Clinical Significance RPR, Premarital with Reflex to Titer - This is a non-treponemal screening test for syphilis. False positive results may occur due to systemic lupus erythematosus, leprosy, brucellosis, atypical pneumonia, typhus, yaws, pinta, or pregnancy. Monitoring of RPR is helpful in assessing effectiveness of therapy. Preferred Specimen(s) 1 mL serum Minimum Volume 0.6 mL Transport Container Transport tube Transport Temperature Room temperature Specimen Stability Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days Reject Criteria Gross hemolysis • Grossly lipemic Includes If RPR Screen is reactive, RPR titer will be performed at an additional charge (CPT code(s): 86593). Methodology Flocculation Reference Range(s) Non-reactive

RUBELLA ANTIBODY TEST, Immunoglobulin G (IgG) What are the other names for this test? Rubella Test, Rubella Blood Test What is a Rubella test? A rubella test helps to find antibodies that develop in your blood in response to rubella. Rubella, also known as German measles, is an infection that leads to skin rash and fever. Most people get vaccinated for rubella with the MMR (measles-mumps-rubella) virus. Rubella may spread to people without vaccination and contain the rubella virus in their bodies. This test may need a sample of blood, urine, or a swab from the throat. Antibodies are proteins produced in your blood when rubella enters your body. Antibodies help to protect your body against infection or viruses. Pregnant women infected with rubella may transfer this infection to their children. Rubella may cause complicated defects in the birth, also known as congenital rubella syndrome (CRS), specifically during the first trimester (three months). Babies may experience eye, hearing, or heart-related problems. Your provider will recommend taking vaccination to prevent rubella infection and related viruses. Two types of rubella antibodies are present: Immunoglobulin M (IgM) antibody test and Immunoglobulin G (IgG) antibody test. Immunoglobulin M (IgM): An IgM antibody test is the leading test to determine the presence of rubella in your body. IgM antibodies develop in people who experience rubella newly. IgM antibodies produced in most people within four days after their symptoms. IgM antibody levels may be present and identifiable for six to eight weeks or longer. Immunoglobulin G (IgG): This test may indicate rubella and check for immunity against it. The IgG test helps differentiate between past infections and immunity developed due to past viral infections. It is a suitable method to see immunity to rubella in pregnant women. What is the purpose of this test? A rubella test screens to check infection before its symptoms. The rubella virus may transmit to others through sneezing and coughing with an already infected person. This test may find the presence of rubella and show immunity developed for rubella in your body. A rubella test may use to:   Diagnose rubella infection if you are experiencing its symptoms Observe rubella in a pregnant woman or who wants to become pregnant. Identify any presence of rubella in the healthcare workers who did not take vaccines for it. See the risks of rubella in a newborn baby whose mother has already experienced it during pregnancy. You can conduct an online rubella test at a low price. When do I need to take this test? Rubella produces skin rash on the face before transmitting to other body parts. Your healthcare provider may recommend this test if you have symptoms of rubella. Symptoms of Rubella   Pain or stiffness in the joint Headache Fever Sore throat The color of the eyes turns pink Your provider will monitor rubella immunity in pregnant women as a part of initial prenatal screening. You may also need this test to show proof in your organization of the immunity developed in your body if you are a healthcare worker, student, and international traveler. In general, immunity is produced in response to rubella when you get an MMR vaccination. This vaccine will protect you from infection and stop viruses from transmitting to others. Immunity develops when you complete your treatment from a recent infection if you did not take a vaccine. What is the procedure for this test?   The sample depends on the test type your provider recommends to you. You may need to provide a blood sample, urine sample, or swab from your throat or nasal. For the blood test, the following are the steps of a rubella test that include:   Your provider will ask you to stay relaxed and calm before the test. Take a seat in front of your provider and remove your cloth from one of the arms. A small needle will inject into the vein in your arm. Your blood sample will collect in a test tube A little discomfort or pain may happen during the test or at the time of injection of the needle. Regular activities may resume after the test. This test will finish within five minutes. For a nose or throat swab, your provider will insert a cotton swab in your nose or throat. The swab will stay for enough time and turn back to collect adequate samples. You may experience some feeling of discomfort when a swab goes to your throat or nose. This procedure does not take a long time.  You may need to follow their instructions if your provider asks for a urine sample. A urine sample container will be provided to you to collect urine. How do I need to prepare for this test? A rubella test does not need any specific preparation. You may eat or drink if you have only this test. But when your provider asks for other blood tests, you may need to fast for at least several hours. You can inform your provider about medicines, supplements, or vitamins you use. Do not avoid your medication without the prescription of your doctor. Are there any risks involved in this test?   A rubella test contains low risks when you give a blood sample to your provider. Vein differs from person to person. You may experience low risks when the needle injects into your vein, include   Infection Bruising Extreme Bleeding Slight pain Hematoma (Deposition of blood under the skin)   You may feel discomfort during swabs collection from your throat or nose. What do the test results indicate? The results of a rubella test may consist of the presence or absence of IgG/IgM antibodies in your blood. Positive test results: Positive test results indicate that you have IgM/IgG antibodies in your blood because you have already experienced infection. Sometimes the test may show false-positive results. You may have other viruses instead of rubella. Your provider will ask for more tests to go for further confirmation. Negative test results: You have no IgG/IgM antibodies in your blood shows you do not have an infection. Immunity has been developed because of vaccination. Take an e-consultation from a provider to discuss your test result. What factors may affect the test results? The results for rubella may be considered accurate but not 100% correct. Some factors that may affect the accuracy of test results. The rubella test timing may change the test result. You should order the test as you are experiencing symptoms of rubella, specifically a skin rash on the face or fever. False-negative results may appear if you perform earlier than the symptoms. If you conduct the test three days after the beginning of the rash, you may need another test within two to four weeks to identify rubella infection. False positive test results may happen due to some antibodies that may develop other than those produced in response to rubella, which may show inaccurate results of IgG and IgM tests. Rheumatoid factors and antibodies to different viruses may indicate a false positive rubella test result. What additional tests do I need along with this test? You may also need to order other tests to screen and diagnose for rubella and other infections in your body.   MMR TEST (MEASLES, MUMPS, AND RUBELLA) MUMPS VIRUS AB (IGG), IMMUNE STATUS

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Clinical Significance Sardine/Pilchard (f61) IgE - This test is an allergen-specific IgE antibody test that quantifies an individual’s IgE response to sardine/pilchard. It is an in vitro quantitative assay, which is intended to be used in conjunction with other clinical information to aid in the diagnosis of food allergy [1]. While allergen-specific serum IgE testing is considered comparable to skin testing in many instances, both the American Academy of Allergy, Asthma, and Immunology and the American College of Allergy, Asthma, and Immunology recognize that allergen-specific serum IgE testing may be preferred in some clinical situations. These include 1) the presence of widespread skin disease, 2) the recent use of antihistamines or other medications that can affect the results of allergy skin tests, 3) uncooperative patients, and 4) medical history suggesting that allergen skin testing would pose a significant risk for a serious allergic reaction [1]. Food-specific IgE tests are extremely sensitive. However, a positive test result only indicates that a patient is IgE sensitized to the food of concern. Many IgE-sensitized patients do not develop any symptoms when this food is ingested. A diagnosis of food allergy should only be made by a trained medical provider, after conducting a thorough clinical evaluation [2,3]. While food-specific IgE test results may contribute to that evaluation, they cannot replace it. In this regard, detection of food-specific IgE in serum provides evidence of IgE sensitization, but a history of clinical reactivity to the food of concern is required to make a diagnosis of IgE-mediated food allergy. Moreover, several forms of food hypersensitivity are not associated with the presence of food-specific IgE in serum. Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature

Includes IgE allergy testing for: Codfish (f3) Crab (f23) Lobster (f80) Salmon (f41) Shrimp (f24) Tuna (f40) Methodology Immunoassay (IA)   Preferred Specimen(s) 1.5 mL serum Minimum Volume 1 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Clinical Significance Sed Rate by Modified Westergren - Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. CRP is also useful in monitoring inflammatory disease states. Preferred Specimen(s) Whole blood:  Full EDTA (lavender-top) tube Minimum Volume 2 mL Collection Instructions Maintain specimen at room temperature. If multiple tests are ordered, please submit a separate tube for this test. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Methodology Modified Westergren Reference Range(s)      Male    Female ≤50 Years    ≤15 mm/h    ≤20 mm/h >50 Years    ≤20 mm/h    ≤30 mm/h Alternative Name(s) WSR,Erythrocyte Sedimentation Rate,ESR,Zeta Rate,Sedimentation Rate

Clinical Significance Sed Rate by Modified Westergren, Manual - Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. Preferred Specimen(s) Whole blood: Full EDTA (lavender-top) tube Minimum Volume 2 mL Collection Instructions Maintain specimen at room temperature. If multiple draw, collect lavender-top tube last. Transport Container EDTA (lavender-top) tube Transport Temperature Room temperature Specimen Stability Room temperature: 24 hours Refrigerated: 24 hours Reject Criteria Hemolysis • Samples >24 hours old • Clotted • Cold agglutinins Methodology Modified Westergren Reference Range(s)      Male    Female ≤50 Years       ≤15 mm/h        ≤20 mm/h >50 Years    ≤20 mm/h    ≤30 mm/h

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature

SHELLFISH PANEL ALLERGY What is a shellfish allergy?   An allergy to shellfish is a form of food allergy. If you have a shellfish allergy, you'll experience severe symptoms after eating shellfish. Shellfish are aquatic organisms that have a shell-like exterior. There are two kinds of shellfish: Shrimp, crayfish, crab, and lobster are all crustaceans. Clams, scallops, oysters, and mussels are mollusks. Shellfish allergies are very common. Some individuals who have a shellfish allergy react to all shellfish, while others only react to specific varieties. The symptoms of reactions might be simple, like hives or a stuffy nose, or they can be severe and even life-threatening.   What is a shellfish allergy test? The Allergy-Shellfish Panel measures an individual's IgE response to four distinct shellfish that are frequently linked to allergies. Crab, lobster, shrimp, and clams are some of these shellfish. The purpose of this IgE panel is to help with the diagnosis of food allergies in conjunction with other clinical information.   What is the use of the shellfish allergy test? This test is used to determine if a person is allergic to shellfish. This allergy testing is specific to species that have shellfish-like exteriors. A shellfish allergy differs from other allergies in several ways. For instance, allergic reactions to shellfish might happen suddenly, often hours or even days after a person has eaten the allergen and displayed no other symptoms. Allergic reactions to shellfish can increase with each exposure.   What are the symptoms of a shellfish allergy?   Shellfish allergies are often the immune system's reaction to tropomyosin, a protein present in shellfish muscles. Histamines and other compounds are released in response to antibodies, attacking tropomyosin. The release of histamine causes a variety of symptoms that can range from minor to life-threatening. Shellfish allergies can cause severe symptoms. After consuming shellfish, symptoms can take some time to appear, but they often occur within a few minutes. A shellfish allergy may cause the following symptoms: Mouth tingling Abdominal discomfort, nausea, vomiting, or diarrhea Congestion, wheezing and breathing issues Skin responses like hives, eczema, and itchiness Swelling of the cheeks, lips, tongue, neck, throat, ears, fingers, or hands Dizziness, lightheadedness, or fainting In the most severe situations, a severe allergic reaction called anaphylaxis may happen. The immune system releases a barrage of chemicals in response to anaphylaxis, which could put you in shock. This condition requires immediate medical help. Anaphylaxis symptoms include:   A swelling of the throat, tongue, or throat stiffness (airway constriction) that makes breathing difficult. Difficulty breathing, wheezing or choking Shock, with a significant drop in blood pressure and a fast or weak pulse Severe rash, hives, itching, or swelling of the skin Diarrhea, vomiting, or nauseous Unsteadiness, fainting, or dizziness When should I see a doctor? If you get anaphylactic symptoms, seek medical attention immediately. Or if you experience food allergy symptoms soon after eating, consult a doctor or allergy specialist and order a shellfish allergy test for yourself.   Can iodine cause shellfish allergies?   In some cases, iodine allergies and shellfish allergies are confused. That is because iodine is often found in shellfish. However, being allergic to iodine does not always indicate that you are allergic to shellfish. You won't experience any side effects from radiocontrast material if you have a shellfish allergy. (Radiocontrast material with iodine is used in some diagnostic imaging scans.)   Why do I need a shellfish allergy test?   If you have symptoms of shellfish allergy, you may require this test. In certain situations, shellfish allergies can result in anaphylaxis, a fatal allergic reaction. If you have a shellfish allergy, you are more likely to experience anaphylaxis if you have; Asthma Allergic reactions to tiny amounts of shellfish (extreme sensitivity) Food-induced anaphylaxis history strong history of allergies in the family   An emergency epinephrine (adrenaline) injection is used to treat anaphylaxis. Always keep injectable epinephrine on hand if you are at risk of experiencing a severe allergic response to shellfish (Auvi-Q, EpiPen)   How is a shellfish allergy test performed? Your doctor will look at your symptoms and physically examine you. One of the following tests will be carried out by your provider:   Skin-prick test In this test, your doctor will place a small amount of the suspected allergen on your arm or back. He will then pierce your skin with a tiny needle to allow the allergen to pass through the skin. If the spot where the needle was leaves a red, itching bump, it is a sign that you have an allergy to the specific substance.   Blood test LgE antibodies are identified in the blood during this blood test. IgE antibodies are created through the immune system in response to allergen exposure. During a blood test, a doctor uses a tiny needle to draw blood from a vein in your arm and then collects it in a test tube. The in-and-out motion of the needle may cause you to experience some minor discomfort.   The only way to determine if you have a shellfish allergy is to take a test. Schedule a shellfish allergy test for yourself now.   How should I prepare for a shellfish allergy test?   No special preparation is essential for this test.   Is there any risk attached to the shellfish allergy test?   If you take the following tests, you will face the following risks: Skin-prick test: Skin-prick testing may irritate. If your skin becomes irritated or itchy after the test, your allergist can suggest medication to help you feel better. A strong reaction to a skin test is not so common. Your allergist will carefully monitor you during this test. Blood test: Blood testing has a slight risk to them. You might experience a small amount of pain or a bruise around the particular area the needle went. However, these symptoms will go away in two to three days.   What do the results of the shellfish allergy test mean?   If your shellfish allergy test results show that you are allergic to shellfish, your healthcare provider might ask you to stop consuming food and avoid ingredients that can be harmful to you. These are: Abalone. Clams (such as cherrystone, littleneck, pismo, and quahog) Cockle. Conch. Oysters. Scallops. Shrimp and prawns Crab. Mussels. Octopus. Snails. Squid (calamari) Crawfish and crayfish Lobster. Mollusks.   If you have anaphylaxis, your doctor will give you an epinephrine device. Once your clinician has confirmed a shellfish allergy, you will most likely be given a prescription for self-injectable epinephrine (EpiPen®). You'll learn how to use it from your provider. Your healthcare professional might suggest an antihistamine or corticosteroid if you experience minor symptoms.  

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Minimum Volume 0.15 mL/allergen Transport Container Serum separator tube (SST) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

SODIUM TEST   What are the other names for this test?   Sodium blood test, Na test   What is a sodium test? A sodium blood test is a health screening test that helps to determine whether you have enough sodium levels in your blood. Sodium is one of the significant electrolytes. Electrolytes are electrically charged minerals found in blood, tissue, urine, and other body fluids. Sodium helps to regulate the amount of fluid in the body. It provides support for the functions of muscles and nerves. Most sodium comes from the food you use daily. Your kidneys release excess sodium into the urine. Your body aims to maintain sodium levels in the close range by   Developing hormones that may increase (natriuretic peptides) or decrease (aldosterone) sodium levels released in urine. Developing hormones that help to lose water from the body is called antidiuretic hormone (ADH). Controlling thirst; you become thirsty and want to drink water if a 1% increase of sodium rises in your blood. It helps to maintain recommended sodium levels. The water quantity in your body changes with the change in blood sodium levels. High or low sodium levels may indicate kidney problems, dehydration, and other health problems. What is the purpose of this test? A sodium blood test helps to see abnormal sodium levels in your blood. This test is a routine test often included in an electrolyte panel. This test is also part of two group tests, comprehensive metabolic panel (CMP) and basic metabolic panel (BMP). A sodium blood test may use to:   Diagnose electrolyte imbalances and acid-base imbalances. Find the reason and how well treatment is going if you experience dehydration or deposition of fluid into your body. Evaluate many chronic or mild diseases, including the brain, lungs, kidneys, thyroid, heart, and adrenal glands (above your kidneys). Observe side effects from medications, such as the intake of diuretics that may change your sodium levels in the blood. Monitor the sodium levels if you are already taking treatment for a low or high amount of sodium. You can schedule a sodium test here to check the sodium levels in your blood. When do I need to take this test? You may need a sodium blood test if you see symptoms of high or low sodium levels in your blood. Signs and symptoms of high sodium levels are:   Muscles cramps Thirst Less pee or decreased urge to urinate. Confusion and anxiety Seizures. A sudden and uncontrollable problem in the brain. Vomiting. A loose, watery and increased bowel movements. Diarrhea High sodium levels are also known as hypernatremia. If you have severe high sodium in your blood, this results in coma and life danger without treatment.  Symptoms of low sodium levels are:   Confusion Fatigue Weakness Lethargy or lack of energy In extreme cases, coma Low sodium levels are also known as hyponatremia. You may not experience symptoms of low sodium levels when they decrease slowly. It is because sodium tests are often recommended if you have no symptoms. If you have abnormal blood sodium levels, your provider may ask for urine sodium levels to find the cause of an imbalance. You may also need a urine sodium test to see the reason for kidney disease if your results of kidney tests are abnormal. The meal you take on a test day may affect your sodium levels. A 24-hour urine sodium test may recommend reducing the effect of a single meal on your urine sodium result.   What is the procedure for this test? A sodium test often performs with a blood sample. The following are the steps for this test after visiting the laboratory.   Sit in front of your provider. Be relaxed and stay in a fixed position. It is difficult for your provider to collect a blood sample if you do the muscle movement. Remove the portion of your cloth from the arm. A small needle will inject into a vein in your arm.  A small amount of blood will collect in a test tube. Blood samples will store in the laboratory for examination of an allergy. You can go home for regular activities. This test usually takes five minutes. Your provider may ask for a urine sodium test. For a 24-hour urine test, you have to follow these steps that include:   Starting urine in a toilet in the morning without collecting it. Note the time of urinating  Put your urine in the container for the next 24 hours Store that urine in a refrigerator or at a cool place Give your container with urine to the lab care as per the guidelines. How do I need to prepare for this test? Your provider will guide you about special preparation for the sodium blood test. You may need to avoid specific medicines before the test. If your provider asks for additional blood tests, you may need to fast for several hours before the test. You can consult here with a provider if you want to discuss this test. Are there any risks involved in this test? A sodium test does not have high risks when you give a blood sample. Veins differ from person to person. Some people or children may have difficulty providing a blood sample compared to others. You may experience low risks when the needle injects into your vein. These risks include   Bruising Extreme Bleeding Slight pain Infection Hematoma (Deposition of blood under the skin) What do the test results indicate? The sodium test results depend on many factors, such as age, gender, and medical history. The test results may also slightly differ among laboratories. It is because each lab may use different methods for examination. The reference range for sodium in adults is about 136-145 mmol/L (millimole per liter). You may experience low blood sodium levels (hyponatremia) if your test values lie below 136 mmol/L. High blood sodium levels (hypernatremia) may develop if your test values lie above 145 mmol/L. Low blood sodium levels may cause due to the following reasons:   Lose sodium due to possible health conditions. These include diarrhea, excessive sweating, vomiting, kidney disease, intake of diuretics, or low cortisol, aldosterone, and sex hormone levels. High amounts of water intake during exercise Fluid deposition in the body (edema) due to diseases include heart problems, cirrhosis, and kidney disease, specifically protein loss. Production of a large amount of ADH allows your body to store a high water amount. Malnutrition  High blood sodium levels may happen due to the following reasons:   Dehydration - loss of water results from avoiding drinking water. Use of high amounts of salt in the diet Cushing syndrome - A disorder in which your body produces a large amount of cortisol hormone for a long time. Disorder of adrenal glands Diabetes insipidus - A rare condition that develops due to low ADH. If you have low blood sodium levels because of less sodium intake, this also indicates low urine concentration.   Low urine sodium levels may show dehydration, heart failure, liver disease, or nephrotic syndrome (protein loss from the body). High urine sodium levels may show intake of diuretics or Addison disease. Request an online order for a sodium test here and discuss your test results with professional healthcare. What factors may affect the test results? If you have abnormal sodium test results, you don't have always health problems that require treatment. High blood sugar may also change your test results. Specific medicines may reduce or raise your sodium levels in the blood, including diuretics and nonsteroidal inflammatory drugs like ibuprofen. What additional tests do I need along with this test? Your healthcare provider may ask for other tests with a sodium test. These tests will look for:   Sodium levels in your urine Electrolyte levels like potassium, chloride, etc. Uric acid levels Urea levels Acid-base balance (Anion gap test often used) Urine concentration Blood concentration

Clinical Significance Sole (rf337) IgE - In patients suffering from extrinsic asthma, hay fever or atopic eczema, symptoms develop immediately after exposure to specific allergens. This immediate (atopic or anaphylactic) type of allergy is a function of a special type of serum antibody which belongs to the IgE class of immunoglobulins. Preferred Specimen(s) 0.3 mL serum Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Methodology Immunoassay (IA) Assay Category This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

Preferred Specimen(s) 0.3 mL serum Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Methodology Immunoassay-Analyte Specific Reagents Assay Category This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes. Alternative Name(s) ImmunoCAP®