Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No 1
2
TEST CODE 8825
6020F
TEST NAME 1,25 DIHYDROXY VITAMIN D
14 Q32 / IGH GENE REARRANGEMENT
Price (Rs.) 2950
4750
METHOD
SPECIMEN
RADIO IMMUNOASSAY SERUM FASTING
FISH
DRY BLOOD SPOT (With complete CLINICAL HISTORY form including birth date & birth time.) ( 2-8 DAYS ACCEPTED 2.0 NOs (1.0 NOs) UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
3311
17-ALPHA HYDROXYPROGESTERONE (NEONATAL SCREENING)
325
ENZYME IMMUNOASSAY
4
3190
17-ALPHAHYDROXYPROGESTERONE
1400
RADIO IMMUNOASSAY SERUM (Age & Sex required)
3313
17-KETOSTEROIDS,URINE
6
6027F
1p/19q Deletions, FISH
7
8823
25-HYDROXY VITAMIN D
3.0 ML (2.0 ML)
WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
3
5
SPECIMEN VOL.
5.0 ML + 2.0 ML
0.5 ML (0.2 ML)
URINE -24 HOURS (Collected in 10 ML CHROMATOGRAPHY / conc HCL; Mention 24 hrs. total volume 15.0 ML (10.0 ML) 4000 SPECTROPHOTOMETR on TRF) (Age & Sex of the patient is Y mandatory for reporting) BIOPSIES SOULD BE FIXED FOR 24-48 HOURS IN 10% BUFFERED FORMALIN & EMBEDDED IN PARAFFIN. TISSUE SHOULD BE 4 MICRONS THICK & PLACED ON POSITIVELY CHARGED SLIDES. 3 12000 FISH NA SLIDES / SAMPLES CONTAINING MALIGNANT TISSUE. * TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* clinical details in specified format
990
ELECTROCHEMILUMIN SERUM Fasting ESCENCE
Page 1 of 207
1.0 ML (0.1 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (24 1,3,5: 1300 hrs), F (> HRS 24 hrs)
A
DAILY: 1200 HRS
NEXT DAY
6TH DAY
2-8°C (14 1,4:1100 HRS NEXT DAY days) 2-8°C (4 days), F 2,4: 1300 HRS SAME DAY (>4days) 2-8°C (15 6: 1100 HRS days)
A
DAILY: 1000 HRS
SAME DAY
5TH DAY
2-8°C (48 HRS), F (> DAILY (MON 48 HRS - 1 TO SAT): 1130 SAME DAY MONTH AT HRS -20 DEGREE C)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
5-HYDROXY INDOLE ACETIC ACID
2750
ENZYME IMMUNOASSAY
24HRS URINE TO BE STRICTLY COLLECTED IN 15ML OF 6N HCL. * WHILE COLLECTING 24HRS URINE SPECIMEN, THE CONTAINER SHOULD BE KEPT IN DARK THROUGHOUT THE COLLECTION. TO AVOID EXPOSURE TO LIGHT, THE 20ML ALIQUOT FROM THE COLLECTED 20.0 ML (10.0 ML) 24HRS URINE SAMPLE HAS TO BE WRAPPED IN ALUMINUM FOIL.DO NOT CONSUME BANANAS, PINEAPPLE, NUTS 48HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM..
5110N
ABSOLUTE NEUTROPHIL COUNT
300
CELL COUNTER / MICROSCOPY
WB-EDTA + DIRECT BLOOD SMEAR
10
3114C
ACE CSF
1800
SPECTROPHOTOMETR CSF + CLINICAL HISTORY Y
1.0 (0.5) ML
11
0011LS
ACETONE, SERUM
590
BIOCHEMISTRY
SERUM
1.0 ML (0.5ML)
R
12
1336
ACETONE, URINE
200
CHEMICAL ANALYSIS
URINE
10.0 ML (5.0 ML)
R
13
1411
ACETYLCHOLINE RECEPTOR AUTOANTIBODIES
3800
RADIO IMMUNOASSAY SERUM / EDTA- PLASMA
1.0 ML (0.5 ML) + 1.0 ML (0.5 ML)
2-8°C (7 days)
8
9952
9
14
15
ACID FAST BACILLI CULTURE ( 1464BA HEP WHOLE BLOOD & / BONE MARROW)
1464
ACID FAST BACILLI CULTURE: MGIT
WB-HEPARIN/ BONE MARROW INOCULATED IN MYCO F LYTIC BACTEC BOTTLE
990
BACTEC METHOD
990
FLUORESCENT STAIN / ZIEHL NEELSEN STAIN ANY SPECIMEN of Pulmonary Origin IN & MGIT 960+LJ STERILE CONTAINER/ CULTURE
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3.0 ML (2.0) ML + 2 SMEARS
FREQUENCY REPORTED
2nd & 4th FROZEN TUESDAY : STRICTLY 1000HRS
A
R/F
DAILY: 12:00,15:30,1 7:30 HRS 1st & 3 rd MON : 1200 HRS DAILY: 09:00 HRS 1,3,5 : 1300 HRS 1,3,5: 1100 HRS
10.0 ML (5.0 ML) IN MYCO F/ LYTIC BACTEC BOTTLE
A
DAILY:1000 HRS
3.0 ML (2.0) ML
R
DAILY: 1000 HRS
NEXT DAY
SAME DAY
SAME DAY 3RD DAY SAME DAY SAME DAY WK 6 (Or when culture positive) SMEAR 48 HOURS & WK 6 (Or when culture positive)
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TEST CODE
1464EP
TEST NAME
ACID FAST BACILLI CULTURE: MGIT
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
990
ANY SPECIMEN of Non-Pulmonary Origin FLUORESCENT STAIN / (except Blood & Bone marrow) IN 3.0 ML (2.0) ML / 1 ZIEHL NEELSEN STAIN STERILE CONTAINER/ TISSUE IN STERILE TISSUE & MGIT 960+LJ NORMAL SALINE / SWABS NOT CULTURE ACCEPTED
700
FLUORESCENT STAIN / ZIEHL NEELSEN STAIN & MGIT 960+LJ CULTURE
TEMP.
R
ANY SPECIMEN IN STERILE CONTAINER/ WHOLE BLOOD HEPARIN / TISSUE IN STERILE NORMAL SALINE /SWABS ARE NOT ACCEPTED
3.0 ML (2.0) ML / 1 TISSUE
R
SPUTUM / URINE
3.0ML (0.5 ML)/10.0 ML (5.0 ML),
R
1465
ACID FAST BACILLI MGIT CULTURE (WITHOUT IDENTIFICATION TEST)
18
5320S
ACID FAST BACILLI SMEAR (3 SAMPLES)
550
MICROSCOPY / ZIEHL NEELSEN STAIN
19
5320U
ACID FAST BACILLI SMEAR (5 SAMPLES)
750
MICROSCOPY / ZIEHL NEELSEN STAIN
SPUTUM / URINE
3.0ML (0.5 ML)/10.0 ML (5.0 ML),
R
2419
ACID FAST BACILLI STAIN AND CULTURE
CULTURE- LJ
ANY SPECIMEN IN STERILE CONTAINER/ WHOLE BLOOD HEPARIN / TISSUE IN STERILE NORMAL SALINE, SWABS NOT ACCEPTED
3.0 ML (0.5 ML)
R
17
20
725
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FREQUENCY REPORTED SMEAR 48 HOURS DAILY: 1000 & WK 6 (Or HRS when culture positive) SMEAR 48 HOURS DAILY ( MON & WK 6 (Or TO SAT): 1000 when HRS culture positive) 4TH DAY ONE DAY DAILY: 1500 AFTER RECEIPT OF HRS THIRD SPECIMEN 6TH DAY ONE DAY DAILY: 1500 AFTER HRS RECEIPT OF FIFTH SPECIMEN SMEAR- 48 HOURS & DAILY: 1000 WK 8 (Or HRS when culture positive)
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21
22
23
TEST CODE
1464S
1464U
9994
TEST NAME
ACID FAST BACILLI, STAIN & MGIT CULTURE (3 SAMPLES)
ACID FAST BACILLI, STAIN & MGIT CULTURE (5 SAMPLES)
ACID LIPASE DISORDER : WOLMAN DISEASE
Price (Rs.)
1250
1450
9500
METHOD
SPECIMEN
FLUORESCENT STAIN / ZIEHL NEELSEN STAIN SPUTUM/ URINE- STERILE CONTAINER & MGIT 960+LJ CULTURE
FLUORESCENT STAIN / ZIEHL NEELSEN STAIN SPUTUM/ URINE- STERILE CONTAINER & MGIT 960+LJ CULTURE
ARTIFICIAL FLUOROGENIC SUBSTRATES
SPECIMEN VOL.
3.0ML (0.5 ML) / 10.0 ML (5.0 ML)
3.0ML (0.5 ML) / 10.0 ML (5.0 ML)
HEPARIN WHOLE BLOOD SAMPLE STABILITY 24 -48HRS. SHOULD REACH SRL, MUMBAI PREFERABLY WITHIN 10.0 ML ( 8.0 ML) 24HRS OF COLLECTION BETWEEN MONDAY TO FRIDAY + CLINICAL HISTORY
24
5901
ACTIVATED PROTEIN C RESISTANCE
3950
CLOT BASED
FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C *(DOUBLE CENTRIFUGED PLASMA)* with CLINICAL HISTORY
25
9940
ACTN3 GENOTYPING
2750
PCR-SEQUENCING
EDTA WHOLE BLOOD/ BUCCAL SWAB
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TEMP.
FREQUENCY REPORTED
DAILY:1500 HRS
SMEAR SAME DAY (Or after last specimen is received & wk6 or when culture is positive)
R
DAILY:1500 HRS
SMEAR SAME DAY (Or after last specimen is received & wk6 or when culture is positive)
Cold
DAILY: 0900 HRS
11TH DAY
R
F (To be F immediatel y at -20°c TWO ALIQOUTS OF WEND / SAT & 1.5 ML EACH 11:00HRS transporte d in dry ice) 5 ML (3ML)/ 2 A 5: 0930 HRS SWABS
SAME DAY
7 DAYS
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27
28
29
30
31
TEST CODE
TEST NAME
7756
ACUTE HEPATITIS VIRUS EVALUATION I (HCV ABS, HEV IgM, HBsAg, HAV IgM, HBcore IgM)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED DAILY: 0730 HRS & 1530 HRS, EXCEPT SAME DAY FOR HEV IgM. DAILY 1130 HRS DAILY: 0730 HRS & 1530 HRS, EXCEPT FOR HEV IgM. SAME DAY DAILY 1130 HRS; HEV IgG: 3:11:30HRS HSV IgM, CMV IgM--DAILY:03:00H RS; EBV (EA) SAME DAY IgG--2,5:1100 HRS; VZV IgM--3:1100HRS
2900
Chemiluminescent Microparticle Immunoassay (CMIA) / SERUM ENZYME IMMUNOASSAY
3.0 ML (2.0 ML)
2-8°C (7 days) ,>7 days -20°C
7755
ACUTE HEPATITIS VIRUS EVALUATION II (HCV ABS, HEV IgM / IgG, HBsAg, HAV IgM, HBeAg, HBeAb)
4500
Chemiluminescent Microparticle Immunoassay (CMIA) / SERUM ENZYME IMMUNOASSAY
3.0 ML (2.0 ML)
2-8°C (7 days) ,>7 days -20°C
7757
ACUTE HEPATITIS VIRUS EVALUATION III (HSV IgM, CMV IgM, EBV (EA) IgG, VZV IgM)
4750
ENZYME IMMUNOASSAY
SERUM
3.0 ML (2.0 ML)
2-8°C (7 days) ,>7 days -20°C
1608
ACUTE LEUKEMIA PANEL (CD10,CD19,CD20,CD22,CD3,C D5,CD7,CD13,CD33,CD34,CD1 17,HLA DR, CYTOPLASMIC MARKERS WILL BE DONE IF REQUIRED FOR DIAGNOSIS MPO, CD3, CD 79A )
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY (MANDATORY)
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY(MANDATORY)
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY (MANDATORY)
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
1606
1047
ACUTE LYMPHOBLASTIC LEUKEMIA PANEL (CD3,CD4,CD5,CD7,CD8,CD10, CD19,CD20,CD22,CD34,IgM, HLA-DR ,) ACUTE MYELOID LEUKEMIA (AML) PANEL (CD7, CD19, CD13, CD14, CD15, CD33, CD34, CD117, CD41, CD61, GLYCOPHORIN A, HLA-DR)
7500
8900
8900
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33
34
TEST CODE
TEST NAME
5840
ACUTE PROMYELOCYTIC LEUKEMIA (APL)
Z217
ADENOCARCINOMA V/S MALIGNANT MESOTHELIOMA (CEA, EMA, VIMENTIN, LWCK)[PHOTO]
3131
ADENOSINE DEAMINASE (ADA)
Price (Rs.)
METHOD
SPECIMEN BONE MARROW-HEPARIN / HEPARIN WB SPECIMEN TO REACH US within 48 hrs + SMEAR + CLINICAL HISTORYBLOOD PICTURE(CBC REPORT) AND MEDICATION OF THE PATIENT ON THE TRF IN SPECIMEN COLUMN
SPECIMEN VOL. 3.0 ML (2.0 ML) + 1-2 REPRESENTATIVE SLIDES
TEMP.
FREQUENCY REPORTED
A
1,2,3,4,5:1200 1O -12 HRS days
5650
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK STRY mandatory)MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED
A
DAILY:1100 HRS
3RD DAY
690
SERUM, PLEURAL FLUID, ASCITIC FLUID, CSF, PERICARDIAL FLUID, PERITONEAL SPECTROPHOTOMETR FLUID & OTHER BODY FLUIDS (EXCEPT Y URINE, STOOL,SEMENS & MENSUS BLOOD)
1.0 (0.5) ML, 2.0 (1.0) ML, 2.0 (1.0), 2.0 (1.0) ML, 2.0 (1.0) ML
F
DAILY: 1200 HRS
SAME DAY
3750
CELL CULTURE
2-8°C (5 days); -70°C to 20°C (>5 days) 2-8°C (5 days); -70°C to 20°C (>5 days)
35
9921I
ADENOVIRUS IgG
1300
ENZYME IMMUNOASSAY
SERUM
0.50 ML (0.25 ML)
36
9924I
ADENOVIRUS IgM
1300
ENZYME IMMUNOASSAY
SERUM
0.50 ML (0.25 ML)
37
7589
ADENOVIRUS PCR
3250
POLYMERASE CHAIN REACTION
SWABS: (ORAL, EYE, NASAL) / RESPIRATORY FLUIDS
1.0 (0.5) ML
A
2:1000 HOURS
5 : 1800 HRS
38
9938RD
ADRB2 GENOTYPING FOR B-2AGONIST RESPONSIVENESS
2500
PCR-SEQUENCING
EDTA WHOLE BLOOD + CLINICAL HISTORY
5 ML (3 ML)
A
1: 0930 HRS
6:1830 HRS
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1ST FRI: 1030 NEXT DAY HRS
1ST FRI: 1030 NEXT DAY HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
39
9951U
ADRENALIN URINE
2975
ENZYME IMMUNOASSAY
40
9951P
ADRENALIN, PLASMA
2975
ENZYME IMMUNOASSAY
SPECIMEN
SPECIMEN VOL.
24HRS URINE with (Preservative:10 15ML 6N HCL) & mention the TOTAL VOLUME . MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT .DO NOT CONSUME VITAMIN B ,COFFEE, BANANAS, ALPHA 10.0 ML METHYDOPA,MOA AND COMT I NHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM.. THE BLOOD SAMPLE SHOULD BE STORED AT 2-8 DEGREE CELCIUS UNTIL CENTRIFUGED TO SEPARATE THE PLASMA WITHIN 2HOURS AFTER BLOOD COLLECTION.HRS & mention the TOTAL VOLUME. MIX THESAMPLEAND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT.DO NOT CONSUME 2.0 ML (1.0 ML) VITAMIN B ,COFFEE, BANANAS, ALPHA METHYDOPA,MOA AND COMT INHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM..
Page 7 of 207
TEMP.
FREQUENCY REPORTED
2nd & 4th F FROZEN WEDNESDAY NEXT DAY STRICTLY : 1000HRS
2nd & 4th F FROZEN WEDNESDAY NEXT DAY STRICTLY : 1000HRS
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TEST CODE
TEST NAME
Price (Rs.)
41
7009
ADRENOCORTEX STRESS PROFILE
8900
42
3102
ADRENOCORTICOTROPIC HORMONE (ACTH) COMPLETE
1650
Z161K
ADRENOCORTICOTROPIC HORMONE (ACTH) [PHOTO]
3103
ADRENOCORTICOTROPIC HORMONE (ACTH) STIMULATION TEST - 1 HOUR
43
44
45
46
47
48
METHOD
SPECIMEN
SPECIMEN VOL.
4 SALIVA SAMPLES OVER 24 HRS PERIOD, BEFORE TAKING THIS TEST:• Avoid caffeine, alcohol, and nicotine (on day of test).• Do not eat, brush or floss teeth, 5 ml (Each time) use mouthwash, or chew gum (1 hour before).• -Wash hands before collection.• See instructions inside test kit for details PLASMA-EDTA ( Freeze the specimen immediately after separation. Specimen CHEMILUMINESCENCE 2.0 ML (0.5 ML) collected between 6-10 am is desirable) + CLINICAL HISTORY
TEMP.
FREQUENCY REPORTED
F
MON 09:00 HRS
F
2,4: 0430,1430,16 SAME DAY 00 HRS
A
DAILY:1100 HRS
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
8-10 ML (3.0 ML)
A
DAILY: 1700 HRS
PRELIM. 24 HRS, FINAL 7TH DAY
SCRAPINGS / 3.0 ML (0.5 ML)
R
DAILY: 1700 HRS
3RD DAY
PRELIM. 24 HRS, FINAL 7TH DAY
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK mandatory)MANDATORY IF TISSUE RECD. STRY TISSUE PROCESSING WILL BE CHARGED
1950
250ug Synacthen IM/IV 3 Serum Samples Collected 1/2 HR.Apart Basal (before CHEMILUMINESCENCE drug) , 30min, 60min (Freeze the 1.0 ML (0.5 ML) specimen immediately after separation) + CLINICAL HISTORY
1212
AEROBIC BLOOD CULTURE BACTEC
950
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC METHOD PLUS )
1221CS
AEROBIC CULTUREISOLATION & IDENTIFICATION (Culture + Sensitivity)
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
1195AP
AEROBIC CULTURE, BODY FLUID BACTEC
950
BODY FLUID- STERILE CONTAINER / BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC METHOD PLUS )
5.0 ML (2.0 ML)
A
DAILY: 1700 HRS
790
IDENTIFICATION & MIC BREAKPOINT BY MICROSCAN
PURE & MODERATE OBSERVABLE GROWTH
R
DAILY: 15:00 HRS
1282MGN
AEROBIC SUSCEPTIBILITY GRAM NEGATIVE
SCRAPINGS / PUS/ TISSUE IN SALINESTERILE CONTAINER(Swabs not accepted)
PURE FRESHLY SUB-CULTURED ISOLATE
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20-25 DAYS
3RD DAY
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49
TEST CODE
TEST NAME
AEROBIC SUSCEPTIBILITY 1281MGP GRAM POSITIVE
Price (Rs.) 790
METHOD IDENTIFICATION & MIC BREAKPOINT BY MICROSCAN
50
2419LS
AFB LJ SUSCEPTIBILITY - 10 DRUGS
51
2419LP
AFB LJ SUSCEPTIBILITY - 5 DRUGS
52
AFB LJ SUSCEPTIBILITY : CA5653 Capreomycin
690
L-J MEDIUM
53
CI5653
AFB LJ SUSCEPTIBILITY : Ciprofloxacin
690
L-J MEDIUM
54
CY5653
AFB LJ SUSCEPTIBILITY : Cylcoserine
690
L-J MEDIUM
55
ET5653
AFB LJ SUSCEPTIBILITY : Ethambutol
690
L-J MEDIUM
56
EH5653
AFB LJ SUSCEPTIBILITY : Ethionamide
690
L-J MEDIUM
57
IS5653
AFB LJ SUSCEPTIBILITY : Isoniazid
690
L-J MEDIUM
58
KA5653
AFB LJ SUSCEPTIBILITY : Kanamycin
690
L-J MEDIUM
3850
L-J MEDIUM
2200
L-J MEDIUM
SPECIMEN
PURE FRESHLY SUB-CULTURED ISOLATE PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY Page 9 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
PURE & MODERATE OBSERVABLE GROWTH
R
DAILY: 15:00 HRS
3RD DAY
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
PURE & MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
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59
TEST CODE
TEST NAME
AFB LJ SUSCEPTIBILITY : OF5653 Ofloxacin
Price (Rs.) 690
METHOD
L-J MEDIUM
60
PA5653 AFB LJ SUSCEPTIBILITY : PAS
61
RI5653
AFB LJ SUSCEPTIBILITY : Rifampicin
62
RF5653
AFB LJ SUSCEPTIBILITY: Rifabutin
690
L-J MEDIUM
63
ST5653
AFB LJ SUSCEPTIBILITY: Streptomycin
690
L-J MEDIUM
64
65
CA5654
CI5654
AFB SUSCEPTIBILITY : Capreomycin
AFB SUSCEPTIBILITY : Ciprofloxacin
690
L-J MEDIUM
690
L-J MEDIUM
2200
2200
SPECIMEN PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
Page 10 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
PURE & MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
MODERATE OBSERVABLE GROWTH
R
DAILY: 1000 HRS
6 WEEKS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
AFB SUSCEPTIBILITY : Ethambutol
66
ET5654
67
AFB SUSCEPTIBILITY : EH5654 Ethionamide
68
AFB SUSCEPTIBILITY : Isoniazid
69
IS5654
KA5654
AFB SUSCEPTIBILITY : Kanamycin
Price (Rs.)
METHOD
SPECIMEN
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
Page 11 of 207
SPECIMEN VOL. PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory)
TEMP.
FREQUENCY REPORTED
R
DAILY:1000 HRS
15 DAYS
R
DAILY 1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
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TEST CODE
TEST NAME
70
LV5654
AFB SUSCEPTIBILITY : Levofloxacin
71
LZ5654
AFB SUSCEPTIBILITY : LINEZOLID
72
AFB SUSCEPTIBILITY : OF5654 Ofloxacin
73
PA5654 AFB SUSCEPTIBILITY : PAS
Price (Rs.)
METHOD
SPECIMEN
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
CULTURE
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
Page 12 of 207
SPECIMEN VOL. PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory)
TEMP.
FREQUENCY REPORTED
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY 1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
74
ST5654
AFB SUSCEPTIBILITY : Streptomycin
75
RF 5654
AFB SUSCEPTIBILITY : RIFABUTIN
76
AFB DRUG SENSITIVITY: MIC TEST FOR RAPID GROWING 1464RGM NON-TUBERCULOUS MYCOBACTERIA (NTM)
Price (Rs.)
2200
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
CULTURE
BROTH MICRO DILUTION
PURE FRESHLY SUB-CULTURED RAPID GROWING NTM ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
7500
AFB RAPID GENOTYPIC TEST (MDR-TB) (Note: This test is not applicable for MOTT)
3500
78
9957
AFB SECOND LINE DRUGGENOTYPIC ASSAY (Note: This test is not applicable for MOTT)
6000
79
2402
AFB SPECIATION
2250
80
9956
AFB SPECIATION – COMMON
6000
81
9955
AFB SPECIATION – EXTENDED
SPECIMEN
BACTEC MGIT-960 METHOD
9950
77
METHOD
6000
SPECIMEN VOL. PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE PURE & FRESHLY SUBCULTURED isolate of Rapidly Growing NTM
Sputum (AFB Smear Positive)/ BAL (AFB Smear Positive) (SPECIMENS OF PCR- HYBRIDISATION PATIENTS WITH AFB SMEAR LESS THAN 3.0 ML (2.0 ML) 1+ ARE NOT ACCEPTABLE) / MTB Culture Specimen SPUTUM / BAL /MTB CULTURE PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB 5.0 ML ( 3.0 ML) SMEAR LESS THAN 1+ ARE NOT HYBRIDIZATION ACCEPTABLE) CULTURE/ SPUTUM/ BAL/ PUS + CLINICAL HISTORY (SPECIMENS OF PCR - SEQUENCING 5 ML (3ML) PATIENTS WITH AFB SMEAR LESS THAN 1+ ARE NOT ACCEPTABLE) PCR - REVERSE PROBE MTB Culture Specimen 1 HYBRIDIZATION PCR - REVERSE PROBE MTB Culture Specimen 1 HYBRIDIZATION
Page 13 of 207
TEMP.
FREQUENCY REPORTED
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
A/R
1,4:0930 HRS
4,1: 1830 HRS
A
1,4:0930 HRS
4,1: 1830 HRS
A
1:0930 HRS
5: 18:30 HRS
A
1,4:0930 HRS
A
4,1: 1830 HRS 4,1: 1830 1,4:0930 HRS HRS
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TEST CODE
TEST NAME
82
AFB SUSCEPTIBILITY : AM5654 Amikacin
83
PY5654
AFB SUSCEPTIBILITY : Pyrazinamide
RI5654
AFB SUSCEPTIBILITY : Rifampicin
84
85
1464R2
AFB SUSCEPTIBILITY, BACTEC : 10 DRUG PANEL
Price (Rs.)
METHOD
SPECIMEN
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
2200
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
7900
Page 14 of 207
SPECIMEN VOL. PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory)
TEMP.
FREQUENCY REPORTED
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
1464R1
AFB SUSCEPTIBILITY, BACTEC : 5 DRUG PANEL
1490
AFB SUSCEPTIBILITY, BACTEC : SIRE PANEL
88
5649
89
3109AF
Sl. No
86
87
Price (Rs.)
METHOD
SPECIMEN
5100
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
4250
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
AFB SUSCEPTIBILITY, BACTEC : SIREP PANEL
4600
BACTEC MGIT-960 METHOD
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
AFP FROM AMNIOTIC FLUID
725
CHEMILUMINESCENCE AMNIOTIC FLUID
90
4105S
ALCOHOL (ETHANOL), SERUM
2000
ENZYMATIC METHOD
91
4105U
ALCOHOL (ETHANOL), URINE
2000
ENZYMATIC METHOD
SERUM (Do not use spirit swab while collecting blood sample. The serum should be immediately transferred in a capped and sealed container & shipped to SRL,Mumbai immediately in refrigerated condition. URINE- RANDOM send to SRL Mumbai within 24hrs of collection in a capped and sealed container. Page 15 of 207
SPECIMEN VOL. PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) PURE & FRESHLY SUBCULTURED M. TUBERCULOSIS COMPLEX ISOLATE (Isolate Identification report from the referring lab is mandatory) 2.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15 DAYS
R
DAILY:1000 HRS
15TH DAY
2-8°C (48 DAILY (MON hrs), F (>48 TO SAT): 1600 SAME DAY hrs) HRS
1.0 (0.5) ML
R
DAILY: 17.00 NEXT DAY HRS
15.0 ML (10.0 ML)
R
DAILY: 17.00 NEXT DAY HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
92
1391D
93
3105
94
3104U
95
TEST NAME
Price (Rs.)
ALDOLASE
990
ALDOSTERONE
2300
ALDOSTERONE, 24HRS URINE
4500
SPECIMEN
SPECIMEN VOL.
SERUM (Refrigerated specimens to reach SPECTROPHOTOMETR SRL Mumbai within 24hrs, or to be sent 2.0 ML (1.0 ML) Y frozen) SERUM (Age, Sex, Clinical, Treatment RADIO IMMUNOASSAY history required if patient is on 1.0 ML (0.5 ML) Spirolactone or ACE inhibitors) 24hrs Urine.Specimen required 24hrs urine. No preservative.During 24hrs urine collection, the container should be RIA kept in refrigerated condition.24hrs total urine volume should be mentioned on request form. TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
Z209K
ALK-1
96
9992
ALKALINE PHOSPHATASE ISOENZYMES
3975
ELECTROPHORESIS
97
3996
ALKALINE PHOSPHATASE ISOENZYMES (BONE FRACTION)
690
SPECTROPHOTOMETR SERUM Y
3160
ALLERGEN - Mugwort Weed Pollen (Latin Name: Artemisia vulgaris ;Indian Names:Barna,Sita Bani,Bano)
99
3111
ALLERGEN - Acacia Tree Pollen (Latin Name:Acacia longifolia ; Indian Name: Babool)
990
IMMUNOCAP
SERUM
1.0 Ml (0.5 ml)
100
3255
ALLERGEN - ACTH
990
IMMUNOCAP
SERUM
1.0 Ml (0.5 ml)
101
3101
ALLERGEN - ALMOND
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
98
2000
METHOD
990
IMMUNOCAP
SERUM (Clinical history, Age & Sex of the 1.0 ML (0.8 ML) patient is mandatory for reporting)
SERUM
Page 16 of 207
1.0 ML (0.8 ML)
4.0 ML (1.0 ML)
TEMP. F
FREQUENCY REPORTED 4: 1300 HRS
SAME DAY
2, 5: 1430 HRS
NEXT DAY
R
Wednesday 09:00hrs
6 days
A
DAILY:1100 HRS
3RD DAY
R
MON : 1100 HRS
5TH DAY REPORTIN G
2-8°C (7 days)
DAILY: 1630 HRS
SAME DAY
2-8°C (7 days)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
102
3050
ALLERGEN - ALTERNARIA ALTERNATA/TENIUS
103
3181
ALLERGEN - AMOXYCILLIN
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
104
3187
ALLERGEN - AMPICILLIN
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
105
3210
ALLERGEN - APPLE
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
106
3053
ALLERGEN - ASPERGILLUS FUMIGATUS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
107
3087
ALLERGEN - BANANA
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
108
3094
ALLERGEN – Barley(Latin Name: Hordeum vulgare)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
109
3330
ALLERGEN - BEEF
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
110
3162
ALLERGEN - Bermuda Grass Pollen(Latin Name:Cynodon dactylon ; Indian Name: Dhoobghass)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
111
3335
ALLERGEN - BLUE MUSSEL
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
990
IMMUNOCAP
SERUM
2.0 ML
Page 17 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
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112
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
3341
ALLERGEN - BRAZIL NUT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
113
3355
ALLERGEN - Buckwheat(Latin Name: Fagopyrum esculentum)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
114
3083
ALLERGEN - CABBAGE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
115
3051
ALLERGEN - CANDIDA ALBICANS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
116
3213
ALLERGEN - CARROT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
117
3056
ALLERGEN - CASEIN
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
118
3085
ALLERGEN - CASHEW
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
119
3047
ALLERGEN - CAT DANDER/EPITHELIUM
990
IMMUNOCAP
SERUM
2.0 ML
120
3096
ALLERGEN - CAULIFLOWER
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
121
3360
ALLERGEN - CELERY
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 18 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
122
3057
ALLERGEN - CHEESE CHEDDAR
123
3118
ALLERGEN - CHICKEN FEATHERS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
124
3063
ALLERGEN - CHICKEN MEAT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
125
3055
ALLERGEN - CLADOSPORIUM HERBARUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
3153
ALLERGEN - Cocklebur Weed Pollen (Latin Name:Xanthium commune;Indian Names:Bichha,Kutta,Chirchitt a)
126
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
127
3059
ALLERGEN - COCKROACH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
128
3108
ALLERGEN - COCOA
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
129
3331
ALLERGEN - CODFISH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
130
3199
ALLERGEN - COFFEE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 19 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
3161
ALLERGEN - Common Ragweed Pollen (Latin Name:Ambrosia elatior;Close to Parthenium-Congress Grass)
990
132
3166
ALLERGEN - COMMON REED GRASS
990
133
3117
ALLERGEN - Common Silver birch Tree Pollen( Latin Name:Betula verrucosa)
990
134
3093
ALLERGEN - CORN
135
3130
136
Sl. No
131
Price (Rs.)
METHOD
IMMUNOCAP
SPECIMEN
SERUM
SPECIMEN VOL.
4.0 ML (1.0 ML)
SERUM
4.0 ML (1.0 ML)
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
ALLERGEN - COWDANDER
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
3068
ALLERGEN - CRAB
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
137
3233
ALLERGEN – Cultivated rye Grass Pollen (Latin Name:Secale cereale )
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
138
3042
ALLERGEN - DOG DANDER/EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
3257
ALLERGEN - DRUG ALLERGY (Amoxycillin, ACTH, Ampicilin, Penicilin G, Penicilin V, Insulin)
2875
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
139
Page 20 of 207
TEMP.
FREQUENCY REPORTED
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
140
141
142
TEST CODE 3033
3376
3375
TEST NAME ALLERGEN - DUST PANEL (HouseduST- Greer, Cockroach, D.Farinae, D.Pteronyssinus) ALLERGEN - ECZEMA/GIT (Non-veg & Veg) PANEL Wheat, Rice, Soybean, Potato, Apple, Celery, Nuts (Peanuts/Coconut/Almond/H azel), D. Farinae, Egg White, Cow's Milk, Cod Fish, Shrimp, Pork, Beef, Chicken, Mutton (Lamb) ALLERGEN - ECZEMA/GIT (Veg) PANEL -Wheat, Rice, Soybean, Potato, Apple, Celery, Nuts (Peanuts/Coconut/Almond/H azel), D. Farinae
Price (Rs.) 2275
5250
3850
METHOD
IMMUNOCAP
IMMUNOCAP
IMMUNOCAP
SPECIMEN
SERUM
SERUM
SERUM
SPECIMEN VOL.
FREQUENCY REPORTED
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
143
3043
ALLERGEN - EGG WHITE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
144
3076
ALLERGEN - EGG YOLK
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
145
3159
ALLERGEN - English plantain Weed Pollen (Latin Name:Plantago lanceolata ;Common Name:Ribwort)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
146
3074
ALLERGEN - FOOD PANEL #3 (Wheat, Oat, Corn, Sesame Seed, Buck Wheat)
2550
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
147
3075
ALLERGEN - FOOD PANEL #7 (Egg White, Milk, Rice, Peanut, Soyabean)
2650
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
Page 21 of 207
TEMP.
2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
148
3031
ALLERGEN - FOOD PANEL 2 (Codfish, Tuna, Shrimp, Blue Mussel, Salmon
149
4431
ALLERGEN - Fx5 FOOD MIX
890
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
150
3064
ALLERGEN - GARLIC
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
151
3065
ALLERGEN - GLUTEN
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
152
3136
ALLERGEN - GOAT EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
3353
ALLERGEN - Goosefoot Weed Pollen (Latin Name: Chenopodium album;Common Name:Lamb's Quarters ; Indian Name:Bathua )
990
153
2550
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
154
3229
ALLERGEN - Grapefruit (Latin Name:Citrus paradisi )
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
155
3058
ALLERGEN - Green PEA
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
156
3097
ALLERGEN - Green pepper(Latin Name:Piper nigrum)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 22 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
157
3349
ALLERGEN – Grey alder Tree Pollen (Latin Name: Alnus incana)
158
3127
ALLERGEN - GUINEA PIG EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
159
3345
ALLERGEN - HAMSTER EPITH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
160
3340
ALLERGEN - HAZEL NUT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
161
3350
ALLERGEN - Hazel Tree Pollen( Latin Name: Corylus avellana)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
162
3133
ALLERGEN - Honey Bee Venom (Latin name: Apis mellifera)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
163
3137
ALLERGEN - HORSE DANDER
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
164
3044
ALLERGEN - HOUSE DUST GREER
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
165
3379
ALLERGEN - HOUSE DUST HOLLISTIER
990
IMMUNOCAP
serum
2.0 ML
166
3036
ALLERGEN - House dust miteDermatophagoides pteronyssinus
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 23 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
167
3173
ALLERGEN - House dust miteDermatophagoieds farinae
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
168
3197
ALLERGEN - INSULIN BOVINE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
169
3256
ALLERGEN – INSULIN HUMAN
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
170
3080
ALLERGEN - INSULIN PORCINE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
171
3115
ALLERGEN - Japanese Cedar Tree Pollen (Latin Name:Cupressus japonica )
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
172
3164
ALLERGEN - Johnson Grass Pollen(Latin name:Sorghum halepense ; Indian Name: Jowar)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
173
3088
ALLERGEN - KIWI FRUIT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
174
3332
ALLERGEN - LAMB (MUTTON)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
175
3041
ALLERGEN - Latex( Latin Name:Hevea braziliensis)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
176
3397
ALLERGEN- Legume mix (fx32Lentil,Pea,White bean)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Sl. No
Price (Rs.)
METHOD
SPECIMEN
Page 24 of 207
SPECIMEN VOL.
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
177
3203
ALLERGEN - LEMON
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
178
3373
ALLERGEN - Lentil ( Common Indian Name: Masur Dal)
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
179
3200
ALLERGEN - LETTUCE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
180
3336
ALLERGEN - LOBSTER
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
181
3207
ALLERGEN - Malt (Latin Name:Hordeum vulgare )
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
182
3054
ALLERGEN - MANGO
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
183
3168
ALLERGEN - Meadow fescue Grass pollen(Latin name: Festuca elatior)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
184
3209
ALLERGEN - MELON
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
185
3037
ALLERGEN - MILK
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 25 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (48 hrs), F (>48 hrs) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
3034
ALLERGEN - MOLD PANEL (PENICILLIUM NOTATUM IGE,CLADOSPORIUM HERBARUM IGE,ASPERGILLUS FUMIGATUS IGE,CANDIDA ALBICANS IGE, ALTERNARIA TENUIS IGE
187
3129
ALLERGEN - MOSQUITO AEDES
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
188
3138
ALLERGEN - MOUSE EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
189
3052
ALLERGEN - MUCOR RACEMOSUS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
190
3201
ALLERGEN - MUSHROOM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
191
3208
ALLERGEN - MUSTARD
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
192
3157
ALLERGEN - Nettle Weed Pollen (Latin Name: Urtica dioica ;Common Name: Stinging Nettle)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
193
3351
ALLERGEN - Oak Tree Pollen (Latin Name: Quercus alba)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
194
3219
ALLERGEN - OAT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Sl. No
186
Price (Rs.)
2750
METHOD
IMMUNOCAP
SPECIMEN
SERUM
Page 26 of 207
SPECIMEN VOL.
4.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
195
3211
ALLERGEN - ONION
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
196
3030
ALLERGEN - ORANGE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
197
3135
ALLERGEN - PARROT FEATHERS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
198
3205
ALLERGEN - PEACH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
199
3077
ALLERGEN - PEANUT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
200
3086
ALLERGEN - PEAR
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
201
3195
ALLERGEN - PENICILLIN G
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
202
3188
ALLERGEN - PENICILLIN V
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
203
3015
ALLERGEN - PENICILLIUM NOTATUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
204
4430
ALLERGEN - PHADIATOP ADULT (INDIVIDUALS ABOVE 5 YEARS)
890
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 27 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
205
4432
ALLERGEN - PHADIATOP INFANT (INDIVIDUALS BELOW 5 YEARS)
890
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
206
3139
ALLERGEN - PIGEON DROPPINGS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
207
3081
ALLERGEN - PINEAPPLE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
208
3202
ALLERGEN - PISTACHIO
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
209
3227
ALLERGEN - PLUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
210
3333
ALLERGEN - PORK
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
211
3107
ALLERGEN - POTATO
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
212
3329
ALLERGEN - RABBIT APITH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
213
3144
ALLERGEN - RAT EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Sl. No
Price (Rs.)
METHOD
SPECIMEN
Page 28 of 207
SPECIMEN VOL.
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
3377
ALLERGEN RHINITIS/ASTHMA PANEL Ambrosia elatior(Common Ragweed), Penicillium notatum, Aspergillus fumigatus, Mucor racemosus, Candida albicans(yeast), Dermatophagoides farinae(House dust mite), Dermatophagoidespteronyssi nuse(House dust mite), Greer labs(house dust), HollistierStier labs(House dust), Blatella germanica(Cockroach)
215
3145
ALLERGEN - RHIZOPUS NIGRICANS
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
216
3038
ALLERGEN - RICE
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
217
3347
ALLERGEN - RYE(Latin Name:Secale cereale)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
218
3343
ALLERGEN - SALMON
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
219
3092
ALLERGEN - SESAME SEED
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
220
3067
ALLERGEN - SHRIMP
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Sl. No
214
Price (Rs.)
4250
METHOD
IMMUNOCAP
SPECIMEN
SERUM
Page 29 of 207
SPECIMEN VOL.
5.0 ML (3.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
221
3169
ALLERGEN - SILK
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
222
3061
ALLERGEN - SOYBEAN
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
223
3225
ALLERGEN - SPINACH
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
224
3106
ALLERGEN - STRAWBERRY
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
225
3346
ALLERGEN - Sweet vernal grass(Latin Name: Anthoxanthum odoratum)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
226
3122
ALLERGEN - SWINE EPITHELIUM
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
227
3212
ALLERGEN - TOMATO
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
228
3141
ALLERGEN - TRICHOPHYTON
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
229
3342
ALLERGEN - TUNA
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
230
3098
ALLERGEN - WALNUT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 30 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
231
3039
ALLERGEN - WHEAT
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
232
3091
ALLERGEN - WHITE BEAN
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
233
3352
ALLERGEN - Willow Tree Pollen (Latin Name:Salix caprea)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
234
3384
ALLERGEN- ANIMAL MIX (ex1Cat dander, Horse dander, Cow dander, Dog dander)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
235
3372
990
CHEMILUMINESCENCE SERUM
1.0ML(0.5ML)
236
3383
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
2-8°C (48 Daily :1100 hrs), F (>48 HRS hrs)
SAME DAY
237
3388
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
2-8°C (48 Daily :1100 hrs), F (>48 HRS hrs)
SAME DAY
ALLERGEN AUBERGINE (BAINGAN ALLERGEN AUBERGINE (BAINGAN-Aubergine (Common Names:Eggplant ,Brinjal ; Indian Name:Baingan) ALLERGEN- Chick Pea(Common Names: Garbanzo bean, Bengal Gram;Indian Name:Kabuli Chana)
238
4186
Allergen -ECP
990
IMMUNOCAP
SERUM
2.0 ML (1.0 ML)
239
3119
ALLERGEN -Eucalyptus Tree Pollen (Indian Names:Nilgiri,Safeda)
990
IMMUNOCAP
SERUM
3.0 ML (1.0 ML)
240
3354
ALLERGEN -Golden Rod Weed Pollen (Latin Name:Solidago virgaurea)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 31 of 207
R
2-8°C (1 week); 20°C (>1 week) 2-8°C (48 hrs), F (>48 hrs) 2-8°C (1 week); 20°C (>1 week)
DAILY:1600HR 4TH DAY S
DAILY: 1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
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241
242
243
TEST CODE
3399
1404
1408
TEST NAME ALLERGEN- MOULD MIX ( MX1-Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Alternaria alternata) ALLERGEN PANEL COMPREHENSIVE ALLERGY PANEL - ADULT (Phadia Top Adult, LiST Of Allergens Include:Milk, Soybean, Cheese, Almond, Coconut, Wheat, Egg White, Chicken, Cod Fish, Shrimp, Tuna, Salmon, D.Ptteronyssinus, D.Farinae, Cockroach, House DuST, Mugwort, English Plantain, Lambs Quarter, Alder, Birch, Cat Epithelium, Dog Dander, Cladoprorium, Aspergillus, Candida, Sweet Vernal, Cultivated Rye, Velvet) ALLERGEN PANEL COMPREHENSIVE ALLERGY PANEL - INFANCY (Phadia top infant, Individual Allergens: Milk, Soybean, Peanut, Whole Egg, Almond, Wheat, Corn, Cat Epithelium, Dog Dander, Rabbit Epithelium, Rye, English Plantain, D. Pteronyssinus, D. Farinae, House DuST, Cockroach, Aspergillus, Candida, Caesin, Potato)
Price (Rs.)
990
8500
5900
METHOD
IMMUNOCAP
IMMUNOCAP
IMMUNOCAP
SPECIMEN
SERUM
SERUM
SERUM
Page 32 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
4.0 ML (1.0 ML)
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
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244
245
246
TEST CODE
TEST NAME
1428
ALLERGEN PANEL - INDOOR (Aspergillus, Candida, House Dust, D.Farinae, D.Pteronyssinus, Cockroach, Cat Epithelium, Dog Dander, Horse Dander, Guinea Pig Epithelium)
1425
ALLERGEN PANEL - NON VEG (Chicken Meat, Codfish, Salmon, Tuna, Shrimp, Blue Mussel, Whole Egg, Lamb)
1430
247
1414
248
3132
249
3158
250
4009
251
ALLERGEN PANEL OUTDOOR (Rye, Sweet Vernal, Golden Rod, English Plantain, Alder, Birch, Lambs Quarter, Nettle) ALLERGEN PANEL - VEG (Almond, Wheat, Coconut, Corn, Peanut, Sesame Seed, Cheese, Milk) ALLERGEN- PAPERWASP VENOM ALLERGEN- PARIETARIA OFFICINALIS
Price (Rs.)
4250
3650
3650
METHOD
IMMUNOCAP
IMMUNOCAP
IMMUNOCAP
SPECIMEN
SERUM
SERUM
SERUM
SERUM
SPECIMEN VOL.
FREQUENCY REPORTED
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
3575
IMMUNOCAP
990
CHEMILUMINESCENCE SERUM
1.0ML(0.5ML)
990
CHEMILUMINESCENCE SERUM
2.0 ML (1.0) ML
ALLERGEN- PECAN NUT
990
CHEMILUMINESCENCE SERUM
1.0ML(0.5ML)
3400
ALLERGEN- Rape Seed(Common Names:Canola, Oilseed Rape; Indian Name: Sarson)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
252
4954
ALLERGEN- RED KIDNEY BEAN
990
Chemiluminscence
SERUM
2.0ML(1.0ML)
253
3167
ALLERGEN -Timothy Grass Pollen( Latin Name:Phleum pratense )
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 33 of 207
TEMP.
5.0 ML (3.0 ML)
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week) DAILY:1600HR R S DAILY:1600HR A/R/F S DAILY:1600HR R S 2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week) FROZEN/R WED EFRIGERAT 09:00HRS ED 2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
4TH DAY 4TH DAY 4TH DAY
SAME DAY
4 DAYS
SAME DAY
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254
255
256
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
4185
Allergen -Tryptase
990
IMMUNOCAP
SERUM
2.0 ML (1.0 ML)
3348
ALLERGEN -Velvet Grass Pollen (Latin Name:Holcus lanatus)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
3090
ALLERGEN -Yeast (Latin name: Saccharomyces cerevisiae , Common Names: Baker's yeast,Brewer's yeast)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
257
3382
ALLERGEN-Ascaris
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
258
3060
Allergen-Coconut
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
259
3390
ALLERGEN-Cottonwood Tree Pollen (Latin Name: Populus deltoides)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
260
3389
ALLERGEN-Elm Tree Pollen( Latin Name: Ulmus americana ; Indian Name:Papdi Chibil)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
Page 34 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
FREQUENCY REPORTED - DAILY: 1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
2-8°C (1 week); - Daily :1100 20°C (>1 HRS week)
SAME DAY
2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
- DAILY: 1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
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261
TEST CODE
TEST NAME
3386
ALLERGEN-Extended Eczema Panel{Milk,Wheat,Rice,Peanu t,Soyabean,ChickPea,Sesame Seed,Cashew Nut,Coconut,Banana,Brinjal,L emon,Spinach,Tomato,White Bean,Cod Fish,Shrimp,Chicken,Mutton,E gg White,D.Ptyerossinus,Cockroa ch,Animal Mix(Cat dander, Horse dander, Cow dander, Dog dander),Mould Mix(Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Alternaria alternata)}
Price (Rs.)
7250
METHOD
IMMUNOCAP
SPECIMEN
SERUM
Page 35 of 207
SPECIMEN VOL.
4.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
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262
TEST CODE
TEST NAME
3405
ALLERGEN-Extended Rhinitis/Asthma panel –Adult{ Bermuda Grass, Johnsson Grass,Meadow Grass, Cocklebur , Common Pigweed , Common ragweed,Mugwort, Goosefoot, Rape Seed, English Plantain, Acacia, Oak, Elm,Cotton Wood , Pine , Eucalyptus, Mesquite, Mulberry , Alder,Dermatophagoides farinae, Dermatophagoides pteronyssinus , Cockroach,Animal Mix (Cat dander, Horse dander, Cow dander, Dog dander),Mould Mix(Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Alternaria
Price (Rs.)
7250
METHOD
IMMUNOCAP
SPECIMEN
SERUM
Page 36 of 207
SPECIMEN VOL.
4.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
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TEST CODE
Price (Rs.)
METHOD
SPECIMEN
FREQUENCY REPORTED
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
ALLERGEN-FIG
990
CHEMILUMINESCENCE SERUM
1.0ML(0.5ML)
R
DAILY:1600HR 4TH DAY S
3148
ALLERGENHELMENTHISPORIUM HALODES
990
CHEMILUMINESCENCE SERUM
1.0ML(0.5ML)
R
DAILY:1600HR 4TH DAY S
3398
ALLERGEN-MesquiteTree Pollen (Latin Name:Prosopis juliflora ; Indian Name: Pahadi Keekar)
264
3221
265
990
IMMUNOCAP
SERUM
Page 37 of 207
4.0 ML (1.0 ML)
TEMP.
IMMUNOCAP
3404
SERUM
SPECIMEN VOL.
7250
263
266
TEST NAME ALLERGEN-Extended Rhinitis/Asthma panel –Child{ Bermuda Grass, Johnsson Grass, Meadow Grass, Cocklebur, Common Pigweed, Common ragweed, Mugwort ,Goosefoot, Rape seed, English Plantain , Acacia , Oak, Elm, Cotton Wood,Pine, Eucalyptus, Mesquite, Mulberry, Alder, Dermatophagoides pteronyssinus, Cockroach, Animal Mix (Cat dander, Horse dander, Cow dander, Dog dander), Mould Mix( Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Alternaria alternata), Food mix ( Egg white, Milk, Fish, Wheat, Peanut, Soybean), Legume mix(Lentil,Pea,White bean)
4.0 ML (1.0 ML)
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
3391
ALLERGEN-Mulberry Tree Pollen (Latin Name:Morus alba; Indian Name:Shahtoot)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
268
3385
ALLERGEN-Pigweed Pollen (Latin Name: Amaranthus retroflexus;Indian Names:Kaantewali Chauli)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
269
3402
ALLERGEN-White PineTree Pollen (Latin Name:Pinus strobus)
990
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
2600
ImmunoCap
SERUM
2 ML (1 ML)
8500
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
5900
IMMUNOCAP
SERUM
5.0 ML (3.0 ML)
2550
IMMUNOCAP
serum
2.0 ML
4250
IMMUNOCAP
serum
2.0 ML
2200
GAP PCR
EDTA WHOLE BLOOD+CLINICAL HISTORY
5 ML (3 ML)
3500
Real Time PCR
Whole Blood EDTA
5 ml
267
270
271
272
273
274
275 276
ALLERGIC PANEL- PADIATRIC (EGG WHITE, MILK, 5006 SOYABEAN, WHEAT, HOUSE DUST) ALLERGY PANEL - 2( Select Any 29 Allergens from 2109 available inhouse Allergen list) ALLERGY PANEL - 3 (Select Any 19 Allergen from 2179 available inhouse Allergen list) ALLERGY PANEL FLEXI (Select Any 5 Allergen from 4010 available inhouse Allergen list) ALLERGY PANEL FLEXI (Select Any 10 Allergen from 4012 available inhouse Allergen list) ALPHA THALASSEMIA 2479 MUTATION DETECTION (α3.7, α4.2, αFIL, αSEA, αTHAI ) Alpha-1 Antitrypsin, RD1433 Genotyping
Page 38 of 207
TEMP. 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week) A
FREQUENCY REPORTED - DAILY: 1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
- DAILY: 1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
3: 0930 HRS
8 DAYS
Ambient 2: 0930 HRS
7 DAYS
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277
278
279
280
281
TEST CODE 1512D
TEST NAME
ALPHA-1-ANTITRYPSIN
Z072K
ALPHA-1-ANTITRYPSIN [PHOTO]
Z071K
ALPHA-FETOPROTEIN (AFP)[PHOTO]
3109
ALPHA-FETOPROTEIN / LIVER CANCER MONITOR
9148U24 ALUMINIUM, 24 HR URINE
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2-8°C (7 days); 4: 1630 HRS F (>7 -90 days)
1750
NEPHELOMETRY
SERUM + CLINICAL HISTORY (AGE/SEX)
2.0 ML (1.0 ML)
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY. IF TISSUE RECD., THEN TISSUE PROCESSING WILL BE CHARGED.
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details MANDATORY. IF TISSUE RECD., THEN STRY TISSUE PROCESSING WILL BE CHARGED.
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
725
CHEMILUMINESCENCE SERUM ( Age+Sex+CLINICAL HISTORY )
1850
24HRS URINE (NO PRESERVATIVE) + CLINICAL HISTORY. To protect from light, the urine specimen needs to be collected GFAAS WITH ZEEMAN in a darked coloured bottle. 10-20 ML (5 ML) COURIER THE 24HRS URINE ALIQUOT IN CORRECTION DARK BROWN CONTAINER.MENTION 24HRS URINE VOLUME ON THE REQUISITION FORM.
Page 39 of 207
2.0 ML (0.5 ML)
SAME DAY
DAILY (MON 2-8°C (8 TO SAT): hrs); F SAME DAY 0430,1430,16 (>48 hrs) 00 HRS 2-8°C (5 days); “3”, 11:30 F (>5 -30 HRS days)
NEXT DAY
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TEST CODE
282
9148
283
9148U
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
1850
COLLECT WHOLE BLOOD IN TRACE GFAAS WITH ZEEMAN ELEMENT BD, K2 EDTA VACCUTAINER. CORRECTION DO NOT SEPERATE PLASMA
2.0 ML (1 ML)
ALUMINIUM, URINE SPOT
1850
SPOT URINE IN METAL FREE GFAAS WITH ZEEMAN SCINTILLATION VIAL AVAILABLE FROM CORRECTION SRL (NO PRESERVATIVE). VACCUTAINER COLLECTION WILL NOT BE ACCEPTED
10-20 ML (5 ML)
1700
IMMUNO FLUORESCENT ASSAY
2 ML
ALUMINIUM, PLASMA
284
1102
AMA (ANTI MITOCHONDRIAL ANTIBODIES) WITH TITRE (Reflex to end titre to all positive cases)
285
1705
AMH (Anti-Müllerian Hormone)/ Müllerian Inhibiting Substance (MIS)
1800
Enzyme Immunoassay SERUM
286
3509
AMINO ACID ANALYSIS, PLASMA
7000
HPLC
287
3510
AMINO ACID ANALYSIS, URINE RANDOM
7500
HPLC
288
9975U24
SPECIMEN VOL.
AMINOLEVULINIC ACID,URINE RANDOM
4750
Chromatography /Spectrophotometry
SERUM
2.0 ML (1.0 ML)
PLASMA-HEPARIN +CLINICAL HISTORY + 3.0 ML (2.0 ML) (Age & Sex of the patient is mandatory for reporting) URINE IN STERILE CONTAINER (Without preservative) + CLINICAL HISTORY + (Age 10.0 ML (5.0 ML) & Sex of the patient is mandatory for reporting) 24 HRS URINE + CLINICAL HISTORY. To protect from light, the urine specimen needs to be collected in a darked 20.0 ML (10.0 ML) coloured bottle. COURIER THE URINE ALIQUOT IN DARK BROWN CONTAINER. Page 40 of 207
TEMP. 2-8°C (7 days); F ( >7 - 30 days), SENDING WHOLE BLOOD SAMPLES UNDER COLD CONDITIO NS (2-8°C) IS MANDATO RY 2-8°C (5 days); F (>5 -30 days) 2-8°C (3 days); -20°C (>3 days or shipped) 2-8°C (48 hrs), F (> 48 hrs)
FREQUENCY REPORTED
“6”, 11:30 HRS
3 rd DAY
“3”, 11:30 HRS
NEXT DAY
3,6: 1100 HRS WED, SAT
DAILY: 1100 HRS
SAME DAY
F
2ND & 4TH 4TH DAY TUE:1000 HRS
F
2ND & 4TH 4TH DAY TUE:1000 HRS
2-8°C (4days); F (>1 month)
3, 11:00HRS
NEXT DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
289
9975
AMINOLEVULINIC ACID,URINE RANDOM
4750
Chromatography /Spectrophotometry
290
6008F
AMLI / ETO t(8:21)
4500
FISH
291
292
1100
ANA BY IFA (Reflex to end titre for all positive cases)
ANA POSITIVE REFLEX TO EIA PROFILE (DSDNA with 9206RFX TITRES,SS-A,SS-B,U1SNRNP,SMITH ABS)
SPECIMEN
RANDOM URINE + CLINICAL HISTORY. To protect from light, the urine specimen needs to be collected in a darked 20.0 ML (10.0 ML) coloured bottle. COURIER THE URINE ALIQUOT IN DARK BROWN CONTAINER. WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. 4.0 ML + 2.0 ML [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
910
IMMUNO FLUORESCENT ASSAY
SERUM
2.0 ML
2250
IMMUNO FLUORESCENT ASSAY/ SERUM IMMUNOBLOT
2.0 ML
PURE CULTURE OF ANAEROBIC ORGANISM IN BACTEC ANAEROBIC BOTTLE
293
5708ID
ANAEROBIC BACTERIA IDENTIFICATION
1500
MICROSCAN
294
1212NP
ANAEROBIC CULTURE BLOOD BACTEC
950
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE METHOD (ANAEROBIC PLUS )
5708
ANAEROBIC CULTUREISOLATION & IDENTIFICATION
295
SPECIMEN VOL.
975
CULTURE
ANY SPECIMEN IN STERILE CONTAINER (TRANSPORT MEDIUM MANDATORY) (Urine,Stool,Swabs & Sputum specimen not accepted)
Page 41 of 207
TEMP.
FREQUENCY REPORTED
2-8°C (4days); F (>1 month)
3, 11:00HRS
NEXT DAY
A
DAILY:1200 HRS
5TH DAY
2-8°C (3 days); DAILY:1100, SAME DAY -20°C (>3 1530 HRS days or shipped) DAILY: 1100, 2-8°C (3 1530 HRS days); (ANA & Ds-20°C (>3 SAME DAY DNA) days or /4:1100HRS shipped) (ENA)
1
A
DAILY: 1500 HRS
7TH DAY
8-10 ML (3.0 ML)
A
DAILY: 1700 HRS
PRELIM-24 HRS, FINAL 7TH DAY
A
DAILY: 1700 HRS
PRELIM3RD DAY; FINAL 7TH DAY
5.0ML (3.0ML), 0.5 ML (0.2 ML) SPECIMEN
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296
297
298
TEST CODE
TEST NAME
1360
ANC COMBO - ANTENATAL PROFILE & TPC (CBC, Blood Group, Glucose Fasting, Urinalysis, HIV 1 & 2, Abs, Hepatitis B,VDRL,TPC)
1862
ANCA (ANTI NEUTROPHIL CYTOPLASMIC ANTIBODIES) (P-ANCA + C-ANCA) WITH TITRE (Reflex to end titre to all positive cases)
9207RFX
299
3113
300
RD1417
301
3114D
ANCA POSITIVE REFLEX MPO, PR3 ANTIBODIES
ANDROSTENEDIONE ANGELMANS SYNDROME MS PCR ANGIOTENSIN CONVERTING ENZYME (ACE)
302
1360
ANTENATAL PROFILE & TPC, ANC COMBO (CBC, Blood Group, Glucose Fasting, Urinalysis, HIV 1 & 2, Abs, Hepatitis B,VDRL,TPC)
303
1202
ANTI CENTROMERE ANTIBODIES
Price (Rs.)
METHOD
1350
AUTOMATED CELL COUNTER/ SPECTROPHOTOMETR Y / DIPSTICK & MICROSCOPY/ CHEMILUMINESCENCE
1700
IMMUNO FLUORESCENT ASSAY
SPECIMEN
SPECIMEN VOL.
SERUM
ANCA DAILY: 1100, 1530 HRS
2.0 ML
2-8°C (1 week); -20°C (longer)
DAILY:1100, 1530 HRS SAME DAY (ANCA), 2,5:1330 HRS (MPO, PR3)
2-8°C (1 day), F (> 24 hours)
2,5: 0430,1430, 1600 HRS
1950
Fasting ,SERUM to be drawn before 1200 CHEMILUMINESCENCE Noon. (Age+Sex+CLINICAL HISTORY 1.0 ML (0.5 ML) Required )
950
1350
2200
SERUM
2 ML
2-8°C (1 week); -20°C (longer)
IFA /ELISA
Methylation Specific PCR SPECTROPHOTOMETR Y
FREQUENCY REPORTED
2-8°C (<48 hrs); F (> 1.0 ML (0.5 ML), FASTING PLASMA - FLUORIDE, URINE 48 hrs); DAILY: 1830 FASTING, SERUM FASTING, EDTA (W.B ) + 15 ML (10 ML), 2.0 SAME DAY Fluoride HRS, 17:30 2 SMEARS + (Age & Sex of the patient is ML (1.0 ML), plasma : R HRS FOR CBC 4.0ML ( 2.0 ML) mandatory for reporting) (3 days); Urine : R
2500
4600
TEMP.
EDTA WHOLE BLOOD + CLINICAL HISTORY SERUM + (Age & Sex of the patient is mandatory for reporting)
5.0 ML (3.0 ML)
AMBIENT 1:0930 HRS
2 - 8°C (4 weeks) 2-8°C (<48 AUTOMATED CELL hrs); F (> 1.0 ML (0.5 ML), FASTING PLASMA - FLUORIDE, URINE COUNTER/ 48 hrs); SPECTROPHOTOMETR FASTING, SERUM FASTING, EDTA (W.B ) + 15 ML (10 ML), 2.0 Fluoride 2 SMEARS + (Age & Sex of the patient is ML (1.0 ML), Y / DIPSTICK & plasma : R 4.0ML ( 2.0 ML) mandatory for reporting) MICROSCOPY/ (3 days); CHEMILUMINESCENCE Urine : R 2-8°C (7 days); IMMUNOBLOT SERUM 1.0 ML 20°C (>7 days)
Page 42 of 207
1.0 ML (0.5 ML)
DAILY :1830 HRS
SAME DAY
SAME DAY
9 DAYS SAME DAY
DAILY: 1830 HRS, 17:30 SAME DAY HRS FOR CBC
4: 1000 HRS
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
304
8827
ANTI DIURETIC HOROMONE (Vasopressin)
3600
PLASMA-EDTA ( Draw blood from fasting patient into a chilled tube containing RADIO IMMUNOASSAY EDTA, Centrifuge immediately, seperate 2.0 ML (1.0ML) and Freeze the specimen in a plastic tube.
305
3885
Anti Dnase B
2900
NEPHELOMETRY
1100
INDIRECT IMMUNOFLUROSCENT SERUM ASSAY.
2.0mL
F
4750
IFA
FASTING SERUM
3.0 ML
F/R
9500
RIA
SERUM
2.0 ML (1.0) ML
F/R
2850
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
306
1199
307
1177I
308
8654
ANTI DOUBLE-STRANDED DNA ANTIBODIES, ds-DNA (Reflex to end titre for all positive cases) ANTI EPIDERMAL / PEMPHIGUS ANTIBODY ANTI ERYTHROPOIETIN ANTOBODY, SERUM
Serum
F
2: 1100 HRS
3rd DAY
1.0 ML (0.5 ML)
F
Wed : 1300 HRS
Same Day
DAILY :1100, 1530 HRS
SAME DAY
309
1287
ANTI GLIADIN IgA ANTIBODIES
310
1260
ANTI GLIADIN IgG ANTIBODIES
2850
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
311
1135I
ANTI GLOMERULAR BASEMENT MEMBRANE IgG ANTIBODIES (ANTI GBM)
1625
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
312
1203
ANTI HISTONES ANTIBODIES
2400
IMMUNOBLOT
SERUM
1.0 ML
313
3191
ANTI INSULIN ANTIBODIES
1950
ENZYME IMMUNOASSAY
SERUM
1.0 (0.5 ML)
314
1166
ANTI ISLET CELL ANTIBODY
2200
IMMUNO FLUORESCENT ASSAY
SERUM
2 ML
Page 43 of 207
FREQUENCY REPORTED
1,3,5:0900 HRS DAILY:0900 HRS
2-8°C (3 days); 4: 1100 HRS 20°C (>3 days) 2-8°C (3 days); 4: 1100 HRS 20°C (>3 days) 2-8°C (3 days); 4: 1100 HRS 20°C (>3 days) 2-8°C (7 days); 4: 1000 HRS 20°C (>7 days) 2-8°C (3 days); 5:1100 HRS 20°C (>3 days) 2-8°C (fewdays); 3: 1100 HRS -20°C (longer)
5TH DAY 9TH DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
WEDNESD AY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
3250
IMMUNO FLUORESCENT ASSAY
SERUM
2 ML
1102
ANTI MITOCHONDRIAL ANTIBODIES (AMA) WITH TITRE (Reflex to end titre to all positive cases)
1700
IMMUNO FLUORESCENT ASSAY
SERUM
2 ML
2244
ANTI NMDA RECEPTOR ENCEPHALITIS IGG ANTIBODIES
7500
IFA
SERUM + CLINICAL HISTORY
2.0 ML
318
1100
ANTI NUCLEAR ANTIBODIES( ANA) OR ANA PATTERN (Reflex to end titre for all positive cases)
910
IMMUNO FLUORESCENT ASSAY
SERUM
2.0 ML
319
1180
ANTI OVARY ANTIBODIES
2750
IMMUNO FLUORESCENT ASSAY
Serum
2.0 ML
320
1180T
ANTI OVARY ANTIBODIES TITRES
4800
IMMUNO FLUORESCENT ASSAY
Serum
2.0 ML
321
1101
ANTI PARIETAL CELL ANTIBODY (APCA)
2100
IMMUNO FLUORESCENT ASSAY
SERUM
2 ML
322
1101T
ANTI PARIETAL CELL ANTIBODY (APCA) WITH TITRE
4500
IMMUNO FLUORESCENT ASSAY
SERUM
2 ML
323
1711T
ANTI PHOSPHOLIPID IgG ANTIBODIES
1100
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
315
316
317
1166T
ANTI ISLET CELL ANTIBODY WITH TITRE
Page 44 of 207
TEMP.
FREQUENCY REPORTED
2-8°C WEDNESD (fewdays); 3: 1100 HRS AY -20°C (longer) 2-8°C (3 days); -20°C (>3 3,6: 1100 HRS WED, SAT days or shipped) R/F 2-8°C (3 days); -20°C (>3 days or shipped) 2-8°C (one week); -20°C (longer) 2-8°C (one week); -20°C (longer) 2-8°C (fewdays); -20°C (longer) 2-8°C (fewdays); -20°C (longer) 2-8°C (3 days); -20°C (>3 days)
THURSDAY: 1100 HRS
SAME DAY
DAILY: 1100, 1530 HRS
SAME DAY
2,5; 1100 HRS TUES, FRI
2,5; 1100 HRS TUES, FRI
2,5; 1100 HRS TUES, FRI
2,5; 1100 HRS TUES, FRI
DAILY: 1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
1735
ANTI PHOSPHOLIPID IgM ANTIBODIES
325
1080A
ANTI PHOSPHOLIPID SYNDROME PANEL (Lupus Anticoagulant Screen, Cardiolipin IgG & IgM ABS, Anti-phospholipid IgG & IgM Abs)
326
5115
327
1111
328
1108
324
ANTI PLATELET ABS (1:10) BY IMMUNOFLOURESCENCE ANTI SACCHAROMYCES CEREVISIAE (ASCA), IgA ANTIBODIES ANTI SACCHAROMYCES CEREVISIAE (ASCA), IgG ANTIBODIES
329
3303
ANTI SOLUBLE LIVER ANTIGEN
330
5225
ANTI SPERM ANTIBODIES
331
2376D
ANTI STREPTOLYSIN-O ANTIBODIES (ASO )
Price (Rs.)
METHOD
1100
ENZYME IMMUNOASSAY
3850
5950
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2-8°C (3 days); DAILY: 1100 SERUM 1.0 ML (0.5 ML) -20°C (>3 HRS days) 1, 3, 5: 1000 HRS FOR FASTING, CITRATED PLATELET POOR LUPUS PLASMA* - AT MINUS 20° C + SERUM (R) TWO ALIQUOTS OF F (F ANTICOAGUL CLOT BASED & + CLINICAL HISTORY+ H/O ORAL ANTI 1.5 ML EACH (1.0 immediatel ANT & ENZYME COAGULANT (PT. SHOULD BE OFF ML) + 2.0 ML y at -20°c) CARDIOLIPIN IMMUNOASSAY ANTICOAGULATION FOR 7 DAYS) & SERUM (1.0 ML) /A *(DOUBLE CENTRIFUGED PLASMA)* ANTIPHOSPH OLIPID DAILY: 1100 HRS IMMUNOFLUORESCEN FRIDAY SERUM 2.0ML(1.0ML) R/F CE 16:00HRS
SAME DAY
LUPUS NEXT DAY & SAME DAY
5 DAYS
2400
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
F(
-20°C) 2: 1100 HRS
SAME DAY
2400
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
F(
-20°C) 2: 1100 HRS
SAME DAY
1500
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8°C (3 days); 4: 1100 HRS 20°C (>3 days)
SAME DAY
1100
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
F(
SAME DAY
1.0 ML (0.5 ML)
2-8°C (8 days); DAILY : F ( >8 days - 18:30HRS 3 months)
990
NEPHELOMETRY
SERUM + (Age & Sex of the patient is mandatory for reporting)
Page 45 of 207
-20°C) 6:1100 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
332
5951
ANTI THROMBIN III ACTIVITY( Functional)
3450
FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C + CLINICAL CHROMOGENIC ASSAY HISTORY*(DOUBLE CENTRIFUGED PLASMA)
333
5952
ANTI THROMBIN III ANTIGEN
5000
RID METHOD
CITRATED PLASMA(Platelet poor) + *(DOUBLE CENTRIFUGED PLASMA) + CLINICAL HISTORY
3 ML (2ML)
334
9958
ANTI TICKBORNE ENCEPHALITIS (TBE) IGG
4750
ENZYME IMMUNOASSAY
SERUM
2.0 ML
335
1000
4500
IFA
SERUM + CLINICAL HISTORY
2.0 ML
Sl. No
336
1236
ANTI-AQUAPORIN-4 / NMO ANTIBODIES (ANTI NEUROMYELITIS OPTICA), ANTIBODIES TO EXTRACTABLE NUCLEAR ANTIGEN ( SMITH ABS, U1 SNRP,SS-A (Ro) , SS-B (La), Anti Histone Abs. Anti Centromere abs, SCL-70 IGG, JO1 - IGG Abs.)
Price (Rs.)
METHOD
SPECIMEN
SERUM
SPECIMEN VOL.
TWO ALIQOTS OF 1.5 ML EACH
5700
IMMUNOBLOT
2.0 ML (1.0 ML)
SERUM
1.0 ML (0.5 ML)
SERUM
1.0 ML
337
3301
ANTI-CCP ANTIBODIES
1300
ENZYME IMMUNOASSAY
338
1295I
ANTI-MPO ANTIBODIES (AntiMyleoperoxidase Antibodies)
1450
ENZYME IMMUNOASSAY
339
1705
Anti-Müllerian Hormone (AMH)/ Müllerian Inhibiting Substance (MIS)
1800
Enzyme Immunoassay SERUM
2.0 ML (1.0 ML)
340
1296I
ANTI-PR3 ANTIBODIES
1390
ENZYME IMMUNOASSAY
1.0 ML
SERUM
Page 46 of 207
TEMP.
FREQUENCY REPORTED
F (To be F immediatel y at -20°c WEND / SAT & 11:00HRS transporte d in dry ice) SAT AND F WED: 0900 HRS 1ST & 3RD R/F SATURDAY: 1000 HRS
SAME DAY
4 DAYS
SAME DAY
THURSDAY: 1100 HRS
SAME DAY
2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
SAME DAY
R/F
2-8°C (3 days); 20°C (>3 days) 2-8°C (7 days); 20°C (>7 days) 2-8°C (48 hrs) and >48 hrs 20°C 2-8°C (7 days); 20°C (>7 days)
DAILY: 1100HRS
SAME DAY
2,5:1330 HRS SAME DAY
DAILY: 1100 HRS
SAME DAY
2,5:1330 HRS SAME DAY
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343
344
345
346
347
TEST CODE
TEST NAME
RD1408 APO E GENOTYPING 1899
1901D
1903D
1900
APOLIPOPROTEIN – E
APOLIPOPROTEIN A-I
APOLIPOPROTEIN B
APOLIPOPROTEIN EVALUATION [Apolipo A-1, Apolipo B, Lipoprotein (a) ]
9141U24 ARSENIC, 24 HR URINE
9141
ARSENIC, BLOOD
Price (Rs.) 21500 3000
525
525
METHOD
SPECIMEN
SPECIMEN VOL.
PCR RECVERSE PROBE EDTA WB 5.0 ML HYBRIDISATION SERUM + CLINICAL HISTORY + (Age & Sex NEPHELOMETRY 1.0 ML (0.5 ML) of the patient is mandatory for reporting)
NEPHELOMETRY
NEPHELOMETRY
12 -14 HRS FASTING SERUM +CLINICAL HISTORY (AGE & SEX)
12 -14 HRS FASTING SERUM +CLINICAL HISTORY (AGE & SEX)
TEMP.
FREQUENCY REPORTED
A
2 : 0930 HRS
1: 1830 HRS
R
4: 1200 HRS
SAME DAY
1.0 ML (0.5 ML)
2-8°C (7 days); F (3 months, if DAILY:16.30 F within 24 HRS hrs of collection)
SAME DAY
1.0 ML (0.5 ML)
2-8°C (7 days); F (3 months, if DAILY:16.30 F within 24 HRS hrs of collection)
SAME DAY
SAME DAY
NEPHELOMETRY
12 -14 HRS FASTING SERUM +CLINICAL HISTORY (AGE & SEX)
2.0 ML (1.0 ML)
2-8°C (7 days); F (3 months, if DAILY:16.30 F within 24 HRS hrs of collection)
2950
HGAAS WITH D2 CORRECTION
24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE). 24 HRS VOLUME SHOULD BE COMPULSARILY SPECIFIED . 10-20 ML (5 ML) FIRST SHAKE THE CAN AND TAKE THE 1020 ML ALIQUOT. THE MEASUREMENT OF URINE VOLUME SHOULD BE DONE BEFORE ALIQUOTING.
2-8°C (5 “4” , 11:30 days); F (> HRS 5 - 30days)
NEXT DAY
2950
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD CORRECTION
2-8°C (7 “4” , 11:30 days); F (> HRS 7 - 30days)
NEXT DAY
1400
Page 47 of 207
5.0 ML (3.0 ML)
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348
349
350
351
352
353
TEST CODE
9141U
1576
TEST NAME
ARSENIC, URINE SPOT
ARTHRITIS PANEL-1 (CBC, ESR, Protein electrophoresis, CRP, Uric Acid, ANA, ASO, RF & Urine routine)
1582
ARTHRITIS PANEL-2 (CBC, ESR, CRP, Uric Acid, ANA, ASO, RF & Urine routine)
1106
ASMA (ANTI SMOOTH MUSCLE ANTIBODIES) WITH TITRE (Reflex to end titre to all positive cases)
2376D
2326
ASO (ANTI STREPTOLYSIN-O ANTIBODIES)
ASPERGILLUS ANTIBODIES
Price (Rs.)
2950
METHOD
HGAAS WITH D2 CORRECTION
SPECIMEN
SPECIMEN VOL.
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTTLE AVAILABLE FROM SRL (NO PRESERVATIVE)
10-20 ML (5 ML)
SERUM + WB-EDTA +CITRATE WB BLACK TOP + FASTING URINE + SMEAR + CLINICAL HISTORY (ESR AT SITE) + (Age & Sex of the patient is mandatory for reporting)
3.0 ML + 3.0 ML +3.0 ML+ 15.0 ML(10ML) + 2 SMEARS
TEMP.
2-8°C (5 “4”, 11:30 days); F (> HRS 5 - 30days)
2300
CELL COUNTER / MODIFIED WESTERGREN / SPE / LPA / SPECTROPHOTOMETR Y / IMMUNO FLUORESCENT ANTIBODY / DIPSTICK / MICROSCOPY/ NEPHELOMETRY
1490
AUTOMATED CELL COUNTER/ MODIFIED SERUM + EDTA + FASTING URINE + WESTERGREN / SPECTROPHOTOMETR CITRATE WB BLACK TOP + (Age & Sex of the patient is mandatory for reporting) Y / DIPSTICK & MICROSCOPY/NEPHEL OMETRY
A /SERUM 2.0 ML + 3.0 ML + 2-8°C (3 15.0 ML(10ML)+ days); F (>3 3.0 ML+2 SMEARS days); Urine : R
IMMUNO FLUORESCENT ASSAY
2 ML
1700
SERUM
SERUM + (Age & Sex of the patient is mandatory for reporting)
990
NEPHELOMETRY
2300
INDIRECT HAEMAGGLUTINATIO SERUM N Page 48 of 207
FREQUENCY REPORTED
A / SERUM 2-8°C (3days); F (>3 days); Urine : R
NEXT DAY
DAILY:12:00, 1530, 17:30 HRS FOR CBC/ESR DAILY:1830 HRS, DAILY SAME DAY 18:30 HRS FOR CRP & RF & FOR PROTEIN ELECTROPHO RESIS DAILY : 1200 HRS DAILY:17:30 HRS FOR CBC & ESR ; ANA DAILY: 1100, SAME DAY 1530 HRS; RF & CRP DAILY 1830 HRS
2-8°C (3 days); 20°C (>3 3,6: 1100 HRS WED, SAT days or shipped)
1.0 ML (0.5 ML)
2-8°C (8 days); DAILY : F ( >8 days - 18:30HRS 3 months)
SAME DAY
1.0 ML (0.5 ML)
2-8°C (24 hrs); - DAILY: 1530 20°C (>24 HRS hrs)
SAME DAY
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354
355
TEST CODE
2327
TEST NAME
ASPERGILLUS FUMIGATES DNA DETECTOR
AUTOGEN (Blood Lympho. Culture, Lupus Anti Coagulant DT5102 Screen, Cardiolipin Antibodies & Anti Phospholipid Antibodies)
AUTOIMMUNE HEPATITIS PANEL-1 (ANA, SMA, AMA, LKM-1)
Price (Rs.)
6800
METHOD
POLYMERASE CHAIN REACTION
SPECIMEN
EDTA WHOLE BLOOD/ SPUTUM / CSF / FLUIDS / TISSUES + CLINICAL HISTORY
SPECIMEN VOL.
TEMP.
3.0 ML + 5.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 1.0 GM (0.5 GM)
A
7250
2.0 (1.5) ML + 1.5 (1.0) ML + 3.0 ML FASTING, CITRATED PLASMA - AT CELL CULTURE FOR + 3.0 ML (FOR MINUS 20° C + SERUM, WB- HEPARIN TO CHROMOSOMAL COAGULATION - 3 ANALYSIS, CLOT BASED REACH US within 48 hrs + CLINICAL VIALS OF 1ML HISTORY*(DOUBLE CENTRIFUGED & ENZYME EACH, OF FROZEN PLASMA) IMMUNOASSAY CITRATED PLASMA AT -20°C
3750
IMMUNOFLUOROSCE NCE ASSAY/ ENZYME SERUM IMMUNOASSAY
2.0 ML
356
1019A
357
1019B
AUTOIMMUNE HEPATITIS PANEL-2 (ANCA , SLA)
2975
IMMUNOFLUOROSCE SERUM (R)+ SERUM (F) NCE ASSAY
2.0 ML+1.5 ML
358
1212P
BACTEC BLOOD CULTUREAEROBIC PAEDIATRIC CULTURE
950
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (PEDS METHOD PLUS )
3.0 ML (1 ML)
359
1212M
BACTEC BLOOD CULTURE YEAST
360
1212
BACTEC BLOOD CULTURE AEROBIC
FREQUENCY REPORTED
5:0930 HRS
DAILY: 1000 HRS LUPUS ANTIOAGULA NT - 1, 3, 5: 1000 HRS, F/A/A/A CARDIOLIPIN & ANTIPHOSPH OLIPIDDAILY:0330 HRS ANADAILY:1100, 1530 HRS, R AMA, SMA3,6:1100 HRS & LKM6:1100 HRS SLA-4: 1100 HRS & ANCAR/F DAILY:1100, 1530 HRS
7 DAYS
10 -12 DAYS, (WED. / SAT. & MON. / THU) FOR LUPUS NEXT DAY
SAME DAY
SAME DAY
A
DAILY: 1700 HRS
PRELIM. 24 HRS, FINAL 7TH DAY
990
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (MYCOSIS) 5.0 ML (2.0 ML) METHOD
A
DAILY: 1700 HRS
PRELIM. 7TH DAY, FINAL 21ST DAY
950
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC METHOD PLUS )
A
DAILY: 1700 HRS
PRELIM. 24 HRS, FINAL 7TH DAY
Page 49 of 207
8-10 ML (3.0 ML)
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TEST CODE
TEST NAME BACTEC CULTURE, BODY FLUID -YEAST
361
1195M
362
BACTEC PLUS ANAEROBIC 1195NP CULTURE, BODY FLUID
363
BACTERIAL ANTIGEN (5) DETECTION IF NEGATIVE 9208RFX REFLEX TO CSF BACTERIAL CULTURE
364
365
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
990
BACTEC FLUORESCENT BODY FLUID- STERILE CONTAINER / 5.0 ML (2.0 ML) METHOD INOCULATED BACTEC BOTTLE (MYCOSIS)
950
BODY FLUID- STERILE CONTAINER / BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE METHOD (ANAEROBIC PLUS )
5.0 ML (2.0 ML)
TEMP.
FREQUENCY REPORTED
A
DAILY: 1700 HRS
PRELIM7TH DAY, FINAL 21ST DAY
A
DAILY: 1700 HRS
PRELIM-24 HRS, FINAL 7TH DAY
DAILY:1530 HRS
CULTURE:P RELIM: SAME DAY; FINAL 3RD DAY, Antigen detection : same Day
DAILY:1530 HRS
SAME DAY
DAILY:1530 HRS
SAME DAY
4800
BACTEC CULTURE/ LATEX PARTICLE AGGLUTINATION
9601
BACTERIAL ANTIGEN DETECTION (5 ANTIGENS)
4500
LATEX PARTICLE AGGLUTINATION
SERUM
2.0 ML (1.0 ML)
9601C
BACTERIAL ANTIGEN DETECTION, CSF (5 ANTIGENS)
4500
LATEX PARTICLE AGGLUTINATION
CSF
2.0 ML (1.0 ML)
9883
BACTERIAL MENINGITIS MULTIPLEX PCR (H. Influenzae, N. Meningitidis, S.Pnemoniae)
2850
MULTIPLEX POLYMERASE CHAIN REACTION
CSF/ WB EDTA/ THROAT SWAB
1.0 ML (0.5 ML), 2.0 ML(1.0 ML), 1.0 ML (0.5 ML), 1
A
1,4: 1000 HRS NEXT DAY
367
9886
BACTERIAL PNEUMONIA PANEL (Mycoplasma Pneumoniae, S.Pneumoniae, Chlamydia Genus)
4700
POLYMERASE CHAIN REACTION
SWAB (THROAT SWAB / NASOPHARYNGEAL SWAB) / RESPIRATORY SECRETIONS / BAL
2.0 ML + 2.0 ML + 1
F
1,3,5:1000 HRS
368
9907
B-CELL GENE REARRANGEMENT
POLYMERASE CHAIN EDTA BONE MARROW / EDTA Whole 12000 REACTION/ Blood / TISSUE + CLINICAL HISTORY FRAGMENT ANALYSIS
366
CSF
Page 50 of 207
2.0 ML (1.0 ML)
5 ml (3 ml), 5 ml (3 ml), 0.5 cm X 0.5 cm X 0.5 cm
A
2-8°C (few hrs); 20°C (longer) 2-8°C (few hrs); 20°C (longer)
A / A / A 1: 0930 HRS
NEXT DAY : 1800 HRS
8 DAYS
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369
370
371
TEST CODE
6026F
Z014K
TEST NAME
BCL 6
BCL-2 [PHOTO]
Price (Rs.)
METHOD
6.0 ML + 2.0 ML
A
DAILY: 1200 HRS
7TH DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY. IF TISSUE RECD. , THEN TISSUE PROCESSING WILL BE CHARGED.
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
A
1-5 :1100 HRS
10 -12 days
A/R
1,3,5 : 10 HRS
3, 5, 1: 1800HRS
372
5834
3950
CELL CULTURE
373
5350QN
BCR/abl - QUANTITATIVE (Philadelphia Chromosome)
5950
REAL TIME PCR
375
5351
BCR-ABL 1 KINASE DOMAIN MUTATION ANALYSIS
FREQUENCY REPORTED
FISH
BCR/ abl Gene rearrangement (PHILADELPHIA CHROMOSOME)
BCR/ABL BREAKPOINT ANALYSIS
TEMP.
4500
BCL6 [PHOTO]
RD1318
SPECIMEN VOL.
WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
Z254K
374
SPECIMEN
3950
8500
BONE MARROW-HEPARIN / HEPARIN WB+ SMEAR + CLINICAL 4.0 ML (1.0 ML) HISTORY.SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. WB-EDTA/ BONE MARROW-EDTA 2.0-3.0 ML (Specimen to reach us within 48 hrs)+CLINICAL HISTORY
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD / EDTA BONE MARROW + Clinical History
NESTED PCR SEQUENCING
WHOLE BLOOD IN PAXGENE TUBE+CLINICAL HISTORY in specified format(After collection invert the 5 ML (3 ML) Paxgene tube 7-8 times and keep at Room Temperature (18-25°C) for 2 HRS) transport at cold (2-8 or frozen (-20°C))/ 2-8°C)
Page 51 of 207
5 ML (3 ML)/5 ML (3 ML)
A/R – Sample should 1 : 0930 HRS reach within 48 HRS Cold (2-8 or frozen (2 :0930 HRS 20°C))/ 28°C)
6;1830 HRS
8 DAYS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
376
6001F
BCR-abl t(9:22) (Philadelphia Chromosome)
4750
FISH
WB-HEP + BONE MARROW - HEP. SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION.. [Please mention the 4.0 ML + 2.0 ML clinical history, blood picture (CBC Report) and medication of the patient on the TRF]
377
9892
BCR-abl TRANSCRIPT QUANTIFICATION (Philadelphia Chromosome)
5950
REAL TIME PCR
WB- EDTA / BM- EDTA (Specimen to reach us within 48 hrs)+ CLINICAL HISTORY
CHEMICAL ANALYSIS
24HRS URINE TO BE STRICTLY COLLECTED 20.0 ML (10.0ML) , IN 15ML OF TOLUENE OR RANDOM 15.0 ML (10.0ML) URINE
378
1589
BENCE-JONES PROTEIN
475
3.0 ML + 3.0 ML
HEPARIN WHOLE BLOOD SAMPLE STABILITY 24 -48HRS. SHOULD REACH SRL, MUMBAI PREFERABLY WITHIN 10.0 ML ( 8.0 ML) 24HRS OF COLLECTION BETWEEN MONDAY TO FRIDAY+ CLINICAL HISTORY
TEMP.
FREQUENCY REPORTED
DAILY:1200 HRS
5TH DAY
A/R
1,3,5 : 10 HRS
3, 5, 1: 1800HRS
R/F
DAILY: 1200HRS
SAME DAY
Cold
DAILY: 0900 HRS
11TH DAY
A
379
9996
BETA - GALACTOSIDASE DISORDER: GM1/GANGLIOSIDOSIS
7500
ARTIFICIAL FLUOROGENIC SUBSTRATES
380
1720
BETA 2 GLYCOPROTEIN IGG
1050
ENZYME IMMUNOASSAY
SERUM
1.0 ml(0.5 ml)
2-8°C (14 days), >14 3:1100 HRS days -20°C
SAME DAY 1800 HRS
381
1719
BETA 2 GLYCOPROTEIN IGM
1050
ENZYME IMMUNOASSAY
SERUM
1.0 ml(0.5 ml)
2-8°C (14 days), >14 3:1100 HRS days -20°C
SAME DAY 1800 HRS
Cold
DAILY: 0900 HRS
11TH DAY
A
3: 0930 HRS
8 DAYS
382
383
9997
BETA GLUCOSIDASE
7500
ARTIFICIAL FLUOROGENIC SUBSTRATES
2482
BETA THALASSEMIA MUTATION DETECTION (IVS15 G-C, 619 bp deletion, cd 8/9 + G, IVS1-1 G-T, 41/42 – TTCT)
5750
MULTIPLEX DNA POLYMERASE CHAIN REACTION
HEPARIN WHOLE BLOOD SAMPLE STABILITY 24 -48HRS. SHOULD REACH SRL, MUMBAI PREFERABLY WITHIN 10.0 ML ( 8.0 ML) 24HRS OF COLLECTION BETWEEN MONDAY TO FRIDAY + CLINICAL HISTORY
EDTA WHOLE BLOOD+ CLINICAL HISTORY Page 52 of 207
5.0 ML (3.0 ML)
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
384
2483
BETA THALASSEMIA MULTIPLEX DNA MUTATION DETECTION (IVS15 G-C, 619 bp deletion, cd 8/9 12500 POLYMERASE CHAIN REACTION + G, IVS1-1 G-T, 41/42 – TTCT) PNDT
385
3143
BETA-2-MICROGLOBULIN
1600
CHEMILUMINESCENCE SERUM (CLINICAL HISTORY required)
1.0 ML (0.5 ML)
386
3143U
BETA-2-MICROGLOBULIN
1600
CHEMILUMINESCENCE URINE (CLINICAL HISTORY required)
10.0 ML (5.0 ML)
Z073K
BETA-HUMAN CHORIONIC GONADOTROPIN, (BETA hCG)[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY. IF TISSUE RECD., THEN TISSUE PROCESSING WILL BE CHARGED.
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1700
TISSUE in 10% BUFFERED FORMALIN IMMUNOHISTOCHEMI (SMALL TISSUE) + SITE OF BIOPSY STRY &CLINICAL DETAILS
1 CM
A
DAILY:1100 HRS
3RD DAY
3200
TISSUE IN MICHEL'S TRANSPORT MEDIA IMMUNO FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM + CLINICAL HISTORY HP
A
DAILY: 1000 HRS
7TH DAY
3000
TISSUE IN MICHEL'S TRANSPORT MEDIA IMMUNO FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM + CLINICAL HISTORY HP
A
DAILY: 1000 HRS
7TH DAY
A
DAILY:1000 HRS
12TH DAY
A
DAILY:1000 HRS
12TH DAY
387
388
389
390
BIOPSY & IHC 9204RFX (HISTOPATHOLOGY REFLEX TO CUSTOM IHC PANEL) BIOPSY & IMMUNOFLUORESCENT ASSAY; (HISTOPATH + IgG + 1528P IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE [PHOTO]) BIOPSY & IMMUNOFLUORESCENT 1528 ASSAY; (HISTOPATH + IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE)
391
1509
BIOPSY (BONE HISTOPATHOLOGY)
1050
HISTOPATHOLOGY
392
1509P
BIOPSY (BONE HISTOPATHOLOGY) -PHOTO
1150
HISTOPATHOLOGY
AMNIOTIC FLUID / CVS IN STERILE SALINE / FETAL BLOOD EDTA+EDTA Whole Blood FOR BOTH PARENTS + CLINICAL HISTORY
20.0 ML (10.0 ML) / 10 mg (5-7 mg) / 5.0 ML (3.0 ML) / 5.0 ML (3.0 ML)
TISSUE FIXED IN 10%FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS. 1 CM RELEVANT RADIOLOGY FINDINGS: XRAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE FIXED IN 10%FORMALIN+ SITE OF BIOPSY+ CLINICAL DETAILS . RELEVANT 1 CM RADIOLOGY FINDINGS: X-RAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. Page 53 of 207
Only Amniotic Fluid/ CVS 3: 0930 HRS 8 DAYS at 2-8 °C; Rest A 2,4: 2-8°C (7 0430,1430,16 SAME DAY days) 00 HRS 2,4: 2-8°C (7 0430,1430,16 SAME DAY days) 00 HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
393
1507
BIOPSY (LARGE TISSUE / SPECIMEN)
1650
HISTOPATHOLOGY
394
1511
BIOPSY (MEDIUM TISSUE / SPECIMEN)
1000
HISTOPATHOLOGY
395
P0002
BIOPSY (PHOTO) - MORE THAN ONE
200
HISTOPATHOLOGY
396
P0001
BIOPSY (PHOTO) - SINGLE
100
HISTOPATHOLOGY
397
1502P
1150
HISTOPATHOLOGY
398
1502
1050
HISTOPATHOLOGY
399
1500C
BIOPSY (SMALL TISSUE BIOPSY / SPECIMEN
625
HISTOPATHOLOGY
400
1500
BIOPSY (SMALL TISSUE BIOPSY / SPECIMEN)
625
HISTOPATHOLOGY
401
1500P
BIOPSY (SMALL TISSUE BIOPSY / SPECIMEN) [PHOTO]
675
HISTOPATHOLOGY
BIOPSY (SKIN HISTOPATHOLOGY) - PHOTO BIOPSY (SKIN HISTOPATHOLOGY)
SPECIMEN TISSUE IN 10%FORMALIN+ SITE OF BIOPSY SPECIMEN + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: XRAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE IN 10%FORMALIN+ SITE + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: X-RAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE FIXED IN 10%FORMALIN+ SITE OF BIOPSY + CLINICAL DETAILS RELEVANT RADIOLOGY FINDINGS: X-RAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE FIXED IN 10%FORMALIN+ SITE OF BIOPSY + CLINICAL DETAILS RELEVANT RADIOLOGY FINDINGS: X-RAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE FIXED IN 10%FORMALIN- SMALL + CLINICAL HISTORY TISSUE FIXED IN 10%FORMALIN - SMALL + CLINICAL HISTORY TISSUE FIXED IN 10% FORMALIN+ SITE OF BIOPSY + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: XRAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE FIXED IN 10% FORMALIN+ SITE OF BIOPSY + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: XRAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED. TISSUE + SITE OF BIOPSY + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: X-RAY/CT/MRI PLATES OR REPORT-PLATES ARE PREFFERED.
Page 54 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
A
DAILY:1200 HRS
4TH DAY
1 to 3 CM
A
DAILY:1200 HRS
3 RD DAY
1CM
A
DAILY:1000 HRS
NEXT DAY
1CM
A
DAILY:1000 HRS
NEXT DAY
1 CM
A
1 CM
A
1 CM
A
DAILY:1200 HRS
2ND DAY
1 CM
A
DAILY:1200 HRS
2 ND DAY
1CM
A
DAILY:1200 HRS
2ND DAY
DAILY: 1000 HRS DAILY: 1000 HRS
6TH DAY 6TH DAY
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TEST CODE
402
Z202K
403
Z202KP
404
Z201K
405
Z201KP
TEST NAME BIOPSY; H&E SLIDE FOR REVIEW (MORE THAN 2 SLIDES / PARAFFIN BLOCKS) BIOPSY; H&E SLIDE FOR REVIEW (MORE THAN 2 SLIDES / PARAFFIN BLOCKS) [PHOTO] BIOPSY; H&E SLIDE FOR REVIEW (UPTO 2 SLIDES / PARAFFIN BLOCKS) BIOPSY; SLIDE FOR REVIEW (UPTO 2 SLIDES / PARAFFIN BLOCKS) [PHOTO]
406
1519
BIOPSY-BRAIN BIOPSY WITH SPECIAL STAINS (PTAH & RETICULIN)
407
1533
BIOPSY-MUSCLE BIOPSY WITH SPECIAL STAINS (MASSON TRICHOME)
408
409
410
1532
BIOPSY-NERVE BIOPSY WITH SPECIAL STAINS (LUXOL FAST & GBS)
1534
BIOPSY-RENAL BIOPSY WITH SPECIAL STAINS (PAS, GMS & OTHER AS REQUIRED FOR EX: CONGORED IN AMYLOIDOSIS)
3320
Biotinidase (NEONATAL SCREENING)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1350
HISTOPATHOLOGY
PARAFFIN BLOCK / SLIDE + CLINICAL HISTORY + SITE OF BIOPSY
MORE THAN 2
A
DAILY:1000 HRS
4TH DAY
1750
HISTOPATHOLOGY
PARAFFIN BLOCK / SLIDE + CLINICAL HISTORY + SITE OF BIOPSY
MORE THAN 2
A
DAILY:1000 HRS
4TH DAY
1000
HISTOPATHOLOGY
PARAFFIN BLOCK / SLIDE + CLINICAL HISTORY + SITE OF BIOPSY
UPTO 2
A
DAILY:1000 HRS
4TH DAY
1200
HISTOPATHOLOGY
PARAFFIN BLOCK / SLIDE + CLINICAL HISTORY + SITE OF BIOPSY
UPTO 2
A
DAILY:1000 HRS
4TH DAY
N.A.
A
DAILY:1000 HRS
4TH DAY
N.A.
A
DAILY: 1000 HRS
4TH DAY
HISTOPATHOLOGY
TISSUE FIXED IN 10% BUFFERED FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS (EMG NERVE CONDUCTION STUDIES, MOTOR / SENSORY LOSS, & SEGMENT INVOLVED)
N.A.
A
DAILY: 1000 HRS
4TH DAY
HISTOPATHOLOGY
TISSUE FIXED IN 10% BUFFERED FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS. RENAL FUNCTION TESTS, INCLUDING 24 HRS URINE PROTEIN.
N.A.
A
DAILY: 1000 HRS
4TH DAY
Enzymatic
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
2 (1)
1100
HISTOPATHOLOGY
1100
HISTOPATHOLOGY
1100
1100
500
TISSUE FIXED IN 10% BUFFERED FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS. RELEVANT RADIOLOGY FINDINGS: CT/MRI PLATES OR REPORTPLATES ARE PREFFERED. TISSUE FIXED IN 10% BUFFERED FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS (EMG STUDIES, LAB. INVESTIGATIONS, DISTRIBUTION OF MUSCLE WEAKNESS)
Page 55 of 207
2-8°C (14 1,4:1030 HRS NEXT DAY days)
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TEST CODE
8407U24 BISMUTH, 24 HRS URINE
412
8407
413
8407U
414
415
416
TEST NAME
5200BC
Price (Rs.)
METHOD
SPECIMEN
12TH DAY
2-8°C (3 DAYS)
DAILY: 900 HRS
12 DAYS
R
DAILY: 900 HRS
12TH DAY
A
DAILY: 1700 HRS
PRELIM. 2ND DAY, FINAL 7TH DAY
5.0 ML (3.0 ML)
A
DAILY:1100 HRS
10 -12 working days
5.0 ML (3.0 ML)
A
DAILY:1200 HRS
5TH DAY
BISMUTH, BLOOD
3750
ICPMS
BISMUTH, URINE SPOT
2900
ICPMS
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
WB-HEPARIN / WB-SPS (SODIUM POLYANETHANOL SULPHONATE) STERILE 5.0 ML (3.0 ML) CONTAINER
CELL CULTURE
WB-HEPARIN SPECIMEN TO REACH US within 48 hrs + FAMILY HISTORY + CLINICAL HISTORY in specified format + DETAILED PHYSICAL FEATURES
FISH
WB-HEPARIN + FAMILY HISTORY+DETAILED PHYSICAL FEATURES.SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION.
5814B
BLOOD LYMPHO CULTURE
5814F
BLOOD LYMPHO CULTURE BY FISH (Detects only five chromossomes -Down's syndrome,ambigious genetalia etc.)
417
1014
BOH PANEL (Antiphospholipid Evaluation, TORCH IgG & IgM 10 Parameter, ANA, TSH, Factor V Leiden (optional)
418
9214RFX
BONE MARROW ASPIRATION REFLEX WITH MPO
2650
2650
20 ML (10ML) 5.0 ML (3.0 ML)
20 ML (10ML)
4500
CLOT BASED & 3.0 ML (2.0 ENZYME PLASMA CITRATE(F)+SERUM(R)+CLINICAL ML)+4.0 ML (2.0 IMMUNOASSAY/IFA/C HISTORY+H/O ORAL ANTICOAGULANT ML) HEMILUMINECENCE
950
MICROSCOPY+ CYTOCHEMISTRY SPECIAL STAINS
BONE MARROW SMEAR + PERIPHERIAL SMEAR + CLINICAL HISTORY Page 56 of 207
FREQUENCY REPORTED DAILY: 900 HRS
ICPMS
EDTA WHOLE BLOOD ( SEND TO SRL,MUMBAI PREFERABLY WITHIN 24HRS OF COLLECTION) SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTTLE AVAILABLE FROM SRL (NO PRESERVATIVE)
TEMP. R
2900
BLOOD CULTURE & SUCEPTIBILITY
24 HRS URINE VOLUME REQUIRED
SPECIMEN VOL.
5-6 BM SMEARS + 2 PB SMEARS
R/F
MON / WED / FRI 10:00 HRS TORCH DAILY 3 AM, 15.30 PM TSH DAILY (MON 3RD Day SAT) 1600 HRS Antiphospholi pid Evaluation 11:00am daily
A
DAILY: 12:00 3RD DAY HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
419
1054
BONE MARROW ASPIRATION SMEARS
790
420
9222RFX
BONE MARROW REFLEX TO LAP
421
RD1317 BRAF V600E Mutation
422
BRCA 1 & 2 GENETIC TEST RD1421 BREAST CANCER
Sl. No
423
424
425
426
427
3022
BREAST CANCER MONITOR I (CA 15-3, CEA)
Z229
BREAST CANCER PROGNOSIS PROFILE (ER, PGR, HER2/neu, DNA PLOIDY)[PHOTO]
1804
BREAST CANCER PROGNOSIS TUMOR PROFILE #1A (ER, PGR, DNA PLOIDY) [PHOTO]
1813
BREAST CANCER PROGNOSIS TUMOR PROFILE #2A (ER, PGR, DNA PLOIDY, CATHESPIN D) [PHOTO]
1817
BREAST CANCER PROGNOSIS TUMOR PROFILE #3A (ER, PGR, DNA PLOIDY, PS2) [PHOTO]
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
MICROSCOPY
BONE MARROW SMEAR + PERIPHERIAL SMEAR + CLINICAL HISTORY in specified format
4 BM SMEARS + 2 PB SMEARS
A
DAILY :12:00 3RD DAY HRS
950
MICROSCOPY + CYTOCHEMISTRY SPECIAL STAINS
BONE MARROW SMEAR + PERIPHERIAL SMEAR + CLINICAL HISTORY
5-6 BM SMEARS + 2 PB SMEARS
A
DAILY :12:00 3RD DAY HRS
4350
PCR – Sequencing
TISSUE (NORMAL SALINE) /PARAFFIN BLOCK+CLINICAL HISTORY
0.5 cm X 0.5 cm X 0.5 cm
A
2: 0930 HRS
50000 PCR Sequencing
EDTA WHOLE BLOOD + CLINICAL HISTORY
6.0 ML ( 4.0 ML)
1800
CHEMILUMINESCENCE
SERUM ( Age+Sex+CLINICAL HISTORY required)
2.0 ML (1.0 ML)
5250
TISSUE IN 10%FORMALIN FOR 24-48 HRS/ PARAFFIN BLOCK+ Site of biopsy IMMUNOHISTOCHEMI and Clinical details MANDATORY.IF STRY / FLOW TISSUE RECEIVED IT WILL BE CHARGED CYTOMETRY FOR TISSUE PROCESSING.* TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.*
4250
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK STRY / FLOW mandatory)MANDATORY IF TISSUE RECD. CYTOMETRY TISSUE PROCESSING WILL BE CHARGED
5000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK STRY / FLOW mandatory)MANDATORY IF TISSUE RECD. CYTOMETRY TISSUE PROCESSING WILL BE CHARGED
5000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK STRY / FLOW mandatory)MANDATORY IF TISSUE RECD. CYTOMETRY TISSUE PROCESSING WILL BE CHARGED
Page 57 of 207
1 CM / 1 BLOCK
9 DAYS
DAILY:0930 HRS (EXCEPT AMBIENT 40 DAYS SUNDAY AND HOLIDAYS) DAILY (MON 2-8°C TO SAT): (24hrs); SAME DAY 0430,1430,16 F (>24 hrs) 00 HRS
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
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428
429
430
TEST CODE
TEST NAME
1812
BREAST CANCER PROGNOSIS TUMOR PROFILE #4A (ER, PGR, HER 2-neu, EGFR, DNA PLOIDY) [PHOTO]
1811
BREAST CANCER PROGNOSIS TUMOR PROFILE #5A (ER, PGR, HER 2-neu, CATHESPIN D, EGFR, DNA PLOIDY) [PHOTO]
1816
BREAST CANCER PROGNOSIS TUMOR PROFILE #6A (ER, PGR, DNA PLOIDY, CATHESPIN D, EGFR, HER 2neu, KI -67, PS2, P53) [PHOTO]
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
5950
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK (Site of biopsy & Clinical details IMMUNOHISTOCHEMI mandatory)MANDATORY IF TISSUE RECD. 1 CM / 1 BLOCK STRY / FLOW TISSUE PROCESSING WILL BE CHARGED CYTOMETRY TIME AND DURATION OR FIXATION SHOULD BE MENTION ON TRF
6500
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK (Site of biopsy & Clinical details IMMUNOHISTOCHEMI mandatory)MANDATORY IF TISSUE RECD. 1 CM / 1 BLOCK STRY / FLOW TISSUE PROCESSING WILL BE CHARGED CYTOMETRY TIME AND DURATION OR FIXATION SHOULD BE MENTION ON TRF
8900
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK (Site of biopsy & Clinical details IMMUNOHISTOCHEMI mandatory)MANDATORY IF TISSUE RECD. 1 CM / 1 BLOCK STRY / FLOW TISSUE PROCESSING WILL BE CHARGED CYTOMETRY TIME AND DURATION OR FIXATION SHOULD BE MENTION ON TRF
1200
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
431
8831M
BRUCELLA ABORTUS IgM ANTIBODIES
432
8831
BRUCELLA ABORTUS IgG & IgM ANTIBODIES
2100
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
433
8831G
BRUCELLA ABORTUS IgG ANTIBODIES
1200
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
434
8836
BRUCELLA ANTIBODIES
525
TUBE AGGLUTINATION SERUM
435
5823
BUCCAL SMEAR FOR BARR BODY ANALYSIS
2900
CELL CULTURE
BUCCAL SMEAR SLIDES+ CLINICAL HISTORY Page 58 of 207
2.0 ML
2-4 SLIDES
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
4: 1100 HRS
SAME DAY
4: 1100 HRS
SAME DAY
4: 1100 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
DAILY: 1800 HRS
7TH DAY
2-8º C (7 days), >7 days- 20 °C 2-8º C (7 days), >7 days- 20 °C 2-8º C (7 days), >7 days- 20 °C 2-8°C (2DAYS); -20°C (>2DAYS) A
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437
438
TEST CODE 1531
1218T
TEST NAME C 1 Esterase Functional
C DIFFICILE TOXIN A/B: RAPID TEST
RD1309 C0NNEXIN 26 MUTATION
Price (Rs.)
METHOD
4200
ENZYME IMMUNOASSAY
SPECIMEN SERUM / EDTA Plasma
SPECIMEN VOL. 2.0 ML (1.0 ML)
2000
RAPID ENZYME IMMUNOASSAY
STOOL in strile leak proof Container
10.0 (1.0) g / 1.0 mL
4850
PCR-SEQUENCING
EDTA WHOLE BLOOD + CLINICAL HISTORY
5 ML (3ML)
NEPHELOMETRY
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
IMMUNO FLUORESCENT ASSAY IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA +CLINICAL HISTORY TISSUE IN MICHEL'S TRANSPORT MEDIA +CLINICAL HISTORY
439
1501D
C3 (COMPLEMENT PROTEIN CONCENTRATION)
600
440
1526P
C3 ON TISSUE [PHOTO]
1050
441
1526
C3, IFA
890
442
1504D
C4 (COMPLEMENT PROTEIN CONCENTRATION)
600
NEPHELOMETRY
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
443
1554
C4C, IFA
1000
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
925
IMMUNO FLUORESCENT ASSAY
KIDNEY TISSUE IN MICHEL'S TRANSPORT 1CM MEDIA + CLINICAL HISTORY
444
445
1500CD C4d IMMUNOFLOURESCENCE
3121
CA 125 / OVARIAN CANCER MONITOR
1020
CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY required )
Page 59 of 207
1 CM 1 CM
1CM
1.0ML (0.5ML)
TEMP. FROZEN
FREQUENCY REPORTED 2nd and 4th Monday: 1100 hrs
Same day(1900 hrs)
R if specimen with in 72 hrs of collection. If received DAILY :15:00 SAME DAY >72 from HRS collection then required F at -20 deg C A
4: 0930 HRS
2-8°C (8 days) F ( >8 DAILY:16.30 HRS d -3 months) DAILY: 1000 A HRS DAILY: 1000 A HRS 2-8°C (8 days) F ( >8 DAILY:16.30 HRS d -3 months) DAILY: 1000 A HRS A
DAILY: 1000 HRS
8 DAYS
SAME DAY
4TH DAY 4TH DAY
SAME DAY
4TH DAY 4TH DAY
DAILY (MON 2-8°C (24 TO SAT): hrs); F SAME DAY 0430,1430,16 (>24 hrs) 00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
446
TEST CODE Z057K
TEST NAME
CA 125[PHOTO]
Price (Rs.) 2000
METHOD
SPECIMEN
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED
SPECIMEN VOL.
1 CM / 1 BLOCK
447
3134
CA 15-3
1190
CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY required )
1.0 ML (0.5 ML)
448
3120
CA 19-9
1190
CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY required )
1.0 ML (0.5 ML)
449
Z111K
CA 19-9[PHOTO]
2000
450
4117
CA 72.4
1750
451
452
9143U24 CADMIUM, 24 HRS URINE
9143
453
9143U
454
3126
2950
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) AFTER SHAKING THE GFAAS WITH ZEEMAN TAKE THE ALIQUOT IN METAL FREE SCINTILLATION VIAL AVAILABLE OR CORRECTION STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)
1 CM / 1 BLOCK
DAILY:1100 HRS
3RD DAY
DAILY (MON 2-8°C TO SAT): (24hrs); SAME DAY 0430,1430,16 F (>24 hrs) 00 HRS DAILY (MON 2-8°C (48 TO SAT): hrs); F SAME DAY 0430,1430,16 (>48 hrs) 00 HRS A
DAILY:1100 HRS
3RD DAY
2-8°C (30 2:1600HRS days)
SAME DAY
10-20 ML (5 ML)
2-8°C (5 days); F (>5 30days)
“6” , 11:30 HRS
THIRD DAY
5.0 ML (3.0 ML)
2-8°C (7 days); F (>7 30days)
“6”, 11:30 HRS
THIRD DAY
2-8°C (5 days); F “6”, 11:30 HRS (>5 30days)
THIRD DAY
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD CORRECTION
CADMIUM, URINE SPOT
2950
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE)
10-20 ML (5 ML)
CALCITONIN
2200
CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY required )
1.0 ML(0.5ML)
Page 60 of 207
A
FREQUENCY REPORTED
2.0 ml (1.0 ml)
2950
CADMIUM, BLOOD
TEMP.
F
5: 0430,1430, SAME DAY 1600 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
455
Z171K
CALCITONIN[PHOTO]
2000
456
Z223K
CALPONIN [PHOTO]
2000
457
9980
CALPROTECTIN
3500
458
Z058K
CALRETENIN [PHOTO]
2000
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details 1 CM / 1 BLOCK STRY MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED ENZYME STOOL 100 gms (50 gms) IMMUNOASSAY TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details 1 CM / 1 BLOCK STRY MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED
STOOL , RECTAL BIOPSY, WB- HEPARIN, BODY FLUIDS (TRANSPORT MEDIA MENDATORY)
2.0 g (1.0 g) STOOL / 5ML SPECIMEN SC
459
5704
CAMPYLOBACTER SPECIES CULTURE
1350
CULTURE
460
2330
CANDIDA ALBICANS ANTIBODIES
2850
INDIRECT HAEMAGGLUTINATIO SERUM N
1.0 ML (0.5 ML)
POLYMERASE CHAIN REACTION
3.0 ML + 5.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 1.0 GM (0.5 GM)
461
2331
CANDIDA ALBICANS DNA DETECTOR
7000
462
4116
CARBAMAZEPINE( TEGRETOL)
800
463
4521
CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT)
1200
EDTA WHOLE BLOOD / SPUTUM / CSF / FLUIDS / TISSUES + CLINICAL HISTORY
SERUM ( Treatment history required ) For therapeutic levels sample should be CHEMILUMINESCENCE collected just before oral dose. For toxic 1.0 ML (0.5 ML) levels collection should be 4-8 hours post dose SERUM + CLINICAL HISTORY + (Age & Sex NEPHELOMETRY of the patient is mandatory for 1.0 ML (0.5 ML) reporting) Page 61 of 207
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
FROZEN
Wednesday : SAME DAY 1100 HRS
A
DAILY:1100 HRS
R
BY PRIOR APPOINTMEN T, (Ask for TRANSPORT 7TH DAY MEDIUM) specify sample source
2-8°C (24 DAILY: 1530 hrs); -20°C HRS (>24 hrs)
A
5:0930 HRS
3RD DAY
SAME DAY
7 DAYS
DAILY (MON 2-8°C (48 TO SAT): SAME DAY hrs); F 0430,1430,16 (>48 hrs) 00 HRS F
1st & 3 rd MON 5TH DAY : 1200 HRS
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464
465
TEST CODE
TEST NAME
3258
CARCINOEMBRYONIC ANTIGEN (CEA)
Z043K
CARCINOEMBRYONIC ANTIGEN (CEA)[PHOTO]
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
650
CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY required )
1.0 ML (0.5 ML)
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
466
3370
CARDIOLIPIN IGA ANTIBODIES
725
ENZYME IMMUNOASSAY
serum
1.0 ml(0.5 ml)
467
3371
CARDIOLIPIN IgG & IgM ANTIBODIES
1250
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
468
3371G
CARDIOLIPIN IgG ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
469
3371M
CARDIOLIPIN IgM ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
5000
ENZYME IMMUNOASSAY
470
4120
CARTILAGE OLIGOMETRIC MATRIX PROTEIN
SERUM / Plasma(EDTA /citrate/heparin) 2.0 ML (1.0 ML)
Page 62 of 207
TEMP.
FREQUENCY REPORTED
DAILY (MON 2-8°C (48 TO SAT): hrs); F SAME DAY 0430,1430,16 (>48 hrs) 00 HRS
A
2-8°C (3 days) ,>3days 20°C 2-8°C (3 days) ,>3days 20°C 2-8°C (3 days) ,>3days 20°C 2-8°C (3 days) ,>3days 20°C - 20°C Frozen
DAILY:1100 HRS
3RD DAY
DAILY:1100 HRS
SAME DAY 1800 HRS
DAILY: 1100 HRS
SAME DAY
DAILY: 1100 HRS
SAME DAY
DAILY: 1100 HRS
SAME DAY
1st and 3 rd Wed:10.00 am
Same day(1900 hrs)
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TEST CODE
471
3304
472
473
TEST NAME
Price (Rs.)
CATECHOLAMINES, PLASMA
6800
3304U
CATECHOLAMINES, URINE
3750
Z003K
CATHEPSIN-D [PHOTO]
2000
METHOD
SPECIMEN
SPECIMEN VOL.
THE BLOOD SAMPLE SHOULD BE STORED AT 2-8 DEGREE CELCIUS UNTIL CENTRIFUGED TO SEPARATE THE PLASMA WITHIN 2HOURS AFTER BLOOD COLLECTION.HRS & mention the TOTAL VOLUME. MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT.DO NOT CONSUME ENZYME 2.0 ML (1.0 ML) VITAMIN B ,COFFEE, BANANAS, ALPHA IMMUNOASSAY METHYDOPA,MOA AND COMT INHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM.. 24HRS URINE with (Preservative:10 15ML 6N HCL) & mention the TOTAL VOLUME . MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT .DO NOT CONSUME VITAMIN B ,COFFEE, BANANAS, ALPHA ENZYME 20.0 ML (10.0ML) METHYDOPA,MOA AND COMT I IMMUNOASSAY NHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM.. TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING Page 63 of 207
TEMP.
FREQUENCY REPORTED
2nd & 4th F FROZEN WEDNESDAY : NEXT DAY STRICTLY 1000HRS
2nd & 4th FROZEN WEDNESDAY : NEXT DAY STRICTLY 1000HRS
A
DAILY:1100 HRS
3RD DAY
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474
TEST CODE
TEST NAME
9211RFX CBC REFLEX TO LAP
Price (Rs.)
METHOD
500
CELL COUNTER +MICROSCOPY + CYTOCHEMISTRY SPECIAL STAINS
SPECIMEN EDTA WB +FRESH PERIPHERAL SMEARS (AIR DRIED) + CLINICAL HISTORY
SPECIMEN VOL. 3.0ML + 3-4 SMEARS
3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC)
TEMP.
FREQUENCY REPORTED
A
DAILY : 15:00 3RD DAY HRS
A
DAILY: 1530 HRS
NEXT DAY BY 6..00PM
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
475
1602
CCD3
4250
FLOW CYTOMETRY
476
1604
CCD79A
4250
FLOW CYTOMETRY
Z219K
CD 10 [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
Z244K
CD 138 [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
Z224K
CD 1a [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK + site of biopsy & clinical details STRY MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
477
478
479
480
481
Z248K
Z249K
CD 56 [PHOTO]
CD 79a [PHOTO]
Page 64 of 207
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482
483
TEST CODE
Z247K
TEST NAME
CD 8 [PHOTO]
1676BC CD10 (CALLA)
Price (Rs.)
2000
2200
484
1673
CD103
2200
485
Z117K
CD117 / C-KIT[PHOTO]
2000
486
1675BN CD11c-PERCENT
2200
487
Z030K
CD15[PHOTO]
2000
488
1674BL
CD16+56-PERCENT + ABSOLUTE COUNTS
3750
489
1675BS
CD19/KAPPA-PERCENT
2200
490
1675BT
CD19/LAMBDA-PERCENT
2200
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 WB- EDTA | WB- HEPARIN | WB / CC (1CC) / 3-4 CC FLOW CYTOMETRY SMEARS + CLINICAL HISTORY(WB to (1CC) / 3-4 CC reach within 48 hrs) (1CC) 3-4 CC (1CC) / 3-4 WB- EDTA / BM-EDTA / WB- HEPARIN / CC (1CC) / 3-4 CC FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC SMEAR + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) WB- EDTA / BM-EDTA / WB- HEPARIN / BM-HEPARIN+DIRECT SMEAR+FLUID SMEAR + CLINICAL HISTORY
Page 65 of 207
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
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TEST CODE
TEST NAME
Price (Rs.)
491
1675BU CD19/Tdt-PERCENT
6000
492
1675BA CD19-PERCENT
2200
493
Z022K
CD20 (PAN-B CELL) [PHOTO]
2000
494
1675BB
CD20-PERCENT
2200
495
Z034K
CD21[PHOTO]
2000
496
1677BD CD22-PERCENT
2200
497
1677BC CD23-PERCENT
2200
498
1674BM CD25-PERCENT
2200
499
1675BC CD2-PERCENT
2200
METHOD
SPECIMEN
SPECIMEN VOL.
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLUID-EDTA I FLUID-HEPARIN I BM / WB FLOW CYTOMETRY (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 WB- EDTA / BM-EDTA / WB- HEPARIN / CC (1CC) / 3-4 CC FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC SMEAR + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) WB- EDTA / BM-EDTA / WB- HEPARIN / BM-HEPARIN+DIRECT SMEAR+FLUID SMEAR + CLINICAL HISTORY
Page 66 of 207
TEMP.
FREQUENCY REPORTED
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
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TEST CODE
TEST NAME
Price (Rs.)
500
Z023K
CD3 (PAN-T CELL) [PHOTO]
2000
501
1674BY
CD3/CD16+56-PERCENT
4750
502
1674BX
CD3/CD19-PERCENT
4600
503
1674BU CD3/CD4-ABSOLUTE
2250
504
Z029K
CD30 (KI-1 ANTIGEN)[PHOTO]
2000
505
Z212K
CD31[PHOTO]
2000
506
Z211K
CD34 [PHOTO]
2000
1674BQ CD38-PERCENT
2200
507
508
1656B
CD4 (Lymphocyte Enumeration, T- HELPER CELLS, (%CD3,%CD4,ABS CD3,ABS CD4))
1390
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 WB- EDTA / BM-EDTA / WB- HEPARIN / CC (1CC) / 3-4 CC FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC SMEAR + CLINICAL HISTORY (1CC) 3.0 ML (2.0 ML) + 1-2 WB-EDTA / HEPARIN + SMEAR (WB to FLOW CYTOMETRY REPRESENTATIVE reach within 48 hrs) SLIDES TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs) Page 67 of 207
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
SAME DAY 1800 HRS
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
SAME DAY 1800 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
509
1659
CD4 (LYMPHOCYTE SUBSET PERCENTAGE AND ABSOLUTE COUNT)
690
510
Z025K
CD4 (T-Helper cell)[PHOTO]
2000
1657B
CD4/CD8 (Lymphocyte Enumeration STudy-T Cells (%CD3,%CD4,%CD8,ABS CD3,ABS CD4,ABS CD8))
1850
Z024K
CD43 [PHOTO]
2000
513
Z021K
CD45 [PHOTO] [Also called as LEUCOCYTE COMMON ANTIGEN (LCA)]
2000
514
1676BB
CD45-PERCENT
2200
515
Z033K
CD45RA[PHOTO]
2000
516
Z036K
CD45RB[PHOTO]
2000
Sl. No
511
512
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
EDTA WB ONLY FLOW CYTOMETRY 3 – 5 ml (SAMPLE TO REACH LAB WITHIN 48 HOURS.) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
Page 68 of 207
TEMP.
FREQUENCY REPORTED
A
DAILY: 1530 HRS
SAME DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
SAME DAY 1800 HRS
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
13500
STOOL. Before Taking this Test:1. Avoid antibiotics, antifungals, laxatives, and anti-diarrheals (for 3 days).2. Avoid use 40 ML of non-steroidal anti-inflammatories (for 2 days).3. See instructions inside test kit for more details.
R
MON 09:00 HRS
20-30 DAYS
STOOL. Before Taking this Test:1. Avoid antibiotics, antifungals, laxatives, and anti-diarrheals (for 3 days).2. Avoid use of non-steroidal anti-inflammatories (for 40 ML 2 days).3. See instructions inside test kit for more details.On prior request, kit will be provided by SRL,Mumbai.
R
MON 0900 HRS
20-30 DAYS
EDTA WHOLE BLOOD + CLINICAL HISTORY
A
4: 0930 HRS
7 DAYS
518
1675BP
CD5/CD19-PERCENT
4600
519
Z213K
CD5[PHOTO]
2000
522
7006
CD68[PHOTO]
CDSA
FREQUENCY REPORTED
A
2000
Z026K
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
TEMP.
3RD DAY
CD45RO[PHOTO]
521
SPECIMEN VOL.
DAILY:1100 HRS
Z035K
1675BD CD5-PERCENT
SPECIMEN
A
517
520
METHOD
2200
2000
523
7011
CDSA 2.0 RANDOM
27500
524
7478
CEBPA MUTATION DETECTION
4750
PCR-SEQUENCING
Page 69 of 207
5 ML (3ML)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
525
TEST CODE
1073
TEST NAME
CELIAC PROFILE (Ttg IgA ABS, Gliadin IgG & IgA ABS)
Price (Rs.)
6500
METHOD
ENZYME IMMUNOASSAY
SPECIMEN
SERUM
SPECIMEN VOL.
2.0 ML (1.0 ML)
2-8°C (7 days); 1/3/5:16.30 F ( > 7 days HRS - 3 months)
1050
NEPHELOMETRY
SERUM + (Age & Sex of the patient is mandatory for reporting)
1.0 ML (0.5 ML)
1599
CH 50 COMPLEMENT TOTAL SERUM
2950
ELISA
SERUM
2.0ML(1.0)ML
528
8761
CHICKEN POX (VARICELLA ZOSTER VIRUS (VZV) IgG ANTIBODIES)
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
529
8766
CHICKEN POX (VARICELLA ZOSTER VIRUS (VZV) IgM ANTIBODIES)
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
530
2492
CHIKUNGUNYA IgM - RAPID
650
IMMUNOCONCENTRA SERUM TION
2491C
CHIKUNGUNYA IgM ANTIBODY, CSF
2491
CHIKUNGUNYA IgM ANTIBODY, SERUM
1516D
527
531
532
533
9995
Chitotriosidase (Plasma)
1.0 ml(0.5 ml)
800
ELISA
CSF + CLINICAL HISTORY (Details of fever, 2.0 ML (1.0 ML) symptoms etc.)
650
ENZYME IMMUNOASSAY
SERUM + CLINICAL HISTORY (Details of fever, symptoms etc.)
4500
ARTIFICIAL FLUOROGENIC SUBSTRATES
HEPARIN WHOLE BLOOD SAMPLE STABILITY 24 -48HRS. SHOULD REACH SRL, MUMBAI PREFERABLY WITHIN 24HRS OF COLLECTION BETWEEN MONDAY TO FRIDAY + CLINICAL HISTORY
Page 70 of 207
FREQUENCY REPORTED
2,4,6:1100 HRS For TTG 2-8°C (3 and 4:1100 days) ,>3 SAME DAY HRS For days -20°C Gliadin IgG & IgA
CERULOPLASMIN
526
TEMP.
2.0 ML (1.0 ML)
10.0 ML ( 8.0 ML)
R 2-8º C (5 days), >5 days- 20 °C 2-8º C (5 days), >5 days- 20 °C 2-8°C (3 days); 20°C (>3 days) R/F
THURSDAY 09:00HRS
3TH DAY
3: 1030 HRS
SAME DAY
3: 1030 HRS
SAME DAY
Daily:1530 pm
SAME DAY 1900 HRS
MONDAY TO THURSDAY: 10TH DAY 9:00 HRS
2-8º C (5 days), THURSDAY: >5 days- 20 11:00 HRS °C
Cold
SAME DAY
SAME DAY
MONDAY TO THURSDAY: 12TH DAY 9:00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
534
7437
TEST NAME CHLAMYDIA DNA DETECTOR
Price (Rs.) 2750
METHOD POLYMERASE CHAIN REACTION
SPECIMEN URINE / GENITAL/ EYE SWAB
SPECIMEN VOL. 1.0 ML FLUID / 1 SWAB
535
9405
CHLAMYDIA PNEUMONIAE ANTIBODIES
3600
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
536
9410
CHLAMYDIA PNEUMONIAE IgA ANTIBODIES
1800
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
537
9408
CHLAMYDIA PNEUMONIAE IgG ANTIBODIES
1800
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
538
9409
CHLAMYDIA PNEUMONIAE IgM ANTIBODIES
1800
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
539
7438
CHLAMYDIA SPECIATION BY RFLP
3500
POLYMERASE CHAIN REACTION
URINE / EYE SWAB / URETHRAL SWAB / SPUTUM / FLUIDS + CLINICAL HISTORY
10.0ML(5.0) ML + 1 + 1 + 1.0 (0.5)ML + 1 (0.5) ML
540
9404
CHLAMYDIA TRACHOMATIS ANTIBODIES
3250
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
541
9406
CHLAMYDIA TRACHOMATIS IgG ANTIBODIES
950
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
542
9411
CHLAMYDIA TRACHOMATIS IgM ANTIBODIES
950
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
Page 71 of 207
TEMP. A/R/F 2-8º C (7 days), >7 days- 20 °C 2-8º C (7 days), >7 days- 20 °C 2-8º C (7 days), >7 days- 20 °C 2-8º C (7 days), >7 days- 20 °C A/R
FREQUENCY REPORTED 1:1000 HRS
NEXT DAY
2: 1100 HRS
SAME DAY
2: 1100 HRS
SAME DAY
2: 1100 HRS
SAME DAY
2: 1100 HRS
SAME DAY
1:0930 HRS
5: 1830 HRS
2-8º C (5 days), 2: 1100 HRS >5 days- 20 °C 2-8º C (5 days), 2: 1100 HRS >5 days- 20 °C 2-8º C (5 days), 2: 1100 HRS >5 days- 20 °C
SAME DAY
SAME DAY
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
543
TEST CODE
TEST NAME
9147U24 CHROMIUM, 24 HRS URINE
Price (Rs.)
METHOD
SPECIMEN
2950
24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE). 24 HRS VOLUME SHOULD BE COMPULSARILY SPECIFIED . FIRST SHAKE THE CAN AND TAKE THE 10GFAAS WITH ZEEMAN 20 ML ALIQUOT. THE MEASUREMENT 10-20 ML (5 ML) OF URINE VOLUME SHOULD BE DONE CORRECTION AFTER ALIQUOTING.IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE) 5.0 ML (3.0 ML)
3.0 ML (2.0 ML)
544
9147
CHROMIUM, BLOOD
2950
GFAAS WITH ZEEMAN BD SODIUM HEPARIN SRL WHOLE CORRECTION BLOOD
545
9147S
CHROMIUM, SERUM
2950
GFAAS WITH ZEEMAN BD RED TOP VACCUTAINER, CORRECTION CENTRIFUGE, SEPARATE SERUM
2950
SPOT URINE IN METAL FREE GFAAS WITH ZEEMAN SCINTILLATION VIAL AVAILABLE FROM CORRECTION SRL (NO PRESERVATIVE)
546
9147U
CHROMIUM, URINE SPOT
SPECIMEN VOL.
10-20 ML (5 ML)
547
Z081K
CHROMOGRANIN A [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
548
3951
CHROMOGRANIN A
5900
RADIO IMMUNOASSAY SERUM ( CLINICAL HISTORY required )
549
5800
CHROMOSOME ANALYSIS IN HEMATOLOGICAL DISORDERS
3300
CELL CULTURE
BONE MARROW-HEPARIN / HEPARIN WB SPECIMEN TO REACH US within 48 hrs + SMEAR + CLINICAL HISTORY in specified format BLOOD PICTURE(CBC REPORT) AND MEDICATION OF THE PATIENT ON THE TRF IN SPECIMEN COLUMN Page 72 of 207
2.0ML(1.0ML)
4.0 ML (1.5 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (5 “6”, 11:30 days); F (>5 HRS -30 days)
2-8°C (7days); “6”, 11:30 Frozen (>7 - HRS 30 days) 2-8°C (7days); “6”, 11:30 Frozen (>7 - HRS 30 days) 2-8°C (5 “6”, 11:30 days); F (>5 HRS -30 days)
A
DAILY:1100 HRS
2-8°C (24 hrs); F (>24 2: 1100 HRS hrs)
A
1-5: 1200 HRS
THIRD DAY
THIRD DAY
THIRD DAY
THIRD DAY
3RD DAY
NEXT DAY
10 -12 days
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
550
Chromosome SNP Microarray RD1435 (CSM)
551
1024
CHRONIC FATIGUE SYNDROME PANEL (CBC, ESR, Random Glucose, Creatinine, Calcium, Magnesium, Electrolytes, ALT, HBsAg, HIV, HCV, ANA, TSH, Folic Acid, Urinalysis, Food Allergy (Wheat, Milk, Peanut)
1609
CHRONIC LYMPHOPROLIFERATIVE DISORDER PANEL (CD5, CD10, CD19, CD20, CD22, CD23, CD25, CD38, CD11c, CD103, FMC 7, HLA DR, Surface immunoglobulins AND LIGHT CHAINS )
9750
CITRATE ,24 HRS URINE
3500
552
553
554 555 556
8425
RD1308 C-KIT MUTATION CLL PANEL by FISH (13q14.3, 17p13.1, 11q22.3 deletions and Trisomy 12) Clostridium Difficile Real RD1430 Time PCR 6024F
METHOD
25000 Microarray
4850
2750
SPECIMEN
SPECIMEN VOL.
TEMP.
WB EDTA/POC
3-5 ml
Ambient
CELL COUNTER, MODIFIED WESTERGREN CHEMILUMINECENCE, SPECTROPHOTOMETR Y, IMT, DIPSTICK & MICROSCOPY
EDTA WHOLE BLOOD +CITRATE WHOLE BLOOD BLACK TOP + RANDOM FLORIDE+RANDOM URINE+FASTING URINE+SERUM FROZEN + (Age & Sex of the patient is mandatory for reporting)
3.0 ML EDTA WHOLE BLOOD + 2.0 ML (1.0 ML)+15.0 ML (5.0ML)+15.0 ML (10.0 ML)+3.0 ML (2.0ML)+ 3.0 ML
Fluoride plasma : (A 3 days); Serum : 28°C (2 days), F (> 2days); Urine : R
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS SMEARS + CLINICAL HISTORY(MANDATORY)
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
FREQUENCY REPORTED DAILY: 0930 HRS (EXCEPT 21 DAYS SUNDAY AND HOLIDAYS) DAILY: 18:30 HRS FOR BIOCHEM, DAILY: 12:00,15:30,1 7:30 HRS FOR SAME DAY CBC/ESR , DAILY; 1100 HRS FOR ALLERGY, DAILY 1100, 1530 HRS FOR ANA
DAILY: 1530 HRS
24HRS URINE SAMPLE (NO PRESERVATIVE). 24HRS IS STABLE FOR 14 FROZEN(ST Spectrophotometry,En DAYS IN FROZEN CONDITION. MENTION DAILY:0900 50.0 ML (25.0 ML) ABILITY:4 zymatic HRS AGE, GENDER, 24HRS URINE VOLUME DAYS) AND CLINICAL DETAILS ON THE REQUISITION FORM. EDTA WHOLE BLOOD / EDTA BONE PCR-SEQUENCING 5 ML (3ML) A 4: 0930 HRS MARROW + CLINICAL HISTORY
5500
FISH
BONE MARROW HEPARIN / HEPARIN WHOLE BLOOD
4.0 ML + 2.0 ML
2500
Real Time PCR
Stool
1.0 gm
Page 73 of 207
A
DAILY:1200 HRS
NEXT DAY BY 6.00PM
6TH DAY
8 DAYS 7TH DAY
Frozen/Col 3,6 : 1830 1,4: 0930 HRS d HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
557
1603
cmPO
4250
FLOW CYTOMETRY
558
1614
cmPO / CCD79A / CCD3
7600
FLOW CYTOMETRY
559
7578
CMV COMBI TEST (CMV Viral Load/GCV resistance)
9000
REAL TIME PCR/SEQUENCING
560
561
562
563
7576
CMV Viral Load
Z241
CNS NEOPLASMS (GFAP, EMA, NSE, SYNAPTOPHYSIN, S8900 100p, EGFR, p53, SMA, CD34, CD45, PANCYTOKEATIN, MIB1)[PHOTO]
9149U
COBALT URINE SPOT URINE
9149U24 COBALT, 24 HRS URINE
5250
Real Time PCR
GFAAS
2950
GFAAS
9149
COBALT, BLOOD
2950
565
1555
COMPLEMENT C1q
1000
SPECIMEN VOL.
3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 WB- EDTA /BM-EDTA / WB- HEPARIN CC (1CC) / 3-4 CC /BM-HEPARIN / FLUIDS IN EDTA (1CC) / 3-4 CC /HEPARIN/SMEARS + CLINICAL HISTORY (1CC) EDTA Plasma /EDTA Whole Blood + 5 ML (3 ML) CLINICAL HISTORY
EDTA Plasma /EDTA Whole Blood
5 ML (3 ML)
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
2950
564
SPECIMEN
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTTLE AVAILABLE FROM SRL (NO PRESERVATIVE) 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD CORRECTION IMMUNOFLOURESCEN TISSUE IN MICHEL'S TRANSPORT MEDIA CE + CLINICAL HISTORY Page 74 of 207
TEMP.
FREQUENCY REPORTED
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
F/A
3: 0930 HRS
8 DAYS
EDTA Plasma A/R/F, 2,4,6 : 8 HRS EDTA Whole blood -A/R
A
DAILY:1100 HRS
4, 6, 2: 1900HRS
3RD DAY
10-20 ML (5 ML)
2-8°C (5 “3”, 11:30 days); F (>5 HRS -30 days)
THIRD DAY
10-20 ML (5 ML)
2-8°C (5 “3”, 11:30 days); F (>5 HRS -30 days)
THIRD DAY
5.0 ML (3.0 ML) 1CM
2-8°C (7days); A
“3”, 11:30 HRS DAILY: 1000 HRS
THIRD DAY 4TH DAY
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TEST CODE
TEST NAME
1501D
COMPLEMENT PROTEIN CONCENTRATION (C3)
567
1504D
COMPLEMENT PROTEIN CONCENTRATION (C4)
568
Z009K
COMPLETE DISGNOSIS WITH SPECIAL STAINS & IHC (AS AND WHEN NEEDED)[PHOTO]
566
569
570
571
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
NEPHELOMETRY
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
600
NEPHELOMETRY
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
3850
IMMUNOHISTOCHEMI PARAFFIN BLOCKS (Please let us know STRY the site of biopsy & clinical details)
600
1 CM / 1 BLOCK
1209C
COMPREHENSIVE CORONARY RISK PROFILE (Extended Coronary Risk Profile, Homocystein)
2950
SPECTROPHOTOMETR 12-14 HOURS FASTING SERUM + SERUM/ Y/ PLASMA- EDTA + (Age & Sex of the 2.0 ML (1.0 ML) CHEMILUMINESCENCE patient is mandatory for reporting) / NEPHELOMETRY
3328II
COMPREHENSIVE NEONATAL SCREENING PANEL (Neonatal Screening Panel-1+NBS by MS/MS)
5300
ENZYME IMMUNOASSAY & MS/MS
8012
COMPREHENSIVE VIRAL FLU PANEL (INFLUENZA A, INFLUENZA B, PARA INFLUENZA, RSV & NOVEL H1N1 VIRUS)
5250
REAL TIME PCR FOR NOVEL H1N1 AND INFLUENZA A; NASAL/THROAT/NASOPHARYNGEAL MULTIPLEX RT-PCR SWAB IN VTM FOR INFLUENZA B, RSV AND PARAINFLUENZA
572
RD1438 COMT Genotyping
573
RD1427
CONNEXIN 30 MUTATION DETECTION
DRY BLOOD SPOT (With complete CLINICAL HISTORY form including birth date & birth time.)
5 NOs.(4NOs.)
2 SWABS IN VTM
22500 PCR Sequencing
WB EDTA/Plasma EDTA
2-3 ml
3500
EDTA WHOLE BLOOD + CLINICAL HISTORY
5.0 ML (3.0 ML)
DNA SEQUENCING
Page 75 of 207
TEMP. 2-8°C (8 days) F ( >8 d -3 months) 2-8°C (8 days) F ( >8 d -3 months) A
FREQUENCY REPORTED DAILY:16.30 HRS
SAME DAY
DAILY:16.30 HRS
SAME DAY
DAILY:1100 HRS
4TH DAY
DAILY :1030 HRS , FOR APOLIPOPRO F; 2-8°C (2 TEINS & days); F (> LIPOPROTEIN SAME DAY 2 days) S DAILY : 1630 HRS AND BIOCHEM :18:30 HRS BIOCHEMI 1,4:1100 HRS CAL NEXT FOR 2-8°C (14 DAY & BIOCHEMICAL days) MS/MS & MS/MS AFTER 72 DAILY HRS
F
Daily 1730 HRS (EXCEPT 3 DAYS SUNDAY AND 1800 HRS HOLIDAYS)
WB (A)/Plasma 2: 0930 HRS (F)
7 DAYS
AMBIENT 4: 0930 HRS
8 DAYS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
574
1120
COOMBS DIRECT TEST
550
TUBE AGGLUTINATION WB-EDTA MANDATORY
3.0 ML (1.0 ML) + 1.0 ML (0.5 ML)
575
1121
COOMBS INDIRECT TEST
550
TUBE AGGLUTINATION SERUM MANDATORY
3.0 ML (1.0 ML) + 1.0 ML (0.5 ML)
576
1121T
COOMBS TITRE (Rh ANTIBODY TITRE)
725
TUBE AGGLUTINATION SERUM MANDATORY
3.0 ML (1.0 ML) + 1.0 ML (0.5 ML)
577
578
579
580
COPPER REFLEX TO CERULOPLASMIN 9202RFX (CERULOPLASMIN WILL BE PERFORMED IF LOW VALUE OF COPPER)
9144U24 COPPER, 24 HRS URINE
9144
9144U
COPPER, SERUM
COPPER, URINE SPOT
1700
1590
1375
1650
BD RED TOP VACCUTAINER, GFAAS WITH ZEEMAN CENTRIFUGE, SEPARATE SERUM,( AGE + CORRECTION SEX MANDATORY) +2 ALIQUOT REQUIRED
1.0 ML (0.5 ML)
24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE). 24 HRS VOLUME SHOULD BE COMPULSARILY SPECIFIED . FIRST SHAKE THE CAN AND TAKE THE 10GFAAS WITH ZEEMAN 20 ML ALIQUOT. IN METAL FREE 10-20 ML (5 ML) CORRECTION SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)THE MEASUREMENT OF URINE VOLUME SHOULD BE DONE AFTER ALIQUOTING. BD RED TOP VACCUTAINER, GFAAS WITH ZEEMAN CENTRIFUGE, SEPARATE SERUM, AGE + 2.0 ML (1 ML) CORRECTION SEX MANDATORY SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE) Page 76 of 207
10-20 ML (5 ML)
TEMP. 2-8°C (48 hrs),>48 hrs -20 °C 2-8°C (48 hrs),>48 hrs -20 °C 2-8°C (48 hrs),>48 hrs -20 °C 2-8°C (7 days); F (3 months, if Froze within 24 hrs of collection)
FREQUENCY REPORTED DAILY :1630 HRS
SAME DAY
DAILY :1630 HRS
SAME DAY
DAILY :1630 HRS
SAME DAY
COPPER : 3,6 11:30 HRS, CERULOPLAS MIN : 5:1200 HRS
COPPER 5th,1st Day, SAME DAY: CERULOPL ASMIN
2-8°C (5 days); “3”,”6” F (>5 -30 11:30 HRS days)
5th,1st Day
2-8°C (7days); F “3”,”6” (>7 -30 11:30 HRS days)
5th,1st Day
2-8°C (5 days); “3” ,”6” F (>5 -30 11:30 HRS days)
5th,1st Day
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581
TEST CODE
1209E
TEST NAME
CORONARY RISK PROFILE EXTENDED (E CROP) (Coronary risk profile + Apolipoprotein Evaluation)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2050
SERUM 12-14 HRS FASTING + (Age & Sex NEPHELOMETRY / 3.0 ML (1.0 ML) SPECTROPHOTOMETR of the patient is mandatory for reporting) Y
CORTISOL
550
SERUM AM 7:00-9:00 , PM 3:00-5:00 CHEMILUMINESCENCE (CLINICAL HISTORY required )
582
3128
583
3128U
CORTISOL FREE, URINE
890
URINE -24 HOURS(Without preservative) 10.0 ML ALIQUOT CHEMILUMINESCENCE (CLINICAL HISTORY required ) MENTION (SPECIFY 24 HR 24 HRS VOLUME VOL ON TRF)
584
2547I
COXASACKIE IgG, SERUM
3500
ELISA
SERUM
2.0ML(1.0ML)
585
2548I
COXASACKIE IgM, SERUM
3500
ELISA
SERUM
2.0ML(1.0ML)
586
3140
C-PEPTIDE
1090
FASTING SERUM (Freeze serum CHEMILUMINESCENCE specimen immediately after separation) CLINICAL HISTORY REQUIRED
1.0 ML (0.5 ML)
587
3615D
CREATINE KINASE - MB
690
SPECTROPHOTOMETR SERUM Y
1.0 ML (0.5 ML)
588
3611
CREATININE KINASE -MUSCLE BRAIN (CK-MB)
690
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
2.0 ML (1.0 ML)
1158CG CRYOGLOBULIN-QUALITATIVE
890
589 590
9189
CRYPTOCOCCUS ANTIGEN
1950
INSPECTION, PHYSICAL SERUM-AMBIENT ONLY / COLD 2 - 8 (HEATING) DEGREE CELCIUS LATEX PARTICLE SERUM AGGLUTINATION
Page 77 of 207
1.0 ML (0.5 ML)
2.0 ML (1.0 ML) 1.0 ML (0.5 ML)
TEMP.
FREQUENCY REPORTED
DAILY:1830HR S(For LIPID); 2-8°C (2 DAILY:16.30 SAME DAY days); HRS F (> 2 days) (APOLIPOPRO TEIN) DAILY (MON 2-8°C (<48 TO SAT): hrs); F (> 0430,1430,16 48 hrs) 00 HRS DAILY (MON 2-8°C (<48 TO SAT): hrs); F (> 0430,1430,16 48 hrs) 00 HRS THURSDAY R/F 09:00HRS THURSDAY R/F 09:00HRS DAILY (MON TO SAT): F 0430,1430,16 00 HRS 2-8°C (<48 DAILY: 1830 hrs); F (> HRS 48 hrs)
SAME DAY
SAME DAY
6TH DAY 6TH DAY
SAME DAY
SAME DAY
2-8°C (<8 DAILY (MON hrs); F (> 8 TO SAT):1600 SAME DAY HRS hrs) DAILY:13:00 HRS 2-8°C (few DAILY:1530 hrs) HRS A
NEXT DAY SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
591
592
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED CULTURE: PRELIM. 7TH DAY, FINAL 21ST DAY, Antigen detection : same Day
CRYPTOCOCCUS ANTIGEN DETECTION IF NEGATIVE 9209RFX REFLEX CSF FUNGAL CULTURE
690
BACTEC CULTURE /LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
CRYPTOCOCCUS ANTIGEN, CSF
1950
LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
EDTA WHOLE BLOOD / SPUTUM / CSF / FLUIDS / TISSUES+ CLINICAL HISTORY
3.0 ML + 5.0 ML (3.0 ML) + 2.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 1.0 GM (0.5 GM)
A
5:0930 HRS
2.0 (1.0) g / 1.0 mL
R
DAILY :16:00 SAME DAY HRS
2.0 ML + 3.0 ML
R
1 & 4: 0900HRS
5TH DAY
5.0ML (3.0ML), 0.5 ML (0.2 ML) SPECIMEN
A
DAILY: 1700 HRS
PRELIM3RD DAY; FINAL 7TH DAY
SCRAPINGS / 3.0 ML (0.5 ML)
R
DAILY: 1700 HRS
3RD DAY
2 (1) SWABS
A
DAILY: 1700 HRS
3RD DAY
9189C
593
9188
CRYPTOCOCCUS NEOFORMANS DNA DETECTOR
6750
POLYMERASE CHAIN REACTION
594
7661
CRYPTOSPORIDIUM ANTIGEN DETECTION FROM STOOL: RAPID CARD TEST
1100
RAPID IMMUNOASSAY STOOL IN LEAK PROOF CONTAINER CSF + SERUM Specimen Collection: It is mandatory to send serum along with the CSF sample. If not received will be created as a problem sample. ANY SPECIMEN IN STERILE CONTAINER (TRANSPORT MEDIUM MENDATORY) (Urine, Swabs & Respiratory specimen not accepted) SCRAPINGS / PUS/ TISSUE IN SALINESTERILE CONTAINER (Swabs not accepted) THROAT SWAB ( IN STERILE SCREW CAP VIAL)
A
DAILY:1530 HRS
2-8°C (few DAILY:1530 hrs) HRS
SAME DAY
7 DAYS
5198
CSF,MEASELS (RUBEOLA), IGG ANTIBODIES
596
5708
CULTURE ANAEROBICISOLATION & IDENTIFICATION
975
CULTURE
597
1221
CULTURE, AEROBIC ISOLATION & IDENTIFICATION
525
CULTURE
598
1192
CULTURE, BETA STREP SCREEN (THROAT)
525
CULTURE
599
1193
CULTURE, BLOOD, ISOLATION & IDENTIFICATION
525
CULTURE
WB-HEPARIN /WB-SPS (SODIUM POLYANETHANOL SULPHONATE)
5.0 ML (3.0 ML)
A
DAILY: 1700 HRS
PRELIM. 24 HRS , FINAL 7TH DAY
600
1193CS
CULTURE, BLOOD, ISOLATION & IDENTIFICATION + SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
WB-HEPARIN / WB-SPS (SODIUM POLYANETHANOL SULPHONATE) STERILE 5.0 ML (3.0 ML) CONTAINER
A
DAILY: 1700 HRS
PRELIM. 24 HRS, FINAL 7TH DAY
595
3500
EIA
Page 78 of 207
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TEST CODE
TEST NAME
Price (Rs.)
601
1194
CULTURE, BODY FLUID, ISOLATION & IDENTIFICATION
525
CULTURE
FLUID-STERILE CONTAINER
3.0 ML (1.0 ML)
R
DAILY: 1700 HRS
3RD DAY
602
1194CS
CULTURE, BODY FLUID, ISOLATION & IDENTIFICATION (CULTURE + SENSITIVITY)
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
FLUID-STERILE CONTAINER
3.0 ML (1.0 ML)
R
DAILY: 1700 HRS
3RD DAY
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
925
CULTURE
CLOTTED BLOOD IN PLAIN VACUTAINER
5.0 ML (3.0 ML)
A
DAILY: 1700 HRS
PRELIM. 3RD DAY, FINAL 7TH DAY PRELIM: SAME DAY; FINAL 3RD DAY PRELIM: SAME DAY; FINAL 3RD DAY
603
1206
CULTURE, CLOT SALMONELLA SPECIES
604
1200
CULTURE, CSF-ISOLATION & IDENTIFICATION
525
CULTURE
CSF STERILE CONTAINER
2.0 ML (0.5 ML)
A
DAILY: 1700 HRS
605
1200CS
CULTURE, CSF-ISOLATION & IDENTIFICATION + SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
CSF STERILE CONTAINER
2.0 ML (0.5 ML)
A
DAILY: 1700 HRS
606
1196
CULTURE, EAR, ISOLATION & IDENTIFICATION
525
CULTURE
2.0 ML (0.5 ML) / 2 (1) SWABS
A
DAILY: 1700 HRS
3RD DAY
607
1211
750
CULTURE
SCRAPINGS / 1 SWABS
A
DAILY: 1700 HRS
3RD DAY
608
1211CS
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
CORNEAL SCRAPINGS / CONJUCTIUAL SWAB-STERILE CONTAINER
0.1 - 0.5 CMS / 3 (2) SWAB
A
DAILY: 1700 HRS
3RD DAY
609
1213
CULTURE, NASOPHARYNGEAL, ISOLATION & IDENTIFICATION
525
CULTURE
NASAL ASPIRATES IN STERILE CONTAINER 1.0 ML (0.3 ML)
A
DAILY: 1700 HRS
3RD DAY
610
1214
CULTURE, RESPIRATORYISOLATION & IDENTIFICATION
525
CULTURE
BAL / TRACHEAL SECRETION IN STERILE CONTAINER
3.0 ML (1.0) ML
R
DAILY: 1700 HRS
3RD DAY
611
1214CS
CULTURE, RESPIRATORYISOLATION & IDENTIFICATION + SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
BAL / BRONCHOSCOPIC BIOPSY / TRACHEAL SECRETION IN STERILE CONTAINER
3.0 ML (1.0) ML
R
DAILY: 1700 HRS
3RD DAY
CULTURE, EYE- ISOLATION & IDENTIFICATION CULTURE, EYE- ISOLATION & IDENTIFICATION + SENSITIVITY
EAR PUS /EAR SWAB IN STUARTS TRANSPORT MEDIUM-STERILE CONTAINER CORNEAL SCRAPINGS / CONJUCTIVAL SWAB - STERILE CONTAINER
Page 79 of 207
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TEST CODE
TEST NAME
Price (Rs.)
612
1217
CULTURE, SPUTUM ISOLATION & IDENTIFICATION
525
CULTURE
EXPECTORATED SPUTUM -STERILE CONTAINER
3.0 ML (1.0) ML
R
DAILY: 1700 HRS
3RD DAY
613
1217CS
CULTURE, SPUTUM ISOLATION & IDENTIFICATION + SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
EXPECTORATED SPUTUM -STERILE CONTAINER
3.0 ML (1.0) ML
R
DAILY: 1700 HRS
3RD DAY
614
5700
CULTURE, STOOL AEROBIC ISOLATION & IDENTIFICATION
525
CULTURE
STOOL-STERILE CONTAINER
10.0 (1.0) g / 1.0 ML
R
DAILY: 1700 HRS
4TH DAY
615
5700CS
CULTURE, STOOL AEROBICISOLATION & IDENTIFICATION (CULTURE + SENSITIVITY)
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
STOOL-STERILE CONTAINER
10.0 (1.0) g / 1.0 ML
R
DAILY: 1700 HRS
4TH DAY
616
1219
CULTURE, THROAT SWAB ISOLATION & IDENTIFICATION
525
CULTURE
SWABS-STERILE CONTAINER
2 (1) SWABS
A
DAILY: 1700 HRS
3RD DAY
617
1219CS
CULTURE, THROAT SWAB ISOLATION & IDENTIFICATION +SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
SWABS-STERILE CONTAINER
2 (1) SWABS
A
DAILY: 1700 HRS
3RD DAY
1285
CULTURE, URINE - ISOLATION & IDENTIFICATION (WITH COLONY COUNT)
525
CULTURE
URINE (Early morning mid stream collection) STERILE CONTAINER
3.0 ML (1.0) ML
R DAILY: 1700 (MANDAT HRS ORY)
3RD DAY
1285CS
CULTURE, URINE - ISOLATION & IDENTIFICATION (WITH COLONY COUNT) + SENSITIVITY
750
CULTURE + SENSITIVITY BY MIC BREAKPOINT
URINE(Early morning mid stream collection) STERILE CONTAINER
3.0 ML (1.0) ML
R DAILY: 1700 (MANDAT HRS ORY)
3RD DAY
618
619
METHOD
SPECIMEN
Page 80 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
620
1222
CULTURE, YEAST SCREEN, ISOLATION & IDENTIFICATION (API)
750
621
Z009K
CUSTOM IHC PANEL (AS AND WHEN NEEDED)[PHOTO]
3850
622
SP1144
CUSTOM LEUKEMIA PANEL (FOUR SURFACE MARKERS)
4250
623
SP1909
CUSTOM LEUKEMIA PANEL (SIX SURFACE MARKERS)
5500
624
Z118K
CYCLIN D1[PHOTO]
2000
625
4314I
CYCLOSPORINE A
2750
626
3938
CYFRA 21-1
2550
627
RD1311 CYP2C19 GENOTYPING
5500
628
RD1439 CYP3A4*22 Genotyping
4500
Sl. No
629
3149
CYSTATIN C
Price (Rs.)
1050
METHOD
SPECIMEN SPECIMEN VOL. WB -HEPARIN / CSF / BODY FLUID / URINE / SPECIMENS OF BODY FLUIDS,PUS,TISSUE,NAIL CLIPPINGS SKIN SCRAPING,STOOL OR VAGINAL MUCOUS MEMBRANES AND SWABS FROM LESIONS SUSPECTED CULTURE & 5.0 ML (3.0 ML) OF INFECTIONS IDENTIFICATION DUE TO YEAST SHOULD BE COLLECTED ASEPTICALLY IN A STERILE CONTAINER AND TRANSPORTED TO THE LAB AS SOON AS POSSIBLE. IN CASE OF DELAY IN TRANSPORTATION STERILE SALINE MAY BE ADDED. IMMUNOHISTOCHEMI PARAFFIN BLOCKS (Please let us know 1 CM / 1 BLOCK STRY the site of biopsy & clinical details) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) 3-4 CC (1CC) / 3-4 BM / WB- EDTA | BM / WB- HEPARIN | CC (1CC) / 3-4 CC FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN/ BM / WB (1CC) / 3-4 CC / FLUIDS SMEARS + CLINICAL HISTORY (1CC) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING EDTA WHOLE BLOOD. (Labled with time CHEMILUMINESCENCE of collection and administration of drug 3.0 ML (1.0 ML) with transplant history) ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY 2.0 ml (1.0 ml) ESCENCE EDTA WHOLE BLOOD + CLINICAL 5 ML (3ML) PCR-SEQUENCING HISTORY PCR Sequencing WB EDTA 2-3 ml SERUM + (Age & Sex of the patient is NEPHELOMETRY 1.0 ML (0.5 ML) mandatory for reporting) Page 81 of 207
TEMP.
FREQUENCY REPORTED
R
DAILY: 1700 HRS
PRELIM. 7TH DAY, FINAL 21ST DAY
A
DAILY:1100 HRS
4TH DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
2-8°C (7 days)
1,3,5: 1600 HRS
SAME DAY
2-8°C (4 weeks)
2:1600HRS
SAME DAY
A
4: 0930 HRS
10 DAYS
Ambient 1: 0930 HRS 2-8°C (7 2,4,6: 1630 days) HRS
8 DAYS SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
630
9816S
CYSTICERCUS IgG ANTIBODIES
1550
ENZYME IMMUNOASSAY
631
9923
CYSTINE, URINE
7850
HPLC
Z208
CYTOCHEMISTRY PANEL FOR LEUKEMIAS (PERIODIC ACID SCHIFF,SUDAN BLACK B and MYELOPEROXIDASE)
1650
CYTOCHEMISTRY SPECIAL STAINS
632
633
6020F
CYTOGENETICS: 14q rearrangement
4750
634
6027F
CYTOGENETICS: 1p/19q
12000 FISH
5840
CYTOGENETICS: ACUTE PROMYELOCYTIC LEUKEMIA (APL)
635
3750
FISH
CELL CULTURE
SPECIMEN
SERUM 24 HRS URINE (Without preservative), RANDOM URINE + CLINICAL HISTORY(AGE) FRESH, AIR DRIED, UNSTAINED REPRESENTATIVE BONE MARROW ASPIRATE / PERIPHERAL BLOOD SMEARS + CLINICAL HISTORY WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] BIOPSIES SOULD BE FIXED FOR 24-48 HOURS IN 10% BUFFERED FORMALIN & EMBEDDED IN PARAFFIN. TISSUE SHOULD BE 4 MICRONS THICK & PLACED ON POSITIVELY CHARGED SLIDES. 3 SLIDES / SAMPLES CONTAINING MALIGNANT TISSUE. * TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* clinical details in specified format BONE MARROW-HEPARIN / HEPARIN WB SPECIMEN TO REACH US within 48 hrs + SMEAR + CLINICAL HISTORYBLOOD PICTURE(CBC REPORT) AND MEDICATION OF THE PATIENT ON THE TRF IN SPECIMEN COLUMN
Page 82 of 207
SPECIMEN VOL.
1.0 ML (0.5 ML)
TEMP.
FREQUENCY REPORTED
2-8º C (3 days), >3 1: 1100 HRS days- 20 °C
SAME DAY
10 ML, 10 ML
F
2ND & 4TH 4TH DAY TUE:1000 HRS
MINIMUM 6 SMEARS BMA / PBS
A
DAILY:1100 HRS
3RD DAY
5.0 ML + 2.0 ML
A
DAILY: 1200 HRS
6TH DAY
NA
A
DAILY: 1000 HRS
5TH DAY
3.0 ML (2.0 ML) + 1-2 REPRESENTATIVE SLIDES
A
1,2,3,4,5:1200 1O -12 HRS days
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
636
637
TEST CODE
6008F
TEST NAME
CYTOGENETICS: AMLI / ETO t(8:21)
CYTOGENETICS: AUTOGEN (Blood Lympho. Culture, DT5102 Lupus Anti Coagulant Screen, Cardiolipin Antibodies & Anti Phospholipid Antibodies)
Price (Rs.)
4500
7250
METHOD
FISH
SPECIMEN
WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. 4.0 ML + 2.0 ML [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
2.0 (1.5) ML + 1.5 (1.0) ML + 3.0 ML CELL CULTURE FOR FASTING, CITRATED PLASMA - AT + 3.0 ML (FOR CHROMOSOMAL MINUS 20° C + SERUM, WB- HEPARIN TO COAGULATION - 3 ANALYSIS, CLOT BASED REACH US within 48 hrs + CLINICAL VIALS OF 1ML HISTORY*(DOUBLE CENTRIFUGED & ENZYME EACH, OF FROZEN PLASMA) IMMUNOASSAY CITRATED PLASMA AT -20°C
638
5814B
CYTOGENETICS: BLOOD LYMPHO CULTURE
2650
CELL CULTURE
WB-HEPARIN SPECIMEN TO REACH US within 48 hrs + FAMILY HISTORY + CLINICAL HISTORY in specified format + DETAILED PHYSICAL FEATURES
639
5823
CYTOGENETICS: BUCCAL SMEAR FOR BARR BODY ANALYSIS
2900
CELL CULTURE
BUCCAL SMEAR SLIDES+ CLINICAL HISTORY
CYTOGENETICS: CHROMOSOME ANALYSIS IN HEMATOLOGICAL DISORDERS
3300
640
641
5800
6017F
CYTOGENETICS: DEL 13q
4750
SPECIMEN VOL.
CELL CULTURE
FISH
BONE MARROW-HEPARIN / HEPARIN WB SPECIMEN TO REACH US within 48 hrs + SMEAR + CLINICAL HISTORY in specified format BLOOD PICTURE(CBC REPORT) AND MEDICATION OF THE PATIENT ON THE TRF IN SPECIMEN COLUMN WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] Page 83 of 207
TEMP.
A
FREQUENCY REPORTED
DAILY:1200 HRS
DAILY: 1000 HRS LUPUS ANTIOAGULA NT - 1, 3, 5: 1000 HRS, F/A/A/A CARDIOLIPIN & ANTIPHOSPH OLIPIDDAILY:0330 HRS
5TH DAY
10 -12 DAYS, (WED. / SAT. & MON. / THU) FOR LUPUS NEXT DAY
5.0 ML (3.0 ML)
A
DAILY:1100 HRS
10 -12 working days
2-4 SLIDES
A
DAILY: 1800 HRS
7TH DAY
4.0 ML (1.5 ML)
A
1-5: 1200 HRS
10 -12 days
4.0 ML(HEP WB) OR 2.0 ML(Heparinised Bone Marrow)
A
DAILY: 1200 HRS
5TH DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
6016F
CYTOGENETICS: EGFR Gene AMPLIFICATION
643
5812
CYTOGENETICS: Fanconi Anemia
6250
CELL CULTURE
644
5364
CYTOGENETICS: FRAGILE X CHROMOSOME ANALYSIS
6250
CELL CULTURE
645
6006F
CYTOGENETICS: HER2/neu
10500 FISH
646
6015F
CYTOGENETICS: Inv(16)
4750
FISH
647
6018F
CYTOGENETICS: MDS PANEL
8250
FISH
642
5900
FISH
SPECIMEN
SPECIMEN VOL.
MALIGNANT TISSUE BIOPSIES FIXED FOR 24-48HRS IN 10% BUFFERED FORMALIN AND EMBEDDED IN PARAFFIN. [Please NOT APPLICABLE mention the clinical history in specified format, blood picture (CBC Report) and medication of the patient on the TRF] WB HEPARIN SPECIMEN TO REACH US within 48 hrs + CLINICAL HISTORY Specimen of Age and sex matched control desirable WB HEPARIN SPECIMEN TO REACH US within 48 hrs + CLINICAL HISTORY in specified format BIOPSIES SOULD BE FIXED FOR 24-48 HOURS IN 10% BUFFERED FORMALIN & EMBEDDED IN PARAFFIN. TISSUE SHOULD BE 4 MICRONS THICK & PLACED ON POSITIVELY CHARGED SLIDES. 3 SLIDES / SAMPLES CONTAINING MALIGNANT TISSUE. * TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* clinical details in specified format WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US IN 24 HRS. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US IN 24 HRS. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
Page 84 of 207
TEMP.
FREQUENCY REPORTED
A
MONDAY TO FRIDAY: 1200 5TH DAY HRS
8.0 ml
A
DAily 15:00HRS
21 DAYS
5.0 (3.0) ML
A
DAILY:1200 HRS
21 TH DAY
NA
A
DAILY: 1000 HRS
5TH DAY
4.0 ML + 2.0 ML
A
DAILY: 1200 HRS
5TH DAY
6.0 ML+8.0 ML
A
DAILY: 1200 HRS
5TH DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
6019F
CYTOGENETICS: MLL 11q rearrangement
649
5815
CYTOGENETICS: NEONATAL KARYOTYPING (NEWBORN TO ONE MONTH OLD CHILD)
2650
CELL CULTURE
650
6003F
CYTOGENETICS: PML Ra Ra t(15:17)
4750
FISH
651
5832F
CYTOGENETICS: PRENATAL AMNIOTIC FLUID FISH
9000
FISH
652
5832K
CYTOGENETICS: PRENATAL AMNIOTIC FLUID KARYOTYPING
10000 KARYOTYPING
653
5832
CYTOGENETICS: PRENATAL AMNIOTIC FLUID KARYOTYPING + FISH
15500 KARYOTYPING + FISH
654
5833F
CYTOGENETICS: PRENATAL CHORIONIC VILLUS BIOPSY FISH
9750
648
2500
FISH
FISH
SPECIMEN WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] WB-HEPARIN SPECIMEN TO REACH US IN 24 – 48 HRS / CORD BLOOD- HEPARIN (If baby is alive)+CLINICAL HISTORY in specified format WB-HEP + BONE MARROW - HEP. SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION CHORIONIC VILLUS IN MEDIUM+TRF CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION Page 85 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
4.0 ML + 2.0 ML
A
DAILY: 1200 HRS
5TH DAY
4.0 ML (2.0 ML)
A
DAILY:1200 HRS
10 -12 days
4.0 ML + 2.0 ML
A
DAILY: 1200 HRS
5TH DAY
20 ML
A
DAILY:1200 HRS
5th Day
20 ML
A
DAILY:1500 HRS
14 -18 days
20 ML (15 ML)
A
DAILY:1500 HRS
14-18 days
30.0 (40.0) MG
A
DAILY:1200 HRS
5TH DAY
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655
656
TEST CODE
5833K
5833
TEST NAME
CYTOGENETICS: PRENATAL CHORIONIC VILLUS BIOPSY KARYOTYPING
CYTOGENETICS: PRENATAL CHORIONIC VILLUS BIOPSY KARYOTYPING + FISH
Price (Rs.)
9000
METHOD
KARYOTYPING
14500 KARYOTYPING + FISH
5831F
CYTOGENETICS: PRENATAL FETAL CORD BLOOD FISH
9000
FISH
658
5831K
CYTOGENETICS: PRENATAL FETAL CORD BLOOD KARYOTYPING
4500
KARYOTYPING
659
5831
CYTOGENETICS: PRENATAL FETAL CORD BLOOD KARYOTYPING + FISH
12500 KARYOTYPING + FISH
657
660
5818
CYTOGENETICS: PRODUCT OF CONCEPTION (POC)
4900
KARYOTYPING + FISH
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
CHORIONIC VILLUS IN MEDIUM, BIOPSY+CLINICAL HISTORY CONSENT FORM WITH PND REGISTRATION 40 mg (30 mg) NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
A
DAILY:1500 HRS
14-18 days
CHORIONIC VILLUS IN MEDIUM, BIOPSY IN MEDIUM+CLINICAL HISTORY CONSENT 40 mg (30 mg) FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
A
DAILY:1500 HRS
14-18 days
4.0 ML
A
DAILY:1200 HRS
5TH DAY
4.0 ML
A
DAILY:1500 HRS
14-18 days
4.0 ML
A
DAILY:1500 HRS
14-18 days
DAILY 12:00HRS
14 -20 days
FETAL CORD BLOOD + CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION FETAL CORD BLOOD+CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION FETAL CORD BLOOD+CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION IST TRIMESTER - CHORIONIC VILLI; 2ND OR 3RD TRIMESTER - PLACENTAL VILLI (PLEASE SEND CLINICAL HISTORY in specified format Chorionic villi or Heart Blood or Cord Blood if none of these are available, then a small piece of foetal skin (Thigh, stomach, arms) for chromosomal analysis/FISH
Page 86 of 207
10 GM CHORIONIC VILLI IN 2 STERILE RED TOP VACCUTAINERS, CONTAINING STERILE SALINE WITH 3-4 DROPS OF PROCAINE PENICILLIN OR GENTAMICIN
A/R
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661
662
TEST CODE
6021F
Z259K
TEST NAME
CYTOGENETICS: TEL/AML
CYTOKERATIN - 19 [PHOTO]
Price (Rs.)
METHOD
SPECIMEN WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
4500
FISH
6.0 ML + 2.0 ML
A
DAILY: 1200 HRS
7TH DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
663
Z059K
CYTOKERATIN - 20 [PHOTO]
2000
IMMUNOHISTOCHEMI STRY
664
Z221K
CYTOKERATIN - 5/6 [PHOTO]
2000
IMMUNOHISTOCHEMI STRY
665
Z060K
CYTOKERATIN - 7 [PHOTO]
2000
IMMUNOHISTOCHEMI STRY
666
Z054K
CYTOKERATIN 18[PHOTO]
2000
IMMUNOHISTOCHEMI STRY
667
Z053K
CYTOKERATIN 8 [PHOTO]
2000
IMMUNOHISTOCHEMI STRY
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
Page 87 of 207
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TEST CODE
TEST NAME
Price (Rs.)
668
Z045K
CYTOKERATIN-HMW, 34BE12 (SQUAMOUS)[PHOTO]
2000
669
Z046K
CYTOKERATIN-LMW, 35BH11 (NON SQUAMOUS)[PHOTO]
2000
670
7578
671
7575
CYTOMEGALOVIRUS COMBI TEST (CMV Viral Load/GCV resistance) CYTOMEGALOVIRUS DNA DETECTOR
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
9000
REAL TIME PCR/SEQUENCING
EDTA Plasma /EDTA Whole Blood + CLINICAL HISTORY
5 ML (3 ML)
3450
POLYMERASE CHAIN REACTION
WB-EDTA / CSF
3.0 ML (1.0 ML)
1190
ENZYME IMMUNOASSAY
A
DAILY:1100 HRS
3RD DAY
F/A
3: 0930 HRS
8 DAYS
A
1,4 :9.00 HRS
2,5 : 19.00 HRS SAME DAY(AVIDI TY WILL BE REPORTED IF IgG AND IgM BOTH POSITIVE)
1.0 ML (0.5 ML)
SAME DAY
serum
1.0 ml(0.5 ml)
2-8º C DAILY: 0300 (4days), >4 am days- 20 °C
SAME DAY :1230 HRS
1.0 ML (0.5 ML)
2-8º C DAILY: 0300 (4days), >4 am days- 20 °C
SAME DAY
1,3,5 : 1300 HRS
SAME DAY
9431
690
674
9432
CYTOMEGALOVIRUS IGG AVIDITY
900
ENZYME IMMUNOASSAY
2486M
CYTOMEGALOVIRUS IgM ANTIBODIES
690
ENZYME IMMUNOASSAY
2000
SERUM + CLINICAL HISTORY + (Age & Sex SPECTOPHOTOMETRY of the patient is mandatory for 2.0 ML (1.0 ML) reporting)
6152
3RD DAY
SERUM
673
ENZYME IMMUNOASSAY
676
DAILY:1100 HRS
2-8º C DAILY: 0300 (4days), >4 am days- 20 °C
CYTOMEGALOVIRUS IgG ANTIBODIES
D3-Hydroxybutyrate(Ranbut), Serum
A
1.0 ML (0.5 ML)
9436
675
FREQUENCY REPORTED
2-8º C DAILY: 0300 (4days), >4 am days- 20 °C
CYTOMEGALOVIRUS IgG & IgM ANTIBODIES
672
TEMP.
SERUM
SERUM
Page 88 of 207
R
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C*(DOUBLE CENTRIFUGED PLASMA)*
677
4200
D-DIMER(Semi Quantitative)
1300
LATEX PARTICLE AGGLUTINATION
678
3146
DEHYDROEPIANDROSTERONE (DHEA)
2600
RADIO IMMUNOASSAY SERUM (CLINICAL HISTORY required )
679
3150
DEHYDROEPIANDROSTERONESULFATE (DHEAS)
875
CHEMILUMINESCENCE SERUM (CLINICAL HISTORY required )
680
6017F
DEL 13q
4750
FISH
WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
681
DT3210
DENGMAL ( Dengue Abs (Rapid), MP, CBC )
1700
RAPID CARD TEST /MICROSCOPY/ AUTOMATED CELL COUNTER
682
7599R
DENGUE DUO RAPID TEST
990
RAPID CARD TEST
serum
683
7648
DENGUE NS1 ANTIGEN TEST
1050
ENZYME IMMUNOASSAY
serum
684
7602
DENGUE RNA PCR
3250
REVERSE TRANSCRPTASE PCR
EDTA PLASMA/CSF
WB-EDTA + SERUM + SMEAR
Page 89 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
F (To be F immediatel y at -20°c TWO ALIQOUTS OF DAILY:1630 SAME DAY & HRS 1.5 ML EACH transporte d in dry ice) 2-8°C (24 2.0 ML (1.0 ML) hrs); F 3,6:1300 HRS. SAME DAY (>24 hrs) DAILY (MON 2-8°C (48 TO SAT): 1.0 ML (0.5 ML) hrs), F SAME DAY 0430,1430,16 (> 48 hrs) 00 HRS 4.0 ML(HEP WB) OR 2.0 ML(Heparinised Bone Marrow)
A
A ( for dengue abs 2-8 d C 5.0 ML + 3.0 ML + upto 7 2 SMEAR days and > 7 days: -20 dC ) 2-8°C (7 days), 1.0 ml(0.5 ml) >7 days -20 °C 2-8º C (2 days), 1.0 ml(0.5 ml) >2days- 20 °C 1.0 ML (0.5 ML)
F
DAILY: 1200 HRS
5TH DAY
DAILY: 15: 30 HRS; DENGUE (RAPID): 17: SAME DAY 00 HRS FOR CBC, MP
Daily:1530 pm
same day 1900hrs
6:100 HRS
SAME DAY 1800 HRS
3:1000 HRS
NEXT DAY : 1800 HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1550
IMMUNOCHROMATO SERUM GRAPHY
1.0 ML (0.5 ML)
685
7600
DENGUE VIRUS IgG & IgM ANTIBODIES, QUALITATIVE
686
7601
DENGUE VIRUS IgG ANTIBODIES,
1500
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
687
7646
DENGUE VIRUS IgM ANTIBODIES
975
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
688
Z093K
DESMIN [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
689
1740
DF MMP-3
3500
ENZYME IMMUNOASSAY
1500
WB-EDTA 3.0 (1.0) ML, SERUM 2.0 (1.0) ML, FASTING PLASMA WB-EDTA, SERUM (12-14 HRS FASTING), FLUORIDE 1.0 (0.5) ML, PP PLASMA SPECTROPHOTOMETR FASTING PLASMA - FLUORIDE, PP PLASMA - FLUORIDE, FASTING URINE, PP FLUORIDE 1.0 (0.5) Y, HPLC, ML, FASTING IMMUNOTURBIDIMET URINE,URINE 24 HR OR 12 HOUR COLLECTION(Without Preservative) OR URINE 15.0ML RY, DIPSTICK & (10.0) ML, PP RANDOM URINE + (Age & Sex of the MICROSCOPY URINE 5.0 ML (3.0 patient is mandatory for reporting) ML), 24 HRS /12 HRS/ RANDOM URINE 15.0 ML(10.0 ML)
690
DIABETES MELLITUS PANEL II (Glucose F & PP, Glyco Hb, Creatinine, Microalbuminuria, DT9201 Cholesterol, HDL Cholesterol, LDL Cholesterol, Triglycerides, Uric acid, Urinalysis)
SERUM
Page 90 of 207
2.0 ML (1.0 ML)
TEMP. 2-8°C (3days), >3 days -20 °C 2-8º C (2 days), >2days- 20 °C 2-8º C (2 days), >2days- 20 °C
A
FREQUENCY REPORTED DAILY: 15:30 SAME DAY HRS
2,4,6:1030 HRS
SAME DAY
2,4,6:10.30 HRS
SAME DAY
DAILY:1100 HRS
3RD DAY
2-8°C (3 2nd and 4th Same days) ,>3 Monday:10.0 day(1900 hrs) days -20°C 0 am
Fluoride plasma : R (3 days); EDTA WB 2-8°C (7 DAILY: 1830 days); HRS Serum : 28°C (2 days); F (> 2 days); Urine : R
SAME DAY
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691
692
TEST CODE
TEST NAME
DIABETES MONITORING PANEL (Glucose F & PP, Glyco HB, Urinalysis, Insulin, DT9200 Microalbuminuria, Cholesterol, HDL Cholesterol, LDL Cholesterol, Creatinine, Triglycerides, Uric acid)
3896
DIC PROFILE (PT, APTT, TT, Fibrinogen, FDP, D- DIMER, Platelet count)
Price (Rs.)
1950
5000
693
Z218
DIFFERENTAIL DIAGNOSIS OF MEDIASTINAL MASS[PHOTO]
5000
694
6022F
DI-GEORGE SYNDROME
4500
695
1548H
DIGOXIN (lanoxin)
790
METHOD
SPECTROPHOTOMETR Y, DIPSTICK & MICROSCOPY, CHEMILUMINESCENCE , HPLC,IMMUNOTURBID IMETRY
CLOT BASED / LATEX AGGLUTINATION / AUTOMATED CELL COUNTER
SPECIMEN
SPECIMEN VOL.
TEMP.
12-14 HRS FASTING SERUM, WB-EDTA, FASTING FLUORIDE PLASMA, PP FLUORIDE PLASMA, URINE FASTING, URINE PP, URINE 24 HR OR 12 HOUR COLLECTION OR RANDOM URINE+ (Age & Sex of the patient is mandatory for reporting)
14 HRS FASTING SERUM - 3.0 (2.0) ML, WB-EDTA - 3.0 (0.5) ML, FASTING FLUORIDATED PLASMA - 1.0 (0.5) ML PP FLUORIDATED PLASMA - 1.0 (0.5) ML, FASTING URINE - 15.0 (10.0) ML, PP URINE - 3.0 (1.0) ML, URINE 10.0 ML OF 24 HRS /12 HRS/ RANDOM URINE 15.0 ML(10.0 ML)
Fluoride plasma : R (3 days); EDTA WB 2-8°C (7 days); Serum : 28°C (2 days); F (> 2 days); Urine : R
DAILY: 1830 HRS (FOR BIOCHEM TESTS)
SAME DAY
FASTING, CITRATED PLATELET POOR PLASMA - AT MINUS 20° C, WB- EDTA (A), BLOOD SMEAR - (A) * (DOUBLE CENTRIFUGED PLASMA)*
F (To be F immediatel TWO ALIQOUTS OF y at -20°c 1.5 ML EACH + 3.0 DAILY:1630 & (2.0) ML EDTA HRS transporte BLOOD + 2.0 PS d in dry ice) / A
SAME DAY
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING HEPARIN WHOLE BLOOD + CLINICAL FISH 3.0 ml ( 2.0 ml) HISTORY SERUM DRAW 8HRS POST CHEMILUMINESCENCE ADMINISTRATION ( Treatment history 1.0 ML (0.5 ML) required )
Page 91 of 207
A
FREQUENCY REPORTED
DAILY:1100 HRS
3RD DAY
DAILY:1200HR 6TH DAY S DAILY (MON 2-8°C (<48 TO SAT): hrs); F SAME DAY 0430,1430,16 (> 48 hrs) 00 HRS AMBIENT
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696
TEST CODE 3151
697
9964
698
1533D
Price (Rs.)
METHOD
2350
ENZYME IMMUNOASSAY
DIPTHERIA IGG ABS,SERUM
3800
ENZYME IMMUNOASSAY
DIRECT LDL
350
SPECTROPHOTOMETR SERUM- 12- 14HRS FASTING Y
TEST NAME DIHYDROTESTOSTERONE (DHT)
SPECIMEN
SERUM
SERUM
SPECIMEN VOL.
1.0 ML (0.5 ML)
2.0ML(1.0ML)
2.0 (1.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (24 hrs), 5: 1100 HRS >24 hrs 20°C 2-8º C (7 days), >7 5:1100HRS days- 20 °C 2-8°C (3 days)
SAME DAY
SAME DAY
DAILY: 1830 HRS
SAME DAY
699
5400K
DNA PLOIDY & CELL CYCLE ANALYSIS
3600
FLOW CYTOMETRY
1 BLOCK PARAFFIN BLOCK ( Only Breast tumor ) + (REPRESENTATIVE CLINICAL HISTORY TISSUE)
A
DAILY:1530 HRS
7 TH DAY TURNARO UND & 1800 HRS TAT
700
1406
DOPAMINE
4250
EIA
EDTA PLASMA
2.0ML (1.0ML)
F
2ND & 4TH MONDAY 09:00HRS
6 DAYS
8384
DPD GENE MUTATIONS (Dihydropyrimidine Dehydrogenase Gene Mutation)
10300 PCR-SEQUENCING
EDTA WHOLE BLOOD + CLINICAL HISTORY
5 ml (3 ml)
A
1: 0930 HRS
6: 1830 HRS
701
702
703
704
705
RD1326 DRPLA Gene analysis
4133
DRUGS OF ABUSE: 5 DRUGS (Opiates, PCP, Cocaine, Cannabinoids, Amphetamine)
4132
DRUGS OF ABUSE: 6 DRUGS (Opiates, PCP, Cocaine, Cannabinoids, Amphetamine, Barbiturates)
4131
DRUGS OF ABUSE: 9 DRUGS (Opiates, PCP, Cocaine, Cannabinoids, Amphetamine, Barbiturates, Benzodiazepines, Methodone, Propoxyphene)
4750
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
1990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
2600
FLOW CHROMATOGRAPHIC IMMUNOASSAY
10.0 ML (5.0 ML)
A (8hrs); 28º C (3 days);F (>3 days)
DAILY (MON TO SAT): 1430, 1600 HRS
SAME DAY
3850
FLOW CHROMATOGRAPHIC IMMUNOASSAY
10.0 ML (5.0 ML)
A (8hrs); 28º C (3 days);F (>3 days)
DAILY (MON TO SAT): 1430, 1600 HRS
SAME DAY
URINE + CLINICAL HISTORY
URINE + CLINICAL HISTORY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
4134U
DRUGS OF ABUSE: AMPHETAMINE
707
4135U
DRUGS OF ABUSE: BARBITURATES
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
708
4136U
DRUGS OF ABUSE: BENZODIAZEPINES
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
709
4137U
DRUGS OF ABUSE: CANNABINOIDS
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
710
4140
DRUGS OF ABUSE: COCAINE
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
711
4130
DRUGS OF ABUSE: METHAMPHETAMINE
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
712
4138U
DRUGS OF ABUSE: OPIATES
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
713
4139
DRUGS OF ABUSE: PHENYCYCLIDINE (PCP)
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
714
4148
DRUGS OF ABUSE: PROPOXYPHENE
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
715
4101
DRUGS OF ABUSE: TETRAHYDROCANNABINOL
990
FLOW CHROMATOGRAPHIC IMMUNOASSAY
URINE + CLINICAL HISTORY
10.0 ML (5.0 ML)
706
Page 93 of 207
TEMP. A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days) A (8hrs); 28º C (3 days);F (>3 days)
FREQUENCY REPORTED DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS DAILY (MON TO SAT): 1430, 1600 HRS
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
SAME DAY
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717
718
TEST CODE
TEST NAME
1199
DsDNA (Reflex to end titre for all positive cases)
2481
DUCHENNE / BECKER MUSCULAR DYSTROPHY (This test is not intended for carrier detection. thus, specimens from males only would be accepted)
Z258K
EBV-LMP - 1 (EPSTEIN-BARR VIRUS-LMP) [PHOTO]
Price (Rs.)
METHOD
SPECIMEN
1100
INDIRECT IMMUNOFLUROSCENT SERUM ASSAY.
4750
MULTIPLEX POLYMERASE CHAIN REACTION
SPECIMEN VOL.
DAILY :1100, 1530 HRS
SAME DAY
EDTA Whole Blood + CLINICAL HISTORY 5.0 ML (3.0 ML)
A
2: 0930 HRS
8 DAYS
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A/R
DAILY: 1500 HRS
SAME DAY
2-8º C (3 days), 1:1100 HRS >3 days- 20 °C
SAME DAY
719
Z121K
E-CADHERIN [PHOTO]
2000
720
1409
ECHINOCOCCUS DETECTION
625
MICROSCOPIC HYDATID CYST FLUID DETECTION - SCOLICES
1279
ECHINOCOCCUS IgG ANTIBODIES
1850
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2567
ECHOVIRUS ANTIBODIES PANEL (ECHOVIRUS IgG & IgM)
6500
ENZYME IMMUNOASSAY
SERUM
3.0 ML (2.0 ML)
5900
5750
722
723
724
6016F
EGFR Gene AMPLIFICATION
EGFR Mutation Detection (IF TISSUE RECEIVED; TISSUE RD1405 PROCESSING WILL BE CHARGED SEPERATELY.)
FREQUENCY REPORTED
F
2.0mL
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
721
TEMP.
3.0 ML (0.5 ML)
F
WEDNESDAY 8TH DAY 9:00HRS
FISH
MALIGNANT TISSUE BIOPSIES FIXED FOR 24-48HRS IN 10% BUFFERED FORMALIN AND EMBEDDED IN PARAFFIN. [Please NOT APPLICABLE mention the clinical history in specified format, blood picture (CBC Report) and medication of the patient on the TRF]
A
MONDAY TO FRIDAY: 1200 5TH DAY HRS
PCR – Sequencing
TISSUE IN NORMAL SALINE /PARAFFIN BLOCK+CLINICAL HISTORY
A
2, 5:0930 HRS 8 DAYS
Page 94 of 207
0.5 cm X 0.5 cm X 0.5 cm
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TEST CODE
725
EMP
TEST NAME ELECTRON MICROSCOPY PHOTOGRAPH
Price (Rs.)
METHOD
1503
ELECTRON MICROSCOPY – TISSUE
11500
727
6028F
EML-4 ALK Translocation by FISH
28500 FISH
728
1181
ENDOMYSIAL ANTIBODY IgA, SERUM
729
1181T
730
732
733
SPECIMEN VOL.
TEMP.
Super Religare Laboratories Electron Microscopy report and Histopathology report is mandatory for EM, Photograph
500
726
731
SPECIMEN
ELECTRON MICROSCOPY
FREQUENCY REPORTED DAILY:0900 HRS
16TH DAY
KIDNEY BIOPSY OR MUSCLE BIOPSY IN 3% GLUTARALDEHYDE.IT IS MANDATORY TO SENT HISTOPATHOLOGY DIAGNOSIS NOT APPLICABLE REPORT ALONG WITH THE SAMPLE(IF NOT GIVEN, WILL BE CREATED AS A PROBLEM SAMPLE)
MONDAY to ON COLD THURSDAY: PACK 09:00 HRS
20TH DAY
TISSUE/PARAFFIN BLOCK+CLINICAL HISTORY in specified format
Ambient Daily
15th Day
1 Slide
2-8°C (one week); 2.0 ML 2,5; 1100 HRS 20°C (longer) 2-8°C (one week); 2.0 ML 2,5; 1100 HRS 20°C (longer) 2-8º C (3 days), 1.0 ML (0.5 ML) 1:1100 HRS >3 days- 20 °C DAILY:1530HR S( Rapid Typhi 1.0 ML (0.5 ML)/5 A IgM ) & ML (2 ML) DAILY: 1700 HRS
2400
IMMUNO FLUORESCENT ASSAY
SERUM
ENDOMYSIAL ANTIBODY IgA, SERUM WITH TITRE
2950
IMMUNO FLUORESCENT ASSAY
SERUM
8441
ENTAMOEBA HISTOLYTICA ANTIBODIES
1500
ENZYME IMMUNOASSAY
SERUM
3525
ENTEROQUICK (Bactec Blood Culture + Rapid Thyphi IgM )
1200
IMMUNOCHROMATO GRAPHY/BACTEC SERUM/ WB HEPARIN FLUORESCENT METHOD
Z005K
EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY. TISSUE STRY PROCESSING CHARGES APPLICABLE INCASE SAMPLE RECEIVED IS TISSUE
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
Z049K
EPITHELIAL MEMBRANE ANTIGEN (EMA) [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
Page 95 of 207
TUES, FRI
TUES, FRI
SAME DAY
SAME DAY & 7TH DAY
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734
735
736
737
738
739
740 741
742
TEST CODE
TEST NAME
EPSTEIN BARR VIRUS ANTIBODIES TETRA PANEL {(EBV (VCA) IgG, EBV(VCA) 2066 IgM),EBV(EA) IgG] (INFECTIOUS MONONUCLEOSIS) EPSTEIN BARR VIRUS EARLY ANTIGEN IgG ANTIBODIES, 2126EG EBV (EA) (INFECTIOUS MONONUCLEOSIS) EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IgG 2266EG ANTIBODIES, EBV (NA) (INFECTIOUS MONONUCLEOSIS) EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IgM 2266EM ANTIBODIES, EBV (NA) (INFECTIOUS MONONUCLEOSIS) EPSTEIN BARR VIRUS VIRAL CAPSID ANTIGEN IgG 2116EG ANTIBODIES, EBV (VCA) (INFECTIOUS MONONUCLEOSIS) EPSTEIN BARR VIRUS VIRAL CAPSID ANTIGEN IgM 2116EM ANTIBODIES, EBV (VCA) (INFECTIOUS MONONUCLEOSIS) EPSTEIN-BARR VIRUS (EBV) 2136 DNA PCR 1160
2381
ERYTHROPOIETIN
ESCHERICHIA COLI K1 ANTIGEN
Price (Rs.)
METHOD
5800
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
1600
ENZYME IMMUNOASSAY
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
2700
NESTED POLYMERASE EDTA WB CHAIN REACTION
1725
CHEMILUMINESCENCE
1100
LATEX PARTICLE AGGLUTINATION
SPECIMEN
SERUM
SERUM / PLASMA-HEPARIN ( CLINICAL HISTORY required )
SERUM
Page 96 of 207
SPECIMEN VOL.
2.0 ML 1.0 ML (0.5 ML)
1.0 ML (0.5 ML)
TEMP.
A/R 2-8°C (7 days)
FREQUENCY REPORTED
FRI:1030 HRS
TUE: 1800 HRS
2,4: 0430,1430,16 SAME DAY 00 HRS
2-8°C (few hrs); - DAILY: 1530 20°C HRS (longer)
SAME DAY
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743
744
745
746
TEST CODE
TEST NAME
2381C
ESCHERICHIA COLI K1 ANTIGEN
3155
3156
7005
ESTRADIOL
ESTRIOL, UNCONJUGATED
ESTRO ESSENCE METABOLISM PANEL
Price (Rs.) 1100
525
1050
14000
747
1830K
ESTROGEN RECEPTOR & PROGESTERONE RECEPTOR, [PHOTO]
748
Z001K
ESTROGEN RECEPTOR (ER) [PHOTO]
1125
749
3886
ESTRONE
5100
1875
METHOD LATEX PARTICLE AGGLUTINATION
SPECIMEN
SPECIMEN VOL.
CSF IN PLAIN VACUTAINER / STERILE VIAL 1.0 ML (0.5 ML)
CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED)
CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED)
2-8°C (few hrs); - DAILY: 1530 20°C HRS (longer)
SAME DAY
1.0 ML (0.5 ML)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (7 TO SAT): days); SAME DAY 0430,1430,16 F (> 7 days) 00 HRS
TISSUE IN 10%FORMALIN FOR 24-48 HRS/ PARAFFIN BLOCK+ Site of biopsy and Clinical details MANDATORY.IF IMMUNOHISTOCHEMI 1 CM / 1 BLOCK TISSUE RECEIVED IT WILL BE CHARGED STRY FOR TISSUE PROCESSING.* TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
Page 97 of 207
FREQUENCY REPORTED
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
URINE ALIQUOT (First void morning or 24hr collection). Before Taking this Test: Premenopausal women, note date of menstrual cycle on the requisition. Recommend women on HRT or 120 ML hormonal contraceptives, to obtain specimen approximately 8-10 hours AFTER the last dose. ON REQUEST, KIT IS PROVIDED BY SER,MUMBAI.
RADIO IMMUNOASSAY SERUM Fasting
TEMP.
2.0 ML (1.0 ML)
R
MON 09:00HRS
20-25 DAYS
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
F
4 :1100 HRS
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
SERUM 12-14 HRS FASTING + (Age & Sex NEPHELOMETRY / 3.0 ML (1.0 ML) SPECTROPHOTOMETR of the patient is mandatory for Y reporting)
DAILY:1830HR 2-8°C (2 S(For LIPID); days); DAILY:1630 SAME DAY F (> 2 days) HRS(APOLIPO PROTEIN) 2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
1209E
EXTENDED CORONARY RISK PROFILE (E CROP) (Coronary risk profile + Apolipoprotein Evaluation)
751
1234
EXTRACTABLE NUCLEAR ANTIGEN (ANCEA, SS-A, SS-B, U1SNRNP, SCL-70)
6100
IMMUNOBLOT
SERUM
3.0 ML (2.0 ML)
752
9893
FACTOR II (PROTHROMBIN) MUTATION DETECTION
5800
REAL TIME PCR
WB- EDTA + clinical history
3.0 ML
F (To be F immediatel y at - 2ND & 4TH TWO ALIQOUTS OF 20°c & TUE: 11:00 1.5 ML EACH transporte HRS d in dry ice)
750
2050
A/R
6: 1030 HRS
753
1949
FACTOR IX ACTIVITY
1900
CLOT BASED
FASTING, CITRATED PLATELET POOR PLASMA *- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
754
9894
FACTOR V MUTATION DETECTION
4775
REAL TIME PCR
WB- EDTA + clinical history
3.0 ML
FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
F (To be F immediatel y at -20°c 2ND & 4TH TWO ALIQOUTS OF TUE: 11:00 & 1.5 ML EACH transporte HRS d in dry ice)
755
756
757
1947
Z097K
1957
FACTOR VIII ACTIVITY
FACTOR VIII[PHOTO]
FACTOR XIII ACTIVITY(Qualitative)
2200
CLOT BASED
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
1200
CLOT SOLUBILITY
FASTING, CITRATED PLATELET POOR PLASMA - AT MINUS 20° C *(DOUBLE CENTRIFUGED PLASMA)*+ CLINICAL HISTORY Page 98 of 207
A/R
A
3,6: 1030 HRS
DAILY:1100 HRS
F (To be F immediatel y at TWO ALIQOUTS OF DAILY:11:00 20°c & 1.5 ML EACH HRS transporte d in dry ice)
SAME DAY 3: 1800 HRS
SAME DAY
1,3 1800 HRS
SAME DAY
3RD DAY
NEXT DAY
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TEST CODE
TEST NAME
Price (Rs.)
758
5812
Fanconi Anemia
6250
759
4209
FDP(DR-70)
2750
760
9980
FECAL CALPROTECTIN
3500
761
7004
FEMALE HORMONAL PANEL
35000
762
763
3170
FERRITIN
1578
FERTILITY PANEL, FEMALE, ENDOCRINE (TSH3G UL, Prolactin, Progesterone, Estradiol, LH, FSH)
METHOD
CELL CULTURE ENZYME IMMUNOASSAY ENZYME IMMUNOASSAY
SPECIMEN
SPECIMEN VOL.
WB HEPARIN SPECIMEN TO REACH US within 48 hrs + CLINICAL HISTORY Specimen of Age and sex matched control desirable
8.0 ml
SERUM
2.0 ML (1.0 ML)
STOOL 100 gms (50 gms) 11 SALIVA SAMPLES COLLECTED OVER 28DAYS CYCLE (3,5,8,11,12,14,16,18,20,23,28 day); Before Taking this Test:• Inform practitioner about all medication, oral contraceptive, and hormone supplement use • Avoid caffeine, alcohol, and nicotine 3.0 ML EACH TIME (on day of test) • Do not eat, brush or floss teeth, use mouthwash, or chew gum (1 hour before) • Wash hands before collection • See instructions inside test kit for details.On prior request, the kit is provided by SRL,Mumbai
750
SERUM (Age+Sex+ CLINICAL HISTORY CHEMILUMINESCENCE required)
2350
SERUM ( Age+ Sex+ sLMP +CLINICAL HISTORY required ) **Draw sample CHEMILUMINESCENCE between 8 AM to 10AM ,After 3-4 hrs patient has awakened.**
Page 99 of 207
TEMP.
FREQUENCY REPORTED DAily 15:00HRS
21 DAYS
FROZEN
4 : 1000 HRS
SAME DAY
FROZEN
Wednesday : SAME DAY 1100 HRS
A
F
MON 09:00HRS
20-25 DAYS
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): hrs); F SAME DAY 0430,1430,16 (> 48 hrs) 00 HRS
3.0 ML (2.0 ML)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
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764
TEST CODE
1577
TEST NAME
FERTILITY PANEL, MALE, ENDOCRINE (Testosterone Free & Total, LH, FSH, Prolactin)
765
5012
FEVER SCREENING PANEL (CBC,ESR,CRP ,BLOOD CULTURE/SENSITIVITY,RAPID TYPHI IgM,MALARIA AG DETECTION & URINALYSIS)
766
1553
FIBRINOGEN
767
4208
FIBRINOGEN DEGRADATION PRODUCTS(FDP)(SEMI QUANTITATIVE)
Price (Rs.)
METHOD
SPECIMEN
2200
SERUM ( Age+ Sex+ LMP +CLINICAL CHEMILUMINESCENCE HISTORY required ) **DRAW SAMPLE / BETWEEN 8 AM to 10AM ,After 3-4 hrs RADIOIMMUNOASSAY patient has awakened.**
1750
CELL COUNTER/ MODIFIED WESTERGREN/ BACTECCULTURE/RAPI DIMMUNOASSAY/NEP HELOMETRY /DIPSTICK/ MICROSCOPY
900
IMMUNOFLOURESCEN TISSUE IN MICHEL'S TRANSPORT MEDIA CE + CLINICAL HISTORY
1300
LATEX PARTICLE AGGLUTINATION
EDTA WB/BLACK TOP (CITRATE) WB/SMEARS/SERUM/HEPARIN WB/FASTING URINE + (Age & Sex of the patient is mandatory for reporting)
FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C*(DOUBLE CENTRIFUGED PLASMA)*
Page 100 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
5.0 ML (3.0 ML)
DAILY (MON TO SAT): 1230 HRS (NIGHT) TO 1900 HRS (EVENING) FOR 2-8°C (<48 LH/FSH/PROL hrs); ACTIN & F (> 48 hrs) DAILY (MON TO SAT): 1230 HRS FOR TESTOSTERO NE FREE & TOTAL
3.0 ML (2.0) ML + 3.0 ML (2.0) / 15ML(10ML)
A/2-8°C (7 days); F (3 months, if F within 24 hrs of collection); Urine R
1CM
A
AFTER 3.0 HRS (LH, FSH & PROLACTIN ) & SAME DAY (TESTOSTE RONE FREE/TOTA L)
DAILY: 12:00,15:30,1 7:30 HRS FOR CBC/ESR, DAILY:1830HR S-CRP; DAILY: 1830HRSURINALYSIS
SAME DAY & 3RD DAY BLD CULTURE BY 7TH DAY
DAILY: 1000 HRS
4TH DAY
F (To be F immediatel y at -20°c TWO ALIQOUTS OF DAILY:1630 & 1.5 ML EACH HRS transporte d in dry ice)
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
768
1426
FIBRINOGEN LEVEL
1100
FASTING, CITRATED PLATELET POOR CLOT BASED ( CLAUSS PLASMA* - AT MINUS 20° C *(DOUBLE ) CENTRIFUGED PLASMA)*
769
4028
FILARIA ANTIBODY,SERUM
3000
IMMUNOCHROMATO SERUM GRAPHY
770
1518
FINE NEEDLE ASPIRATION BIOPSY (FNAC), NONGYNAEC, PROCEDURE (FOR SRL MUMBAI WALK-IN PATIENTS ONLY)
990
CYTOLOGY PROCEDURE - FINE NEEDLE ASP.
ONLY ON WALK-INS ( APPIONTMENT)
771
1515
FINE NEEDLE ASPIRATION CYTOLOGY (FNAC), NONGYNAEC CYTOLOGY
900
CYTOLOGY
UNSTAINED FNAC SMEARS OR BODY FLUIDS OR ASPIRATES + clinical history
Page 101 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
F (To be F immediatel y at -20°c TWO ALIQOUTS OF DAILY:1630 & HRS 1.5 ML EACH transporte d in dry ice) DAILY:0900 2.0 ML (1.0) ML F/R HRS FIXED UNSTAINED 1 FNAB ---SMEARS + clinical history A-SMEARS OR R - FLUIDS /ASPIRATE S, If fluid sent 2 FIXED SMEARS + within 24 1 AIRDRIED DAILY: 1530 hrs. For SMEAR OR 5 ML HRS more than OF FLUID 24 hrs, mix equal proportion of fluid with 50% alcohol
SAME DAY
3rd DAY
NEXT DAY
NEXT DAY
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TEST CODE
772
1515P
773
RD1314
774
775
776
777
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
FINE NEEDLE ASPIRATION CYTOLOGY (FNAC), NONGYNAEC CYTOLOGY (PHOTO)
990
CYTOLOGY
UNSTAINED FNAC SMEARS OR BODY FLUIDS OR ASPIRATES + clinical history
FIP1L1-PDGFRA GENE REARRANGEMENT
5350
NESTED RT-PCR
EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY
5 ML (3ML)
4012
4250
IMMUNOCAP
serum
2.0 ML
4010
FLEXI ALLERGY PANEL - ((Any 5 Allergen from available inhouse Allergen list))
2550
IMMUNOCAP
serum
2.0 ML
2179
FREQUENCY REPORTED
A-SMEARS OR R - FLUIDS /ASPIRATE S, If fluid sent 2 FIXED SMEARS + within 24 1 AIRDRIED DAILY: 1530 hrs. For SMEAR OR 5 ML HRS more than OF FLUID 24 hrs, mix equal proportion of fluid with 50% alcohol
FLEXI ALLERGY PANEL - ((Any 10 Allergen from available inhouse Allergen list))
2109
TEMP.
FLEXI ALLERGY PANEL, ALLERGY PANEL - 2 ( Select Any 29 Allergens from available inhouse Allergen list) FLEXI ALLERGY PANEL, ALLERGY PANEL - 3 ( Select Any 19 Allergen from available inhouse Allergen list)
8500
5900
IMMUNOCAP
IMMUNOCAP
SERUM
SERUM
Page 102 of 207
A 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
3:0930 HRS
NEXT DAY
9 DAYS
- Daily :1100 HRS
SAME DAY
- Daily :1100 HRS
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
5.0 ML (3.0 ML)
2-8°C (1 week); - DAILY: 1100 20°C (>1 HRS week)
SAME DAY
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778
779
780
TEST CODE
1606
1047
1609
781
SP1144
782
SP1909
783
784
TEST NAME FLOWCYTOMETRY PANEL; ACUTE LYMPHOBLASTIC LEUKEMIA PANEL (CD3,CD4,CD5,CD7,CD8,CD10, CD19,CD20,CD22,CD34,IgM, HLA-DR) FLOWCYTOMETRY PANEL; ACUTE MYELOID LEUKEMIA (AML) CHARECTERIZATION PANEL (CD7, CD19, CD13, CD14, CD15, CD33, CD34, CD117, CD41, CD61, GLYCOPHORIN A, HLA-DR) FLOWCYTOMETRY PANEL; CHRONIC LYMPHOPROLIFERATIVE DISORDER PANEL (CD5, CD10, CD19, CD20, CD22, CD23, CD25, CD38, CD11c, CD103, FMC 7, HLA DR, Surface immunoglobulins AND LIGHT CHAINS ) FLOWCYTOMETRY PANEL; CUSTOM LEUKEMIA PANEL (FOUR SURFACE MARKERS) FLOWCYTOMETRY PANEL; CUSTOM LEUKEMIA PANEL (SIX SURFACE MARKERS)
Price (Rs.)
SPECIMEN VOL.
TEMP.
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY(MANDATORY) in specified format
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY (MANDATORY)
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS SMEARS + CLINICAL HISTORY(MANDATORY) in specified format
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
4250
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS SMEARS + CLINICAL HISTORY in specified format
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
5500
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN/ BM / WB / FLUIDS SMEARS + CLINICAL HISTORY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML) + 2(1)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
3.0 ML (1.0 ML) + 3.0 ML (1.0 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
8900
8900
9750
METHOD
SPECIMEN
1607
FLOWCYTOMETRY PANEL; MYELOMA PANEL (CD38,CD56,CD19.KAPPA,LAM BDA,CD45)
5850
FLOW CYTOMETRY
EDTA BM / HEP BM / SMEARS + CLINICAL HISTORY
5422
FLOWCYTOMETRY PANEL; NATURAL KILLER CELL EVALUATION (%CD16+56,ABS CD16+CD56)
3250
FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
Page 103 of 207
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
FREQUENCY REPORTED
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
1611
FLOWCYTOMETRY PANEL; NATURAL KILLER PANEL (CD3,CD16,CD56,CD45)
786
1608
FLOWCYTOMETRY: ACUTE LEUKEMIA PANEL (CD10,CD19,CD20,CD22,CD3,C D5,CD7,CD13,CD33,CD34,CD1 17,HLA DR, CYTOPLASMIC MARKERS WILL BE DONE IF REQUIRED FOR DIAGNOSIS MPO, CD3, CD 79A )
7500
FLOW CYTOMETRY
BM / WB- EDTA | BM / WB- HEPARIN | FLUID-EDTA I FLUID-HEPARIN I BM / WB / FLUIDS DIRECT SMEARS + CLINICAL HISTORY (MANDATORY) in specified format
787
7469
FLT3 MUTATION DETECTION
3800
PCR,SEQUENCING
EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY NASAL/THROAT/NASQPHARYNGEAL SWAB IN VTM + CLINICAL HISTORY in specified format
785
3500
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1ML) / 3-4 ML (1 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
5.0 ML (3.0 ML)
A
4: 0930 HRS
7 DAYS
FLU REAL TIME PCR
4750
REAL TIME PCR
789
3522
FOLIC ACID
990
CHEMILUMINESCENCE SERUM
2020
FOLLICLE STIMULATING HORMONE & LUTEINIZING HORMONE EVALUATION (FSH & LH)
850
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required) **Draw sample CHEMILUMINESCENCE between 8 AM to 10AM ,After 3-4 hrs patient has awakened.**
792
3174
Z162K
FOLLICLE STIMULATING HORMONE (FSH)
FOLLICLE STIMULATING HORMONE (FSH)[PHOTO]
FREQUENCY REPORTED
FLOW CYTOMETRY
8008
791
TEMP.
EDTA - WB / BM / / FLUIDS, HEPARIN WB 3.0 ML (2.0 ML) + / BM / FLUIDS + BLOOD / BM SMEARS + 3.0 ML (2.0 ML) + CLINICAL HISTORY 2(1)
788
790
SPECIMEN VOL.
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required)
2 SWABS IN VTM
F
1.0 ML (0.5 ML)
F
3.0 (1.5) ML
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
490
CHEMILUMINESCENCE
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING Page 104 of 207
Daily 1730 HRS (EXCEPT Next Day SUNDAY AND 1800 HRS HOLIDAYS) DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
A
DAILY:1100 HRS
3RD DAY
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793
TEST CODE
2021
TEST NAME FOLLICLE STIMULATING HORMONE, LUTEINIZING HORMONE EVALUATION & PROLACTIN (LH, FSH & PL)
Price (Rs.)
METHOD
SPECIMEN
1050
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required) **DRAW SAMPLE CHEMILUMINESCENCE BETWEEN 8 AM to 10AM ,After 3-4 hrs patient has awakened.**
794
RD1442 Food Detect
4000
Immunochromatograp Serum hy
795
RD1306 FOOD INTOLERANCE TEST
14500
PROTEIN MICROARRAY
796
RD1325
797
5364
FRAGILE X (FMR 1) MUTATION SCREEN
6000
FRAGILE X CHROMOSOME ANALYSIS
6250
SPECIMEN VOL.
3.0 (1.5) ML
1-2 ml
5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
5.0 (3.0) ML
A
DAILY:1200 HRS
21 TH DAY
1.0 ML (0.5 ML)
FREE PSA
890
799
3245
FREE ANDROGEN INDEX
2650
800
3285
FREE BETA HCG (FBHCG)
1200
CHEMILUMINESCENCE
SERUM (CLINICAL DETAILS ); LMP DATE REQUIRED
1.0ML(0.5ML)
801
3839I
FREE PROTEIN S
4750
ENZYME IMMUNOASSAY
PLASMA (CITRATE)
1.0 ML (0.5 ML)
FREE THYROXINE , FT4
375
CHEMILUMINESCENCE SERUM
Page 105 of 207
A/R
DAILY:1000 HRS (EXCEPT SAME DAY SUNDAY AND 16.30 HRS HOLIDAYS) 3,5 18:30 HRS
3545
3228
DAILY (MON 2-8°C (<48 TO SAT): 1230 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
1,3 : 0930 HRS
798
802
FREQUENCY REPORTED
R/R/A
SERUM/PLASMA/ETDA WHOLE BLOOD + 2 ML (1ML) CLINICAL HISTORY in specified format
TRIPLET PRIMED PCR EDTA WHOLE BLOOD + CLINICAL FRAGMENT ANALYSIS HISTORY WB HEPARIN SPECIMEN TO REACH US CELL CULTURE within 48 hrs + CLINICAL HISTORY in specified format SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic CHEMILUMINESCENCE examination / instrumentation atleast for 3 days before blood test is performed. SERUM ( AGE+ SEX+ LMP +CLINICAL CHEMILUMINESCENCE HISTORY required) Sample to be drawn in the morning hours.
TEMP.
1.0 ML (0.5 ML)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F 0430,1430,16 (> 48 hrs) 00 HRS 2-8°C (<48 2,4: hrs); F 0430,1430,16 SAME DAY (> 48 hrs) 00 HRS DAILY (MON 2-8°C (7 TO SAT): days); SAME DAY 0430,1430,16 F (> 7 days) 00 HRS Frozen
6:1030 HRS
SAME DAY
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
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TEST CODE
TEST NAME
Price (Rs.)
803
3234
FREE TRIIODOTHYRONINE, FT3
375
804
RD1411
Freidreichs Ataxia mutation analysis
5250
805
3935
FRUCTOSAMINE
925
2020
FSH & LH (FOLLICLE STIMULATING HORMONE & LUTEINIZING HORMONE EVALUATION)
806
807
808
809
3174
3234
3228
FSH (FOLLICLE STIMULATING HORMONE)
FT3, FREE TRIIODOTHYRONINE
FT4, FREE THYROXINE
850
490
375
METHOD
SPECIMEN
CHEMILUMINESCENCE SERUM
SPECIMEN VOL.
1.0 ML (0.5 ML)
PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS SPECTROPHOTOMETR SERUM + (Age & Sex of the patient is 3.0ML (2.0ML) Y mandatory for reporting)
CHEMILUMINESCENCE
CHEMILUMINESCENCE
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required)
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required)
CHEMILUMINESCENCE SERUM
811
5660
FUNGAL SUSCEPTIBILITY MIC PANEL,8 DRUGS
3850
BROTH DILUTION
PURE CULTURE OF YEAST Page 106 of 207
9 DAYS
F
2, 5:1200 HRS SAME DAY
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING) DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
MODERATE OBSERVABLE GROWTH
350
3, 0930 HRS
1.0 ML (0.5 ML)
3.0 ML (0.5 ML)
FUNGAL STAIN
A
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
5323
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
2.0 ML (1.0 ML)
CHEMILUMINESCENCE SERUM
810
FREQUENCY REPORTED
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
375
SPUTUM / CSF / FLUID / URINE / STAIN / MICROSCOPY ASPIRATE / TISSUE BIOPSY- STERILE CONTAINER
TEMP.
A/R
DAILY: 1500 HRS
SAME DAY
R
DAILY: 1700 HRS
4TH DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
5661
FUNGAL SUSCEPTIBILITY MIC SINGLE DRUG
813
814
Sl. No 812
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL. MODERATE OBSERVABLE GROWTH
TEMP.
FREQUENCY REPORTED
R
DAILY: 1700 HRS
3.0 ML (0.5 ML)
A/R
DAILY: 1700 HRS
WB- HEPARIN / INOCULATED BACTEC BOTTLE (MYCOSIS)
5.0 ML (3.0 ML)
A
DAILY: 1700 HRS
PURE CULTURE OF FUNGUS ON AGAR SLANT
PURE & MODERATE OBSERVABLE GROWTH
R
DAILY: 1700 HRS
1500
BROTH DILUTION
PURE CULTURE OF YEAST
5322
FUNGUS CULTURE, STAIN & IDENTIFICATION
890
CULTURE / STAIN / MICROSCOPY
SPUTUM / CSF / FLUID / URINE / ASPIRATE / TISSUE BIOPSY- STERILE CONTAINER, SWABS NOT ACCEPTED
5322B
FUNGUS CULTURE, STAIN & IDENTIFICATION
890
CULTURE / STAIN / MICROSCOPY
4TH DAY PRELIM. 7TH DAY, FINAL 21ST DAY PRELIM. 7TH DAY, FINAL 21ST DAY
5324
FUNGUS IDENTIFICATION
700
MICROSCOPY / CULTURE/ API IDENTIFICATION
1126
G6-PD (GLUCOSE-6PHOSPATE DEHYDROGENASE), (QUALITATIVE)
790
DYE DECOLORIZATION WB-EDTA
3.0 ML (2.0 ML)
A
DAILY: 14:30 SAME DAY HRS
817
G6-PD (GLUCOSE-61126QT PHOSPATE DEHYDROGENASE, QUANTITATIVE
990
SPECTROPHOTOMETR WB-EDTA Y
3.0 ML (2.0 ML)
A
DAILY: 14:30 SAME DAY HRS
818
G6PD QUALITATIVE REFLEX 9212RFX G6PD QUANTITATIVE ESTIMATION
1100
DYE DECOLORIZATION + WB-EDTA SPECTROPHOTOMETR Y
3.0 ML (2.0 ML)
A
DAILY: 14:30 SAME DAY HRS
4250
ENZYME IMMUNOASSAY
SERUM
2.0 ML
2-8º C (48 THURSDAY : hrs), >48 1100 HRS hrs 70 °C
SAME DAY
7000
PCR Sequencing
Whole Blood EDTA/BLOOD SPOT
3-5 ml
Ambient 3; 0930 HRS
10 DAYS
1200
BIOCHEMICAL
WHOLE GALL BLADDER STONE.pl
NOT APPLICABLE
ENZYME IMMUNOASSAY
BLOOD TO BE COLLECTED IN TBFERON TUBES ( TB-NIL, TB ANTIGEN & MITOGEN 1 ML IN EACH TUBE) FROM SUNDAY TO FRIDAY AND TUBE TRANSPORTED WITHIN 16 HRS OF COLLECTION.
815
816
819
1728
820
RD1434
821
4166
822
2405
GALACTOMANNAN Galactosemia (GALT) Gene Mutation GALL BLADDER STONE ANALYSIS GAMMA INTERFERON (TBFERON), QUANTIFERON TB GOLD - TB GOLD
2350
Page 107 of 207
A/R
A
THURSDAY 16:00HRS
21ST DAY
3rd DAY
COLLECTION :1,3,5: ; 1530 NEXT DAY HRS (RUN DAY 2,4,6)
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED BY PRIOR APPOINTMEN T.Ask for transport 7TH day medium specify sample source 1: 0430,1430,16 SAME DAY 00 HRS
823
1419
GARDNERELLA VAGINALIS CULTURE
950
CULTURE
VAGINAL / CERVICAL SWABS / SECRETIONS IN TRANSPORT MEDIA, URINE IN STERILE CONTAINER
2 (1) SWABS / 3.0 ML (0.5 ML)
A
824
3175
GASTRIN
1400
CHEMILUMINESCENCE
FASTING SERUM( CLINICAL HISTORY required)
1.0 ML (0.5 ML)
F
825
5013
GASTRIN is not the name It is GASTROENTERITIS SCREENING PANEL
1050
MICROSCOPY/ CULTURE
stool sample
2.0 gm
A
Daily: 17:30 hrs
3rd day
A
DAILY:1100 HRS
3RD DAY
EDTA Plasma /EDTA Whole Blood + CLINICAL HISTORY
F/A
3: 0930 HRS 8 DAYS
A/R
DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
A/R
DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
826
Z256K
GCDFP-15 [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
827
7577
GCV RESISTANCE BY SEQUENCING
5500
PCR-SEQUENCING
3500
REAL TIME PCR ON GENEXPERT PLATFORM
828
GENE EXPERT (XPERT MTB / RD1324 RIF)
GENE EXPERT (XPERT MTB / 829 RD1324EP RIF) - EXTRAPULMONARY
830
831 832
GENETIC DISORDERS: RD1411 Freidreichs Ataxia mutation analysis GENETIC DISORDERS; RD1417 ANGELMANS SYNDROME MS PCR GENETIC DISORDERS; DRPLA RD1326 Gene analysis
SPUTUM / BAL
Pus, Pleural Fluid , Asitic Fluid/Gastric Aspirate, Tissue, CSF, Peritoneal Fluid, Pericardial Fluid, Synovial/Knee Joint Fluid, Abscess Aspirate
3500
REAL TIME PCR ON GENEXPERT PLATFORM
5250
PCR - FRAGMENT ANALYSIS
4600
Methylation Specific - EDTA WHOLE BLOOD + CLINICAL PCR HISTORY
4750
PCR - FRAGMENT ANALYSIS
5 ML (3 ML)
5.0 ML ( 2.0 ML)
5.0 ML ( 2.0 ML)
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
5.0 ML (3.0 ML)
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) Page 108 of 207
A
3, 0930 HRS
9 DAYS
AMBIENT 1:0930 HRS
9 DAYS
A
3:0930 HRS
9 DAYS
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TEST CODE
833
6023F
834
RD1418
835
RD1410
836
RD1412
837
RD1413
838
RD1414
839
RD1415
840
RD1416
841
9443
842
9940
843
2408
TEST NAME GENETIC DISORDERS; MILLER DIEKKER SYNDROME GENETIC DISORDERS; PRADER- WILLI SYNDROME MS PCR GENETIC DISORDERS; RETT SYNDROME DNA SEQUENCING ( MECP2 MUTATION) GENETIC DISORDERS; SCA 1 (SPINAL CEREBRAL ATAXIA TYPE-1) GENETIC DISORDERS; SCA 2 (SPINAL CEREBRAL ATAXIA TYPE-2) GENETIC DISORDERS; SCA 3 (SPINAL CEREBRAL ATAXIA TYPE-3) GENETIC DISORDERS; SCA 6 (SPINAL CEREBRAL ATAXIA TYPE-6) GENETIC DISORDERS; SCA 7 (SPINAL CEREBRAL ATAXIA TYPE-7) GENETIC DISORDERS; SMA CARRIER DETECTION GENETIC DISORDERS; SPORTS GENE TEST (ACTN3 Genotyping)
GENITAL MYCOPLASMA / UREAPLASMA CULTURE
Price (Rs.)
METHOD
SPECIMEN
4500
Methylation Specific - EDTA WHOLE BLOOD + CLINICAL PCR HISTORY
5.0 ML (3.0 ML)
4250
DNA SEQUENCING
EDTA WHOLE BLOOD + CLINICAL HISTORY
5.0 ML (3.0 ML)
A
2: 0930 HRS
10 DAYS
1850
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
1850
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
1850
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
1850
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
1850
PCR - FRAGMENT ANALYSIS
EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML)
A
3:0930 HRS
9 DAYS
5750
MLPA-FRAGMENT ANALYSIS
EDTA WHOLE BLOOD + CLINICAL HISTORY
5 ML (3ML)
A
5: 0930 HRS
9 DAYS
2750
PCR-SEQUENCING
EDTA WHOLE BLOOD/ BUCCAL SWAB
5 ML (3ML)/ 2 SWABS
A
5: 0930 HRS
7 DAYS
URETHRAL / CERVICAL SWABS,URINE,SEMEN IN TRANSPORT MEDIA
Page 109 of 207
2 (1) SWABS / 3.0 ML (1.0 ML)
A
FREQUENCY REPORTED
FISH
CULTURE
3 ML
TEMP.
4500
990
WHOLE BLOOD HEPARIN
SPECIMEN VOL.
1,5-1200 HRS 6TH DAY
AMBIENT 1:0930 HRS
Specimen in transport media at RT up to 48 hrs; at 28°C up to 72 hrs
9 DAYS
BY PRIOR APPOINTMEN T Ask for transport 3 RD DAY medium please specify sample source
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TEST CODE
844
9957
845
7663
846
847
848
849
850
851
852
853
Z084K
TEST NAME GENOTYPIC ASSAY – TB SECOND LINE DRUG (Note: This test is not applicable for MOTT) GIARDIA LAMBILA ANTIGEN DETACTION FROM STOOL; RAPID CARD TEST GLIAL FIBRILLARY ACIDIC PROTEIN (GFAP) [PHOTO]
Glucose-6 Phospahte RD1419 Dehydrogenase (G6PD) Gene Mutations GLUCOSE-6-PHOSPATE 1126 DEHYDROGENASE (G6PD),(QUALITATIVE) GLUCOSE-6-PHOSPATE 1126QT DEHYDROGENASE, (G6-PD), QUANTITATIVE GLUCOSE-6-PHOSPHATE 3321 DEHYDROGENASE (NEONATAL SCREENING) 3193
1674BR
3182
GLUTAMIC ACID DECARBOXYLASE (GAD) IgG ANTIBODIES GLYCOPHORIN A (ERYTHROID)
GROWTH HORMONE (GH)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
6000
SPUTUM / BAL /MTB CULTURE PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB HYBRIDIZATION SMEAR LESS THAN 1+ ARE NOT ACCEPTABLE)
5.0 ML ( 3.0 ML)
1200
Rapid Immunoassay
2.0 (1.0) g / 1.0 mL
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
3500
Real Time PCR
790
DYE DECOLORIZATION WB-EDTA
3.0 ML (2.0 ML)
A
DAILY: 14:30 SAME DAY HRS
990
SPECTROPHOTOMETR WB-EDTA Y
3.0 ML (2.0 ML)
A
DAILY: 14:30 SAME DAY HRS
350
Enzymatic
5750
ENZYME IMMUNOASSAY
SERUM
1.0 (0.5 ML)
FLOW CYTOMETRY
WB- EDTA | BM / WB- HEPARIN | BM / EDTA/ HEPARIN/ FLUIDS/SMEARS + CLINICAL HISTORY
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
2200
690
STOOL in leak proof Container
Whole Blood EDTA
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.
CHEMILUMINESCENCE FASTING SERUM
Page 110 of 207
3-5 ml
2.0 NOs (1.0 NOs)
1.0 ML (0.5 ML)
A
A/R
A
1,4:0930 HRS
4,1: 1830 HRS
DAILY :16:00 SAME DAY HRS
DAILY:1100 HRS
Ambient 3:0930 HRS
3RD DAY
7 DAYS
2-8°C (14 1,4:1030 HRS NEXT DAY days) 2-8º C (3 days), 5:1100 HRS >3 days- 20 °C
NEXT DAY
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
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854
855
TEST CODE
TEST NAME
Z163K
GROWTH HORMONE (GH)[PHOTO]
3183
GROWTH HORMONE STIMULATION TEST
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
2950
SERUM - Recommended Dose Insulin 0.1 - 0.15 U/Kg , Arginine 0.5 gm/Kg, CHEMILUMINESCENCE Glucagon 0.03 mg/Kg IM ( 5 samples collected 30 minutes apart, first sample collected before stimulating agent) STOOL. Before Taking this Test: 1. Avoid use of non-steroidal antiinflammatories (for 2 days) 2. See instructions inside test kit for more details.On prior request, the kit is provided by SRL,Mumbai
DAILY:1100 HRS
1.0 ML (0.5 ML)
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
10 ML
A
MON 09:00HRS
1.0 GM (0.5 GM)
R
DAILY :16:00 SAME DAY HRS
7008
GUT IMMUNOLOGY
14500
857
9981
H.PYLORI ANTIGEN DETECTION
1000
IMMUNOCHROMATO STOOL IN LEAK PROOF CONTAINER GRAPHY
858
9606
HAEMOPHILUS INFLUENZAE B ANTIGEN
990
LATEX PARTICLE AGGLUTINATION
SERUM
1.0 ML (0.5 ML)
859
9606C
HAEMOPHILUS INFLUENZAE B ANTIGEN, CSF
1000
LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
860
3832
HAM TEST (ACIDIFIED SERUM LYSIS TEST)
1050
HEMOLYSIS
EDTA WB AND SERUM
2.0 ML (1.0 ML), 2.0 ML (1.0 ML)
990
Immunochromatograp Serum/Plasma y
862
1737
1519I
HANTA VIRUS
HAPTOGLOBIN
3500
NEPHELOMETRY
SERUM + (Age & Sex of the patient is mandatory for reporting) Page 111 of 207
FREQUENCY REPORTED
A
856
861
TEMP.
2-8°C (few hrs); 20°C (longer) 2-8°C (few hrs); 20°C (longer) A/R
3RD DAY
20-25 DAYS
DAILY: 1530 HRS
SAME DAY
DAILY:1530 HRS
SAME DAY
MON/THUS/S NEXT DAY AT: 11:00 HRS
2.0 ML (1.0 ML)
2-8°C (3 DAYS); - DAILY: 1530 20°C (>3 HRS DAYS)
SAME DAY
1.0 ML
2-8°C (7 days); 2,4,6: 1630 F ( > 7 days HRS - 3 months)
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
863
7375
HAPTOGLOBIN GENOTYPING
2950
PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY
5 ml (3 ml)
A
1, 4 : 0930 HRS
5 DAYS
864
2478
HAV RNA PCR
3200
REVERSE TRANSCRIPTASE PCR
EDTA PLASMA
1.0 ML (0.5 ML)
F
6:1100 HRS
TUE 1800 HRS
890
HPLC/ CELL COUNTER WB-EDTA+ BLOOD SMEAR + CLINICAL 3.0 ML (2.0) ML + / MICROSCOPY HISTORY in specified format+ AGE & SEX 2 SMEARS /DEOXYGENATION
A
DAILY:1500 HRS
NEXT DAY
For HBeAG test ---28°C (7 days) ,>7 days -20°C, F
DAILY: 0730 HRS & 1530 HRS AND THURSDAY 10:30
SAME DAY AND 7TH DAY
5 ML (2ML)
F
4: 0930 HRS
6 DAYS
EDTA Plasma/Serum + CLINICAL HISTORY 5 ml (2 ml)
F
1: 0930 HRS
6;1830 HRS
865
866
867
868
TEST NAME
HB VARIANT REFLEX WITH RED CELL INDICES (PERFORMED IF HB A2 OR HB 9210RFX F IS ABNORMAL) / SICKLING TEST (PERFORMED IF HB S IS ABNORMAL) HBeAG NEGATIVE REFLEX TO 9218RFX HBV PRECORE & BASAL CORE MUTATION HBV BASAL CORE PROMOTER MUTATION HBV DRUG RESISTANCE (Lamivudine, Telbivudine, RD1305 Adefovir, Tenofovir and Entecavir) 7475
Price (Rs.)
1900
3750
METHOD
Chemiluminescent Microparticle Immunoassay (CMIA)/ SERUM + PLASMA EDTA (FROZEN ONLY) COBAS TAQMAN & NESTED PCR SEQUENCING NESTED PCR EDTA PLASMA / SERUM + CLINICAL SEQUENCING HISTORY
5800
NESTED PCRSEQUENCING
4: 0930 HRS
6 DAYS
NESTED PCR SEQUENCING
5 ML (2ML)
F
4: 0930 HRS
6 DAYS
3850
REAL TIME PCR
SERUM OR PLASMA - EDTA
3.0 ML (2.0 ML)
F
6950
COBAS TAQMAN
SERUM / PLASMA EDTA
3ML (2.5 ML)
F
6950
COBAS TAQMAN
PLASMA EDTA/ SERUM
3ML (2.5 ML)
F
DAILY:0800 HRS DAILY: 08:00 A.M. DAILY: 08:00 A.M.
NEXT DAY: 1800 HRS NEXT DAY: 20:00 hrs NEXT DAY: 20:00 hrs
1.0 ML (0.5 ML)
2-8°C (7 days); Frozen ( > 7 days - 2 months)
5.0 ML (4.0 ML)
F
5750
PCR-SEQUENCING
870
7476
HBV PRECORE MUTATION
3750
871
8141
HBV QUALITATIVE
872
8136
873
9890
875
3184
HCV ALPHA (HCV RNA DT4102 Quantitative and HCV Genotyping)
FREQUENCY REPORTED
F
HBV GENOTYPING
874
2.0 ML (1.0 ML) + 5.0(4.0 ML) F
TEMP.
2.0 ML (1.0 ML), 2.0 ML (1.0 ML)
7474
HCG (HUMAN CHORIONIC GONADOTROPIN)
SPECIMEN VOL.
SERUM, EDTA-PLASMA + CLINICAL HISTORY EDTA PLASMA / SERUM +CLINICAL HISTORY
869
HBV QUANTITATIVE BY COBAS TAQMAN HBV QUANTITATIVE BY COBAS TAQMAN
SPECIMEN
625
SERUM ( Age + Sex + LMP + CLINICAL CHEMILUMINESCENCE HISTORY required )
NESTED REVERSE 18000 TRANSCRIPTASE PCR & COBAS TAQMAN
PLASMA- EDTA Page 112 of 207
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS 2,4,6: 0930 HRS
6,2,4: 1900 HRS
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TEST CODE
876
7473
HCV GENOTYPING
11900
877
7516A
HCV RNA PCR, QUALITATIVE
3950
878
9891
HCV RNA QUANTITATIVE
7500
COBAS TAQMAN
879
7516
HCV4 (HCV RNA Qualitative AND HCV Antibodies)
4800
880
8400
HDV RNA PCR
881
882
883
884
TEST NAME
Price (Rs.)
METHOD
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
PLASMA- EDTA
3.0 (2.0) ML
F
2,4,6: 0930 HRS
6,2,4: 1900 HRS
PLASMA- EDTA
2.0 ML (1.0 ML)
F
DAILY:0800 HRS
NEXT DAY 1800 HRS
PLASMA- EDTA
3ML (2.5 ML)
F
NEXT DAY :20:00 hrs
NESTED REVERSE SERUM. FOR ECLIA/ PLASMA-EDTA FOR TRANSCRIPTASE PCR / PCR CMIA
SERUM 1.0 ML (0.5 ML)+ PLASMA 1.0ML(0.5 ML)
F
DAILY 8.00 A.M DAILY 0800 HRS FOR HCV QUALITATIVE /HCV Abs :0730am,1530 pm daily
3750
REVERSE TRANSCRIPTASE PCR
5 ML (3ML)
F
4113
HE4 (Human Epididymis Protein-4)
2500
Chemiluminiscent Microparticle Immunoassay(CMIA)
SERUM
3901
HEALTH KUNDLI-BRIDE (ABO Rh Blood Group, VDRL, HBsAg, HIV 1&2 Antibodies, HB Variant Analysis)
1850
ECLIA+HPLC
EDTA-WHOLE BLOOD+SERUM + CLINICAL 2 ML+2 ML HISTORY in specified format
3901
HEALTH KUNDLI-GROOM (ABO Rh Blood Group, VDRL, HBsAg, HIV 1&2 Antibodies, HB Variant Analysis)
1850
Chemiluminescent Microparticle Immunoassay EDTA-WHOLE BLOOD+SERUM + CLINICAL 2 ML+2 ML (CMIA)+Flocculation+ HISTORY in specified format Tube Agglutination+HPLC
6500
PCR-Sequencing
EDTA Whoe Blood
3ml
RD1402 Heart Ensure Panel
NESTED REVERSE TRANSCRIPTASE PCR REAL TIME POLYMERASE CHAIN REACTION
SPECIMEN
EDTA PLASMA
2.0 ML (1.0 ML)
885
2403
HELICOBACTER PYLORI CULTURE
990
CULTURE
BIOPSY / FLUID - STERILE CONTAINER.
1 TISSUE / 1.0 ML (0.3 ML)
886
7736
HELICOBACTER PYLORI IgA ANTIBODIES
2300
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
Page 113 of 207
5: 1000 HRS
2-8°C (4 1st and 3 rd DAYS); Thrus:11.00 20°C (>4 am DAYS) DAILY; 1000 HRS, 1500 A HRS (For HB variant)
A
DAILY; 1000 HRS, 1500 HRS (For HB variant)
NEXT DAY: 1800 HRS
TUE: 1800 HRS Same day(1900 hrs)
NEXT DAY
NEXT DAY
Ambient/C 1: 1830 2 : 0930 HRS old HRS BY PRIOR R ,Within APPOINTMEN 24 hours of T specify 7TH DAY collection sample source 2-8º C (2 days), >2 3: 1100 HRS days- 20 °C
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
887
7761
HELICOBACTER PYLORI IgG ANTIBODIES
888
7986
889 890
891
892
893
Price (Rs.)
METHOD
2300
ENZYME IMMUNOASSAY
HELICOBACTER PYLORI IgM ANTIBODIES
2300
ENZYME IMMUNOASSAY
1221DLW
HEMODIALYSIS WATER CULTURE
590
CULTURE
3834
HEMOGLOBIN VARIANT ANALYSIS
820
HPLC
TEST NAME
3897
HEMOPHILIA PANEL (APTT, FACTOR VIII, FACTOR IX)
Z257K
HEPAR-1 [PHOTO](AntiHuman Hepatocyte )
2463
HEPATITIS A & B VIRUS EVALUATI0N (HEP A IgG & IgM, HBCORE TOTAL & IgM, HBsABS, HBsAg, HBeABS, HBeAg)
SPECIMEN
SERUM
SERUM
SPECIMEN VOL.
2-8º C (2 days), >2 3: 1100 HRS days- 20 °C
SAME DAY
1.0 ML (0.5 ML)
2-8º C (2 days), >2 3: 1100 HRS days- 20 °C
SAME DAY
R
DAILY :15:30 3RD DAY HRS
A
DAILY:15:00 HRS
NEXT DAY
F (To be F immediatel y at -20°c 2ND & 4TH TWO ALIQOUTS OF TEUS: 11:00 & 1.5 ML EACH transporte HOURS d in dry ice)
SAME DAY
3250
CLOT BASED
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
6000
Chemiluminescent Microparticle Immunoassay (CMIA)
894
6014
HEPATITIS A IGG ANTIBODY
1050
Chemiluminescent Microparticle Immunoassay (CMIA)
895
2460
HEPATITIS A VIRUS IgG & IgM ANTIBODIES
1750
Chemiluminescent Microparticle Immunoassay (CMIA)
FREQUENCY REPORTED
1.0 ML (0.5 ML)
Dialysis Water/ Dialysate/ R. O. Water in 10.0 ML (5.0) ML sterile leak proof container WB-EDTA (Age, CLINICAL HISTORY in specified format and CBC(if performed) 3.0 ML (2.0 ML) findings mandatory) FASTING, CITRATED PLATELET POOR PLASMA *- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
TEMP.
A
DAILY:1100 HRS
3RD DAY
3.0 ML (2.0 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SERUM
1.0 ml(0.5 ml)
2-8º C (3 DAILY:0730 days), >3 am, 1530 pm SAME DAY days- 20 °C HRS
SERUM
1.0 ML (0.5 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SERUM
Page 114 of 207
SAME DAY
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
896
2451
HEPATITIS A VIRUS IgM ANTIBODIES
2452
HEPATITIS B CORE TOTAL ANTIBODIES
897
898
899
TEST NAME
HEPATITIS B SURFACE 2453QN ANTIBODIES (HBsAb), TOTAL WITH TITRE
2449
HEPATITIS B SURFACE ANTIGEN NEUTRALIZATION (WITH CONFIRMATION)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
1025
Chemiluminescent Microparticle Immunoassay (CMIA)
1.0 ML (0.5 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SAME DAY
975
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
1.0 ML (0.5 ML)
Ambient:3 DAILY: 0730 days, 2-8°C HRS & 1530 (7days) ,>7 HRS days -20°C
SAME DAY
850
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
1.0 ML (0.5 ML)
2-8°C 14 DAILY: 0730 days) ,>14 HRS & 1530 days -20°C HRS
SAME DAY
1100
Chemiluminescent Microparticle Immunoassay (CMIA)
2.0 ML (1.5 ML)
2-8°C 14 DAILY: 0730 days) ,>14 HRS & 1530 days -20°C HRS
SAME DAY
A
DAILY:1100 HRS
3RD DAY
F
4: 0930 HRS
6 DAYS
A
DAILY:1100 HRS
3RD DAY
SERUM
SERUM
900
Z076K
HEPATITIS B SURFACE ANTIGEN[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
901
7475
HEPATITIS B VIRUS BASAL CORE PROMOTER MUTATION
3750
NESTED PCR SEQUENCING
EDTA PLASMA / SERUM + CLINICAL HISTORY
5 ML (2ML)
902
Z077K
HEPATITIS B VIRUS CORE ANTIGEN[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
903
2457
HEPATITIS B VIRUS CORE IgM ANTIBODIES
925
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
1.0 ML (0.5 ML)
904
9890
6950
COBAS TAQMAN
PLASMA EDTA/ SERUM
3ML (2.5 ML)
F
905
8141
3850
REAL TIME PCR
SERUM OR PLASMA - EDTA
3.0 ML (2.0 ML)
F
HEPATITIS B VIRUS DNA ,QUANTITATIVE HEPATITIS B VIRUS DNA DETECTOR, QUALITATIVE
FREQUENCY REPORTED
Page 115 of 207
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SAME DAY
DAILY: 08:00 A.M. DAILY:0800 HRS
NEXT DAY :20:00 hrs NEXT DAY: 1800 HRS
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906
TEST CODE
TEST NAME
HEPATITIS B VIRUS DRUG RESISTANCE (Lamivudine, RD1305 Telbivudine, Adefovir, Tenofovir and Entecavir)
HEPATITIS B VIRUS EVALUATION (HBCORE TOTAL & IgM, HBsABS, HBsAg)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
5800
NESTED PCRSEQUENCING
EDTA Plasma/Serum + CLINICAL HISTORY 5 ml (2 ml)
F (To be F immediatel y at -20°c 1: 0930 HRS & transporte d in dry ice)
3200
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
3.0 ML (2.0 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
5750
PCR-SEQUENCING
2.0 ML (1.0 ML), 2.0 ML (1.0 ML)
F
4:0930 HRS
6 DAYS
3750
NESTED PCR SEQUENCING
SERUM, EDTA-PLASMA + CLINICAL HISTORY EDTA PLASMA / SERUM +CLINICAL HISTORY
5 ML (2ML)
F
4: 0930 HRS
6 DAYS
6;1830 HRS
SAME DAY
907
2461
908
7474
909
7476
910
2456
HEPATITIS Be VIRUS ANTIGEN
825
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
2.0 ML (1.0 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SAME DAY
911
2462
HEPATITIS Be VIRUS ANTIGEN / ANTIBODY EVALUATION
1250
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
2.0 ML (1.0 ML)
2-8°C (7 DAILY: 0730 days) ,>7 HRS & 1530 days -20°C HRS
SAME DAY
2455
HEPATITIS Be VIRUS TOTAL ANTIBODIES
850
Chemiluminescent Microparticle Immunoassay (CMIA)
2.0 ML (1.0 ML)
Ambient:3 DAILY: 0730 days, 2-8°C HRS & 1530 (7days) ,>7 HRS days -20°C
SAME DAY
Chemiluminescent Microparticle Immunoassay (CMIA)
912
HEPATITIS B VIRUS GENOTYPING HEPATITIS B VIRUS PRECORE MUTATION
913
2446
HEPATITIS C ANTIBODIES
1050
914
7473
HEPATITIS C VIRUS GENOTYPING
11900
915
7516A
HEPATITIS C VIRUS RNA PCR, QUALITATIVE
3950
NESTED REVERSE TRANSCRIPTASE PCR REAL TIME POLYMERASE CHAIN REACTION
SERUM
SERUM
1.0 ML (0.5 ML)
PLASMA- EDTA
3.0 (2.0) ML
PLASMA- EDTA
2.0 ML (1.0 ML)
Page 116 of 207
2-8°C (7 DAILY: 0730 days) HRS & 1530 ,>7days HRS 20°C 2,4,6: 0930 F HRS F
DAILY:0800 HRS
SAME DAY 6,2,4: 1900 HRS NEXT DAY 1800 HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
3950
REAL TIME POLYMERASE CHAIN REACTION
PLASMA- EDTA
2.0 ML (1.0 ML)
F
7500
COBAS TAQMAN
PLASMA- EDTA
4.0 ML (3.0 ML)
F
7500
COBAS TAQMAN
PLASMA EDTA
3.0 ML (2.5 ML)
F
HEPATITIS DELTA VIRUS IgG ANTIBODIES
2150
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
2-8º C (3 days), >3 2: 1100 HRS days- 20 °C
SAME DAY
HEPATITIS C VIRUS RNA PCR, QUALITATIVE
DAILY:0800 HRS
NEXT DAY 1800 HRS
DAILY 8.00 A.M DAILY 8.00 A.M
NEXT DAY :20:00 hrs NEXT DAY :20:00 hrs
916
7516A
917
9891
918
7486
919
2458
920
2466G
HEPATITIS E VIRUS IgG ANTIBODIES
1375
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (3 days), >3 3: 1130HRS days- 20 °C
SAME DAY
921
2466M
HEPATITIS E VIRUS IgM ANTIBODIES
1350
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (3 DAILY: 1130 days), >3 HRS days- 20 °C
SAME DAY
922
2464
HEPATITIS G VIRUS RNA
3750
REVERSE TRANSCRIPTASE PCR
EDTA PLASMA
2.0ML
7756
HEPATITIS PANEL- ACUTE HEPATITIS VIRUS EVALUATION I (HCV ABS, HEV IgM, HBsAg, HAV IgM, HBcore IgM)
2900
Chemiluminescent Microparticle Immunoassay (CMIA) + ENZYME IMMUNOASSAY
923
924
7755
HEPATITIS C VIRUS RNA QUANTITATIVE HEPATITIS C VIRUS RNA, QUANTITATIVE
HEPATITIS PANEL- ACUTE HEPATITIS VIRUS EVALUATION II (HCV ABS, HEV IgM / IgG, HBsAg, HAV IgM, HBeAg, HBeAb)
4500
Chemiluminescent Microparticle Immunoassay (CMIA) + ENZYME IMMUNOASSAY
SERUM
SERUM
Page 117 of 207
F
FRI:1030 HRS
TUE: 1800 HRS
3.0 ML (2.0 ML)
DAILY: 0730 HRS & 1530 2-8°C (7 HRS, EXCEPT days) ,>7 SAME DAY FOR HEV IgM. days -20°C DAILY 1130 HRS
3.0 ML (2.0 ML)
DAILY: 0730 HRS & 1530 HRS, EXCEPT 2-8°C (7 FOR HEV IgM. SAME DAY days) ,>7 DAILY 1130 days -20°C HRS AND HEV IGG ONLY ON WEDNESDAY: 1130 AM HRS
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925
926
927
928
929
TEST CODE
7757
1019A
1019A
TEST NAME HEPATITIS PANEL- ACUTE HEPATITIS VIRUS EVALUATION III (HSV IgM, CMV IgM, EBV (EA) IgG, VZV IgM) HEPATITIS PANEL AUTOIMMUNEAUTOIMMUNE HEPATITIS PANEL-1 (ANA, SMA, AMA, LKM-1) HEPATITIS PANEL AUTOIMMUNEAUTOIMMUNE HEPATITIS PANEL-1 (ANA, SMA, AMA, LKM-1)
1019B
HEPATITIS PANEL AUTOIMMUNEAUTOIMMUNE HEPATITIS PANEL-2 (ANCA , SLA)
5011
HEPATITIS SCREENING PANEL (CBC,SGPT, SGOT, TOTAL BILIRUBIN,DIRECT BILIRUBIN,INDIRECT BILIRUBIN,HBsAg,HAV IgM,HEP E IGM.)
Price (Rs.)
METHOD
4750
ENZYME IMMUNOASSAY
3750
IMMUNOFLOROSCENC E ASSAY/ ENZYME SERUM IMMUNOASSAY
3750
IMMUNOFLOROSCENC E ASSAY/ ENZYME SERUM IMMUNOASSAY
2975
IMMUNOFLOROSCENC E ASSAY / ENZYME SERUM (R)+ SERUM (F) IMMUNOASSAY
2250
CELL COUNTER/SPECTROPH EDTA WB + DIRECT SMEARS + SERUM OTOMETRY/ELISA/MIC ROSCOPY /CMIA
SPECIMEN
SERUM
Page 118 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
HSV IgM, CMV IgM--2-8°C (7 DAILY:0300, 3.0 ML (2.0 ML) days) ,>7 EBV (EA) IgG--- SAME DAY days -20°C 2,5:1100 HRS; VZV IgM--3:1100HRS ANADAILY:1100, R&( 1530 HRS, 2.0ML frozen for AMA, SMA- SAME DAY LKM-1) 3,6:1100 HRS & LKM6:1100 HRS ANADAILY:1100, 1530 HRS, 2.0ML R AMA, SMA- SAME DAY 3,6:1100 HRS & LKM6:1100 HRS R/F(For SLA-4: 1100 SLA:2-8º C HRS & ANCA SAME DAY 2.0 ML (3 days), >3 DAILY:1100, days- 20 1500 HRS °C) DAILY 18:30HRS DAILY FOR A/R/F, CBC 7.30 SERUM 2- HRS(HBsAg 3.0 ML (2.0 ML) + 8°C (2 &HAV SAME DAY 2 SMEARS + 2.0ML days); F (> IgM:0730 2 days) am/15.30 pm and HEP E IGM: Daily :1130 pm)
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TEST CODE
TEST NAME
930
Z004K
HER-2 / neu ONCOPROTEIN (C-ERB B2)[PHOTO]
931
6006F
HER2/neu
932
7581
HERPES SIMPLEX VIRUS DNA DETECTOR
933
9451
934
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN FOR 24-48 HRS/ PARAFFIN BLOCK+ Site of biopsy and Clinical details MANDATORY.IF IMMUNOHISTOCHEMI 1600 1 CM / 1 BLOCK TISSUE RECEIVED IT WILL BE CHARGED STRY FOR TISSUE PROCESSING.* TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* BIOPSIES SOULD BE FIXED FOR 24-48 HOURS IN 10% BUFFERED FORMALIN & EMBEDDED IN PARAFFIN. TISSUE SHOULD BE 4 MICRONS THICK & PLACED ON POSITIVELY CHARGED SLIDES. 3 10500 FISH NA SLIDES / SAMPLES CONTAINING MALIGNANT TISSUE. * TIME AND DURATION OF FIXATION SHOULD BE MENTIONED ON THE TRF.* clinical details in specified format
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY: 1000 HRS
5TH DAY
A/R
1;4:1030 HRS
NEXT DAY 1800 HRS
3250
REAL TIME PCR
CSF / SERUM
1.0 ML (0.5 ML)
HERPES SIMPLEX VIRUS IgG TYPE 1 ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
9461
HERPES SIMPLEX VIRUS IgG TYPE 2 ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
935
9456
HERPES SIMPLEX VIRUS IgM TYPE 1 ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
936
9466
HERPES SIMPLEX VIRUS IgM TYPE 2 ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
937
8051
HERPES SIMPLEX VIRUS TYPES 1& 2 IgG & IgM ANTIBODIES
1790
ENZYME IMMUNOASSAY
SERUM
3.0 ML (1.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
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TEST CODE
938
9471P
HERPES SIMPLEX VIRUS TYPES 1& 2 IgM ANTIBODIES (COMBINED)
2116
HETEROPHILE ANTIBODIES (HA) (INFECTIOUS MONONUCLEOSIS)
1537D
HIGH SENSITIVE C-REACTIVE PROTEIN (CRP)
939
940
TEST NAME
HIRSUTISM EVALUATION PANEL (DHEA, SERUM Testosterone (Total and Free), LH, FSH, Sex Hormone Binding Globulin, 17 hydroxyprogeSTerone)
Price (Rs.)
METHOD
990
ENZYME IMMUNOASSAY
900
LATEX PARTICLE AGGLUTINATION
SERUM
650
NEPHELOMETRY
SERUM + (Age & Sex of the patient is mandatory for reporting)
4750
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1.0 ML (0.5 ML)
2-8º C (4 DAILY:0300 days), >4 am days- 20 °C
SAME DAY
1.0 ML (0.5 ML)
2-8°C (2 DAILY: days) ,>2 1730HRS days -20°C
SAME DAY
1.0 ML (0.5 ML)
2-8°C (8 days; F (> 8 DAILY : days - 8 18:30HRS months)
SAME DAY
RADIOIMMUNOASSAY SERUM (Age+Sex to be /CHEMILUMINECENCE mentioned+CLINICAL HISTORY
5.0 ML (3.0 ML)
2-8°C (24 hrs); F (>24 3,6:1430 HRS SATURDAY hrs)
SERUM
941
1010
942
1009
HIRSUTISM SCREENING PANEL (DHEA, Testosterone (Total and Free)
2700
RADIOIMMUNOASSAY SERUM (Age+Sex to be /CHEMILUMINECENCE mentioned+CLINICAL HISTORY
2.0 ML (1.0 ML)
943
8182
HISTAMINE , PLASMA
5750
ELISA
3.0 ML ( 2.0 ML)
944
1528
HISTOPATH + IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE
3000
IMMUNO TISSUE IN MICHEL'S TRANSPORT MEDIA FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM HP + CLINICAL HISTORY
A
DAILY: 1000 HRS
7TH DAY
945
1528P
HISTOPATH + IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE [PHOTO]
3200
TISSUE IN MICHEL'S TRANSPORT MEDIA IMMUNO FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM + CLINICAL HISTORY HP
A
DAILY: 1000 HRS
7TH DAY
946
Z009K
HISTOPATHOLOGY & IHC; COMPLETE DISGNOSIS WITH SPECIAL STAINS & IHC (AS AND WHEN NEEDED)[PHOTO]
3850
IMMUNOHISTOCHEMI PARAFFIN BLOCKS (Please let us know STRY the site of biopsy & clinical details)
1 CM / 1 BLOCK
A
DAILY:1100 HRS
4TH DAY
947
9204RFX
HISTOPATHOLOGY REFLEX TO CUSTOM IHC PANEL
1700
TISSUE in 10% BUFFERED FORMALIN IMMUNOHISTOCHEMI (SMALL TISSUE) + SITE OF BIOPSY STRY &CLINICAL DETAILS
1 CM
A
DAILY:1100 HRS
3RD DAY
EDTA PLASMA
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2-8°C (24 hrs); F (>24 3,6:1430 HRS SATURDAY hrs) 2nd & 4th FROZEN WEDNESDAY 4TH DAY 0900 HRS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2-8°C (3 days); 1: 1530 HRS 20°C (>3 days) 2-8°C (3 days); 1: 1530 HRS 20°C (>3 days)
948
2334
HISTOPLASMA ANTIBODIES
4600
IMMUNODIFFUSION
SERUM
1.0 ML (0.5 ML)
949
2334F
HISTOPLASMA ANTIBODIES, FLUIDS
4600
IMMUNODIFFUSION
FLUIDS
1.0 ML (0.5 ML)
950
3012
HIV -1 ANTIBODIES INDICATES HIV -2 (WESTERN BLOT)
2900
IMMUNOBLOT ASSAY
SERUM / EDTA (Plasma may be acceptable)
2.0 ML (1.0 ML)
2-8°C (7 1,3,5: 1000 days) ,>7 HRS days -20°C
825
Chemiluminescent Microparticle Immunoassay (CMIA)
SERUM
2.0 (1.5) ML
2-8°C (14 DAILY: 0730 & days) ,>14 SAME DAY 1530 HRS days -20°C
PLASMA- EDTA (F); WB-EDTA, WBHEPARIN(WB to reach within 48 hrs)
3.0 (2.0) ML PLASMA EDTA + WB-EDTA - 3.0 (2.0) ML, WBHEPARIN - 3.0 (2.0) ML
PLASMA- EDTA (F); WB-EDTA, WBHEPARIN (WB To reach within 48 hrs)
F-HIV-1 VIRAL 3.0 (2.0) ML + WB- LODAD; EDTA - 3.0 (2.0) CD4/CD8: ML, WB-HEPARIN - EDTA A 48 3.0 (2.0) ML hrs; Heparin A 96 hrs
WB-EDTA / ACD
5.0 ML (5.0 ML)
A/R
EDTA-PLASMA + CLINICAL HISTORY
5.0 ml (3.0 ml)
EDTA-PLASMA + CLINICAL HISTORY
5.0 ml (3.0 ml)
951
952
DT4201 HIV EARLY SCREEN
DT4202
953
DT4204
954
9885B
955
9930
956
9939
HIV MONITOR (Viral Load, CD4 / CD8)
HIV ROCHE COBAS MONITOR (Viral Load, CD4 / CD8)
HIV-1 DNA DETECTOR, QUALITATIVE HIV-1 DRUG RESISTANCE HIV-1 GENOTYPIC RESISTANCE
5100
9900
COBAS TAQMAN, FLOW CYTOMETRY
REVERSE TRANSCRIPTASE PCR, FLOW CYTOMETRY
POLYMERASE CHAIN REACTION 17000 PCR-SEQUENCING 2750
9500
PCR-SEQUENCING
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3RD DAY
3RD DAY
SAME DAY
DAILY 0800 HRS; DAILY: 1530 HRS
VIRAL load NEXT DAY: CD4/CD8 :1800 HRS; SAME DAY
6: 1000HRS (FOR MOLBIO); DAILY: 1530 HRS (FLOW)
VIRAL LOAD NEXT DAY : 1800 HRS; CD4/CD8 :1800 HRS; SAME DAY
F
1,3,5:1000 HRS 1:0930 HRS
SAME DAY 1800 HRS 10 DAYS
F
1:0930 HRS
10 DAYS
F/A
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957
958
959
960
961
TEST CODE
TEST NAME
DT4206 HIV-1 REAL TIME MONITOR
9885
1349G
1706G
9971
HIV-1 VL BY COBAS TAQMAN
HLA (A,B,C)
HLA (DR/DQ)
HLA A, B, DR LOCI TYPING PCR
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
F+A+A
DAILY 0800 HRS; DAILY: 1530 HRS
Viral Load : NEXT DAY: 1800 HRS; CD4/CD8 :1800 HRS; SAME DAY
F
DAILY 0800 HRS
NEXT DAY: 1800 HRS
4900
COBAS TAQMAN, FLOW CYTOMETRY
PLASMA EDTA (F) / *WB- EDTA / HEPARIN (* Sample to reach lab within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
4800
COBAS TAQMAN
PLASMA- EDTA
3.0 ML (2.0 ML)
SEROLOGY
Sodium heparin WB (Sample is to be collected at least after 3 days of last dialysis. Cross match sample is to be collected after three weeks of last blood transfusion. Mandatory Documents to be enclosed with the sample are:Completely filled in HLA TRF, Additional TRF, Photo I.D.Proofs of patient & donor ,doctor's prescription.) . Applicable for Solid Organ Transplant only(Liver & Kidney)
20 ml Additional donor/s, if any, set of mandatory Mon-Fri Cold pack documents for 11a.m. each to be enclosed with the sample.
3rd day
SEROLOGY
Sodium heparin WB (Sample is to be collected at least after 3 days of last dialysis. Cross match sample is to be collected after three weeks of last blood transfusion. Mandatory Documents to be enclosed with the sample are:Completely filled in HLA TRF, Additional TRF, Photo I.D.Proofs of patient & donor ,doctor's prescription.) Applicable for Solid Organ Transplant only (Liver & Kidney)
20 ml Additional donor/s, if any, set of mandatory Mon-Fri Cold pack documents for 11a.m. each to be enclosed with the sample.
3rd day
PCR-SSP (Sequence Specific primers)
EDTA WHOLE BLOOD . Mandatory Documents to be enclosed with the sample are:- Completely filled in HLA TRF, Additional TRF, Photo I.D.Proofs of patient & donor ,doctor's prescription.)
10.0 ML ( 5.0 ML)
6250
6250
14000
Page 122 of 207
A
DAILY: 1230 HRS
3RD DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
962
1349
HLA A,B,C (CLASS I ANTIGENS)
6250
SEROLOGY
963
1350
HLA B27 (FLOWCYTOMETRY)
1900
FLOW CYTOMETRY
964
1348
HLA B27 (PCR)
965 966 967 968 969
9917 9911 9913 9914 9915
HLA Class I A LOCUS HLA Class I B LOCUS HLA Class I C LOCUS HLA Class II DQ LOCUS HLA Class II DR LOCUS
POLYMERASE CHAIN REACTION 8500 PCR-SSP 15000 PCR-SSP 7800 PCR-SSP 7500 PCR-SSP 8500 PCR-SSP
970
9920
HLA DQ Typing
3750
PCR-SEQUENCING
971
1706
HLA DR/DQ- CLASS II AGS
6250
SEROLOGY
972
1675BO HLA-DR-PERCENT
2750
2600
FLOW CYTOMETRY
SPECIMEN
SPECIMEN VOL.
HEPARIN WHOLE BLOOD (Specimens should preferably reach SRL, Mumbai within 24hr of collections by 9:00a.m).Patient & Donor's HIV (AIDS) report should accompany the 15ML (10.0ML) samples.Patient & Donor's age & relation should be mentioned on the requisition form.HLA CONSENT FORM WITH REFERRING DOCTOR'S SIGN AND REGISTRATION NUMBER IS MANDATORY. WB-EDTA + HEPARIN (WB to reach 3.0 ML (2.0 ML) + within 72 hrs) 3.0 ML (2.0 ML)
TEMP.
A
FREQUENCY REPORTED
MONDAY THURSDAY: 0900 HRS
5TH DAY
WB-EDTA
3.0 ML (2.0 ML)
A
WB-EDTA WB-EDTA WB-EDTA WB-EDTA WB-EDTA EDTA WHOLE BLOOD + CLINICAL HISTORY HEPARIN WHOLE BLOOD (Specimens should preferably reach SRL, Mumbai within 24hr of collections by 9:00a.m).Patient & Donor's HIV (AIDS) report should accompany the samples.Patient & Donor's age & relation should be mentioned on the requisition form.HLA CONSENT FORM WITH REFERRING DOCTOR'S SIGN AND REGISTRATION NUMBER MANDATORY. WB- EDTA | BM / WB- HEPARIN | BM / FLUIDS- EDTA/HEPARIN /SMEARS + CLINICAL HISTORY
6.0 ML (3.0) ML 6.0 ML (3.0) ML 6.0 ML (3.0) ML 6.0 ML (3.0) ML 6.0 ML (3.0) ML
A A A A A
DAILY:1430 HRS 2,4,6:1000 HRS Daily Daily Daily Daily Daily
5 ML (3ML)
A
1:0930 HRS
6:1830 HRS
30.0ML (20.0 ML)
A
MONDAY THURSDAY: 0900 HRS
5TH DAY
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
Page 123 of 207
A
SAME DAY 1800 HRS NEXT DAY 3 rd DAY 3 rd DAY 3 rd DAY 3 rd DAY 3 rd DAY
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973
974
975
TEST CODE
Z062K
3344
TEST NAME
HMB-45 (MELANOMA MARKER) [PHOTO]
HOMOCYSTEINE
HOMOCYSTEINE REFLEX VIT B12 AND FOLIC ACID (If 9203RFX Homocystine value is high perform VIT B12 AND FOLIC ACD)
Price (Rs.)
METHOD
SPECIMEN
A
DAILY:1100 HRS
990
SERUM / PLASMA-EDTA - Separate CHEMILUMINESCENCE sample immediately after collection.FASTING
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
1400
SERUM / PLASMA-EDTA - Separate CHEMILUMINESCENCE sample immediately after collection. Fasting
2.0ML (1.0ML)
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
20.0ML (10.0ML)
R
3,6: 16:00HRS 5TH DAY
20.0 ML (10.0ML)
R
DAILY:1600 HRS
4TH DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY/ 7TH DAY FOR DNA PLOIDY
GENITAL SWABS – 2 SWABS, FORMALIN FIXED TISSUE PARAFFIN BLOCKS – 0.5 GM, CERVICAL SLIDES3
A
2,4,6 :9.00 HRS
3,5,1 19:00 HRS
URINE, RANDOM + CLINICAL HISTORY MANDATORY URINE, RANDOM. Clinical Details of the patient is mandatory.
HOMOCYSTEINE, URINE
990
BIOCHEMISTRY
977
0017LS
HOMOGENTISIC ACID, URINE
525
BIOCHEMISTRY
1804S
HP & BREAST PANEL PROGNOSIS (LARGE SPECIMEN {ONE BIG/ TWO SMALL}, DNA PLOIDY, FC, BLOCK {DNA AND CELL CYCLE}, ESTROGEN RECEPTOR, PROGESTERONE RECEPTOR, Her-2/neu IHC) [PHOTO]
5250
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK + Site of biopsy and Clinical STRY details MANDATORY
1820
HPV DNA DETECTOR
FREQUENCY REPORTED
2000
3344U
979
TEMP.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
976
978
SPECIMEN VOL.
2150
POLYMERASE CHAIN REACTION
GENITAL SWABS / LBC SAMPLE/ FORMALIN FIXED TISSUE PARAFFIN BLOCKS / CERVICAL/ ORAL SCRAPINGS ON SLIDES -AIR DRIED + CLINICAL HISTORY (AGE & SEX)
Page 124 of 207
1.0 ML (0.5 ML)
3RD DAY
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980
TEST CODE
1821
TEST NAME
HPV DNA Detector & PAP Smear
Price (Rs.)
2250
METHOD
POLYMERASE CHAIN REACTION / CYTOLOGY
SPECIMEN
FIXED UNSTAINED SMEARS AND GENITAL SWABS / CERVICAL SCRAPINGS ON SLIDES + CLINICAL HISTORY & AGE & SEX
SPECIMEN VOL. SMEARS -4 (2 FIXED FOR PAP + 2 AIR DRIED FOR HPV)
TEMP.
A
NEXT DAY FOR PAP DAIILY:1530 SMEAR & (PAP SMEAR) 3,5,1 : & 2,4 & 6: 1900 hrs 0900 HRS FOR HPV (HPV-PCR) DNA DETECTOR
A
NEXT DAY FOR PAP DAIILY:1530 SMEAR & (PAP SMEAR) 3,5,1 : & 2,4 & 6: 1900 hrs 0900 HRS FOR HPV (HPV-PCR) DNA DETECTOR
A
4: 0930 HRS
8 DAYS
A
Only Wednesday at 8:00 am
Same day
+ GENITAL SWABS – 2 SWABS OR FORMALIN FIXED TISSUE/PARRAFIN BLOCK-1 OR ENDOCERVICAL SCRAPPINGS/ SWABS SMEARS -4 (2 FIXED FOR PAP + 2 AIR DRIED FOR HPV)
981
982
983
1821
HPV DUO (HPV DNA Detector & PAP Smear)
1819
HPV TYPING BY SEQUENCING
1823
HPV: HYBRID CAPTURE 2 HIGH RISK HPV DNA TEST
POLYMERASE CHAIN REACTION / CYTOLOGY
FIXED UNSTAINED SMEARS AND GENITAL SWABS / CERVICAL SCRAPINGS ON SLIDES + CLINICAL HISTORY & AGE & SEX
1700
PCR-SEQUENCING
LBC SAMPLES/ CERVICAL SWABS / CERVICAL SCRAPINGS / CERVICAL BIOPSY 1/1/1/1 IN STERILE VIAL / PARAFFIN BLOCK + CLINICAL HISTORY
2600
Diagen DNA Hybrid Capture
LBC/ThinPrep, SurePath, Digene Cervical 5ML Sampler
2250
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+ GENITAL SWABS – 2 SWABS OR FORMALIN FIXED TISSUE/PARRAFIN BLOCK-1 OR ENDOCERVICAL SCRAPPINGS/ SWABS
FREQUENCY REPORTED
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TEST CODE
984
1537D
985
7581
TEST NAME
Price (Rs.)
METHOD
NEPHELOMETRY
1.0 ML (0.5 ML)
3250
REAL TIME PCR
CSF / SERUM
1.0 ML (0.5 ML)
SERUM
1.0 ML (0.5 ML) + 1.0 ML (0.5 ML)
SERUM
2.0 ML (1.0 ML)
650
HSV DNA DETECTOR
986
7781
HTLV I & II ANTIBODIES
3200
987
9979
h-tTG/DGP
1150
ENZYME IMMUNOASSAY
3184
989
4113
990
RD1409
991
1823
992
1020
HUMAN CHORIONIC GONADOTROPIN
SPECIMEN VOL.
SERUM + (Age & Sex of the patient is mandatory for reporting)
hSCRP (HIGH SENSITIVE CREACTIVE PROTEIN
ENZYME IMMUNOASSAY
988
SPECIMEN
SERUM ( Age + Sex + LMP + CLINICAL HISTORY required )
625
CHEMILUMINESCENCE
Human Epididymis Protein-4 (HE4)
2500
Chemiluminiscent Microparticle Immunoassay(CMIA)
SERUM
HUNTINGTON DISEASE MOLECULAR ANALYSIS
4500
PCR / Fragment Analysis
EDTA WHOLE BLOOD + clinical history
2600
Diagen DNA Hybrid Capture
LBC/ThinPrep, SurePath, Digene Cervical 5ML Sampler
3300
ENZYME IMMUNOASSAY/IMM SERUM UNOFLOROSCENCE
HYBRID CAPTURE 2 HIGH RISK HPV DNA TEST IBD SCREENING PANEL (ASCA IgA, ASCA IgG, ANCA)
1.0 ML (0.5 ML)
FREQUENCY REPORTED
2-8°C (8 days; F (> 8 DAILY : days - 8 18:30HRS months) A/R
1,4 :9.00 HRS
SAME DAY 2,5 : 19.00 HRS
2-8º C (3 days), 1.5:1030 HRS SAME DAY >3 days- 20 °C 2-8°C (8 hrs); - 3,6 : 1000 SAME DAY 20°C (>8 HRS hrs) 2-8°C (7 days; F (> 7 days 2 mths)
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
2.0 ML (1.0 ML)
2-8°C (4 1st and 3 rd DAYS); Thrus:11.00 20°C (>4 am DAYS)
Same day(1900 hrs)
10.00 ML
AMBIENT 3: 0930 HRS
9TH DAY, THURSDAY
2 ml
993
1506D
IgA
690
NEPHELOMETRY
SERUM + CLINICAL HISTORY (AGE/SEX)
1.0 ML (0.5 ML)
994
1523P
IgA ON TISSUE [PHOTO]
1050
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
1CM
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TEMP.
A
A/R/F
Only Wednesday at 8:00 am 2: 1100 DAILY:1100, 1530 HRS (ANCA), HRS
2-8°C (8 days) ; DAILY : F ( > 8 - 3 16:30HRS months) DAILY: 1000 A HRS
Same day
SAME DAY
SAME DAY
4TH DAY
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TEST CODE
995
1523
996
997
1045
1675BI
TEST NAME IgA, IFA
IgA, IgM & IgG IMMUNOGLOBULIN, QUANTITATIVE
IgD HEAVY CHAIN (SURFACE)
Price (Rs.) 925
1550
2300
METHOD IMMUNO FLUORESCENT ASSAY
SPECIMEN TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
SPECIMEN VOL. 1CM
NEPHELOMETRY
SERUM + CLINICAL HISTORY(AGE & SEX)
1.0 ML (0.5 ML)
FLOW CYTOMETRY
3-4 CC (1CC) / 3-4 WB- EDTA | BM / WB- HEPARIN / BM/ CC (1CC) / 3-4 CC EDTA FLUID /HEPARIN FLUID /SMEARS + (1CC) / 3-4 CC CLINICAL HISTORY (1CC)
TEMP. A
FREQUENCY REPORTED DAILY: 1000 HRS
2-8°C (7 days); F (3 months, if DAILY : F within 24 16:30HRS hrs of collection)
A
DAILY: 1530 HRS
DAILY (MON 2-8°C (<48 TO SAT): hrs) ; F ( > 0430,1430,16 48 hrs ) 00 HRS 2-8°C (<48 3,5: hrs) ; F ( > 0430,1430,16 48 hrs ) 00 HRS 2-8°C (8 days) ; F ( > DAILY : 8-3 16:30HRS months) DAILY: 1000 A HRS
4TH DAY
SAME DAY
NEXT DAY BY 6.00PM
998
1245
IgE, TOTAL
790
CHEMILUMINESCENCE SERUM
1.0 ML (0.5 ML)
999
3960
IGF BINDING PROTEIN-3
3500
CHEMILUMINESCENCE SERUM (AGE AND SEX MANDATORY)
2.0ML
1000
1505D
IgG
690
NEPHELOMETRY
SERUM +CLINICAL HISTORY (AGE & SEX)
1.0 ML (0.5 ML)
1001
1527
2750
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
1CM
1002
1527P
2850
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
1CM
A
DAILY: 1000 HRS
4TH DAY
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
1CM
A
DAILY: 1000 HRS
4TH DAY
IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE [PHOTO]
1003
1675BE
IgG HEAVY CHAIN (SURFACE)
2200
FLOW CYTOMETRY
WB- EDTA | BM / WB- HEPARIN | BM / EDTA / HEP FLUIDS/SMEARS + CLINICAL HISTORY
1004
1522P
IgG ON TISSUE [PHOTO]
990
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA (IFA) + CLINICAL HISTORY
1005
2441
IgG, CSF
1600
NEPHELOMETRY
CSF+CLINICAL HISTORY (AGE & SEX)
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2.0ML(1.0 ML)
2-8°C (8 days) ; 1,4 : 1200 F ( > 8 - 3 HRS months)
SAME DAY
SAME DAY
SAME DAY
4TH DAY
3 RD DAY
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TEST CODE
1006
1522
IgG, IFA
925
1007
1315
IGG4
6000
1008
1009
1508D
TEST NAME
IgM
1675BG IgM HEAVY CHAIN (SURFACE)
Price (Rs.)
690
2200
1010
1524P
IgM ON TISSUE [PHOTO]
1050
1011
1524
IgM, IFA
925
1012
RD1428 IgVH GENE MUTATION
5000
METHOD
SPECIMEN
IMMUNO TISSUE IN MICHEL'S TRANSPORT MEDIA FLUORESCENT ASSAY + CLINICAL HISTORY IMMUNONEPHLOMET SERUM RY
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1CM
A
DAILY: 1000 HRS
4TH DAY
2.0 ML (1.0) ML
R
5: 0900 HRS
6TH DAY
2-8°C (8 days) ; F ( > DAILY : 8-3 16:30HRS months)
NEPHELOMETRY
SERUM +CLINICAL HISTORY (AGE & SEX)
1.0 ML (0.5 ML)
FLOW CYTOMETRY
WB- EDTA | BM / WB- HEPARIN | BM / FLUIDS/SMEARS + CLINICAL HISTORY
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
1CM
A
1CM
A
4.0 ML + 2.0 ML
A
4: 0930 HRS
7 DAYS
1 CM / 1 BLOCK
A
DAILY:1000 HRS
3RD DAY
IMMUNO FLUORESCENT ASSAY IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY BONE MARROW HEPARIN / HEPARIN DNA sequencing WHOLE BLOOD IMMUNOHISTOCHEMI TISSUE FIXED IN 10%FORMALIN / STRY PARAFFIN BLOCK
DAILY: 1530 HRS DAILY: 1000 HRS DAILY: 1000 HRS
SAME DAY
NEXT DAY BY 6.00PM 4TH DAY 4TH DAY
1013
P0003
IHC (PHOTO), TISSUE / PARAFFIN BLOCK
100
1014
9948
IL-2 (INTERLUEKIN-2)
2200
ENZYME IMMUNOASSAY
Serum
1.0 ml(0.5 ml)
2ND AND 4TH SAME DAY Frozen WED:1000 1900 HRS 20°C AM
3500
PCR Sequencing
WB EDTA
3-5 ml
Ambient 3:0930 HRS
2100
ENZYME IMMUNOASSAY
Serum
1.0 ml(0.5 ml)
2ND AND 4TH SAME DAY Frozen WED:1000 1900 HRS 20°C AM
2850
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
1CM
A
DAILY: 1000 HRS
4TH DAY
2750
IMMUNO FLUORESCENT ASSAY
TISSUE IN MICHEL'S TRANSPORT MEDIA + CLINICAL HISTORY
1CM
A
DAILY: 1000 HRS
4TH DAY
1015
1016
RD1436 IL28B Genotyping
9949
1017
1527P
1018
1527
IL-6 (INTERLUEKIN-6) IMMUNO FLUORESCENT ASSAY (IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE [PHOTO]) IMMUNO FLUORESCENT ASSAY (IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE)
Page 128 of 207
6 : 1830 HRS
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TEST CODE
1019
3125
IMMUNOFIXATION ELECTROPHORESIS
1020
1021
1022
1023
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SAME DAY
6000
ELECTROPHORESIS/ IMMUNOELECTROPHO SERUM + CLINICAL HISTORY RESIS/NEPHELOMETRY
2.0 ML (1.0 ML)
2-8°C (7 TUE & FRI: days); F (>7 1100 HRS days)
4TH DAY
6750
IMMUNOELECTROPHO CSF + CLINICAL HISTORY RESIS
5.0 ML
2-8°C (7 2,3,5: 1200 days); F ( 7 HRS 30 days)
SAME DAY
6750
URINE - 24 HOURS - WITHOUT IMMUNOELECTROPHO PRESERVATIVE ( Please mention Total RESIS Volume) + CLINICAL HISTORY
2-8°C (7 2,3,5: 1200 15.0 ML (10.0 ML) days); F ( 7 HRS 30 days)
SAME DAY
5040
IMMUNOFIXATION ELECTROPHORESIS QUANTITATIVE ANALYSIS
3125C
IMMUNOFIXATION ELECTROPHORESIS, CSF
3125U
IMMUNOFIXATION ELECTROPHORESIS, URINE
3307
IMMUNOREACTIVE TRYPSINOGEN (NEONATAL SCREENING)
2066
1025
2126EG
1026
2266EG
FREQUENCY REPORTED
2-8°C (7 2,3,5: 1200 days); F ( 7 HRS 30 days)
IMMUNOELECTROPHO SERUM + CLINICAL HISTORY RESIS
1024
TEMP.
1.0 ML
5750
INFECTIOUS MONONUCLEOSIS (EPSTEIN BARR VIRUS ANTIBODIES TETRA PANEL {(EBV (VCA) IgG, EBV(VCA) IgM),EBV(EA) IgG]) INFECTIOUS MONONUCLEOSIS (EPSTEIN BARR VIRUS EARLY ANTIGEN IgG ANTIBODIES, EBV (EA)) INFECTIOUS MONONUCLEOSIS (EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IgG ANTIBODIES, EBV (NA))
SPECIMEN VOL.
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
325
ENZYME IMMUNOASSAY
5800
ENZYME IMMUNOASSAY
SERUM
1600
ENZYME IMMUNOASSAY
1600
ENZYME IMMUNOASSAY
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
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1027
1028
1029
1030
TEST CODE
TEST NAME
INFECTIOUS MONONUCLEOSIS (EPSTEIN 2266EM BARR VIRUS NUCLEAR ANTIGEN IgM ANTIBODIES, EBV (NA)) INFECTIOUS MONONUCLEOSIS (EPSTEIN 2116EG BARR VIRUS VIRAL CAPSID ANTIGEN IgG ANTIBODIES, EBV (VCA)) INFECTIOUS MONONUCLEOSIS (EPSTEIN 2116EM BARR VIRUS VIRAL CAPSID ANTIGEN IgM ANTIBODIES, EBV (VCA)) INFECTIOUS MONONUCLEOSIS 2116 (HETEROPHILE ANTIBODIES (HA))
Price (Rs.)
METHOD
1600
ENZYME IMMUNOASSAY
SERUM
1600
ENZYME IMMUNOASSAY
1600
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
2-8º C (2 2,5 : 1100 days), >2 HRS days- 20 °C
SAME DAY
900
LATEX PARTICLE AGGLUTINATION
SERUM
1.0 ML (0.5 ML)
2-8°C (2 DAILY: days) ,>2 1730HRS days -20°C
SAME DAY
1031
9609I
INFLUENZA VIRUS A IgG
1650
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
2-8º C (5 EVERY SAME DAY days), >5 TUE:1030 HRS 1900 HRS days- 20 °C
1032
9610I
INFLUENZA VIRUS A IgM
1650
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
2-8º C (5 EVERY SAME DAY days), >5 TUE:1030 HRS 1900 HRS days- 20 °C
1033
9605I
INFLUENZA VIRUS B IgG
1650
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
2-8º C (5 EVERY SAME DAY days), >5 TUE:1030 HRS 1900 HRS days- 20 °C
1034
9607I
INFLUENZA VIRUS B IgM
1650
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
2-8º C (5 EVERY SAME DAY days), >5 TUE:1030 HRS 1900 HRS days- 20 °C
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT) hrs); F (MON TO (> 48 hrs) SAT): 1430 HRS
1035
3983
INHIBIN A (DIMERIC)
1750
CHEMILUMINESCENCE SERUM + CLINICAL HISTORY
Page 130 of 207
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1036
3339
INHIBIN B
1780
ENZYME IMMUNOASSAY
1037
1013
INHIBIN B,LH, FSH & Prolactin (Inhibin B, LH, FSH, & Prolactin)
2600
ENZYME IMMUNOASSAY/CHEM SERUM + CLINICAL HISTORY ILIMINECENCE
INHIBIN [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
INSULIN LIKE GROWTH FACTOR-1 (IGF-1)
3550
CHEMILUMINESCENCE SERUM
1038
Z0149K
1039
3194
1040
3192
INSULIN, SERUM (FASTING)
750
1041
3192A
INSULIN, SERUM (POSTPRANDIAL)
750
1042
7007
INTESTINAL PERMEABILITY
7500
1043
9919I
INTRINSIC FACTOR IgG
1850
SERUM
2.0 ML (1.0)ML
3.0 ML (1.0 ML)
2.0 ML (1.0)ML
FASTING SERUM ( Oral Hypoglycemic Agents/ Sureptitious Insulin causes CHEMILUMINESCENCE 1.0 ML (0.5 ML) elevated insulin value, Freeze the sample immediately after separation) PP SERUM ( Oral Hypoglycemic Agents/ Sureptitious Insulin causes elevated 1.0 ML (0.5 ML) CHEMILUMINESCENCE insulin value, Freeze the sample immediately after separation) URINE (before & after drink). Before Taking this Test: 1. Make sure fasting glucose level is not high 2. Inform practitioner about medication use 15.0 ml(Each time) 3. Do not eat or drink anything for 8 hours 4. See instructions inside test kit for details ON REQUEST, KIT WILL BE PROVIDED BY SRL,MUMBAI. ENZYME IMMUNOASSAY
SERUM
Page 131 of 207
0.500 ML (0.250 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (24 hrs),>24 4:1100 HRS hrs -20°C 2-8°C < 24 4:1000 HRS hrs) ; F ( > FOR Inhibin B 24 hrs )
A
DAILY:1100 HRS
SAME DAY 1900 hrs SAME DAY 1900 hrs
3RD DAY
2-8°C (24 hrs),>24 3: 1030 HRS SAME DAY hrs -20°C DAILY (MON TO SAT): F SAME DAY 0430,1430,16 00 HRS DAILY (MON TO SAT): F SAME DAY 0430,1430,16 00 HRS
R
MON 09:00HRS
2-8°C (3 days ),>3 5: 1030 HRS days -20°C
20-25 DAYS
SAME DAY
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1044
1045
TEST CODE
6015F
TEST NAME
Inv(16)
RD1310 JAK2 EXON 12 MUTATION
Price (Rs.)
METHOD
SPECIMEN WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US IN 24 HRS. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY in specified format EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY in specified format
SPECIMEN VOL.
A
DAILY: 1200 HRS
5TH DAY
5 ML (3ML)
A
5: 0930 HRS
9 DAYS
5 ML (3 ML)/5 ML (3 ML)
A
1,3, 5: 0930 HRS
4, 6, 2 : 1830 HRS
FISH
5450
PCR-SEQUENCING
5500
REAL TIME PCR
2.0 ML (1.0 ML)
JAK2 V617F MUTATION DETECTION
1047
7987
Japanese Encephalitis Virus IgM antibodies
1000
Immunochromatograp Serum/Plasma y
1048
7595
JAPANESE ENCEPHALITIS VIRUS RNA DETECTION
4250
REAL TIME PCR
CSF
2.0 (1.0ML)
1049
9937
JC/BK DNA PCR
4250
POLYMERASE CHAIN REACTION
SERUM / EDTA PLASMA, CSF/ TISSUE BIOPSY/ URINE + CLINICAL HISTORY
5 ML (3ML)
1050
1208
JO-1 IgG ANTIBODIES
2100
IMMUNOBLOT
SERUM
1.0 ML (0.5 ML)
1051
9074
KALA-AZAR
1350
IMMUNOCHROMATO SERUM GRAPHY
1052
1661
KAPPA FREE LIGHT CHAIN
2200
NEPHELOMETRY
1.0 ML
SERUM + CLINICAL HISTORY + (Age & Sex 2.0 ML (1.0 ML) of the patient is mandatory for reporting)
Page 132 of 207
FREQUENCY REPORTED
4.0 ML + 2.0 ML
4750
8386
1046
TEMP.
2-8°C (3 DAYS); - DAILY: 1530 20°C (>3 HRS DAYS) THURS R 09:00HRS Serum/ Plasma – Frozen, CSF 1,4 0930 HRS – Refrigerate d; Others Ambient 2-8°C (7 days); 4: 1000 HRS 20°C (>7 days) 2-8°C (3 DAILY: 1530 days),>3 HRS days -20 °C
SAME DAY
6 DAYS
5,1:1830 HRS
SAME DAY
SAME DAY
2-8°C (21 2,5:1100 HRS NEXT DAY days)
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TEST CODE
TEST NAME
Price (Rs.)
1053
Z031K
KAPPA LIGHT CHAIN [PHOTO]
2000
1054
1675BK
KAPPA LIGHT CHAIN BY FLOW CYTOMETRY
2200
1055
1056
KAPPA LIGHT CHAIN 1661U24 QUANTITATIVE, 24 HRS. URINE KAPPA LIGHT CHAIN 1661U QUANTITATIVE, URINE RANDOM
2200
2200
1057
5815
KARYOTYPING NEONATAL (NEWBORN TO ONE MONTH OLD CHILD)
1058
5814B
KARYOTYPING: BLOOD LYMPHO CULTURE
2650
1059
5800
KARYOTYPING: CHROMOSOME ANALYSIS IN HEMATOLOGICAL DISORDERS
3300
1060
Z006K
KI-67 (Proliferating Cells) [PHOTO]
1975
1528P
KIDNEY BIOPSY & IMMUNOFLUORESCENT ASSAY; (HISTOPATH + IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE [PHOTO])
3200
1061
2650
METHOD
SPECIMEN
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED STRY IT WILL BE CHARGED FOR TISSUE PROCESSING WB- EDTA | BM / WB- HEPARIN | BM / FLOW CYTOMETRY FLUIDS - EDTA/HEPARIN /SMEARS + CLINICAL HISTORY 24HRS URINE SAMPLES WITHOUT NEPHELOMETRY PRESERVATIVE +CLINICAL HISTORY (MENTION 24 HRS URINE VOLUME) NEPHELOMETRY
RANDOM URINE + CLINICAL HISTORY
WB-HEPARIN SPECIMEN TO REACH US IN 24 – 48 HRS / CORD BLOOD- HEPARIN (If CELL CULTURE baby is alive)+CLINICAL HISTORY in specified format WB-HEPARIN SPECIMEN TO REACH US within 48 hrs + FAMILY HISTORY + CELL CULTURE CLINICAL HISTORY in specified format + DETAILED PHYSICAL FEATURES BONE MARROW-HEPARIN / HEPARIN WB SPECIMEN TO REACH US within 48 hrs + SMEAR + CLINICAL HISTORY in CELL CULTURE specified format BLOOD PICTURE(CBC REPORT) AND MEDICATION OF THE PATIENT ON THE TRF IN SPECIMEN COLUMN TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
SPECIMEN VOL.
FREQUENCY REPORTED
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
10 ML (5 ML)
R
2: 1100 HRS
NEXT DAY
10 ML (5 ML)
R
2: 1100 HRS
NEXT DAY
4.0 ML (2.0 ML)
A
DAILY:1200 HRS
10 -12 days
5.0 ML (3.0 ML)
A
DAILY:1100 HRS
10 -12 working days
4.0 ML (1.5 ML)
A
1-5: 1200 HRS
10 -12 days
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
A
DAILY: 1000 HRS
7TH DAY
TISSUE IN MICHEL'S TRANSPORT MEDIA IMMUNO FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM + CLINICAL HISTORY HP Page 133 of 207
TEMP.
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1062
1063
TEST CODE
1528
TEST NAME KIDNEY BIOPSY & IMMUNOFLUORESCENT ASSAY; (HISTOPATH + IgG + IgA + IgM + C-3 + C1q + FIBRINOGEN ON TISSUE)
KIDNEY BIOPSY REFLEX TO IFA 9205RFX + IgG / IgA / IgM / C3/C1Q/FIBRINOGEN
Price (Rs.)
3000
METHOD
HISTOPATH + IMMUNO FLUORESCENT ASSAY
1064
4161
KIDNEY STONE ANALYSIS
950
CHEMICAL ANALYSIS
1065
4162
Kidney stone analysis by FTIR
950
FTIR
1066
RD1315
KRAS codon 61 Mutation Detection
4250
PCR – Sequencing
1067
RD1307 KRAS MUTATION DETECTION
6250
PYROSEQUENCING MICROSCOPY
1398
L E CELL
350
1069
1662
LAMBDA FREE LIGHT CHAIN
2200
1070
Z032K
LAMBDA LIGHT CHAIN [PHOTO]
2000
1071
1675BL
LAMBDA LIGHT CHAIN BY FLOW CYTOMETRY
2200
1072
1073
LAMBDA LIGHT CHAIN QUANTITATIVE, URINE RANDOM LAMBDA LIGHT CHAIN 1662U24 QUANTITATIVE, 24 HRS. URINE 1662U
2200
2200
SPECIMEN VOL.
IMMUNO TISSUE IN MICHEL'S TRANSPORT MEDIA FLUORESCENT ASSAY / (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM HP + CLINICAL HISTORY
2000
1068
SPECIMEN
TISSUE FIXED IN 10% BUFFERED FORMALIN + SITE OF BIOPSY + CLINICAL DETAILS (RENAL FAILURE TEST, LAB 1CM + 1 cm INVESTIGATIONS, 24 HRS URINE PROTEIN) AND TISSUE IN MICHEL'S TRANSPORT MEDIA KIDNEY STONE SAMPLE ( D/W OR 0.5GMS NORMAL SALINE) Stone
Entire Stone
TISSUE/PARAFFIN BLOCK+CLINICAL HISTORY in specified format TISSUE/PARAFFIN BLOCK+CLINICAL HISTORY in specified format
0.5 cm X 0.5 cm X 0.5 cm 0.5 cm X 0.5 cm X 0.5 cm
WB-HEPARIN / EDTA
3.0 ML (2.0 ML)
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for reporting) TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED STRY IT WILL BE CHARGED FOR TISSUE PROCESSING WB- EDTA | BM / WB- HEPARIN | BM / FLOW CYTOMETRY FLUIDS -EDTA/HEPARIN /SMEARS + CLINICAL HISTORY NEPHELOMETRY
2.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
A
DAILY: 1000 HRS
7TH DAY
A
DAILY: 1100 HRS
4TH DAY
A
2 & 5: 1100 HRS
SAME DAY
Ambient Daily
Same Day
A
2:0930 HRS
9 DAYS
A
1,4:0930
6,2: 1830 HRS
A
DAILY: 14:30 SAME DAY ,16:30HRS
2-8°C (21 2,5:1100 HRS NEXT DAY days)
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
NEPHELOMETRY
RANDOM URINE + CLINICAL HISTORY (MENTION 24 HRS URINE VOLUME)
10 ML (5 ML)
R
2: 1100 HRS
NEXT DAY
NEPHELOMETRY
24HRS URINE SAMPLES WITHOUT PRESERVATIVE+ CLINICAL HISTORY (MENTION 24 HRS URINE VOLUME)
10 ML (5 ML)
R
2: 1100 HRS
NEXT DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
4063
LAMOTRIGINE BY HPLC
5000
HPLC
PLASMA EDTA.Instructions: Whether specimen has been collected at Trough level (before the next dose) or Peak level , Clinical history is mandatory, 3.0ML(2.0ML) name of the drug and dosage has to be mentioned on the TRF..If not received, will be created as a problem specimen
1075
Z207K
LAP (LEUCOCYTE ALKALINE PHOSPHATASE / NEUTROPHIL ALKALINE PHOSPHATASE (NAP)SCORE)
1250
CYTOCHEMISTRY SPECIAL STAINS
FRESH PERIPHERAL SMEARS AIR DRIED + 3-4 SMEARS CLINICAL HISTORY
1076
1507
LARGE TISSUE / SPECIMEN BIOPSY
1650
1077
1274
LBC- LIQUIPREP CYTOLOGY [SEMI-AUTOMATED]
850
1274P
LBC- LIQUIPREP CYTOLOGY [SEMI-AUTOMATED]]PHOTO
990
1074
1078
1079
1080
1081
1082
LBC REFLEX TO HPV-PCR9224RFX LIQUIPREP CYTOLOGY [SEMIAUTOMATION] + HPV-PCR 9991
LDH ISOENZYMES
9142U24 LEAD, 24 HRS URINE
9142
LEAD, BLOOD
850
5550
1700
1700
TISSUE IN 10%FORMALIN+ SITE OF BIOPSY SPECIMEN + CLINICAL DETAILS (For bone specimens also send X-RAY) SPECIMEN FIXED IN LIQUIPREP CYTOLOGY PRESERVATIVE SOLUTION + clinical history SPECIMEN FIXED IN LIQUIPREP CYTOLOGY PRESERVATIVE SOLUTION + clinical history SPECIMEN FIXED IN LIQUIPREP CYTOLOGY PRESERVATIVE SOLUTION + + PCR CLINICAL HISTORY & AGE / SEX/ LMP SERUM (Age & Sex of the patient is ELECTROPHORESIS mandatory for reporting) 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) IN METAL FREE GFAAS WITH ZEEMAN SCINTILLATION VIAL AVAILABLE OR CORRECTION STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE) HISTOPATHOLOGY
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD +AGE+SEX CORRECTION MANDATORY FOR REPORTING
Page 135 of 207
TEMP.
FREQUENCY REPORTED
TUESDAY : 09:00 HRS
5 DAYS
A
DAILY:15:30 HRS
3RD DAY
MORE THAN 3CM
A
DAILY:1200 HRS
4TH DAY
1
A
DAILY: 1530 HRS
NEXT DAY
1
A
DAILY: 1530 HRS
NEXT DAY
1
2.0 ML (1.0 ML)
FROZEN
DAIILY:1530 (LBC) & 2,4: A 1000 HRS (HPV-PCR) 15-30°C (7 MON : days) 1100HRS
NEXT DAY
4TH DAY
10-20 ML (5 ML)
2-8°C (5 “2&5”, 11:30 days); F (>5 NEXT DAY HRS -30 days)
5.0 ML (3.0 ML)
2-8°C (7days); F “2&5”, 11:30 NEXT DAY (>7 -30 HRS days)
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1083
TEST CODE
9142U
TEST NAME
LEAD, URINE SPOT
Price (Rs.)
1700
METHOD
SPECIMEN
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE)
1084
2404
LEGIONELLA SPP. CULTURE
990
CULTURE
EXPECTORATED SPUTUM/ BAL - STERILE CONTAINER
1085
1492
LEISHMANIA DONOVANI (LD) BODIES DETECTION
990
MICROSCOPY
EDTA / SPLENIC ASPIRATE / BONE MARROW+ SMEAR + CLINICAL HISTORY
1086
1087
1420
LEISHMANIA SPECIES CULTURE
DT3220 LEPTOCHEQ
SPLENIC / LIVER ASPIRATE / BONE MARROW / WB- HEPARIN
SPECIMEN VOL.
10-20 ML (5 ML)
3.0 ML (1.0 ML)
3.0 ML (2.0) ML BM / WB / 4 (2) BM SMEARS
FREQUENCY REPORTED
2-8°C (5 “2&5”, 11:30 days); F (>5 NEXT DAY HRS -30 days) R if received within 24 BY PRIOR hrs; if APPOINTMEN received T after>24 hrs then at 70°C DAILY: A 14:30,17:00 HRS
MICROSCOPY/ CULTURE
1600
Serum : 28°C (2 days), F (> 2 days); ENZYME Urine : R For IMMUNOASSAY / 3.0 ML (1.0 ML) + SERUM / WB-HEPARIN / URINE IN PLAIN DARKFIELD DARKFIELD 1/3/5: 1100 3.0 ML (1.0 ML) + VACCUTAINER STERILE MICROSCOPY / UA / MICROSCO HRS 20.0 ML (10.0 ML) SPECTROPHOTOMETR PY must be Y at A& WITHIN 24HRS OF COLLECTIO N
A
PRELIM. 7TH DAY, FINAL 14TH DAY
NEXT DAY
MICROSCO PY- NEXT BY PRIOR DAY: APPOINTMEN PRELIM 7 T DAY, FINAL 21ST DAY
975
Page 136 of 207
1(0.5)GMs / 5.0 (3.0)ML
TEMP.
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1088
2398
LEPTOSPIRA DARKFIELD & CULTURE
950
CULTURE; DARKFIELD WB-HEPARIN / URINE & CSF-to directly MICROSCOPY inoculate in media
1089
1417
LEPTOSPIRA DETECTION
525
DARKFIELD MICROSCOPY
WB-HEPARIN / URINE &CSF TO DIRECTLY 3.0 ML (1.0 ML) + INOCULATE IN MEDIA 3.0 ML (1.0 ML)
1090
9910
LEPTOSPIRA DNA PCR
1700
POLYMERASE CHAIN REACTION
WB-EDTA / URINE IN STERILE CONTAINER
3.0 ML + 10.5 ML
1091
7551
LEPTOSPIRA IgG ANTIBODIES
1190
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1092
7621
LEPTOSPIRA IgM ANTIBODIES
1190
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1250
CYTOCHEMISTRY SPECIAL STAINS
FRESH PERIPHERAL SMEARS AIR DRIED + 3-4 SMEARS CLINICAL HISTORY
5850
IMMUNOHISTOCHEMI TISSUE IN 10%FORMALIN / PARAFFIN STRY & BLOCK (Site of biopsy & Clinical details HISTOPATHOLOGY mandatory)MANDATORY
6250
MULTIPLEX RT-PCR
1093
Z207K
1094
1674S
1095
1625
LEUCOCYTE ALKALINE PHOSPHATASE (LAP) / NEUTROPHIL ALKALINE PHOSPHATASE (NAP)SCORE LEUKEMIA / LYMPHOMA EVALUATION WITH HISTOPATHOLOGY LEUKEMIA TRANSLOCATION PANEL 1 (t(1;19) (q23;p13), Inv(16)(p13;q22), t(9;22) (q34;q11), t(4;11) (q21;q23), t(12;21) (p13;q22), t(15;17)(q22;q22), t(8;21)(q22;q22))
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
Page 137 of 207
5.0 ML (3.0 ML)
TEMP.
FREQUENCY REPORTED
MICROSCO PY - SAME DAY; A ,Within BY PRIOR CULTURE 24 hours of APPOINTMEN PRELIM. 1 collection T. WEEK, FINAL 6 WEEKS SAME DAY IF A ,WITH IN 24HRS OF DAILY: 1500 SPECIMEN RECEIVED COLLECTIO HRS BY 1500 N HOURS 3,6 1900 A 2,5 0900 HRS HRS 2-8°C (7 days); - 1,3,5: 1100 SAME DAY 20°C (>7 HRS days) 2-8°C (7 days); - 1,3,5: 1100 SAME DAY 20°C (>7 HRS days) A
DAILY:15:30 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1000 HRS
4TH DAY
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1096
1097
TEST CODE
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1626
LEUKEMIA TRANSLOCATION PANEL 2 (Inv(16)(p13;q22), t(15;17)(q22;q22), t(8;21)(q22;q22))
4500
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
1627
LEUKEMIA TRANSLOCATION PANEL 3 (t(1;11) (p32;q23), t(1;11) (p21;q23), t(4;11) (q21;q23), t(6;11) (q27;q23), t(9;11) (p22;q23), t(10;11) (p12;q23), t(11;17) (q23;q21), t(11;19) (q23;p13.1), t(11;19) (q23;p13.3), Dup MLL (11q23), t(X;11) (q13;q23))
6800
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
5400
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
4200
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
5400
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW
5.0 ML (3.0 ML )/3.0(2.0)
A
1:0930 HRS
5: 1830 HRS
FLOW CYTOMETRY
WB- EDTA / BM-EDTA / WB- HEPARIN / BM HEPARIN+DIRECT SMEAR+HISTORY
3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC) / 3-4 CC (1CC)
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
1098
1628
1099
1624
1100
1678
1101
TEST NAME
1613
LEUKEMIA TRANSLOCATION PANEL 4 t(1; 19) (q23; p13), t(9; 22) (q34; q11), t(4;11) (q21; q23), t(1;11) (p32; q23), t(11; 19) (q23; p13.3), t(X;11) (q13; q23) LEUKEMIA TRANSLOCATION PANEL 5 t(9; 22) (q34; q11), Dup MLL (11q23), t(11; 17) (q23; q21), LEUKEMIA TRANSLOCATION PANEL 6 t(1; 19) (q23; p13), t(9; 22) (q34; q11), t(4;11) (q21; q23) and t(12; 21) (p13; q22), LGL PANEL
9750
Page 138 of 207
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1102
1103
TEST CODE
2020
TEST NAME LH & FSH (FOLLICLE STIMULATING HORMONE & LUTEINIZING HORMONE EVALUATION)
3198
LH (LUTEINIZING HORMONE)
2021
LH, FSH & PL (FOLLICLE STIMULATING HORMONE, LUTEINIZING HORMONE EVALUATION & PROLACTIN)
1105
1013
1106
3369D
1107
1587
1104
1108
3446D
1109
9990
1110
4871
Price (Rs.)
850
METHOD
CHEMILUMINESCENCE
SPECIMEN
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required)
SERUM (AGE, SEX + CLINICAL HISTORY MANDATORY)
SPECIMEN VOL.
2.0 ML (1.0 ML)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs ); F HRS (NIGHT) HRS (>48 hrs) TO 1900 HRS (EVENING)
3.0 (1.5) ML
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F (> HRS (NIGHT) HRS 48 hrs) TO 1900 HRS (EVENING)
CHEMILUMINESCENCE
1050
SERUM ( Age+ Sex+ LMP +CLINICAL HISTORY required) **Draw sample CHEMILUMINESCENCE between 8 AM to 10AM ,After 3-4 hrs patient has awakened.**
LH, FSH & Prolactin, INHIBIN B (Inhibin B, LH, FSH, & Prolactin)
2600
ENZYME IMMUNOASSAY/CHEM SERUM + CLINICAL HISTORY ILUMINECENCE
3.0 ML (1.0 ML)
LIPASE
590
SPECTROPHOTOMETR SERUM Y
1.0 ML (0.5 ML)
LIPID ELECTROPORESIS
3750
GEL ELECTROPORESIS SERUM
1.0 ML (0.5 ML)
LIPOPROTEIN (a)
1090
NEPHELOMETRY
12-14 HRS FASTING SERUM
1.0 ML (0.5 ML)
LIPOPROTEIN ELECTROPHORESIS
3750
ELECTROPHORESIS
FASTING SERUM (To be sent to SRL Mumbai within 24hrs of collection strictly in refrigerated condition).
2.0 ML (1.0 ML)
490
ION SELECTIVE ELECTRODE
SERUM + (Age & Sex of the patient is mandatory for reporting) Page 139 of 207
FREQUENCY REPORTED
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F HRS (NIGHT) HRS (> 48 hrs) TO 1900 HRS (EVENING)
490
LITHIUM
TEMP.
1.0 ML
2-8°C < 24 hrs) ; F ( > 24 hrs ) 20-25°C (7 days); 28°C (3 weeks) 2-8°C (4 days); 20°C (>4 days)
1;3;5 :1700 HRS
NEXT DAY 1900 hrs
DAILY:1830 HRS
SAME DAY
DAILY:0300, 1530 HRS
SAME DAY
2-8°C (7 DAILY: days); F (>7 1630HRS - 30 days) 2-8°C (3 days)
2,4,6 : 1100 HRS
2-8°C (24 hrs ); F DAILY: 1830 (>24 hrs - HRS 7days)
SAME DAY
4TH DAY
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
1111
1115
LIVER KIDNEY MICROSOME 1 (LKM1) AUTOANTIBODIES
1700
ENZYME IMMUNOASSAY
1389
LIVER PROFILE #2 (Bilirubin Total, Protein Total, Albumin, Globulin, Aspartate Aminotransferase, Alanine Aminotransferase, Bilirubin Direct, Hepatitis B Surface Antigen, Prothrombin Time, Alkaline Phosphatase)
1450
SERUM + FASTING PLASMA CITRATED* SPECTROPHOTOMETR (DOUBLE CENTRIFUGED PLASMA)* + Y /ECLIA/ CLOT BASED (Age & Sex of the patient is mandatory for reporting)
1112
1113
1114
1115 1116
DT6302 LIVORHYTHM - 2
4250
LIVORHYTHM - 4 (HCV RNA {NESTED REVERSE TRANSCRIPTASE PCR}, HCV DT6304 ABS, HBVDNA PCR, Small tissue biopsy, Special STains, AFB Culture, MYCO3PLEX DNA PCR)
5900
LKM1 AUTOANTIBODIES (LIVER KIDNEY MICROSOME 1)
1700
1115
7441CD L-LACTATE, CSF
990
SPECIMEN SERUM
CHEMILUMINESCENCE , ENZYME SERUM 2 VIALS IMMUNOASSAY ENZYME IMMUNOASSAY, ECLIA, REVERSE TRANSCRIPTASE PCR, DNA PCR, FLUORESCENT STAIN AND BACTEC METHOD, HISTOPATHOLOGY AND SPECIAL STAINS+MICROPARTIC LE ENZYME IMMUNOASSAY ENZYME IMMUNOASSAY
SPECIMEN VOL. 1.0 ML (0.5 ML)
TEMP. Frozen 20°C
FREQUENCY REPORTED 6:1100 HRS
SAME DAY
3.0 ML (2.0 ML) + 1.0 ML (0.5 ML)
DAILY: 10:30 2-8°C (2 HRS,BIOCHE SAME DAY days); M DAILY F (> 2 days) 1830HRS
3.0 (2.5 ML)
AFP--DAILY (MON TO EVERY 2-8°C (72 SAT): THURSDAY hrs), F (>72 430,1430,160 19:00 HRS hrs) 0 HRS; REST-1,3:10.30 HRS
PLASMA-EDTA, SERUM, SMALL TISSUE BIOPSY / CORE (NEEDLE) BIOPSY / FINE NEEDLE ASPIRATION BIOPSY IN (A) FORMALIN & (B) NORMAL SALINE, SPECIAL STAINS
PLASMA -EDTA 3.0 (2.0) ML (FROZEN), SERUM 3.0 (2.0) ML, SMALL TISSUE BIOPSY / CORE (NEEDLE) BIOPSY / FINE NEEDLE ASPIRATION BIOPSY IN (A) FORMALIN & (B) NORMAL SALINE, SPECIAL STAINS
SERUM
1.0 ML (0.5 ML)
Frozen 20°C
6:1100 HRS
SAME DAY
2.0 ML (1.0 ML)
F
1 & 4: 1300 HRS
SAME DAY
SPECTROPHOTOMETR CSF + CLINICAL HISTORY Y
Page 140 of 207
F
A A
7 DAYS + AFB SMEAR-48 HRS & (HCV) SAT 10:30DAILY:0 WEEK 6 (OR WHEN 900 HRS CULTURE IS POSITIVE)
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1117
TEST CODE
7441D
TEST NAME
L-LACTATE, PLASMA
Price (Rs.)
990
METHOD
SPECIMEN
SPECIMEN VOL.
PLASMA FLUORIDE (BLOOD COLLECTION SPECTROPHOTOMETR FROM STASIS FREE VEIN TO STORE IN ICE 2.0 ML (1.0 ML) Y BATH. PLASMA TO BE SEPARATED WITHIN 30 MTS) + CLINICAL HISTORY
1118
5964
LUPUS ANTICOAGULANT SCREENING PROFILE
1550
CLOT BASED
FASTING, CITRATED PLATELET POOR PLASMA* 2 VIALS- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
1119
3198
LUTEINIZING HORMONE (LH)
490
CHEMILUMINESCENCE
SERUM (AGE, SEX + CLINICAL HISTORY MANDATORY)
TEMP.
F
FREQUENCY REPORTED
1 & 4: 1300 HRS
SAME DAY
F (To be F immediatel y at -20°c TWO ALIQOUTS OF MON / WED / NEXT DAY & FRI 10:00 HRS 1.5 ML EACH transporte d in dry ice) DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 1.0 ML (0.5 ML) hrs ); F HRS (NIGHT) HRS (>48 hrs) TO 1900 HRS (EVENING)
1120
Z164K
LUTEINIZING HORMONE (LH)[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1121
2069I
LYME DISEASE (BORRELIA BURGDORFERI IgG)
1550
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.2 ML)
2-8°C (3 days ),>3 4: 1030 HRS days -20°C
SAME DAY
1122
2070I
LYME DISEASE (BORRELIA BURGDORFERI IgM)
1550
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.2 ML)
2-8°C (3 days ),>3 4: 1030 HRS days -20°C
SAME DAY
Z221
LYMPH NODE BIOPSY: DIFFERENTIAL DIAGNOSIS (CD3,CD20,Bc12)[PHOTO]
5000
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1123
Page 141 of 207
A
A
DAILY:1100 HRS
DAILY:1100 HRS
3RD DAY
3RD DAY
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TEST CODE
1124
Z223
1125
1668
1126
1657B
1127
1656B
1128
1658B
1129
1669
1130
1671B
1131
1659
TEST NAME LYMPH NODE: HODGKIN'S DISEASE : DIFFERENTIAL DIAGNOSIS (CD30, CD15, CD45, CD20, CD3, EMA)[PHOTO] LYMPH0CYTE ENUMERATION, BASIC & NK CELLS (%CD3,%CD4,%CD8,%CD19,% CD16+56,ABS CD3,ABS CD4,ABS CD8,ABSCD19,ABSCD16+56) LYMPHOCYTE ENUMERATION STUDY -T CELLS (%CD3,%CD4,%CD8,ABS CD3,ABS CD4,ABS CD8) LYMPHOCYTE ENUMERATION, T- HELPER CELLS (%CD3,%CD4,ABS CD3,ABS CD4) LYMPHOCYTE ENUMERATION, T & B CELLS (%CD3,%CD19,ABS CD3,ABS CD19) LYMPHOCYTE ENUMERATION, BASIC & HIV 1 ANTIBODIES LYMPHOCYTE ENUMERATION, BASIC (%CD3,%CD4,%CD8,%CD19,,A BS CD3,ABS CD4,ABS CD8,ABS CD19) LYMPHOCYTE SUBSET (CD4 PERCENTAGE AND ABSOLUTE COUNT )
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
5950
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
5800
FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
1850
FLOW CYTOMETRY
1390
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY:1530 HRS
SAME DAY 1800 HRS
FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY:1530 HRS
SAME DAY 1800 HRS
2700
FLOW CYTOMETRY
WB-EDTA + HEPARIN + CLINICAL HISTORY 3.0 ML (2.0 ML) + (WB to reach within 48 hrs) 3.0 ML (2.0 ML)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
4750
FLOW CYTOMETRY / ECLIA
WB-EDTA + HEPARIN + SERUM (WB to reach within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
FLOW--A, DAILY:1530 A/R/F HRS
NEXT DAY BY 7.00PM
4250
FLOW CYTOMETRY
WB-EDTA + HEPARIN (WB to reach within 48 hrs)
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML)
A
DAILY:1530 HRS
NEXT DAY BY 6.00PM
FLOW CYTOMETRY
EDTA WB ONLY (SAMPLE TO REACH LAB WITHIN 48 HOURS.)
3 – 5 ml
A
DAILY: 1530 HRS
SAME DAY BY 6.00PM
690
Page 142 of 207
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
A
DAILY:1100 HRS
F
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
Z219
1133
3524
MACROCYTIC ANEMIA PANEL (Vitamin B12+Folic Acid)
1700
CHEMILUMINESCENCE SERUM
3.0 ML (2.0 ML)
1134
1394
MALARIA ANTIBODY
700
IMMUNOCHROMATO EDTA WHOLE BLOOD/SERUM GRAPHY
1.0 ml(0.5 ml)
1135
1395
MALARIA ANTIGEN (P. FALCIPARUM) DETECTION
625
1136
Z242
MALIGNANT TUMORS: LYMPHOMA v/s CARCINOMA (CD45,CK)[PHOTO]
3050
1137
1138
9146U24 MANGANESE 24 HRS URINE
9146
1139
9146U
1140
8424
5850
2300
FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
LYMPHOMA: DIFFERENTIAL DIAGNOSIS (CD30, CD15, CD20, CD3, CD45)[PHOTO]
1132
TEMP.
IMMUNOHROMATOG WB-EDTA / HEPARIN 3.0 ML (2.0 ML) RAPHY TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) ALIQUOT. IN METAL GFAAS WITH ZEEMAN FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) CORRECTION STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)
2-8°C (3 DAILY:1530 days),>3 HRS days -20 °C
3RD DAY
SAME DAY
2-8°C (3 days)
DAILY: 1530 HRS
SAME DAY
A
DAILY:1100 HRS
3RD DAY
2-8°C (5 “5”, 11:30 days); F (>5 HRS -30 days)
NEXT DAY
2400
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD CORRECTION
5.0 ML (3.0 ML)
2-8°C (7 “5”, 11:30 days); F (>7 HRS -30 days)
NEXT DAY
MANGANESE SPOT URINE
2400
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE)
10-20 ML (5 ML)
2-8°C (5 “5,” 11:30 days); F (>5 HRS -30 days)
NEXT DAY
MANGANESE, SERUM
3250
ICPMS
2.0ML(1.0ML)
MANGANESE BLOOD
SERUM
Page 143 of 207
R/F
DAILY 09:00HRS
12 DAYS
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1141
1142
1143
1144
1145
1146
TEST CODE
3322
9942
TEST NAME MAPLE SYRUP URINE DISORDERS (NEONATAL SCREENING)
MATERNAL SCREEN (QF PCR) ANEUPLOIDY (13,18, & 21 ) DETECTION
Price (Rs.)
325
6250
METHOD
SPECIMEN
SPECIMEN VOL.
Enzymatic
2 (1)
PCR - FRAGMENT ANALYSIS
EDTA Whole Blood/ Amniotic fluid/ CVS in sterile Saline/ Product of conception (POC) + CLINICAL HISTORY(EDTA WB BOTH PARENTS MANDATORY WITH PRENATAL SAMPLES
Only 5 ML (3ML)/ 20 ml Amniotic (10 ml)/ 10 mg (5 Fluid/ CVS 5: 0930 HRS mg)/ 10 mg (5 mg) at 2-8 °C; Rest A
SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal CHEMILUMINESCENCE Weight, Maternal Race + USG Report 2.0 ML (1.0 ML) +Date of collection+LMP date)MANDATORY SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal CHEMILUMINESCENCE Weight, Maternal Race + USG Report 2.0 ML (1.0 ML) +Date of collection+LMP date)MANDATORY
1268
MATERNAL SCREEN; DOUBLE MARKER TEST (First trimester risk assessment 8-14 wks)PAPA-P & FREE B-HCG)
SERUM IN 2 VIALS + Clinical Details in specified format, Date of Birth, Maternal CHEMILUMINESCENCE Weight, Maternal Race + First trimester 2.0 ML (1.0ML) USG Report, COLLECTION DATE, NT VALUES.MANDATORY
1277
MATERNAL SCREEN; STANDARD INTEGRATED TEST, Phase I (1st Trimester) : 8 - 14 Weeks. (PAPA-P & FREE B-HCG) Phase II (2nd Trimester): 14-22 Weeks. ( AFP, HCG,E3UN & DIA). Final risk assessment incorporates first and second trimester results.
1267
1900
4150
FREQUENCY REPORTED
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
MATERNAL SCREEN (QUADRUPLE MARKER TEST / 2650 2nd Trimester Risk assessment, 14-22 Weeks. ( AFP, HCG,E3UN & DIA) MATERNAL SCREEN TRIPLE MARKER TEST / 2nd Trimester Risk assessment, 14- 2350 22 Weeks. (AFP, HCG & E3UN)
1275
TEMP.
SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal 3.0 ML (1.0 ML) CHEMILUMINESCENCE Weight, Maternal Race + USG Report +Date of collection+LMP date)MANDATORY
Page 144 of 207
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2-8°C (<48 hrs); F (> 48 hrs)
2-8°C (72 hrs), F (>72 hrs)
DAILY (MON TO SAT) (MON TO SAT): 1430 HRS DAILY (MON TO SAT) (MON TO SAT): 1430 HRS
6 DAYS
SAME DAY
SAME DAY
DAILY (MON 2-8°C (<48 TO SAT) hrs); F (> (MON TO 48 hrs) SAT): 1430 HRS
SAME DAY
DAILY (MON 2-8°C (<48 TO SAT) hrs); F (> (MON TO 48 hrs) SAT): 1430 HRS
PHASE -I: SAME DAY PHASE -II: ON NEXT DAY ON RECIEPT OF THE SAMPLE
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
1278
MATERNAL SCREENING; SEQUENTIAL INTEGRATED TEST, Phase I (1st Trimester): 8-14 Weeks (PAPA-P & FREE B-HCG). Screen Positive cases are offered CVS or Amniocentesis Chromosome analysis, whereas Screen Negative are offered second trimester serum test. Phase II (2nd Trimester): 14-22 Weeks. (AFP, HCG, E3UN & DIA). Final risk assessment incorporates first and second trimester results.
1148
9950
MDR-TB RAPID GENOTYPIC TEST (Note: This test is not applicable for MOTT)
3500
PCR- HYBRIDISATION
1149
6018F
MDS PANEL
8250
FISH
1150
8771
MEASLES IgG & IgM ANTIBODIES
2500
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.5 ML)
1151
8776
MEASLES IgG ANTIBODIES
1450
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1152
8781
MEASLES IgM ANTIBODIES
1450
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
Sl. No
1147
Price (Rs.)
5750
METHOD
SPECIMEN
SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal Weight, Maternal Race + USG Report +Date of collection+LMP date) GA: 8- 12 CHORIONIC VILLUS IN MEDIUM CHEMILUMINESCENCE (Medium will be provided by the lab), GA: / KARYOTYPING 14-19 AMNIOTIC FLUID Clinical history, Consent form with PND registration number is mandatory. Specimen to reach us in 24 hrs after collection
SPECIMEN VOL.
FREQUENCY REPORTED
PHASE -I: SAME DAY, CVS KARYIOTYP Serum: 2ING: 21 ST 8°C (<48 DAY hrs); F (> 3.0 ML (1.0 AMNIOTIC 48 DAILY (MON ML) CVS : FLUID: 14 hrs) TO SAT): 1430 40 mg (30 mg) WORKING CVS HRS Amniotic Fluid in DAYS, : Ambient sterile tube 20 Ml PHASE -II: Amniotic ON NEXT Fluid: DAY ON Ambient RECIEPT OF THE SAMPLE
Sputum (AFB Smear Positive)/ BAL (AFB Smear Positive) (SPECIMENS OF PATIENTS WITH AFB SMEAR LESS THAN 3.0 ML (2.0 ML) 1+ ARE NOT ACCEPTABLE) / MTB Culture Specimen WB-HEPARIN + BONE MARROW SODIUM HEPARIN. SPECIMEN TO REACH US IN 24 HRS. [Please mention the 6.0 ML+8.0 ML CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
Page 145 of 207
TEMP.
A/R
1,4:0930 HRS
4,1: 1830 HRS
A
DAILY: 1200 HRS
5TH DAY
2-8°C (2 days); 5: 1100 HRS 20°C (>2 days) 2-8°C (2 days); 5: 1100 HRS 20°C (>2 days) 2-8°C (2 days); 5: 1100 HRS 20°C (>2 days)
SAME DAY
SAME DAY
SAME DAY
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1154
1155
1156
1157
1158
TEST CODE
TEST NAME
1511
MEDIUM TISSUE / SPECIMEN BIOPSY
Z253K
MELAN-A [PHOTO]
Z235
MELANOMA (S- 100/HMB45/Melan-A) [PHOTO]
1006
MENOPAUSAL DIAGNOSTIC PANEL (FSH, TSH, FT4, ESTRADIOL)
7002
1008
MENOPAUSE PLUS PROFILE
MENUPOSAL MONITORING PANEL (Estradiol, FSH, Lipid Profile, Calcium, Phosphorus)
Price (Rs.)
METHOD
SPECIMEN TISSUE IN 10%FORMALIN+ SITE + CLINICAL DETAILS (FOR BONE SPECIMENS ALSO SEND XRAY)
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
A
DAILY:1200 HRS
3 RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
3050
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
1000
HISTOPATHOLOGY
1400
22500
1600
CHEMILUMINESCENCE SERUM
1 to 3 CM
3.0 ML (2.0 ML)
7 SALIVA SAMPLES COLLECTED OVER A 6 DAYS PERIOD •Wash hands before collection. • See instructions inside test 5 ML (Each time) kit for details.ON REQUEST KIT WILL BE PROVIDED BY SRL,MUMBAI
SPECTOPHOTOMETRY/ SERUM :12- 14 HRS FASTING CHEMILUIMINECENCE
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3.0 ML (2.0 ML)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F (> HRS (NIGHT) HRS 48 hrs) TO 1900 HRS (EVENING)
F
MON: 9:00 HRS
20-25 DAYS
DAILY: 1830 HRS (FOR BIOCHEM TESTS) & 2-8°C (<48 DAILY: 1230 hrs); F (> SAME DAY HRS (NIGHT) 48 hrs) TO 1900 HRS (EVENING) FOR HORMONES
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1159
TEST CODE
9138U24 MERCURY, 24 HRS URINE
1160
9138U
1161
9131
1162
TEST NAME
3317
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) ALIQUOT. IN METAL FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE) SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) STERILE URINE CULTURE BOTTLE AVAILABLE FROM SRL (NO PRESERVATIVE)
2950
HGAAS
MERCURY, URINE SPOT
2950
HGAAS
MERCURY,SERUM
3300
ICPMS
SERUM
COMPETITIVE ELISA ANTIGENANTIBODY BINDING REACTION
24HRS URINE (Preservative:15 - 20ML 6N HCL) . (The patient should not consume banana, pineapple, chocolates, coffee, icecreams, high diet in cereals, vanilla, potatoes and B-Complex, Vitamins 48hrs prior to the collection of the specimen.It is advisable to discontinue all medications, alpha methyldopa, MAO & COMT Inhibitors as well as medications related to Hypertension should be 20.0 ML (10.0ML) discontinued atleast 72 hrs prior to specimen collection.If medications takenshould be STrictly on the advise of the referring physician, the same should be mentioned.Please freeze the specimen immediately after collection. CLINICAL DETAILS(Patient's clinical history, CT SCAN , USG & MEDICATION MANDATORY) mention 24 hrs urine volume
METANEPHRINES
1700
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3.0ML(2.0ML)
TEMP.
FREQUENCY REPORTED
2-8°C (5 "2", 11:30 days); F (>5 HRS -30 days)
THIRD DAY
2-8°C (5 "2", 11:30 days); F (>5 HRS -30 days)
THIRD DAY
R
DAILY 09:00A.M
1st and 3rd STRICTLY F TUESDAY : 10:00 HRS
12 DAYS
NEXT DAY: 19:00 HRS
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TEST CODE
TEST NAME
Price (Rs.)
1163
Z243K
METASTASIS OF UNKNOWN ORIGIN [PHOTO]
6250
1164
Z232
METATASTIC TUMOUR BREAST (ER, PgR, Her-2/neu, GCDFP-15)[PHOTO]
4150
1165
4202
1166
2124
1167
Z245K
METHAEMOGLOBIN ESTIMATION METHYLMALONIC ACID, URINE MIB-1 [PHOTO]
MIC TESTING FOR RAPIDLY 1168 1464RGM GROWING MYCOBACTERIA
1169
Z218K
MIC2 GENE PRODUCTS, EWING SARCOMA MARKER[PHOTO]/Also known as CD99
1170
1493
MICROFILARIA DETECTION
1171
9152
miRview™ Meso
1172
9153
1173
9151
850
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING SPECTROPHOTOMETR EDTA BLOOD 3.0 ML (2.0 ML) Y
1600
BIOCHEMISTRY
URINE (RANDOM)
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
7500
MICRO BROTH DILUTION
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
590
MICROSCOPY
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS ISOLATE (ISOLATE IDENTIFICATION REPORT FROM THE REFERRING LAB IS MANDATORY
20.0ML (10.0 ML)
PURE & FRESHLY SUBCULTURED isolate of Rapidly Growing NTM
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A R
DAILY: 14:30 SAME DAY HRS THURS:09:00 3RD DAY HRS
A
DAILY:1100 HRS
3RD DAY
R
DAILY:1000 HRS
15 DAYS
A
DAILY:1100 HRS
3RD DAY
WB-EDTA + SMEAR (MIDNIGHT COLLECTION SPECIMEN PREFERRED)
3.0 ML (2.0 ML) + 2 SMEARS
A
76500 miRNA
PARAFFIN BLOCK AND SLIDES
2, 2
A
miRview™ Mets (METASTASIS OF UNKNOWN ORIGIN)
76500 miRNA
PARAFFIN BLOCK AND SLIDES
2, 2
A
WED 09:00HRS
20-25 DAYS
miRview™ Squamous
76500 miRNA
PARAFFIN BLOCK AND SLIDES
2, 2
A
WED 09:00HRS
20-25 DAYS
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DAILY: 14:30 SAME DAY HRS WED 20-25 DAYS 09:00HRS
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1174
1175 1176
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
FREQUENCY REPORTED
MLL 11q rearrangement
2500
FISH
WB-HEPARIN OR BONE MARROW SODIUM HEPARIN SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF]
RD1322 MPL Mutation Detection
5500
PCR – DNA Sequencing
EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY
5 ML (3ML)
A
2: 0930 HRS
9 DAYS
7500
PCR -HYBRIDIZATION
EDTA Whole Blood + CLINICAL HISTORY
5 ml (3 ml)
A
1, 4: 0930 HRS
5,1: 1830 HRS
6019F
9802
MTHFR MUTATION DETECTION
4.0 ML + 2.0 ML
A
DAILY: 1200 HRS
5TH DAY
1177
9711
MUMPS IgG & IgM ANTIBODIES
2900
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1178
9716
MUMPS IgG ANTIBODIES
1700
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1179
9721
MUMPS IgM ANTIBODIES
1700
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1180
3368I
MUSCLE SPECIFIC RECEPTOR TYROSINE ABS.
21500 RIA
SERUM
2.0 ML ( 1.0 ML)
1181
TEMP.
2435
MYCO3PLEX
2750
MULTIPLEX POLYMERASE CHAIN REACTION, ANY SPECIMEN OTHER THAN BLOOD IN MICROSCOPY STERILE CONTAINER/ TISSUE IN STERILE FLUORESCENT STAIN/ NORMAL SALINE (Swabs not accepted) ZIEHL NEELSEN STAIN & MGIT-960+LJ CULTURE METHOD
Page 149 of 207
2-8°C (5 days); -20 5: 1100 HRS to -70°C (>5 days) 2-8°C (5 days); -20 5: 1100 HRS to -70°C (>5 days) 2-8°C (5 days); -20 5: 1100 HRS to -70°C (>5 days) 1st & 3rd F THURSDAY : 09:00HRS
A up to 48 hrs and R 3.0 ML (2.0) ML / 1 >48 hrs after TISSUE specimen collection
SAME DAY
SAME DAY
SAME DAY
3RD DAY
POLYMERA SE CHAIN REACTION SAMEDAY; AFB DAILY ( MON CULTURE TO SAT): 0800 SMEAR 48 HRS HOURS & WK 6 (Or when culture positive)
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1182
1183
TEST CODE
2435F
2435F
TEST NAME
MYCO3PLEX AD WITH FREE ADA
MYCO3PLEX AD WITH FREE ADA
Price (Rs.)
2750
2750
METHOD
SPECIMEN
MULTIPLEX POLYMERASE CHAIN REACTION, MICROSCOPY ANY SPECIMEN OTHER THAN BLOOD IN FLUORESCENT STAIN/ STERILE CONTAINER/ TISSUE IN STERILE ZIEHL NEELSEN STAIN NORMAL SALINE (Swabs not accepted) & MGIT-960+LJ CULTURE METHOD/SPECTROPH OTOMETRY
MULTIPLEX POLYMERASE CHAIN REACTION, MICROSCOPY FLUORESCENT STAIN/ ZIEHL NEELSEN STAIN & MGIT-960+LJ CULTURE METHOD/SPECTROPH OTOMETRY
ANY SPECIMEN IN STERILE CONTAINER/ TISSUE IN STERILE NORMAL SALINE, SERUM(FROZEN) - SWABS NOT ACCEPTED
Page 150 of 207
SPECIMEN VOL.
TEMP.
A up to 48 hrs and R 3.0 ML (2.0) ML / 1 >48 hrs after TISSUE, 3.0 ML specimen (2.0) ML collection F for ADA
FREQUENCY REPORTED POLYMERA SE CHAIN REACTION SAMEDAY; AFB CULTURE DAILY: 0800 SMEAR 48 HOURS & HRS WK 6 (Or when culture positive) ADA NEXT DAY POLYMERA
A up to 48 hrs and R 3.0 ML (2.0) ML / 1 >48 hrs DAILY: 0800 after TISSUE, 3.0 ML HRS specimen (2.0) ML collection F for ADA
SE CHAIN REACTION SAMEDAY; AFB CULTURE SMEAR 48 HOURS & WK 6 (Or when culture positive) ADA NEXT DAY
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TEST CODE
TEST NAME
Price (Rs.)
1184
2435T
MYCO3PLEX AD WITH FREE HISTOPATH
2750
1185
5320
MYCOBACTERIA DETECTION
250
1186
1122
MYCOBACTERIA DETECTION
375
1187
2419ID
1188
METHOD
MULTIPLEX POLYMERASE CHAIN REACTION, MICROSCOPY FLUORESCENT STAIN/ ZIEHL NIELSEN STAIN & MGIT-960+LJ CULTURE METHOD
MICROSCOPY / ZIEHL NEELSEN STAIN MICROSCOPY / FLUORESCENT STAIN LJ CULTURE MORPHOLOGY,BIO CHEMICAL AND OTHER TESTS
MYCOBACTERIA SPECIATION
2200
2401
MYCOBACTERIUM LEPRAE
3150
POLYMERASE CHAIN REACTION
1189
2402
MYCOBACTERIUM SPECIATION
2250
PCR - SEQUENCING
1190
9956
1191
9955
MYCOBACTERIUM SPECIATION – COMMON MYCOBACTERIUM SPECIATION – EXTENDED
1192
8746
MYCOPLASMA PNEUMONIAE IgG ANTIBODIES
1193
8746M
MYCOPLASMA PNEUMONIAE IgM ANTIBODIES
6000 6000
SPECIMEN
ANY SPECIMEN IN STERILE CONTAINER/ TISSUE IN STERILE NORMAL SALINE, TISSUE + SITE OF BIOPSY + CLINICAL DETAILS (FOR BONE SPECIMENS ALSO SEND XRAY) - SWABS NOT ACCEPTED
ANY SPECIMEN EXCEPT BLOOD, BONE MARROW.SWAB NOT ACCEPTABLE ANY SPECIMEN EXCEPT BLOOD, BONE MARROW.SWAB NOT ACCEPTABLE
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
A up to 48 hrs and R 3.0 ML (2.0) ML / 1 >48 hrs DAILY: 0800 after TISSUE FIXED IN HRS specimen 10% FORMALIN collection F for ADA
3.0 ML (0.5 ML)
A/R
3.0 ML (0.5 ML)
A/R
DAILY:1500 HRS DAILY:1500 HRS
POLYMERA SE CHAIN REACTION SAMEDAY; AFB 48 HRS SMEAR, WEEK 6 CULTURE,O R WHEN CULTURE TURNS POSITIVE SAME DAY SAME DAY
PURE CUTURE ISOLATE OF MYCOBACTERIUM OTHER THAN TUBERCULOSIS (NTM)
3 ML OF LIQUID CULTURE/ 1SLOPE OF LJ
R
DAILY 1000 HRS
NO PRELIM, FINAL 8 WEEKS
SKIN SCRAPPING/ SKIN BIOPSY/ NASAL/SKIN SWAB / TISSUE/ SLIDES/BLOCKS CULTURE/ SPUTUM/ BAL/ PUS + CLINICAL HISTORY (SPECIMENS OF PATIENTS WITH AFB SMEAR LESS THAN 1+ ARE NOT ACCEPTABLE)
1.0 (0.5) ML, 1.0 (0.5) ML, 1, 0.5 (0.1) GM, I
A
3:1000 HOURS
6: 1800 HRS
5 ML (3ML)
A
1:0930 HRS
5: 18:30 HRS
1
A
1,4:0930 HRS
1
A
PCR - REVERSE PROBE MTB Culture Specimen HYBRIDIZATION PCR - REVERSE PROBE MTB Culture Specimen HYBRIDIZATION
1950
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1950
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
Page 151 of 207
4,1: 1830 HRS 4,1: 1830 1,4:0930 HRS HRS
2-8°C (7 days); 2: 1030 HRS 20°C (>7 days) 2-8°C (7 days); 2: 1030 HRS 20°C (>7 days)
SAME DAY
SAME DAY
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1194
TEST CODE
2434
TEST NAME
MycoReal
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2100
REAL TIME PCR
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC / PLEURAL / CSF FLUIDS/ TISSUE IN STERILE NORMAL SALINE / BONE MARROW-EDTA / PARAFFIN BLOCK (SWABS AND BLOOD SPECIMEN NOT ACCEPTED)
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC / PLEURAL / CSF FLUIDS, TISSUE IN STERILE 3.0 ML (2.0) ML NORMAL SALINE / BONE MARROWEDTA/PARAFFIN BLOCK. (SWABS AND BLOOD SPECIMEN NOT ACCEPTED)
EDTA BM / HEP BM / SMEARS + CLINICAL HISTORY
1195
2439
MYCOtect
1750
MULTIPLEX POLYMERASE CHAIN REACTION
1196
1607
MYELOMA PANEL (CD38,CD56,CD19.KAPPA,LA MBDA,CD45)
5850
FLOW CYTOMETRY
1197
Z206
MYELOPEROXIDASE (MPO) STAIN
725
1198
Z210K
MYELOPEROXIDASE (MPO)[PHOTO]
2000
3.0 ML (2.0) ML / 1
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML) + 2(1)
FRESH, UNSTAINED, AIR DRIED 4 BM SMEARS + 2 PERIPHERAL SMEAR / BONE MARROW PB SMEARS ASPIRATE SMEARS + CLINICAL HISTORY TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING CYTOCHEMISTRY SPECIAL STAINS
TEMP.
FREQUENCY REPORTED SAME DAY 1900HRS/ IF PB RECD. REPORTIN G NEXT DAY EVENING SAME DAY 1900HRS/ IF PB RECD. REPORTIN G NEXT DAY EVENING
A
DAILY: 0800 HRS
A
DAILY: 0800 HRS
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:11:00 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
1199
Z246K
MYO-D1 [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
1200
3612
MYOGLOBIN
1600
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
2.0 ML (1.0 ML)
2-8°C (7 DAILY (MON days); F (> TO SAT):1600 SAME DAY 7 days) HRS
1201
9273
MYOGLOBIN, URINE
1500
BIOCHEMICAL
20.0ml(10.0ml)
R/F DAILY (STABILITY: 09:00HRS 4 DAYS)
RANDOM URINE
Page 152 of 207
3 DAYS
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TEST CODE
TEST NAME
Price (Rs.)
1202
5422
NATURAL KILLER CELL EVALUATION (%CD16+56,ABS CD16+CD56)
3250
FLOW CYTOMETRY
1203
1611
NATURAL KILLER PANEL (CD3,CD16,CD56,CD45)
3500
FLOW CYTOMETRY
1204
2414
NEISSERIA GONORRHOEAE CULTURE
790
CULTURE
1205
9801
2600
POLYMERASE CHAIN REACTION
1206
9611
2200
LATEX PARTICLE AGGLUTINATION
SERUM
1.0 ML (0.5 ML)
1207
9611C
2200
LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
NEISSERIA GONORRHOEAE DNA PCR NEISSERIA MENINGITIDIS A, B, C, Y, W135 ANTIGEN DETECTION NEISSERIA MENINGITIDIS A, B, C, Y, W135 ANTIGEN DETECTION, CSF
METHOD
5815
NEONATAL KARYOTYPING (NEWBORN TO ONE MONTH OLD CHILD)
2650
CELL CULTURE
1209
3321
NEONATAL SCREENING (GLUCOSE-6-PHOSPHATE DEHYDROGENASE)
350
Enzymatic
1210
3311
NEONATAL SCREENING (17ALPHA HYDROXYPROGESTERONE)
325
ENZYME IMMUNOASSAY
1211
3320
NEONATAL SCREENING (Biotinidase)
500
Enzymatic
1208
SPECIMEN WB-EDTA + HEPARIN (WB to reach within 48 hrs)
SPECIMEN VOL. 3.0 ML (1.0 ML) + 3.0 ML (1.0 ML)
EDTA - WB / BM / / FLUIDS, HEPARIN WB 3.0 ML (2.0 ML) + / BM / FLUIDS + BLOOD / BM SMEARS + 3.0 ML (2.0 ML) + CLINICAL HISTORY 2(1) 1.0 (0.5) ML / 1 TRANSPORT PUS /URETHRAL DISCHARGE/VAGINAL MEDIUM (Ask for SECRETIONS OR URETHRAL/VAGINAL transport medium) SWABS IN TRANSPORT MEDIUM specify sample source URETHRAL/ ENDOCERVICAL SWABS OR 2 SWABS, 5.0 ML URINE URINE
WB-HEPARIN SPECIMEN TO REACH US IN 24 – 48 HRS / CORD BLOOD- HEPARIN (If baby is alive)+CLINICAL HISTORY in specified format DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time. DRY BLOOD SPOT (With complete CLINICAL HISTORY form including birth date & birth time.) ( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
Page 153 of 207
4.0 ML (2.0 ML)
TEMP.
FREQUENCY REPORTED
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY 1500 HRS
3RD DAY
A
2: 1000 HRS
3RD DAY 1800
DAILY: 1530 HRS
SAME DAY
DAILY:1530 HRS
SAME DAY
DAILY:1200 HRS
10 -12 days
2-8°C (few hrs); -20°C (longer) 2-8°C (few hrs); -20°C (longer) A
2.0 NOs (1.0 NOs)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2.0 NOs (1.0 NOs)
2-8°C (14 1,4:1100 HRS NEXT DAY days)
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
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TEST CODE
TEST NAME
Price (Rs.)
1212
3307
NEONATAL SCREENING (IMMUNOREACTIVE TRYPSINOGEN)
1213
3322
NEONATAL SCREENING (MAPLE SYRUP URINE DISORDERS)
325
1214
3312
NEONATAL SCREENING (PHENYLALANINE)
325
1215
3309
NEONATAL SCREENING (TOTAL GALACTOSE)
325
1216
3308
NEONATAL SCREENING (TSH)
325
325
METHOD
SPECIMEN
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth ENZYME date & birth time.( 2-8 DAYS ACCEPTED IMMUNOASSAY UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzymatic date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzymatic date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzymatic date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzyme Immunoassay date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
Page 154 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2 SPOTS (1SPOT)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN A. General Information Collection Time: Collect sample 24 hours AFTER birth up to 1 month of age. Specimen and Volume: 4 - 5 whole blood spots on Whatman 903® filter paper; Fill all circles with blood. Do NOT Layer
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
Container: Whatman 903® Filter Paper
1217
3358
NEONATAL SCREENING PANEL (All 42 Parameters)
4200
By, MS/MS
Storage and Shipping Temperature: Allow blood to dry 3 - 4 hrs before packing. Store the sample in a ZipLock© or equivalent bag at room temperature 3 NOs (2 NOs) or 2° - 8° C. Ship the sample in the DRIED SPOTS ZipLock or equivalent at room temperature or 2° - 8° C. B. Sample Acceptability Special Instructions: 1. Blood Collection by Heel-stick directly onto filter paper upto 18 months after birth 2. Blood Collection by Finger-stick directly onto filter paper after 18 months of age. 1. Venous blood from a central line is acceptable (Do NOT apply blood to filter paper with a needle as hemolysed samples are not acceptable).
Page 155 of 207
MONDAY TO Ambient/ 2FRIDAY 4TH DAY 8°C 09:00HRS
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1218
1219
TEST CODE
3328IA
3328IB
TEST NAME NEONATAL SCREENING PANEL-1 (Immunoreactive Trypsinogen, TSH, Total Galactose, 17-AlphaHydroxyprogesterone, Phenylalanine, Biotinidase, Glucose-6-Phosphate Dehydrogenase, Maple Syrup Urine Disease NEONATAL SCREENING PANEL-2 (Immunoreactive Trypsinogen, TSH, 17-AlphaHydroxyprogeSTerone, Phenylalanine, Glucose-6Phosphate Dehydrogenase
Price (Rs.)
2450
1475
METHOD
2-8°C (14 1,4:1030 HRS NEXT DAY days)
ENZYME IMMUNOASSAY
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time. ( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
5NOs (4 NOs)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
3 NOs (2 NOs)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
3 NOs (2 NOs)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
575
ENZYME IMMUNOASSAY
1221
3328ID
NEONATAL SCREENING PANEL-4 (G6PD, TSH, Phenylalanine)
825
ENZYME IMMUNOASSAY
3328II
NEONATAL SCREENING; COMPREHENSIVE NEONATAL SCREENING PANEL (Neonatal Screening Panel-1+NBS by MS/MS)
3328II
NEONATAL SCREENING; COMPREHENSIVE NEONATAL SCREENING PANEL (Neonatal Screening Panel-1+NBS by MS/MS)
Z236
NEUROENDOCRINE (NSE, Chromogranin-A, Synaptophysin, CD56, Pancytokeratin, Ki-67, S100p)[PHOTO]
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time. ( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.
5300
ENZYME IMMUNOASSAY & MS/MS
DRY BLOOD SPOT (With complete CLINICAL HISTORY form including birth date & birth time.) ( 2-8 DAYS ACCEPTED 5 NOs.(4NOs.) UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
5300
ENZYME IMMUNOASSAY & MS/MS
DRY BLOOD SPOT (With complete CLINICAL HISTORY form including birth date & birth time.) ( 2-8 DAYS ACCEPTED 5 NOs.(4NOs.) UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
4250
FREQUENCY REPORTED
5NOs (4 NOs)
NEONATAL SCREENING PANEL-3 (TSH, Phenylalanine)
1224
TEMP.
ENZYME IMMUNOASSAY
3328IC
1223
SPECIMEN VOL.
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time. ( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
1220
1222
SPECIMEN
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING Page 156 of 207
BIOCHEMI CAL NEXT DAY & MS/MS AFTER 72 HRS BIOCHEMI 1,4:1100 HRS CAL NEXT FOR 2-8°C (14 DAY & BIOCHEMICAL days) MS/MS & MS/MS AFTER 72 DAILY HRS
1,4:1100 HRS FOR 2-8°C (14 BIOCHEMICAL days) & MS/MS DAILY
A
DAILY:1100 HRS
3RD DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1228
9132
NICKEL,SERUM
3250
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED STRY IT WILL BE CHARGED FOR TISSUE PROCESSING SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE) 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE). 24 HRS VOLUME SHOULD BE COMPULSARILY SPECIFIED . FIRST SHAKE THE CAN AND TAKE THE 10GFAAS WITH ZEEMAN 20 ML ALIQUOT. IN METAL FREE SCINTILLATION VIAL AVAILABLE OR CORRECTION STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)THE MEASUREMENT OF URINE VOLUME SHOULD BE DONE AFTER ALIQUOTING. FURNACE, AAS SERUM
1229
8826
NICOTINE METABOLITE
1700
CHEMILUMINESCENCE URINE
4250
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1225
Z048K
NEURON SPECIFIC ENOLASE[PHOTO]
2000
1226
9150U
NICKEL URINE SPOT
3250
1227
1230
9150U24 NICKEL, 24 HRS URINE
Z222
NON HODGKIN LYMPHOMA IMMUNOPHENOTYPING (CD20, CD3, CD43)[PHOTO]
3250
Page 157 of 207
1 CM / 1 BLOCK
TEMP.
A
FREQUENCY REPORTED
DAILY:1100 HRS
3RD DAY
10-20 ML (5 ML)
2-8°C (5 “2” , 11:30 days); F (>5 HRS -30 days)
THIRD DAY
10-20 ML (5 ML)
2-8°C (5 “2”, 11:30 days); F (>5 HRS -30 days)
THIRD DAY
3.0ML(2.0ML) 1.0 ML (0.5 ML)
DAILY 10 DAYS 09:00A.M 3: 2-8°C (30 0430,1430,16 SAME DAY days) 00 HRS R
A
DAILY:1100 HRS
3RD DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
1231
9953P
NORADRENALIN, PLASMA
2950
ENZYME IMMUNOASSAY
1232
9953U
NORADRENALIN, URINE
2950
ENZYME IMMUNOASSAY
1233
7579
NPM1 MUTATION DETECTION
2750
PCR - SEQUENCING
RD1316 NRAS exon 1 and 2 Mutation
4750
NESTED PCR – Sequencing
1234
SPECIMEN THE BLOOD SAMPLE SHOULD BE STORED AT 2-8 DEGREE CELCIUS UNTIL CENTRIFUGED TO SEPARATE THE PLASMA WITHIN 2HOURS AFTER BLOOD COLLECTION.HRS & mention the TOTAL VOLUME. MIX THESAMPLEAND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT.DO NOT CONSUME VITAMIN B ,COFFEE, BANANAS, ALPHA METHYDOPA,MOA AND COMT INHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM.. 24HRS URINE with (Preservative:10 15ML 6N HCL) & mention the TOTAL VOLUME . MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT .DO NOT CONSUME VITAMIN B ,COFFEE, BANANAS, ALPHA METHYDOPA,MOA AND COMT I NHIBITORSAS WELL AS MEDICATION RELATED TO HYPERTENSION 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM.. EDTA WHOLE BLOOD + CLINICAL HISTORY/EDTA BONE MARRAOW TISSUE IN NORMAL SALINE /PARAFFIN BLOCK+CLINICAL HISTORY in specified format Page 158 of 207
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2.0 ML (1.0 ML)
2nd & 4th F FROZEN WEDNESDAY NEXT DAY STRICTLY : 1000HRS
10.0 ML
2nd & 4th F FROZEN WEDNESDAY NEXT DAY STRICTLY : 1000HRS
5 ML (3ML)
A
4: 0930 HRS
7 DAYS
0.5 cm X 0.5 cm X 0.5 cm
A
2: 0930 HRS
9 DAYS
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TEST CODE
TEST NAME
1235
1702
NSE (NEURON SPECIFIC ENOLASE)
1236
2121
N-TERMINAL PRO B TYPE NATRIURETIC PEPTIDE (NTPRO BNP)
2121
NT-PRO BNP (N-TERMINAL PRO B TYPE NATRIURETIC PEPTIDE)
1237
1238
7003
NutriEVAL
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2750
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
2.0 ML (1.0 ML)
2200
ELECTROCHEMILUMIN SERUM ESCENCE
3.0 mL (2.0 mL)
2200
ELECTROCHEMILUMIN SERUM ESCENCE
45000
Urine in 4 tubes (Blue top-1, cream top1, Clear top-2) +Serum +Sodium Heparin Panel +RBC in Na-Heparin Tube +EDTA whole blood – 2 tubes. Before Taking this Test:Discontinue nonessential medications (4 days before test) • Refer to clinician instructions about what other medications and supplements to avoid (4 days before test) • Patients must fast overnight prior to blood draw • Arrange shipping for MondayThursday • See instruction.On prior request, kit is
Page 159 of 207
3.0 mL (2.0 mL)
10.0 ML+2.0 ML+2.0 ML+1.0 ML+3.0 ML each
TEMP. 2-8°C (24 hrs); F (>24 hrs) 20-25°C (3 days); 28°C (6 days); F (>6 days) 20-25°C (3 days); 28°C (6 days); F (>6 days)
F,F,F,R,R
FREQUENCY REPORTED 2:1600HRS
SAME DAY
DAILY (MON TO SAT):1600 SAME DAY HRS
DAILY (MON TO SAT):1600 SAME DAY HRS
MON 09:00HRS
20-25 DAYS
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1239
1240
1241
1242
TEST CODE
TEST NAME OBEY-CT PANEL I (Glucose F & Glucose PP, T3, T4 & TSH, Triglycerides, Cholesterol, HDL Cholesterol, LDL Cholesterol, VLDL Cholesterol, Cholesterol to DT8101 HDL Ratio, LDL to HDL Cholesterol Ratio, SERUM Creatinine, Total Protein, Electrolytes, Calcium, Phosphorus & Urine Analysis, Uric acid OBEY-CT PANEL II (Glucose F & Glucose PP , T3, T4 & TSH, Cortisol, Triglycerides, Cholesterol, HDL Cholesterol, LDL Cholesterol, VLDL Cholesterol, Cholesterol to DT8102 HDL Ratio, LDL to HDL Cholesterol Ratio, SERUM Creatinine, Total Protein, Electrolytes, Calcium, Uric Acid, Phosphorus & Urine AnalysiS 1316
OLIGOCLONAL BANDS, CSF
LC001
OPERATION THEATRE MICROBIOLOGICAL SURVEILLANCE (10 SWABS+2 AIR SAMPLES)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
SERUM (12-14HRS FASTING), FLUORIDE PLASMA - FASTING & PP, URINE (MORNING) & PP, EDTA, MICRO SLIDE + (Age & Sex of the patient is mandatory for reporting)
2-8°C (<48 hrs); F (> 48 hrs); Fluoride 5.0 ML (3.0 ML) + 1.0 ML (0.5 ML) plasma : A EACH F & PP+ 15.0 (3 days); ML (10.0 ML) + 3.0 Serum : 2ML (2.0 ML) + 2 8°C (2 days), F (> 2 days); Urine : R
Daily:1830 HRS (FOR BIOCHEM TESTS)
SAME DAY
3250
SPECTROPHOTOMETR 5.0 ML (3.0 ML) + 1.0 ML (0.5 ML) EACH Y, DIPSTICK /CHEMILUMINESCENC F & PP + 15.0 ML (10.0 ML) +3.0 E/IMT (FOR BIOCHEM ML(2.0ML) + 1.0 ML TESTS)
5.0 ML (3.0 ML) + 1.0 ML (0.5 ML) EACH F & PP + 15.0 ML (10.0 ML) + + 1.0 ML
2-8°C (<48 hrs); F (> 48 hrs); Fluoride plasma : A (3 days); Serum : 28°C (2 days), F (> 2 days); Urine : R
Daily:1830 HRS (FOR BIOCHEM TESTS)
SAME DAY
3500
IMMUNOFIXATION WITHISOELECTRIC FOCUSING
2 - 8 °C(1 2.5 ML + 2.0 ML week), F(1 4 :1100 HRS month) BY PRIOR APPOINTMEN T ON LOCATION & 2 AIR SAMPLE + 10 R EXPOSURE SWABS TIME OF CULTURE PLATES REQUIRED
2750
3750
SPECTROPHOTOMETR Y, DIPSTICK & MICROSCOPY/CELL COUNTER/CHEMILUMI NESCENCE/IMT (FOR BIOCHEM TESTS)
CSF & SERUM (For parallel testing MANDATORY).
AEROBIC+ANAEROBIC AIR SAMPLES + SWABS. DEPENDS ON CULTURE & AREA OF OT MICROSCOPY
Page 160 of 207
6TH DAY
Aerobic culture: 3RD DAY, Anaerobic culture: 5th Day
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TEST CODE
TEST NAME
Price (Rs.)
LC002
OPERATION THEATRE MICROBIOLOGICAL SURVEILLANCE (5 SWABS+2 AIR SAMPLES)
2200
LC001A
OPERATION THEATRE MICROBIOLOGICAL SURVEILLANCE- 10 (AEROBIC CULTURE ONLY- 10 SWABS+2 AIR SAMPLES)
3750
1245
LC002A
OPERATION THEATRE MICROBIOLOGICAL SURVEILLANCE-5 (AEROBIC CULTURE ONLY- 5 SWABS+ 2 AIR SAMPLES)
2200
1246
3966
ORGANIC ACID SCREEN,URINE
5750
1243
1244
1247
3231U24 OSMOLALITY, 24 hrs URINE
1248
3231
1249
3231U
1250
3550
1000
OSMOLALITY, SERUM
790
OSMOLALITY,URINE
790
OSTEOCALCIN (N MID)
2100
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
BY PRIOR APPOINTMEN T ON AEROBIC+ANAEROBIC LOCATION & AIR SAMPLES + SWABS. DEPENDS ON 2 AIR SAMPLE + 5 R CULTURE & EXPOSURE AREA OF OT SWABS MICROSCOPY TIME OF CULTURE PLATES REQUIRED BY PRIOR APPOINTMEN T ON LOCATION & AEROBIC CULTURE & AIR SAMPLES + SWABS. DEPENDS ON 2 AIR SAMPLE + 10 R EXPOSURE MICROSCOPY AREA OF OT SWABS TIME OF CULTURE PLATES REQUIRED BY PRIOR APPOINTMEN T ON LOCATION & AEROBIC CULTURE & AIR SAMPLES + SWABS. DEPENDS ON 2 AIR SAMPLE + 5 R EXPOSURE MICROSCOPY AREA OF OT SWABS TIME OF CULTURE PLATES REQUIRED RANDOM URINE+ CLINICAL DETAILS AND MONDAY 20ML (10ML) F GS/MS MEDICATION TO BE PROVIDED ALONG FRIDAY WITH THE SPECIMEN. 09:00HRS FREEZING POINT 2-8°C (14 1,3,5 : 1530 24 hrs URINE WITHOUT PRESERVATIVE 5.0 ML (2.0 ML) DEPRESSION days) HRS FREEZING POINT 2-8°C (14 1,3,5 : 1530 SERUM 1.0 (0.5) ML DEPRESSION days) HRS FREEZING POINT URINE (RANDOM) WITHOUT 2-8°C (14 1,3,5 : 1530 5.0 ML (2.0 ML) DEPRESSION PRESERVATIVE days) HRS 2-8°C (3 ELECTROCHEMILUMIN days); F (>3 2,5:1600 HRS SERUM + CLINICAL HISTORY 2.0 ML (1.0 ML) ESCENCE days- 3 months) Page 161 of 207
Aerobic culture: 3RD DAY, Anaerobic culture: 5th Day
3RD DAY
3RD DAY
8TH DAY SAME DAY SAME DAY SAME DAY
SAME DAY
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TEST CODE
1251
1060
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
FREQUENCY REPORTED
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
2.0 ML (1.0 ML)
F
DAILY (MON TO SAT):1600 SAME DAY HRS
OSTEONECTIN [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
2400
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
F
DAILY (MON TO SAT):1600 SAME DAY HRS
2.0 ML (1.0 ML)
2.0 ML (1.0 ML)
Z0150K
1253
1060
OSTEOPORESIS MONITORING (BETA CROSSLAPS & TOTAL P1NP)
1254
1059
OSTEOPOROSIS MONITORING (TOTAL P1NP)
1450
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
1255
1058
OSTEOPOROSIS MONITORING- BETA CROSSLAPS (CTx-1)
1375
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
1018
TEMP.
2400
OSTEOMON (BETA CROSSLAPS & TOTAL P1NP)
1252
1256
SPECIMEN VOL.
OSTEOSCREEN PANEL - II (Calcium, Phosphorous, Vitamin D (25 Hydroxy), PTH Intact, Osteocalcin, Alakaline Phosphatase)
4250
2.0 ML (1.0 ML)
CHEMILUMINESCENCE / 1.0 ML (0.5 ML), RADIOIMMUNOASSAY SERUM (A) + SERUM (F) + EDTA PLASMA 1.0 ML (0.1 ML) + (F) (Frozen Serum / 2.0 ML (1.0 ML) SPECTROPHOTOMETR Y
Page 162 of 207
3RD DAY
2-8°C (5 DAILY (MON days); F (>5 TO SAT):1600 SAME DAY days- 6 HRS months) F
DAILY (MON TO SAT):1600 SAME DAY HRS
Calcium, Phosphorous and alkaline phosphatase Serum and DAILY (MON Plasma F; 2- TO SAT):1830 SAME DAY 8°C (2 hrs,Vit D: days); F (> DAILY (MON 2 days) TO SAT) :1100 HRS; iPTH DAILY (MON TO SAT) 1600HRS
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1257
TEST CODE
1017
TEST NAME OSTEOSCREEN PANEL-1 (Calcium, Phosphorous, Vitamin D (25 Hydroxy), PTH Intact)
OVA & PARASITE: COMPREHENSIVE EXAMINATION WITH COCCIDIA EVALUATION OVA & PARASITE:COCCIDIA EVALUATION
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2350
CHEMILUMINESCENCE / RADIOIMMUNOASSAY SERUM (A) SERUM ( F) + EDTA PLASMA (F) (Frozen Serum / SPECTROPHOTOMETR Y
1.0 ML (0.5 ML), 1.0 ML (0.1 ML) + 2.0 ML (1.0 ML)
490
CONCENTRATION; MICROSCOPY; STAINING
STOOL IN LEAK PROOF CONTAINER
10.0 (1.0) g / 1.0 ML
390
STAINING: MICROSCOPY
STOOL IN LEAK PROOF CONTAINER
10.0 (1.0) g / 1.0 ML
1258
2362S
1259
2363
1260
1180
OVARY ANTIBODIES
2750
IMMUNO FLUORESCENT ASSAY
Serum
2.0 ML
1261
1180T
OVARY ANTIBODIES TITRES
4800
IMMUNO FLUORESCENT ASSAY
Serum
2.0 ML
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1262
1263
1264
1265
Z008K
p53 (MUTANT WILD TYPE) [PHOTO]
Z255K
p63 [PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
5006
PADIATRIC ALLERGIC PANEL (EGG WHITE, MILK, SOYABEAN, WHEAT, HOUSE DUST)
2600
ImmunoCap
3024
PANCREATIC CANCER MONITOR (CA 19-9, CEA)
2200
SERUM
CHEMILUMINESCENCE SERUM
Page 163 of 207
2 ML (1 ML)
2.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
Calcium, Phosphorous Serum and Daily:1830 Plasma F; 2hrs,Vit D: 8°C (2 SAME DAY Daily :1100 days); F (> HRS; iPTH 2 days) Daily 1600HRS R 2-8°C (48 hrs) 2-8°C (one week); -20°C (longer) 2-8°C (one week); -20°C (longer)
DAILY: 1530 HRS
NEXT DAY
DAILY: 1530 HRS
NEXT DAY
2,5; 1100 HRS TUES, FRI
2,5; 1100 HRS TUES, FRI
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
R/F
Daily :1100 HRS
SAME DAY
DAILY (MON 2-8°C (48 TO SAT): hrs); F (>48 SAME DAY 0430,1430,16 hrs) 00 HRS
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1266
1267
TEST CODE
3884
Z055K
TEST NAME
Pancreatic Elastase Test
PAN-CYTOKERATIN [PHOTO]
Price (Rs.)
METHOD
SPECIMEN
8500
ELISA
Stool
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK (Site of biopsy & Clinical details STRY mandatory) IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED
1268
9602
PANFUNGAL DETECTION & IDENTIFICATION PANEL
POLYMERASE CHAIN 10500 REACTION / SEQUENCING
EDTA WHOLE BLOOD / SPUTUM / CSF / FLUIDS / TISSUES + CLINICAL HISTORY
1269
9603
PANFUNGAL DNA DETECTOR
2250
POLYMERASE CHAIN REACTION
EDTA WHOLE BLOOD / SPUTUM / CSF / FLUIDS / TISSUES + CLINICAL HISTORY
1270
1271
1479
PAP DUO + HYBRID
1822
PAP DUO-LIQUIPREP CYTOLOGY [SEMIAUTOMATION] + HPV-PCR
3100
Diagen DNA Hybrid Capture and CYTOLOGY
2300
CYTOLOGY + PCR
LBC
SPECIMEN FIXED IN LIQUIPREP PRESERVATIVE SOLUTION
Page 164 of 207
SPECIMEN VOL.
1.0 gm
1 CM / 1 BLOCK 3.0 ML + 5.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 1.0 GM (0.5 GM) 3.0 ML + 5.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 2.0 ML (1.0 ML) + 1.0 GM (0.5 GM)
10ml
1
TEMP.
FREQUENCY REPORTED
Ambient-5 days, 2-8°C 2nd and 4 th Same (7 DAYS); - Monday:10.0 day(1900 20°C (>7 0 am hrs) DAYS)
A
DAILY:1100 HRS
3RD DAY
A
5:0930 HRS
7 DAYS
A
5:0930 HRS
7 DAYS
A
Hybrid capture Only Wednesday at 8:00 am and LBC daily 10:00am
Hybrid capture same day and LBC next day
A
DAIILY:1530 (LBC) & 2,4: 1000 HRS (HPV-PCR)
NEXT DAY
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1272
TEST CODE
TEST NAME
PAP SMEAR ABNORMAL 9216RFX REFLEX HPV DETECTION(DNA DETECTOR)
Price (Rs.)
METHOD
925
CYTOLOGY/ POLYMERASE CHAIN REACTION
1273
1272
PAP STAIN
475
CYTOLOGY
1274
1272P
PAP STAIN [PHOTO]
600
CYTOLOGY
1275
1564I
PARACETAMOL
950
HPLC
1276
3861
PARANEOPLASTIC DISORDER PROFILE (YO AND HU ABS)
4250
IMMUNOBLOT ASSAY
SPECIMEN
FIXED UNSTAINED SMEARS AND GENITAL SWABS / CERVICAL SCRAPINGS ON SLIDES + CLINICAL HISTORY & AGE & SEX
SPECIMEN VOL. SMEARS -4 (2 FIXED FOR PAP + 2 AIR DRIED FOR HPV) + GENITAL SWABS – 2 SWABS OR FORMALIN FIXED TISSUE/PARRAFIN BLOCK-1 OR ENDOCERVICAL SCRAPPINGS/ SWABS 2 SMEARS
FIXED UNSTAINED SMEARS + clinical history FIXED UNSTAINED SMEARS + clinical 2 SMEARS history SERUM, PLASMA (EDTA ) FASTING 12-14 2.0 ML (1.0 ML) HRS + CLINICAL HISTORY SERUM OR EDTA/HEPARIN/CITRATED PLASMA (Clinical History mandatory)
1.0 ml(0.5 ml)
1277
3305
PARVOVIRUS B19 DNA PCR
2350
POLYMERASE CHAIN REACTION
EDTA-PLASMA / WB-EDTA / BONE MARROW EDTA
0.5 ML (0.1 ML), 0.5 ML (0.1 ML), 0.5 ML (0.1 ML)
1278
2067I
PARVOVIRUS B19 IgG
2800
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.2 ML)
1279
2068I
PARVOVIRUS B19 IgM
2800
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.2 ML)
Page 165 of 207
TEMP.
A
A A F
FREQUENCY REPORTED
NEXT DAY FOR PAP DAIILY:1530 SMEAR & (PAP SMEAR) 3,5,1 : & 2,4,6: 1000 1900 hrs HRS (HPVFOR HPV PCR) DNA DETECTOR
DAILY:1530 HRS DAILY:1530 HRS 5 10:00 HRS
2-8°C (14 TUESDAY: days) 1000 AM RWB/BONE MARROW, 2:1000 HRS F-EDTA PLASMA 2-8°C (5 days); 2: 1030 HRS 20°C (>5 days) 2-8°C (5 days); 2: 1030 HRS 20°C (>5 days)
NEXT DAY NEXT DAY NEXT DAY SAME DAY :1900 HRS
5: 1800 HRS
SAME DAY
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1280
RD1424 PATERNITY TESTING DUO
22000 STR Analysis
EDTA WHOLE BLOOD + BUCCAL SWAB
3.0 ML + 2 SWABS
1281
RD1425 PATERNITY TESTING TRIO
25000 STR Analysis
EDTA WHOLE BLOOD + BUCCAL SWAB
3.0 ML + 2 SWABS
PCOD Panel (LH, FSH, Prolactin, Testosterone (Total & Free), Insulin (Fasting & PP) Fasting & PP Sugar)
2900
SPECTOPHOTOMETRY/ FASTING SERUM +PLASMA FLOURIDE+ RADIOIMMUNOASSAY URINE AND POST PRANDIAL SERUM /CHEMILUMINECENCE +PLASMA FLOURIDE+ URINE / DIPSTICK
2.0 ML (1.0 ML)+5.0 ML (2.0ML)+2.0 ML (1.0 ML)+5.0 ML (2.0ML)
TEMP.
DAILY:0930 HRS (EXCEPT AMBIENT 30 DAYS SUNDAY AND HOLIDAYS) DAILY:0930 HRS (EXCEPT AMBIENT 30 DAYS SUNDAY AND HOLIDAYS) F; Fluoride plasma : A (3 days); Urine : R
1282
1011
1283
4112
Pepsinogen I & II
9500
ELISA
Serum
2.0 Ml
F
1284
Z204
PERIODIC ACID SCHIFF (PAS) STAIN
725
CYTOCHEMISTRY SPECIAL STAINS
BONE MARROW SMEAR + PERIPHERIAL SMEAR + CLINICAL HISTORY
4 BM SMEARS + 2 PB SMEARS
A
1285
4052
PERTUSSIS- IgG ANTIBODIES, SERUM
450
EIA
SERUM
2.0ML(1.0ML)
1286
4430
PHADIATOP - ALLERGEN ADULT (INDIVIDUALS ABOVE 5 YEARS)
890
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
1287
4432
PHADIATOP- ALLERGEN INFANT (INDIVIDUALS BELOW 5 YEARS)
890
IMMUNOCAP
SERUM
4.0 ML (1.0 ML)
790
SERUM / PLASMA - EDTA OR HEPARINIZED Results from specimen CHEMILUMINESCENCE collected 2 to 4 hrs after dose can be misleading . (Treatment history required)
1288
1560
PHENOBARBITAL
Page 166 of 207
1.0 ML (0.5 ML)
FREQUENCY REPORTED
FROZEN/R EFRIGERAT ED 2-8°C (1 week); 20°C (>1 week) 2-8°C (1 week); 20°C (>1 week)
DAILY(MON SAT): 1230 HRS, DAILY : 1830 HRS FOR GLUCOSE F & PP 1st and 3rd Wednesday 11:00 am DAILY:15:30 HRS
Same day 3RD DAY
THURS 09:00HRS
3 DAYS
Daily :1100 HRS
SAME DAY
Daily :1100 HRS
SAME DAY
2-8°C (<48 2,4: hrs); F 0430,1430,16 SAME DAY (>48 hrs) 00 HRS
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1289
1290
1291
1292
1293
1294
1295
1296 1297
TEST CODE
3312
4103
TEST NAME
PHENYLALANINE (NEONATAL SCREENING)
PHENYTOIN (Eptoin,Dilantin)
PHILADELPHIA 5350 CHROMOSOME (BCR / abl qualitative) PHILADELPHIA 5350QN CHROMOSOME (BCR/abl quantitative)
Price (Rs.)
325
800
4750
5950
METHOD
SPECIMEN
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzymatic date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT) SERUM / PLASMA - EDTA OR HEPARINIZED, Specimen to be collected CHEMILUMINESCENCE 4 - 5 hrs after dose. (Treatment history required) BONE MARROW-EDTA/ WB- EDTA REVERSE (Specimens to reach us within 48 hrs) TRANSCRIPTASE PCR +CLINICAL HISTORY WB-EDTA/ BONE MARROW-EDTA REAL TIME PCR (Specimen to reach us within 48 hrs)+CLINICAL HISTORY
SPECIMEN VOL.
2-8°C (14 1,4:1030 HRS NEXT DAY days)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): hrs); F SAME DAY 0430,1430,16 (>48 hrs) 00 HRS
3.0 ML (1.0 ML)
A/R
1,3,5 : 10 HRS
3, 5, 1: 1800HRS
2.0-3.0 ML
A/R
1,3,5 : 10 HRS
3, 5, 1: 1800HRS
3950
MULTIPLEX RT-PCR
EDTA WHOLE BLOOD / EDTA BONE MARROW + Clinical History
5 ML (3 ML)/5 ML (3 ML)
PHILADELPHIA CHROMOSOME (BCR-abl transcript quantification)
5950
REAL TIME PCR
WB- EDTA / BM- EDTA (Specimen to reach us within 48 hrs)+ CLINICAL HISTORY
3.0 ML + 3.0 ML
1080A
PHOSPHOLIPID SYNDROME PANEL (Lupus Anticoagulant Screen, Cardiolipin IgG & IgM ABS, Anti-phospholipid IgG & IgM Abs)
PHOTO, IHC, TISSUE / PARAFFIN BLOCK RD1437 PIK3CA Gene Mutation P0003
3850
100 4250
FREQUENCY REPORTED
2 SPOTS (1SPOT)
PHILADELPHIA RD1318 CHROMOSOME (BCR/ABL BREAKPOINT ANALYSIS)
9892
TEMP.
A/R – Sample should 1 : 0930 HRS reach within 48 HRS A/R
1,3,5 : 10 HRS
1, 3, 5: 1000 HRS FOR FASTING, CITRATED PLATELET POOR LUPUS PLASMA* - AT MINUS 20° C + SERUM (R) TWO ALIQUOTS OF ANTICOAGUL F (F CLOT BASED & + CLINICAL HISTORY+ H/O ORAL ANTI 1.5 ML EACH (1.0 immediatel ANT & ENZYME COAGULANT (PT. SHOULD BE OFF ML) + 2.0 ML y at -20°c) CARDIOLIPIN IMMUNOASSAY ANTICOAGULATION FOR 7 DAYS) & SERUM (1.0 ML) /A *(DOUBLE CENTRIFUGED PLASMA)* ANTIPHOSPH OLIPID DAILY: 1100 HRS IMMUNOHISTOCHEMI TISSUE FIXED IN 10%FORMALIN / DAILY:1000 1 CM / 1 BLOCK A STRY PARAFFIN BLOCK HRS PCR Sequencing Paraffin Block 2 blocks Ambient 2: 0930 HRS
Page 167 of 207
6;1830 HRS
3, 5, 1: 1800HRS
LUPUS NEXT DAY & SAME DAY
3RD DAY 7 DAYS
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
Z222K
PIN 4 [PHOTO]
1299
Z239
PITITUARY LESION HORMONES (Prolactin, Growth hormone, LH, FSH, ACTH,TSH)[PHOTO]
6500
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1300
1257
PIVKA-II (Decarboxy Prothrombine)
3250
ENZYME IMMUNOASSAY
Z074K
PLACENTAL ALKALINE PHOSPHATASE[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
4350
PLASMA-EDTA (CLINICAL HISTORY required)***(STANDING/ SUPINE) UPRIGHT POSTURE INDUCES A PROMPT RADIO IMMUNOASSAY ELEVATION IN PLASMA RENIN ACTIVITY BEGINNING IN 15minutes and PEAKING BETWEEN 60 &120 minutes***
5.0 ML (3.0 ML)
F
2, 5: 1430 HRS
NEXT DAY
8800
ARMS PCR
4 ml
1298
1301
1302
1303
3216
PLASMA RENIN
Plasminogen Activator RD1432 Inhibitor-1 (PAI-1) / SERPINE1, 4G/5G Genotyping
Sodium Citrate Plasma
Whole Blood EDTA
1.0 ml(0.5 ml)
1304
5115
PLATELET ABS (1:10)
5950
IMMUNOFLUORESCEN SERUM CE
2.0ML(1.0ML)
1305
1258
PLATELET ANTIBODIES BY ELISA
5900
ENZYME IMMUNOASSAY
2.0 ML ( 1.0 ML)
1306
6003F
PML Ra Ra t(15:17)
4750
FISH
SERUM
WB-HEP + BONE MARROW - HEP. SPECIMEN TO REACH US within 48 hrs AFTER COLLECTION. [Please mention the 4.0 ML + 2.0 ML CLINICAL HISTORY, blood picture (CBC Report) and medication of the patient on the TRF] Page 168 of 207
2-8°C (8 SAME 1st and 3 rd hrs),>8 hrs DAY:1900 :Sat:10:00 am HRS 20°C
Ambient 4; 0930 HRS
R/F FROZEN
A
FRIDAY 16:00HRS 1ST & 3rd SATURDAY : 1000 HRS
DAILY: 1200 HRS
7 DAYS
5 DAYS SAME DAY
5TH DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
1307
9905
PML Ra Ra t(15:17), QUALITATIVE
1308
9905
PML Ra Ra t(15:17), QUALITATIVE
4500
REAL TIME PCR
1309
9906
PML Ra Ra t(15:17), QUANTITATIVE
4800
REAL TIME PCR
1310
9906
PML Ra Ra t(15:17), QUANTITATIVE
4800
REAL TIME PCR
1311
7745S
1312
7745
1313
1672
1314
1315
9219RFX
1652
PNEUMOCYSTIS CARINII DETECTION PNEUMOCYSTIS CARINII DETECTION PNH (CD55 and CD59)
POC FISH REFLEX TO POC KARYOTYPING
PORPHOBILINOGEN QUANTITATIVE URINE, 24 HRS
4500
REAL TIME PCR
2100 2100 6500
4750
7500
SPECIMEN WB-EDTA / BONE MARROW (Specimen to reach us within 48 hrs)+CLINICAL HISTORY WB-EDTA / BONE MARROW (Specimen to reach us within 48 hrs)+CLINICAL HISTORY WB-EDTA / BONE MARROW (Specimen to reach us within 48 hrs)+CLINICAL HISTORY WB-EDTA / BONE MARROW (Specimen to reach us within 48 hrs)+CLINICAL HISTORY
SPECIAL STAINS: SPUTUM / BAL RESPIRATORY FLUIDS MICROSCOPY DIRECT FLUORESCENT SPUTUM / BAL / RESPIRATORY FLUIDS ANTIBODY FLOWCYTOMETRY
FISH OR CYTOGENETICS
Chromatography /Spectrophotometry
EDTA WB + CLINICAL HISTORY IST TRIMESTER: CHORIONIC VILLI; 2ND OR IIIRD TRIMESTER: PLACENTAL VILLI. PLEASE SEND CLINICAL HISTORY in specified formatChorionic villi or Heart Blood or Cord Blood if none of these are available, then a small piece of foetal skin (Thigh, stomach, arms) for chromosomal analysis/FISH
SPECIMEN VOL.
FREQUENCY REPORTED
3.0 ML / 2.0 ML
A/R
2,4,6:1000 HRS
4,6,2:1800 HRS
3.0 ML / 2.0 ML
A/R
2,4,6:1000 HRS
4,6,2:1800 HRS
3.0 ML / 2.0 ML
A/R
2,4,6:1000 HRS
4,6,2:1800 HRS
3.0 ML / 2.0 ML
A/R
2,4,6:1000 HRS
4,6,2:1800 HRS
3.0 ML (1.0 ML)
A/R/F
3.0 ML (1.0 ML)
A/R/F
3.0ML(1.0ML) 10 GM CHORIONIC VILLI IN STERILE RED TOP VACCUTAINER,CO NTAINING STERILE SALINE WITH 3-4 DROPS OF PROCAINE PENICILLIN or GENTAMICIN
24HRS URINE (NO PRESERVATIVE) + CLINICAL HISTORY. To protect from light, the urine specimen needs to be collected in a darked coloured bottle. 20.0 ML (10.0ML) COURIER THE 24HRS URINE ALIQUOT IN DARK BROWN CONTAINER.MENTION 24HRS URINE VOLUME ON THE REQUISITION FORM.
Page 169 of 207
TEMP.
A
A/R
2-8°C (4days); F (>1 month)
DAILY:1500 HRS DAILY: 1500HRS DAILY :1530HRS
NEXT DAY NEXT DAY 3RD DAY 6.00PM
DAILY 11:00HRS
20 DAYS
3: 1100 HRS
NEXT DAY
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TEST CODE
TEST NAME
1316
1653
PORPHOBILINOGEN QUANTITATIVE URINE, Random
1317
4170
PORPHOBILINOGEN URINE
9999
PORPHYRINS SPECIATION, 24HRS URINE
1318
Price (Rs.)
7500
2200
5100
1319
4516
PORPHYRINS, 24HRS URINE
5500
1320
RD1418
PRADER- WILLI SYNDROME MS PCR
4500
METHOD
SPECIMEN
RANDOM URINE + CLINICAL HISTORY. To protect from light, the urine specimen Chromatography needs to be collected in a darked /Spectrophotometry coloured bottle. COURIER THE URINE ALIQUOT IN DARK BROWN CONTAINER. URINE (RANDOM) WITHOUT CHEMICAL ANALYSIS PRESERVATIVE 24HRS URINE (NO PRESERVATIVE).COLLECT 24HRS URINE SAMPLE IN BROWN BOTTLE. COURIER HPLC THE 25ML OF 24HRS URINE ALIQUOT IN DARK BROWN CONTAINER.MENTION 24HRS URINE VOLUME ON THE REQUISITION FORM. 24HRS URINE (NO PRESERVATIVE) + CLINICAL HISTORY. To protect from light, the urine specimen needs to be collected in a darked coloured bottle. Chromatography /Spectrophotometry COURIER THE 24HRS URINE ALIQUOT IN DARK BROWN CONTAINER.MENTION 24HRS URINE VOLUME ON THE REQUISITION FORM. Methylation Specific - EDTA WHOLE BLOOD + CLINICAL PCR HISTORY
1321
1550
PREALBUMIN
2700
NEPHELOMETRY
1322
3300
PREGNANCY ASSOCIATED PLASMA PROTEIN-A (PAPP-A)
1380
CHEMILUMINESCENCE SERUM IN 2 VIALS + Clinical Details
1323
5832F
PRENATAL AMNIOTIC FLUID FISH
9000
FISH
SERUM
SPECIMEN VOL.
TEMP.
20.0 ML (10.0ML)
2-8°C (4days); F (>1 month)
3: 1100 HRS
NEXT DAY
20.0 ML (10.0ML)
R/F
6 : 1100HRS
SAME DAY
F
1ST & 3RD WED:1000 HRS
5TH DAY
3, 11:00HRS
NEXT DAY
25.0ml(10.0ml)
20.0 ML (10.0 ML)
5.0 ML (3.0 ML)
2.0ML (1.0 ML)
2.0 ML (1.0ML)
AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND 20 ML REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION Page 170 of 207
2-8°C (4days); F (>1 month)
FREQUENCY REPORTED
AMBIENT 1:0930 HRS
9 DAYS
2-8°C (7 2nd & 4 th days); F (>7 WED : 1200 SAME DAY days-3 HRS months) DAILY (MON 2-8°C (<24 TO SAT): hrs); F SAME DAY 0430,1430,16 (>24 hrs) 00 HRS
A
DAILY:1200 HRS
5th Day
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
1324
5832K
PRENATAL AMNIOTIC FLUID KARYOTYPING
10000 KARYOTYPING
1325
5832
PRENATAL AMNIOTIC FLUID KARYOTYPING + FISH
15500 KARYOTYPING + FISH
1326
5833F
PRENATAL CHORIONIC VILLUS BIOPSY FISH
9750
1327
1328
5833K
5833
PRENATAL CHORIONIC VILLUS BIOPSY KARYOTYPING
9000
FISH
KARYOTYPING
PRENATAL CHORIONIC VILLUS 14500 KARYOTYPING + FISH BIOPSY KARYOTYPING + FISH
1329
5831F
PRENATAL FETAL CORD BLOOD FISH
9000
FISH
1330
5831K
PRENATAL FETAL CORD BLOOD KARYOTYPING
4500
KARYOTYPING
SPECIMEN
SPECIMEN VOL.
AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND 20 ML REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION AMINOTIC FLUID + DULY FILLED AMNIOTIC FLIUD TRF + CLINICAL HISTORY. CONSENT FORM WITH PND 20 ML (15 ML) REGISTRATION NUMBER MANDATORY. SPECIMEN SHOULD REACH US IN 24 HRS AFTER COLLECTION CHORIONIC VILLUS IN MEDIUM+TRF CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. 30.0 (40.0) MG SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
TEMP.
FREQUENCY REPORTED
A
DAILY:1500 HRS
14 -18 days
A
DAILY:1500 HRS
14-18 days
A
DAILY:1200 HRS
5TH DAY
CHORIONIC VILLUS IN MEDIUM, BIOPSY+CLINICAL HISTORY CONSENT 40 mg (30 mg) FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
A
DAILY:1500 HRS
14-18 days
CHORIONIC VILLUS IN MEDIUM, BIOPSY IN MEDIUM+CLINICAL HISTORY CONSENT 40 mg (30 mg) FORM WITH PND REGISTRATION NUMBER MANDATORY. SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
A
DAILY:1500 HRS
14-18 days
A
DAILY:1200 HRS
5TH DAY
A
DAILY:1500 HRS
14-18 days
FETAL CORD BLOOD + CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. 4.0 ML SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION FETAL CORD BLOOD+CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. 4.0 ML SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION Page 171 of 207
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1331
1332
1333
1334
1335
1336
TEST CODE
5831
3898
3226
TEST NAME
PRENATAL FETAL CORD BLOOD KARYOTYPING + FISH
PRE-OP ROUTINE COAGULATION PROFILE (PT, APTT, Platelet Count, Factor XIII Activity)
PROCALCITONIN
5818
PRODUCT OF CONCEPTION (POC)
4109
ProGastrin Releasing Peptide (ProGRP)
3163
PROGESTERONE
Price (Rs.)
METHOD
12500 KARYOTYPING + FISH
SPECIMEN
FETAL CORD BLOOD+CLINICAL HISTORY. CONSENT FORM WITH PND REGISTRATION NUMBER MANDATORY. 4.0 ML SPECIMEN TO REACH US IN 24 HRS AFTER COLLECTION
2200
5000
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
KARYOTYPING + FISH
7500
Chemiluminiscent Microparticle Immunoassay(CMIA)
590
CHEMILUMINESCENCE
TEMP.
A
FREQUENCY REPORTED
DAILY:1500 HRS
F (To be F TWO ALIQOUTS OF immediatel FASTING, CITRATED PLATELET POOR 1.5 ML EACH )+ 3.0 y at -20°c PLASMA* - AT MINUS 20° C + *(DOUBLE (2.0) ML EDTA DAILY:14:30 & CENTRIFUGED PLASMA)* WHOLE BLOOD WHOLE BL0OD + HRS transporte EDTA + BLOOD SMEAR 2.0 PERIPHERAL d in dry SMEAR ice) +A
CLOT BASED / CELL COUNTER / MICROSCOPY / CLOT SOLUBILITY
4900
SPECIMEN VOL.
IST TRIMESTER - CHORIONIC VILLI; 2ND OR 3RD TRIMESTER - PLACENTAL VILLI (PLEASE SEND CLINICAL HISTORY in specified format Chorionic villi or Heart Blood or Cord Blood if none of these are available, then a small piece of foetal skin (Thigh, stomach, arms) for chromosomal analysis/FISH
SERUM / EDTA Plasma
SERUM (AGE+LMP+ CLINICAL HISTORY required)
Page 172 of 207
2.0 ML (1.0 ML)
10 GM CHORIONIC VILLI IN 2 STERILE RED TOP VACCUTAINERS, CONTAINING STERILE SALINE WITH 3-4 DROPS OF PROCAINE PENICILLIN OR GENTAMICIN
2.0 ML (1.0 ML)
1.0 ML (0.5 ML)
F
A/R
14-18 days
NEXT DAY
DAILY (MON TO SAT):1600 SAME DAY HRS
DAILY 12:00HRS
2-8°C (7 DAYS); - Monday 20°C (>7 :11.00 am DAYS)
14 -20 days
Same day(1900 hrs)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F (48 HRS (NIGHT) HRS TO 1900 HRS hrs) (EVENING)
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1337
1338
1339
TEST CODE
Z002K
3206
TEST NAME
PROGESTERONE RECEPTOR (PgR) [PHOTO]
PROLACTIN
Price (Rs.)
1150
METHOD
490
SERUM - Draw sample between 8:00 AM CHEMILUMINESCENCE & 10:00 AM. 3 - 4 hrs after patient has 1.0 ML (0.5 ML) awakened.(CLINICAL HISTORY Required)
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
PROLACTIN [PHOTO]
1340
Z010K
PROLIFERATING CELL NUCLEAR ANTIGEN (PCNA), IHC[PHOTO]
2000
IMMUNOHISTOCHEMI STRY
1341
Z041K
PROSTATE SPECIFIC ANTIGEN (PSA) [PHOTO]
2000
IMMUNOHISTOCHEMI STRY
3547
PROSTATE SPECIFIC ANTIGEN (PSA) FREE & TOTAL
1343
3546
PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
Z165K
1342
SPECIMEN
1450
690
CHEMILUMINESCENCE
CHEMILUMINESCENCE
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed. SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed.
Page 173 of 207
TEMP.
A
FREQUENCY REPORTED
DAILY:1100 HRS
3RD DAY
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F (48 HRS (NIGHT) HRS TO 1900 HRS hrs) (EVENING)
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1344
TEST CODE
3545
TEST NAME
PROSTATE SPECIFIC ANTIGEN, FREE
Price (Rs.)
890
METHOD
SPECIMEN
SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic CHEMILUMINESCENCE examination / instrumentation atleast for 3 days before blood test is performed.
1345
3836
PROTEIN C ACTIVITY
3450
CLOT BASED
FASTING, CITRATED PLATELET POOR PLASMA* 2 VIALS- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
1346
1580
PROTEIN ELECTROPHORESIS
650
ELECTROPHORESIS
SERUM + CLINCAL HISTORY
PROTEIN ELECTROPHORESIS 9201RFX REFLEX TO IMMUNOFIXATION
1500
ELECTROPHORESIS +IMMUNOELECTROPH SERUM + CLINCAL HISTORY ORESIS
1347
1348
1580C
PROTEIN ELECTROPHORESIS, CSF
1100
ELECTROPHORESIS
CSF
1349
1580U
PROTEIN ELECTROPHORESIS, URINE
650
ELECTROPHORESIS
URINE -24 HOURS (Specify 24 hrs vol on TRF)(Without preservative)
1550
ELECTROPHORESIS URINE - 24 HOURS ( Pls mention Total +IMMUNOELECTROPH Volume) WITHOUT PRESERVATIVE ORESIS
PROTEIN ELECTROPHORESIS, URINE REFLEX TO 1350 9201RFXU IMMUNOFIXATION ELECTROPHORESIS, URINE
1351
3837
PROTEIN S ACTIVITY
3450
CLOT BASED
FASTING, CITRATED PLATELET POOR PLASMA* 2 VIALS- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
1352
3839I
PROTEIN S, FREE
4750
ENZYME IMMUNOASSAY
PLASMA (CITRATE)
Page 174 of 207
SPECIMEN VOL.
1.0 ML (0.5 ML)
TEMP.
FREQUENCY REPORTED
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
F (To be F immediatel y at -20°c TWO ALIQOUTS OF & 1.5 ML EACH transporte d in dry ice) 2-8°C (7 1.0 ML (0.5 ML) days); F (>7 days) 2-8°C (7 1.0 ML days); F (>7 days) 2-8°C (7 3 ML (2.0 ML) days); F (>7 days) 2-8°C (7 15 ML ( 10.0 ML) days); F (>7 days)
WED & SAT:11:00 HRS
SAME DAY
DAILY: 1200 HRS
SAME DAY
2,3,5: 1200 HRS
NEXT DAY
DAILY: 1200 HRS
SAME DAY
DAILY: 1200 HRS
SAME DAY
2-8°C (7 2,3,5:1200 days); F (>7 HRS days)
NEXT DAY
F (To be F immediatel y at -20°c WED & TWO ALIQOUTS OF SAT:11:00 & 1.5 ML EACH transporte HRS d in dry ice)
SAME DAY
1.0 ML (0.5 ML)
SAME DAY
15 ML ( 10.0 ML)
F
6 :1030 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1353
TEST CODE
Z007K
TEST NAME
ps2 (ESTROGEN REGULATED PROTEIN)[PHOTO]
Price (Rs.)
2000
METHOD
IMMUNOHISTOCHEMI STRY
SPECIMEN TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed. SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed. SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed. SERUM (Age+Sex+ CLINICAL HISTORY required) Do not schedule any prostatic examination / instrumentation atleast for 3 days before blood test is performed.
3546
PSA (PROSTATE SPECIFIC ANTIGEN) TOTAL
3547
PSA FREE & TOTAL (PROSTATE SPECIFIC ANTIGEN) FREE & TOTAL
3548
PSA REFLEX TO FREE PSA (If PSA is > 4.0 perform Free PSA)
1357
3545
PSA, FREE (PROSTATE SPECIFIC ANTIGEN), FREE
890
CHEMILUMINESCENCE
1358
8518I
PSEUDOCHOLINESTERASE, SERUM
990
SPECTROPHOTOMETR SERUM Y
1359
3944
PTH, INTACT INCLUDING TOTAL CALCIUM
1400
9221RFX PTT REFLEX CORRECTION
375
1354
1355
1356
1360
690
1450
950
CHEMILUMINESCENCE
CHEMILUMINESCENCE
CHEMILUMINESCENCE
SPECIMEN VOL.
1 CM / 1 BLOCK
TEMP.
A
FREQUENCY REPORTED
DAILY:1100 HRS
3RD DAY
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (48 TO SAT): SAME DAY hrs);F (>48 0430,1430,16 hrs) 00 HRS
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (<48 TO SAT): SAME DAY hrs); F (48 0430,1430,16 hrs) 00 HRS
DAILY 3 DAYS 09:00HRS 2-8°C (2 DAILY (MON CHEMILUMINESCENCE SERUM FOR CALCIUM AND EDTA days); F (> TO SAT): PLASMA FOR IPTH (Freeze the plasma / 2.0 ML (1.0 ML) 2 days); 430,1430,160 SAME DAY SPECTROPHOTOMETR immediately after collection) + CLINICAL EDTA 0 HRS; CAHISTORY Y Plasma F 1830HRS F (To be F immediatel FASTING, CITRATED PLATELET POOR y at -20°c PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF DAILY: 14:30 SAME DAY CLOT BASED & 1.5 ML EACH C(DOUBLE CENTRIFUGED PLASMA)* + HRS transporte CLINICAL HISTORY d in dry ice) Page 175 of 207
2.0 (1.0ML)
R/F
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1361
1362
1363
1364
TEST CODE
TEST NAME
PYRO-DETECT ( CBC, MP(Smear), MP antigen, ESR, DT3101 CRP, Urinalysis, Stool Routine, WIDAL, Hepatic Profile, Blood Culture Preliminary & Final)
7442
PYRUVATE
7442C
PYRUVATE, CSF
1275
QUADRUPLE MARKER TEST / 2nd Trimester Risk assessment, 14-22 Weeks. ( AFP, HCG,E3UN & DIA)
Price (Rs.)
METHOD
2300
HEMATOLOGY CELL COUNTER, MICROSCOPY OF STAINED SMEAR, ENZYME CHROMATOGRAPHY, MODIFIED WESTERGREN,SPECTR OPHOTOMETRY,NEPH ELOMETRY, DIPSTICK & MICROSCOPY, AGGLUTINATION, BACTERIAL CULTURE & BIOCHEMICAL IDENTIFICATION REACTIONS, BACTERIAL
2300
1800
2650
SPECIMEN
WB-EDTA, PERIPHERAL BLOOD SMEARS CITRATE WHOLE BLOOD ( BLACK TOP), HEPARIN WB/WHOLE BLOOD SPS, SERUM, URINE, STOOL (ESR ON SITE) + (Age & Sex of the patient is mandatory for reporting)
COLLECT 2ML BLOOD IN PERCHLORIC ACID TUBE; MIX WELL; SEPARATE BY CENTRIFUGATION & SEND SEPARATED CLEAR, COLOURLESS 2.0ML OF PYRUVATE SUPERNATANT IN FROZEN BIOCHEMISTRY CONDITION (Perchloric acid tubes dispatched on prior intimation). SEPERATED PYRUVATE SUPERNATANT VOLUME LESS THAN 1.8ML IS NOT ACCEPTABLE. COLLECT 2ML CSF SAMPLE IN PERCHLORIC ACID TUBE. MIX WELL. BIOCHEMISTRY (Perchloric acid tubes dispatched on prior intimation) SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal CHEMILUMINESCENCE Weight, Maternal Race + USG Report +Date of collection+LMP date)MANDATORY
Page 176 of 207
SPECIMEN VOL. WB-EDTA 3.0 (1.0) ML, PERIPHERAL BLOOD SMEARS: 2 THICK / 2 THIN BLACK TOP 2.0 ML,, ESR TUBE (GREINER) BLACK TOP 2.0 ML, WHOLE BLOOD SPS 5.0 (3.0) ML, SERUM 3.0 (2.0) ML, URINE 15.0 (10.0) ML (PREFERABLY REFRIGERATED), STOOL 1.0 GM / 1.0 ML 2.0(1.8ML) ML OF SEPERATED CLEAR, COLOURLESS, PYRUVATE SUPERNATANT SHOULD REACH SRL,MUMBAI PREFERABLY WITHIN 24HRS OF COLLECTION 2.0 ML
2.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
ALL BIOCHEM & A HEMATOL A R DAILY:1830 OGY TESTS URINE R, HRS, FOR CRP SAME DAY 2-8°C (7 DAILY 16:30 EXCEPT days); F (> BLOOD HRS, FOR 7 days- 3 CBC, MP ,ESR CULTURE : MONTHS) DAILY 17:30 PRELIMINA SERUM RY 2ND FOR CRP DAY / FINAL 7TH DAY
F
MONDAY TO FRIDAY: 3RD DAY 09:00HRS
F
MONDAY TO FRIDAY: 3RD DAY 09:00HRS
DAILY (MON 2-8°C (<48 TO SAT) hrs); F (> (MON TO 48 hrs) SAT): 1430 HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1365
TEST CODE
2405
TEST NAME QUANTIFERON TB GOLD GAMMA INTERFERON (TBFERON) TB GOLD
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
BLOOD TO BE COLLECTED IN TBFERON TUBES ( TB-NIL, TB ANTIGEN & MITOGEN 1 ML IN EACH TUBE) FROM SUNDAY TO FRIDAY AND TUBE TRANSPORTED WITHIN 16 HRS OF COLLECTION.
2350
ENZYME IMMUNOASSAY
PLASMA EDTA-5.0(3.0)ML + SERUM-1.5(1.0)ML
TEMP.
FREQUENCY REPORTED
A
COLLECTION :1,3,5: ; 1530 NEXT DAY HRS (RUN DAY 2,4,6)
F
2, 5: 1430 HRS
1366
2333
RAAS SCREENING PANEL (Plasma Renin, Aldosterone)
4600
PLASMA-EDTA & SERUM (CLINICAL HISTORY REQUIRED) ***(STANDING/ SUPINE) UPRIGHT POSTURE INDUCES A RADIO IMMUNOASSAY PROMPT ELEVATION IN PLASMA RENIN ACTIVITY BEGINNING IN 15minutes and PEAKING BETWEEN 60 &120 minutes***
1367
7664
RAPID CHLAMYDIA ANTIGEN DETECTION
425
Rapid VAGINAL / CERVICAL SWABS IN Immunochromatograp TRANSPORT Media hic assay
2 (1) SWABS
1368
7664R
RAPID FILARIA ANTIGEN DETECTION
900
IMMUNOCHROMATO SERUM/PLASMA EDTA/EDTA WHOLE GRAPHY BLOOD
1.0 ML
2-8°C (14 DAILY:1530 days)>14 HRS days -20°C
1369
9075
RAPID TYPHI IgM (TYPHI CHECK)
475
IMMUNOCHROMATO SERUM/PLASMA EDTA/EDTA WHOLE GRAPHY BLOOD
1.0ML(2.0ML)
2-8°C (24 Daily:1530HR SAME DAY hrs),> 24 S hrs 20 °C
3.0 ML (1.0 ML)
DAILY (MON 2-8°C (<48 TO SAT): 0030 AFTER 3.0 hrs); F (> HRS (NIGHT) HRS 48 hrs) TO 1900 HRS (EVENING)
1370
RATIONAL THYROID PANEL 1499RTP (TSH3G UL If abnormal then FT3 & FT4)
390
CHEMILUMINESCENCE SERUM
Page 177 of 207
2-8°C (7 days)
NEXT DAY
DAILY :15:00 SAME DAY HRS
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
1371
3523
1372
5200R
1373
2365
1374
9982
1375
5172
1376
1377 1378
4520
TEST NAME
RBC FOLATE
REDUCING SUBSTANCES IN PAEDIATRIC URINE SPECIMENS REDUCING SUBSTANCES, STOOL Respiratory Syncytial Virus Rapid Antigen RETICULOCYTE PANEL (Automated Reticulocyte Panel) RETINOL BINDING PROTEIN (RBP)
RETT SYNDROME DNA RD1410 SEQUENCING ( MECP2 MUTATION) RETURN OF PARAFFIN BLOCK 1500R / SLIDE
Price (Rs.)
METHOD
1850
CHEMILUMINESCENCE
175
QUALITATIVE CHEMICAL ANALYSIS
190 1900 700
SPECIMEN
2 tubes of WB-EDTA + CLINICAL HISTORY
SPECIMEN VOL.
1.0 ML + 1.0 ML
TEMP.
FREQUENCY REPORTED
One EDTA blood sample to be kept at 2-8°C only , 1,3,5: for second 0430,1430,16 SAME DAY 00 HRS EDTA sample 28°C (<24 hrs) and F (>24 hours)
2-8°C (48 DAILY:1830 15.0 ML (10.0 ML) hrs); F (>48 HRS hrs) QUALITATIVE DAILY: 1530 STOOL IN LEAK PROOF CONTAINER 10g (1g)/1.0 ML A/R CHEMICAL ANALYSIS HRS Immunochromatograp DAILY: NASOPHARYNGEAL SWABS/NASAL WASH 1 SWAB R hic assay 1600HRS URINE RANDOM
FLOWCYTOMETRY-LH whole blood 750
3.0 mL
2100
NEPHELOMETRY
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
4250
DNA SEQUENCING
EDTA WHOLE BLOOD + CLINICAL HISTORY
100
Histopath
BLOCK/ SLIDE
Page 178 of 207
5.0 ML (3.0 ML)
SAME DAY SAME DAY SAME DAY
A
Daily 12:00 hrs
Next day
F
2nd & 4 th MON : 1200 HRS
5TH DAY
A
2: 0930 HRS
10 DAYS
DAILY:1030 HRS
4TH DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1379
1380
1381
TEST CODE
5001
5008
1540D
TEST NAME
RHEUMATIC FEVER PANEL (ASO,CRP,ESR,THROAT SWAB CULTURE/SENSITIVITY)
RHEUMATOID ARTHARITIS PANEL (ANA, RHEUMATOID FACTOR, ANTI CCP)
RHEUMATOID FACTOR ANTIBODIES
1074
RHEUMATOLOGY PROFILE - 1 (Rheumatology Profile - 2, DSDNA TITRE)
1383
1075
RHEUMATOLOGY PROFILE - 2 (SM ABS, U1SNRNP ABS, SS-A ABS, SS-B ABS)
1384
5365
1385
5365M
1382
Price (Rs.)
1050
1850
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
1 ML+ 2(1) SWAB + 2.0 ML
2-8°C (7 days); F (3 months, if F within 24 hrs of collection). For Throat swab Culture at A
DAILY;1200 HRS, FOR CRP DAILY : 1630 HRS
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1ML (0.5ML) reporting)
2-8°C (7 days); F (3 months, if F within 24 hrs of collection)
DAILY 18:30HRS FOR SAME DAY RF/12:00 FOR ANTI CCP
SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) reporting)
2-8°C (7 days); F (3 months, if DAILY:1830 F within 24 HRS hrs of collection)
IMMUNOTURBIDOME SERUM/THROAT SWAB/CITRATE WB TRY, CULTURE/ BLACK TOP NEPHELOMETRY
NEPHELOMETRY
525
NEPHELOMETRY
5250
IMMUNOBLOT / FARR SERUM in 2 vials 1 Ambient+ 1 RADIOBINDING ASSAY Refrigerated
4750
1.0 ML (0.5 ML)
IMMUNOBLOT
SERUM
1.0 ML (0.5 ML)
ROSS RIVER IGG
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
ROSS RIVER IGM
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
Page 179 of 207
A/R/F 2-8°C (7 days); 20°C (>7 days) 2-8°C (2 DAYS); 20°C (>2 DAYS) 2-8°C (2 DAYS); 20°C (>2 DAYS)
FREQUENCY REPORTED
3RD DAY, FOR CRP DAILY : SAME DAY
SAME DAY
4: 1000 SAME DAY HRS(for immunoblot) 4: 1000 HRS
SAME DAY
1st and 3rd Thursday : 1000 HRS
NEXT DAY
1st and 3rd Thursday : 1000 HRS
NEXT DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No 1386
TEST CODE 7662
TEST NAME ROTA VIRUS ANTIGEN DETECTION FROM STOOL; RAPID CARD TEST
Price (Rs.) 1200
METHOD Rapid Immunoassay
Z230
ROUND CELL TUMOURS
5750
IMMUNOHISTOCHEMI STRY
1388
Z226
ROUND CELL TUMOURS BONE (NSE, S-100P, CK, DESMIN, CD45, SYNAP/CHROMAA, MIC2)[PHOTO]
7250
IMMUNOHISTOCHEMI STRY
1389
Z224
ROUND CELL TUMOURS (ADULTS) - 1 (NSE, CK, CD45)[PHOTO]
4000
IMMUNOHISTOCHEMI STRY
1390
Z225
ROUND CELL TUMOURS (ADULTS) - 2 (HMB45, MPO, S- 4250 100P)[PHOTO]
IMMUNOHISTOCHEMI STRY
1387
1391
1478
RPL Panel
SPECIMEN STOOL in leak proof Container TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical details MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
SPECIMEN VOL.
TEMP.
2.0 (1.0) g / 1.0 mL
A/R
DAILY :16:00 SAME DAY HRS
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
3RD DAY
3.0 (1.5) ML + 1.5 (1.0) ML + 3.0 ML CELL CULTURE FOR FASTING, CITRATED PLASMA - AT + 3.0 ML (FOR CHROMOSOMAL MINUS 20° C + SERUM, WB- HEPARIN TO COAGULATION - 3 ANALYSIS, CLOT BASED REACH US within 48 hrs + CLINICAL VIALS OF 1ML HISTORY*(DOUBLE CENTRIFUGED & ENZYME EACH, OF FROZEN PLASMA) IMMUNOASSAY CITRATED PLASMA AT -20°C
Page 180 of 207
FREQUENCY REPORTED
DAILY: 1000 HRS LUPUS ANTIOAGULA NT - 1, 3, 5: 1000 HRS, F/A/A/A CARDIOLIPIN & ANTIPHOSPH OLIPIDDAILY:0330 HRS
10 -12 DAYS, (WED. / SAT. & MON. / THU) FOR LUPUS NEXT DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
1392
3963
RSV-Respiratory Syncytial Virus IgG antibody
3000
1393
3964
RSV-Respiratory Syncytial Virus, IgM antibody
3000
1394
9421M
1395
9416M
1396
9434
1397
RUBELLA IgG & IgM ANTIBODIES
2475M
1399
9415
SPECIMEN
SPECIMEN VOL.
SERUM.RSV-Respiratory Syncytial Virus IgG by IF cannot be reported as an IMMUNOFLUORESCEN individual test. It is mandatory to order 3.0ml(2.0ml) CE #3964: RSV-Respiratory Syncytial Virus IgM along with RSV-Respiratory Syncytial Virus IgG. IMMUNOFLUORESCEN SERUM 3.0ml(2.0ml) CE
1250
ENZYME IMMUNOASSAY
RUBELLA IgG ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
RUBELLA IGG AVIDITY
1350
ENZYME IMMUNOASSAY
serum
1.0 ml(0.5 ml)
1600
ENZYME IMMUNOASSAY + NESTED REVERSE TRANSCRIPTASE PCR
RUBELLA IgM ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
RUBELLA RNA PCR
2400
NESTED REVERSE TRANSCRIPTASE PCR
EDTA PLASMA / CSF / AMNIOTIC FLUID / 2ML (1ML) NASOPHARYNGEAL SWAB
RUBELLA IGM / IGG +VE 9217RFX REFLEX RUBELLA RNA PCR
1398
METHOD
SERUM
SERUM + EDTA PLASMA / CSF / AMNIOTIC FLUID NASOPHARYNGEAL SWAB
Page 181 of 207
1.0 ML (0.5 ML)
TEMP.
FREQUENCY REPORTED
R/F
WED 09:00HRS
4 DAYS
R/F
WED 09:00HRS
4 DAYS
2-8°C (4 days); - DAILY:0300 20°C (>4 am days) 2-8°C (4 days); 20°C (>4 days) 2-8°C (4 days); 20°C (>4 days)
SAME DAY(AVIDI TY WILL BE REPORTED IF IgG AND IgM both ARE POSITIVE)
DAILY:0300 am
SAME DAY
DAILY:0300 am
SAME DAY :1230 HRS
1ML(0.5ML) +2ML (1ML) x 2 vials
Rubella IGG/IGM A/R/F + F DAILY:0300 am + 1,4:10:00 HRS
SAME DAY + NEXT DAY :18:00 HRS
1.0 ML (0.5 ML)
2-8°C (4 days); - DAILY:0300 20°C (>4 am days)
SAME DAY
F
1,4 :9.00 HRS
2,5 : 19.00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
1400
Z061K
S-100 [PHOTO]
2000
1401
Z217K
S-100 PROTEIN[PHOTO]
2000
1402
RD1412
1403
RD1413
1404
RD1414
1405
RD1415
1406
RD1416
1407
SCA 1 (SPINAL CEREBRAL ATAXIA TYPE-1) SCA 2 (SPINAL CEREBRAL ATAXIA TYPE-2) SCA 3 (SPINAL CEREBRAL ATAXIA TYPE-3) SCA 6 (SPINAL CEREBRAL ATAXIA TYPE-6) SCA 7 (SPINAL CEREBRAL ATAXIA TYPE-7)
1850 1850 1850 1850 1850
SPECIMEN
Scl-70 IgG ANTIBODIES
1408
5003
SCLERODERMA DIAGNOSTIC PANEL (ANA,U1 Sm RNP,CENTROMERE ABS,SCLERODERMA -70 IgG
5500
IFA/IMMUNOBLOT
1409
1739
Scrub Typhus Antibody
750
Immunochromatograp Serum/Plasma y
2950
SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR GFAAS WITH ZEEMAN STERILE URINE CULTURE BOTTLE CORRECTION AVAILABLE FROM SRL (NO PRESERVATIVE)
9140U
SELENIUM URINE SPOT
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS PCR - FRAGMENT EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) ANALYSIS
1235
1410
2100
METHOD
IMMUNOBLOT
SERUM
SERUM
Page 182 of 207
1.0 ML (0.5 ML)
2 ml
2.0 ML (1.0 ML)
10-20 ML (5 ML)
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
A
DAILY:1100 HRS
3RD DAY
A
3:0930 HRS
9 DAYS
A
3:0930 HRS
9 DAYS
A
3:0930 HRS
9 DAYS
A
3:0930 HRS
9 DAYS
A
3:0930 HRS
9 DAYS
4: 1000 HRS
SAME DAY
ANA DAILY: 1100; 1530 HRS, 4;1000 HRS(ENA)
SAME DAY
DAILY: 1530 HRS
SAME DAY
2-8°C (5 days); F ( “1”, 11:30 >5 - 30 HRS days)
THIRD DAY
2-8°C (7 days); 20°C (>7 days) 2-8°C (3 days); -20°C (>3 days or shipped) for ANA 2-8°C (3 DAYS); 20°C (>3 DAYS)
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1411
TEST CODE
TEST NAME
9140U24 SELENIUM, 24 HRS URINE
Price (Rs.)
METHOD
SPECIMEN
2950
24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE) ALIQUOT. IN METAL GFAAS WITH ZEEMAN FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) CORRECTION STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE) 5.0 ML (3.0 ML)
3.0ML(2.0ML)
1412
9140
SELENIUM, BLOOD
2950
GFAAS WITH ZEEMAN BD, SRL EDTA WHOLE BLOOD CORRECTION
1413
8617
SELENIUM, SERUM
2950
ICPMS
1414
6151
Semen Fructose
300
SPECTOPHOTOMETRY SEMEN + CLINICAL HISTORY
1278
SEQUENTIAL INTEGRATED TEST, Phase I (1st Trimester): 8-14 Weeks (PAPA-P & FREE B-HCG). Screen Positive cases are offered CVS or Amniocentesis Chromosome analysis, whereas Screen Negative are offered second trimester serum test. Phase II (2nd Trimester): 14-22 Weeks. (AFP, HCG, E3UN & DIA). Final risk assessment incorporates first and second trimester results.
5750
SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal Weight, Maternal Race + USG Report +Date of collection+LMP date) GA: 8- 12 CHORIONIC VILLUS IN MEDIUM CHEMILUMINESCENCE (Medium will be provided by the lab), GA: / KARYOTYPING 14-19 AMNIOTIC FLUID Clinical history, Consent form with PND registration number is mandatory. Specimen to reach us in 24 hrs after collection
1415
SPECIMEN VOL.
SERUM
Page 183 of 207
3.0 ML (2.0 ML)
TEMP.
FREQUENCY REPORTED
2-8°C (5 days); F ( “1”, 11:30 >5 - 30 HRS days) 2-8°C (7 days); F ( “1” , 11:30 >7 - 30 HRS days) DAILY R 09:00A.M DAILY : 1200 R/F HRS
THIRD DAY
THIRD DAY
12 DAYS
SAME DAY PHASE -I: SAME DAY, CVS Serum: 2KARYIOTYP 8°C (<48 ING: 21 ST hrs); F (> DAY 3.0 ML (1.0 48 AMNIOTIC DAILY (MON ML) CVS : hrs) FLUID: 14 TO SAT): 1430 40 mg (30 mg) CVS WORKING HRS Amniotic Fluid in : Ambient DAYS, sterile tube 20 Ml Amniotic PHASE -II: Fluid: ON NEXT Ambient DAY ON RECIEPT OF THE SAMPLE
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1416
1417
TEST CODE
3287
3287U
TEST NAME
SEROTONIN, SERUM
SEROTONIN, URINE
Price (Rs.)
METHOD
3600
ENZYME IMMUNOASSAY
3600
ENZYME IMMUNOASSAY
SPECIMEN
SPECIMEN VOL.
THE BLOOD SAMPLE SHOULD BE STORED AT 2-8 DEGREE CELCIUS UNTIL CENTRIFUGED TO SEPARATE THE PLASMA WITHIN 2HOURS AFTER BLOOD COLLECTION.HRS & mention the TOTAL VOLUME. MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT.DO DO NOT 2.0ML (1.0 ML) CONSUME AVOCADOS ,COFFEE, BANANAS, ,PLUMS,PINEAPPLES,TOMATOES, WALNUTS ,ASPIRIN,CORTICOTROPIN,MOA INHIBITORS,PHENAZETIN ETC 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE 24HRS URINE with (Preservative:10 15ML 6N HCL) & mention the TOTAL VOLUME . MIX THESAMPLE AND MEASURE VOLUME. KEEP DARK DURING SAMPLING. KEEP AWAY FROM HEAT OR DIRECT SUN LIGHT .DO NOT CONSUME AVOCADOS ,COFFEE, BANANAS, ,PLUMS,PINEAPPLES,TOMATOES, 10.0 ML WALNUTS ,ASPIRIN,CORTICOTROPIN,MOA INHIBITORS,PHENAZETIN ETC 72 HRS PRIOR TO THE COLLECTION OF THE SPECIMEN.MENTION CLINICAL DETAILS(PATIENT CLINICAL HISTORY, CT SCAN,USG & MEDICATION) OF THE PATIENT ON THE REQ FORM..
Page 184 of 207
TEMP.
FREQUENCY REPORTED
1st & 3rd FROZEN WEDNESDAY : NEXT DAY STRICTLY 10:00
1st & 3rd FROZEN WEDNESDAY : NEXT DAY STRICTLY 10:00
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
Price (Rs.)
METHOD
1732
SERUM FREE LIGHT CHAIN (Free Light Chain Kappa, Free Light Chain Lambda, Kappa/Lambda Ratio)
5500
NEPHELOMETRY
1419
3218
SEX HORMONE BINDING GLOBULIN (SHBG)
2150
CHEMILUMINESCENCE SERUM + CLINICAL HISTORY (AGE/SEX)
1420
2488
SICKLE CELL DNA PCR
2200
POLYMERASE CHAIN REACTION
EDTA Whole Blood + CLINICAL HISTORY 5.0 ML (3.0 ML) 20.0 ML (10.0 ML) / 10 mg (5-7 mg) / 5.0 ML (3.0 ML) / 5.0 ML (3.0 ML) 2.0 ML (1.0 ML)
Sl. No
1418
SPECIMEN
SERUM + CLINICAL HISTORY
1421
2489
SICKLE CELL DNA PCR PND
7500
POLYMERASE CHAIN REACTION
AMNIOTIC FLUID (2-8 °C) (A) / CVS IN STERILE SALINE / FETAL BLOOD EDTA & WB-EDTA FOR BOTH PARENTS MANDATORY + CLINICAL HISTORY
1422
2486
SICKLE SHORT PROGRAM SICKLE CELL VARIANT ANALYSIS, BLOOD SPOT
325
HPLC
3-4 DRIED BLOOD SPOT
225
SODIUM METABISULFIDE/ MICROSCOPY
1423
1400
SICKLING TEST
1424
8876
SIROLIMUS, BLOOD
7400
1425
5004
SLE DIAGNOSTIC PANEL (ANA & DsDNA WITH TITRE)
1500
1426
9443
SMA CARRIER DETECTION
5750
1427
1220
SMITH (Sm) IgG ANTIBODIES
2100
MEIA
TEMP.
FREQUENCY REPORTED
2.0 ML (1.0 ML)
2-8°C (21 2,5:1100 HRS NEXT DAY days)
1.0 ML (0.5 ML)
2-8°C (7 2,4: days); F ( 0430,1430,16 SAME DAY >7 - 60 00 HRS days) A
4: 0930 HRS
9 DAYS
Amniotic Fluid/ CVS 4: 0930 HRS at 2-8 °C,REST AMBIENT
9 DAYS
A
MON/THUS: 10:00 HRS
NEXT DAY
WB-EDTA +CLINICAL HISTORY
3.0 ML (2.0 ML)
A
EDTA WHOLE BLOOD .Specimen should be collected one hour prior to the next dose (Pre-Dose sample). Stability of EDTA Whole Blood at 2-8 degrees is 3-4 days.The test is available only for those patients who are on 2mg/day or 5 mg/day dose .
DAILY:12:00,1 NEXT DAY 4:30, 17:00 HRS
5.0 ML
R
TUESDAY & FRIDAY : 0900 4TH DAY HRS
IMMUNOFLUORESCEN SERUM T ASSAY MLPA-FRAGMENT EDTA WHOLE BLOOD + CLINICAL ANALYSIS HISTORY IMMUNOBLOT
SPECIMEN VOL.
SERUM
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2 ml 5 ML (3ML)
1.0 ML (0.5 ML)
R+F
DAILY;1100, 1530 HRS
SAME DAY
A
5: 0930 HRS
9 DAYS
2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
Z092K
SMOOTH MUSCLE ACTIN[PHOTO]
1429
4523
SOLUBLE TRANSFERRIN RECEPTOR( sTFR)
1500
1430
Z203K
SPECIAL STAINS
690
1428
1431
9993
Sphingomyelinase Disorder: Niemann Pick A/B
1432
8764
SPINAL MUSCULAR ATROPHY MICRODELETION PCR
1433
8765
1434
Z227
1435
9940
1436
6025F
1437
1007
SPINAL MUSCULAR ATROPHY MICRODELETION PCR PNDT
SPINDLE CELL TUMOUR
SPORTS GENE TEST (ACTN3 Genotyping) SRY by FISH SS-A (Ro) & SS-B (La) IgG ANTIBODIES
2000
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for 1.0 ML (0.5 ML) NEPHELOMETRY reporting) TISSUE IN 10%FORMALIN / PARAFIN HISTOPATHOLOGY 1 CM / 1 BLOCK BLOCK (Please let us know the site of biopsy & clinical details) HEPARIN WHOLE BLOOD SAMPLE STABILITY 24 -48HRS. SHOULD REACH SRL, MUMBAI PREFERABLY WITHIN 10.0 ML ( 8.0 ML) 24HRS OF COLLECTION BETWEEN MONDAY TO FRIDAY + CLINICAL HISTORY
9400
ARTIFICIAL FLUOROGENIC SUBSTRATES
2000
PCR-RFLP
EDTA WHOLE BLOOD + CLINICAL HISTORY
5750
PCR-RFLP
EDTA WHOLE BLOOD/Amniotic Fluid/CVS 5 ML (3ML)/20ML in STerile Saline/Fetal Blood (EDTA) Amniotic Fluid/CVS in Sterile Saline/Fetal (10 ML)/10GM (7 GM)/5 ML (3ML) Blood (EDTA) & EDTA WHOLE BLOOD FOR BOTH PARENTS+ CLINICAL HISTORY
7250
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
2750
PCR-RFLP
EDTA WHOLE BLOOD/ BUCCAL SWAB
1500
FISH
Heparin Whole Blood
5 ML (3ML)/ 2 SWABS 2 ml
4000
IMMUNOBLOT
SERUM
1.0 ML (0.5 ML)
Page 186 of 207
5 ML (3ML)
TEMP.
FREQUENCY REPORTED
A
DAILY:1100 HRS
3RD DAY
F
2nd & 4 th MON : 1200 HRS
5TH DAY
A
DAILY:1000 HRS
4TH DAY
Cold
DAILY: 0900 HRS
11TH DAY
A
5: 0930 HRS
9 DAYS
Only Amniotic Fluid/ CVS 5: 0930 HRS at 2-8 °C; Rest A
9 DAYS
A
DAILY:1100 HRS
3RD DAY
A
5: 0930 HRS
7 DAYS
Ambient Mon to Sat 2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
5th Day SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1438
1204
SS-A (Ro) IgG ANTIBODIES
2100
IMMUNOBLOT
SERUM
1.0 ML (0.5 ML)
1439
1205
SS-B (La) IgG ANTIBODIES
2100
IMMUNOBLOT
SERUM
1.0 ML (0.5 ML)
1440
1441
1442
STANDARD INTEGRATED TEST, Phase I (1st Trimester) : 8 - 14 Weeks. (PAPA-P & FREE B-HCG), Phase II (2nd Trimester): 14-22 Weeks. ( 1277 AFP, HCG,E3UN & DIA). Final risk assessment incorporates first and second trimester results. STD DIAGNOSTIC PANEL (C TRACHOMATIS DNA 5005 DETECTOR, HPV DNA DETECTOR, HSV DNA DETECTOR ) STOOL ROUTINE REFLEX TO 9223RFX GIARDIA/CRYPTOSPIRA/ROTA VIRUS ANTIGEN
TEMP.
FREQUENCY REPORTED
2-8°C (7 days); 4: 1000 HRS 20°C (>7 days) 2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
DAILY (MON 2-8°C (<48 TO SAT) hrs); F (> (MON TO 48 hrs) SAT): 1430 HRS
SAME DAY
SAME DAY
PHASE -I: SAME DAY PHASE -II: ON NEXT DAY ON RECIEPT OF THE SAMPLE
4150
SERUM IN 2 VIALS (Clinical Details in specified format, Date of Birth, Maternal 3.0 ML (1.0 ML) CHEMILUMINESCENCE Weight, Maternal Race + USG Report +Date of collection+LMP date)MANDATORY
5000
DNA POLYMERASE CHAIN REACTION
SWABS / PARAFFIN BLOCK /SLIDES /CSF,URINE IN STERILE CONTAINER
2 SWABS /1PB/3 SLIDES /2.0 (1.0)/ 5.0 ML
A/R/F
1:10:00 / 2,4, 6 09:00 NEXT DAY HRS/1,4:09:00 19:00 hrs hrs
475
MICROSCOPY + ANTIGEN DETECTION
STOOL IN LEAK PROOF CONTAINER
10.0 (1.0) g / 1.0 mL
A/R
DAILY :15:30 NEXT DAY HRS
1443
2368
STOOL-HANGING DROP (FOR WALK-IN PATIENTS ONLY)
125
MICROSCOPY
STOOL IN STERILE LEAK PROOF CONTAINER
5 GM (2-3 GM)
1444
9641
STREPTOCOCCUS GROUP B ANTIGEN
850
LATEX PARTICLE AGGLUTINATION
SERUM
1.0 ML (0.5 ML)
1445
9641C
STREPTOCOCCUS GROUP B ANTIGEN, CSF
850
LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
1446
9636
STREPTOCOCCUS PNEUMONIAE ANTIGEN
925
LATEX PARTICLE AGGLUTINATION
SERUM
1.0 ML (0.5 ML)
Page 187 of 207
A 2-8°C (few hrs); -20°C (longer) 2-8°C (few hrs); -20°C (longer) 2-8°C (few hrs); -20°C (longer)
DAILY: 1530 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
925
LATEX PARTICLE AGGLUTINATION
CSF
1.0 ML (0.5 ML)
1447
9636C
STREPTOCOCCUS PNEUMONIAE ANTIGEN, CSF
1448
1709
STRIATED SKELETAL MUSCLE ABS
5000
IFA
SERUM
4.0 ML (2.0ML)
1449
3831
SUCROSE LYSIS TEST
650
HEMOLYSIS
EDTA WB
3.0 ML (2.0 ML)
1450
Z205
SUDAN BLACK B STAIN
775
CYTOCHEMISTRY SPECIAL STAINS
1451
Z086K
SYNAPTOPHYSIN BLOCK[PHOTO]
2000
1452
9020E
SYPHILIS ANTIBODIES
950
1453
TPC
1454
1455
1456
T3, T4, TSH (THYROID PANEL)
490
5950A
TACROLIMUS
1950
2419ID
TB SPECIATION
2200
TB CULTURE POSITIVE REFLEX 9215RFX MDR BY PCR SEQUENCING
2300
BONE MARROW SMEAR + PERIPHERIAL 4 BM SMEARS + 2 SMEAR + CLINICAL HISTORY PB SMEARS TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING ENZYME IMMUNOASSAY
SERUM
CHEMILUMINESCENCE SERUM
Chemiluminiscent Microparticle Immunoassay(CMIA) LJ CULTURE MORPHOLOGY,BIO CHEMICAL AND OTHER TESTS FLUORESCENT STAIN / ZIEHL NEELSEN STAIN & BACTEC MGIT 960 CULTURE + PCR SEQUENCING
TEMP.
2-8°C (few DAILY: 1530 hrs); -20°C HRS (longer) MON: R/F 0900HRS 1/4/6: 11:00 A HRS DAILY:11.00 A HRS
A
DAILY:1100 HRS
SAME DAY 4TH DAY SAME DAY 3RD DAY
3RD DAY
1.0 ML (0.5 ML)
2-8°C (48 hrs); -20°C 1,5: 1030 HRS SAME DAY (>48 hrs)
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
EDTA WHOLE BLOOD (Labelled with time 3.0 ML (2.0 ML) of collection & administration of drug with transplant history)
2-8°C (7 days)
PURE CUTURE ISOLATE OF MYCOBACTERIUM OTHER THAN TUBERCULOSIS (NTM)
3 ML OF LIQUID CULTURE/ 1SLOPE OF LJ
R
ANY SPECIMEN IN STERILE CONTAINER/ WHOLE BLOOD HEPARIN / TISSUE IN STERILE NORMAL SALINE + PURE AFB CULTURE
3.0 ML (2.0) ML / 1 TISSUE + 1
R
Page 188 of 207
FREQUENCY REPORTED
Same day(1900 hrs) NO DAILY 1000 PRELIM, HRS FINAL 8 WEEKS SMEAR -48 HOURS & DAILY ( MON WK 6 (Or TO SAT): 1000 when HRS + 1;0930 culture is HRS positive) / 5; 1830 HRS 1,3,5: 17.00 HRS
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1457
1458
1459
TEST CODE
2405
5010
2440
TEST NAME TB GOLD, TBFERON, QUANTIFERON TB GOLD GAMMA INTERFERON
TB MONITORING PANEL (CBC,ESR,SGPT/SGOT/CREATI NINE,ANA,AFB SMEAR)
TB PANEL (MYCO3 PCR, ADA, GAMMA INTERFERON)
Price (Rs.)
METHOD
2350
ENZYME IMMUNOASSAY
1400
CELL COUNTER / MODIFIED WESTERGREN SPECTROPHOTOMETR Y/IFA/STAINING MICROSCOPY
5400
POLYMERASE CHAIN REACTION / ENZYME IMMUNOASSAY / SPECTROPHOTOMETR Y
SPECIMEN
SPECIMEN VOL.
BLOOD TO BE COLLECTED IN TBFERON TUBES ( TB-NIL, TB ANTIGEN & MITOGEN 1 ML IN EACH TUBE) FROM SUNDAY TO FRIDAY AND TUBE TRANSPORTED WITHIN 16 HRS OF COLLECTION. EDTA WB +CITRATE WB BLACK TOP 3.0ML + +SERUM IN 2 VIALS +SMEARS + SPUTUM 2.0ML+2.0ML+2.0 + (Age & Sex of the patient is mandatory ML + 2-3 for reporting)
SERUM, PLEURAL FLUID, ASCITIC FLUID, CSF. FOR GAMMA INTERFERON TO BE COLLECTED FROM SUNDAY TO THRUSDAY IN SPECIAL TBFERON TUBES(3)
Page 189 of 207
TEMP.
A
A/R, SERUM 28°C (2 days); F (> 2 days)
FOR ADA TEST SERUM / FLUID SAMPLE : F, A/R forTBFERO N BLOOD TO BE COLLECTED IN TUBES ( TB-NIL, TB 1.0 (0.5) ML, 2.0 ANTIGEN & (1.0) ML, , 2.0 (1.0) MITOGEN ML, , 2.0 (1.0) ML TUBE) FROM SUNDAY TO FRIDAY AND TRANSPOR TED WITHIN 16 HRS OF COLLECTIO N AT AMBIENT TEMP
FREQUENCY REPORTED COLLECTION :1,3,5: ; 1530 NEXT DAY HRS (RUN DAY 2,4,6) DAILY:1830 HRS, FOR CBC, ESR 17:30
SAME DAY
MON: 0800 HOURS; TBFERON1,3,5:1530 HRS, DAILY 0800 HRS FOR PCR , ADA TEST DALIY : 1200 HRS
3RD DAY, TBFERONNEXT DAY, SAME DAY 1900 PCR, ADA- SAME DAY
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1460
1461
TEST CODE
2434
TEST NAME
TB PCR (MYCOREAL)
Price (Rs.)
2100
2439
TB PCR (MYCOtect)
9950
TB RAPID GENOTYPIC TEST (MDR-TB) (Note: This test is not applicable for MOTT)
3500
1463
9957
TB SECOND LINE DRUG, GENOTYPIC ASSAY (Note: This test is not applicable for MOTT)
6000
1464
2402
TB SPECIATION
2250
1465
9956
TB SPECIATION – COMMON
6000
1466
9955
TB SPECIATION – EXTENDED
6000
1467
RD1324
TB- XPERT MTB / RIF ( GENE EXPERT)
3500
1462
1750
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED SAME DAY: 1900 HRS IF PB THEN REPORT NEXT DAY EVENING SAME DAY 1900HRS/ IF PB RECD. REPORTIN G NEXT DAY EVENING
REAL TIME PCR
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC / PLEURAL / CSF FLUIDS/ TISSUE IN STERILE NORMAL SALINE / BONE MARROW-EDTA / PARAFFIN BLOCK (SWABS AND BLOOD SPECIMEN NOT ACCEPTED)
3.0 ML (2.0) ML / 1 TISSUE + 1
A
DAILY:0800 HRS
MULTIPLEX POLYMERASE CHAIN REACTION
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC / PLEURAL / CSF FLUIDS/ TISSUE IN STERILE NORMAL SALINE / BONE MARROW-EDTA / PARAFFIN BLOCK (SWABS AND BLOOD SPECIMEN NOT ACCEPTED)
3.0 ML (2.0) ML
A
DAILY: 0800 HRS
A/R
1,4:0930 HRS
4,1: 1830 HRS
A
1,4:0930 HRS
4,1: 1830 HRS
A
1:0930 HRS
5: 18:30 HRS
A
1,4:0930 HRS
Sputum (AFB Smear Positive)/ BAL (AFB Smear Positive) (SPECIMENS OF PCR- HYBRIDISATION PATIENTS WITH AFB SMEAR LESS THAN 3.0 ML (2.0 ML) 1+ ARE NOT ACCEPTABLE) / MTB Culture Specimen SPUTUM / BAL /MTB CULTURE PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB 5.0 ML ( 3.0 ML) SMEAR LESS THAN 1+ ARE NOT HYBRIDIZATION ACCEPTABLE) CULTURE/ SPUTUM/ BAL/ PUS + CLINICAL HISTORY (SPECIMENS OF PCR - SEQUENCING 5 ML (3ML) PATIENTS WITH AFB SMEAR LESS THAN 1+ ARE NOT ACCEPTABLE) PCR - REVERSE PROBE MTB Culture Specimen 1 HYBRIDIZATION PCR - REVERSE PROBE MTB Culture Specimen 1 HYBRIDIZATION REAL TIME PCR ON GENEXPERT PLATFORM
SPUTUM / BAL
Page 190 of 207
5.0 ML ( 2.0 ML)
A
A/R
4,1: 1830 HRS 4,1: 1830 1,4:0930 HRS HRS DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
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TEST CODE
TEST NAME
TB- XPERT MTB / RIF ( GENE 1468 RD1324EP EXPERT) EXTRAPULMONARY
1469
2405
TBFERON, QUANTIFERON TB GOLD - GAMMA INTERFERON, TB GOLD
1470
3238
TBG (THYROXINE BINDING GLOBULIN)
Price (Rs.)
3500
METHOD
REAL TIME PCR ON GENEXPERT PLATFORM
SPECIMEN Pus, Pleural Fluid , Asitic Fluid/Gastric Aspirate, Tissue, CSF, Peritoneal Fluid, Pericardial Fluid, Synovial/Knee Joint Fluid, Abscess Aspirate
SPECIMEN VOL.
5.0 ML ( 2.0 ML)
BLOOD TO BE COLLECTED IN TBFERON TUBES ( TB-NIL, TB ANTIGEN & MITOGEN 1 ML IN EACH TUBE) FROM SUNDAY TO FRIDAY AND TUBE TRANSPORTED WITHIN 16 HRS OF COLLECTION.
2350
ENZYME IMMUNOASSAY
4500
CHEMILUMINESCENCE SERUM SPUTUM/ CSF/ BAL/ PLEURAL FLUIDS/ URINE/ CULTURE (SPECIMENS OF PATIENTS WITH AFB SMEAR LESS THAN 1+ ARE NOT ACCEPTABLE) + CLINICAL HISTORY
2.0ML (1.0 ML)
2.0 ML, 2.0 ML, 2.0 ML, 2.0 ML, 1
1471
2430
TBRESIST (Note: This test is not applicable for MOTT)
3500
1472
9909
T-CELL GENE REARRANGEMENT
POLYMERASE CHAIN BONE MARROW / EDTA Whole Blood / TISSUE + CLINICAL HISTORY PRAFFIN 12000 REACTION/ FRAGMENT ANALYSIS BLOCK OR IN NORMAL SALINE
1473
1635B
TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE (TDT)
2850
FLOW CYTOMETRY
WB-EDTA + HEPARIN + SMEAR + CLINICAL HISTORY
1474
1635M
TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE (TDT)
2850
FLOW CYTOMETRY
BONE MARROW-HEPARIN + SMEAR / EDTA + HISTORY
Z216K
TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE (TDT)[PHOTO]
2000
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1475
1476
3028
TESTICULAR CANCER MONITOR (AFP & HCG)
1300
PCR - SEQUENCING
CHEMILUMINESCENCE
SERUM (AGE + CLINICAL HISTORY REQUIRED) Page 191 of 207
5 ml (3 ml), 3. 5 ml (3 ml), 0.5 cm X 0.5 cm X 0.5 cm 3.0 ML (1.0 ML) + 1-2 REPRESENTATIVE SLIDES 3.0 ML (1.0 ML) + 1-2 REPRESENTATIVE SLIDES
2.0 ML (1.0 ML)
TEMP.
FREQUENCY REPORTED
A/R
DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
A
COLLECTION :1,3,5: ; 1530 NEXT DAY HRS (RUN DAY 2,4,6) DAILY 09:00HRS
4 DAYS
1:0930 HRS
5: 18:30 HRS
A / A / A 1: 0930 HRS
8 DAYS
R/F
A
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY: 1530 HRS
NEXT DAY BY 6.00PM
A
DAILY:1100 HRS
3RD DAY
DAILY (MON 2-8°C (<72 TO SAT): hrs); F (> SAME DAY 0430,1430,16 72 hrs) 00 HRS
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TEST CODE
1477
3248FT
1478
3248
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TESTOSTERONE, FREE
1550
SERUM (Age + Sex to be mentioned)RADIO IMMUNOASSAY SAMPLE TO BE DRAWN IN THE MORNING HRS
TESTOSTERONE, FREE/TOTAL
1850
CHEMILUMINESCENCE SERUM (Age + Sex to be mentioned)SAMPLE TO BE DRAWN IN THE / RADIOIMMUNOASSAY MORNING HRS
2.0 ML (1.0 ML)
1.0 ML (0.5 ML)
2.0 ML (1.0 ML)
2-8°C (48 DAILY (MON hrs); F ( TO SAT): 1230 SAME DAY >48 hrs) HRS
1479
3244
TESTOSTERONE, TOTAL
650
1480
9963
TETANUS Antibodies
3800
ENZYME IMMUNOASSAY
SERUM
2.0ML(1.0ML)
4970B
THALASSEMIA PROFILE (CBC, Iron, TIBC, HB variant analysis)
1290
CELL COUNTER / HPLC / SPECTROPHOTOMETR Y
WB-EDTA + SERUM+ PERIPHERAL SMEARS (AGE, CLINICAL HISTORY AND CBC(Findings mandotary) in specified format
3.0 ML (2.0 ML) + 3.0 ML (2.0 ML) + 3 (2) SMEARS
2200
MULTIPLEX DNA POLYMERASE CHAIN REACTION
EDTA WHOLE BLOOD+CLINICAL HISTORY
5 ML (3 ML)
7700
MULTIPLEX DNA POLYMERASE CHAIN REACTION
AMNIOTIC FLUID / CVS IN STERILE SALINE / FETAL BLOOD EDTA & EDTA Whole Blood FOR BOTH PARENTS + CLINICAL HISTORY
20.0 ML (10.0 ML) / 10 mg (5-7 mg) / 5.0 ML (3.0 ML) / 5.0 ML (3.0 ML)
5750
MULTIPLEX DNA POLYMERASE CHAIN REACTION
EDTA WHOLE BLOOD+ CLINICAL HISTORY
5.0 ML (3.0 ML)
1482
2479
1483
2480
1484
2482
THALASSEMIA; ALPHA THALASSEMIA MUTATION DETECTION (α3.7, α4.2, αFIL, αSEA, αTHAI ) THALASSEMIA; ALPHA THALASSEMIA MUTATION DETECTION (α3.7, α4.2, αFIL, αSEA, αTHAI ) PNDT THALASSEMIA; BETA THALASSEMIA MUTATION DETECTION (IVS1-5 G-C, 619 bp deletion, cd 8/9 + G, IVS11 G-T, 41/42 – TTCT)
Page 192 of 207
FREQUENCY REPORTED
2-8°C (48 DAILY (MON hrs); F ( TO SAT): 1230 SAME DAY >48 hrs) HRS
SERUM (Age + Sex to be mentioned)CHEMILUMINESCENCE SAMPLE TO BE DRAWN IN THE MORNING HRS
1481
TEMP.
DAILY (MON 2-8°C (48 TO SAT): hrs); F ( 0430,1430,16 >48 hrs) 00 HRS 2-8°C (7 days); 5: 1100 HRS 20°C (>7 days) DAILY: 1830 HRS (IRON & A/ SERUM TIBC), FOR 2-8°C (7 CBC 17:30; DAYS), F (2 FOR HB MONTHS) VARIANT 1500 HRS A
SAME DAY
SAME DAY: 19:00 HRS
SAME DAY (NEXT DAY for HB variant)
3: 0930 HRS
8 DAYS
Only Amniotic Fluid/ CVS 3:0930 HRS at 2-8 °C; Rest A
8 DAYS
A
3: 0930 HRS
8 DAYS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
1485
2483
THALASSEMIA; BETA THALASSEMIA MUTATION DETECTION (IVS1-5 G-C, 619 bp deletion, cd 8/9 + G, IVS11 G-T, 41/42 – TTCT) PNDT
1486
1563I
THEOPHYLLINE
790
HPLC
1487
1284
THINPREP CYTOLOGY [FULLY AUTOMATED]
850
CYTOLOGY
1488
1284P
THINPREP CYTOLOGY [FULLY AUTOMATED]
990
CYTOLOGY
Sl. No
1489
1490
1491
1492
4210
THROMBIN TIME
1253
THROMBOCHEK PANEL (Protein C, Protein S, Lupus Antigoagulent, Antiphospholipid Antibody, Serum Homocystein, Anti Thrombin III Activity) [To be ordered with Factor V leiden (#1254)] which will be charged separately
DT8100
Z170K
THYPROBE (TSH3G UL, THG, TPO, FT4)
THYROGLOBULIN [PHOTO]
Price (Rs.)
METHOD
MULTIPLEX DNA 12500 POLYMERASE CHAIN REACTION
950
CLOT BASED
CLOT BASED / CHEMILUMINESCENCE 13000 /CHROMOGENIC ASSAY
2300
2000
SPECIMEN AMNIOTIC FLUID / CVS IN STERILE SALINE / FETAL BLOOD EDTA /EDTA Whole Blood FOR BOTH PARENTS + CLINICAL HISTORY
20.0 ML (10.0 ML) / 10 mg (5-7 mg) / 5.0 ML (3.0 ML) / 5.0 ML (3.0 ML)
SERUM OR PLASMA (EDTA) FASTING 122.0 ML (1.0 ML) 14 HRS + CLINICAL HISTORY SPECIMEN FIXED IN THINPREP 1 PRESERVATIVE SOLUTION + clinical history SPECIMEN FIXED IN THINPREP 1 PRESERVATIVE SOLUTION + clinical history FASTING, CITRATED PLATELET POOR PLASMA* - AT MINUS 20° C+ CLINICAL HISTORY(DOUBLE CENTRIFUGED PLASMA)*
FASTING SERUM AND CITRATED PLATELET POOR PLASMA* 2 VIALS- AT MINUS 20° C(DOUBLE CENTRIFUGED PLASMA)* + CLINICAL HISTORY
CHEMILUMINESCENCE SERUM
IMMUNO HISTOCHEMISTRY
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK -site of biopsy & clinical details MANDATORY) IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED Page 193 of 207
TEMP.
Only Amniotic Fluid/ CVS 3: 0930 HRS at 2-8 °C; Rest A
1 CM / 1 BLOCK
8 DAYS
F
5 10:00 HRS
NEXT DAY
A
DAILY: 1530 HRS
NEXT DAY
A
DAILY: 1530 HRS
NEXT DAY
DAILY:1630 HRS
SAME DAY
WED & SAT:11:00 HRS
SAME DAY
F (To be F immediatel y at -20°c TWO ALIQOUTS OF & 1.5 ML EACH transporte d in dry ice) A/R/F AND F (To be F immediatel 2.0 ML AND TWO y at -20°c ALIQOUTS OF 1.5 & ML EACH transporte d in dry ice)
3.0 (2.0) ML
FREQUENCY REPORTED
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
A
DAILY:1100 HRS
3RD DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
1493
1110
THYROGLOBULIN ANTIBODIES (THG)
1390
CHEMILUMINESCENCE SERUM
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1494
3251
THYROGLOBULIN
1490
CHEMILUMINESCENCE SERUM (CLINICAL HISTORY required)
1.0 ML (0.5 ML)
2-8°C (72 2,4: hrs); F ( 0430,1430,16 SAME DAY >72 hrs) 00 HRS
1016
THYROID AUTOANTIBODIES PANEL (THYROID PREOXIDASE(also known as Anti Microsomal abs.) AND THYROGLOBULIN ABS)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1495
1496
1497
1498
1499
Z231
1499
TPC
3062
THYROID LESIONS
THYROID PANEL II (FT3, FT4, TSH3G UL)
THYROID PANEL IV (T3, T4, TSH)
THYROID PEROXIDASE ANTIBODIES (TPO)/ANTI MICROSOMAL ABS
2050
CHEMILUMINESCENCE SERUM
5000
TISSUE IN 10%FORMALIN / PARAFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
790
490
1090
CHEMILUMINESCENCE SERUM
CHEMILUMINESCENCE SERUM
CHEMILUMINESCENCE SERUM
Page 194 of 207
A
DAILY:1100 HRS
3RD DAY
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1500
1501
1502
1503
1504
1505
1506
TEST CODE
TSP
TSHR
TEST NAME
THYROID SCREENING PANEL (FT4, TSH3G UL & TPO)
THYROID STIMULATING HORMONE
3250C
THYROID STIMULATING HORMONE (TSH)
3250
THYROID STIMULATING HORMONE, 3 rd GENERATION (TSH3G UL)
Z065K
THYROID TRANSCRIPTION FACTOR- 1
Z238
THYROID PANEL[PHOTO]
Z065K
THYROID TRANSCRIPTION FACTOR (TTF-1) [PHOTO]
Price (Rs.)
990
250
250
METHOD
SPECIMEN
CHEMILUMINESCENCE SERUM
CHEMILUMINESCENCE SERUM
CHEMILUMINESCENCE SERUM
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
3.0 ML (2.0 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
300
CHEMILUMINESCENCE SERUM
2000
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
2000
TISSUE IN 10%FORMALIN / PARAFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK STRY MANDATORY.IF TISSUE RECEIVED IT WILL BE CHARGED FOR TISSUE PROCESSING
A
DAILY:1100 HRS
3RD DAY
Page 195 of 207
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1507
TEST CODE
Z166K
TEST NAME
THYROID-STIMULATING HORMONE (TSH)[PHOTO]
Price (Rs.)
2000
METHOD
SPECIMEN
SPECIMEN VOL.
TISSUE IN 10%FORMALIN / PARAFFIN BLOCK + Site of biopsy and Clinical IMMUNOHISTOCHEMI details MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK STRY IT WILL BE CHARGED FOR TISSUE PROCESSING
1508
5009
THYROSCREEN (FT4 & TSH3G UL)
375
CHEMILUMINESCENCE SERUM
1.0 ML (0.5 ML)
1509
3238
THYROXINE BINDING GLOBULIN (TBG)
4500
CHEMILUMINESCENCE SERUM
2.0ML (1.0 ML)
1510
1511
1512
3228
3226C
1351
THYROXINE FREE, FREE T4
THYROXINE T4 (CENTAUR)
TISSUE CROSSMATCHING
375
250
2300
CHEMILUMINESCENCE SERUM
CHEMILUMINESCENCE SERUM
SEROLOGY
SERUM-RECEIPENT, HEPARIN WHOLE BLOOD-DONOR (Specimens should preferably reach SRL, Mumbai within 24hrs of collection between Monday to Friday before 9.00 a.m).Patient & Donor's HIV (AIDS) report should aCCompany the samples.Patient & Donor's age & relation should be mentioned on the requisition form.Consent form WITH REFERRING DOCTOR'S SIGN AND REGISTRATION NUMBER.
Page 196 of 207
TEMP.
A
FREQUENCY REPORTED
DAILY:1100 HRS
3RD DAY
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING) R/F
DAILY (MON TO SAT) 09:00HRS
4 DAYS
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
Patient-2.0 ML SERUM, Donor10.0 ML HEPARIN WHOLE BLOOD
A
MONDAY THURSDAY: 0900 HRS
5TH DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1513
1514
TEST CODE
1351G
TISSUE
TEST NAME
TISSUE CROSSMATCHING
TISSUE FOR PROCESSING
Price (Rs.)
2300
200
METHOD
SEROLOGY
HISTOPATHOLOGY
SPECIMEN Sodium heparin WB of Donor & serum of Patient.(Sample is to be collected at least after 3 days of last dialysis. Cross match sample is to be collected after three weeks of last blood transfusion. Mandatory Documents to be enclosed with the sample are:- Completely filled in HLA TRF, Additional TRF, Photo I.D.Proofs of patient & donor ,doctor's prescription.) Applicable for Solid Organ Transplant only (Liver & Kidney)
SPECIMEN VOL.
1515
9362
TISSUE TRANSGLUTAMINASE IgA, TTG
990
ENZYME IMMUNOASSAY
1516
4198
TOBRAMYCIN
4500
SERUM [It is mandatory to mention on CHEMILUMINESCENCE the TRF whether it is a trough level (pre- 1.0 ML (0.5 ML) dose) or peak level (post-dose) sample. )
9901
TORCH IgG & IgM ANTIBODIES EVALUATION (10 Parameters)
2700
ENZYME IMMUNOASSAY
1517
SERUM
Page 197 of 207
FREQUENCY REPORTED
20 ml sodium heparin WB of Donor & 3 ml serum of Patient. Additional Mon-Fri donor/s, if any, set Cold pack 11a.m. of mandatory documents for each to be enclosed with the sample.
TISSUE FIXED IN 10%FORMALIN+ SITE OF BIOPSY + CLINICAL DETAILS (For bone 1 CM specimens also send X-Ray)
SERUM
TEMP.
2.0 ML (1.0 ML)
4.0 ML (2.0 ML)
A
DAILY:1000 HRS
Next day
4TH DAY (10-14 DAYS FOR BONE SPECIMEN S)
2-8°C (3 days); - 2;4;6:1100 SAME DAY 20°C (>3 HRS 1900 HRS days) DAILY (MON 2-8°C (<48 TO SAT): hrs); F SAME DAY 0430,1430,16 (> 48 hrs) 00 HRS SAME DAY(AVIDI TY WILL BE 2-8°C (4 days); - DAILY: 0300 REPORTED IF IgG AND 20°C (>4 am IgM BOTH days) ARE POSITIVE)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1518
TEST CODE
TEST NAME
9901M
TORCH IgG & IgM ANTIBODIES EVALUATION (9 Parameters)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
2300
ENZYME IMMUNOASSAY
SERUM
2.0 ML (1.0 ML)
SERUM
4.0 ML (2.0 ML)
1519
9911M
TORCH IgG ANTIBODIES
1390
ENZYME IMMUNOASSAY
1520
2231M
TORCH IgM ANTIBODIES (4 Parameters)
1350
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
5000
POLYMERASE CHAIN REACTION
EDTA PLASMA, CSF, AMNIOTIC FLUID, SERUM, NASOPHARYNGEAL SWAB; IF SERUM SENT,EDTA PLASMA IS MANDATORY
2ML (1.0ML), 2ML (1.0ML), 2ML (1.0ML), 2ML (1.0ML),1ML(1.0M L)
2232
TORCH PCR (Toxoplasma PCR, Rubella PCR, Cytomegalovirus PCR, Herpes Simple Virus PCR)
1522
9912
TORCH IgM ANTIBODIES (5 Parameters)
1490
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1523
5201
TOTAL BILE ACIDS
1750
SPECTROPHOTOMETR SERUM Y
1.0 ML (0.5 ML)
1521
1524
1525
3309
1245
TOTAL GALACTOSE (NEONATAL SCREENING)
TOTAL IgE
325
790
Enzymatic
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
CHEMILUMINESCENCE SERUM
Page 198 of 207
TEMP.
FREQUENCY REPORTED
2-8°C (4 days); - DAILY: 0300 20°C (>4 am days) 2-8°C (4 days); 20°C (>4 days) 2-8°C (4 days); 20°C (>4 days)
F
SAME DAY(AVIDI TY WILL BE REPORTED IF IgG AND IgM BOTH ARE POSITIVE)
DAILY: 0300 am
SAME DAY
DAILY: 0300 am
SAME DAY
1,4 :9:00 HRS
2,5 : 19:00 HRS
2-8°C (4 days); - DAILY: 0300 20°C (>4 am days) 2-8°C ( 7 days); F ( 3 :12.00 HRS >7 days - 3 months)
SAME DAY
SAME DAY
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): hrs); F ( SAME DAY 0430,1430,16 >48 hrs) 00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1526
1059
TOTAL P1NP
1450
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
1527
7522
Toxoplasma gondii PCR
2500
NESTED PCR
EDTA WHOLE BLOOD, CSF, AMNIOTIC FLUID, SERUM + CLINICAL HISTORY
2ML (1ML)
1528
2261M
TOXOPLASMA IgG & IgM ANTIBODIES
1050
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1529
9426M
TOXOPLASMA IgG ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1530
9433
TOXOPLASMA IGG AVIDITY
1400
ENZYME IMMUNOASSAY
serum
1.0 ml(0.5 ml)
1531
7661M
TOXOPLASMA IgM ANTIBODIES
725
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
1532
2233
TOXORubella PCR (Toxoplasma PCR, Rubella PCR)
1533
8030
TPMT GENOTYPING
1534
1535
1519HD TRANSFERRIN
9020
TREPONEMA PALLIDIUM HEMAGGLUTINATION ASSAY (TPHA)
2.0 ML (1.0 ML)
3750
POLYMERASE CHAIN REACTION
EDTA PLASMA, CSF, AMNIOTIC FLUID, SERUM, NASOPHARYNGEAL SWAB
4000
PCR SEQUENCING
EDTA WHOLE BLOOD S
2ML (1.0ML), 2ML (1.0ML), 2ML (1.0ML), 2ML (1.0ML),1ML(1.0M L) 3ml (2 ml)
1090
NEPHELOMETRY
SERUM
1.0 ML (0.5 ML)
650
HEMAGGLUTINATION SERUM
1.0 ML (0.5 ML)
Page 199 of 207
TEMP.
FREQUENCY REPORTED
2-8°C (5 DAILY (MON days); F ( TO SAT):1600 SAME DAY >5 days- 6 HRS mths ) 2,5 : 19:00 A 1,4 :9:00 HRS HRS SAME DAY(AVIDI 2-8°C (4 TY WILL BE days); - DAILY: 0300 REPORTED 20°C (>4 am IF IgG AND days) IgM BOTH ARE POSITIVE) 2-8°C (4 days); - DAILY: 0300 SAME DAY 20°C (>4 am days) 2-8°C (4 days); - DAILY: 0300 SAME DAY 20°C (>4 am :1230 HRS days) 2-8°C (4 days); - DAILY: 0300 SAME DAY 20°C (>4 am days)
F
2-8°C 2-8°C (7 days); F ( >7 days- 3 months ) 2-8°C (7 days); 20°C (>7 days)
1,4 :9:00 HRS
2,5 : 19.00 HRS
1 : 930 HRS
9 DAYS
1,3,5 : 1630 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
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1536
TEST CODE
3224C
TEST NAME
TRIIODOTHYRONINE T3 (CENTAUR)
3234
TRIIODOTHYRONINE, FREE T3 (FT3)
1538
1539
1537
1540
1541
1542
1543
Price (Rs.)
250
METHOD
SPECIMEN
CHEMILUMINESCENCE SERUM
SPECIMEN VOL.
1.0 ML (0.5 ML)
1.0 ML (0.5 ML)
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
CHEMILUMINESCENCE SERUM
1267
TRIPLE MARKER TEST / 2nd Trimester Risk assessment, 14-22 Weeks. (AFP, HCG & E3UN)
2350
SERUM IN 2 VIALS (Clinical Details in specified format , Date of Birth, Maternal CHEMILUMINESCENCE Weight, Maternal Race + USG Report 2.0 ML (1.0 ML) +Date of collection+LMP date)MANDATORY
3393
TROPONIN I
1450
CHEMILUMINESCENCE SERUM
1450
ELECTROCHEMILUMIN SERUM + CLINICAL HISTORY ESCENCE
TROPONIN T
TRUE CARD PANEL (hSCRP , 1209TCP Lipid Profile) 4115
3308
Trypanosoma cruzi IgG
TSH (NEONATAL SCREENING)
FREQUENCY REPORTED
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING)
375
3395
TEMP.
2.0 ML (1.0 ML)
DAILY (MON 2-8°C (72 TO SAT) hrs); F ( (MON TO SAME DAY >72 hrs) SAT): 1430 HRS DAILY (MON 2-8°C (24 TO SAT): hrs); F ( SAME DAY 0430,1430,16 >24 hrs) 00 HRS
2.0 ML (1.0 ML)
2-8°C (24 DAILY (MON hrs); F ( TO SAT):1600 SAME DAY >24 hrs) HRS
850
SPECTROPHOTOMETR SERUM-12-14 HRS FASTING Y/ NEPHELOMETRY
2.0 ML (1.0 ML)
2-8°C (2 DAILY:1830 days); F (> HRS 2 days)
1650
ENZYME IMMUNOASSAY
2.0 ML (1.0 ML)
Same 2-8°C / - 2nd and 4 th Sat day(1900 20°C :11.00 hrs hrs)
325
DRY BLOOD SPOT with complete CLINICAL HISTORY form including birth Enzyme Immunoassay date & birth time.( 2-8 DAYS ACCEPTED UPTIL 1 MONTH WITH DISCLAIMER COMMENT)
2 (1)
2-8°C (14 1,4:1030 HRS NEXT DAY days)
SERUM
Page 200 of 207
SAME DAY
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TEST CODE
TEST NAME
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
1544
3250C
TSH (THYROID STIMULATING HORMONE)
250
CHEMILUMINESCENCE SERUM
1.0 ML (0.5 ML)
1545
3254I
TSH RECEPTOR ANTIBODIES
3250
RADIO IMMUNOASSAY SERUM
1.0 ML (0.5 ML)
9362
TTG (TISSUE TRANSGLUTAMINASE IgA)
990
ENZYME IMMUNOASSAY
1546
1547
1548
1549
5433
TUMOR NECROSIS FACTOR ALPHA
TYPHI-D (CBC, ESR, Urinalysis, DT3200 Widal, Culture Prlim & Final, C)
1215
U1 snRNP ANTIBODIES
SERUM
2.0 ML (1.0 ML)
TEMP.
DAILY (MON 2-8°C (48 TO SAT): 0030 AFTER 3.0 hrs); F ( HRS (NIGHT) HRS >48 hrs) TO 1900 HRS (EVENING) F
975
WB-EDTA 3.0 (1.0) HEMATOLOGY CELL ML, PERIPHERAL COUNTER, MODIFIED BLOOD SMEARS: 2 WESTERGREN, THICK / 2 THIN, DIPSTICK & WB-EDTA, PERIPHERAL BLOOD SMEARS BLACK TOP 2.0 ML, MICROSCOPY, TUBE CITERATE WHOLE BLOOD ( BLACK TOP),, SERUM 2.0 (1.0) AGGLUTINATION, ESR TUBE (GREINER) BLACK TOP, SERUM, ML, BLOOD CLOT A/Urine R [AFTER BACTERIAL CULTURE & BLOOD CLOT [After separating SERUM SEPARATING for above], URINE, STOOL IN STERILE BIOCHEMICAL SERUM FOR LEAK PROOF CONTAINER IDENTIFICATION ABOVE] 3.0 (1.5) REACTIONS, ML, URINE 15.0 BACTERIAL (10.0) ML, STOOL SEROTYPING 1.0 GM / 1.0 ML
2100
IMMUNOBLOT
SERUM
Page 201 of 207
1.0 ML (0.5 ML)
SAME DAY SAME DAY 1900 HRS
After separation of serum THURSDAY:10 SAME DAY 1900 HRS immediatel 00 AM y store at 20 °C
ENZYME IMMUNOASSAY
1.0 ml(0.5 ml)
6:1230 HRS
2-8°C (3 days); - 2;4;6:1100 20°C (>3 HRS days)
3600
serum
FREQUENCY REPORTED
ALL TESTS SAME DAY EXCEPT STOOL CULTURE NO DAILY:1000 PRELIMINA HRS AND FOR RY / FINAL BIOCHEM 3RD DAY : 18:30HRS CLOT CULTURE : PRELIMINA RY 4TH DAY / FINAL 7TH DAY
2-8°C (7 days); 4: 1000 HRS 20°C (>7 days)
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
1550
RD1429
1551
4953
1552
4332
URINARY OXALATE
5002
URINE SUPERSATURATION PANEL (CALCIUM, MAGNESIUM,OXALATE,URIC ACID AND PHOSPHORUS, FROM 24HRS URINE )
1553
1554
1555
5007
DT3203
TEST NAME Universal Genetic Testing (UGT) URINARY GLYCOSAMINOGLYCAN (GAG) QUANTITATION
UTI SCREENING PANEL (CBC,ESR,GLUCOSE FASTING, URINALYSIS,URINE CULTURE/SENSITIVITY)
VACCICHEQ (HBsAb, VZV IgG, MUMPS IgG, MEASLES IgG)
Price (Rs.)
METHOD
40000 Microarray Dimethyl methylene blue dye binding
SPECIMEN
SPECIMEN VOL.
TEMP.
EDTA Whole Blood
4 ml
Ambient 3; 0930 HRS
RANDOM URINE(STABILITY:5 DAYS)
20.0ML(10.0ML)
FROZEN
1690
ENZYMATIC URINE -24 HOURS (Collected in 10 ml of SPECTROPHOTOMETR conc. HCL) 6N Y
1850
SPECTROPHOTOMETR URINE ,24 HRS WITH APPROPRIATE Y, ENZYMATIC PRESERVATIVE + MENTION 24 HRS. SPECTROPHOTOMETR VOLUME Y
20.0 ML(IN 2 VIALS SEPERATELY)
750
AUTOMATED CELL COUNTER /MODIFIED WESTERGREN /SPECTROPHOTOMET RY/DIPSTICK/MICROSC OPY/CULTURE
EDTA WB 2.0ML + CITRATE WB 3.0ML Fluoride +FASTING plasma : A PLASMA 1.0 ML (3 days); (0.5 ML) & Urine : R URINE15 ML (10 ML)/ 3.0 ML
5350
Chemiluminescent Microparticle Immunoassay (CMIA)/ENZYME IMMUNOASSAY
FREQUENCY REPORTED
EDTA WB/CITRATE WB BLACK TOP /FASTING PLASMA FLOURIDE & URINE + 2-3 SMEARS + (Age & Sex of the patient is mandatory for reporting)/URINE IN STERILE CONTAINER
SERUM
20 ML (15ML) + MENTION 24 HRS. VOLUME
MON-THURS 12 DAYS 09:00HRS
F
3 & 6: 1100 HRS
F
DAILY 1830 HRS , FOR SAME DAY URINARY OXALATE 3 & 6:1100 HRS
3.0 ML (2.0 ML)
R/F
1556
3360H
VALPROIC ACID
790
SERUM (Just before the next dose; usually early in the morning;to confirm CHEMILUMINESCENCE that an adequate dose is prescribed before bedtime)
1.0 ML (0.5 ML)
2-8°C (48 hrs); F ( >48 hrs)
1557
4197
VANCOMYCIN
5250
SERUM [It is mandatory to mention on CHEMILUMINESCENCE the TRF whether it is a trough level (pre- 1.0 ML (0.5 ML) dose) or peak level (post-dose) sample. )
2-8°C (<48 hrs); F (> 48 hrs)
Page 202 of 207
30 DAYS
SAME DAY
DAILY: 18:30 SAME HRS FOR CBC DAY/3RD DAILY : 17:30 DAY HRS DAILY: 0730 HRS & 1530 HRS FOR HBsAb,5: 1100 HRS FOR SAME DAY MUMPS IgG & MEASLES IgG , 3-1100 HRS FOR VZV IgG DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1558
TEST CODE
3318U
TEST NAME
VANILMANDELIC ACID (VMA)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
20ML OF URINE ALIQUOT FROM THE COLLECTED 24HRS URINE SPECIMEN TO BE SHIPPED STRICTLY IN FROZEN CONDITION (Do not consume bananas, pineapple, chocolates, coffee, ice creams, high diet in cereals and vanilla, potatoes and B-Complex, Vitamins 48 hours prior to the collection of the specimen. It is advisable to discontinue 20.0 ML (10.0 ML) all medications, but that should be strictly on the advise of your physician. The supplied container contains a preservative ,15ML of 6N HCL. 24hrs urine specimens received without the preservative will be unacceptable. It is mandatory to provide clinical information(CT SCAN, MEDICATION AND USG) and the volume on the requisition form)
3150
COLUMN CHROMATOGRAPHY
1600
ENZYME IMMUNOASSAY
SERUM
1.0 ML (0.5 ML)
SERUM
1.0 ML (0.5 ML)
1559
8761
VARICELLA ZOSTER VIRUS (VZV) IgG ANTIBODIES (CHICKEN POX)
1560
8766
VARICELLA ZOSTER VIRUS (VZV) IgM ANTIBODIES (CHICKEN POX)
1600
ENZYME IMMUNOASSAY
1561
9220RFX
VDRL REFLEX TPHA CONFIRMATION
375
FLOCCULATION & HAEMAGGLIUTINATIO SERUM N
2000
TISSUE IN 10%FORMALIN / PARAFFIN IMMUNOHISTOCHEMI BLOCK+ Site of biopsy and Clinical details 1 CM / 1 BLOCK MANDATORY.IF TISSUE RECEIVED IT WILL STRY BE CHARGED FOR TISSUE PROCESSING
1562
Z047K
VIMENTIN[PHOTO]
Page 203 of 207
2.0 ML
TEMP.
F
2-8º C (5 days), >5 days- 20 °C 2-8º C (5 days), >5 days- 20 °C 2-8°C (7 days); 20°C (>7 days)
A
FREQUENCY REPORTED
MONDAY & THURSDAY: 16:00 HRS
5TH DAY
3: 1030 HRS
SAME DAY
3: 1030 HRS
SAME DAY
DAILY: 1530 HRS
SAME DAY
DAILY:1100 HRS
3RD DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
TEST CODE
1563
9887
1564
9888
TEST NAME VIRAL PNEUMONIA PANEL I (Influenza A RNA, Influenza B RNA, Para Influenza, RSV, Enterovirus RNA) VIRAL PNEUMONIA PANEL II (Adenovirus DNA, Cytomegalovirus DNA, HSV 1 & 2)
Price (Rs.)
METHOD
SPECIMEN
SPECIMEN VOL.
TEMP.
FREQUENCY REPORTED
4350
MULTIPLEX POLYMERASE CHAIN REACTION
SWAB (Throat Swab, Nasopharyngeal Swab, Respiratory Secretions, BAL)
2.0 ML + 2.0 ML + 1
F
1,3,5:1000 HRS
NEXT DAY: 1800 HRS
4250
POLYMERASE CHAIN REACTION
SWAB (Throat Swab, Nasopharyngeal Swab, Respiratory Secretions, BAL)
2.0 ML + 2.0 ML + 1
F
1, 4 :1000 HRS
NEXT DAY: 1800 HRS
F
3:1000 HRS
NEXT DAY
F
1:1000 HRS
3RD DAY
1565
3511
VITAMIN A
2900
HPLC
1566
3512
VITAMIN B1
2000
HPLC
SERUM / PLASMA-EDTA (Specimen to be protected from light. Wrap tube in 2.0 ML (1.0 ML) aluminium foil) FASTING 12-14HRS + CLINICAL HISTORY SERUM / PLASMA-EDTA (Specimen to be protected from light. Wrap tube in 2.0 ML (1.0 ML) aluminium foil)FASTING 12-14 HRS + CLINICAL HISTORY
DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS DAILY (MON TO SAT): SAME DAY 0430,1430,16 00 HRS
1567
3020
VITAMIN B12
950
CHEMILUMINESCENCE SERUM FASTING
1.0 ML (0.5 ML)
R
1568
3524
VITAMIN B12+FOLIC ACID (Macrocytic Anemia Panel)
1700
CHEMILUMINESCENCE SERUM FASTING
3.0 mL (2.0 mL)
F
HPLC
SERUM / PLASMA-EDTA (Specimen to be protected from light. Wrap tube in 2.0 ML (1.0 ML) aluminium foil)FASTING 12-14 HRS
F
1:1000 HRS
3RD DAY
HPLC
+ CLINICAL HISTORY SERUM / PLASMA-EDTA (Specimen to be protected from light. Wrap tube in 2.0 ML (1.0 ML) aluminium foil)FASTING 12-14 HRS
F
1:1000 HRS
3RD DAY
HPLC
ONLY PLASMA-EDTA (Specimen to be protected from light. Wrap tube in aluminium foil)FASTING 12-14 HRS
F
1:1000 HRS
3RD DAY
1569
1570
1571
3513
3514
3516
VITAMIN B2
VITAMIN B6
VITAMIN C
2200
2450
2300
+ CLINICAL HISTORY Page 204 of 207
2.0 ML (1.0 ML)
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) TEST CODE
TEST NAME
1572
8825
VITAMIN D (1,25 DIHYDROXY )
2950
RADIO IMMUNOASSAY SERUM FASTING
3.0 ML (2.0 ML)
1573
8823R
VITAMIN D (25-HYDROXY )
1570
RADIO IMMUNOASSAY SERUM Fasting
2.0 ML (1.0 ML)
1574
8823
VITAMIN D (25-HYDROXY )
990
ELECTROCHEMILUMIN SERUM Fasting ESCENCE
1.0 ML (0.1 ML)
Sl. No
1575
3517
VITAMIN E
Price (Rs.)
2950
METHOD
HPLC
SPECIMEN
SERUM / PLASMA-EDTA (Specimen to be protected from light. Wrap tube in 2.0 ML (1.0 ML) aluminium foil)FASTING 12-14 HRS + CLINICAL HISTORY
1576
9050
VON WILLEBRAND FACTOR ANTIGEN, PLASMA
1577
9052
VON WILLEBRAND FACTOR, PLASMA
1578
8762
1579
RD1302
1580
9121
SPECIMEN VOL.
FREQUENCY REPORTED
2-8°C (24 1,3,5: 1300 NEXT DAY hrs), F (> HRS 24 hrs) DAILY (MON F TO SAT): 1130 SAME DAY HRS 2-8°C (48 HRS), F (> DAILY (MON 48 HRS - 1 TO SAT): 1130 SAME DAY MONTH AT HRS -20 DEGREE C)
F
3:1000 HRS
8250
FASTING, CITRATED PLATELET POOR IMMUNOTURBIDIMET PLASMA* - AT MINUS 20° C*(DOUBLE CENTRIGUGED PLASMA)* + CLINICAL RY-STA COMPACT HISTORY
F (To be F immediatel y at -20°c 2ND/4TH TWO ALIQOUTS OF TUE: 1200 & 1.5 ML EACH transporte HRS d in dry ice)
11500
ENZYME IMMUNOASSAY
PLASMA (CITRATE)
1.0 ML (0.5 ML)
VZV PCR
2000
PCR
5.0 ML (3.0 ML)/ EDTA WHOLE BLOOD/CSF/VESICLE SWAB 3.0 ML (1.5 IN STERILE SALINE/CSF/AMNIOTIC ML)/3.0 ML (1.5 FLUID/CVS ML)
WARFARIN SENSITIVITY BY GENOTYPING
3800
PCR-SEQUENCING
EDTA WHOLE BLOOD
WEIL FELIX
TEMP.
750
TUBE AGGLUTINATION SERUM
Page 205 of 207
5.0 ML ( 3.0 ML)
2.0 ML
20+/-5°C (8 2nd and 4th hrs); -20°C Tuesday (1months) :1030 HRS
NEXT DAY
SAME DAY
NEXT DAY
A
MONDAY 10:30 HRS
FRIDAY 1800HRS
A/R
1:0930 HRS
6;1830 HRS
2-8°C (2DAYS); DAILY: 1330 HRS -20°C (>2DAYS)
SAME DAY
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No
1581
1582
1583
TEST CODE 9960
TEST NAME
WEST NILE VIRUS IGG
9959
WEST NILE VIRUS IGM
Z119K
WILM'S TUMOR PROTEIN 1 (WT1)[PHOTO]
1584
RD1407 WT1 MUTATION DETECTION
1585
XPERT MTB / RIF ( GENE RD1324 EXPERT)
XPERT MTB / RIF ( GENE 1586 RD1324EP EXPERT) EXTRAPULMONARY
Price (Rs.)
METHOD
2500
ENZYME IMMUNOASSAY
2500
ENZYME IMMUNOASSAY
2000
IMMUNO HISTOCHEMISTRY
4750
PCR – Sequencing
3500
REAL TIME PCR ON GENEXPERT PLATFORM
3500
REAL TIME PCR ON GENEXPERT PLATFORM
SPECIMEN
SERUM
SERUM TISSUE IN 10%FORMALIN / PARAFFIN BLOCK -site of biopsy & clinical details MANDATORY IF TISSUE RECD. TISSUE PROCESSING WILL BE CHARGED EDTA WHOLE BLOOD / EDTA BONE MARROW + CLINICAL HISTORY SPUTUM / BAL
Pus, Pleural Fluid , Asitic Fluid/Gastric Aspirate, Tissue, CSF, Peritoneal Fluid, Pericardial Fluid, Synovial/Knee Joint Fluid, Abscess Aspirate
SPECIMEN VOL.
2.0 ML
2.0 ML
TEMP. 2-8°C (14 days); 20°C (>14 days) 2-8°C (14 days); 20°C (>14 days)
FREQUENCY REPORTED 1ST & 3RD SATURDAY: 1000 HRS
SAME DAY
1ST & 3RD SATURDAY: 1000 HRS
SAME DAY
3RD DAY
1 CM / 1 BLOCK
A
DAILY:1100 HRS
5 ML (3ML)
A
04; 0930 HRS 8 DAYS
A/R
DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
5.0 ML ( 2.0 ML)
A/R
DAILY: 0930 HRS (EXCEPT SAME DAY: SUNDAY AND 1900 HRS HOLIDAYS)
5.0 ML ( 2.0 ML)
1587
RD1321
Y- CHROMOSOME MICRODELETION
6800
MULTIPLEX PCR
EDTA WHOLE BLOOD
5.0 ML ( 3. 0 ML)
A
2 : 0930 HRS
1588
5702
YERSINIA CULTURE
1550
CULTURE
SWABS / FLUID / STOOL/ WB- HEPARIN/ LYMPH NODE/ ASPIRATE- STERILE CONTAINER
1.0 GM (0.5 GM)
R
BY PRIOR 7TH DAY, APPOINTMEN FINAL T,
2000
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
2000
ENZYME IMMUNOASSAY
SERUM
0.500 ML (0.250 ML)
1589
3329IG
YERSINIA ENTEROCOLITICA IgG
1590
3329IM
YERSINIA ENTEROCOLITICA IgM
Page 206 of 207
2-8°C (2 days); 20°C (>2 days) 2-8°C (2 days); 20°C (>2 days)
9 DAYS
2nd FRI: 1030 SAME DAY HRS
2nd FRI: 1030 SAME DAY HRS
Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai (w.e.f 10th Feb' 2013) Sl. No 1591
1592
1593
TEST CODE 4965
TEST NAME ZAP-70
9145U24 ZINC, 24 HR URINE
9145
ZINC, SERUM
Price (Rs.)
METHOD
5900
FLOW CYTOMETRY
1750
FAAS WITH D2 CORRECTION
1750
FAAS WITH D2 CORRECTION
1594
9145U
ZINC, URINE SPOT
1750
FAAS WITH D2 CORRECTION
1595
4522A
α1- MICROGLOBULIN
5000
NEPHELOMETRY
1596
4522B
α2- MACROGLOBULIN
5000
NEPHELOMETRY
SPECIMEN EDTA WHOLE BLOOD / HEPARIN WHOLE BLOOD + DIRECT SMEARS + CLINICAL HISTORY 24 HR URINE IN METAL FREE JERRY CAN AVAILABLE FROM SRL (NO PRESERVATIVE). 24 HRS VOLUME SHOULD BE COMPULSARILY SPECIFIED . FIRST SHAKE THE CAN AND TAKE THE 1020 ML ALIQUOT. IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTH AVAILABLE FROM SRL (NO PRESERVATIVE)THE MEASUREMENT OF URINE VOLUME SHOULD BE DONE AFTER ALIQUOTING. COLLECT WHOLE BLOOD IN SPECIAL GREINER VACCUTAINER WITH GEL AND YELLOW RING IN THE CAP. CENTRIFUGE DO NOT SEPERATE SERUM. SERUM MORNING FASTING SPECIMEN SHOULD BE COLLECTED. SPOT URINE IN METAL FREE SCINTILLATION VIAL AVAILABLE OR STERILE URINE CULTURE BOTTLE AVAILABLE FROM SRL (NO PRESERVATIVE) URINE + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for reporting) SERUM + CLINICAL HISTORY + (Age & Sex of the patient is mandatory for reporting)
Page 207 of 207
SPECIMEN VOL. 2.0ml/2.0ml + 2-3
TEMP. A
FREQUENCY REPORTED DAILY: 1430 HRS
NEXT DAY BY 6.00PM
10-20 ML (5 ML)
2-8°C (5 days); F ( “4”, 11:30 >5 - 30 HRS days)
NEXT DAY
2.0 ML (1 ML)
2-8°C (7 days); F ( “4”, 11:30 >7 - 30 HRS days)
NEXT DAY
10-20 ML (5 ML)
2-8°C (5 days); F ( “4”, 11:30 >5 - 30 HRS days)
NEXT DAY
2.0 ML (1.5 ML)
R
MON : 1200 HRS
1.0 ML (0.5 ML)
F
1st & 3 rd MON 5TH DAY : 1200 HRS
5TH DAY
