TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CLOMIPRAMINE (ANAFRANIL) CLOM Serum 2 mL Collect specimen 10–12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection ●Includes Desmethyclomipramine dose● TAT – 15 days ROYAL BLUE no additive OHIP CML CLONAZEPAM (RIVOTRIL) RIV Serum 3 ml Collect specimen 10–12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 10 days ROYAL BLUE no additive OHIP CML CLOSTRIDIUM DIFFICILE CULTURE AND TOXIN STUDIES CLOS Stool Dry stool in a plain container without additive Specify culture and / or toxin studies **STORE IN FREEZER, SEND FROZEN SAMPLE** MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing and transportation TAT – 5 to 10 days N/C PHL CLOT RETRACTION NO LONGER AVAILABLE CLOTTING TIME NO LONGER AVAILABLE CLOZAPINE (CLOZARIL) CLOZA PINE Plasma 2 mL FREEZE PLASMA AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 15 days LAVENDER $60.00 CML J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Vedrana Vaskovic QC Coordinator BIO-TEST LABS 168 Charlotte St., Ottawa, ON., K1N 8K6 Last printed 28/11/2011 1:52 PM BIO-TEST LABORATORY Tel: (613) 789-4242 Fax: (613) 789-7033 SECTION C Page 12 of 26 NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red ‘MASTER COPY’ are not controlled and should be checked against the original document titled as above in the electronic/hard copy version prior to use.
TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CMV (CYTOMEGALOVIRUS ANTIBODY) CMV Do not centrifuge Public Health Laboratories recommends the collection of both acute and convalescent specimens taken two weeks apart PLAIN RED N/C PHL MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing and transportation TAT – 25 days CMV ISOLATION (CYTOMEGALOVIRUS ISOLATION) RPHL Urine/Saliva/Gastric Washing MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing and transportation TAT – 20 days N/C PHL CO 2 (CARBON DIOXIDE, CO 3) See BICARBONATE CO2 COBALT RCML Serum Centrifuge only Minimum Volume: 2 mL TAT – 30 days ROYAL BLUE with heparin $60.00 CML COBALT RCML Urine 50 mL random urine Submit in an orange or white cap container TAT – 30 days $60.00 CML COCAINE SCREEN RCML Urine 10 mL random urine Submit in an orange or white cap container TAT – 2 days OHIP CML COCCIDIOIDOMYCOSIS RPHL Do not centrifuge tube MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing and transportation TAT – 15 days PLAIN RED N/C PHL CODEINE RCML Urine 10 mL random urine Submit in an orange or white cap conical tube State under notes and instructions “Check for Codeine”TAT – 3 days OHIP CML COLD AGGLUTININ SCREEN See AGGLUTINATION REACTION SCREEN CAGG J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Vedrana Vaskovic QC Coordinator BIO-TEST LABS 168 Charlotte St., Ottawa, ON., K1N 8K6 Last printed 28/11/2011 1:52 PM BIO-TEST LABORATORY Tel: (613) 789-4242 Fax: (613) 789-7033 SECTION C Page 13 of 26 NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red ‘MASTER COPY’ are not controlled and should be checked against the original document titled as above in the electronic/hard copy version prior to use.
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March 28, 2011 2.0 Vedrana Vaskovic
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TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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