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Referral/Sendouts

Advanced Technology Laboratory, Cytogenetics, General Information, Referral/Sendouts

Test Update: Chromosome Analysis Breakage Study

Effective immediately, due to low test utilization and the high cost of maintaining proficiency, the Chromosome Analysis Breakage Study will no longer be offered by the Spectrum Health Cytogenetics Department.

If need arises for this test, please place an order for a Reference Miscellaneous (EPIC# LAB848) and enter “Test 140 DEB Breakage Study to Integrated Genetics” in the comments.  The testing will be sent out through Spectrum Health Referrals Department to Integrated Genetics. Continue Reading

Advanced Technology Laboratory, Education & Training, General Information, Referral/Sendouts

Covid-19 Information

New posts will appear below this post.

Updated 6/25/20

Spectrum Health Laboratories is accepting COVID test orders from Spectrum Health and outside providers. For additional information, please refer to our Outpatient Provider Office Collection Information Packet. This packet contains ordering and supply information as well as other related information. 

•Spectrum Health Laboratory offers nasal self-collection observation at select draw sites.
•If you’re interested in having your patient tested via nasopharyngeal swab and you cannot collect specimens in your office, please direct your patient to the screening hotline: 833.559.0659. Screening is required before COVID collection and testing can occur for the hotline.

Providers: COVID-19 testing criteria:

LINK: Symptoms of COVID-19  (CDC guidelines)

LINK: Testing criteria (CDC guidelines)

Facilities: If you would like to receive testing for your staff and/or residents please follow these instructions:

•Call: 616-486-1075 or

•Email: covidemployerhotline@spectrumhealth.org

Outpatient Draw Site Hours:

Outpatient draw site hours and availability may have changed. Please refer to Find-A-Doc for more information.

• Link: Find-A-Doc Location

Preferred Collection:

Nasopharyngeal (NP) swabs are the preferred specimen type.

Link: Nasopharyngeal Collection

If NP swabs cannot be collected, anterior nasal swabs may be collected as an alternative with slightly reduced sensitivity.

New Test: COVID-19 IgG Antibody – Serology test

Continue Reading

General Information, Referral/Sendouts, Test Spotlight

Eastern Equine Encephalitis Testing Options

Eastern Equine Encephalitis (EEE) testing is available to be ordered individually on serum or CSF. A panel for multiple Arboviruses is also available on both serum and CSF. Both tests are sent to Mayo Clinical Laboratories.  Please order “Reference Lab Send Out for Miscellaneous Tests” for each test ordered and indicate test name in the required order field. Continue Reading

Chemistry, Compliance & Safety, Education & Training, General Information, Referral/Sendouts

Preservative For 24 Hour Urine Collections

In both the inpatient and outpatient settings, the laboratory has supplied 24 hour urine containers with preservative such as acetic acid, sodium hydroxide, and boric acid.  Upon review of specimen stability requirements, it has been determined that a preservative is not needed prior to collection of most 24 hour urine tests as long as the 24 hour container is kept refrigerated or on ice during the collection period. Continue Reading

Hematology, Referral/Sendouts

Hemoglobin A1c Testing Update

For Hemoglobin A1c testing, Mayo Clinic Laboratory has switched to an Ion-Exchange High-Performance Liquid Chromatography (HPLC) method (Bio-RAD D100) which is the same method of A1c testing used at Spectrum Health Regional Laboratory.  They no longer offer the alternative method, boronate affinity chromatography, for A1c testing.

When A1c cannot be determined due to  interferences that affect the Bio-RAD 100 method, measurement of serum fructosamine is recommended (Mayo test FRUCT). Continue Reading

Chemistry, General Information, Referral/Sendouts

Test Discontinuation: Red Cell Magnesium

Effective January 1, 2019, Spectrum Health Regional Laboratory will no longer offer Magnesium, Red Blood Cell [LAB104] as an option for send out testing.  This testing will no longer be available through Spectrum Health’s primary reference laboratory, Mayo Clinic Laboratories.  This test will become obsolete on January 7, 2019, due to limited clinical utility. Continue Reading