Syphilis Antibody Screen W/ Reflex To RPR, Titer, and TP-PA Confirm
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Lab Section:
Turnaround Time:
Routine: 5 to 24 Hours
Urgent: 5 to 24 Hours
Test Schedule:
7 days a week.
Interpretation:
| Result | Final Interpretation |
| Non - Reactive | Non-reactive for treponema antibodies |
| Reactive | Reactive for treponema antibodies |
Specimen Requirements:
6.0 mL blood in serum separator tube (SST).
Separate within 2 hours of collection. A minimum of 2 mL serum is needed.
Storage/Transport Temperature: Refrigerated.
Unacceptable Specimens: grossly hemolyzed, contaminated, grossly lipemic.
Comments:
Methodology: Chemiluminescent microparticle immunoassay (CMIA) technology
Reactive screening results are sent to ARUP for confirmation, which includes RPR, Titer, and TP-PA. The ARUP test is Rapid Plasma Reagin (RPR) with Reflex to RPR Titer or T. pallidum Antibody by Particle Agglutination (Opens in a new window).
Protein Electrophoresis, Serum
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Lab Section:
Turnaround Time:
Routine: 6 days
Test Schedule:
Monday through Friday.
Specimen Requirements:
2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 1.0 mL serum is needed.
Synonyms:
SPEP
Immunoglobulin Panel
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Lab Section:
Turnaround Time:
Routine: 2 days
Test Schedule:
Monday, Wednesday, and Friday.
Units:
Specimen Requirements:
2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 0.5 mL serum is needed.
HIV AB/AG Screening w/Reflex to Quant
Orderable EAP code:
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CPT Codes:
Lab Section:
Turnaround Time:
Routine: 1 to 3 days
Test Schedule:
Monday, Wednesday, Friday for the initial Screen. Quants run twice per week batched.
Interpretation:
False positive results may occur in pregnancy.
Specimen Requirements:
6 mL blood in a full LAVENDER top (EDTA) tube. Purple top only for reflex to viral load testing. Refrigerated only; stability is 7 days.
Reference Range:
Nonreactive
Comments:
This is a combination test for HIV P24 antigen and antibody against HIV viruses Type 1 (Group M and Group O) and/or Type 2 that cause the Acquired Immunodeficiency Syndrome (AIDS). It is not a diagnostic test for AIDS.
All positive combination screening tests will be confirmed by HIV-1 RNA Quant (LAB00779) and charges will be generated.
The performance of the ARCHITECT HIV Combo test, with or without confirmation, was not tested in pediatric patients less than 2 years of age. NIH guidelines recommend virologic assays (i.e. RNA tests) that directly detect HIV for diagnosis of HIV infection in infants younger than 2 years.
Synonyms:
AIDS Antibody Screen
Acquired Immunodeficiency Syndrome
HIV Antibody Screen
HIV - 1,2 AB/ HIV-1 P24 AG Screen
HIV P-24 Antigen
Human Immunodeficiency Virus
P-24 Antigen
Monoclonal Protein Study – SPEP and Immunotyping
Orderable EAP code:
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Lab Section:
Turnaround Time:
Routine: 7 days
Test Schedule:
Monday through Friday.
Specimen Requirements:
4 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 2.0 mL serum is needed.
Synonyms:
IFE
Immunoelectrophoresis
Immunofixation
Monoclonal Protein Detection Quantitation and Characterization
MGUS study
Monoclonal Protein Study
Multiple Myeloma Study
Protein ELP
Protein Electrophoresis
Serum Protein Electrophoresis
SPEP
Monoclonal Protein Study Expanded Panel, Serum
Orderable EAP code:
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Lab Section:
Turnaround Time:
Routine: 6 days
Test Schedule:
SPEP reflex to Immunotyping: Monday through Friday.
Immunoglobulin Panel: Monday, Wednesday, and Friday.
Specimen Requirements:
Labels for two specimens will print.
SPEP reflex to Immunotyping: 4 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 2.0 mL serum is needed.
Immunoglobulin Panel Serum: 2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 1.0 mL serum is needed.
Tacrolimus
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Lab Section:
Turnaround Time:
Routine: 1 day
Test Schedule:
Monday through Friday.
Units:
Critical Values:
20 ng/mL or greater.
Specimen Requirements:
3 mL blood in a LAVENDER top (EDTA) tube; redraw if the specimen is clotted.
Stable for 48 hours at room temperature or for 7 days refrigerated (2 to 8 degrees Celsius). If testing is delayed more than 7 days, store frozen at -10 degrees Celsius or less.
Pediatric Specimen Requirements:
0.5 mL blood in a pediatric LAVENDER top (EDTA) tube.
Reference Range:
Therapeutic range: 5 to 15 ng/mL
Comments:
Test performed by immunoassay using Abbott Architect i2000.
Samples for analysis of Tacrolimus should be collected 30 minutes to 1 hour prior to the next dose so that the measured concentration of drug represents trough level. Some other factors influencing therapeutic range, dose administered, and result interpretation include time since transplantation, the organ transplanted, co-administration of other immunosuppressants and interaction with other drugs that may increase or decrease Tacrolimus concentrations.
Synonyms:
FK506 (Tacrolimus), Whole Blood
Sirolimus Quantitation
Orderable EAP code:
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Lab Section:
Turnaround Time:
Routine: 1 day
Test Schedule:
Monday through Friday.
Units:
Specimen Requirements:
3 mL blood in a LAVENDER top (EDTA) tube; redraw if the specimen is clotted.
Stable for 48 hours at room temperature or for 7 days refrigerated (2 to 8 degrees Celsius). If testing is delayed more than 7 days, store frozen at -10 degrees Celsius or less.
Pediatric Specimen Requirements:
0.5 mL blood in a pediatric LAVENDER top (EDTA) tube.
Reference Range:
4 to 12 ng/mL
Comments:
Test performed by immunoassay using Abbott Architect i2000.
Kidney transplant (in combination with Cyclosporine): 4 to 12 ng/mL
Toxic value: greater than 25 ng/mL
Interpretive Data: A range of 12 to 20 ng/mL has been suggested for liver transplant. Samples for analysis of Sirolimus should be collected 30 minutes to 1 hour prior to the next dose so that the measured concentration of drug represents trough levels. The optimal therapeutic range for a given patient may differ from this suggested range based on the indication for therapy, treatment phase (initiation or maintenance), use in combination with other drugs, time of specimen collection relative to prior dose and/or type of transplanted organ.
Synonyms:
Rapamune
Rapamycin
Immunotyping, Serum
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Lab Section:
Turnaround Time:
Routine: 6 days
Test Schedule:
Monday through Friday.
Specimen Requirements:
2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 0.5 mL serum is needed.
Synonyms:
IFE gel
IFE qualitative
Immunofixation, Serum
Immunofixation Electrophoresis Gel
Protein Electrophoresis
SPEP
IgM, Serum
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Lab Section:
Turnaround Time:
Routine: 4 days
Test Schedule:
Monday, Wednesday, and Friday.
Units:
Specimen Requirements:
2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 0.5 mL serum is needed.
Synonyms:
Quantitative Immunoglobulins