Test Menu & Cut-off Levels

/Test Menu
Test Menu2018-09-24T18:46:37+00:00

TEST MENU

Our detailed reports list the patient’s name, gender, date of birth and other key identifiers. They also track historical and trend information that helps you better assess a situation. For a free sample report, please call 877-969-0004. We’ve established our analysis on federal cut-off levels and we take the necessary steps to avoid false positives. Turn to us when you need to test for these substances. Ammon Labs offers customized test panels to meet your patients needs; please contact your Ammon Sales Rep for any tests not on the menu below.

PRINTABLE VERSION

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Amphetamines     Barbiturates    Bath Salts    Benzodiazepines    Buprenorphine    Bupropion    Carisprodol    Cocaine Metabolite    Cyclobenzaprine    Ethyl Glucuronide    Fentanyl    Gabapentin    Ketamine    Kratom    Lysergic Acid    Marijuana / Cannabis    Meperidine    Methadone    Naloxone    Naltrexone    Nicotine    Opiates    Phencyclidine    Pregablin    Propoxyphene    Quaalude    Ritalinic Acid    Selective Serotonin Reuptake Inhibitors (SSRIs)    Serotonin – Noreînephrin Reuptake Injibitors (SNRIs)    Sufentanil    Synthetic Cannabinoids    Tapentadol    Tramadol    Tricyclic Antidepressants    Additional Testing Available in Urine

AMPHETAMINES (EIA, LC-MS/MS) *O/U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
AMPHETAMINE Aderall, Benzine, Dexedrine, Speed 5000 ng/mL 200 ng/mL 3 days
METHAMPHETAMINE
Desoxyn, Methedrine, Crystal Meth
5000 ng/mL 200 ng/mL 3 days
3,4-METHYLENEDIOXYAMPHETAMINE (MDA) Sally, Sassafras 5000 ng/mL 200 ng/mL 2 days
3,4-METHYLENEDIOXYAMPHETAMINE (MDMA) E, Ecstasy, X-TC, Molly 5000 ng/mL 200 ng/mL 2 days
N-METHYL-DIETHANOLAMINE (MDEA) Eve, Ecstasy Metabolite 5000 ng/mL 200 ng/mL 2 days

BARBITURATES (EIA, LC-MS/MS)*U

LONG ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
PHENOBARBITAL Luninal, Donnatal 2000 ng/mL 100 ng/mL 15-30 days
INTERMEDIATE ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
BUTALBITAL Fioricet, Fiorinal 2000 ng/mL 100 ng/mL 7 days
BUTABARBITAL Butisol 2000 ng/mL 100 ng/mL 7 days
AMOBARBITAL Amytal 2000 ng/mL 100 ng/mL 7 days
SHORT ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
PENTOBARBITAL Nembutal 2000 ng/mL 100 ng/mL 3 days
SECOBARBITAL Seconal 2000 ng/mL 100 ng/mL 3 days

BATH SALTS (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
MEPHEDRONE White Magic, Meow Meow, M-Cat, Drone
500 ng/mL
25 ng/mL
1-4 days
METHYLONE BK-MDMA, Explosion, Ease, Molly
500 ng/mL
25 ng/mL
1-4 days
METHEDRONE BK-PMMA
500 ng/mL
25 ng/mL
1-4 days
3,4-METHYLENDIOXYPYROVALERONE MDPV
500 ng/mL
25 ng/mL
1-4 days

BENZODIAZEPINES (EIA, LC-MS/MS)*O/U, LR

LONG ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
NORDIAZEPAM Valium 1000 ng/mL
20 ng/mL
10 days
INTERMEDIATE ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
ALPRAZOLAM Xanax 1000 ng/mL 20 ng/mL 5 days
LORAZEPAM Ativan 1000 ng/mL 20 ng/mL 5 days
OXAZEPAM Alepam, Sobril 1000 ng/mL 20 ng/mL 5 days
TEMAZEPAM Restoril 1000 ng/mL 20 ng/mL 5 days
CLONAZEPAM Klonopin 1000 ng/mL 20 ng/mL 5 days
FLUNITRAZEPAM Rohypnol 1000 ng/mL 20 ng/mL 5 days
SHORT ACTING
CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
TRIAZOLAM Halcion
1000 ng/mL
20 ng/mL
2 days
FLURAZEPAM Dalmane
1000 ng/mL
20 ng/mL
2 days
MIDAZOLAM Dormicum, Versed
1000 ng/mL
20 ng/mL
2 days

BUPRENORPHINE (EIA, LC-MS/MS)*O/U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
BUPRENORPHINE Suboxone, Subutex, Buprenex
200 ng/mL
4 ng/mL
7 days
NORBUPRENORPHINE Buprenorphine Metabolite
400 ng/mL
20 ng/mL
7 days

BUPROPION (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
BUPROPION Wellbutrin
1000 ng/mL
50 ng/mL
– –

CARISOPRODOL (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
MEPROBAMATE Meprobamate Soma, Carisoma,            Sanoma, Las Vegas Cocktail
1000 ng/mL
50 ng/mL
1 day

COCAINE METABOLITE (EIA, LC-MS/MS)*O/U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
BENZOYLECGONINE Cocaine, Coke, Blow, Crack 1500 ng/mL
75 ng/mL
5 days

CYCLOBENZAPRINE (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
CYCLOBENZAPRINE Amrix, Fexmid, Flexeril 1000 ng/mL
50 ng/mL
3-8 days

ETHYL GLUCURONIDE (EIA, LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
ETG
Alcohol, Ethyl Glucuronide
10000 ng/mL
500 ng/mL
3 days
ETS Ethyl Sulfate 10000 ng/mL
100 ng/mL
3 days

FENTANYL (EIA, LC-MS/MS)*U, LR

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
FENTANYL
Duragesic, Abstral, Ionsys, Sublimaze
100 ng/mL
2 ng/mL
3 days
NORFENTANYL
100 ng/mL
4 ng/mL
3 days
200 ng/mL
10 ng/mL
– –
100 ng/mL
5 ng/mL
– –
100 ng/mL
2 ng/mL
– –

GABAPENTIN (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
GABAPENTIN Neurontin, Galise, Quell 2000 ng/mL
100 ng/mL
1-2 days

KETAMINE (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
KETAMINE Ketalar, Ketaset, Bump, Cat Killer, Cat Valium 2000 ng/mL
100 ng/mL
1-4 days

KRATOM (LC-MS/MS)*U, LR

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
MITRAGYNINE Thang, Thom, Biak, Ketum 200 ng/mL
1.0 ng/mL
3 days

LYSERGIC ACID (EIA)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
LSD Acid 2.5 ng/mL
0.5 ng/mL
Less than a day

MARIJUANA / CANNABIS (EIA, GC-MS/MS)*O/U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
SINGLE USE
600 ng/mL
5 ng/mL
3 days
MODERATE USE (4x per Week)
600 ng/mL
5 ng/mL
5 days
HEAVY USE (Daily)
600 ng/mL
5 ng/mL
10 days
CHRONIC HEAVY USE
600 ng/mL
5 ng/mL
30 days

MEPERIDINE (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
MEPERIDINE
Demerol, Mepergan
1000 ng/mL
50 ng/mL
2-4 days
1000 ng/mL
50 ng/mL
2-4 days

METHADONE (EIA, LC-MS/MS)*O/U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
METHADONE
 Diskets, Methadose, Dolophine
3000 ng/mL
100 ng/mL
7 days
EDDP
 Methadone Metabolite 3000 ng/mL
100 ng/mL
7 days

NALOXONE (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
NALOXONE
Evzio
1000 ng/mL
50 ng/mL
3 days

NALTREXONE (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
NALTREXONE Revio, Vivitro 1000 ng/mL
50 ng/mL
3 days

NICOTINE (EIA, LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
COTININE Nicotine 1000 ng/mL
50 ng/mL
1-14 days

OPIATES (EIA, LC-MS/MS)*O/U, LR

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
6-ACETYLMORPHINE (6AM) Heroin, Smack, Skag 200 ng/mL
5 ng/mL
1 day
MORPHINE Duramorph, DepoDur, Avinza 3000 ng/mL
50 ng/mL
3 days
CODEINE Paracod, Panadeine, Tylenol w/Codeine 3000 ng/mL
50 ng/mL
3 days
DIHYDROCODEINE DHC+, Panlor 1000 ng/mL
50 ng/mL
3 days
NORCODEINE Codeine Metabolite 1000 ng/mL
50 ng/mL
3 days
HYDROCODONE Zohydro, Hysingla, Vicodin 3000 ng/mL
50 ng/mL
3 days
NORHYDROCODONE Hydrocodone Metabolite 1000 ng/mL
50 ng/mL
3 days
HYDROMORPHONE Dilaudid 3000 ng/mL
50 ng/mL
3 days
OXYCODONE Oxycontin, Percocet, Percodan 3000 ng/mL
50 ng/mL
3 days
3000 ng/mL
50 ng/mL
3 days
Opana, Numorphan 3000 ng/mL
50 ng/mL
3 days

PHENCYCLIDINE (EIA, LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
PHENCYCLIDINE PCP, Angel Dust, Hog
200 ng/mL
25 ng/mL
8 days

PREGABALIN (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
PREGABALIN Lyrica, Gabafit, Progab
2000 ng/mL
100 ng/mL
1-2 days

PROPOXYPHENE (EIA)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
PROPOXYPHENE Darvon, Wygesic
1000 ng/mL
300 ng/mL
7 days

QUAALUDE (EIA)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
METHAQUALONE Ludes
1000 ng/mL
300 ng/mL
2 weeks

RITALINIC ACID (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
RITALINIC ACID Ritalin, Concerta
1000 ng/mL
50 ng/mL
1-2 days
1000 ng/mL
50 ng/mL
1-2 days

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS) (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
FLUOXETINE Prozac, Sarafem
1000 ng/mL
50 ng/mL
– –
Paxil, Pexeva
1000 ng/mL
50 ng/mL
– –
SERTRALINE Zoloft
1000 ng/mL
50 ng/mL
– –

SEROTONIN – NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS) (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
VENLAFAXINE Effexor
1000 ng/mL
50 ng/mL
– –
DULOXETINE Cymbalta
1000 ng/mL
50 ng/mL
– –

SUFENTANIL (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
SUFENTANIL Sufenta
1000 ng/mL
50 ng/mL
3 days

SYNTHETIC CANNABINOIDS (EIA)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
SYNTHETIC CANNABINOIDS Spice, K2, JWH-18
Qualitative
10 ng/mL
Less than 3 days

TAPENTADOL (LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
TAPENTADOL Nucynta
1000 ng/mL
50 ng/mL
2-4 days

TRAMADOL (EIA, LC-MS/MS)*O/U, LR

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
TRAMADOL Ultram, Zytram
3000 ng/mL
50 ng/mL
3 days
O-DESMETHYL TRAMADOL Tramadol
3000 ng/mL
50 ng/mL
3 days

TRICYCLIC ANTIDEPRESSANTS (EIA, LC-MS/MS)*U

CLASS/ANALYTE (METHOD) TRADE NAME MAX VALUE MIN VALUE DETECTION TIME*
AMITRIPTYLINE
Elavil, Enovil, Levate
2000 ng/mL
100 ng/mL
4-10 days
NORTRIPTYLINE Pamerol, Aventyl
1000 ng/mL
50 ng/mL
4-10 days
PROTRIPTYLINE Vivactil
1000 ng/mL
50 ng/mL
– –
DOXEPIN Sinequan, Adapin
1000 ng/mL
50 ng/mL
2-8 days
DESIPRAMINE Norpramin
1000 ng/mL
50 ng/mL
2-11 days
IMIPRAMINE Tofranil
1000 ng/mL
50 ng/mL
2-5 days
CLOMIPRAMINE Anafranil
1000 ng/mL
50 ng/mL
4-10 days

ADDITIONAL TESTING AVAILABLE IN URINE

URINALYSIS
HUMAN CHORIONIC GONADOTROPIN / PREGNACY HORMONE

Key *

Detection time: These are approximate detection times for the drug or metabolites in urine. The actual detection time depends on dose, drug tolerance, body mass, age, overall health, pH, frequency of use, and individual metabolism.

  • O/U: Testing available with Oral Fluid and Urine
  • LR: Low Risk Panel
  • LC-MS/MS: Liquid chromatography–mass spectrometry
  • U: Testing available only with Urine
  • EIA: Enzyme Immunoassay (EIA)
PRINTABLE VERSION

Serum separator collection tubes contain a gel that separates the clot from the serum in whole blood specimens. During centrifugation, the gel moves to create a barrier between cells and serum, providing access to the serum for various chemistry, serology, and other procedures. Serum separator tubes are recommended for most testing, but please check individual specimen requirements for restrictions.

When using a serum separator tube, collect the specimen using standard venipuncture technique. Gently invert the tube five (5) times to mix the clot activator with the blood. Avoid vigorous agitation of collected specimens. Allow the tube to clot for 20-30 minutes in a vertical position. Do not centrifuge immediately after drawing the blood. Do not allow the blood to clot with the tube in a horizontal position. Do not allow the tube to stand more than one hour before centrifuging.

Centrifuge the tube for 10-15 minutes at about 1300-1800 xg. The centrifuge RPMs will differ depending on the centrifuge and rotor used. Follow the manufacturer’s recommendations. The gel barrier will form, separating the serum from the clot. After centrifugation, the gel should be intact and the cells and serum completely separated. Do not re-centrifuge the tube if the barrier is incomplete. Contact the laboratory if you are having difficulty centrifuging specimens.

Purple or Lavender: K2 EDTA. This is a strong anticoagulant and these tubes are usually used for complete blood counts (CBC). Lavender top tubes are generally used when whole blood is needed for analysis. Can also be used for some blood bank procedures such as blood type and screen.Note: After the tube has been filled with blood, immediately invert the tube several times to prevent coagulation.

Light Blue-Top Tube (Sodium Citrate): This tube contains sodium citrate as an anticoagulant and is used for drawing blood for coagulation studies.
Note: It is imperative that the tube be completely filled. The ratio of blood to anticoagulant is critical for valid prothrombin time results. Immediately after draw, invert the tube 6 to 10 times to activate the anticoagulant.

Red-Top Tube: This tube is a plain VACUTAINER® containing no anticoagulant and is used for collection of serum for selected chemistry tests as well as clotted blood for immunohematology.

ORDER OF DRAW

Blood collection tubes must be drawn in a specific order to avoid cross-contamination of additives between tubes. The recommended order of draw for plastic vacutainer tubes is:

  1. First – blood culture bottle or tube (yellow or yellow-black top)
  2. Second – coagulation tube (light blue top). If just a routine coagulation assay is the only test ordered, then a single light blue top tube may be drawn. If there is a concern regarding contamination by tissue fluids or thromboplastins, then one may draw a non-additive tube first, and then the light blue top tube.
  3. Third – non-additive tube (red top)
  4. Last draw – additive tubes in this order:
    1. SST (red-gray or gold top). Contains a gel separator and clot activator.
    2. Sodium heparin (dark green top)
    3. PST (light green top). Contains lithium heparin anticoagulant and a gel separator.
    4. EDTA (lavender top)
    5. ACDA or ACDB (pale yellow top). Contains acid citrate dextrose.
    6. Oxalate/fluoride (light gray top)

NOTE: Tubes with additives must be thoroughly mixed. Erroneous test results may be obtained when the blood is not thoroughly mixed with the additive.

PROFILES

TUBE SPECIMEN STORAGE VOLUME
AMA Basic Metabolic
SST
Serum Refrigerator/Freezer 2 mL
AMA Complete Metabolic SST Serum R/F 2 mL
AMA Electrolytes SST Serum R/F 2 mL
AMA Hepatic SST Serum R/F 2 mL
AMA Lipid SST Serum R/F 2 mL

CHEMISTRY

TUBE SPECIMEN STORAGE VOLUME
Albumin
SST
Serum Refrigerator/Freezer 1 mL
Alk Phos SST Serum R/F 2 mL
Alt (SGPT) SST Serum R/F 1 mL
Amylase SST Serum R/F 1 mL
AST (SGOT) SST Serum R/F 1 mL
Bilirubin, Direct SST Serum R/F 1 mL
Bilirubin, Total SST Serum R/F 1 mL
Calcium SST Serum R/F 1 mL
Chloride SST Serum R/F 1 mL
Cholesterol SST Serum R/F 1 mL
CO2 SST Serum R/F 1 mL
Creatinine (eGFR) SST Serum R/F 1 mL
GGTP SST Serum R/F 1 mL
Glucose SST Serum R/F 1 mL
GlycoHgb A1C L Whole Blood Refrigerated only 3 mL
HDL Cholesterol SST Serum R/F 1 mL
Iron and TIBC SST Serum R/F 1 mL
LDL Cholesterol (Cal) SST Serum R/F 1 mL
Magnesium SST Serum R/F 1 mL
Phosphorus SST Serum R/F 1 mL
Potassium SST Serum R/F 1 mL
Sodium SST Serum R/F 1 mL
Triglycerides SST Serum R/F 1 mL
Total Protein SST Serum R/F 1 mL
Urea Nitrogen SST Serum R/F 1 mL
Uric Acid SST Serum R/F 1 mL
Vitamin D  (25 Hydroxy) SST Serum R/F 1 mL
PSA SST Serum R/F 1 mL

VIRAL MARKERS

TUBE SPECIMEN STORAGE VOLUME
HEP B Surface Ab
SST or RED
Serum R/F 3 mL
HEP B surface Ag SST or RED Serum R/F 3 mL
HEP C Ab SST or RED Serum R/F 3 mL
HIV ½ Ag/Ab SST or RED Serum R/F 2 mL

ANEMIA

TUBE SPECIMEN STORAGE VOLUME
B12
SST
Serum R/F 3 mL
Folate SST Serum R/F 3 mL
Ferritin SST Serum R/F 3 mL

COAGULATION

TUBE SPECIMEN STORAGE VOLUME
Protime (PT) w/INR
B
Whole Blood Refrigerated by 24 hours 4.5 mL
APTT B Plasma Frozen 4.5 mL

THYROID

TUBE SPECIMEN STORAGE VOLUME
Total T4
SST or RED
Serum R/F 2 mL
Free T4 SST or RED Serum R/F 2 mL
Total T3 SST or RED Serum R/F 2 mL
TSH SST or RED Serum R/F 2 mL

HEMATOLOGY

TUBE SPECIMEN STORAGE VOLUME
CBC
L
Whole Blood R 1 mL
Sedimentation Rate L Whole Blood R 2 mL

URINE

TUBE SPECIMEN STORAGE VOLUME
UA with Microscopic
U
Urine R 5 mL

SEROLOGY

TUBE SPECIMEN STORAGE VOLUME
RPR
SST OR RED
Serum R/F 1 mL

PREGNANCY

TUBE SPECIMEN STORAGE VOLUME
HCG – Quant
SST or RED
Serum R/F 1 mL

LEGEND*

  • SST: Serum separation tube
  • RED: Red top tube
  • L: Lavender top tube
  • B: Blue top tube
  • U: Urine
  • R/F: Refrigerator/Freezer
  • WB: Whole Blood