September 2024 WML Test Directory Toxicology Update

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, stability, rejection criteria, methodology.

Specimen Preparation: Centrifuge, separate serum from cells within 2 hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listed.

Rejection Criteria: Serum separator tube (SST), heparinized samples, grossly hemolyzed or lipemic. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry

Update to specimen requirements, alternate specimen, stability.

Specimen Preparation: Centrifuge and separate from cells within 2 hours. Send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen type accepted.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information and specimen requirements.

Specimen Information:

• Specimen must be collected as a Chain of Custody and accompanied by a Warde Chain of Custody requisition. 
• Positive screens reflex to LC/MS/MS or GC/MS confirmation. 
• Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Cocaine (as Benylecgonine)
• Opiates
• Phencyclidine
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Stability: Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing. 
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03A panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay

Update to specimen information and methodology.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens.
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required.
• False negative results may occur if drugs are present below the tests limit of detection.

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing. 
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03A panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay

Update to specimen requirements, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens.
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Specimen Preparation: Send 30.0 mL urine in a screw capped plastic urine container.
Pediatric: Newborn minimum requires 1.0 mL urine and 0.5 – 5.0 mL for positive confirmations. 

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry 

Performed Days: Monday – Friday

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing. 
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03A panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay

Update to specimen information, specimen requirements, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required.
• False negative results may occur if drugs are present below the tests limit of detection. 

Specimen Preparation: Send 30.0 mL urine in a screw capped plastic urine container.
Newborn minimum requires 1.0 mL urine and 0.5 – 5.0 mL for positive confirmations. 

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry 

Performed Days: Monday – Friday 

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing.
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03A panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay 

Update to specimen information, specimen requirements, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection.

Specimen Preparation: Send 30.0 mL urine in a screw capped plastic urine container.
Newborn minimum requires 1.0 mL urine and 0.5 – 5.0 mL for positive confirmations.

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry 

Performed Days: Monday – Friday

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing.
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge.
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03A panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay

Update to specimen information, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection.

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry

Performed Days: Monday – Friday

Update to specimen requirements, alternate specimen, and stability.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate from cells within 4 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information, specimen requirements, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens.
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection.

Specimen Preparation: Send 30.0 mL urine in a screw capped plastic urine container.
Newborn minimum requires 1.0 mL urine and 0.5 – 5.0 mL for positive confirmations.

Minimum Volume: 15.0 mL

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry; Gas Chromatography/Flame Ionization Detection 

Performed Days: Monday – Friday

Update to specimen information, specimen requirements, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. 
• See Interface map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens. 
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required.
• False negative results may occur if drugs are present below the tests limit of detection. 

Specimen Preparation: Send 30.0 mL urine in a screw capped plastic urine container.
Newborn minimum requires 1.0 mL urine and 0.5 – 5.0 mL for positive confirmations. 

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry

Performed Days: Monday – Friday

Update to specimen information, methodology, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens.
• This panel is NOT designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol. See the PN03C panel if these tests are required. 
• False negative results may occur if drugs are present below the tests limit of detection. 

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry 

Performed Days: Monday – Friday

Update to specimen requirements, alternate specimen and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, stability, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Diazepam: 100 – 1000 ng/mL
Nordiazepam: 100 – 1000 ng/mL
Toxic: Sum >3000 ng/mL

Update to specimen requirements, alternate specimen, stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, stability and rejection criteria.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing.

Rejection Criteria: Serum separator tube (SST), gross hemolysis or lipemic.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements.

Patient Preparation: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. 

Update to specimen requirements, stability, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

25 – 100 mcg/mL
Toxic: >150 mcg/mL

Update to specimen requirements, alternate specimen, stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, stability, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days 

Reference Range:

Assay as desalkylflurazepam
Desalkylflurazepam: 30 – 150 ng/mL
Toxic range: >300 ng/mL

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Cocaine (as Benylecgonine)
• Opiates
• Phencyclidine
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested: 

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Opiates
• Phencyclidine
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Ethanol
• Opiates
• Phencyclidine
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (Benylecgonine)
• Methadone
• Opiates
• Phencyclidine

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Ethanol
• Methadone
• Opiates
• Phencyclidine
• Propoxyphene
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Ethanol
• Methadone
• Opiates (including oxycodone and oxymorphone)
• Oxycodone
• Phencyclidine
• Propoxyphene
• Cannabis (THC)

Specimen Preparation: Send 50.0 mL urine refrigerated in a screw capped plastic urine container. 

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Ethanol
• Methadone
• Opiates (including oxycodone and oxymorphone)
• Oxycodone
• Phencyclidine
• Propoxyphene

Specimen Preparation: Send 50.0 mL urine in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required.

Update to specimen information and specimen requirements.

Specimen Information: Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year. 

Analytes Tested:

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine (as Benylecgonine)
• Methadone
• Opiates (including oxycodone and oxymorphone)
• Oxycodone
• Phencyclidine
• Propoxyphene

Specimen Preparation: Send 50.0 mL urine in a screw capped plastic urine container. Contact laboratory for specimen requirements if newborn testing is required. 

Update to specimen requirements and alternate specimen.

Specimen Preparation: Centrifuge and separate from cells within 4 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL 

Alternate Specimen: No alternate specimen listing. 

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate serum from cells within 2 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate serum from cells within 2 hours. Send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Alternate Specimen: No alternate specimen listing

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information, minimum volume, methodology, reference range.

Specimen Information:

Results from the test is qualitative. All drugs are tested using a definitive LC/MSMS method except THC will be reflexed to LC/MSMS confirmation.

Drugs Tested:

• Amphetamine
• Methamphetamine
• Benzodiazepines (Oxazepam)
• Cocaine
• Cocaine Metabolite (BE)
• Cocaine Metabolite (M-OHBE)
• Opiates (Codeine)
• Opiates (Hydrocodone)
• Opiates (Hydromorphone)
• Opiates (Morphine)
• Opiates (Oxycodone)
• Phencyclidine (PCP)
• Methadone
• Methadone Metabolite (EDDP)
• THC (Cannabis)

Minimum Volume: 2.0 g

Methodology:  High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS), Immunoassay 

Reference Range: Negative

Update to specimen requirements, alternate specimen, stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing

Stability:  Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 14 days

Update specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate serum from cells within 2 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, reference range, and stability.

Specimen Preparation:  Centrifuge and separate serum from cells within 2 hours. Send 1.0 mL serum in screw capped plastic vial.

Transport Temperature: Refrigerated

Alternate Specimen: No alternate specimen listing.

Reference Range:

Mycophenolic Acid: 1.0 – 3.5 ug/mL
Toxic level for MPA: >25 mg/mL
Toxic level for MPA-glucoronide: Not established
Combined therapy with cyclosporin: 1.0 – 35 mcg/mL
Combined therapy with TQC volumes: 1.9 – 4.0 mcg/mL
Mycophenolic Acid Glucuronide: 35.0 – 100.0 ug/mL

Stability: Room temperature: Unacceptable
Refrigerated: 4 days
Frozen: 1 month 

Update to alternate specimen, stability, reference range, and turnaround time.

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Therapeutic: 100 – 1000 ng/mL
Toxic: >3000 ng/mL

Turnaround Time: 2 – 3 days

Update to specimen requirements, alternate specimen, stability, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within 2 hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Therapeutic range: 50 – 140 ng/mL
Toxic: >500 ng/mL

Update to specimen requirements, alternate specimen, stability, and reference range.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Therapeutic range: 10 – 35 mcg/mL
Toxic: >50 mcg/mL

Update to specimen information, specimen requirements, alternate specimen, stability.

Specimen Information: Analytes tested include codeine, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone. 

Specimen Preparation: Centrifuge, separate serum from cells and send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Alternate Specimen:  No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within 2 hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate from cells within 2 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge and separate from cells within 2 hours. Send 2.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, stability, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within 2 hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Prefers sleep: 10 – 15 µg/mL
Comatose reflexive: 15 – 20 µg/mL
Comatose areflexive: 25 – 30 µg/mL
Comatose with circulatory and/or respiratory difficulty: 40 – 50 µg/mL
Toxic >50

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge and separate from cells within 2 hours. Send 1.0 mL serum in a screw capped plastic vial.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, stability, and reference range.

Minimum Volume: 0.5 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Therapeutic: 15 – 40 µg/mL
Toxic: >50 µg/mL

Update to specimen requirements and stability.

Minimum Volume: 0.5 mL 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information and methodology.

Specimen Information:

• Qualitative detection of drug present in the urine. 
• This test is for clinical use only and not intended for employment related testing. 
• Positive screen results are considered presumptive results and are not confirmed. 
• Quantitative confirmation testing is available upon client request. Confirmation testing will be done at an additional charge. 
• This panel is designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone and tramadol. 
• False negative results may occur if drugs are present below the tests limit of detection.

Methodology: Enzyme Immunoassay

Update to specimen information, methodology, stability, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. See Interface Map for a complete list of analytes included. 
• Quantitative confirmation is automatically reflexed and performed on positive screens.
• This panel is designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone and tramadol. 
• False negative results may occur if drugs are present below the tests limit of detection.

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Methodology: Enzyme Immunoassay; Gas Chromatography/Mass Spectrometry; Liquid Chromatography/Tandem Mass Spectrometry 

Performed Days: Monday – Friday

Update to specimen requirements, stability, rejection criteria, and reference range.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Rejection Criteria: Serum separator tube (SST), grossly hemolyzed or lipemic.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

Therapeutic range: 4 – 12 µg/mL
Toxic Level: >15 µg/mL

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum refrigerated in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information, specimen requirements, alternate specimen, stability, and reference range.

Specimen Information:

This test is not intended for:

        Quantitation of drugs
        Regular drug monitoring

This test is useful for: 

         Intended or unintended use of over-the-counter, prescribed drugs and illegal drugs in a large dose, such as an overdose situation.

Most drugs present are reported qualitatively in this panel except the following.

1. When benzodiazepines are detected by the immunoassays, the drugs will be confirmed by LCMSMS with quantitative values reported. 
2. When tricyclic antidepressants, amitriptyline, nortriptyline, imipramine, desimipramine, doxepine, and nordoxepine are detected by the photo array detector method, these compounds are retested by an HPLC method to report quantitative values. 
3. Pentobarbital and Phenobarbital are reported quantitatively by an HPLC method. 

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 5.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 3.0 mL

Alternate Specimen: No alternate specimen listing.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range: Negative

Update to specimen requirements, stability, reference range and performed days.

Minimum Volume: 1.0 mL 

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Reference Range:

Decision level: 5 mg/dL
Critical level: ≥20 mg/dL

Performed Days:  Monday – Friday

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL 

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to alternate specimen, stability, reference range, and turnaround time.

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

                        Active Tobacco User                Passive Exposure              Abstinence 2 weeks and more
Nicotine                    30 – 50 ng/mL                      <2 ng/mL                                        <2 ng/mL
Cotinine                 200 – 800 ng/mL                   <8 ng/mL                                          <2 ng/mL

Turnaround Time:  1 – 3 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells and send 2.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells and send 3.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 3.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 2.0 mL serum in a screw capped plastic vial.

Minimum Volume: 1.0 mL 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen requirements, alternate specimen, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Alternate Specimen: No alternate specimen listing. 

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days

Update to specimen information, methodology, and performed days.

Specimen Information:

This test is for Clinical use only.
Qualitative analysis of urine.
Test designed to detect acetaminophen.
Positive results are considered presumptive results and are not confirmed.
Not intended for quantitation of drugs or for routine drug monitoring.
False negative results may occur if drugs are present below the tests limit of detection.

Methodology: Gas Chromatography/Mass Spectrometry 

Performed Days: Monday – Friday

Update to specimen information, reference range, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect buprenorphine and norbuprenorphine. 
• Quantitatively identifies drugs. 
• Potential ordering options: 
• Buprenorphine confirmation panel that includes naloxone, UCSUB. 
• Expanded opioid confirmation panel, UCOPE. 

Reference Range:

Decision level
Buprenorphine: 5 ng/mL
Norbuprenorphine: 5 ng/mL

Performed Days: Monday – Friday 

Update to specimen information and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing. 
• This test is designed to detect fentanyl and norfentanyl. 
• Quantitatively identifies drugs. 
• Alternative ordering options: 
• Single screen with reflex to confirmation, UFEN5. 
• Expanded opioid confirmation panel, UCOPE. 

Performed Days: Monday – Friday

Update to clinical information and performed days.

Clinical Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect meperidine and normeperidine.
• Quantitatively identifies drugs.
• Alternate ordering options:
  • Single screen with reflex to confirmation, UMEP5.
  • Expanded opioid confirmation panel, UCOPE.

Performed Days: Monday – Friday

Update to specimen information, stability, methodology, and reference range.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This panel is designed to detect pain drugs including buprenorphine, fentanyl, meperidine, oxycodone, and tramadol in urine. See Reference Range for a complete list of analytes included.
• Quantitative results are reported.
• Alternative ordering options:
  • Qualitative pain management panel with screen only, PN03A
  • Quantitative pain management panel with reflex to confirmation, PN03C

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Methodology: Liquid Chromatography/Tandem Mass Spectrometry 

Reference Range:

Confirmation decision level:
Fentanyl: 1 ng/mL
Norfentanyl: 1 ng/mL
Buprenorphine: 5 ng/mL
Naloxone: 5 ng/mL
Norbuprenorphine: 5 ng/mL
O-desmethyltramadol: 5 ng/mL
Tramadol: 5 ng/mL
Codeine: 25 ng/mL
Morphine: 25 ng/mL
Hydrocodone: 25 ng/mL
Hydromorphone: 25 ng/mL
Oxycodone: 25 ng/mL
Oxymorphone: 25 ng/mL

Update to specimen information, specimen requirements, stability, reference range, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect naloxone, buprenorphine, and norbuprenorphine.
• Quantitatively identifies drugs.
• Alternate ordering option: Expanded opioid confirmation panel, UCOPE.

Specimen Preparation: Mix well and send 10.0 mL urine in a screw capped plastic urine container. 

Minimum Volume: 3.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Reference Range:

Decision level
Naloxone: 5 ng/mL
Buprenorphine: 5 ng/mL
Norbuprenorphine: 5 ng/mL

Performed Days:  Monday – Friday 

Update to specimen information, reference range, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect tramadol and O-desmethyltramadol.
• Quantitatively identifies drugs.
• Alternative ordering option: Single screen with reflex to confirmation, UTRM5.

Reference Range:

Decision level
Tramadol: 5 ng/mL
O-desmethyltramadol: 5 ng/mL

Performed Days:  Monday – Friday 

Update to CPT codes, specimen requirements, rejection criteria, stability, methodology, reference range, performed days, turnaround time, and performing laboratory.

CPT Code(s): 80324, 80337, 80342, 80369, 80375

Specimen Information: This test is for Clinical use only.
Test designed to detect caffeine, meprobamate, phenothiazines, phenylpropanolamine, tricyclic antidepressants and ephedrine/pseudoephedrine.
Positive results are considered presumptive results and are not confirmed.
Not intended for quantitation of drugs or for routine drug monitoring.

Collect: Random urine

Specimen Preparation: Send 20.0 mL of urine in a screw capped plastic urine container. 

Minimum Volume: 15.0 mL 

Transport Temperature: Refrigerated

Rejection Criteria: Urine catheter cup (with needle)

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Methodology: Enzyme Immunoassay, Gas Chromatography/Mass Spectrometry 

Reference Range: See report

Performed Days: Monday – Friday 

Turnaround Time: 1 – 3 days 

Performing Laboratory: Warde Medical Laboratory 

Update to specimen information, methodology, and performed days.

Specimen Information:

This test is for clinical use only.
Qualitative analysis of urine.
Useful test for suspicion of attempted suicide, if patient is unconscious or accidental poisoning through the ingestion of drugs.
This panel is designed to detect several different pharmaceutical and illicit drugs. A complete list of drugs detected is provided, UDS01.
Positive results are considered presumptive results and are not confirmed. Exceptions include amphetamine and PCP, which are confirmed to ensure accuracy of qualitative results.
Not intended for quantitation of drugs or for routine drug monitoring.

Methodology: Enzyme Immunoassay, Gas Chromatography/Mass Spectrometry 

Performed Days:  Monday – Friday

Update to specimen requirements, stability, reference range, and performed days.

Minimum Volume: 1.0 mL

Stability: Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days 

Reference Range:

Decision level: 5 mg/dL
Critical level: ≥20 mg/dL 

Performed Days:  Monday – Friday 

Update to specimen requirements and alternate specimen.

Minimum Volume: 5.0 mL 

Alternate Specimen:  No alternate specimen listed. 

Update to specimen information, methodology, and reference range.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect fentanyl and norfentanyl in urine.
• Qualitative screening results are reported.
• Positive screen results will automatically reflex to confirmation at an additional charge.
• Quantitative confirmation results are reported.
• Alternate ordering options:
  • Quantitative fentanyl confirmation test, UCFNT.
  • Quantitative expanded opioid confirmation panel, UCOPE.

Methodology: Enzyme Immunoassay

Reference Range:

Screen decision level: 2 ng/mL

Confirmation decision level:
Fentanyl: 1 ng/mL
Norfentanyl: 1 ng/mL

Update to specimen information, methodology, and reference range.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect MDMA (Ecstasy) and MDA (Ecstasy metabolite).
• Quantitatively identifies drugs.
• Alternative ordering options:
  • Single screen with reflex to qualitative confirmation, UMDM1.
  • Expanded amphetamine confirmation panel, UCAMP.

Methodology: Liquid Chromatography/Tandem Mass Spectrometry 

Reference Range:

Decision level
MDMA: 100 ng/mL
MDA: 100 ng/mL

Update to specimen information, methodology, reference range, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect MDMA (Ecstasy) and MDA (Ecstasy metabolite).
• Qualitative detection of drug present in urine.
• Positive screen results will automatically reflex to confirmation.
• Qualitative confirmatory results are reported.
• Alternative ordering options:
  • Quantitative confirmation of MDMA and metabolite, UMDM1.
  • Expanded amphetamine confirmation panel, UCAMP.

Methodology: Enzyme Immunoassay 

Reference Range:

Screen decision level: 500 ng/mL
Confirmation decision level:
MDMA: 100 ng/mL
MDA: 100 ng/mL

Performed Days:  Monday – Friday

Update to specimen information, methodology, and reference range.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect meperidine and normeperidine in urine.
• Qualitative screening results are reported.
• Positive screen results will automatically reflex to confirmation at an additional charge.
• Quantitative confirmation results are reported.
• Alternative ordering options:
  • Quantitative meperidine confirmation test, UCMPE.
  • Quantitative expanded opioid confirmation panel, UCOPE.

Methodology: Enzyme Immunoassay 

Reference Range:

Screen decision level: 200 ng/mL
Confirmation decision level:
Meperidine: 5 ng/mL
Normeperidine: 5 ng/mL

Update to specimen requirements, rejection criteria, stability, and reference range.

Minimum Volume: 1.0 mL

Rejection Criteria: Urine catheter cup (with needle); preservative

Stability: Room temperature: 3 days
Refrigerated: 7 days
Frozen: 14 days

Reference Range:

                                      Active Tobacco User                   Passive Exposure                  Abstinence 2 weeks and more
Nicotine                        1000 – 5000 ng/mL                   <20 ng/mL                                         <30 ng/mL
Cotinine                        1000 – 8000 ng/mL                   <20 ng/mL                                         <50 ng/mL
Anabasine                         3 – 500 ng/mL                            <3 ng/mL                                          <3 ng/mL

Update to specimen information, specimen requirements, methodology, reference range, and performed days.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect oxycodone and oxymorphone.
• Qualitative detection of drug present in the urine.
• Positive screen results will automatically reflex to confirmation.
• Qualitative confirmatory results are reported.
• Alternative ordering options:
  • Quantitative opiate confirmation panel, UCOPT.
  • Quantitative expanded opioid confirmation panel, UCOPE.

Minimum Volume:  3.0 mL

Methodology: Enzyme Immunoassay

Reference Range:

Screen decision level: 100 ng/mL

Confirmation decision level:
Oxycodone: 25 ng/mL
Oxymorphone: 25 ng/mL

Performed Days:  Monday – Friday

Update to specimen information, reference range, and performed days.

Specimen Information:

• This test is for clinical use only.
• Qualitative analysis of urine.
• Test designed to detect phenothiazines including: chlorpromazine, promethazine, prochlorperazine, and thioridazine.
• Positive results are considered presumptive results and are not confirmed.
• Not intended for quantitation of drugs or for routine drug monitoring.
• False negative results may occur if drugs are present below the tests limit of detection.

Reference Range: See report

Performed Days: Monday – Friday

Update to specimen information, methodology, reference range and performed days.

Specimen Information:

• This test is for clinical use only.
• Qualitative analysis of urine.
• Test designed to detect salicylate.
• Positive results are considered presumptive results and are not confirmed.
• Not intended for quantitation of drugs or for routine drug monitoring.
• False negative results may occur if drugs are present below the tests limit of detection.

Methodology: Colorimetric Spot Test

Reference Range: See report 

Performed Days: Monday – Friday

Update to specimen information, specimen requirements, methodology, and reference range.

Specimen Information:

• This test is for clinical use only and not intended for employment related testing.
• This test is designed to detect tramadol and O-desmethyltramadol in urine.
• Qualitative screening results are reported.
• Positive screen results will automatically reflex to confirmation at an additional charge.
• Quantitative confirmation results are reported.
• Alternative ordering options:
  • Quantitative tramadol confirmation test, UCTRM.
  • Quantitative expanded opioid confirmation panel, UCOPE.

Minimum Volume: 3.0 mL

Methodology: Enzyme Immunoassay 

Reference Range:

Screen decision level: 200 ng/mL

Confirmation decision level:
Tramadol: 5 ng/mL
O-desmethyltramadol: 5 ng/mL

Update to specimen requirements, alternate specimen, rejection criteria, and stability.

Specimen Preparation: Centrifuge, separate serum from cells within two hours and send 1.0 mL serum in a screw capped plastic vial.

Minimum Volume: 0.5 mL 

Alternate Specimen: No alternate specimen listed. 

Rejection Criteria: Serum separator tube (SST), grossly hemolyzed or lipemic.

Stability: Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 14 days