Lab Tests

Umbrella Health Care System - Labtests

Umbrella Health Care Systems medical labs are state of the art lab services , we use several reference labs to bring you best price and precise lab work, you can feel free to order any Labtest you wish without any physician’s referral, all results are highly confidential and also no doctor visits required for any labtest.

All lab tests include $6 Physician's fee.
$6 fee is collected on behalf of affiliated physicians oversight for lab testing, lab results may require physicians follow-up services, UmbrellaMD will collect this fee for each order and it‚s non-refundable.

TURKEY MEAT (F284) IGE

$ 21.00

Clinical Significance Turkey Meat (f284) IgE - This test quantifies an individual’s IgE response to turkey meat. 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 Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days

TYROPHAGUS PUTRESCENTIAE (D72) IGE

$ 21.00

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

ULOCLADIUM CHARTARUM (M204) IGE **

$ 21.00

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 (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. Alternative Name(s) ImmunoCAP®

UREA NITROGEN (BUN)

$ 15.00

Blood Urea Nitrogen Test Are there any names for this test? BUN test, Urea nitrogen test, Serum BUN What is a blood urea nitrogen test? A blood urea nitrogen (BUN) test determines essential information about the conditions of your kidneys. Your kidneys help to eliminate waste material and an excess quantity of fluid. If you have kidney disease, this waste substance or material can deposit in your blood. As time passes, this may cause various diseases. These include high blood pressure, heart problems, and anemia (deficiency of healthy red blood cells). Urea nitrogen is a waste material eliminated from your blood by the kidneys.   Your liver develops ammonia that has nitrogen.  Urea produces when nitrogen mixes with other elements, including carbon, hydrogen, and oxygen. The urea flows from your liver to the kidneys through your blood vessels.  Healthy kidneys remove urea and other waste materials from your blood. These waste materials excrete from your body through urine. What is the purpose of this test? A BUN test is a blood test that helps to measure the quantity of urea nitrogen in your blood. A blood urea nitrogen test can detect whether you have high BUN levels in your blood. If you have higher BUN levels than the recommended, your kidneys are not working as they should. This test may also order with a sequence of tests known as a comprehensive metabolic panel (CMP). You do not have any symptoms if you are at an early stage of kidney disease. This test monitors, diagnoses, and provides treatment of kidney disease at its early stage. When to conduct a blood urea nitrogen test? Your healthcare provider may recommend a BUN test to see:   Risks for kidney damage. Chronic kidney conditions, such as high blood pressure, diabetes, or heart disease. How well your dialysis treatment is going if you are taking hemodialysis or peritoneal dialysis (It is a procedure for dialysis) A combination of other blood tests to identify various health conditions include liver damage, problems in the urinary tract, heart failure, or abdominal bleeding. These diseases cannot confirm by the BUN test. Place an online order for the blood urea nitrogen test if you have symptoms of late-stage kidney disease that include:   Cramps in muscles Fatigue Increased or decreased urge to urinate Itching Swelling in the feet, legs, and ankles. Difficulty sleeping What is the procedure for this test? For a blood urea nitrogen test, a healthcare provider will ask for a blood sample from you. A needle injects into a vein in your arm to collect a blood sample into a test tube. A bandage will apply to cover the vein where the needle injects. After that, daily activities may resume. This test finishes in five minutes. How do I need to prepare for this test? If your provider asks for a blood sample for the BUN test, you may eat or drink before the test. You may have to fast for at least 7 to 8 hours before the test. Your provider will guide you with specific instructions. What are the risks of this test? A blood urea nitrogen test is a blood test that contains low risks. You may have an itchy feeling or low pain when the needle injects into your vein to collect your blood sample. These risks will go away in less time. The other low risks for this test include infection, bleeding, and bruising. What does the blood urea nitrogen test indicate? The BUN test results may vary on age, gender, medical history, and other factors. The blood test results may change slightly among laboratories because of different methods. The test results for urea nitrogen expressed in milligrams per deciliter (mg/dL) in the US and millimoles per liter (mmol/L) worldwide. The recommended range for a blood urea nitrogen test is 6 to 24 mg/dL (2.1 to 8.5 mmol/L). A Higher value than the recommended means you have a kidney problem. BUN levels increase with age. Schedule an online meeting with a healthcare professional to get complete information about your BUN test results. What factors may affect the blood urea nitrogen test? High BUN levels do not always determine medical conditions. The BUN test results may affect or increase despite your kidneys working properly. These factors include:   Dehydration Injuries due to burn Intake of high protein diet Use of steroids (hormones that develop by human beings). Aging (a continuous process of natural change). Your healthcare provider may also recommend the BUN/creatinine ratio test, which can provide more accurate results for your kidney conditions. The recommended range for BUN/creatinine ratio is between 10:1 and 20:1. The low or high values indicate that you may experience kidney disease or have dehydration. What additional tests do I need to take along with this test? A BUN test is the one way to diagnose your kidney conditions. Your provider may also recommend creatinine test if you see symptoms of kidney disease. The creatinine levels in the blood can also measure with the BUN test. Creatinine is another waste material that eliminates from your body by healthy kidneys. The high creatinine levels may also indicate kidney failure or damage. Your provider may also check the ability of your kidneys to remove waste material from the blood. A provider will need a blood sample to measure your estimated glomerular filtration rate (GFR). GFR estimates the percentage of kidney function.  

URIC ACID TEST

$ 15.00

URIC ACID TEST What are the other names for this test? Serum urate, Uric acid, Serum and urine, UA What is the uric acid test? A uric acid test helps to measure the amount of uric acid in your blood or urine. Uric acid is one of the waste materials in your body. It produces when your body breaks down a chemical substance called purines. When the body cells die, they release purines into the blood. Purines are available in some foods, such as seafood, dried beans, liver, and shellfish. Most of the uric acid is present in your blood. Your kidneys filter the uric acid from your blood. The higher amount of uric acid excretes from your body through your urine. The remaining uric acid eliminates in the stool. The deposition of high uric acid levels in your blood can develop painful needle-like crystals in your joints (synovial) fluid. This condition is known as gout. Gout is a type of inflammatory arthritis that leads to painful swelling in your joints. High uric acid levels in your blood may indicate kidney stones (solid substances develop from minerals and salts) or kidney damage. What is the purpose of this test? The uric acid blood test indicates and monitors the uric acid levels when undergoing cancer treatment by chemotherapy or radiation. These treatments help to kill cancer cells and result in the formation of large amounts of purines in the blood. Therefore, uric acid levels increase, which may lead to severe complications for health. This test is the way to get treatment early before uric acid levels rise in your body. This test looks for uric acid crystals by examination of joint fluid under a microscope. The uric acid urine test diagnoses the reason for repeated kidney stones in the body. This test also monitors gout disease for the development of stones in people. When to conduct a uric acid test? Your healthcare provider may recommend a uric acid blood test when you are at risk of high uric acid levels. You may need to take this test if you have symptoms of gout. Gout can lead to severe pain, redness, and swelling in your joints. These include your toes, ankle, wrists, knee, feet, and specifically, your big toe (the fore end of a foot). Your provider may also ask to schedule an online order for a  uric acid urine test when you have signs and symptoms of kidney stone that include:   The urine comes with blood. Nausea and vomiting Smell or cloud in the urine Increased urge to urinate Fever Chills Pain in your body parts, such as the lower abdomen, side, back, and groin (a portion of your hip between your abdominal and thigh). Burn or pain while urinating. Difficulty urinating at all. A uric acid urine test determines the chance of producing kidney stones if you have gout disease. What is the procedure for this test? A uric acid test may require a blood test or a urine test. Your healthcare provider will guide you about the sample you need to provide. You will need to give your blood sample to your provider for a uric acid blood test. The steps include: A small needle will inject into a vein in your arm to collect a blood sample into a test tube. Your blood sample will store in the laboratory you have selected for examination. A bandage will cover the vein where the needle injects. Regular activities may resume after the test. This test finishes in under five minutes.   For a uric acid urine test, a 24-hour urine sample requires. Your provider will ask you to collect all your urine for 24 hours. A container will provide to collect your urine with proper instructions. Your provider will inform you when to collect your urine. This test usually has the listed steps:   First, you will urinate in the toilet on the first day of the morning. Flush this urine. Note the time when you urinate. Collect urine in the sample container for the next 24 hours. You will need to store your urine sample in a refrigerator or a cool place. Try to urinate in the container if you feel it after the 24-hour test period, which is the final test collection. You can provide your urine sample to the laboratory where you have placed an online order for this test. How do I need to prepare for this test? Your provider will not ask for specific preparation for a uric acid test. You can inform your provider about medicines, vitamins, and supplements you use. Some medicine like niacin (vitamin-3) may affect your test results. You do not need to stop taking the medication without permission from your doctor. Are there any risks in the uric acid test? A uric acid test does not have a risk from a urine sample. For a uric acid blood test, you may experience low pain at the point of your vein where the needle injects. The other low risks may include bleeding, light-headed feeling, and infection, which disappear in less time. What do the uric acid test results indicate? The uric acid test results may consist of a blood or a urine report. Low uric acid levels in the blood are not a concern for a person and do not lead to health problems. High uric acid levels (hyperuricemia) in a blood test may occur due to   A large amount of uric acid produces by your body. Lack of ability of kidneys to release enough uric acid from the body. Intake of foods that contain high levels of purines, including red meat, organ meat, liver, kidney, seafood, alcohol, and high fructose syrup. High uric acid levels may also indicate these conditions, such as:   Kidney disease Gout Medical side effects from cancer treatments with radiation or chemotherapy. Excessive alcohol intake Leukemia (cancer of blood cells) or multiple myeloma. Preeclampsia - a condition that may lead to a severe increase in blood pressure for pregnant women. Low uric acid levels in urine may show kidney disease, excessive alcohol use, and lead poisoning (lead deposition in the body). High uric acid levels in urine may appear due to the following conditions, including   Overweight Presence of kidney stones. Gout disease Leukemia or multiple myeloma   A family history of a genetic condition like Lesh-Nyhan syndrome (a disease of metabolic disorder that develops in boys before birth) You don’t always have a medical problem if uric acid levels are higher in urine or blood. Sometimes it may occur due to the use of specific medicines. People without health problems may also have high uric acid levels in their blood. Understand your uric acid test results through an online discussion with a consultant.  

URINALYSIS MACROSCOPIC

$ 29.00

URINALYSIS MACROSCOPIC Does this test have other names? Macroscopic urine analysis, macroscopic examination of urine, Urinalysis Routine Macroscopic What is macroscopic urinalysis? A macroscopic urinalysis is the direct visualization method for observing urine, which includes the color of urine, clarity, quantity, cloudiness, etc. The ideal urine is generally light yellow, clear, and without any cloudiness.  A number of reasons show the abnormalities in the color, cloudiness, and clarity of urine, such as Liver disease that results in tea or cola urine color Dehydration in the body leads to dark urine color Infection indicate by cloudy urine Bloody urine (hematuria – It is visible to the eye that predicts urinary tract infections, injuries, stones, etc.) Muscles breakdown show tea or orange-colored urine Certain medicines like phenazopyridine, pain reliever and an antiseptic of urine also lead to color change in urine How to observe the appearance of urine by macroscopic urinalysis? Your lab care uses a urine test strip to analyze the appearance of urine. It is a plastic strip that contains squares of different colors. These squares act as a unique component of the test to determine urinalysis. Then the whole strip dips into the sample of urine. Each individual square indicates the changes of color in the urine. It takes a few minutes time for the color changes. The test results may vary if the provider reads early or later when the strip is dipped.  The specific abnormalities in the urine may judge by the change of color on each square. The reference values have already been written on the container of the urine test strip. It helps the provider to interpret the results. They will get the results by putting the container in front of the strip. Then the provider compares the change of color with the reference value.  What are the substances that represent by squares on the dipstick? The following are the substances that represent by squares on the dipstick method.  The acidity of the urine (shows pH levels). Glucose (sugar in the urine). Specific gravity (concentration of urine).  Leukocyte esterase (indicative of white blood cells in urine). Nitrite ((indicative of bacteria in urine). Protein in the urine, including albumin. Bilirubin (indicate liver disease or breakdown of red blood cell). Ketones in the urine (products of fat metabolism). Hemoglobin or blood in the urine (hematuria). Urobilinogen (possibility of liver disease). Your healthcare provider takes information by observing their presence or absence when the color changes on the strip. After completing the dipstick strip test, your provider will note down the reading. The squares on the box are arranged in the same order in accordance with the time taken by them. It helps the provider to read the results in a timely manner and observe any color changes. They scan the strip from the shortest (glucose) to the longest (leukocytes).  What do my test results mean? The results of macroscopic urinalysis tests depend on the person’s age, gender, weight, medical history, and other factors. The range of the results may vary by the use of different labs. You can order the test at UmbrellaMD. You can understand the rest results by consulting with your doctor.  What sample requires for the test? Your provider will collect a urine sample for a macroscopic urinalysis. Your doctor tells you about which type of sample is needed. Two ways of getting the urine sample are 24-hour urine collection and a one-time urine collection.    24-hour urine collection  You will store all your urine samples in a specimen or a container that developed during the 24 hours.    One-time urine collection   It is a spot or random urine test. Your provider will ask you to conduct one urine sample at any time. You have to follow the instruction provided by your lab care about the type of sample you need.  What happens during the test? A microscopic urinalysis test can perform at home or at your healthcare provider’s location. The lab care will give you a specimen or a container.  For 24-hour urine collection, you may recommend these steps, which include You will flash all your urine into the toilet on the first day as you get up in the morning. During the next 24 hours, you will collect all your urine into a sample container. When you get up on the second day, you will again urinate in the container. You will finally complete the urine sample within 24 hours. You will put your urine sample container in a refrigerator or a cool place. For random or one-time urine collection, you will ask to collect a urine sample in the morning. For getting midstream urine, a clean-catch procedure applies that include  Clean the opening of your urethral. You first urinate in the toilet. After a few seconds, stop the stream of your urine. Put the container in front of your urine stream, and then start to urinate into the container. When the container fills up with urine, start urinating in the toilet Closed a lid of a sample Give the sample to your provider.  How to prepare for the test? You may not have to prepare for a macroscopic urinalysis test. You can eat and drink before this test. You can tell your doctor about specific medications or supplements that you are taking. You may need to follow the guidelines provided by your doctor about the clean-catch sample. If you are pregnant, you need to talk about it with your provider. Is there any risk to the test? The test does not have any risk to your health.  Visit Umbrella Health Care Systems to get detailed information about the result of the macroscopic urinalysis test. It is online healthcare that helps you to solve your health problems. You can book the lab test if you do not have a prescription. We aim to provide better services, including e-consultation, medical imaging, pharmacies, and different kinds of lab tests. You can get treatment by sitting at home. Register here to learn more about us, and if you have any queries, you can write us.   

URINALYSIS MACROSCOPIC

$ 15.00

URINALYSIS MACROSCOPIC Does this test have other names? Macroscopic urine analysis, macroscopic examination of urine, Urinalysis Routine Macroscopic What is macroscopic urinalysis? A macroscopic urinalysis is the direct visualization method for ob

URINALYSIS MICROSCOPIC

$ 15.00

URINALYSIS MICROSCOPIC Does this test have other names? Microscopic urine analysis, microscopic examination of urine, Urinalysis Routine Microscopic What is a microscopic urinalysis test? A microscopic urinalysis test observes the sample of urine under a microscope. This test evaluates the physical, chemical, and microscopic examination of urine. It uses to check the correctness of the other tests. It adds information for diagnosing.  The test analyzes the quantities of the following in your urine Cells from tumor Urinary tract,  Bacteria,  Parasites,  Red or white blood cells  Sperm Urinary crystals When do I need this test? A microscopic urinalysis test is a routine test. The following signs and symptoms for which you need to conduct this test include: Abdomen pain Increased urination Changes in the color of urine Painful urination Bloody urine Back pain Pregnant women  Undergoing surgical process The test may recommend to all age groups, such as for children experiencing the signs of UTIs. The test is also familiar to pregnant women. You may need more regular urine tests to check your medical conditions. This test helps your doctor to diagnose: Liver disease Kidney disease Cancer Urinary tract infection or another urinary system Side effects of medicines Parasitic infection Viral infection Prostate infection What other tests include this test? You may need to perform other tests on your urine sample, such as Observing the color and odor of urine  For determining the number of dissolved substances in the urine Conducting tests for sugar, protein, bilirubin, and other elements that can lead to different diseases Evaluating the level of acidity What sample requires for the test? Your provider will collect a urine sample for a microscopic urinalysis. Your doctor tells you about which type of sample is needed. Two ways of getting the urine sample are 24-hour urine collection and a one-time urine collection.    24-hour urine collection You will store all your urine samples in a specimen or a container that developed during the 24 hours.    One-time urine collection It is a spot or random urine test. Your provider will ask you to conduct one urine sample at any time. You have to follow the instruction provided by your lab care about the type of sample you need.  What happens during the test? A microscopic urinalysis test can perform at home or at your healthcare provider’s location. The lab care will give you a specimen or a container.  For 24-hour urine collection, you may recommend these steps, which include You will flash all your urine into the toilet on the first day as you get up in the morning. During the next 24 hours, you will collect all your urine into a sample container. When you get up on the second day, you will again urinate in the container. You will finally complete the urine sample within 24 hours. You will put your urine sample container in a refrigerator or a cool place. For random or one-time urine collection, you will ask to collect a urine sample in the morning. For getting midstream urine, a clean-catch procedure applies that include  Clean the opening of your urethral. You first urinate in the toilet. After a few seconds, stop the stream of your urine. Put the container in front of your urine stream, and then start to urinate into the container. When the container fills up with urine, start urinating in the toilet Closed a lid of a sample Give the sample to your provider.  How to prepare for the test? You may not have to prepare for a microscopic urinalysis test. You can eat and drink before this test. You can tell your doctor about specific medications or supplements that you are taking. You may need to follow the guidelines provided by your doctor about the clean-catch sample. If you are pregnant, you need to talk about it with your provider. Is there any risk to the test? The test does not have any risk to your health.  What do my test results mean? The results of microscopic urinalysis tests depend on the person’s age, gender, weight, medical history, and other factors. The range of the results may vary by the use of different labs. You can order the test at UmbrellaMD. You can understand the rest results by consulting with your doctor.  Following is the sample of specific results that show: The value of red blood cells (RBCs) in urine is (0-5 RBCs per high power field, HPF). A high amount of RBCs indicates that you have kidney disease, urinary tract infection, side effects of medicines, or types of cancer. Very few white blood cells are generally present in urine (0-5 WBCs per high power field, HPF). You may experience inflammation in your urinary tract if you have a high WBCs in your urine. The high value of eosinophils tells that you have urinary tract problems. Kidney damage may occur due to a large number of kidney cells. Different diseases may also prevail if casts (an element developed in the kidney) are present in your urine. Serious health problems may occur due to abnormal crystals. Amino acids and certain medicines create these crystals.  What might affect my test results? Some factors can affect your test results, such as certain medications, supplements, vitamins, and foods that alter the color and odor of urine. The other causes that can change the test results include: Stone in the sample of urine Fever Stress Improper urine collection Usage of medicines that contain salicylate  Menstrual blood Vaginal medicines Aspirin therapy Unable to collect all urine during 24 hours You need to take immediate action if you see the above symptoms of a kidney or urinary tract disease. You can avail of online healthcare facilities from Umbrella Health Care Systems. It allows you to place an order for any lab test if you do not have any prescription. We care for your health problems and provide the fastest and easiest way to connect you online with a doctor. You can understand the results of the test while sitting at home. Register here to learn more about the site.   

URINALYSIS REFLEX

$ 15.00

Clinical Significance Urinalysis with Reflex to Microscopic - Dipstick urinalysis measures chemical constituents of urine. Microscopic examination helps to detect the presence of cells, bacteria, yeast and other formed elements. Preferred Specimen(s) 10 mL urine - Urinalysis transport tube (yellow-top, blue fill line, preservative tube) Alternative Specimen(s) Refrigerated unpreserved pediatric sample • Yellow/red swirl-topped conical transport tube with preservative Minimum Volume Preserved: 1 mL Unpreserved (pediatric only): 1 mL Transport Container Yellow-top, blue fill line urinalysis transport tube Transport Temperature Preserved: Room temperature Pediatric Unpreserved: Refrigerated (cold packs) Specimen Stability Preserved urine Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable   Unpreserved urine Refrigerated: 24 hours - Pediatric specimen Reject Criteria Unpreserved specimen (adults) Includes A microscopic examination is performed, when appropriate, at an additional charge (CPT code(s): 81015). Methodology Reagent Impregnated Strips/Tablets/Microscopic Examination if urine macroscopic or dipstick indicates Reference Range(s) Color    Yellow Appearance    Clear Specific Gravity    1.001-1.035 pH    5.0-8.0 Glucose    Negative Bilirubin    Negative Ketones    Negative Occult Blood    Negative Protein    Negative Nitrite    Negative Leukocyte Esterase    Negative WBC    ≤5 /HPF RBC    ≤2 /HPF Squamous Epithelial Cells    ≤5 /HPF Transitional Epithelial    ≤5 /HPF Renal Epithelial Cells    ≤3 /HPF Bacteria    None seen Calcium Oxalate Crystals    None or Few Triple Phosphate Crystals    None or Few Uric Acid Crystals    None or Few Amorphous Sediment    None or Few Crystals    None seen Hyaline Casts    None seen Granular Casts    None seen Casts    None seen Yeast    None seen

URINALYSIS, COMPLETE

$ 15.00

Clinical Significance Urinalysis, Complete - Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of cells and other formed elements. Preferred Specimen(s) 10 mL urine - Urinalysis transport tube (yellow-top, blue fill line, preservative tube) Alternative Specimen(s) Refrigerated unpreserved pediatric sample • Yellow/red swirl-topped conical transport tube with preservative Minimum Volume Preserved: 1 mL • Unpreserved (pediatric only): 1 mL Collection Instructions Encourage mid stream samples to minimize contamination and improve accuracy. Label the sample appropriately and store at room temperature until pick-up. Note: The yellow-top, blue line tube cannot be used for collection and transport of specimens for urine culture. **This test code does not include reflex to culture** If reflex to culture is desired, please order "Urinalysis, Complete, with Reflex to Culture" (test code 3020). If culture is being ordered separately, submit separate specimen (4 mL gray-top tube). Transport Container Yellow-top, blue fill line urinalysis transport tube Transport Temperature Preserved: Room temperature Pediatric Unpreserved: Refrigerated (cold packs) Specimen Stability Preserved urine Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable   Unpreserved urine Refrigerated: 24 hours - Pediatric specimen Reject Criteria Unpreserved specimen (adults) Includes Macroscopic and Microscopic Examinations Methodology Reagent Impregnated Strips/Tablets/Microscopic Examination Reference Range(s) Color    Yellow Appearance    Clear Specific Gravity    1.001-1.035 pH    5.0-8.0 Glucose    Negative Bilirubin    Negative Ketones    Negative Occult Blood    Negative Protein    Negative Nitrite    Negative Leukocyte Esterase    Negative WBC    ≤5 /HPF RBC    ≤2 /HPF Squamous Epithelial Cells    ≤5 /HPF Transitional Epithelial    ≤5 /HPF Renal Epithelial Cells    ≤3 /HPF Bacteria    None seen Calcium Oxalate Crystals    None or Few Triple Phosphate Crystals    None or Few Uric Acid Crystals    None or Few Amorphous Sediment    None or Few Crystals    None seen Hyaline Casts    None seen Granular Casts    None seen Casts    None seen Yeast    None seen

URINALYSIS, COMPLETE W/REFLEX TO CULTURE

$ 15.00

Clinical Significance Urinalysis, Complete, with Reflex to Culture - Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection. Preferred Specimen(s) Submit two separate specimens: 1) 10 mL urine submitted in urinalysis transport tube (yellow-top, blue fill line, preservative tube) 2) 4 mL (fill to minimum line printed on tube; unpreserved for cultures) urine in urine culture tube (gray-top) Alternative Specimen(s) Refrigerated unpreserved pediatric sample • Yellow/red swirl-topped conical transport tube with preservative Minimum Volume Preserved (yellow-top, blue fill line): 1 mL Urine in urine culture tube (gray-top): Must be filled to minimum line printed on tube Unpreserved (culture): 0.5 mL Collection Instructions Encourage clean catch mid-stream samples to minimize contamination and improve accuracy. If sample is submitted unpreserved, please indicate that specimen is from pediatric patient (patient is less than or equal to 12 years of age). Label the sample appropriately. Unpreserved urine will be accepted from pediatric patients only. Transport Container Yellow-top, blue fill line urinalysis transport tube and gray-top urine culture tube Transport Temperature Preserved: Room temperature Pediatric unpreserved: Refrigerated (cold packs) Specimen Stability Preserved urine Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable   Unpreserved urine Refrigerated: 24 hours - Pediatric specimen Reject Criteria Unpreserved specimen (adults) Includes Macroscopic and Microscopic Examinations   If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87088, 87086). •Presence of Leukocyte esterase alone •Presence of WBC’s (>5/hpf) alone •Presence of Yeast •Presence of Bacteria and the presence of WBC’s (>5/hpf) or Leukocyte esterase •Presence of Nitrite and the presence of WBC’s (>5/hpf) or Leukocyte esterase Methodology Reagent Impregnated Strips/Tablets Reference Range(s) Color    Yellow Appearance    Clear Specific Gravity    1.001-1.035 pH    5.0-8.0 Glucose    Negative Bilirubin    Negative Ketones    Negative Occult Blood    Negative Protein    Negative Nitrite    Negative Leukocyte Esterase    Negative WBC    ≤5 /HPF RBC    ≤2 /HPF Squamous Epithelial Cells    ≤5 /HPF Transitional Epithelial    ≤5 /HPF Renal Epithelial Cells    ≤3 /HPF Bacteria    None seen Calcium Oxalate Crystals    None or Few Triple Phosphate Crystals    None or Few Uric Acid Crystals    None or Few Amorphous Sediment    None or Few Crystals    None seen Hyaline Casts    None seen Granular Casts    None seen Casts    None seen Yeast    None seen

VALPROIC ACID

$ 50.00

Valproic acid test What are the other names for this test? Sodium Valproate acid, Divalproex sodium What is a valproic acid test? A valproic acid test determines the amount of valproic acid in your blood. Valproic acid helps to maintain the balance of specific natural substances (such as neurotransmitters) in your brain. This test shows drug toxicity levels during and after the treatment. A valproic acid test helps prevent migraine headaches, but this does not eliminate headaches that have already started. Valproic acid is a medication that helps to treat the following specific conditions. Seizure disorders - It disturbs the ability of your brain to transfer signals and observe the activity of the nerve. These disorders may result in mental diseases or conditions because of disconnection issues from the nerve cells to the brain. Bipolar disorder - A condition of mental or mood swings. It is a disorder in which a person experiences cycles of depression, anxiety, and mania. Migraine headaches - A headache leads to severe pain or sensation on one side of your pain. High or low levels of valproic acid may indicate repeated symptoms.   When do I need to take a valproic acid test? Your healthcare provider may recommend this test if you have a low or high valproic acid concentration in the blood. You may also need to book a valproic acid test by online order if you see signs and symptoms, including   High fever A brain tumor Changes in vision, smell, and taste Metabolic disorders (genetic conditions that lead to problems in the metabolism of the body) Head trauma (brain injury due to an accident or low oxygen supply during birth) Changes in concentration or consciousness Severe infections What is the procedure for this test? A valproic acid test is a blood test that has the following steps of the procedure:   Visit the laboratory after placing an online order for this test. 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 be collected in a test tube. Blood samples will be stored in the laboratory for examination of an allergy. You can go home for regular activities. This test usually takes at least five minutes. How do I need to prepare for this test? You do not need specific preparation for the valproic acid. You can inform your provider about medicines, vitamins, and supplements you use. These medicines include prescription, nonprescription, and herbal products. If your provider asks for additional blood tests, you may need to fast for at least several hours. Do not skip any medication you are taking without consent from a doctor. What special instructions do I need to follow before taking valproic acid? Following are the instructions you may need before the intake of valproic acid:   Inform your provider if you are allergic to valproic acid and any of the substances in the valproic acid. You can take the list of substances present in this medication. Talk with your doctor if you have confusion or lose the ability to think and understand, specifically during pregnancy, HIV, coma (loss of consciousness for a long time), and other conditions. During breastfeeding Having surgery such as dental surgery Usage of alcohol You will feel less to drink or eat, specifically when you are old. Your mental health may change in unusual ways, and you may have suicidal thoughts when you use valproic acid for mental illness or other diseases. What do the valproic acid test results indicate? The test results may vary on gender, age, medical history, and other factors. The valproic acid test results may differ slightly among laboratories. It is because each lab may use different techniques or methods for measurements. The test results may be received within 1-2 days. The recommended values of valproic acid test results lie between 50-125 ug/mL (micrograms per milliliter) for both males and females. The high or toxic valproic acid levels lie above 150 ug/mL. If the valproic acid level is in the recommended range, and you do not experience repeated seizures, migraines, or swings in the mood, and no side effects, you are taking a suitable dosage. How to take Valproic acid? Valproic acid is a capsule or tablet and is also available in the form of syrups. You need to take this medication with the guidelines provided by your doctor. The daily dosage depends on age, weight, medical history, response to treatment, and medical drugs you use. You may need to follow these steps, such as   Inhale or swallow the capsule whole without crushing it in the mouth. Use valproic acid daily at the exact time Do not stop this medication if you are using it for seizures. If you avoid suddenly taking the drug, your health conditions may be disturbed. The daily dose may need to decrease over time.  You may need to inform your provider if you do not see any improvement in your health conditions. What are the side effects of valproic acid? You can inform your provider if you see the following symptoms caused by the side effects of valproic acid.   Constipation Dizziness Changes in the body weight Pain in the back Diarrhea (a condition of loose, watery, increased bowel movements) Headache Difficulty to sleep Blurry vision Losing hair Confusion or abnormal thinking Swings in the mood Changes in appetite Uncontrollable movements of eyes and body parts Difficulty to walk Ringing in ears Some side effects of valproic acid may become severe to your health. You can request an online consultation with a doctor if you have any of the following signs and symptoms:   Unexpected bleeding Bruising Difficulty in breath Fever Vomiting Confusion Tiredness Red spots on the skin Swelling in the face, eyes, lips, tongue, or throat Rash Weakness or swelling in the joints. Reduction in temperature of the body. Swelling in the glands. You may need to inform your provider if you see any health-related problems while using valproic acid. What factors may affect the test results? You need to take valproic acid with the recommendation of your doctor. High or low dosages may change the test results and may show seizures and other side effects. Consult here with a healthcare professional to review your valproic acid test results. What additional tests may I need to take along with this test? Your doctor may use other tests, including specific antiepileptic drugs, phenytoin, or Phenobarbital with this test.    

VANILLA (F234) IGE **

$ 21.00

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

VELVET GRASS (G13) IGE

$ 21.00

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

VITAMIN B12 (REFL)

$ 19.00

VITAMIN B12 (REFL) Does this test have other names? Cobalamin test, Pernicious anemia, Vitamin B12 level, MMA, Methylmalonic acid  What is a Vitamin B12 test? A vitamin B12 test is a blood or urine test that measures the amount of vitamin B12 in your blood. An MMA (Methylmalonic acid) is used to diagnose the deficiency of vitamin B12. An MMA is a substance that develops in small quantities during metabolism. If you have low B12 levels, your body makes a large amount of MMA. The deficiency of B12 occurs due to high MMA levels in your body.  Vitamin B12 is essential for your body, including brain health, production of blood cells, and correct functioning of the nerve. Your body does not contain vitamin B12. It is present in food that includes meat, fish, and dairy. Low B12 levels can cause memory loss, temporary infertility, permanent nerve damage, and disorder of brain functions. High levels of B12 indicate liver disease, specific types of leukemia disease, or diabetes.  Why do I need this test? Your doctor may also recommend the test if you have a disease of pernicious anemia. It is the condition in which red blood cells decrease in your blood. It mainly occurs when your intestines cannot absorb vitamin B12. Its symptoms include constipation, pale skin, loss of appetite, bleeding from gums, and inflammation of the red tongue. Generally, its symptoms cannot show up in people below 30. The recommended age to diagnose this condition is about 60. Your healthcare provider may recommend the test if you experience the below symptoms. Symptoms of vitamin B12 deficiency, such as   Weakness Irritability Walking abnormalities or having difficulty maintaining balance Severe Confusion (delirium) Hands or feet tingling Jaundice (Mostly occurs in people having a liver disease) cognitive impairment (a person having difficulty in learning, remembering, concentrating, or decision-making) peripheral neuropathy (Malfunctioning of the nerves) Your provider may suggest the test if you experience specific nervous system symptoms. The deficiency of B12 may also develop due to its lack of absorption, specifically in older adults and people having intestinal disorders. They cannot absorb B12 from food and supplements. This test is generally a part of a series of tests known as newborn screening. It helps to diagnose many health problems in a newborn baby. New mothers can take this test to check their levels of B12. If low levels are present in the breastfeeding mother, her child may have a high chance of neurological damage and development problems. How to prepare for the test? You do not have to prepare for the test. If your provider asks for fasting, you may need to keep fasting for 6-8 hours. You need to drink enough water before the test. You have to follow any specific instructions provided to you. Specific medications may alter the test results. If you have a bleeding disorder or blood clotting, you may need to inform about them. You can talk with your provider about any medicine that you are using.  What happens during the test? Blood test Your healthcare provider asks for a blood sample. They insert a needle into the vein of one of your upper arms. Blood collects in the test tube. Your provider applies a bandage to your veins and asks you to press it to prevent blood leakage. You can return to your home for daily activities. This test usually takes at least 5 minutes. You can order the test online at UmbrellaMD to check your B12 levels.  Urine test Your provider may also ask for a random or 24-hour urine sample. You may need to collect your urine into a sample container by following the instructions.  What causes vitamin B12 deficiency? Several causes of B12 deficiency, such as Not getting enough B12 from the diet (It is common in strict vegetarian people) Crohn's and celiac diseases may develop malabsorption During or after the pregnancy Decreased intrinsic factor, a type of protein that supports the intestine absorbing vitamin B12 Intolerant to high heat, such as hyperthyroidism You can talk with a child specialist if low levels of B12 are present in your baby. It may lead to severe complications.  Generally, the excess B12 excretes from the urine. Due to this, a high vitamin B12 in people is not general. Some conditions that can increase B12 levels, such as Liver disease include hepatitis or cirrhosis) Myeloproliferative disorders include chronic myelogenous leukemia and polycythemia vera What are the risks involved in the test? There is a small risk present in a blood test. You may feel some pain where the needle puts in. But its symptoms will go away quickly. For some people, getting a blood sample may be difficult compared to others. The veins and arteries depend from person to person. Some other risks with a blood test include excessive bleeding, fainting, infection, and hematoma (it is the collection of blood under the skin). There is no risk for a urine test.  What are the normal results of the test? The recommended or ideal values for vitamin B12 are 160 to 950 picograms per milliliter (pg/mL) or 118 to 701 picomole per liter (pmol/L). These values may slightly depend on the different types of laboratories. They may use different samples of measurements to get the results. You can make an appointment with a doctor to understand your test results.  What are the abnormal values for the test? The deficiency of B12 occurs if its value goes below 60 pg/mL (118 pmol/L). It can indicate that you may have symptoms of deficiency. Symptoms may develop in old people if the B12 value lies below 100 pg/mL (74 pmol/L). Methylmalonic acid is a substance in the blood that helps to measure the level of B12.  Visit Umbrella Health Care Systems to book the order for this lab test if you do not have a prescription. It is an online healthcare that offers services, such as e-consultation, medical imaging, primary care, laboratories test, and pharmacies. You can check and understand your test results while sitting at home. You can register here to learn more about the platform.   

Vitamin B12 and Folate Test, SERUM PANEL

$ 50.00

"Clinical Significance Vitamin B12 (Cobalamin) and Folate Panel, Serum - Folic acid deficiency is common in pregnant women, alcoholics, patients with diets that do not include raw fruits and vegetables, and people with structural damage to the small intestine. The most reliable and direct method of diagnosing folate deficiency is the determination of folate levels in both erythrocytes and serum. Low folic acid levels, however, can also be the result of a primary Vitamin B12 deficiency that decreases the ability of cells to take up folic acid. B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital biochemical disorders. Preferred Specimen(s) 2 mL serum Alternative Specimen(s) Amber vial Minimum Volume 1 mL Collection Instructions Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs) Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 36 hours Refrigerated: 7 days Frozen: 28 days Reject Criteria Hemolysis

VITAMIN D 25-OH TOTAL IA

$ 60.00

Clinical Significance Vitamin D, 25-Hydroxy, Total, Immunoassay - Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead to hypercalcemia Preferred Specimen(s) 0.8 mL serum Minimum Volume 0.5 mL Transport Container Transport tube Transport Temperature Room temperature Specimen Stability Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days Reject Criteria Moderate hemolysis • Grossly lipemic • Plasma Patient Preparation Fasting preferred, but not required Methodology Immunoassay (IA) Reference Range(s) 30-100 ng/mL Alternative Name(s) 25 OH Vitamin D,Vitamin D, 25-OH,25-Hydroxy Vitamin D,Vitamin D, 25-Hydroxy

VLDL CHOLESTEROL

$ 14.00

VLDL Cholesterol What are the other names for this test? Very low-density lipoprotein cholesterol test What is VLDL cholesterol? A VLDL (Very Low-density lipoprotein) test helps to measure the quantity of VLDL in your blood. VLDL cholesterol is a type of fat found in your blood. High VLDL cholesterol levels can deposit in your arteries which may result in heart-related disease and cardiovascular disease (CDV). Cholesterol is a fat substance similar to wax. It is present in all cells of your body. Your liver produces cholesterol in your body and is also available in foods like meat, eggs, and dairy products. Cholesterol is a significant element for your body in a few amounts. Generally, there are two forms of cholesterol LDL (Low-density lipoprotein) and HDL (High-density lipoprotein). LDL and HDL are considered bad cholesterol and good cholesterol, respectively. LDL collects cholesterol and fats in the cells of your body. HDL moves cholesterol in your liver to remove it from your body. VLDL also develops in your liver and comes into your blood vessels. VLDL contains triglycerides, which are also fat. Near about sixty percent of VLDL particles carries triglyceride. In a more specific case, VLDL is a type of LDL (low-density lipid protein) cholesterol. LDL contains cholesterol in your tissues, while VLDL possesses triglycerides. If you have high levels of triglycerides in your blood, it may show a risk for non-alcohol-related fatty liver disease in people. VLDL and LDL may lead to the formation of plaque in your arteries. A plaque is a film of bacteria produced by fat, calcium, and other substances in your blood. This deposition of plaque is also called atherosclerosis. With time the plaque becomes hard with contraction occurring in your arteries. It stops the oxygen supply to your blood and may lead to heart problems and coronary artery disease. It is always necessary for the survival of cells to get an oxygen supply. What is the purpose of the test? This test helps to diagnose the VLDL levels in your blood. This test screens for cardiovascular disease (a group of heart and blood vessel diseases). In general, adults can take this test every 4 to 6 years. A VLDL test often conducts along with a combination of other tests in a lipid profile. A lipid profile test can measure total cholesterol, HDL, and LDL. When do I need this test? Your healthcare provider recommends this test if you have a chance to develop cardiovascular (CVD) disease. Following are some risk elements that may lead to CVD, such as   Old age and men-gender Family history High blood pressure Overweight/unexpected weight gain Inactive lifestyle Diabetes (High blood sugar) What is the procedure for the test? You will ask to provide a blood sample for this lab test. A small needle goes into a vein in your arm to collect a blood sample in a test tube. A bandage applies to your vein. The test does not take time greater than 5 minutes. How do I need to prepare for the test? You may need to stop taking certain medicines that can affect your test results. Your provider will inform you about any specific instructions for the VLDL cholesterol test until you do not need to prepare for the test. If you may need to order additional blood tests, you have to keep fast for at least 9 to 12 hours before the test. You can also inform your provider if you are using medicines, vitamins, and supplements. Your provider may also ask you to avoid the intake of alcohol for at least 24 hours. What are the risks of this test? A VLDL cholesterol test is a blood test that does not have a high risk. You may experience a little pain at the point in your vein from where the blood collects. A chance of bleeding or bruising may also occur, but generally, these signs do not last long. What is the recommended range of the VLDL cholesterol test? The recommended results for VLDL cholesterol levels lie between 2 and 30 mg/dL (milligrams per deciliter). A higher VLDL level than 30 mg/dL or 0.77 millimoles per liter (mmol/l) may indicate that you may experience heart disease and stroke. What do the test results mean? The test results for VLDL depend on age, gender, medical history, and other factors. Your lab test results may differ among laboratories. Each lab may use different measurement methods. The test results were obtained by dividing the triglycerides level by five if the measurement is in mg/dL or 2.2 if it is in mmol/l. You can set up an online meetup with a doctor to understand your test result for VLDL levels. How can I reduce my VLDL cholesterol levels? You can lower your VLDL levels by decreasing the number of triglycerides. You can also follow these steps include:   Losing weight Taking part in physical activity Avoid highly sugary and saturated foods such as red meat, fried food, processed meat, etc. Add fruits and vegetables to your diet Avoid smoking Reduce or stop the intake of alcohol In some people, physical activities and maintaining weight are not enough to reduce VLDL cholesterol levels. Your healthcare provider recommends specific medicines to lower the VLDL levels. What additional tests may I need to conduct along with this test? Your healthcare provider may also order these additional tests to observe your cholesterol levels in your body. These tests include total cholesterol, triglycerides, LDL (bad) cholesterol, and HDL (good) cholesterol. What factors may affect the test? There are no factors that may change your test results. You can click here to conduct an online test for VLDL cholesterol. Umbrella Health Care Systems is the platform that provides all solutions for your health problems. Register now to get tested while you are at home.  

WALL PELLITORY (W19) IGE

$ 21.00

Setup Schedule, Preferred Specimen(s), Minimum Volume, Transport Container, Transport Temperature, Specimen Stability

WALL PELLITORY (W21) IGE

$ 21.00

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

WALNUT (F256) IGE

$ 21.00

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

WALNUT (F256) IGE W/REFL COMPONENT PANEL

$ 21.00

Preferred Specimen(s) 1 mL serum Minimum Volume 0.5 mL Transport Container Serum Separator Tube (SST®) Transport Temperature Room temperature Specimen Stability Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days Includes If Walnut (f256) IgE is ≥0.10 kU/L, Walnut Component Panel will be performed at an additional charge (CPT code(s): 86008 x2). Walnut Component Panel includes rJug r1 (f441) and rJug r3 (f442). Methodology Immunoassay (IA) Assay Category Reference Range(s) See Laboratory Report

WALNUT TREE (T10) IGE

$ 21.00

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

WATERMELON (RF329) IGE

$ 21.00

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

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