Laboratory Testing Reference Guide
Laboratory Testing Reference Guide
an Alere company.
R EFER ENCE GUIDE // Result reporting REFERENCE GUIDE // Table of contents
TABLE OF contents
L ABOR ATORY TESTING SERVICES
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Drugs of Abuse Testing ? Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Drugs of Abuse Testing ? Oral Fluid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
Esoteric/Specialty Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
SPECIMEN COLLECTION
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Collection: Site Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Collection: Urine/Oral Fluid Collection Protocol . . . . . . . . . . . . . . . . . . . . . . 15-16
Collection: Specimen Validity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-18
Collection: Problematic Situations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20
SPECIMEN LABELING & SHIPPING
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Option 1: ToxAccessTM Labeling Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-25
Option 2: Urine Test Request Labeling Guide . . . . . . . . . . . . . . . . . . . . . . 26-27
Option 3: Oral Fluid Test Request Labeling Guide . . . . . . . . . . . . . . . . . . 28-29
Packaging Protocol: Shipping to Lab . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-31
RESULT REPORTING & COLLECTION MANAGEMENT
33
ToxAccessTM: Web Result Reporting & Collection Management . . . . . . . . . . . 34
Standard Result Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
DRUG INFORMATION
37
Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Amphetamines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Barbiturates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Benzodiazepines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Buprenorphine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Cocaine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Designer Stimulants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Diuretics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Fentanyl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Gamma-Hydroxybutyric Acid (GHB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Marijuana (cannabinoids) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Methadone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Opiates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Oxycodone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Phencyclidine (PCP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Steroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Stimulants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Synthetic Cannabinoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Urine Creatinine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
CONTACT INFORMATION
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REFERENCE GUIDE // Laboratory services
Laboratory services
Redwood Toxicology Laboratory (RTL) performs drug and alcohol testing in accordance with strict forensic standards and scientifically accepted methods. Testing is performed by a highly educated, experienced staff using state-of-the-art equipment under the scrutiny of state and federal agencies. We'll find out. Drugs of Abuse Urine Testing -- RTL processes over 85,000 urine specimens each week for thousands of clients. Drugs of Abuse Oral Fluid Testing -- Oral fluid testing is gaining popularity with many programs that require easy, gender-neutral specimen collection combined with the accuracy of lab testing. Esoteric/Specialty Testing -- RTL also offers a wide range of specialized tests including: EtG/EtS Alcohol testing, Synthetic Cannabinoid testing, Designer Stimulants testing, Comprehensive drug testing, GHB testing, Fentanyl testing and hCG (pregnancy) testing and more.
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