Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK

NHS Greater and Clyde

Issue No: 004 Issue date: 04 January 2021

Department of Biochemistry Contact: John Hepburn McEwan Building Tel: +44 (0) 141 211 5534 Glasgow Royal Infirmary E-Mail: [email protected] 9572 Castle Street Website: http://www.nhsggc.org.uk/

Accredited to Glasgow ISO 15189:2012 G4 0SF

Testing performed by the Organisation at the locations specified below

Locations covered by the organisation and their relevant activities

Laboratory locations:

Location details Activity Location code

Address Local contact Core Chemistry A Department of Biochemistry As above Immunoassay McEwan Building Endocrinology Glasgow royal Infirmary Electrophoresis Castle Street Gastroenterology Glasgow Vitamins G4 0SF Trace Elements

Biochemistry As above Core Chemistry B Gartnavel general Immunoassay 1053 Great Western Road Glasgow G12 0YN

Biochemistry As above Core Chemistry C Stobhill ACH 133 Balornock Road Glasgow G21 3UW

Assessment Manager: CM Page 1 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Site activities performed away from the locations listed above:

Location details Activity Location code

Diabetic Clinic As above HbA1C D Gartnavel general Hospital 1053 Great Western Road Glasgow G12 0YN

Clinic D As above HbA1C E Stobhill ACH 133 Balornock Road Glasgow G21 3UW

Assessment Manager: CM Page 2 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

DETAIL OF ACCREDITATION

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS activities for the purposes of and manufacturer’s instructions clinical diagnosis

Core Chemistry Abbott Architect Chemistry SOP CP 129 c16000 A c8000 B c8000 C

Serum Alanine transaminase (ALT) Photometric end/detection point A, B, C Alkaline phosphatase (ALP) Amylase Aspartate transaminase (AST) Bicarbonate Bilirubin (Total) Calcium C-reactive Protein Creatine Kinase A, B Electrolytes A, B, C • Sodium • Potassium • Chloride Gamma-Glutamyl Transferase Magnesium Cholesterol A, B Immunoglobulins (IgA, IgG,IgM) Bilirubin Conjugated A Digoxin Haptoglobin Lactate Paracetamol Phenobarbitone Phenytoin Phosphate A,B,C Salicylate Theophylline Urate A Angiotensin-converting B enzyme Transferrin A, B Triglycerides Iron

Assessment Manager: CM Page 3 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Core Chemistry (cont’d) Abbott Architect Chemistry SOP CP 129

Plasma Lipoprotein (a) Photometric end/detection point A

Serum/plasma Ethanol A HDL A, B HIL Index A, B, C Lipase B

Serum/plasma/CSF Glucose A, B, C

Serum/urine Enzymatic creatinine A, B, C

Serum Urea A, B, C

Serum Lactate DeHydrogenase A, B Urea A, B, C

Serum Protein A, B, C

CSF Protein A, B

Urine Oxalate A

Serum Albumin A, B, C

Serum Alpha 1-antitrypsin A Caeruloplasmin

Plasma Apolipoprotein A1 Apolipoprotein B

Serum Carbamazepine A

Serum Lithium A

Serum Gentamicin A Tobramycin A

Assessment Manager: CM Page 4 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d )

Core Chemistry (cont’d) Abbott Architect Chemistry SOP CP 129 Serum Valproate A Vancomycin A, C

Abbott Alinity ci A SOP INST 0570 Serum/Plasma • Albumin Spectrophotometry-Absorbance • ALP • ALT • Amylase • AST • Total Bilirubin • Calcium

• Creatinine Enzymatic

• Ethanol

• Glucose • Gamma-Glutamyl Transferase • Lactate • Paracetamol • Phosphate • Salicylate • Urate • Urea

• Chloride Ion selective electrode (ISE) • Potassium • Sodium

• CRP Turbidimetric

• Cholesterol Spectrophotometry-Enzymatic • Creatinine Kinase • Direct Bilirubin • LDH • Magnesium • Triglyceride

Assessment Manager: CM Page 5 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d ) Abbott Alinity ci A SOP INST 0570

Serum/Plasma • BHCG Chemiluminescent microparticulate • HSTNI immunoassay (CMIA) • Gentamycin • Vancomicin

Abbott Architect Immunoanalyser A, B ISR 2000 SOP CP 129 Serum Alpha Fetoprotein A, B

Cancer Antigen 125 (Abbott) CarcinoEmbryonic Antigen Human Chorionic Gonadotropin Prostate Specific Antigen Thyroid Stimulating Hormone (TSH) FreeT4

Cortisol A Dehydroepiandrosterone sulfate (DHAS) Ferritin Folates FSH Methotrexate Progesterone Prolactin Sex Hormone Binding Globulin Testosterone Triiodothyronine (total) (T3) TPO AB

Vitamin B12 Vitamin D

Plasma Brain natriuretic Peptide A Insulin Parathyroid Hormone Troponin I hs

Assessment Manager: CM Page 6 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Core Chemistry (cont’d) ISR 2000 Abbott Architect Immunoanalyser SOP CP 129 Serum/plasma Luteinising Hormone A Oestradiol

Serum Macroprolactin PEG precipitation A SOP ENDO045 Special Chemistry

Blood HbA1C Menarini HA 8180 D, E Reverse Phase Cation exchange SOP CP 201

Serum/urine Osmolality Vitech advanced micro-osmometer A, B, C Freezing point Depression SOP CP 091

Beckman Access- CMIA A

Serum Anti-Mullerian hormone SOP ENDO 101

Plasma Erythropoietin SOP ENDO 120

Grifols’s Triturus Analyser -ELISA A

Faeces Calprotectin SOP GP 015

Serum Thyroid receptor AB (Trab) SOP ENDO 016

Assessment Manager: CM Page 7 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Special Chemistry (cont’d) Berthold Gamma Counter-RIA A Plasma/serum 1,25-dihydroxyvitamin D SOP ENDO 017 (calcitriol)

Plasma Calcitonin SOP ENDO 012

Siemens Immulite 2000XPi-CMIA A Plasma Adrenocorticotropic hormone SOP ENDO 046 C-peptide SOP ENDO 023 Gastrin SOP ENDO 086

Serum Growth hormone SOP ENDO 021

Thyroglobulin SOP ENDO 031

Thyroglobulin Antibody SOP ENDO 030

Serum Insulin like growth factor 1 IDS iSYS Automated Analyser A CMIA SOP ENDO 093

XEVO TQ-S liquid chromatography A tandem mass spectrometer

Blood spot 17-Hydroxyprogesterone SOP ENDO 098

serum Androgen Profile SOP ENDO 089 • Testosterone • Androstenedione • 17α-hydroxyprogesterone

Urine Cortisol SOP ENDO 094

Serum Vitamin D (D2 D3 Total) SOP ENDO 070

Plasma/serum/urine Calculated tests • AKI By Calculation A, B, C • eGFR By MDRD Calculation A, B, C • LDL Cholesterol By Friedwald Calculation A • Adjusted calcium By Calculation A, B, C

Assessment Manager: CM Page 8 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Special Chemistry (cont’d) Thermo TSQ 8000 Analyser GC A Mass Spectrometry

Urine Steroid profile: SOP STER 001 • Androsterone • Aetiocholanolone • dehydroepiandrosterone (DHA),11- oxaetiocholanolone, • 17-hydroxypregnanolone, • 11β-hydroxyandrosterone, • 11β- hydroxyaetiocholanolone, • 16α-hydroxy-DHA, Pregnanediol, • Pregnanetriol, Androstenetriol, Tetrahydrodeoxycortisol, • tetrahydro- 11deoxycorticosterone, • 11-oxopregnanetriol, Pregnenetriol, tetrahydrocortisone, tetrahydro-11- • dehydrocorticosterone, tetrahydrocorticosterone(T HB) • allo-THB, • tetrahydrocortisol (THF), • allo-THF, • α-cortolone, • β-cortol, • β-cortolone

Assessment Manager: CM Page 9 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Proteins Sebia Hydrasys 2-electrophoresis A

Serum ALP Isoenzymes SOP ENDO 018

Cryoglobulin SOP MS 005

Plasma Cryofibrinogen SOP MS 005

Serum/urine Monoclonal bands Immunofixation SOP MS 004

Urine Protein bands Sebia Hydrasys 2 EP Electrophoresis SOP MS 029

Serum Protein Bands SEBIA Capillarys 2-Electrphoresis SOP MS 027

Vitamins Waters HPLC System HPLC; A photometric detection

Plasma/serum A SOP VIT 001 E K1/ PhylQ SOP VIT 020

Plasma Beta-Carotene SOP VIT 001

Whole blood B1 Thiamine SOP VIT 002

Packed red cells B2 SOP VIT 004 B6

Assessment Manager: CM Page 10 of 11

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK

NHS Greater Glasgow and Clyde

9572 Issue No: 004 Issue date: 04 January 2021 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement

HUMAN TISSUES AND Biochemistry Examination In-house documented procedures FLUIDS (cont’d) activities for the purposes of and manufacturer’s instructions clinical diagnosis (cont’d)

Trace Elements Agilent 7700 ICP-MS A

Urine Cadmium SOP TE 154 Arsenic Chromium Cobalt Copper SOP TE164 Iron Magnesium Nickel SOP TE 154 Zinc SOP TE 164

Blood Chromium SOP TE 153 Cobalt Lead SOP TE 163 Manganese Mercury

Agilent 7900 ICP-MS A

Hair Arsenic SOP TE 165 Mercury Urine Mercury

Liver Iron Copper

Red cells Selenium SOP TE 174

Plasma Aluminium SOP TE 035 Copper SOP TE 145 Selenium SOP TE 145 Zinc SOP TE 145

END

Assessment Manager: CM Page 11 of 11