As of May 8, 2018, the following tests are no longer performed by Spectrum Health Laboratory. These tests are now available through Mayo Medical Laboratories as a send out. Please note that the specimen collection for these tests may have changed. Please check the Laboratory Catalog for collection information.
Questions may be directed to the Toxicology Department using the “Contact Us” link above.
On September 21, 2017, Hepatitis A Total Antibodies, Serum, send out to Mayo Medical Laboratories, was discontinued by Mayo. This has been replaced with Mayo test Hepatitis A IgG Antibody, Serum. Please order test as a reference miscellaneous in all systems.
In mid-September 2017, Spectrum Health Regional Laboratory Immunology department in collaboration with Spectrum Health Adult and Pediatric Rheumatology have made some adjustments to antinuclear antibody (ANA) testing (see below) options.
On March 21, 2017, Spectrum Health Regional Laboratory (SHRL) will be switching instrument/vendors that perform the Beta CTX (BCTX assay); we will be switching from the ROCHE COBAS® platform to the ISYS-IDS platform. Both methods compare very well, however reference ranges will change due to the different methods.
As of March 13th, 2017 Spectrum Health Regional Laboratory will be inactivating the CK Isoenzyme orderable (SH # 2799, Epic #LAB64). This test is not necessary in patients with clinically consistent CK elevations such as, but not limited to, muscle disease, muscle injury or statin use. In cases of suspected statin myopathy/myositis, elevated CK coupled with statin use is enough to make the diagnosis. CK Isoenzyme testing is recommended in situations where the CK elevation cannot be explained by clinical history and physical. Moving forward, CK Isoenzyme requests will require approval from either Dr. Alter or Dr. Blue.
Any questions concerning this change may be directed to Dr. David Alter or Dr. Deborah Blue via the “Contact Us” link.
As of January 30th, 2017 the test for Fecal Leukocytes will be discontinued and replaced with testing for Fecal Lactoferrin.
As of 1/1/2017, the Flow Cytometry Laboratory at Spectrum Health Advanced Technology Laboratories will no longer accept specimens on hold. The orderable “Cell Hold by Flow Cytometry“ has been queued for inactivation. If a sample is received on hold after 1/1/2017, the ordering provider will be contacted for clarification, and appropriate testing will be performed based on the type of sample received.
Due to low test volumes, effective November 1st, the Toxicology Department at Spectrum Health Regional Laboratory will no longer be offering Citrate (#8768) or Oxalate (#8837) testing on 24 hour urines. These specimens will now be routed to Mayo Medical Laboratories for testing. These tests should be ordered as Reference Miscellaneous (#8998). Please indicate complete test name when ordering.
Please refer to the lab catalog for more detailed patient preparation and specimen requirements:
Note: Spectrum Health does not stock toluene as a preservative. Please maintain collection without preservative and store refrigerated.
As of November 1, 2016, Spectrum Health Regional Laboratory will discontinue L/S PG testing due to manufacturer discontinuation of reagents and standards.
Lamellar Body Count will remain unchanged.
Please address any questions, inquiries or concerns to Dr. David Alter via the “contact us” link.
On July 1, 2016, Spectrum Health Laboratory Microbiology Departments discontinued Genital Culture with Gram Stain. Alternative test methods are available and should be ordered specifically for individual pathogens. Please use one of the tests listed below in replacement of Genital Culture with Gram Stain.
Note: This change does not affect Spectrum Health Ludington Hospital Laboratory.