Logo, Novi Reference Laboratory - Diagnostic Testing

Phone: (248)773-8701
Fax: (248)773-8702
25500 Meadowbrook Road, Suite 216
Novi, MI 48375
 
 
 
 

Timely, Appropriate, Accurate 

                                                              

 
 

We are committed to providing you with accurate and reliable information at all times. We consider it our responsibility to give you a result that will allow your health care provider to effectively manage your conidition. We also do testing for insurance and employment medical examinations. 

 

Our Laboratory provides on site Phlebotomy services 

Panel Testing

  • Complete Metabolic Panel (CMP)- Gold Top SST
  • Lipid Panel (Fasting Lipid Panel)- Gold Top SST 
  • Iron Profile- Gold Top SST 
  • Renal Function Panel 
  • Basic Metabolic Panel (BMP)- Gold Top SST 
  • Electrolytes- Gold Top SST 
  • Hepatic Function Panel 

Individual Testing 

     

Hematology- Purple Top EDTA  

  • CBC with Autemated Diff 
  • Manual Differential 

   Urine Tests    

  • Urinalysis 
  • Microscopic Urinalysis 
  • Urine Microalbumin/Creatinine Ratio 

Routine Chemestry- Gold Top SST: 

  • Albumin
  • ALK Phosphatase 
  • ALT/SGPT
  • AST/SGOT 
  • Bilirubin (Direct) 
  • Bilirubin (Total) 
  • Total Iron Binding Capacity (TIBC)
  • Glucose 
  • Bun 
  • Creatinine 
  • Calcium 
  • Chloride 
  • Cholesterol, LDL-Direct Measure 
  • Cholesterol, HDL 
  • Transferrin Saturation 
  • LDH 
  • CO2
  • Potassium 
  • Protein, Total 
  • Sodium 
  • Triglyceride 
  • Total PSA 
  • Serum Iron 
  • Ferritin Level 

 Routine Chemistry- Purple Top Edta 

  • HgA1c

Endocrinology- Gold Top SST 

  • HCG (Serm Pregnancy Test)
  • Free T4 
  • TSH 

Coagulation- Blue Top  Sodium Citrate 

  • Prothrombin Timr 
  • Partial Thromoplastin Time 
  • Fibrinogen 

SPECIMEN COLLECTION AND HANDLING 

CBC and CBC with Automated Differential: Lavender or purple top vacuum collection tube with potassium or sodium EDTA anticoagulant_ 

A. Detailed Reguirements: 

  1. Whole blood antiocagulated with salt of EDTA-2K, EDTA-3K or EDTA-2Na is preferred: Purple/Lavender Top Tube. 

B. Specimen volumes required: 

  1. Optimal draw is a tube filled to capacity. The collection tube should be filled per the tube manufacturer instructions. A minimum of 1mL is recommended. 
  2. An EDTA micro-container filled above the 250 uL line is adequate for testing in the whole blood mode. 500 uL is recommended. 
  3. Instrument aspirated sample volume in whole blood mode is 50 uL.

C. Speciment Characteristics that may affect test results are lipemia, icterus, cold agglutinins, RBC fragments, Lyse resistant RBC's, giant platelets, abnormal plasma proteins, clumped platelets and fibrin strands. 

D. Stored Specimen Stability 

  1. EDTA blood samples stored at 2-8 degrees C may be analyzed up to 24 hours after draw without significant loss of differential stability. 
  2. Sample stability at room temperature is 4 hours. Samples stored at room temperature may exhibit an increase in MCV, RDW-SD, HCT and MVP, and a decrease in MCHC and total WBC over time. These changes may be minimied by refrigeration. 
  3. Allow refrigerated samples to come to room temperature (minimum 15 minutes) and mix well before analysis. 

Rejection Criteria: 

  • Clorred samples or those containing clots, fibrin strands, or platelet clumps.
  • Grossly hemolyzed samples 
  • Samples drawn above an intravenous (IV) site 
  • Incorrectly or incompletely labeled sample tube

Coagulation Testing (Prothrombin time (PT), activated Partial Thromboplastin Time (aPTT) and Fibrinogen assay: Blue top vacuum collection tube with sodium citrate anticoagulant. 

  1. Detailed requirements:

a. Whole blood with one part of 0.11 mol/L (3.2%) sodium citrate anticoagulant: Blue top tupe. 

b. The specimen should be transported at room temperature. 

c. Specimen for PT assays can be maintained uncentrifuged or centrifuged with the palsma remaining on top of the cellular component in an unopened tube at room temperature for up to 24 hours from time of collection. 

d. If testing is not completed within 24 hours, the plasma must be stored frozen at <-20 C or below for up to 2 weeks or -70C or below for long term storage. Note: Plasma MUST be transferred to a properly labeled plastic tube for freezing.

e. Frozen plasma samples must be rapidly thawed at 37C in a heating block or water bath. Mixing by inversion of tube is critical before testing.

SPECIMEN COLLECTION AND HANDLING

Rejection Criteria:

  • Clotted Specimens
  • Collected in the wrong tube (wrong anticoagulant)
  • Visbile hemolysis
  • Incorrectly or incompletely labeled sample tube
  • Have less than the expected fill