Specimen Collection Requirements - SVAN For more information visit www.maclonline.com or call: (317) 803-1010 or (877) 803-1010 (Option #4)

OR Light Royal Blue '(1) Red '(2) Gold SST '(3) Green '(5) Blue '(8) Light Blue (Sodium Citrate 3.2%) Red (No Additive) Gold (SST gel separator) Green (Lithium ) Royal Blue (No Additive) T/F Activated Protein C Resistance Acetominophen Acetone C-peptide Mono Screen Carboxyhemoglobin (CO) (On Ice) Copper T/F Adams 13 Alcohol (Do not open prior to testing) Aldolase DHEAS Osmolality Leukocyte Alkaline Phos Stain (LAP) T/F Alpha 2 Antiplasmin Aldosterone Alpha 1 Antitrypsin DIrect LDL Parvovirus, Human Methemoglobin (On Ice) Royal Blue (EDTA) T/F Antithrombin III Amikacin ANA EBV Screen Phospholipids Arsenic T/F Chromogenic Factor VIII Aminodarone Anticardiolipin (IgA) Folate Prealbumin * Do not open prior to testing Cadmium T/F Dilute PT Androstenedione Anticardiolipin Antibody (IgG + IgM) HCG, Serum Qualitative Prolactin Heavy Metals, Blood T/F D-Dimer Apolipoprotein B Anti-DNase-B Titer Hepatitis A, IgM Prostatic Acid Phosphatase Mercury T/F DRVVT (Dilute Russel Viper Venom) Barbiturate Anti-Double-Stranded DNA Hepatitis A, Total Protein Electrophoresis Lavender '(6) Zinc T/F Factor II C1Q Binding Assay Anti-Histone AB Hepatitis B Core IgM Antibody PSA Lavender (EDTA) T/F C5 (Complement) Antiphosphatidylserine Ab (IgA) Hepatitis B Surface Antibody PTH, Intact and Ca++ (plus EDTA) ACTH (place on ice) T/F Factor V Inhibitor Caffeine (Neonatal) Antiphosphatidylserine Ab (IgM + IgG) Hepatitis B Surface Antigen RA Factor/Screen CBC Tan T/F Factor VII Carbamazepine (Tegretol) Anti-Smooth Muscle Antibody Hepatitis BE Antibody RPR CBC with Differential '(10) T/F Factor VIII R Complement, C3 ASO Titer Hepatitis BE Antigen Rubella IgG Cell Count (Body Fluids) Tan (EDTA K2) T/F Factor VIII Inhibitor R Complement, C4 Beta 2 Glycoprotein 1 Ab (IgA) Hepatitis C Antibody Rubeola IgG CMV, PCR, Quant and Qual Lead T/F Factor IX * Complement, Total (CH50) Beta 2 Glycoprotein 1 Ab (IgG + IgM) Hepatitis Panel, Acute Scleroderma Antibody Crystal Analysis (Body Fluids) T/F Factor IX Inhibitor * Cryoglobulin Beta 2 Microglobulin Herpes 1 + 2 IgM Antibody Sjogren's Screen Cyclosporine T/F Digitoxin Betahydroxybutyrate (BHOB) Histoplasma AB Comp Fix Testosterone Factor V Leiden Mutation T/F Factor XI Digoxin CA 125 HIV Antibody (separate tube) Thyroglobulin Fetal Hemoglobin T/F Factor XII Dihydrotestosterone CA 27.29 Homocysteine G6PD Thyroglobulin Antibody an T/F Factor XIII Doxepin Cancer Antigen 15-3 Immunofixation, Serum Thyroid Receptor Antibody T/F Glucagon (2 tubes) Gray '(11) T/F Fibrin Monomer Complex Ethylene Glycol (place on ice) Carbohydrate Antigen 19-9 Immunoglobulin A Total Bile Acid Hemoglobinopathy Evaluation Gray (NA Fluoride/K Oxalate) T/F Fibrinogen Flecainide Cardio CRP Immunoglobulin G TSH Hemogram Glucose Tolerance Tests (all) T/F Heparin Dependent Free Fatty Acid Cardiolipin Antibody Immunoglobulin M Hgb A1C T/F Heparin Level Gentamicin CEA Immunoglobulin Panel Varicella Zoster Antibodies Hgb/Hct T/F Hexagonal Phospholipid Neutralization GHB Rohypnal Insulin Vitamin B12 Histamine ** (4 tubes) Halidol (Haloperidol) Cortisol *Ionized Calcium Vitamin D, 25 Hydroxy HIV 1 DNA, Qual, PCR T/F Mixing Study PT Hydroxyprogesterone Cortisol (Thyrotropin) Stimulation LH Vitamin E HIV Viral Load T/F Mixing Study PTT Imipramine (Tofranil) Lyme Disease Antibody T/F HSV 1 and 2 PCR, Qual Plasminogen Activator Inhibitor 1 Ag Lamotrigine (Lamictal) DO NOT FREEZE SST TUBE. PLEASE TRANSFER TO POUR OFF TUBE. * Do not open prior to testing Malaria Stain - make slides T/F Plasminogen Activity Librium (Chlordiazepoxide) T/F = Transfer serum to plastic vial - freeze within 2 hours of draw MTHFR Lidocaine Aggregation See Below Platelet Count Lithium Mint Platelet Function Test See Below Prothrombin 20210 Gene Mutation T/F Protein C Activity Lysozyme (Muramidase) Green Green OR '(4) R PTH, Intact T/F Protein C Ag (Total) Mellaril (Thioridazine) Mint Green (PST gel separator) OR Dark Green, Gold, Tiger Top are also acceptable Rapamycin (Sirolimus) T/F Protein S Activity Meprobamate Acetominophen Electolytes Phosphorus RBC Folate (2 tubes) T/ FProtein S Ag (Free) Methotrexate (protect from light) Albumin Estradiol Potassium RBC Cholinesterase (2 tubes) T/F Protein S Ag (Total) Norpace (Disopramide) *Alcohol Procalcitonin T/F Renin T/F PT Oxcarbazephine (Trileptal) FSH Progesterone Reticulocyte Count T/F PTT Pentobarbital ALT (SGPT) Gentamycin Renal Panel Reticulocyte Hgb Content T/F Reptilase Time Phenobarbital Ammonia (on ice) GGT Salicylate Sed Rate Ristocetin Dose Response (2 tubes) Phenytoin (Dilantin) Glucose Sodium Sickle Cell Screen T/F TCT ( Clotting Time) Primidone (Mysoline) AST (SGOT) Glucose Tolerance Tests (all) T3 Uptake Tacrolimus (Prograf) T/F Von Willebrand Antigen Propafenone Basic Metabolic Profile (BMET) HCG, Quantitative T3, Free Total Eosinophil Count T/F VonWillebrand Factor (VWF) Activity Protriptyline (Vivacity) , Direct HDL T3, Total T/F Vasoactive Peptide T/F VWF Multimers Prozac (Fluoxetine) Bilirubin, Total Hepatic Panel T4 (Thyroxine) T/F Vitamin B1 (protect from light) Ritalin (Methylphenidate) BUN Iron T4, Free T/F Vitamin B6 (protect from light) Salicylate Calcium Iron Study Panel TIBC T/F (protect from light) T/F = Transfer plasma to plastic vial - Theophylline Chloride (on ice) Total Bilirubin Antibody Screen freeze within 2 hours of draw Thorazine (Chlorpromazine) CKMB LDH Total Protein ABO Rh **2 full light blue tops and 2 full SST Tobramycin CO2 Direct Antiglobulin Test (DAT) Trazodone Comp Metabolic Profile (CMET) Lipid Panel Troponin-I Indirect Antiglobulin Test (IAT) Must call for STAT pickup and Valium CPK Magnesium TSH Type and Screen indicate draw time on tubes Valproic Acid C-Reactive Protein (CRP) NTpro-BNP Uric Acid Type and Crossmatch Vancomycin Phenytoin (Dilantin) Valproic Acid Rhogam Must use discard tube when using Zonegran (Zonisamide) T/F Hepatitis B Virus DNA Qual PCR butterfly for light blue tubes. * Do not open prior to testing T/F Hepatitis C RNA PCR, Quant * Deliver to lab immediately. T/F HIV Genotyping T/F HIV1 RNA PCR, Quant Numbers in "( )" beside tube R = Refrigerated Transport in Mylar Bag type picture indicate order of draw T/F = Transfer plasma to plastic vial - freeze within 2 hours of draw

10.2020 SVAN