From: John Goulart, mwmc hospital Compliance Officer


LIST OF NON-STANDARD DIAGNOSTIC CLINICAL LABORATORY PANELS


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LIST OF NON-STANDARD DIAGNOSTIC CLINICAL LABORATORY PANELS
APPROVED BY THE METROWEST MEDICAL CENTER MEDICAL EXECUTIVE COMMITTEE

MTHFR
Thyroglobulin, Quant


IGG Synthesis + Synthesis Rate
Lupus Anticoagulant
Factor II (Prothrombin DNA Analysis)
Ova & Parasites
Hemoglobinopathy Profile
Protein Electrophoresis, 24 Hour & Random
Microalbumin/Creatinine Ratio, random urine
Chlamydia/GC Nucleic Acid Amplification
AFB Culture, Smear, & Sensitivity
Viral Culture (HSV & Varicella)
Antineutrophil Cytoplasmic Antibody (ANCA)
Herpes Simplex (HSV) 1&2, PCR
Factor V Leiden Mutation Analysis
Primidone
RBC Folate
Heavy Metals Profile I, Urine
Gliadin Antibody Profile
Testosterone, Free with Total
Lyme Disease Antibodies, Reflex to Western Blot
Hereditary Hemachromatosis, DNA Analysis
Immunofixation
Antiphosphatidylserine, IGG, IGM, IGA
Sjogren’s Antibodies
Drug Coma/Overdose Profile, Blood
Anticardiolipin Antibody IGG, IGM, IGA
Parvovirus B19, Human IGG/IGM
Aspergillus Antibodies, Quant DID
Antidiuretic Hormone Profile
Protein Electrophoresis, Serum
Cyclospora Smear, Stool
Influenza A&B, Direct Immunoassay
Ehrlichiosis (Granulocyte & Monocytic) Profile
Hypersensitivity Pneumonitis Profile
Chlamydia Trachomatic Culture
Platelet Antibody Profile
West Nile Virus Antibody, IGG, IGM
CMV Culture
Cadmium, Urine
Protein S Antigen
Thyroid Antibodies
Urine Drug Screen
Influenza A&B Antigen
Protein S Deficiency Panel
Saccharomyces Cerevisiae Profile
West Nile Virus Ab, CSF
Echovirus Antibodies
Coxsackie Virus Group B Antibodies by CF


METROWEST MEDICAL CENTER
DEPARTMENT OF LABORATORY MEDICINE
SUBJECT: 1.2.5 Reflexive, Confirmatory, and Composite Testing

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