma-glutamyltransferase)ALT (Alanine Transaminase





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Cytology Submission Guidelines

Complete history is essential for accurate results– including location of lesion, previous lab accession numbers, clinical signs, and treatment. Label all samples with patient name and sample site. Indicate method of collection on the submission form (e.g. wash/lavage, fine needle, tissue impression). If culture or other testing requiring special handling is needed on a cytology submission, please alert the laboratory on the requisition form and provide any necessary instruction.

Packaging and Transportation When preparing cytology samples for transport, thoroughly air dry the slides before inserting into slide holder and do not refrigerate the slides. Also, ensure any fluid caps are secure. Formalin can have significant effects, causing rapid cell fixation and disintegration, limiting stain uptake with the stains used for cytologic evaluation. If submitting a sample for histology at the same time, package them separately and make a note on the requisition form. Even exposure to formalin fumes can rapidly deteriorate cells, so it is critical that formalin is kept far away from cytology samples.

Reporting Options While both the Mini report and Full report provide a microscopic diagnosis and comments, a Full report additionally provides a microscopic description.

Sample Collection Fine Needle Aspirate Protocol: 1. If the cytology is a fine needle aspirate, use a 21g. -22 g. needle (smaller needles increase cell rupture, larger needles increase hemodilution) and 3-12 mL syringe depending on material/tissue aspirated. The softer the tissue, the smaller the syringe and needle necessary for aspiration. NOTE: Lymph nodes often do not require suction as this increases the chance of rupture. 2. Insert the needle into the mass (avoid the center of larger lesions as they are apt to be necrotic). In order to get the most representative sample the needle should be directed in at least 3 different directions with suction applied. For large masses, different aspects of the mass should be sampled; notation of site of aspiration on the submission form, slides, and your medical records can be helpful to guide any future surgical biopsy that may be needed. 3. Release the negative pressure slowly and withdraw the needle from the mass. 4. Remove the needle, from syringe, fill the syringe with air, replace the needle and force the cellular material onto a slide or slides. 5. Cover the material on the slide with another slide, allow the material to spread and then horizontally pull the slides apart without pressure. This must be done quickly to avoid clot formation. 6. Quickly air dry the slides. Do not heat fix. Try to make 3 - 5 slides from each lesion. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides. For additional collection protocols, see the collection notes section for desired test.

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Selecting the Correct Test

See the explanations below to help select the correct test for the sample provided: Cytology, Full (318) – Can be performed on submitted slides, washes, mass aspirate fluid, urine, vaginal swabs, or other specimens. Multiple lymph nodes are charged as one site. Cytology, Additional Site (318x_) – Additional sites submitted together

Cytology, Mini (5318) – Can be performed on submitted slides. Multiple lymph nodes are charged as one site. Cytology, Mini, Additional Site (5318x_) – Additional sites submitted together.

Body Cavity or Joint Fluid Cytology (14) – Includes nucleated cell count. Recommended test for paracentesis (abdominal, paracardial, or thoracic) or joint fluid. Cannot be performed on slides only. Fluid Cytology, Additional Site (3014) – Additional sites submitted together.

Buffy Coat Cytology (1318) – This is the most sensitive method to look for circulating mast cells in the blood. Test performed on buffy coat smears prepared from submitted LTT.

Bone Marrow Cytology (304) – Any bone which contains red marrow can be used as a site for aspiration or core biopsy; note that for long bones (e.g. humerus) in adult animals, red marrow is found at the ends of the bones (epiphysis/metaphysis), with minimal hematopoietic cells in the shaft/diaphysis. Evaluation of a CBC collected on the same day as the marrow aspirate is essential for an accurate interpretation of the marrow findings. Bone Marrow Cytology w/ CBC (364) – CBC results included with Bone Marrow Cytology.

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Cytology

14 Body Cavity/Joint Fluid Cytology

Specimen Requirements 1.0 mL Body Cavity or Joint Fluid, LTT required, RTT/CTT recommended for possible culture. Air dried slides also recommended.Smaller volumes may be sufficient for a count for joints.

Reported Time Reviewed M-Sat on Days


Additional Comments: Please include clinical history with sample. Descriptive report contains nucleated cell count, specific gravity, total protein, and cytology. For cytology on fluids from other sources (i.e. masses) order Cytology 318

3014 Body Cavity/Joint Fluid Cytology, Additional Source

Specimen Requirements 1.0 mL Body Cavity or Joint Fluid, LTT required, RTT/CTT recommended for possible culture. Air dried slides also desired.Smaller volumes may be sufficient for a count for joints.



Additional Comments: Please include clinical history with sample.Descriptive report contains nucleated cell count, specific gravity, total protein, and cytology. For cytology on fluids from other sources (i.e. masses) please order Cytology 318

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304 Bone Marrow Cytology

Specimen Requirements 4 - 6 air dried, unstained thin smears of bone marrow.


Collection Notes Please THOROUGHLY DRY slides before closing transport container and do not refrigerate.Protocol:1. Any bone which contains red marrow can be used as a site for aspiration or core biopsy. For small animals, collection sites include proximal femur, humerus, and iliac crest. For adult large animals, collection sites include the sternum, ribs and ilium (tuber coxae).2. The bone marrow aspiration site should be aseptically prepared and a local anesthetic given.3. Using a bone marrow biopsy needle and stylet, go through the cortical bone usually 0.5 - 1 cm deep.4. Remove the stylet and gently aspirate the specimen. As soon as marrow fills the hub of the syringe, release the plunger and remove the syringe. Collect 2-4 drops of marrow (0.2 mL -0.25 mL).ASPIRATION OF A LARGER VOLUME USUALLY RESULTS IN EXCESSIVE CONTAMINATION OF THE MARROW WITH PERIPHERAL BLOOD.5. Marrow material is expelled from the syringe onto a glass slide held at an angle of 45 degrees. Spicules will tend to stick to the slide and contaminating blood will run off.6. Smears are prepared by gentle squash technique. Slides are pulled apart quickly lengthwise from each other. As for FNA from solid tissue, let the weight of the top slide spread the bone spicules. DO NOT PRESS SLIDES TOGETHER. ALLOW SLIDES TO AIR DRY. Using this technique, make at least 4 slides. Do not refrigerate the marrow slides.7. Any remaining material in the syringe as well as what remains in the needle should be expelled into a small EDTA tube.

Additional Comments: EVALUATION OF A CBC COLLECTED ON THE SAME DAY AS THE MARROW ASPIRATE IS ABSOLUTELY ESSENTIAL FOR AN ACCURATE INTERPRETATION OF THE MARROW FINDINGS.

To include a CBC, order Bone Marrow and CBC 364;and see test for CBC requirements.

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364 Bone Marrow Cytology W/ CBC

Bone Marrow Cytology

Specimen Requirements Cytology: 4 - 6 air dried, unstained thin smears of bone marrowCBC: 1.0 mL LTT and air dried peripheral blood smears


CBC

Collection Notes Please THOROUGHLY DRY slides before closing transport container and do not refrigerate.Protocol:1. Any bone which contains red marrow can be used as a site for aspiration or core biopsy. For small animals, collection sites include proximal femur, humerus, and iliac crest. For adult large animals, collection sites include the sternum, ribs and ilium (tuber coxae).2. The bone marrow aspiration site should be aseptically prepared and a local anesthetic given.3. Using a bone marrow biopsy needle and stylet, go through the cortical bone usually 0.5 - 1 cm deep.4. Remove the stylet and gently aspirate the specimen. As soon as marrow fills the hub of the syringe, release the plunger and remove the syringe. Collect 2-4 drops of marrow (0.2 mL -0.25 mL). ASPIRATION OF A LARGER VOLUME USUALLY RESULTS IN EXCESSIVE CONTAMINATION OF THE MARROW WITH PERIPHERAL BLOOD.5. Marrow material is expelled from the syringe onto a glass slide held at an angle of 45 degrees. Spicules will tend to stick to the slide and contaminating blood will run off.6. Smears are prepared by gentle squash technique. Slides are pulled apart quickly lengthwise from each other. As for FNA from solid tissue, let the weight of the top slide spread the bone spicules. DO NOT PRESS SLIDES TOGETHER. ALLOW SLIDES TO AIR DRY. Using this technique, make at least 4 slides. Do not refrigerate the marrow slides.7. Any remaining material in the syringe as well as what remains in the needle should be expelled into a small EDTA tube.

Additional Comments: Please include a complete history.

For Bone Marrow Cytology only, refer to test code 304.

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1318 Buffy Coat Cytology




Additional Comments: The buffy coat sample is prepared by centrifuging a whole blood sample from an EDTA Tube (LTT). The layer between the plasma and the RBCs is called the buffy coat and is examined by the Pathologist. This is the most sensitive method to look for mast cells.

29 CSF Analysis

Specimen Requirements 0.5 mL CSF LTT and RTT/CTT, Minimum 0.2mL in each tube.


Collection Notes Protocol: 1. To minimize blood contamination, it is recommended to allow the CSF to drip into a small EDTA tube. 2. A CTT is recommended for chemistries and culture.

Additional Comments: All CSF specimens receive nucleated cell count, RBC count, glucose, microprotein, and cytology. We request 1 mL total, but will work with any volume. If only a small amount of CSF is collected (<0.5 mL), please prioritize desired testing. EDTA (LTT) inhibits bacterial growth and can not be used for culture.

1029 CSF Analysis, Additional Site

Specimen Requirements 0.5 mL CSF LTT and CTT, Minimum 0.2mL in each tube.


Collection Notes Protocol: 1. To minimize blood contamination, it is recommended to allow the CSF to drip into a small EDTA tube.2. A CTT is recommended for chemistries and culture.

Additional Comments: All CSF specimens receive nucleated cell count, RBC count, glucose, microprotein, an cytology. We request 1 mL total, but will work with any volume. If only a small amount of CSF is collected <0.5 mL, please prioritize testing desired. EDTA (LTT) inhibits bacterial growth and can not be used for culture.

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51 CSF Panel, Special

CSF Analysis

Specimen Requirements 0.5 mL each LTT and/or RTT/CTT. Minimum: 0.4 mL total

Reported Time Reviewed M-Sat on days

CSF CK (Creatine Kinase) Pandy's Test


Additional Comments: Includes CSF panel 29, as well as CK value and Pandy's test. We request 1 mL total, but will work with any volume.If only a small amount of CSF is collected (<0.5 mL), please prioritize desired tests. EDTA (LTT) inhibits bacterial growth and cannot be used for culture.

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318 Cytology

Specimen Requirements 3-5 air dried slides or tissue imprints, unstained.Remaining fluid may be submitted as well in LTT and/or CTT at no additional cost. For cytology on trans/endotracheal wash, fluid in LTT and CTT recommended.


Collection Notes FINE NEEDLE ASPIRATE PROTOCOL:1. If the cytology is a fine needle aspirate, use a 21g. -22 g. needle (smaller needles increase cell rupture) and 3-12 mL syringe depending on material/tissue aspirated. The softer the tissue, the smaller the syringe and needle necessary for aspiration. NOTE: Lymph nodes often do not require suction as this increases chance of rupture.2. Insert the needle into the mass (avoid the center of larger lesions as they are apt to be necrotic). In order to get the most representative sample the needle should be directed in at least 3 different directions with suction applied.3. Release the negative pressure slowly and withdraw the needle from the mass.4. Remove the needle,from syringe, fill the syringe with air, replace the needle and force the cellular material onto a slide or slides.5. Cover the material on the slide with another slide, allow the material to spread and then horizontally pull the slides apart without pressure. This must be done quickly to avoid clot formation.6. Quickly air dry the slides. DO NOT HEAT FIX. Try to make 3 - 5 slides from each lesion. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides.

TISSUE IMPRESSION PROTOCOL:1. Impression smears can be made from an excised mass using the TOUCH IMPRINT TECHNIQUE. Blot tissue onto paper towel, then onto slides.2. Quickly air dry the slides. DO NOT HEAT FIX.3. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides. Note that impression smears of ulcerated, dermal lesions are often of low diagnostic utility. VAGINAL CYTOLOGY FOR ESTRUS PROTOCOL:1. Insert the cotton tip swab against the caudodorsal surface of the vaginal vault (avoid the vulva and clitoral fossa) and advance the swab in a craniodorsal direction until it passes over the ischial arch. The swab should reach the pelvic canal.2. Rotate the swab 360 degrees in each direction and withdraw.3. For optimal exfoliation, gently roll the swab across the surface of slide, DO NOT SMEAR.4. Dry thoroughly before placing in slide container. Do not refrigerate slides.

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Additional Comments: Complete history and location of lesion are essential for accurate results. Multiple lymph nodes are charged as one site. If the cytology is a paracentesis (abdominal, paracardial, or thoracic) or joint fluid with submission of fluid, refer to test Fluid Cytology (Body Cavity/ Joint Fluid) 14. Note that impression smears of ulcerated, dermal lesions are often of low diagnostic utility. EDTA (LTT) inhibits bacterial growth. If culture is required, use plain CTT or sterile transport tube.

Test includes microscopic description, diagnosis, and comments.Price is for a single site. Every site after is an additional $26.10.

421 Cytology Slide Prep Only

Specimen Requirements Requires fluid or other cytology sample, LTT/CTT

Reported Time Varies


Additional Comments: This charge is for preparing cytology slides from samples submitted only. Slides will be sent on to destination provided (additional shipping charges may apply).To have a cytology performed, order Cytology 318.

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5318 Mini-Cytology

Specimen Requirements 3-5 air dried slides, unstained or tissue imprints


Collection Notes FINE NEEDLE Aspirate PROTOCOL:1. If the cytology is a fine needle aspirate, use a 21g. -22 g. needle (smaller needles increase cell rupture) and 3-12 mL syringe depending on material/tissue aspirated. The softer the tissue, the smaller the syringe and needle necessary for aspiration. NOTE: Lymph nodes often do not require suction as this increases chance of rupture.2. Insert the needle into the mass (avoid the center of larger lesions as they are apt to be necrotic). In order to get the most representative sample the needle should be directed in at least 3 different directions with suction applied.3. Release the negative pressure slowly and withdraw the needle from the mass.4. Remove the needle,from syringe, fill the syringe with air, replace the needle and force the cellular material onto a slide or slides.5. Cover the material on the slide with another slide, allow the material to spread and then horizontally pull the slides apart without pressure. This must be done quickly to avoid clot formation.6. Quickly air dry the slides. DO NOT HEAT FIX. Try to make 3 - 5 slides from each lesion. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides.


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Additional Comments: Complete history and location of lesion are essential for accurate results. Multiple lymph nodes are charged as one site. If the cytology is a paracentesis (abdominal, paracardial, or thoracic) or joint fluid with submission of fluid, refer to test Fluid Cytology (Body Cavity/ Joint Fluid) 14. Note that impression smears of ulcerated, dermal lesions are often of low diagnostic utility. EDTA (LTT) inhibits bacterial growth. If culture is required, use plain CTT or sterile transport tube.Reports will provide diagnosis and comments sections but will not contain a detailed microscopic description.

Price is for a single site. Every site after is an additional $21.00.

32 Semen Evaluation

Specimen Requirements 1.0 mL Semen, LTT/CTT


Collection Notes For canines only: Collect entire ejaculate for accurate reporting of sperm total per ejaculate.

Additional Comments: Includes sperm count, pH and cytology.Please note that sperm motility should be assessed immediately after sample collection and will not be assessed with this cytology.

***For Canines, Equines, and Bovines only.***

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Page 170 of 448

Endocrinology


Methodology: Chemiluminescent Immunoassa





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39 ACTH Response


Pre Cortisol



Post Cortisol






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Pre Cortisol






57 Basic Feline

CBCChemistry Screen







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CBCUrinalysis







Progesterone



Cytology, Vaginal



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Page 175 of 448

233 Cortisol, Urine








Pre Cortisol








Page 176 of 448



Cortisol Pre



Cortisol 19-hr Post



Page 177 of 448


Chemistry Screen







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Insulin






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CBCFibrinogen









Page 181 of 448


CBCFibrinogen




Insulin





Page 182 of 448

859 Feline Panel

CBCChemistry Screen







2247 Free T4






Page 183 of 448








CBC






Page 184 of 448


CBCChemistry Screen




FIV (IFA)




CBCChemistry Screen








Page 185 of 448


CBCChemistry Screen



Total T4 FeLV




CBCChemistry Screen






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CBCChemistry Screen



CobalaminFolate

Total T4




CBC







Page 187 of 448


Chemistry Screen








Page 188 of 448

634 Insulin






2217 Lipid Panel w/ T4


Cholesterol



Triglycerides Total T4



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Methodology: RIM





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Page 191 of 448









Methodology: RIM





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4001 RX - Methimazole I

CBCUrine Specific GravityTotal T4

Specimen Requirements Chemistry: 0.5 mL serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrine SG 1.0 mL urine





Additional Comments: Run at 1 month, then every 4 to 6 months. Generic: Methimazole, Brand: Tapazole, Felimazole

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4007 RX - Methimazole II

CBCTotal T4

Specimen Requirements Chemistry: 0.5 mL serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smears


ALP (Alkaline Phosphatase) ALT (Alanine Transaminase)


Additional Comments: Run at 1 month, then every 4 to 6months.Generic: Methimazole, Brand: Tapazole, Felimazole

5021 RX - Thyroxine/Soloxine


CBC



Total T4 Cholesterol


Additional Comments: Run after 1 month, then every 3 to 6 months.(Levothyroxine, Soloxine)Same generic brand as methimazole

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5011 RX- Cushing's (Trilostane, Mitotane)

CBCUrinalysisACTH Response

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTCBC: 1.0 mL LTTACTH Response: 0.5 mL Serum each, Pre and Post, from RTT ONLY


CreatinineSodiumPotassium

BUN (Blood Urea Nitrogen)ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)

Collection Notes DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE for ACTH Response Test.

Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Please see ACTH Response 39 for collection protocol.

Additional Comments: Run prior to and immediately after induction, then every 3 to 4 months, more if patient's condition dictates.

Please see ACTH Response 39 for additional information.

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11 Senior Screen










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4705 Senior Screen w/ Calcium and HCT

GlucosePotassiumSodiumPhosphorusHCT

Specimen Requirements 0.5 mL of each, Serum, SST/RTT, 1.0 mL GTT, and 0.1 mL Whole Blood, LTT. A sealed crit w/ blood also accepted in lieu of LTT.


CreatinineChlorideTotal T4Calcium

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)BUN (Blood Urea Nitrogen)Na/K Ratio



3047 Senior Screen W/ CBC and Free T4

CBCGlucosePotassiumSodiumPhosphorus



CreatinineChlorideTotal T4Free T4




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1866 Senior Screen w/ Free T4

GlucosePotassiumSodiumNa/K RatioPhosphorus




ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Free T4











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4701 Senior Screen w/Calcium


















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Total T4 Fibrinogen









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9 T3 Suppression I


Pre Total T4



Post Total T4



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Pre and Post T4



Pre and Post T3



74 Thyroid I


Free T4






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75 Thyroid II

Total T4






864 Thyroid III




Total T4 Free T4



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874 Thyroid IV

Total T4



Free T4



884 Thyroid Panel V

Free T4



Total T4 T3


Additional Comments: Free and Total T4 run dailyT3 run every Monday, with results out same day. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

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49 Thyroid Screen

Total T4






244 Total T4




Collection Notes For dogs, peak samples are drawn 4-6 hours post pill Trough samples are drawn just before the next dose.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


1237 Total T4, Add-On




Collection Notes Peak samples are drawn 4-6 hours post pill Trough samples are drawn just before the next dose.Please allow sample to clot (up to 20 minutes) and then spin down sample. If using a RTT, remove serum and put into a fresh RTT/CTT. Avoid lipemia and hemolysis.

Additional Comments: Felines only: In the geriatric cat with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

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ACTH, Endo Pre



ACTH, Endo Post










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2481 TSH, Add-On





Additional Comments: Run on canines (for confirmation of hypothyroidism) and felines (for confirmation of hyperthyroidism.)TSH only validated on canines, but has been used in felines.



Urine Cortisol







233 Urine, Cortisol






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AmylaseLipase








AmylaseLipaseSDMA




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1711NU Wellness Screen II w/ Urine to Follow

CBCChemistry Screen



AmylaseLipase



Additional Comments: When submitting the urine, please request Urine, No Charge 179 on a separate test request form, and include the previous case ID.





AmylaseLipase




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CBCChemistry Screen



AmylaseLipase




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AmylaseLipase








AmylaseLipase




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CBCChemistry Screen



AmylaseLipase












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Page 213 of 448


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Histopathology Test Selection and Submission Guidelines

When submitting histopathology specimens, please provide a detailed history – including previous lab accession numbers, clinical signs, and treatment. Label all samples with patient name, sample site, and submission fluid (formalin or saline). On the requisition form, be sure to indicate the marking system used for tissue orientation or site identification. Sutures are recommended if orientation of the tissue is required (1 suture = cranial). Sutures or individually labeled cassettes/bottles are recommended for site identification. If culture or other testing requiring fresh tissue or special handling is needed on a shared histopathology submission, please alert the laboratory on the requisition form and provide any necessary instruction.

Packaging and Transportation Small & Medium Histopathology Submissions: A 10:1 formalin to tissue ration is recommended; however, when shipping by air or long distance, use minimal formalin. Submit tissues intact for margin examination, specifically avoiding incision of the deep margin. Securely seal containers and include absorbent material and requisition form in outermost bag. Large Histopathology Submissions: When transporting large tissues, such as whole spleens, use saline to moisten only – not formalin. Place the sample in a small amount of saline, wrapping gauze around the tissue to keep moist. Please do not send tissues in large amounts of liquid. Securely triple bag and include absorbent material and request form in outermost bag.

Reporting Options While both the Mini report and Full report provide a gross description, microscopic diagnosis and comments, a Full report additionally provides a microscopic description. Please note, reporting time is dependent on tissue type and size; larger samples require longer fixation and processing, while samples with bone or mineralization may require decalcification prior to processing. We also offer pathologist interpretation on previously stained H&E slides at a reduced rate. These test selections are identified in name with “SLIDES ONLY.” Please call the laboratory for additional information.

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Selecting the Correct Test See the explanations below to help select the correct test for the sample provided:

Single Tissue: 1-4 samples from one site (one surgical site or one organ type), where L+W+H is less than 15 cm in aggregate Additional Single Tissues Orders: Each additional site or each additional 4 samples from the same site, where L+W+H is less than 15 cm in aggregate

Complex Tissue:

• 1-4 samples from one site (one surgical site or one organ type), where L+W+H is greater than 15 cm in aggregate

• Each entire organ (examples: brain, heart, lung, spleen, liver, gallbladder, pancreas, 1 kidney, 1 eyeball, 1 ear canal, 1 mammary chain, 1-2 ovaries or testicles)

• Each sample requiring decalcification (examples: 1 digit, tail, ribs, mandible) Note: Additional Single Tissue or Additional Skin Punch Biopsies orders may be combined with Complex Tissue orders.

Skin Punch Biopsies: 1-4 skin punches (1-8 mm) Additional Skin Punch Biopsies: each additional 4 skin punches (1-8 mm)

Limb Dissection: Includes dissection, representative section submission, decalcification, and margin examination. Radiographs and history are appreciated. Refrigerate immediately, or store on ice. Submit limb fresh, in multiple securely sealed plastic bags, with few ice pack/s. Please do not freeze or fix.

Necropsy: We offer a Gross Only Necropsy option, when the cause of death is obvious upon gross inspection, or a Full Necropsy option, which includes histopathology and ancillary in-house testing as requested by the pathologist. Please call the laboratory for pricing, transportation, and aftercare of remains. Refrigerate body, and submit for necropsy as soon as possible. If refrigeration is not available, pack body with ice packs. Prevent freezing.

Special Stains A variety of special stains can be performed at your request for an additional fee. This price includes staining and interpretation. The paraffin block is preferred; however, unstained tissue slides may also be used.

Immunohistochemistry Upon your request, in-house and reference laboratory IHC can be performed at an additional fee. This price includes staining and interpretation. The paraffin block is preferred; however unstained tissue slides (charged slides) may also be used. Please call the laboratory for specific test options, requirements and pricing.

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Histopathology

1400 Histopathology Single Tissue - Mini Path Review, SLIDES ONLY

Specimen Requirements H&E stained tissue slide - Single Tissue (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)

Reported Time 1-3 Days, Reviewed M-F


Additional Comments: Pathologist review of previously H&E stained slides. Mini report includes diagnosis and comments.

This test is for received H&E slides ONLY; if submitting tissue sample in formalin, please see test code 400.

1401 Histopathology Single Tissue - Full Path Review, SLIDES ONLY

Specimen Requirements H&E stained tissue slides - Single Tissue (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)



Additional Comments: Pathologist review of previously H&E stained slides. Full report includes microscopic description, diagnosis, and comments.


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1403 Histopathology Complex Tissue - Full Path Review, SLIDES ONLY

Specimen Requirements H&E stained tissue slide - Complex Tissue (Each 1-4 samples from one surgical site or one organ type, where length + width + height is greater than 15cm in aggregate. Each entire organ.)





1418 Histopathology Additional Skin Punches - Full, SLIDES ONLY

Specimen Requirements H&E stained tissue slides - Additional 'Skin Punch Biopsies' (Additional 1-4 skin punch biopsies)





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1419 Histopathology Add'l SingleTissue - Full, SLIDES ONLY

Specimen Requirements H&E stained tissue slides - Additional 'Single Tissue' (Additional 1-4 samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate)





1419X2 Histopathology Add'l Single Tissue x2 - Full, SLIDES ONLY

Specimen Requirements H&E stained tissue slides - Two 'Additional Single Tissues' (2 x Additional 1-4 samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate)




This test is for received H&E slides ONLY; if submitting tissue sample in formalin, please see test code 419x2.

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Specimen Requirements H&E stained tissue slides - Three 'Additional Single Tissues' (3 x Additional 1-4 samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate)




This test is for received H&E slides ONLY; if submitting tissue samples in formalin, please see test code 419x3.


Specimen Requirements H&E stained tissue slides - Four 'Additional Single Tissues' (4 x Additional 1-4 samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate)





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1423 Histopathology Skin Punch Biopsies - Mini, SLIDES ONLY

Specimen Requirements H&E stained tissue slides: 1-4 Skin punch biopsies




This test is for received H&E slides ONLY; if submitting tissue samples in formalin, please see test code 423

1425 Histopathology Skin Punch Biopsies - Full, SLIDES ONLY





This test is for received H&E slides ONLY; if submitting tissue samples in formalin, please see test code 425.

1440 Histopathology Additional Skin Punches - Mini, SLIDES ONLY






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1441 Histopathology Add'l Single Tissue - Mini, SLIDES ONLY

Specimen Requirements H&E stained tissue slides - Additional 'Single Tissue' (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)





1441X2 Histopathology Add'l Single Tissue x2 - Mini, SLIDES ONLY






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1463 Histopathology Complex Tissue - Mini Path Review, SLIDES ONLY

Specimen Requirements H&E stained tissue slide - Complex Tissue ( 1-4 samples from one surgical site or one organ type, where length + width + height is greater than 15cm in aggregate. Each entire organ.)





400 Histopathology Single Tissue - Mini Report

Specimen Requirements Single Tissue: 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is less than 15cm in aggregate. Submitted in 10% neutral buffered formalin.


Collection Notes Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Mini report includes gross description, diagnosis, and comments. Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing.

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401 Histopathology Single Tissue - Full Report



Collection Notes Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline. Include absorbent material in the outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments. Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing.

403 Histopathology Complex Tissue - Full Report

Specimen Requirements Complex Tissue: 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is greater than 15cm in aggregate. Or each entire organ (examples: brain, heart, lung, spleen, liver, gallbladder, pancreas, 1 kidney, 1 eyeball, 1 ear canal, 1 mammary chain, 1-2 ovaries or testicles). Or each sample requiring decalcification (examples: 1 digit, tail, mandible).


Collection Notes Securely seal and label formalin jar, or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments. Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing, while samples with bone or mineralization may require decalcification prior to processing.

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403x2 Histopathology Complex Tissue x2 - Full Report

Specimen Requirements Two 'Complex Tissues'. Complex Tissue = 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is greater than 15cm in aggregate. Or each entire organ (examples: brain, heart, lung, spleen, liver, gallbladder, pancreas, 1 kidney, 1 eyeball, 1 ear canal, 1 mammary chain, 1-2 ovaries or testicles). Or each sample requiring decalcification (examples: 1 digit, tail, mandible).





Specimen Requirements Three 'Complex Tissues'. Complex Tissue = 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is greater than 15cm in aggregate. Or each entire organ (examples: brain, heart, lung, spleen, liver, gallbladder, pancreas, 1 kidney, 1 eyeball, 1 ear canal, 1 mammary chain, 1-2 ovaries or testicles). Or each sample requiring decalcification (examples: 1 digit, tail, mandible).




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Specimen Requirements Four 'Complex Tissues'. Complex Tissue = 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is greater than 15cm in aggregate. Or each entire organ (examples: brain, heart, lung, spleen, liver, gallbladder, pancreas, 1 kidney, 1 eyeball, 1 ear canal, 1 mammary chain, 1-2 ovaries or testicles). Or each sample requiring decalcification (examples: 1 digit, tail, mandible).




406 Histopathology Necropsy

Specimen Requirements Refrigerate body, and submit for necropsy, as soon as possible. If refrigeration is not available, pack body with ice packs. Prevent freezing.

Reported Time Preliminary Diagnosis: 1-5 days.Final Diagnosis: 7-14 days, unless special studies are requested.

Collection Notes Please include as much history as possible.

Additional Comments: Please call the Lab for pricing and additional information. Full necropsy includes gross examination, microscopic description, diagnosis, ancillary inhouse lab testing as requested by pathologist, and comments. Gross necropsy is available at a reduced rate when the cause of death is obvious upon gross inspection. Spinal cord examination, toxicology, and cremation services are available at an additional cost.

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407 Histopathology Limb Dissection

Specimen Requirements Refrigerate limb immediately, or store on ice. Submit limb in plastic bags on ice. DO NOT freeze or fix.

Reported Time Preliminary Diagnosis: 3-5 days.Final Diagnosis: 7-14 days.

Collection Notes Please include history and radiographs. Securely seal and label plastic bags, with absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments. Reporting time is dependent on soft tissue versus bone analysis.

418 Histopathology Additional Skin Punch Biopsies - Full report

Specimen Requirements Additional 1-4 skin punch biopsies. Submitted in 10% neutral buffered formalin.


Collection Notes Labelled mesh cassettes in formalin are preferred for small or friable tissues. Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments.

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419 Histopathology Additional Single Tissue - Full Report

Specimen Requirements Additional 'Single Tissue'. Additional 1-4 tissue samples from one site (one surgical site or organ type), where length + width + height is less than 15cm in aggregate. Submitted in 10% neutral buffered formalin.




419x2 Histopathology Additional Single Tissue x2 - Full Report

Specimen Requirements Two 'Additional Single Tissues' (2 x Additional 1-4 tissue samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate). Submitted in 10% neutral buffered formalin.




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Specimen Requirements Three 'Additional Single Tissues' (3 x Additional 1-4 tissue samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate). Submitted in 10% neutral buffered formalin.


Collection Notes Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing.When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments.Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing.


Specimen Requirements Four 'Additional Single Tissues' (4 x Additional 1-4 tissue samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate). Submitted in 10% neutral buffered formalin.




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423 Histopathology Skin Punch Biopsies - Mini Report

Specimen Requirements 1-4 Skin Punch Biopsies. Submitted in 10% neutral buffered formalin.


Collection Notes Labelled mesh cassettes in formalin are preferred for small or friable tissues.Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Mini report includes gross description, diagnosis, and comments.

425 Histopathology Skin Punch Biopsies - Full Report





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440 Histopathology Additional Skin Punch Biopsies - Mini report





441 Histopathology Additional Single Tissue - Mini Report





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441X2 Histopathology Additional Single Tissue x2 - Mini Report










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463 Histopathology Complex Tissue - Mini Report




Additional Comments: Mini report includes gross description, diagnosis, and comments. Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing, while samples with bone or mineralization may require decalcification prior to processing.

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463x2 Histopathology Complex Tissue x2 - Mini Report










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813 Histopathology Special Stain

Specimen Requirements Paraffin tissue block (preferred) or 2 unstained slides.

Reported Time 1-3 days, Performed M-F


Additional Comments: One special stain per one patient submission (up to 5 slides). Pricing based on histopathology previously completed at Phoenix Lab.

Please note: IHC stains are not included in this category. See test code 1667 Immunohistochemistry Stain.

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813x2 Histopathology Special Stain x2




Additional Comments: Two special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.






Additional Comments: Three special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.

Please note: IHC stains are not included in this category. Refer to test code 1667 for Immunohistochemistry Stain.





Additional Comments: Four special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.


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of 448

Microbiology submission guidelines The Phoenix Lab microbiology department is committed to ensuring that veterinarians receive the most accurate, most diagnostically useful results. Please refer to this guide to submit the best samples. Urine Culture Guidelines Minimum volume: 0.5mL Protocol: Whenever possible, urine should be collected via cystocentesis. Samples should be

submitted in a sterile container with no additives. The use of THIO broths in-house to detect positive urines is only acceptable for cystocentesis samples. THIO broths will not be accepted for catheterized or free-catch samples, since the urine is contaminated with low count genital flora. THIOs should only be used for cystocentesis samples. It is strongly recommended that urine be submitted, in addition to a THIO broth, so that the laboratory can quantitate the sample. If THIO broth only is submitted, the sample will not be quantitated.

Cultures are set up 7 days a week and are read daily. Sensitivities are typically reported within 48

hours of culture set up. No growth cultures are finalized after 48 hours of incubation. Special Instructions: Samples should be refrigerated after collection to avoid bacterial overgrowth. Please include method of collection for proper culture interpretation. Sensitivities are run on up to

two uropathogens. Sensitivities on non-Enterococcus Streptococcus are not performed. Sensitivities on isolates #3 and #4 can be requested for an additional charge. Contact the microbiology department to request addition testing.

Please specify if animal has a history of Cushing's or diabetes, or if the animal is on antibiotics or has been on antibiotics recently. This history will help in sample processing where low colony counts are expected.

We accept air dried slides on a case by case basis, typically in instances when the clinic calls bacteria in-house and in-laboratory cultures are no growth. It is a courtesy to the client for education purposes only to help the clinic’s veterinary team better differentiate between bacteria and amorphous debris. Please call the laboratory to request this courtesy testing.

Do not submit samples in LTT. LTT contains EDTA which can be bactericidal. DO NOT submit syringes with needles. Fecal Flotation Minimum sample size: 5g (about the size of a walnut). Less may lead to a false negative result. Protocol: Feces in blue screw top fecal contain (contact laboratory to request container) Sugar flotation is performed to rule out intestinal parasites. To rule out Salmon Poisoning, request test code #213. Combo test codes are available which include Giardia/Crypto IFA or Giardia Elisa. Specimens are run daily in AM and PM. Samples are not run on Sundays. Special Instructions: Whenever possible, please submit samples in blue screw top fecal container (provided by laboratory

upon request).

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Aerobic and/or Anaerobic Culture Specimen Collection Protocol: Feces: Culturette or fresh feces in container. Request test code #519 to rule out Salmonella and

Campylobacter. Yersinia and Shigella can be ruled out upon request. FNA/SQ Fluid: Submit fluid in a sterile container. MRSA Screen: Culturette of nasal/perirectal area. Request test code #505. Must specify “Rule out

MRSA” on test request form. Respiratory washes (TTW, BAL): Submit fluid in a sterile container. Skin/Ear: Culturette of affected area. Tissue/Biopsy: Tissue in sterile container with a drop of sterile saline Aerobic and anaerobic cultures are set up 7 days a week and are read daily. Sensitivities are not

performed on anaerobic organisms. Sensitivities on aerobic pathogens are typically reported within 72 hours of culture set up. No growth cultures are finalized after 5 days of incubation.

Special Instructions: Do not submit samples in LTT. LTT contains EDTA which can be bactericidal. Samples should be refrigerated after collection to avoid bacterial overgrowth. Please specify if the animal is on antibiotics or has been on antibiotics recently. DO NOT submit syringes with needles. DO NOT submit culture if Brucella is suspected. Contact laboratory for appropriate testing to rule

out Brucella. DO NOT submit culture if animal is known to have a positive Brucella screen. Fungal Culture Specimen Collection Protocol: Skin/Hair/Nail Dermatophyte: Skin scrapings or hair pluckings of affected area submitted in a sterile

container. All other samples: Submit fluid or Culturette of affected area Fungal cultures are read 1 day a week on Sundays. Cultures are finalized after 4 weeks of incubation. Special Instructions: In-house DMT slants can be submitted for culture; however, it is strongly recommended that the

original skin or hair sample also be submitted to rule out the possibility of a false negative. DO NOT submit cultures if any of the following organisms are suspected: Blastomyces Coccidiodes Histoplasma Contact the laboratory for appropriate testing to rule out these organisms.

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Microbiology

501 Acid Fast Stain

Methodology: Stain, Microscopic Exam

Specimen Requirements Bacterial culture swab with transport medium, tissue, feces, mucosal scraping, aspirate OR air-dried slides prepared with a thin film of one of the above.



Additional Comments: Positive results reported as Acid fast bacilli observed.

533 Add-On, Sensi/Yeast/Topicals

Methodology: Sensitivity, manual

Specimen Requirements Isolate in Laboratory - Call Client Services to Request Add-On testing



Additional Comments: *Must call Client Service within 48 hours of receiving final culture results.*

Additional Sensitivity: This is an add-on test to an Aerobic Culture (505 or 500) for 3rd and 4th culture isolates. Contact the laboratory to request this test. Samples are run on Vitek 2 instrument. Sensitivities should be requested within 48 hours of final report. Topicals: This is an add-on test to an Aerobic Culture (505 or 500). Contact the laboratory to request this test. Sensitivities should be requested within 48 hours of final report. Sensitivities are tested manually and do not include MICs. Test includes topical medications for up to 2 isolates (neomycin, tobramycin, polymyxin B, ciprofloxacin, orbifloxacin). Injectables: This is an add-on test to an Aerobic Culture (505 or 500). Contact the laboratory to request this test. Sensitivities should be requested within 48 hours of final report. Test includes injectable medications for up to 2 isolates (aztreonam, ceftazidime, cefepime, cefotaxime, ceftriaxone, ciprofloxacin, levofloxacin, piperacillin, piperacillin/tazobactam, and tobramycin). Yeast ID: This is an add-on test to an Aerobic Culture (505 or 500) when yeast has been isolated. Identification is run in-house on Vitek 2 instrument. If unable to identify via in-house methodology, Send Out options are available for an additional charge.

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505 Culture & Sensitivity, Aerobic


Specimen Requirements Bacterial culture swab with transport medium or fluid/tissue in CTT or sterile tube


Collection Notes Please indicate culture site and animal species for proper processing. If submitting tissue, moisten with small amount of sterile saline (free of preservative) if piece of tissue is small enough to dehydrate en route to laboratory.

Additional Comments: Sensitivity and gram stain included. Do not submit samples in lavender top tube; EDTA is bacteriostatic.

516 Culture & Sensitivity, Milk


Specimen Requirements 1 mL milk in CTT or sterile tube.

Reported Time 2-5 days



524 Culture ID/Sensitivity if Indicated, Avian





Additional Comments: For the detection of gram negative rods in psittacines (parrots). Sensitivities will be performed on each isolate for an additional charge per isolate.

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512 Culture, Aerobic ID Only






514 Culture, Aerobic ID only, Anaerobic ID only


Specimen Requirements Bacterial culture swab with transport medium or fresh tissue in sterile CTT.




500 Culture, Aerobic w/ Sensitivity/Anaerobic Culture, ID only


Specimen Requirements Bacterial culture swab with transport medium or fresh tissue in sterile CTT



Additional Comments: Aerobic culture includes sensitivities on up to 2 isolates. Anaerobic sensitivities are not available. Includes gram stain. Do not submit samples in lavender top tube; EDTA is bacteriostatic.

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502 Culture, Anaerobic (ID Only)





Additional Comments: Anaerobic sensitivities are not available. Do not submit samples in lavender top tube; EDTA is bacteriostatic.

503 Culture, Blood


Specimen Requirements Two aerobic blood culture bottles should be submitted (available upon request). Blood should be drawn from two sites (i.e. left jugular, right saphenous)

Reported Time 24 hr preliminary report, Final at 7 days

Collection Notes 1. Label each blood culture bottle with the date, time, and draw site. Blood should be drawn from two sites (i.e. left jugular, right saphenous), at least one hour apart.2. Thoroughly disinfect blood draw sites (shave if needed). Inoculate the bottles with up to 3mL of blood. NOTE: If less than 3mL is used for inoculation, it may take longer for the blood culture to be detected as positive. 3. After inoculation, the bottles can be incubated at 37 degrees Celsius, or left at room temperature until pick up. DO NOT REFRIGERATE.

Additional Comments: Culture includes susceptibility panels for 2 pathogens. Bottles are incubated for 7 days and subcultured at regular intervals.

507 Culture, Dermatology





Additional Comments: Sensitivity and gram stain included. Do not submit samples in lavender top tube; EDTA is bacteriostatic.Includes standard sensitivity profile plus topical medications (neomycin, tobramycin, polymyxin B, ciprofloxacin, and orbifloxacin). Up to two isolates are included.

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519 Culture, Feces



Reported Time 36 - 72 hours


Additional Comments: Fecal culture for the detection of Salmonella and Campylobacter. Shigella and Yersinia can be ruled out upon request. Additional charges may apply.

504 Culture, Fungal


Specimen Requirements Hair or nail clippings in CTT, skin scrapings in CTT, bacterial culture swab with transport medium, fluid in CTT or sterile tube, or fresh tissue in CTT or sterile tube accepted.

Reported Time Preliminary reported at 1 week. Cultures are held for up to 4 weeks.

Collection Notes Please include culture site and animal species for proper processing. If submitting tissue, moisten with small amount of sterile saline (free of preservative) if piece of tissue is small enough to dehydrate en route to laboratory.

Additional Comments: Updates reported weekly on Sunday.

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618 Culture, Mycoplasma


Specimen Requirements Swab in Mycoplasma Transport Media, exudates from: eye, nostril, trachea, synovial fluid and/or genitals or fluid in CTT or sterile tube.

Reported Time Preliminary report at 1 week. Finalized after 2 weeks.

Collection Notes Sample collection should be made with synthetic swabs. Cotton tips and wooden stick swabs inhibit growth of Mycoplasma. Media should be frozen or refrigerated before and after collection. Transport to the laboratory as soon as possible.

Additional Comments: Mycoplasma sensitivities are not available. To rule out Ureaplasma, See our Sendout catalog, Ureaplasma Culture SO111.

506 Culture, Urine


Specimen Requirements 0.5 mL Urine, Urine Tube/CTT.

Reported Time 36 - 72 hours, No Growth cultures finalized after 48 hours.


Additional Comments: Colony counts are not possible if a plate, broth, or swab is submitted. Culture includes sensitivities on up to 2 isolates. Cultures are quantitated and reported in CFU/mL. No growth cultures are finalized after 48 hours of incubation.

To include with a urinalysis, refer to Urinalysis with Culture 548.To add on to previous urine test, refer to Urine Culture Add-on 549.

523 Dermatophilus Prep


Specimen Requirements Skin scrapings or skin crusts submitted in a CTT or sterile container



Additional Comments: Dermatophilus Prep should be used as a quick screen only. If prep is negative and Dermatophilus is suspected, it is recommended to run an Aerobic Culture, ID only, test code 512, before ruling out Dermatophilus congolensis as source of infection.

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236 Fecal Baermann

Methodology: Sedimentation




Additional Comments: Also known as Lungworm Fecal Baermann, this is a qualitative test, reporting presence or absence of lungworm larvae. This test does not rule out Filaroides sp. (Canine Lungworm).

To rule out Filaroides, submit bronchoalveolar lavage or transtracheal wash for cytology (318) or fecal sample for Ova and Parasite (213).

2241 Fecal Combo Screen w/ Giardia ELISA

Fecal Screen



Giardia ELISA


Additional Comments: Test includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia ELISA reported out same day, fecal results out next day.


Fecal Screen



Giardia/Crypto IFA




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509 Gram Stain


Specimen Requirements Submit air-dried slides, swab, fluid or tissue.


Collection Notes Collection site/source and species required for proper interpretation.

Additional Comments: Normal test values vary with culture site.

530 Modified Acid Fast Stain





Additional Comments: Also known as modified Kinyoun Acid Fast Stain. For the detection of Nocardia species.

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213 Ova & Parasite







Ova & Parasite



Giardia/Crypto IFA




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1213 Tritrichomonas Fecal


Specimen Requirements 0.05 grams Fecal in InPouch TF or Fecal tube. The sample for this test should NOT be refrigerated or put in a cooler.

Reported Time 24 hr preliminary report Final at 12 Days

Collection Notes Please submit your sample in a zip-lock bag labelled "Do Not Refrigerate". Cold temperatures will destroy the sample for testing.Pouch Procedure: 1. Pull open wired end-tabs, tearing open the pouch at the notch. 2. Open pouch sufficiently to admit a wooden applicator stick by pulling the closure tape's middle tabs apart.3. Pick-up approximately 0.05 grams, the size of a small peppercorn, or fresh feces on applicator stick(s).4.Insert applicator stick(s) with sample into the liquid of the system's upper chamber. 5. Remove specimen from stick by rubbing stick with fingers through the walls of the pouch. 6. Seal the pouch and store at room temperature in a dark place until submission to laboratory for interpretation.

Additional Comments: InPouch TF is available from Phoenix Laboratory as a CHARGEABLE supply.


Urinalysis



Urine Culture



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Urinalysis



Urine Culture




549 Urine Culture & Sensitivity, Add-On






Available as an add-on to an existing panel only (within 7 days). Previous case ID is required to activate the discounted price.

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Test List, Alphabetical

3336 Absolute Reticulocyte





Additional Comments: This is included in a CBC when a canine or feline hematocrit is < 30%.This test includes a retic %, RBC and an absolute retic.If the canine absolute reticulocyte count is >150,000/uL, the anemia is considered regenerative.If the feline absolute reticulocyte count is >50,000/uL, the anemia is considered regenerative.

501 Acid Fast Stain

Methodology: Stain, Microscopic Exam




Additional Comments: Positive results reported as Acid fast bacilli observed.







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39 ACTH Response


Pre Cortisol



Post Cortisol






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Pre Cortisol






343 Activated Partial Thromboplastin Time (APTT)


Specimen Requirements 0.5 mL Citrated PlasmaSee Collection notes for details about proper BTT volume.




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533 Add-On, Sensi/Yeast/Topicals

Methodology: Sensitivity, manual

Specimen Requirements Isolate in Laboratory - Call Client Services to Request Add-On testing



Additional Comments: *Must call Client Service within 48 hours of receiving final culture results.*

Additional Sensitivity: This is an add-on test to an Aerobic Culture (505 or 500) for 3rd and 4th culture isolates. Contact the laboratory to request this test. Samples are run on Vitek 2 instrument. Sensitivities should be requested within 48 hours of final report. Topicals: This is an add-on test to an Aerobic Culture (505 or 500). Contact the laboratory to request this test. Sensitivities should be requested within 48 hours of final report. Sensitivities are tested manually and do not include MICs. Test includes topical medications for up to 2 isolates (neomycin, tobramycin, polymyxin B, ciprofloxacin, orbifloxacin). Injectables: This is an add-on test to an Aerobic Culture (505 or 500). Contact the laboratory to request this test. Sensitivities should be requested within 48 hours of final report. Test includes injectable medications for up to 2 isolates (aztreonam, ceftazidime, cefepime, cefotaxime, ceftriaxone, ciprofloxacin, levofloxacin, piperacillin, piperacillin/tazobactam, and tobramycin). Yeast ID: This is an add-on test to an Aerobic Culture (505 or 500) when yeast has been isolated. Identification is run in-house on Vitek 2 instrument. If unable to identify via in-house methodology, Send Out options are available for an additional charge.

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101 Albumin






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102 Alkaline phosphatase (ALP)






129 ALT (Alanine Transaminase)






894 ALT/AST






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103 Amylase






62 Amylase and Lipase, Add-On


Specimen Requirements 0.5 mL Serum, SST/RTT (minimum: 0.2 mL serum)




22 Amylase/Lipase


Specimen Requirements 0.5 mL Serum, SST/RTT. Minimum: 0.2 mL Serum




Page 259 of 448


Methodology: IFA





242 Antinuclear Antibody, Add-On

Methodology: IFA




Additional Comments: If positive, results will be held for a confirmatory titer that will be run Wednesday/Friday.Steroids will affect this test result. Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

128 AST (Aspartate Transaminase)






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52 Autoimmune Panel

CBCPlatelet Count








3003 Avian Liver Chemistry


AlbuminAST (Aspartate Transaminase)

Specimen Requirements 0.3 mL heparinized plasma (minimum 100 µL) or 250 µL whole blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


CholesterolCK (Creatine Kinase)

Bile Acids



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1187 Avian Mini Liver Panel



Specimen Requirements 0.2 mL Serum, m-SST/m-RTT (Minimum: 0.1 mL)Heparinized plasma or 0.25 mL whole blood from m-GrnTT is also accepted.






5024 Avian Mini Renal Panel


Uric AcidPhosphorous

Specimen Requirements 0.2 mL Serum m-SST/m-RTT (minimum: 0.1 mL Serum). Heparinized plasma or 250 µL whole blood from m-GrnTT is also accepted.


BUN (Blood Urea Nitrogen) CalciumCa/Phos Ratio



7 Avian Panel







Additional Comments: If a microtainer (M-GrnTTor M-LTT) is not submitted, WBC is estimated from the blood smear.

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82 Avian Panel, Follow-Up








3002 Avian Renal Chemistry


BUN (Blood Urea Nitrogen)CalciumPhosphorus

Specimen Requirements 0.3 mL heparinized Plasma (minimum 100 µL) or 250 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


Ca/Phos RatioTotal ProteinAlbumin

GlobulinA/G RatioUric Acid



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3004 Avian/ Nonmammalian 13 Chemistry Screen


GlucoseCalciumPhosphorusCa/Phos RatioTotal Protein

Specimen Requirements 0.3 mL heparinized Plasma (Minimum: 150µL) or 350 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


AlbuminGlobulinA/G RatioAST (Aspartate Transaminase)




907 Avian/Nonmammalian 10-Chemistry Screen


GlucoseCalciumTotal ProteinCK (Creatine Kinase)

Specimen Requirements 0.3 mL (minimum: 100 µL) heparinized plasma or 250 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short


CholesterolUric AcidBile Acids

AST (Aspartate Transaminase)PhosphorusCa/Phos Ratio



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Total ProteinAlbuminGlobulinA/G RatioAST (Aspartate Transaminase)




3006 Avian/Nonmammalian 13 Chemistry w/ CBC and PEP




Total ProteinAlbuminGlobulinA/G RatioPEP (Protein Electrophoresis)

AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolUric AcidBile Acids


Additional Comments: Chemistries and CBC reported out same day. PEP run Monday and Thursday with results out same day.If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear

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3010 Avian/Nonmammalian 13 Chemistry w/ CBC, Follow-up


Specimen Requirements Chemistry: 0.3 mL (minimum 150 µL) heparinized plasma or 350 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


Total ProteinAlbuminGlobulinA/G RatioBile Acids

AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolUric Acid


Additional Comments: If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear.


3008 Avian/Nonmammalian 18 Chemistry Panel


GlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements 0.3 mL heparinized Plasma( Minimum: 0.2 mL) or 450 µL Whole Blood, m-GrnTTPlease call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric Acid Bile Acids




Page 266 of 448


CBCGlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements Chemistry: 0.3 mL (minimum: 0.2 mL) heparinized plasma or 450 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric AcidBile Acids



Additional Comments: If a microtainer (m-GrnTT or m-LTT) with whole blood is not submitted, WBC is estimated from the blood smear

Page 267 of 448

3012 Avian/Nonmammalian 18 Chemistry w/ CBC and Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseSodiumPotassiumSodium/Potassium RatioChloride, CalciumPhosphorus

Specimen Requirements Chemistry: 0.3 mL (minimum: 0.25 mL) heparinized plasma or 550 µL Whole Blood, m-GrnTTCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays) Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolCK (Creatine Kinase)Uric AcidBile AcidsPEP (Protein Electrophoresis)




3013 Avian/Nonmammalian 21 Chemistry


GlucoseBUN (Blood Urea Nitrogen)SodiumPotassiumSodium/Potassium RatioChlorideCalcium

Specimen Requirements 0.3 mL heparinized plasma (Minimum: 0.25 mL) or 550 µL Whole Blood, m-GrnTT Please call our Client Services for information about minimums on short






Page 268 of 448

3015 Avian/Nonmammalian 21-Chemistry w/ CBC


Specimen Requirements Chemistry: 0.3 mL heparinized plasma (minimum 250 µL) or 550 µL of whole blood.CBC: 2 air dried slides and 0.1 mL of either heparinized or EDTA whole blood. Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.






Page 269 of 448

3016 Avian/Nonmammalian 21-Chemistry w/ CBC and PEP


Specimen Requirements Chemistry: 0.3 mL (minimum: 0.27 mL) heparinized plasma or 550 µL Whole BloodCBC: 2 air dried slides and 0.1 mL (Absolute minimum: 30 µL) of either heparinized or EDTA whole blood.Heparin preferred for some species (e.g. Crows, Jays)Please call our Client Services for information about minimums on short samples.


AST (Aspartate Transaminase)CholesterolTriglyceridesCK (Creatine Kinase)Uric AcidAmylaseBile AcidsPEP (Protein Electrophoresis)




36 Avian/Reptile CBC

Methodology: Manual



Collection Notes It is always best to submit well-prepared, fresh, air-dried peripheral blood smears with your blood sample to prevent cell lysis and clumping. Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer is submitted, a WBC count and estimate from the slide made at the lab will be done. If only peripheral blood smears were submitted, a WBC estimate will be done from review of the peripheral blood smears.

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1036 Avian/Reptile CBC, Follow-Up

Methodology: Manual



Collection Notes It is always best to submit well-prepared, fresh, air-dried peripheral blood smears with your blood sample to prevent cell lysis and cell clumping.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: If a microtainer is submitted, a WBC count and estimate from the slide made here will be done, if you send peripheral blood smears, a WBC estimate will be done from review of the peripheral blood smears. The WBC count that looks most accurate will be reported.Submit within 30 days of original test. Previous Case ID is required to activate the discounted price.

1530 Avian/Reptile, Giardia/Crypto w/ Modified Acid Fast

Giardia/Cryptosporidium (IFA)

Specimen Requirements 3-5 grams Fresh Feces, Fecal Tube


Modified Acid Fast Stain


Additional Comments: Screening for Giardia and Cryptosporidium in avian and non-mammalian species.To rule out Giardia and Cryptosporidia in mammalian species, see Giardia/Cryptosporidia IFA #240

21 Basic Canine Chemistry


Chemistry ScreenCK (Creatine Kinase)



Amylase Lipase



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57 Basic Feline

CBCChemistry Screen








CBCUrinalysis






Page 272 of 448

46 Bile Acids Panel


Bile acids, Pre

Specimen Requirements Pre and Post required, 0.3 mL (minimum 0.1 mL) serum each, SST/RTT.


Bile acids, Post

Collection Notes Pre Sample: 12 hour fasting samplePost Sample: 2 hour post prandial Use a standard meal such as maintenance or puppy formula food. Minimum recommendations = Feeding 2 tsp <10 lbs, 2 tbsp >10 lbs of canned, high quality food.PLEASE NOTE: The animal should be off Actigall (Ursodiol) 48 hours prior to running a bile acid study.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Post prandial values in normal dogs/cats do not usually exceed 20 umol/L. Bile acids testing is helpful in assessing liver function.GI motility abnormalities such as vomiting or diarrhea may affect results. If bilirubin is elevated then Bile acids are not necessary; they will be increased as well.







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106 Bilirubin, Direct





Additional Comments: Can be added on to chemistry at no charge (within 7 days).

135 Bilirubin, Indirect






105 Bilirubin, Total






Page 274 of 448

610 Blood Typing, Canine

Methodology: RIM




Additional Comments: Types for DEA 1 only. Call the Lab for universal blood donor information.

611 Blood Typing, Feline

Methodology: Agglutination




Additional Comments: Test consists of two antigens: A and B. Test cannot be performed on samples that exhibit auto-agglutination. Cats with type B erythrocytes will suffer an immediate and severe anaphylactic reaction when transfused with type A blood.

2144 Body Cavity Fluid Triglyceride


Specimen Requirements 0.25 mL Body Cavity Fluid, RTT/CTT



Additional Comments: Fluid triglyceride concentrations that are >100 mg/dL or are at least 2x greater than serum triglyceride concentrations support the diagnosis of a chylous effusion.

Page 275 of 448

14 Body Cavity/Joint Fluid Cytology

Methodology: Cytology

Specimen Requirements 1.0 mL Body Cavity or Joint Fluid, LTT required, RTT/CTT recommended for possible culture. Air dried slides also recommended.Smaller volumes may be sufficient for a count for joints.



Additional Comments: Please include clinical history with sample. Descriptive report contains nucleated cell count, specific gravity, total protein, and cytology. For cytology on fluids from other sources (i.e. masses) order Cytology 318

3014 Body Cavity/Joint Fluid Cytology, Additional Source


Specimen Requirements 1.0 mL Body Cavity or Joint Fluid, LTT required, RTT/CTT recommended for possible culture. Air dried slides also desired.Smaller volumes may be sufficient for a count for joints.



Additional Comments: Please include clinical history with sample.Descriptive report contains nucleated cell count, specific gravity, total protein, and cytology. For cytology on fluids from other sources (i.e. masses) please order Cytology 318

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304 Bone Marrow Cytology


Specimen Requirements 4 - 6 air dried, unstained thin smears of bone marrow.


Collection Notes Please THOROUGHLY DRY slides before closing transport container and do not refrigerate.Protocol:1. Any bone which contains red marrow can be used as a site for aspiration or core biopsy. For small animals, collection sites include proximal femur, humerus, and iliac crest. For adult large animals, collection sites include the sternum, ribs and ilium (tuber coxae).2. The bone marrow aspiration site should be aseptically prepared and a local anesthetic given.3. Using a bone marrow biopsy needle and stylet, go through the cortical bone usually 0.5 - 1 cm deep.4. Remove the stylet and gently aspirate the specimen. As soon as marrow fills the hub of the syringe, release the plunger and remove the syringe. Collect 2-4 drops of marrow (0.2 mL -0.25 mL).ASPIRATION OF A LARGER VOLUME USUALLY RESULTS IN EXCESSIVE CONTAMINATION OF THE MARROW WITH PERIPHERAL BLOOD.5. Marrow material is expelled from the syringe onto a glass slide held at an angle of 45 degrees. Spicules will tend to stick to the slide and contaminating blood will run off.6. Smears are prepared by gentle squash technique. Slides are pulled apart quickly lengthwise from each other. As for FNA from solid tissue, let the weight of the top slide spread the bone spicules. DO NOT PRESS SLIDES TOGETHER. ALLOW SLIDES TO AIR DRY. Using this technique, make at least 4 slides. Do not refrigerate the marrow slides.7. Any remaining material in the syringe as well as what remains in the needle should be expelled into a small EDTA tube.

Additional Comments: EVALUATION OF A CBC COLLECTED ON THE SAME DAY AS THE MARROW ASPIRATE IS ABSOLUTELY ESSENTIAL FOR AN ACCURATE INTERPRETATION OF THE MARROW FINDINGS.

To include a CBC, order Bone Marrow and CBC 364;and see test for CBC requirements.

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364 Bone Marrow Cytology W/ CBC


Bone Marrow Cytology

Specimen Requirements Cytology: 4 - 6 air dried, unstained thin smears of bone marrowCBC: 1.0 mL LTT and air dried peripheral blood smears


CBC

Collection Notes Please THOROUGHLY DRY slides before closing transport container and do not refrigerate.Protocol:1. Any bone which contains red marrow can be used as a site for aspiration or core biopsy. For small animals, collection sites include proximal femur, humerus, and iliac crest. For adult large animals, collection sites include the sternum, ribs and ilium (tuber coxae).2. The bone marrow aspiration site should be aseptically prepared and a local anesthetic given.3. Using a bone marrow biopsy needle and stylet, go through the cortical bone usually 0.5 - 1 cm deep.4. Remove the stylet and gently aspirate the specimen. As soon as marrow fills the hub of the syringe, release the plunger and remove the syringe. Collect 2-4 drops of marrow (0.2 mL -0.25 mL). ASPIRATION OF A LARGER VOLUME USUALLY RESULTS IN EXCESSIVE CONTAMINATION OF THE MARROW WITH PERIPHERAL BLOOD.5. Marrow material is expelled from the syringe onto a glass slide held at an angle of 45 degrees. Spicules will tend to stick to the slide and contaminating blood will run off.6. Smears are prepared by gentle squash technique. Slides are pulled apart quickly lengthwise from each other. As for FNA from solid tissue, let the weight of the top slide spread the bone spicules. DO NOT PRESS SLIDES TOGETHER. ALLOW SLIDES TO AIR DRY. Using this technique, make at least 4 slides. Do not refrigerate the marrow slides.7. Any remaining material in the syringe as well as what remains in the needle should be expelled into a small EDTA tube.

Additional Comments: Please include a complete history.

For Bone Marrow Cytology only, refer to test code 304.

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887 Bovine Chemistry Panel


AlbuminTotal BilirubinBUN (Blood Urea Nitrogen)GlucoseCreatinineCalcium



MagnesiumPhosphorusPotassiumSodiumTotal ProteinAlb/Glob Ratio

ChlorideCholesterolCK (Creatine Kinase)GGT (Gamma-glutamyltransferase)Globulins



8871 Bovine Panel for Ca Supplement


AlbuminCalciumChlorideAlb/Glob Ratio



MagnesiumPhosphorusPotassium

SodiumTotal ProteinGlobulin



Page 279 of 448

201 Brucella Screen, Canine

Methodology: IFA




Additional Comments: Positive results should be confirmed by AGID. This is a send-out test to Cornell University (SO4 - Brucellosis Confirmation). Additional charges will apply. This will not be sent without client approval.

1318 Buffy Coat Cytology





Additional Comments: The buffy coat sample is prepared by centrifuging a whole blood sample from an EDTA Tube (LTT). The layer between the plasma and the RBCs is called the buffy coat and is examined by the Pathologist. This is the most sensitive method to look for mast cells.

108 BUN (Blood Urea Nitrogen)






Page 280 of 448

48 BUN and Creatinine





Additional Comments: Test includes BUN and Creatinine only, no ratio.

110 Calcium






Page 281 of 448


Progesterone



Cytology, Vaginal



1012 Canine GI Panel (cPL/TLI/Cobalamin/Folate)


CobalaminFolate



cPLI TLI



Additional Comments: For Felines see Feline TLI/PLI/Cobalamin/Folate 1689.

Page 282 of 448

58 Canine Heartworm Panel

Methodology: ELISA/Knotts

Heartworm Antigen

Specimen Requirements 0.5 mL Serum, SST/RTT, and 1.0 mL Whole Blood, LTT(Test can be run on only LTT, volume 2.0 mL Whole Blood)


Microfilaria


Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. High worm burdens can have false negative antigen results. If the result is unexpected, consider re-testing with heat treatment.Positive antigen results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Feline Heartworm Panel 1629).

To run only Heartworm antigen or microfilaria see: Heartworm Antigen 238 or Microfilaria 212.

156 Canine Immunization Screen

Methodology: IFA

Canine Distemper virus


Reported Time Monday, Thursday: Same Day

Parvovirus


Additional Comments: For Vaccination status. Screens for antibodies to Canine Distemper virus and Parvovirus.

Page 283 of 448

1005 Canine PLI and TLI


Specimen Requirements 0.5 mL Serum SST/RTT For cPLI: Excessive hemolysis may obscure the results and sample could be rejected.

Reported Time Same Day/Next Day

Collection Notes Serum must be fasted 12-18 hours (diabetic animals 6-8 hours) and non-hemolyzed/non-lipemic.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


1013 Canine PLI/Cobalamin/Folate


cPLI



Cobalamin Folate



Additional Comments: For Felines see Feline PLI/Cobalamin/Folate 4689.

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111 Carbon Dioxide





Additional Comments: Total CO2 is an estimate of serum bicarbonate.







34 CBC w/ Fibrinogen and Plasma Protein






24 CBC w/ Plasma Protein






Page 285 of 448

55 CBC, Exotic/Small Mammal

Methodology: Manual

Specimen Requirements Hematocrit and 3 air dried slides.



Additional Comments: Includes Hct, WBC estimate, and differential. Used for "short" sample specimens.

73 CBC, Follow-Up












1073 CBC, Platelet if Indicated, Follow-Up

Methodology: Flow Cytometry/Manual




Additional Comments: Submit within 30 days of original test. Previous Case ID is required to activate the discounted price. It is possible a platelet count cannot be performed due to clumping.

Page 286 of 448

1 Chemistry Screen















Test Alias: Special Feline w/Chemistry Screen



Page 287 of 448










98 Chemistry Screen, Large Animal


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCO2 (Carbon Dioxide)Anion Gap



Calcium PhosphorusCa/Phos RatioCalculated OsmolalityTotal ProteinAlbuminGlobulinAlbumin/GlobulinBilirubin, Total

ALP (Alkaline Phosphatase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCK (Creatine Kinase)AmylaseLipaseBile Acids



Page 288 of 448

112 Chloride






113 Cholesterol






116 CK (Creatine Kinase)






Page 289 of 448






APTT







FibrinogenAPTT




Page 290 of 448


CBCPlatelet Count



D-DimerFibrinogen










Page 291 of 448







614 Coggins EIA, AGID

Methodology: AGID


Reported Time Up to 36 hours



Additional Comments: USDA Equine Anemia Special Form or Global Vet Link Form required. Please print clearly as illegible documents can cause delay. Veterinarian signature and animal location are REQUIRED. Blood tube MUST be labeled with the animal's name that is listed on the accompanying form. If any of these are missing it can cause a delay or return of sample and/or form for corrections (additional charges may apply).

Page 292 of 448

601 Coggins, ELISA

Methodology: ELISA





Additional Comments: USDA Equine Anemia Special Form or Global Vet Link Form required. Please print clearly, as illegible documents can cause delay. Veterinarian signature and animal location are REQUIRED. Blood tube MUST be labeled with the animal's name that is listed on the accompanying form. If any of these are missing it can cause a delay or return of sample and/or form for corrections (additional charges may apply).

362 Coombs






365 Coombs, Add-On





Additional Comments: Steroids will affect this test result, however, studies have shown that corticosteroid therapy of <7 days do not cause false negatives..


Page 293 of 448







233 Cortisol, Urine






1000 cPL


Specimen Requirements 0.25 mL Serum SST/RTT. Excessive hemolysis may obscure the results and sample could be rejected.

Reported Time Same Day AM/PM

Collection Notes Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis. EDTA, sodium and lithium heparin sample tubes are acceptable.

Additional Comments: Semi-quantitative Canine Pancreatic Lipase Test. This test is specific for the determination of pancreas-specific lipase levels in canine serum or plasma.

Page 294 of 448

115 Creatinine








Crossmatch Major



Crossmatch Minor




314 Crossmatch, Major


Specimen Requirements Donor: 1.0 mL Whole Blood, LTT; Recipient: 0.5 mL Serum, RTTBoth samples need to be free of hemolysis



Additional Comments: Determines if donor's RBCs and recipient's serum are compatible.

For complete panel, refer to Crossmatch Complete (Major and Minor) test 27. Test will be cancelled if hemolysis is present.

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313 Crossmatch, Minor

Methdology: Tube Agglutination

Specimen Requirements Donor: 0.5 mL Serum, RTT; Recipient: 1.0 mL Whole Blood, LTTBoth samples need to be free of hemolysis



Additional Comments: Determines if donor's serum and recipient's RBCs are compatible.

For complete panel, refer to Crossmatch Complete (Major and Minor) test 27. Test will be cancelled if hemolysis is present.

29 CSF Analysis

Methodology: Cytology/Spectrophotometry

Specimen Requirements 0.5 mL CSF LTT and RTT/CTT, Minimum 0.2mL in each tube.



Additional Comments: All CSF specimens receive nucleated cell count, RBC count, glucose, microprotein, and cytology. We request 1 mL total, but will work with any volume. If only a small amount of CSF is collected (<0.5 mL), please prioritize desired testing. EDTA (LTT) inhibits bacterial growth and can not be used for culture.

1029 CSF Analysis, Additional Site

Methodology: Cytology/Spectrophotometry

Specimen Requirements 0.5 mL CSF LTT and CTT, Minimum 0.2mL in each tube.


Collection Notes Protocol: 1. To minimize blood contamination, it is recommended to allow the CSF to drip into a small EDTA tube.2. A CTT is recommended for chemistries and culture.

Additional Comments: All CSF specimens receive nucleated cell count, RBC count, glucose, microprotein, an cytology. We request 1 mL total, but will work with any volume. If only a small amount of CSF is collected <0.5 mL, please prioritize testing desired. EDTA (LTT) inhibits bacterial growth and can not be used for culture.

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51 CSF Panel, Special

CSF Analysis

Specimen Requirements 0.5 mL each LTT and/or RTT/CTT. Minimum: 0.4 mL total

Reported Time Reviewed M-Sat on days

CSF CK (Creatine Kinase) Pandy's Test


Additional Comments: Includes CSF panel 29, as well as CK value and Pandy's test. We request 1 mL total, but will work with any volume.If only a small amount of CSF is collected (<0.5 mL), please prioritize desired tests. EDTA (LTT) inhibits bacterial growth and cannot be used for culture.

505 Culture & Sensitivity, Aerobic






516 Culture & Sensitivity, Milk


Specimen Requirements 1 mL milk in CTT or sterile tube.

Reported Time 2-5 days



Page 297 of 448

524 Culture ID/Sensitivity if Indicated, Avian





Additional Comments: For the detection of gram negative rods in psittacines (parrots). Sensitivities will be performed on each isolate for an additional charge per isolate.

512 Culture, Aerobic ID Only






514 Culture, Aerobic ID only, Anaerobic ID only


Specimen Requirements Bacterial culture swab with transport medium or fresh tissue in sterile CTT.




Page 298 of 448

500 Culture, Aerobic w/ Sensitivity/Anaerobic Culture, ID only


Specimen Requirements Bacterial culture swab with transport medium or fresh tissue in sterile CTT



Additional Comments: Aerobic culture includes sensitivities on up to 2 isolates. Anaerobic sensitivities are not available. Includes gram stain. Do not submit samples in lavender top tube; EDTA is bacteriostatic.

502 Culture, Anaerobic (ID Only)





Additional Comments: Anaerobic sensitivities are not available. Do not submit samples in lavender top tube; EDTA is bacteriostatic.

503 Culture, Blood


Specimen Requirements Two aerobic blood culture bottles should be submitted (available upon request). Blood should be drawn from two sites (i.e. left jugular, right saphenous)

Reported Time 24 hr preliminary report, Final at 7 days

Collection Notes 1. Label each blood culture bottle with the date, time, and draw site. Blood should be drawn from two sites (i.e. left jugular, right saphenous), at least one hour apart.2. Thoroughly disinfect blood draw sites (shave if needed). Inoculate the bottles with up to 3mL of blood. NOTE: If less than 3mL is used for inoculation, it may take longer for the blood culture to be detected as positive. 3. After inoculation, the bottles can be incubated at 37 degrees Celsius, or left at room temperature until pick up. DO NOT REFRIGERATE.

Additional Comments: Culture includes susceptibility panels for 2 pathogens. Bottles are incubated for 7 days and subcultured at regular intervals.

Page 299 of 448

507 Culture, Dermatology





Additional Comments: Sensitivity and gram stain included. Do not submit samples in lavender top tube; EDTA is bacteriostatic.Includes standard sensitivity profile plus topical medications (neomycin, tobramycin, polymyxin B, ciprofloxacin, and orbifloxacin). Up to two isolates are included.








519 Culture, Feces





Additional Comments: Fecal culture for the detection of Salmonella and Campylobacter. Shigella and Yersinia can be ruled out upon request. Additional charges may apply.

Page 300 of 448

504 Culture, Fungal


Specimen Requirements Hair or nail clippings in CTT, skin scrapings in CTT, bacterial culture swab with transport medium, fluid in CTT or sterile tube, or fresh tissue in CTT or sterile tube accepted.

Reported Time Preliminary reported at 1 week. Cultures are held for up to 4 weeks.

Collection Notes Please include culture site and animal species for proper processing. If submitting tissue, moisten with small amount of sterile saline (free of preservative) if piece of tissue is small enough to dehydrate en route to laboratory.

Additional Comments: Updates reported weekly on Sunday.

618 Culture, Mycoplasma


Specimen Requirements Swab in Mycoplasma Transport Media, exudates from: eye, nostril, trachea, synovial fluid and/or genitals or fluid in CTT or sterile tube.

Reported Time Preliminary report at 1 week. Finalized after 2 weeks.

Collection Notes Sample collection should be made with synthetic swabs. Cotton tips and wooden stick swabs inhibit growth of Mycoplasma. Media should be frozen or refrigerated before and after collection. Transport to the laboratory as soon as possible.

Additional Comments: Mycoplasma sensitivities are not available. To rule out Ureaplasma, See our Sendout catalog, Ureaplasma Culture SO111.

506 Culture, Urine



Reported Time 36 - 72 hours, No Growth cultures finalized after 48 hours.



To include with a urinalysis, refer to Urinalysis with Culture 548.To add on to previous urine test, refer to Urine Culture Add-on 549.

Page 301 of 448

318 Cytology


Specimen Requirements 3-5 air dried slides or tissue imprints, unstained.Remaining fluid may be submitted as well in LTT and/or CTT at no additional cost. For cytology on trans/endotracheal wash, fluid in LTT and CTT recommended.


Collection Notes FINE NEEDLE ASPIRATE PROTOCOL:1. If the cytology is a fine needle aspirate, use a 21g. -22 g. needle (smaller needles increase cell rupture) and 3-12 mL syringe depending on material/tissue aspirated. The softer the tissue, the smaller the syringe and needle necessary for aspiration. NOTE: Lymph nodes often do not require suction as this increases chance of rupture.2. Insert the needle into the mass (avoid the center of larger lesions as they are apt to be necrotic). In order to get the most representative sample the needle should be directed in at least 3 different directions with suction applied.3. Release the negative pressure slowly and withdraw the needle from the mass.4. Remove the needle,from syringe, fill the syringe with air, replace the needle and force the cellular material onto a slide or slides.5. Cover the material on the slide with another slide, allow the material to spread and then horizontally pull the slides apart without pressure. This must be done quickly to avoid clot formation.6. Quickly air dry the slides. DO NOT HEAT FIX. Try to make 3 - 5 slides from each lesion. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides.


Additional Comments: Complete history and location of lesion are essential for accurate results. Multiple lymph nodes are charged as one site. If the cytology is a paracentesis (abdominal, paracardial, or thoracic) or joint fluid with submission of fluid, refer to test Fluid Cytology (Body Cavity/ Joint Fluid) 14. Note that impression smears of ulcerated, dermal lesions are often of low diagnostic utility. EDTA (LTT) inhibits bacterial growth. If culture is required, use plain CTT or sterile transport tube.

Test includes microscopic description, diagnosis, and comments.Price is for a single site. Every site after is an additional $26.10.

Page 302 of 448

421 Cytology Slide Prep Only

Specimen Requirements Requires fluid or other cytology sample, LTT/CTT

Reported Time Varies


Additional Comments: This charge is for preparing cytology slides from samples submitted only. Slides will be sent on to destination provided (additional shipping charges may apply).To have a cytology performed, order Cytology 318.

323 D-Dimer

Methodology: Latex Agglutination

Specimen Requirements 0.5 mL Citrated PlasmaSee Collection notes for details about proper BTT Volume.


Collection Notes Citrated tubes (BTT) provided by Phoenix Laboratory hold 2.7 mL of blood (to the top of the label). Tubes must be filled with 2.7 mL of blood. If collecting a smaller volume of blood (<2.7mL) the blood to anticoagulant ratio should be 9:1.Protocol: 1. Draw fresh venous blood into BTT until full (to top of label) but not beyond the top of the tube label. No clotting should be observed in the tube. 2. Cool to 4° C (refrigeration) until analysis. 3. If a delay greater than 24 hours is expected prior to analysis, then the BTT should be spun in a centrifuge, the plasma separated and placed in a CTT or other non-additive tube to be frozen until analysis.

Additional Comments: THE RATIO OF BLOOD TO ANTICOAGULANT IS CRITICAL FOR VALID RESULTS. See Collection Notes.

523 Dermatophilus Prep


Specimen Requirements Skin scrapings or skin crusts submitted in a CTT or sterile container



Additional Comments: Dermatophilus Prep should be used as a quick screen only. If prep is negative and Dermatophilus is suspected, it is recommended to run an Aerobic Culture, ID only, test code 512, before ruling out Dermatophilus congolensis as source of infection.

Page 303 of 448



Pre Cortisol








Page 304 of 448



Cortisol Pre



Cortisol 19-hr Post



621 Distemper, FA

Methodology: FA

Specimen Requirements 1.0 mL Whole Blood LTT or conjunctival smears/swab or can run on both.



Additional Comments: May be positive for up to 3 weeks, post infection, in conjunctival smears; 2-5 days in whole blood.

Test set up next day, resulted by end of day.

Page 305 of 448



SodiumPotassium







Page 306 of 448


Chemistry Screen







Page 307 of 448

30 Equine Chemistry Screen





Anion GapCalciumPhosphorusCalculated OsmolalityTotal ProteinAlbuminGlobulinAlbumin/Globulin ratio

Bilirubin TotalALP (Alkaline Phosphatase)AST (Aspartate Transaminase)GGT (Gamma-glutamyltransferase)CholesterolCK (Creatine Kinase)Sorbitol Dehydrogenase (SDH)










Page 308 of 448

12 Equine Immunodeficiency

CBC

Specimen Requirements IgG/IgM minimum: 0.2 mL Serum CBC: 1.0 mL LTT (0.5 mL minimum), Air dried peripheral blood smears


Immunoglobulin M, Equine Immunoglobulin G, Equine


Additional Comments: Results for CBC will be out same day, IgG/IgM results out next day (24 hr final) A 4hr preliminary can be requested by calling laboratory.


Insulin






Page 309 of 448

750 Equine Pre-Op Panel

CBCFibrinogenGlucose

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT 1.0 mL GTT CBC: 1.5 mL LTT and air dried peripheral blood smears


BUN (Blood Urea Nitrogen)Total ProteinAlbumin

GlobulinGGT (Gamma-glutamyltransferase)


Additional Comments: Fibrinogen performed by heat precipitation..

4 Equine Screen






Additional Comments: SDH is included in Equine Chemistry Screen.Fibrinogen performed by heat precipitation.

Page 310 of 448

89 Equine Screen, Follow-Up






Additional Comments: SDH is included in Equine Chemistry Screen. Fibrinogen performed by heat precipitation.


Page 311 of 448











Page 312 of 448


CBCFibrinogen









Page 313 of 448


CBCFibrinogen




Insulin





Page 314 of 448

40 Equine Total Body




Fibrinogen Urinalysis




123 Erythrocyte Sedimentation Rate (ESR)

Methodology: Wintrobe

Specimen Requirements 1.5 mL Whole Blood, LTT. Absolute minimum: 1.0 mL




625 Ethylene Glycol






Page 315 of 448

236 Fecal Baermann

Methodology: Sedimentation




Additional Comments: Also known as Lungworm Fecal Baermann, this is a qualitative test, reporting presence or absence of lungworm larvae. This test does not rule out Filaroides sp. (Canine Lungworm).

To rule out Filaroides, submit bronchoalveolar lavage or transtracheal wash for cytology (318) or fecal sample for Ova and Parasite (213).

2241 Fecal Combo Screen w/ Giardia ELISA

Fecal Screen



Giardia ELISA


Additional Comments: Test includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia ELISA reported out same day, fecal results out next day.

404 Fecal Fat


Specimen Requirements 3-5 grams of Fresh Feces, Fecal Tube or bag.



Additional Comments: Normal Test Value: Negative (normal stool contains little or no fat)

Page 316 of 448

37 Fecal Fat/Trypsin




Additional Comments: In dog and cats, serum TLI is more accurate in detecting pancreatic exocrine insuiciency.Refer to Canine TLI 68 or Feline TLI SO643.

Normal results are:Fecal Fat: Negative (normal stool contains little or no fat)Trypsin: Positive (normal stool should have some trypsin activity)


Fecal Screen



Giardia/Crypto IFA










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405 Fecal Trypsin

Methodology: Gel Digestion




Additional Comments: Normal Test Value: Positive (normal stool should have some trypsin activity)

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1720 Feline ADR Panel


Specimen Requirements Chemistry: 1.5 mL Serum, SST/RTT, 1.0 mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrinalysis: 5 mL fresh urineO&P/Gardia/Crypto: 5 grams fresh feces


FIPFeLVFIV

Ova and ParasiteGiardia/Crypto IFAFecal Culture

Collection Notes Please indicate method of urine collection. Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.For most accurate results, please submit fresh feces (less than 24 hours old). Do not collect sample contaminated with clay kitty litter. It causes interference with testing. Wheat/Corn litter OK.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: O&P: Test includes sugar flotation with two centrifugation sequences; microscopic examination for ova and parasites, including Giardia cysts. Giardia/Crypto IFA testing will detect the antigen of Giardia species and most Cryptosporidia. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)Not recommended testing for juveniles. CBC, Chemistries, urinalysis, and FeLV run same day. FIP/FIV performed Mon - Sat AM, reported in afternoon. Fecal Culture reported in 36 - 72 hours; Fecal culture for the detection of Salmonella and Campylobacter. Shigella and Yersinia can be ruled out upon request. Additional charges may apply.

1612 Feline Calicivirus Titer

Methodology: IFA





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209 Feline Coronavirus (FIP) Screen

Methodology: IFA




Additional Comments: This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217.


249 Feline Coronavirus (FIP) Screen, Add-On

Methodology: IFA




Additional Comments: This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400.For titered results see Coronavirus (FIP) titer 217.



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217 Feline Coronavirus (FIP), Titered

Methodology: IFA




Additional Comments: This is a quantitative titer testing method. It is NOT specific for FIP. Test involves eight serial dilutions ranging from 1:100 to 1:25,600.


1629 Feline Heartworm Panel


Specimen Requirements 0.5 mL Serum, SST/RTT and 1.0 mL Whole Blood LTT


Microfilaria (Knott's Test)


Additional Comments: This test includes Feline Antibody test and microfilaria. Microfilaria are rarely detected in cats.For Feline heartworm antibody and antigen see Feline Heartworm Screen 2629

Page 321 of 448

2629 Feline Heartworm Screen

Methodology: RIM/ELISA




Heartworm Antigen


Additional Comments: This test includes heartworm antibody and antigen and is recommended by the American Heartworm Society (www.heartwormsociety.com).

For Feline Antibody test and microfilaria order Feline Heartworm Panel 1629.

1611 Feline Herpesvirus Titer

Methodology: IFA





161 Feline Immunization Screen I

Methodology: IFA

Feline Calicivirus



Feline Herpesvirus


Additional Comments: This screen is for checking immunization status. This screen is limited to feline calici and herpes virus. Also available are Immunization Screen II 1161, which screens for feline panleukopenia and herpes virus, and Immunization Screen III 2161, which screens for all three viruses.

Page 322 of 448

1161 Feline Immunization Screen II

Methodology: IFA




Feline Herpesvirus


Additional Comments: This test is run every Monday with results out that same day. This screen is limited to feline panleukopenia and herpes virus.Also available are Immunization Screen I 161 which tests for feline calici and herpes virus, and Immunization Screen III 2161 which screens for all three viruses.Titer <1:50 recommend vaccination.

2161 Feline Immunization Screen III

Methodology: IFA




Feline Herpesvirus Feline Calicivirus


Additional Comments: This screen is inclusive of Feline Immunization Screens I 161 and II 1161.Limited to feline panleukopenia, herpes, and calici viruses.

Page 323 of 448

859 Feline Panel

CBCChemistry Screen







1613 Feline Panleukopenia Virus Titer

Methodology: IFA





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4689 Feline PLI/Cobalamin/Folate

fPLI (Spec fPL™)


Reported Time Mon, Wed, Fri

Cobalamin Folate

Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin are light sensitive)

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. fPLI (Spec fPL™) are shipped to Steiner GI Laboratory, Texas A&M University Monday, Wednesday, Thursday; turn around time is 4-7 days.

For canines order Canine PLI/Cobalamin/Folate 1013.

5 Feline Screen

Chemistry Screen



CBC FeLV (ELISA)



Page 325 of 448

1689 Feline TLI/PLI/Cobalamin/Folate

TLIfPLI (Spec fPL™)



Cobalamin Folate

Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive).

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. TLI and fPLI (Spec fPL™) are shipped to Steiner GI Laboratory, Texas A&M University Monday, Wednesday, Thursday; turn around time is 4-7 days.For Canines see Canine TLI/PLI/Cobalamin/Folate 1012.

1696 Feline Toxoplasmosis IgG/IgM

Methodology: IFA


Reported Time Run M,W,F on days


Additional Comments: This test code is for felines only. Positive titers will be repeated andreported on the next run day

For other species see: Canine Toxoplasmosis IgG/IgM SO696 or Toxoplasmosis IgG/IgM, Other SO495

Page 326 of 448

865 Feline Viral I

FeLV (ELISA)

Specimen Requirements 0.3 mL Serum, SST/RTT.EDTA or Heparinized Plasma OK.


FIV (IFA)


Additional Comments: FeLV run same dayFIV run Daily, AM.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

78 Feline Viral II

FeLV (ELISA)

Specimen Requirements 0.5 mL Serum, SST/RTT. EDTA or Heparinized Plasma OK.


FIV (IFA) FCoV (FIP) Screen (IFA)


Additional Comments: FeLV run same day. FIP/FIV performed Mon - Sat AM, reported in afternoon. This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 327 of 448

860 Feline Viral III


Specimen Requirements 1.0 mL Serum, SST/RTT and 0.5 mL LTT and/or air dried peripheral blood smears


FIP (FCoV) Screen (IFA) Mycoplasma hemofelis (Hemobartonella) (Smear Evaluation)


Additional Comments: FeLV and Mycoplasma hemofelis (Hemobartonella) run same day.FIV and FIP set up daily, AM. This test is NOT specific for FIP. Testing performed at dilutions of 1:100 and 1:6400. For titered results see Coronavirus (FIP) titer 217.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)Mycoplasma hemofelis (Hemobartonella) test is a smear evaluation that will not diagnose occult infections. Consider Mycoplasma hemofelis (Hemobartonella felis) PCR testing SO1638 as clinically indicated.

321 FeLV (ELISA)

Methodology: ELISA

Specimen Requirements 0.5 mL Serum, SST/RTT. Can be performed on EDTA or heparinized Plasma.



Additional Comments: Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 328 of 448

361 FeLV, Add-On

Methodology: ELISA

Specimen Requirements 0.5 mL Serum, SST/RTTCan be performed on EDTA or heparinized Plasma.




325 Fibrinogen, Semi-quantitative

Methodology: Heat Precipitation

Specimen Requirements 0.5 mL Plasma (1.0 mL Whole Blood) LTT or BTT



Additional Comments: If a BTT is used, it will be corrected for the citrate dilution factor.

668 FIV

Methodology: IFA

Specimen Requirements 0.5 mL Serum, SST/RTT. Minimum: 0.1 mL serum.EDTA or heparinized plasma OK.

Reported Time Daily, Same Day



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768 FIV, Add-On

Methodology: IFA

Specimen Requirements 0.3 mL Serum, SST/RTT. EDTA or heparinized plasma OK.




Available as add-on to existing panel (within 7 days). Previous case ID is required to activate the discounted price.

69 Folate






Page 330 of 448

2247 Free T4












195 Fructosamine


Specimen Requirements 0.5 mL Serum SST/RTT.



Additional Comments: Fructosamine reflects mean blood glucose concentrations of the proceeding two weeks.Along with other clinical information, fructosamine can aid in the differentiation between acute/transient hyperglycemia and persistent hyperglycemia associated with diabetes mellitus. Alterations of plasma protein turnover, hemolysis, hyperlipidemia, and thyroid status can affect fructosamine concentration.

Page 331 of 448









857 General Diagnostic w/ Feline Viral I

CBCChemistry Screen



FeLV (ELISA) FIV (IFA)

Test Alias: Feline Screen w/FIV


Additional Comments: Chemistry, CBC and FeLV run same day. FIV run daily, AM. Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)

Page 332 of 448

856 General Diagnostic W/ Feline Viral II

CBCChemistry Screen





Test Alias: Special Feline w/General Diag, (no Total T4)


Additional Comments: Chemistry, CBC and FeLV run same day. FIV/FIP run daily, AM.Please see the current retroviral testing recommendations from the American Association of Feline Practitioners (AAFP, www.catvets.com)


CBC






Page 333 of 448


CBCChemistry Screen




FIV (IFA)

Test Alias: General Diag w/T4+FELV/FIV




CBCChemistry Screen





Test Alias: Special Feline w/General Diagnostic, T4




Page 334 of 448


CBCChemistry Screen



Total T4 FeLV

Test Alias: Spec Feline 77 w/FeLV




CBCChemistry Screen






Page 335 of 448


CBC







CBCChemistry Screen



CobalaminFolate

Total T4



Page 336 of 448


CBC








CBCChemistry Screen







Page 337 of 448


CBC



Chemistry Screen



Page 338 of 448


Chemistry Screen








Page 339 of 448

119 GGT (Gamma-glutamyltransferase)






2401 Giardia ELISA

Methodology: ELISA






Methodology: IFA






Page 340 of 448

241 Giardia/Cryptosporidium IFA, add-on

Methodology: IFA



Collection Notes Do not collect sample contaminated with clay kitty litter. It causes interference with testing. Wheat/Corn litter OK.

Additional Comments: IFA testing will detect the antigen of Giardia species and most Cryptosporidia. It will not detect some species of Cryptosporidium that are associated with birds and reptiles. For avian/non-mammalian testing, see Avian/Non-Mammalian Giardia/Cryptosporidium 1530.


20 Glucose, Multiple Samples


Specimen Requirements 1.0 mL GTT for each sample, pre and post (up to 7 post samples)


Collection Notes Completely fill tube to allow for proper dilution. Or, collect samples in SSTs or RTTs. Centrifuge SST or RTT within 30 minutes of draw. Separate serum into transport tubes and refrigerate. The normal insulin and feeding regimen should be used during the glucose curve. Ideally, blood should be sampled every 2 hours between 2 insulin doses (for 12 hours if the animal is receiving insulin twice daily, for 24 hours if the animal is receiving insulin once daily).Ideally, blood samples should be collected every 2 hours for the glucose curve during as much of the day as possible (e.g. 8 am - 6 pm)


Page 341 of 448

2122 Glucose, Plasma


Specimen Requirements 0.25 Plasma, 1.0 mL GTT.Avoid hemolysis as it may cause falsely decreased values.


Collection Notes Be sure adequate volume is drawn, minimum, 1.0 mL. Plasma glucose may be falsely decreased due to insufficient volume.Centrifuge within 30 minutes of draw, can be poured off into fresh RTT/CTT following separation.


121 Glucose, Serum






509 Gram Stain


Specimen Requirements Submit air-dried slides, swab, fluid or tissue.


Collection Notes Collection site/source and species required for proper interpretation.

Additional Comments: Normal test values vary with culture site.

Page 342 of 448

629 Heartworm Antibody, Feline

Methodology: RIM




Additional Comments: Infections in felines are often single-sex worms in small numbers (1-3 worms). Antibodies are first detected in some cats at 50 -60 days. This test is the recommended Heartworm test for cats.To combine with Microfilaria, please order Feline Heartworm Panel #1629

238 Heartworm Antigen

Methodology: ELISA




Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. Immature heartworms, including microfilaria, are not detected, see Microfilaria 212.High worm burdens can have false negative results. If the result is unexpected, consider re-testing with heat treatment.Positive results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Heartworm Antibody 629).To combine with microfilaria, order Heartworm Panel 58.

Page 343 of 448

2380 Heartworm Antigen, Add-On

Methodology: ELISA




Additional Comments: Testing recommended in dogs 7 months and older. Test sensitivity is limited to detection of adult female heartworm antigen. Immature heartworms, including microfilaria, are not detected, see Microfilaria 212.High worm burdens can have false negative results. If the result is unexpected, consider re-testing with heat treatment.Positive results verified by RIM test. This test is not recommended for use in cats as they usually have a low worm load (see Heartworm Antibody 629).To combine with microfilaria, order Heartworm Panel 58.Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

419 Histopathology Additional Single Tissue - Full Report

Methodology: Histopathology





Page 344 of 448

441 Histopathology Additional Single Tissue - Mini Report












Page 345 of 448











Collection Notes Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing.When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments.Reporting time is dependent on tissue type and size; larger samples require longer fixation and processing.







Page 346 of 448













418 Histopathology Additional Skin Punch Biopsies - Full report




Collection Notes Labelled mesh cassettes in formalin are preferred for small or friable tissues. Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.


Page 347 of 448

440 Histopathology Additional Skin Punch Biopsies - Mini report






1418 Histopathology Additional Skin Punches - Full, SLIDES ONLY







1440 Histopathology Additional Skin Punches - Mini, SLIDES ONLY







Page 348 of 448

1441 Histopathology Add'l Single Tissue - Mini, SLIDES ONLY


Specimen Requirements H&E stained tissue slides - Additional 'Single Tissue' (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)











This test is for received H&E slides ONLY; if submitting tissue sample in formalin, please see test code 419x2.








Page 349 of 448






















Page 350 of 448








1419 Histopathology Add'l SingleTissue - Full, SLIDES ONLY


Specimen Requirements H&E stained tissue slides - Additional 'Single Tissue' (Additional 1-4 samples from one surgical site or organ type, where length + width + height is less than 15cm in aggregate)





1403 Histopathology Complex Tissue - Full Path Review, SLIDES ONLY


Specimen Requirements H&E stained tissue slide - Complex Tissue (Each 1-4 samples from one surgical site or one organ type, where length + width + height is greater than 15cm in aggregate. Each entire organ.)





Page 351 of 448

403 Histopathology Complex Tissue - Full Report




Collection Notes Securely seal and label formalin jar, or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline and include absorbent material in outermost bag.


1463 Histopathology Complex Tissue - Mini Path Review, SLIDES ONLY


Specimen Requirements H&E stained tissue slide - Complex Tissue ( 1-4 samples from one surgical site or one organ type, where length + width + height is greater than 15cm in aggregate. Each entire organ.)





Page 352 of 448

463 Histopathology Complex Tissue - Mini Report












Page 353 of 448













Page 354 of 448













Page 355 of 448







407 Histopathology Limb Dissection


Specimen Requirements Refrigerate limb immediately, or store on ice. Submit limb in plastic bags on ice. DO NOT freeze or fix.

Reported Time Preliminary Diagnosis: 3-5 days.Final Diagnosis: 7-14 days.

Collection Notes Please include history and radiographs. Securely seal and label plastic bags, with absorbent material in outermost bag.

Additional Comments: Full report includes gross description, microscopic description, diagnosis, and comments. Reporting time is dependent on soft tissue versus bone analysis.

Page 356 of 448

406 Histopathology Necropsy


Specimen Requirements Refrigerate body, and submit for necropsy, as soon as possible. If refrigeration is not available, pack body with ice packs. Prevent freezing.

Reported Time Preliminary Diagnosis: 1-5 days.Final Diagnosis: 7-14 days, unless special studies are requested.

Collection Notes Please include as much history as possible.

Additional Comments: Please call the Lab for pricing and additional information. Full necropsy includes gross examination, microscopic description, diagnosis, ancillary inhouse lab testing as requested by pathologist, and comments. Gross necropsy is available at a reduced rate when the cause of death is obvious upon gross inspection. Spinal cord examination, toxicology, and cremation services are available at an additional cost.

1401 Histopathology Single Tissue - Full Path Review, SLIDES ONLY


Specimen Requirements H&E stained tissue slides - Single Tissue (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)





Page 357 of 448

401 Histopathology Single Tissue - Full Report




Collection Notes Securely seal and label formalin jar or plastic bags. If formalin fixation is not available, moisten tissue in saline and keep refrigerated prior to shipment. Prevent freezing. When shipping, please use minimal formalin/saline. Include absorbent material in the outermost bag.


1400 Histopathology Single Tissue - Mini Path Review, SLIDES ONLY


Specimen Requirements H&E stained tissue slide - Single Tissue (1-4 samples from one surgical site or one organ type, where length + width + height is less than 15cm in aggregate)





400 Histopathology Single Tissue - Mini Report






Page 358 of 448

425 Histopathology Skin Punch Biopsies - Full Report






1425 Histopathology Skin Punch Biopsies - Full, SLIDES ONLY







423 Histopathology Skin Punch Biopsies - Mini Report






Page 359 of 448

1423 Histopathology Skin Punch Biopsies - Mini, SLIDES ONLY






This test is for received H&E slides ONLY; if submitting tissue samples in formalin, please see test code 423

813 Histopathology Special Stain

Methodology: Varies




Additional Comments: One special stain per one patient submission (up to 5 slides). Pricing based on histopathology previously completed at Phoenix Lab.



Methodology: Varies




Additional Comments: Two special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.


Page 360 of 448


Methodology: Varies




Additional Comments: Three special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.



Methodology: Varies




Additional Comments: Four special stains per one patient submission (up to 5 slides per stain). Pricing based on histopathology previously completed at Phoenix Lab.


632 IgA Quantitative, Canine






Page 361 of 448

852 IgG, Camelid RID





Additional Comments: Acceptable for Alpaca, Llama, and Camel. A 4-hr preliminary result is available upon request.

210 IgG, Equine RID





Additional Comments: A 4-hr preliminary result is available upon request. Final result at 24 hours.

211 IgM, Equine RID





Additional Comments: Final result at 24 hours.

Page 362 of 448


CBCCoombs






634 Insulin






Page 363 of 448









12085 Large Animal Liver Chemistry


AlbuminALP (Alkaline Phosphatase)Total Bilirubin



Sorbitol Dehydrogenase (SDH)Total ProteinGlobulin

Direct BilirubinGGT (Gamma-glutamyltransferase)



Page 364 of 448

385 Leptospirosis Rapid Screen

Methodology: RIM



Collection Notes Leptospirosis is a zoonotic disease, transmitted by contact of the organism with mucous membranes. Take extra caution when handling animals/samples suspected of infection.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Test includes, but can not distinguish between, serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, and Pomona. For additional Leptospirosis testing including MAT and PCR testing , see our Sendout Catalog.

124 Lipase






2217 Lipid Panel w/ T4


Cholesterol



Triglycerides Total T4



Page 365 of 448










Page 366 of 448

85 Liver Profile








Page 367 of 448


Methodology: RIM





125 Magnesium






Page 368 of 448

212 Microfilaria






158 Milk Urea Nitrogen


Specimen Requirements 0.5 mL Milk, CTT




Page 369 of 448

5318 Mini-Cytology


Specimen Requirements 3-5 air dried slides, unstained or tissue imprints


Collection Notes FINE NEEDLE Aspirate PROTOCOL:1. If the cytology is a fine needle aspirate, use a 21g. -22 g. needle (smaller needles increase cell rupture) and 3-12 mL syringe depending on material/tissue aspirated. The softer the tissue, the smaller the syringe and needle necessary for aspiration. NOTE: Lymph nodes often do not require suction as this increases chance of rupture.2. Insert the needle into the mass (avoid the center of larger lesions as they are apt to be necrotic). In order to get the most representative sample the needle should be directed in at least 3 different directions with suction applied.3. Release the negative pressure slowly and withdraw the needle from the mass.4. Remove the needle,from syringe, fill the syringe with air, replace the needle and force the cellular material onto a slide or slides.5. Cover the material on the slide with another slide, allow the material to spread and then horizontally pull the slides apart without pressure. This must be done quickly to avoid clot formation.6. Quickly air dry the slides. DO NOT HEAT FIX. Try to make 3 - 5 slides from each lesion. Do not package the slides for transport until thoroughly dried. Do not refrigerate slides.


Additional Comments: Complete history and location of lesion are essential for accurate results. Multiple lymph nodes are charged as one site. If the cytology is a paracentesis (abdominal, paracardial, or thoracic) or joint fluid with submission of fluid, refer to test Fluid Cytology (Body Cavity/ Joint Fluid) 14. Note that impression smears of ulcerated, dermal lesions are often of low diagnostic utility. EDTA (LTT) inhibits bacterial growth. If culture is required, use plain CTT or sterile transport tube.Reports will provide diagnosis and comments sections but will not contain a detailed microscopic description.

Price is for a single site. Every site after is an additional $21.00.

Page 370 of 448

530 Modified Acid Fast Stain





Additional Comments: Also known as modified Kinyoun Acid Fast Stain. For the detection of Nocardia species.

328 Mycoplasma haemofelis (Hemobartonella)





Additional Comments: Exam of blood smear for Mycoplasma hemofelis (H. felis) is included in the CBC. Hemobartonella felis has been reclassified as Mycoplasma sp. Molecular testing (PCR) can differentiate Mycoplasma hemofelis (large form Hemobartonella) from Mycoplasma hemominutum (small form Hemobartonella). See test SO1638 Mycoplasma (Hemobartonella) hemofelis (PCR) for details.

259 Myoglobin, Urine

Methodology: Precipitation

Specimen Requirements 5 mL Urine, Urine Tube/CTT.Blood must be detected in urine to run test.



Additional Comments: Clinical signs, CBC, and serum biochemistry results can usually eliminate requirement for this test.

Page 371 of 448

341 Occult Blood

Methodology: Oxidation

Specimen Requirements 0.5 grams of Fresh Feces, Fecal Tube or bag.Fecal sample should be at least pea sized.See Collection Notes on dietary restrictions.


Collection Notes Patient should be on a high residue diet starting 48 hours prior to sample collection. (This excludes pet foods containing Red or rare meat or poultry products, raw fruits and vegetables containing high peroxidase activity. Please call our client service department with any questions.) High doses of vitamin C (>250 mg/day) can cause false negative results. Discontinue supplements, fruits and vegetables high in vitamin C for 48 hours prior to testing.

Additional Comments: Consuming a meat diet could result in false positives. See Collection Notes. Anti-inflammatory medicines and other diseases of the gastrointestinal tract may cause false positiveGastrointestinal lesions may bleed intermittently and blood in feces is not distributed uniformly, thus a negative results does not rule out the possability of gastrointestinal lesions.










Page 372 of 448

213 Ova & Parasite







Ova & Parasite



Giardia/Crypto IFA




239 Panleukopenia, Fecal

Methodology: RIM




Additional Comments: FPV may only be detectable 24-48 hours post infection. False positives may occur up to two weeks post vaccination.

Page 373 of 448

215 Parvovirus Antibody, Serum

Methodology: IFA




Additional Comments: Used to detect parvovirus antibody, differentiating between IgG and IgM. Can also be used to evaluate for adequate titer post vaccine.

214 Parvovirus Antigen, Fecal

Methodology: RIM




Additional Comments: Used to evaluate for clinical infection in dogs only. Virus is shed for only a short-time.

Page 374 of 448

216 Phenobarbital


Specimen Requirements 0.5 mL Serum, RTT, peak OR trough sample


Collection Notes Drawn as single sample, trough or peak. Trough levels usually are most helpful. Trough: Just prior to next dose Peak: 4-6 hours post dose Protocol: 1. Select the desired dosing regimen and administer the drug until steady state is reached (2 weeks after change in dose). 2. Collect the sample as trough (preferably just prior to next dose) or peak (preferably 4-6 hours post dose)Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: In dogs with well-controlled seizures, after steady state is reached (2 weeks after a change in dose), trough levels of phenobarbital should be monitored periodically. Ideally, these samples should be collected as a fasting sample prior to the next dose (i.e. if the dog receives phenobarbital at 8am and 8pm, the blood should be collected at 8am or 8pm, prior to phenobarbital administration). When toxicity is suspected, (or sometimes in animals with poorly controlled seizures), trough and peak serum phenobarbital concentration determination may be helpful, see Pheonbarbital, Peak and Trough 79.The time of peak blood phenobarbital concentrations is variable; usually a sample collected 6 hours after phenobarbital administration may be considered adequate for peak serum phenobarbital concentration.The half-life of phenobarbital varies widely among individual animals, therefore monitoring of serum levels aids in establishing an appropriate dose. Phenobarbital concentrations are also useful for evaluating owner compliance. Phenobarbital is the active component of primidone.

Page 375 of 448

79 Phenobarbital, Peak & Trough


Phenobarbital, Peak

Specimen Requirements 0.5 mL Serum, 2 RTT, sample Label accordingly (Peak/Trough)


Phenobarbital, Trough

Collection Notes Protocol:1. Select the desired dosing regimen and administer the drug until steady state is reached (2 weeks after change in dose).2. Collect the trough sample (preferably just prior to next dose) and collect the peak sample (preferably 6 hours post dose).

Please allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: In dogs with well-controlled seizures, after steady state is reached (2 weeks after a change in dose), trough levels of phenobarbital should be monitored periodically. Ideally, these samples should be collected as a fasting sample prior to the next dose (i.e. if the dog receives phenobarbital at 8am and 8pm, the blood should be collected at 8am or 8pm, prior to phenobarbital administration). When toxicity is suspected, (or sometimes in animals with poorly controlled seizures), trough and peak serum phenobarbital concentration determination may be helpful. The time of peak blood phenobarbital concentrations is variable; usually a sample collected 6 hours after phenobarbital administration may be considered adequate for peak serum phenobarbital concentration.The half-life of phenobarbital varies widely among individual animals, therefore monitoring of serum levels aids in establishing an appropriate dose. Phenobarbital concentrations are also useful for evaluating owner compliance. Phenobarbital is the active component of primidone.

126 Phosphorus






Page 376 of 448

344 Plasma Protein

Methodology: Refractometry

Specimen Requirements 0.25 mL EDTA Plasma (0.75 mL Whole Blood)



Additional Comments: This is actually a measurement of the total solids in serum and is only an estimate of the total plasma protein. High concentrations of glucose, urea, Na+, Cl+, and lipid may falsely increase results

345 Platelet Count, Automated


Specimen Requirements 0.5 mL Whole Blood, LTT.


Collection Notes For the most accurate results, recommend drawing from the largest vein possible (unless contraindicated), and mixing well by gently inverting tube x10.

Additional Comments: Sample can not be run if platelet clumping or clots are present.

Included in CBC.

376 Platelet Count, Manual

Hemocytometer



Collection Notes For the most accurate results, recommend drawing from the largest vein possible (unless contraindicated), and mixing well by gently inverting tube x10.

Additional Comments: Sample can not be run if platelet clumping or clots are present.

Page 377 of 448

127 Potassium






10850 Pre-Op Chemistry Screen


BUN (Blood Urea Nitrogen)CreatinineAlbumin



GlucoseTotal ProteinGlobulin




Page 378 of 448

850 Pre-Op Panel
















Page 379 of 448

851 Pre-Op Panel, Large Animal





ALP (Alkaline Phosphatase)AST (Aspartate Transaminase)Globulin










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Page 381 of 448







346 Prothrombin Time (PT)


Specimen Requirements 0.5 mL Citrated PlasmaSee Collection notes for details about proper BTT Volume.


Collection Notes Citrated tubes (BTT) provided by Phoenix Laboratory hold 2.7 mL of blood (to the top of the label). Tubes must be filled with 2.7 mL of blood. If collecting a smaller volume of blood (<2.7mL) the blood to anticoagulant ratio should be 9:1.Protocol: 1. Draw fresh venous blood into BTT until full (to top of label) but not beyond the top of the tube label. No clotting should be observed in the tube. 2. Cool to 4° C (refrigeration) until analysis. 3. If a delay greater than 24 hours is expected prior to analysis, then the BTT should be spun in a centrifuge, the plasma separated and placed in a CTT or other non-additive tube to be frozen until analysis.


Page 382 of 448


Methodology: RIM





Page 383 of 448

1724 Relocated Canine Routine Screen

CBCUrinalysisVector/Tick Borne Disease ScreenAlbuminGlobulinAlb/Glob Ratio



GlucoseBUN ( Blood Urea Nitrogen)CreatinineBUN/Crea RatioTotal proteinHeartworm Panel (in 6 months)



Additional Comments: Use code 17246 and include original accession number when submitting the 6 month follow up Canine Heartworm Panel. Follow Up testing must be submitted within 12 months.

Page 384 of 448

1723 Relocated Feline Routine Screen

CBCUrinalysisHeartworm AntibodyAlbuminGlobulinAlb/Glob Ratio



GlucoseBUN ( Blood Urea Nitrogen)CreatinineBUN/Crea RatioTotal proteinFeline Heartworm Screen (in 6 months)



Additional Comments: Use code 17236 and include original accession number when submitting the 6 month follow up Feline Heartworm Panel. Follow Up testing must be submitted within 12 months.









Page 385 of 448

5025 Renal Profile




PotassiumCalcium









PotassiumCalcium



Page 386 of 448

1188 Reptile Mini Liver Panel









5026 Reptile Mini Renal Panel


Uric AcidCa/Phos Ratio



Phosphorous Calcium



87 Reptile Profile








Page 387 of 448

88 Reptile Profile, Follow-up















Page 388 of 448

6 Ruminant Screen

CBCChemistry Screen



FibrinogenMagnesium




1106 Ruminant Screen, Follow-Up

CBCChemistry Screen

Specimen Requirements Chemistry: 0.5 mL serum; CBC: 1.0 mL LTT, Air dried peripheral blood smears


MagnesiumFibrinogen





Page 389 of 448

5010 RX - ACE Inhibitor

UrinalysisPotassium

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT Urinalysis: 5 mL fresh urine


BUN (Blood Urea Nitrogen) Creatinine


Additional Comments: Run after 1 week, 1 month, then every 3 to 6 months.

4006 RX - Addison I (DOCP/Florinef)





SodiumPotassium

Sodium/Potassium Ratio


Additional Comments: Once therapy has begun, run every 1 to 2 weeks, then every 3 to 4 months after stabilized.

Page 390 of 448

4008 RX - Addisons II (DOCP/Florinef and Pred)

BUN (Blood Urea Nitrogen)CreatinineALP (Alkaline Phosphatase)



PotassiumSodium

ALT (Alanine Transaminase)GGT (Gamma-glutamyltransferase)


Additional Comments: Once therapy has begun, run every 1 to 2 weeks, then every 3 to 4 months after stabilized.

4005 RX - Amitriptyline

CBC

Specimen Requirements Chemistry: 0.25 mL Serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smears




Additional Comments: Run 1 month after starting drug, then yearly.

Page 391 of 448

5018 RX - Amlodipine

UrinalysisBUN (Blood Urea Nitrogen)

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTUrinalysis: 5 mL fresh urine


CreatinineTotal Bilirubin

PotassiumALT (Alanine Transaminase)


Additional Comments: Run 1 week after starting drug or adjusting dose, then 1 month later. Thereafter, run every 3 to 6 months.

5020 RX - Calcitriol I


UrinalysisBUN (Blood Urea Nitrogen)



CalciumAlbumin

PhosphorusCreatinine


Additional Comments: Run at 1 week,after starting, 1 month, then every 2 to 4 months

Page 392 of 448

5029 RX - Calcitrol II





CalciumAlbumin

Phosphorus


Additional Comments: Run at 1 week,after starting, 1 month, then every 2 to 4 months

4002 RX - Cyclosporine

CBCCyclosporine A levelGlucose

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0mL GTTCBC: 1.0 mL LTT and air dried peripheral blood smearsCyclosporine: 1 mL LTT





Additional Comments: CBC and Chemistries done same day. Cyclosporine turn around time is 3-5 days. For more information about cyclosporine testing, see Cyclosporine A Level SO1640 in our sendout catalogue.

Page 393 of 448

5012 RX - Diabetes Mellitus I

Urinalysis

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTT, 1.0 mL GTTUrinalysis: 5 mL fresh urine


Glucose Fructosamine

Collection Notes Please indicate method of urine collection.Prolonged contact with cells can dramatically affect glucose values.For accurate glucose assessment, allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Run one month after starting treatment,then every 3 to 4 months, more often ifpatient's condition dictates.

5030 RX - Diabetes Mellitus II


Glucose

Specimen Requirements 0.5 mL Serum, STT/RTT, 1.0 mL GTT


Fructosamine

Collection Notes Prolonged contact with cells can dramatically affect glucose values.We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot (or also submit a GTT). This also limits hemolysis which can affect other results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.

Additional Comments: Run one month after starting treatment,then every 3 to 4 months, more often ifpatient's condition dictates.

Page 394 of 448

4004 RX - Diazepam


ALP (Alkaline Phosphatase)Bilirubin, Total



AST (Aspartate Transaminase) ALT (Alanine Transaminase)


Additional Comments: Once therapy has begun, run after 5 days, 15 days, then every 3 to 6 months.

5031 RX - Digoxin I

DigoxinUrinalysisTotal T4Calcium

Specimen Requirements Chemistry and Digoxin -1.5 mL Serum, RTT onlyUrinalysis: 5 mL fresh urine


BUN (Blood Urea Nitrogen)CreatinineAlbumin

SodiumPotassiumChloride

Collection Notes Please indicate method of urine collection.DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Run 3-5 days after starting or changing dose, then every 4 to 6 months. Chemistries and urinalysis run same day. Digoxin turn around time is 3-5 days.

Please See Digoxin SO525 for additional information.

Page 395 of 448

5007 RX - Digoxin II

DigoxinUrinalysisChloride

Specimen Requirements Chemistry: 0.5 mL Serum, RTTUrinalysis: 5.0 mL urineDigoxin: 1.0 mL Serum, RTT ONLY


BUN (Blood Urea Nitrogen)CreatinineNa/K Ratio

PotassiumSodium

Test Alias: RX - Digoxin

Collection Notes Please indicate method of urine collection. DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Run 3-5 days after starting or changing dose, then every 4 to 6 months. Chemistries and urinalysis run same day. Digoxin turn around time is 3-5 days.

Please See Digoxin SO525 for additional information.

5017 RX - Diuretics

CBCBUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smears


SodiumPotassiumChloride

CalciumAlbumin


Additional Comments: Run 1 week after starting drug or adjusting dose, then 1 month later.Thereafter, every 3 to 6 months.

Page 396 of 448

5022 RX - Fluoxetine/Prozac


Bilirubin, Total




Test Alias: RX - Prozac


Additional Comments: Run 1 month after starting drug, then every 3 to 6 months

4003 RX - Gentamicin

UrinalysisGentamicin

Specimen Requirements Chemistry: 0.5 mL serum, RTTUrinalysis: 5 mL urineGentamicin: 1.0 mL serum, RTT ONLY


BUN (Blood Urea Nitrogen) Creatinine

Test Alias: Aminoglycosides

Collection Notes Please indicate method of urine collection. DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Urinalysis and Chemistry done same day. Gentamicin turn around time 3-5 Days. For more information about gentamicin testing see Gentamicin SO707 in our sendout catalogue.

Page 397 of 448

4001 RX - Methimazole I

CBCUrine Specific GravityTotal T4

Specimen Requirements Chemistry: 0.5 mL serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrine SG 1.0 mL urine




Test Alias: RX - Tapazole I


Additional Comments: Run at 1 month, then every 4 to 6 months. Generic: Methimazole, Brand: Tapazole, Felimazole

4007 RX - Methimazole II

CBCTotal T4

Specimen Requirements Chemistry: 0.5 mL serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smears



Test Alias: TDM Tapazole II


Additional Comments: Run at 1 month, then every 4 to 6months.Generic: Methimazole, Brand: Tapazole, Felimazole

Page 398 of 448

5005 RX - NSAIDS II

UrinalysisTotal ProteinAlbumin

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTUrinalysis: 5 mL fresh urine


BUN (Blood Urea Nitrogen)CreatinineBilirubin, Total



Additional Comments: Run baseline prior to starting drug, then run after 2 weeks, 1 month and thenevery 3 to 6 monthsNSAIDS include: Rimadyl, Ectogesic, Deramaxx, Metacam, Xubrin, Previcox

5006 RX - Phenobarb II


PhenobarbitalAlbuminBilirubin, Total

Specimen Requirements 1.0 mL Serum, RTT Only


ALT (Alanine Transaminase)AST (Aspartate Transaminase)Total Protein

GGT (Gamma-glutamyltransferase)ALP (Alkaline Phosphatase)

Collection Notes DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Recommended to run every 6 months

Page 399 of 448

2216 RX - Phenobarbital and KBR

Bilirubin, TotalPhenobarbital

Specimen Requirements 1.5 mL Serum, RTT. DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE.


AST (Aspartate Transaminase)ALT (Alanine Transaminase)

Potassium Bromide

Test Alias: Phenobarb TDM2

Collection Notes See Test Components for collection protocol.DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: In dogs with well-controlled seizures, after steady state is reached (2 weeks after a change in dose), trough levels of phenobarbital should be monitored periodically. Ideally, these samples should be collected as a fasting sample prior to the next dose (i.e. if the dog receives phenobarbital at 8am and 8pm, the blood should be collected at 8am or 8pm, prior to phenobarbital administration). When toxicity is suspected, (or sometimes in animals with poorly controlled seizures), trough and peak serum phenobarbital concentration determination may be helpful, see Pheonbarbital, Peak and Trough 79.The time of peak blood phenobarbital concentrations is variable; usually a sample collected 6 hours after phenobarbital administration may be considered adequate for peak serum phenobarbital concentration.The half-life of phenobarbital varies widely among individual animals, therefore monitoring of serum levels aids in establishing an appropriate dose. Phenobarbital concentrations are also useful for evaluating owner compliance. Phenobarbital is the active component of primidone.Potassium Bromide test performed by Clinical Pharmacology Laboratory, Auburn University. For more information, see Potassium bromide SO531.

Page 400 of 448

5008 RX - Phenobarbital I

CBCAlbuminPhenobarbitalTotal Protein

Specimen Requirements Chemistry: 1.0 mL Serum, RTTCBC: 1.0 mL LTT and air dried peripheral blood smears


ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)AST (Aspartate Transaminase)

GGT (Gamma-glutamyltransferase)Total Bilirubin

Test Alias: RX - Pheno

Collection Notes DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.

Additional Comments: Recommended to run every 6 months

5013 RX - Theophylline

TheophyllineBUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements 1.5 mL Serum, RTT OnlySerum must be collected using RTT.


ChlorideALT (Alanine Transaminase)Potassium

GGT (Gamma-glutamyltransferase)Bilirubin, TotalSodium

Test Alias: RX - Methyl

Collection Notes DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLEPlease allow all serum samples (RTT) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Please See Theophylline SO93 for additional information.

Page 401 of 448

5021 RX - Thyroxine/Soloxine


CBC



Total T4 Cholesterol

Test Alias: RX - Soloxine


Additional Comments: Run after 1 month, then every 3 to 6 months.(Levothyroxine, Soloxine)Same generic brand as methimazole

5011 RX- Cushing's (Trilostane, Mitotane)

CBCUrinalysisACTH Response

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTCBC: 1.0 mL LTTACTH Response: 0.5 mL Serum each, Pre and Post, from RTT ONLY


CreatinineSodiumPotassium

BUN (Blood Urea Nitrogen)ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)

Test Alias: RX - Cushings

Collection Notes DO NOT USE SST TO COLLECT OR SPIN DOWN SAMPLE for ACTH Response Test.

Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.Remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Please see ACTH Response 39 for collection protocol.

Additional Comments: Run prior to and immediately after induction, then every 3 to 4 months, more if patient's condition dictates.

Please see ACTH Response 39 for additional information.

Page 402 of 448

3001 RX-Heparin

CBCAPTTAlbuminALP (Alkaline Phosphatase)Bilirubin, Total

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smearsCoag: 1 BTT Citrated Whole BloodTHE RATIO OF BLOOD TO ANTICOAGULANT IS CRITICAL FOR VALID COAGULATION RESULTS. See Collection Notes.


BUN (Blood Urea Nitrogen)CalciumCholesterolCreatinineTotal Protein

GGT (Gamma-glutamyltransferase)GlobulinPhosphorusPotassium

Collection Notes Citrated tubes (BTT) provided by Phoenix Laboratory hold 2.7 mL of blood (to the top of the label). Tubes must be filled with 2.7 mL of blood. If collecting a smaller volume of blood (<2.7mL) the blood to anticoagulant ratio should be 9:1.Protocol: 1. Draw fresh venous blood into BTT until full (to top of label) but not beyond the top of the tube label. No clotting should be observed in the tube. 2. Cool to 4° C (refrigeration) until analysis. 3. If a delay greater than 24 hours is expected prior to analysis, then the BTT should be spun in a centrifuge, the plasma separated and placed in a CTT or other non-additive tube to be frozen until analysis.For Chemistry: Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.Thoroughly dry slides before inserting into slide holder and do not refrigerate slides.


Page 403 of 448

5009 RX-NSAIDS I

CBCUrinalysisAlbumin

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTCBC: 1.0 mL LTT and air dried peripheral blood smearsUrinalysis: 5 mL fresh urine


CreatinineTotal BilirubinTotal Protein

ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)BUN (Blood Urea Nitrogen)

Test Alias: RX - NSAIDS


Additional Comments: Run baseline prior to starting drug, then run after 2 weeks, 1 month and thenevery 3 to 6 monthsNSAIDS include: Rimadyl, Ectogesic, Deramaxx, Metacam, Xubrin, Previcox

32 Semen Evaluation

Cytology

Specimen Requirements 1.0 mL Semen, LTT/CTT


Collection Notes For canines only: Collect entire ejaculate for accurate reporting of sperm total per ejaculate.

Additional Comments: Includes sperm count, pH and cytology.Please note that sperm motility should be assessed immediately after sample collection and will not be assessed with this cytology.

***For Canines, Equines, and Bovines only.***

Page 404 of 448









11 Senior Screen










Page 405 of 448

4705 Senior Screen w/ Calcium and HCT

GlucosePotassiumSodiumPhosphorusHCT

Specimen Requirements 0.5 mL of each, Serum, SST/RTT, 1.0 mL GTT, and 0.1 mL Whole Blood, LTT. A sealed crit w/ blood also accepted in lieu of LTT.














Page 406 of 448

3047 Senior Screen W/ CBC and Free T4

CBCGlucosePotassiumSodiumPhosphorus



CreatinineChlorideTotal T4Free T4


Sr Feline w/CBC, FreeT4



1866 Senior Screen w/ Free T4

GlucosePotassiumSodiumNa/K RatioPhosphorus




ALP (Alkaline Phosphatase)ALT (Alanine Transaminase)Free T4



Page 407 of 448









4701 Senior Screen w/Calcium









Page 408 of 448










2120 Serum Proteins


Albumin



Globulin Total Protein

Test Alias: Globulin Screen



Page 409 of 448

101004 Small Mammal Chem Screen II


GlucoseBUN (Blood Urea Nitrogen)CreatinineCalciumPhosphorusTotal ProteinBilirubin, Total

Specimen Requirements Chemistry: 1 m-SST or m-GrnTT Minimum: 250 uL serum/plasma OR 550 µL whole blood for non-ferrets (1 mL whole blood for ferrets).



AlbuminGlobulinA/G RatioALP (Alkaline Phosphatase)GGT (Gamma-glutamyltransferase)ALT (Alanine Transaminase)



Additional Comments: Chemistry screen does NOT includes: electrolytes, carbon dioxide, osmolality, or anion gap.

956 Small Mammal Chemistry Screen I


GlucoseBUN (Blood Urea Nitrogen)CreatinineCalcium

Specimen Requirements 0.3 mL, m-SST/m-RTT, (Minimum: 150 µL serum) Heparinized plasma or 350 µL whole blood for non-ferrets(0.6 mL whole blood for ferrets) m-GrnTT OKPlease call our Client Services for information about minimums on short samples.




Test Alias: Ferret/Small Mammal 12-Chem Panel



Page 410 of 448

101002 Small Mammal Comprehensive Chemistry Screen


GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)Anion Gap

Specimen Requirements 2 m-SST or m-GrnTT, Minimum: 300 uL serum/plasma OR 650 µL whole blood for non-ferrets (1 mL whole blood for ferrets).







1002 Small Mammal Comprehensive Panel









Page 411 of 448

10022 Small Mammal Comprehensive Panel w/ Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseBUN (Blood Urea Nitrogen)CreatinineSodiumPotassiumSodium/Potassium RatioChlorideCarbon Dioxide (CO2)Anion Gap

Specimen Requirements Chemistry: 2 m-SST or m-GrnTT Minimum: 300 uL serum or plasma OR 650 µL whole blood for non-ferrets (1 mL whole blood for ferrets).CBC: 2 air dried slides, and 1 m-LTT or m-GrnTT Minimum: 250 uL whole blood for CBC

Reported Time Same Day, PEP Mon/Thur Same Day



Test Alias: Ferret/Small Mammal 27-Chem w/CBC and PEP


Additional Comments: If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear. Protein Electrophoresis is run Monday and Thursdays, with results out same day

Page 412 of 448

11002 Small Mammal Comprehensive Panel, Follow-Up










1186 Small Mammal Mini Liver Panel


CK (Creatine Kinase)Bilirubin Total

Specimen Requirements 0.15 mL Serum m-SST/m-RTT. Heparinized plasma or 0.35 mL whole blood (0.6 mL for ferrets) from m-GrnTT is also accepted.






Page 413 of 448

5028 Small Mammal Mini Renal Panel


CreatinineBUN (Blood Urea Nitrogen)Sodium

Specimen Requirements 0.15 mL Serum, m-SST/m-RTT. Heparinized plasma or 0.35 mL whole blood (0.6 mL for ferrets) from m-GrnTT is also accepted.


ChloridePotassiumCalcium

PhosphorousTotal ProteinAlbumin



56 Small Mammal Panel I

CBCGlucoseBUN (Blood Urea Nitrogen)CreatinineCalcium

Specimen Requirements 0.3 mL, m-SST/m-RTT, (Minimum: 150 µL serum), Heparinized plasma or 350 µL whole blood for non-ferrets(0.6 mL whole blood for ferrets) m-GrnTT OKCBC: Minimum: 250 uL EDTA whole blood (heparinized whole blood OK), 2 air dried slides.Please call our Client Services for information about minimums on short samples.







Page 414 of 448

84 Small Mammal Panel I, Follow-Up

CBCGlucoseBUN (Blood Urea Nitrogen)Creatinine

Specimen Requirements Chemistry: 0.3 mL, m-SST/m-RTT, Minimum: 150 uL serum (heparinized plasma OK) or 350 µL whole blood for non-ferrets, 0.6 mL whole blood for ferrets.CBC: Minimum: 250 uL EDTA whole blood (heparinized whole blood OK), 2 air dried slides.Please call our Client Services for information about minimums on short samples.


CalciumPhosphorusTotal ProteinAlbumin

GlobulinA/G RatioALT (Alanine Transaminase)AST (Aspartate Transaminase)

Ferret/Small Mammal 12-Chem/CBC, Follow-up



1004 Small Mammal Panel II









Page 415 of 448

10044 Small Mammal Panel II w/ Protein Electrophoresis

CBCPEP (Protein Electrophoresis)GlucoseBUN (Blood Urea Nitrogen)CreatinineCalciumPhosphorus



AST (Aspartate Transaminase)CK (Creatine Kinase)CholesterolAmylaseLipaseBile AcidsBilirubin, Total


Test Alias: Ferret/Small Mammal 20-Chem w/CBC & PEP


Additional Comments: Panel does NOT includes: electrolytes, carbon dioxide, osmolality, or anion gap. If a microtainer (m-GrnTT or m-LTT) is not submitted, WBC is estimated from the blood smear. Protein electrophoresis is run Monday and Thursday, with results out same day.

11004 Small Mammal Panel II, Follow-Up





Total ProteinAlbuminGlobulinA/G RatioALP (Alkaline Phosphatase)GGT (Gamma-glutamyltransferase)ALT (Alanine Transaminase





Page 416 of 448

130 Sodium






19 Sodium/Potassium






131 Sorbitol Dehydrogenase (SDH)





Additional Comments: This test is included in the equine chemistry screen and all panels that include equine chemistries.

Page 417 of 448





Total T4 Fibrinogen



1285 Special Liver Panel


AlbuminALP (Alkaline Phosphatase)



ALT (Alanine Transaminase)AST (Aspartate Transaminase)

GGT (Gamma-glutamyltransferase)Bilirubin, Total



Page 418 of 448

81 Special Pre-Op Panel

Hematocrit (HCT)GlucoseAlbumin

Specimen Requirements Chemistry: 0.5 mL Serum, SST/RTTPCV: 0.1 mL whole blood, LTT or 1 filled hematocrit



ALT (Alanine Transaminase)



1059 Specific Gravity, Urine

Methodology: Refractometry

Specimen Requirements 1.0 mL Urine, CTT/Urine Tube



Additional Comments: Included in a Urinalysis 159







Page 419 of 448

9 T3 Suppression I


Pre Total T4



Post Total T4



Page 420 of 448


Methodology: Chemiluminescent Immunoassay /Spectrophotometry

Pre and Post T4



Pre and Post T3



74 Thyroid I


Free T4






Page 421 of 448

75 Thyroid II

Total T4






864 Thyroid III




Total T4 Free T4



Page 422 of 448

874 Thyroid IV

Total T4



Free T4



884 Thyroid Panel V

Free T4



Total T4 T3


Additional Comments: Free and Total T4 run dailyT3 run every Monday, with results out same day. Felines only: In geriatric cats with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted.

Page 423 of 448

49 Thyroid Screen

Total T4






68 TLI, Canine




Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Used to diagnose exocrine pancreatic insuffiency (EPI).

Page 424 of 448

689C TLI/Cobalamin/Folate (CANINE ONLY)




Collection Notes Patient must be fasted 12-18 hours (diabetic animals 6-8 hours).Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive). It is recommended to separate serum and freeze the sample if transport to lab is to be delayed.We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Tests are run in-house Monday, Wednesday, and Friday; reported out same day.Folates >24.0 ug/dL and Cobalamin >1000 are re-run on dilution and reported.

689F TLI/Cobalamin/Folate (FELINE ONLY)

Methodology: Chemiluminescent Immunoassay/RIA



Collection Notes Fast animals 12-18 hours (diabetic animals 6-8 hours) before draw.Cover samples with foil, vet wrap, or a paper towel to protected from light (folate and cobalamin can be light sensitive).We strongly encourage that all serum samples be allowed to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Cobalamin and Folate are run in-house Monday, Wednesday, and Friday; reported out same day. Folates >24.0 ug/dL and cobalamin >1000 are re-run on dilution and reported. TLI are sent to Texas GI Lab, reported in 3-7 days.

Page 425 of 448


CBCChemistry Screen



AmylaseLipase





CBCChemistry Screen



LipaseAmylase




Page 426 of 448


CBCChemistry Screen



AmylaseLipase





CBCChemistry Screen



AmylaseLipase




Page 427 of 448

132 Total Protein






244 Total T4




Collection Notes For dogs, peak samples are drawn 4-6 hours post pill Trough samples are drawn just before the next dose.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


1237 Total T4, Add-On




Collection Notes Peak samples are drawn 4-6 hours post pill Trough samples are drawn just before the next dose.Please allow sample to clot (up to 20 minutes) and then spin down sample. If using a RTT, remove serum and put into a fresh RTT/CTT. Avoid lipemia and hemolysis.

Additional Comments: Felines only: In the geriatric cat with T4 values >2.5 ug/dL, consider work up for hyperthyroidism if clinically warranted. Available as an add-on to an existing panel (within 7 days). Previous case ID is required to activate the discounted price.

Page 428 of 448



ACTH, Endo Pre



ACTH, Endo Post



144 Triglycerides


Specimen Requirements 0.5 mL Serum SST/RTT.


Collection Notes Patient should be fasted 12 hrs prior.Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.


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1213 Tritrichomonas Fecal


Specimen Requirements 0.05 grams Fecal in InPouch TF or Fecal tube. The sample for this test should NOT be refrigerated or put in a cooler.

Reported Time 24 hr preliminary report Final at 12 Days

Collection Notes Please submit your sample in a zip-lock bag labelled "Do Not Refrigerate". Cold temperatures will destroy the sample for testing.Pouch Procedure: 1. Pull open wired end-tabs, tearing open the pouch at the notch. 2. Open pouch sufficiently to admit a wooden applicator stick by pulling the closure tape's middle tabs apart.3. Pick-up approximately 0.05 grams, the size of a small peppercorn, or fresh feces on applicator stick(s).4.Insert applicator stick(s) with sample into the liquid of the system's upper chamber. 5. Remove specimen from stick by rubbing stick with fingers through the walls of the pouch. 6. Seal the pouch and store at room temperature in a dark place until submission to laboratory for interpretation.

Additional Comments: InPouch TF is available from Phoenix Laboratory as a CHARGEABLE supply.








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2481 TSH, Add-On





Additional Comments: Run on canines (for confirmation of hypothyroidism) and felines (for confirmation of hyperthyroidism.)TSH only validated on canines, but has been used in felines.


133 Uric Acid






682 Uric Acid, Urine


Specimen Requirements 0.5 mL Urine, Urine Tube/CTT. If sample is bloody or very cloudy/cellular, submit a larger volume (1.0 mL minimum) as the sample will need to be centrifuged.




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683 Uric Acid/Creat Ratio


Urine Uric Acid

Specimen Requirements 0.5 mL Urine, Urine Tube/CTT.If sample is bloody or very cloudy/cellular, submit a larger volume (1.0 mL minimum) as the sample will need to be centrifuged.


Urine Creatinine Urine, Uric Acid/Creat Ratio



159 Urinalysis






Urinalysis



Urine Culture



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Urinalysis



Urine Culture




169 Urinalysis, Add-On




Additional Comments: Includes: Urine chemistries and specific gravity run on urine analyzer (USP verified by refractometer if needed) and microscopic examination of sediment. If low volume, chemistries read by dipstick.

Available as an add-on to an existing panel( within 7 Days). Previous case ID is required to activate the discounted price.

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1159 Urinalysis, Follow-Up

Specimen Requirements 5.0 mL Urine, CTT/Urine Tube. Minimum: 2.5 mL


Collection Notes Please indicate method of collection of test request form.Submit sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.



Urine Cortisol







196 Urine Creatinine, Phosphorus, Calcium






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549 Urine Culture & Sensitivity, Add-On






Available as an add-on to an existing panel only (within 7 days). Previous case ID is required to activate the discounted price.








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114 Urine Fractional Excretion


SodiumPotassiumChlorideCalciumPhosphorus

Specimen Requirements 0.5 mL Each, Serum and Urine, SST/RTT and Urine Tube/CTT. If urine sample is bloody or very cloudy/cellular, submit a larger volume (1.0 mL minimum) as the sample will need to be centrifuged.


GGT (Gamma-glutamyltransferase)CreatinineUrine SodiumUrine PotassiumUrine Chloride

Urine CalciumUrine PhosphorusUrine GGT (Gamma-glutamyltransferase)Urine Creatinine

Collection Notes Both Serum and Urine must be collected at the same time. Please allow all serum samples (RTT/CTT/SST) to clot and then centrifuge the sample within 20-30 minutes of collection, separating serum completely from clot. This limits hemolysis and other artifact changes which can affect the results.If using a RTT/CTT, remove serum and put into a fresh RTT/CTT.Avoid lipemia and hemolysis.

Additional Comments: Measures sodium, potassium, chloride, calcium, phosphorus, GGT, and creatinine in both serum and urine and calculates fractional excretion.

2234 Urine Mineral Screen


UrinalysisUrine PotassiumUrine PhosphorusUrine Calcium



Urine ProteinUrine SodiumUrine MagnesiumUrine Creatinine

Urine ChlorideUrine Protein/Creat Ratio

Collection Notes Please indicate method of urine collection.Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.








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681 Urine Protein/Creatinine Ratio


Urine Protein

Specimen Requirements 0.5 mL Urine, Urine Tube/CTTIf sample is bloody or very cloudy/cellular, submit a larger volume (1.0 mL minimum) as the sample will need to be centrifuged. Hemorrhage or inflammation will affect testing.


Urine Creatinine Urine Protein/Creatinine Ratio

Collection Notes Preferably collected by cystocentesis

Additional Comments: Values > 1.0 are suggestive of glomerular proteinuria in dogs and cats.

155 Urine Sediment Only


Specimen Requirements 5 mL of urine OR sediment from 5 mL of fresh urine in Urine Tube/CTT


Collection Notes Submit urine sample in a urine tube or sterile, clear top vacutainer; some RTT may cause crystalline debris due to silica.

Additional Comments: Due to poor cellular preservation, this test is not preferred for diagnosis of malignancy; recommend submission of freshly made urine sediment smears and reconstituted urine sediment with saline in a LTT for cytology.

Please contact our client services for optimum sample handling.

183 Urine, Calcium





Additional Comments: Consider ordering a Urine Fractional Excretion panel 114 as clinically indicated.

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189 Urine, Chloride






233 Urine, Cortisol






184 Urine, Creatinine





Additional Comments: Please consider a Urine Protein/Creatinine Ratio 681.

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879 Urine, Electrolytes


Urine Potassium



Urine Sodium Urine Chloride



192 Urine, GGT






182 Urine, Phosphorus






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180 Urine, Potassium






185 Urine, Protein





Additional Comments: Please consider a Urine Protein/Creatinine Ratio 681.

186 Urine, Sodium






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181 Urine, Sodium and Potassium


Urine Sodium



Urine Potassium



862 Uterine Screen, Equine

Uterine Culture

Specimen Requirements Saline Flush in sterile container (CTT) is the preferred sample. (Allows for cytospin prep which provides the best cell interpretation and can be used for both cytology and culture). OR 2 transport swabs AND freshly made slides are OK


Uterine Cytology

Collection Notes Slides are ideally prepared immediately after collection. Prepare the cytology sample by GENTLY ROLLING (NOT SMEARING) the swab over the slide.This technique will deliver optimal cellular material for review. Thoroughly dry the smears. DO NOT put slides into the slide holder until completely dry or all the cells will rupture. Do not refrigerate slides.

Please note: Slides prepared at lab from swabs have variable quality. Smears prepared on non-sterile slides may result in contamination of the culture.

Additional Comments: Cytology reported the same day (Monday - Saturday on Days). Culture report time 36 - 72 hours.

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932 WBC Estimate and Diff

Methodology: Manual

Specimen Requirements 3 Air dried peripheral blood smears



Additional Comments: Quality slides are essential for accurate evaluation.

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AmylaseLipase








AmylaseLipaseSDMA




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1711NU Wellness Screen II w/ Urine to Follow

CBCChemistry Screen



AmylaseLipase



Additional Comments: When submitting the urine, please request Urine, No Charge 179 on a separate test request form, and include the previous case ID.





AmylaseLipase




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CBCChemistry Screen



AmylaseLipase




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AmylaseLipase








AmylaseLipase




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CBCChemistry Screen



AmylaseLipase










Test Alias: Feline Panel 881



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Test Alias: Total Feline Panel



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test directory - phoenix lab · 2020-01-08 · test directory effective 1/1/2020 phoenix lab | 4338...

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