Hello and Welcome!...Hello and Welcome! Labtech Diagnostics is excited to partner with Pellecome in...

Hello and Welcome!

Labtech Diagnostics is excited to partner with Pellecome in providing patients and physicians the most reliable, timely, accurate, and cost effective hormone testing services. We’ve

designed this brochure to compile all the information you and other staff members need to facilitate the testing process from beginning to end. Please take time to review everything provided and keep in

a convenient location for future reference.

This Packet Includes:

Sign-up Form (Please Fill & Return)

Supply Information

Supply List

Pricing

Sample Requisition

Packing/Shipping Guide

Sample ReportFAQ

Quick Contacts

If anyone in your office has any questions about the information provided please let us know. We are happy to help

in any way!

Sincerely,

Labtech Diagnostics Team

Labtech Diagnostics | 1502 E Greenville Street, Anderson, SC 29621 | p 864.760.0039 ext.120 | f 864.760.0051 [email protected]

Account Executive: Dawn Deboskey & Vanessa Hoehne

Sign up date: _______________________________________

Account Information:

Practice Name: ______________________________________________

Phone: ______________________________ Fax: ___________________________________

Address: _______________________________________City: _____________State: _____________ Zipcode: _______________________

Days: ________________________________ Business hours: _________________________________________________________

Logisitcs

⌂ Ship

⌂ Yes ⌂ NoSpecimen transport:Is FedEx already being used?

Key Contacts

Name: *NPI Role (MD, RN, etc) Email

1- ______________________________ ___________________

2- ______________________________ ___________________

3- ______________________________ ___________________

Ordering/Reporting Methods

Ordering Method

⌂ Requisition forms

Resulting Method

⌂ Fax ⌂ Portal ⌂ Encrypted email

⌂ Yes ⌂ No Has client confirmed sign up? Sign:__________________________________________________________

______________________ ____________________________

______________________ ____________________________

______________________ ____________________________

Collector (in office):_______________________________Email: ______________________________Cell: ________________________

Will patients be going to a draw center? ⌂ Yes ⌂ No If yes, which? ____________________________________________________________

Lab manager: ___________________________________Email: ______________________________Cell: ________________________

Office manager: _________________________________Email: ______________________________Cell: ________________________

Billing manager: _________________________________Email: ______________________________Cell: ________________________

Critical value contact name: ________________________________________ Cell: ______________________

Daily volume: _____________________________________

Provider information:

*Please fill and email to [email protected]

Vanessa

Highlight

SUPPLIES

Upon initial setup, Labtech will provide you with draw supplies and shipping materials. With the email provided on the sign-up sheet, we will assign you a

Username and Password to order supplies easily on

www.labtechdiagnostics.net

Once you have logged in, you will find the tab named "Supplies" to make your order. The system will save your information each time you login,

including previous requests and orders.

https://labtechdiagnostics.net/

New Account Supply List By FedEx

Item Description Qty

1 9 ML SST Red & Yellow Top (Tiger Top Replacement) (PK 50) 1 PK 2 4 ML Lavender (PK 50) 1 PK 3 4 5

Band-Aid (PK 100) 1 PK

6

2X2 Gauze (PK 100) 1 PK

7

2X2 Alcohol Wipe (PK 200) 1 PK

8

Paper Tape (Box 6 role) 1 Box

9

23 Gauge Butterfly with Lure Adapter (U) 10 U

10

Clear Holders Single Use (U) 10 U 11

22 X 1.5 Gauge Multi Drawing (Box 100) 1 Box

12 13

Safety Holders Single Use (Bag of 50) 2 Bags

14

Small Specimen Bags (PK 100)

15

Tourniquets (Pk of 25) 1 PK

16

Shipping Boxes - Small 12 Boxes FedEx bags 12 Bags Shipping Ice Packs (Pk of 36) 1 PK Shipping Labels (U) 12 U

1 PK

Female Patient BloodworkPre-Insertion Labs

Test ID Test Name CPT Cost2110 Estradiol, Serum 82670 5.00$ 70195 Testosterone, Free & Total 84402 - 84403 12.00$ 8129 Testosterone, Bioavailable 84402 15.00$ 2060 Progesterone 84144 8.00$ 8036 DHEA-Sulfate 82627 10.00$ 2120 FSH 83001 5.00$ 7066 Vitamin D (25-Hydroxy) 82306 12.00$ 4260 Lipid Panel 80061 5.00$ 4290 Comprehensive Metabolic Panel 80053 7.50$ 1002 CBC With Differential 85025 5.00$ 2010 TSH 84443 4.00$ 2200 Thyroid Peroxidase (TPO) Antibodies 86376 10.00$ 2005 T3, Free 84481 4.00$ 2000 T4, Free 84439 4.00$ 9280 Sex Hormone-binding Globulin 84270 10.00$ 4225 Ferritin 82728 4.00$ 4082 CRP, C-Reactive Protein 86140 4.00$ 31789 Homocysteine, Serum 83090 16.00$

140.50$ Consider:58315 ThinPrep Pap 88175 26.00$

Female Patient BloodworkPost-Insertion Labs

Test ID Test Name CPT Cost2110 Estradiol, Serum 82670 5.00$ 70195 Testosterone, Free & Total 84402 - 84403 12.00$ 8129 Testosterone, Bioavailable 84402 15.00$ 2060 Progesterone 84144 8.00$ 8036 DHEA-Sulfate 82627 10.00$ 2120 FSH 83001 5.00$ 1002 CBC With Differential 85025 5.00$

60.00$

**Please Note**We encourage the drawing of patients at your office, but if a draw center is being used, please notify us so we

can contact them. A $35 draw fee will be applied for each patient draw done at a draw center.

Draw Fee 35.00$

Male Patient BloodworkPre-Insertion Labs

Test ID Test Name CPT Cost70195 Testosterone, Free & Total 84402 - 84403 12.00$ 8129 Testosterone, Bioavailable 84402 15.00$ 8036 DHEA-Sulfate 82627 10.00$ 7066 Vitamin D (25-Hydroxy) 82306 12.00$ 9280 Sex Hormone-binding Globulin 84270 10.00$ 4260 Lipid Panel 80061 5.00$ 4290 Comprehensive Metabolic Panel 80053 7.50$ 1002 CBC With Differential 85025 5.00$ 2010 TSH 84443 4.00$ 2005 T3, Free 84481 4.00$ 2000 T4, Free 84439 4.00$ 480947 PSA Total & Free w Ratio 84153 16.00$ 4082 CRP, C-Reactive Protein 86140 4.00$ 31789 Homocysteine, Serum 83090 16.00$

124.50$

Male Patient BloodworkPost-Insertion Labs

Test ID Test Name CPT Cost70195 Testosterone, Free & Total 84402 - 84403 12.00$ 8129 Testosterone, Bioavailable 84402 15.00$ 2110 Estradiol, Serum 82670 5.00$ 8036 DHEA-Sulfate 82627 10.00$ 1002 CBC With Differential 85025 5.00$ 480947 PSA Total & Free w Ratio 84153 16.00$

63.00$

**Please Note**We encourage the drawing of patients at your office, but if a draw center is being used, please notify us so

we can contact them. A $35 draw fee will be applied for each patient draw done at a draw center.

Draw Fee 35.00$

At the Forefront ofClinical Laboratory Medicine

TEST REQUISITION

CLIENT INFORMATION PATIENT INFORMATION

Ordering Provider Signature:_______________________________________________ Date:___/___/___

The ordering provider is responsible for determining the medical necessity of clinical laboratory tests and for assigning and providing specific ICD-10 code(s) to support the medical necessity of the laboratory tests.

PLEASE SELECT A PROFILE, PANEL OR INDIVIDUAL TEST BELOW

Name (LAST, FIRST, MIDDLE)

Address

City, State, Zip

Date of Birth: Sex M F

Phone Number Social Security #_______/_______/_______

BILLING INFORMATIONInsurance Information:

Bill: Client Insurance PatientFor insurance billing, attach patient’s facesheet, copy of insurance card, and all applicable diagnosis codes

Patient Signature:_____________________________________________________________

SPECIMEN INFORMATIONCollection Date:______________________ Time:___________ AM PM

Fasting Yes Hours:__________ No

*Test has limited coverage

*Limited to 60 allergens per order

Labtech Diagnostics 1502 E. Greenville St., Anderson, SC 29621 • PH (864) 760-0039 • FAX (864) 332-9804 • HOURS: Mon-Fri 6:30am - 5:30pm, Sat 8am-12pmPLEASE SEE PANELS AND PROFILES TEST COMPONENTS ON THE BACK PAGE, CROSS OUT ANY UNWANTED TESTS

PELLECOME INSERTION PANELS

ADDITIONAL TESTS \ NOTES

ADDITIONAL ICD-10 CODESICD-10 ICD-10

ICD-10 ICD-10

GASTROINTESTINAL PATHOGEN PANEL, PCR STOOL/PARA-PAK

Dx: R10.9, R19.7, other:________________________

RESPIRATORY PATHOGEN PANEL PCR UVT SWAB

Dx: R06.02, R50.9, other:______________________

RHEUMATOID ARTHRITIS PANEL 1 SST, 1 LAV

ANA ProfileRheumatoid FactorACLspANCAcANCA*Vitamin D

Anti-CCPESRCRPUric AcidPTH, Intact

Dx: R53.83, M25.50, M12.9, M13.0, E55.9, other: ____________________________

Dx: E55.9, M89.9, N18.3, other:_________________

COMPREHENSIVE DRUG CONFIRMATION (URINE OR SALIVA)

AmphetaminesBenzodiazepinesOpiatesSynthetic OpiatesSSRIs/SARIs/SNRIsBath SaltsSpecific Analyte:

IllicitsAnticonvulsantsTranquilizersTricyclic AntidepressantsMarijuana & OthersD&L Isomers/Methamphet-amine

Dx: Z79.899, Z51.81, other:______________________

Prescribed Medication Lists:

STD PANEL 1 SST, 1 URINE TUBE

HSV Type 1-Specific, IgGHSV Type 2-Specific, IgGHIV I/II AntibodiesSyphilis Ab, IgG

Dx: R53.83, R10.9, R10.84, Z72.53, Z72.89 other:___________________________________________

Chlamydia Trachomatis, PCRNeisseria Gonorrhoeae, PCRTrichomonas Vaginalis, PCRHepatitis Profile

IMMUNITY ASSESSMENT PANEL 2 SST

IgAMumps IgGIgG Subclasses

Dx: D83.9, J06.9, R53.83, Z01.84, other:___________________________________________

IgGMeasles IgG

IgMRubella IgGa-1-Antitrypsin

IgEHBsAbC3

IgDVZV IgGC4

Dx: N76.0, N76.89, N95.89, Z11.3 PAP VIAL

other:___________________________________________

LMP: / / Source:

ALLERGY PANELS 4 SST

Food Panel (30)Grains & Beans Panel (17)Meat Panel (5)Seafood Panel (14)Fruit Panel (21)Spice & Herbs Panel (9)Dairy Panel (8)Vegetable Panel (15)Nut Panel (14)

Respiratory Panel (30)Trees Panel (18)Weeds Panel (12)Grasses Panel (18)Mold Panel (14)Animal Epithelium Panel (13)Hymenoptera Insects Panel (8)Total IgE

Dx: T78.40XA, R06.02, R50.9, other: _________________________________________

CELIAC DISEASE PROFILE 1 SST

Deamidated Gliadin Abs, IgADeamidated Gliadin Abs, IgGImmunoglobin A

Dx: R63.4, R10.90, R53.83, other: _________________t-Transglutaminase (tTG) IgAt-Transglutaminase (tTG) IgG

CARDIOVASCULAR INFLAMMATION PANEL 1 SST, 1 PPT

Apo A-1Apo BLP(a) Lp-PLA2

Dx: E78.00, E78.49, other: _______________________MPOhs-CRPsdLDLHomocystene

DIABETES ASSESSMENT PANEL 1 SST, 1 LAV

GlucoseHbA1cInsulin

Dx: E11.9, E10.9, other: __________________________C-PeptideGlycoMarkAdiponectin

HOMA-IRFerritin

FATIGUE PANEL 2 SST, 1 LAV

CBC with ReticCMPTSHANA Profile*B12 & Folate

Dx: D64.9, R53.83, other: _________________________

E53.8, D51.9, D53.9, other:______________________*Vitamin DDx: E55.9, M89.9, N18.3, other: ___________________

CortisolDHEA-SIron & TIBCFerritin

Transferrin SaturationTestosterone, TotalTestosterone, Free

CalciumPhosphorus

Pellecome Requisition SampleHCP Name

Male Pre-Insertion (1 SST, 1 LAV)(SG:192)Testosterone, Free & Total, Testosterone, Bioavailable, DHEA-Sulfate, Vitamin D (25-Hydroxy), Sex Hormone-binding Globulin, Lipid Panel, CMP, CBC W Diff, TSH, FT3, FT4, PSA Total & Free w/ ratio, CRP, Homocysteine

Male Post-Insertion (1 SST, 1 LAV)(SG:193)Testosterone, Free & Total, Testosterone, Bioavailable, Estradiol, DHEA-Sulfate, CBC W Diff, PSA Total & Free w/ ratio

Custom

WELLNESS PANEL 2 SST, 1 LAV

CBC with DiffBMPHepatic PanelLipid PanelMagnesiumPhosphorusNT-proBNPTSHT4, FreeT3, TotalAnti -TPOCystatin-C*B12 & Folate

PTH, IntactTotal Bile AcidAldolaseGGTPSA, Total (if male)Testosterone, TotalTestosterone, FreeSHBGEstradiolFSHLHProgestroneDHEA-S

Dx: R53.83, Z79.899, E78.5, D64.9 R73.9, other: _________________________________________

Dx: E53.8, D51.9, D53.9, other:_________________*Vitamin DDx: E55.9, M89.9, N18.3, other:_________________

CortisolHbA1cInsulinC-PeptideIGF-1IronTIBCFerritinUric AcidESRGH

Female Pre-Insertion (1 SST, 1 LAV)(SG:194)Estradiol, Testosterone, Free & Total, Testosterone, Bioavailable, Progesterone, DHEA-Sulfate, FSH, Vitamin D (25-Hydroxy), Lipid Panel, CMP, CBC W Diff, TSH, TP Abs, FT3,FT4, SHBG, Ferritin, CRP Homocysteine

Female Post-Insertion (1 SST, 1 LAV)(SG:195)Testosterone, Free & Total, Testosterone, Bioavailable, Estradiol, DHEA-Sulfate, CBC W Diff, PSA Total & Free w/ ratio

X

THINPREP PAP (58315)

Step 1

Slightly tear white inner lining of bag.

Step 2

Slightly tear white inner lining on other side.

Step 3Gently slide Labtech Diagnostics shipping box into the bag. (should be a tight fit)

Step 4Tear off protective liner and seal the bag. Place the label on the FedEx bag.

Should you have any questions, please call client services (864)760-0039 ext. 130 or 131

You can request more shipping boxes, bags, and prepaid shipping labels in the provider portal at www.labtechdiagnostics.net when you order more supplies.

Pat

ien

t

Name:

Sample, Patient

(864)333-7777Phone:

001Patient ID #:

Fasting Status: Yes

Gender:

MaleBirth:

4/8/1979Age:

40File ID:

Sp

ecim

en Collection Date:

Received Date:

3:58 PMCollection Time:

121Specimen ID:

Report Type:

Report Date:9/9/2019

9/9/2019

Complete

9/11/2019 Do

cto

r

Doctor: Pellecome ClientPellecome ClientAddressPhone Number

Complete Blood Count w/Diff

Test9/9/2019

ReferenceRange

UnitsPreviousCurrent

4-10.5 x10E3/uL10.57 HWBC

3.8-5.6 x10E6/uL5.5 RBC12.6-17.7 g/dL16.2 Hemoglobin

35-51 %47.5 Hematocrit78-100 fL86.4 MCV26-34 pg29.5 MCH30-37 g/dL34.1 MCHC

150-400 x10E3/uL294 Platelets%66.7 Neutrophils%23.3 Lymphs%7.9 Monocytes%1.5 Eosinophil%0.3 Basos

1.5-8.5 x10E3/uL7.05 Neutrophils #0.7-4 x10E3/uL2.5 Lymphs #

0.2-1.2 x10E3/uL0.84 Monocytes #<0.5 x10E3/uL0.16 Eosinophil #<0.2 x10E3/uL0.03 Basos #

fL9.5 MPVfL42.4 RDW-SD%13.5 RDW-CV

Lipid Panel

Test9/9/2019

ReferenceRange


<200 mg/dL138 Cholesterol, TotalOptimal Range Intermediate High Risk

<200 200-240 >240

<100 mg/dL44.4 LDL CalculatedOptimal Range Intermediate High Risk

<100 100-130 >130>35 mg/dL67 Cholesterol, HDL

High Risk Range: <35, Optimal Range: >/=50<150 mg/dL133 Triglycerides

Optimal Range Intermediate High Risk <150 150-200 >200

<130 mg/dL71 Non-HDL- C<30 mg/dL26.6 VLDL

Comprehensive Metabolic Panel

Test9/9/2019

ReferenceRange


65-100 mg/dL119 HGlucose, Serum

6-23 mg/dL13 Urea Nitrogen0.7-1.3 mg/dL1 Creatinine, Serum

For patients >49 years of age, the referencelimit for Creatinine is approximately 13%higher for people identified asAfrican-American.

9-23 RatioSee NoteBun/Creat RatioBUN/Creatinine ratio is not applicable.

134-145 mmol/L142 Sodium, Serum3.5-5.3 mmol/L4.3 Potassium, Serum96-112 mmol/L101 Chloride, Serum19-32 mmol/L24 CO28-16 mmol/LSee NoteAnion Gap

Anion gap is not applicable8.4-10.4 mg/dL9.3 Calcium, Serum

6-8.5 g/dL7.2 Total Protein, S3.2-5.5 g/dL4.9 Albumin, Serum1.9-3.7 g/dL2.3 Globulin, Calc1-2.5 Ratio2.1 A/G Ratio<1.2 mg/dL0.4 Bilirubin, Total

40-129 IU/L76 ALP<44 IU/L28 ALT (SGPT)<40 IU/L17 AST ( SGOT)>59 mL/m/1.73106.3 eGFR If African>59 mL/m/1.7388 eGFR Non Afr

Inflammatory Markers

Test9/9/2019

ReferenceRange


<5 mg/L5.9 HCRP

Thyroid Function

Test9/9/2019

ReferenceRange


0.45-4.5 uIU/mL1.5 TSH, 3rd Gen0.79-1.77 ng/dL1.21 Free T4

2-4.4 pg/mL3.4 Free T3

Page 1 of 2 LABTECH DIAGNOSTICS, 1502 E. Greenville St. Anderson, SC 29621 PH (864) 760 0039

Pat

ien

t

Name:

Sample, Patient

(864)333-7777Phone:

Patient ID #:

Fasting Status: Yes

Gender:

MaleBirth:

4/8/1979Age:

40File ID:

Sp

ecim

en Collection Date:

Received Date:

3:58 PMCollection Time:

121Specimen ID:

Report Type:


9/9/2019

Complete

9/11/2019 Do

cto

r

Doctor:Pellecome Client Address

Pellecome Client Address Phone Number

Hormones & Vitamins

Test9/9/2019

ReferenceRange


7.6-42.6 pg/mL31.5 Estradiol

Male 7.6-42.6 pg/mLFemale Follicular Phase 12.5-166 pg/mL Mid-Cycle 85.8-498 pg/mL Luteal Phase 43.8-211 pg/mL Postmenopausal <54.7 pg/mL Pregnancy: 1st trimester: 215.0 to >4300.0

249-950 ng/dL270 Testosterone, T9-30 ng/dL6.7 LTestosterone, F

16.5-55.9 nmol/L16.8 SHBG88.9-427 ug/dL340 DHEA-Sulfate30-100 ng/mL32.1 Vitamin D 25-OH

Deficiency Insufficiency Sufficiency Toxicity < 20 20-30 30-100 >100

Cardiac Markers

Test9/9/2019

ReferenceRange


<15 umol/L11.9 Homocysteine

Prostate Assessment

Test9/9/2019

ReferenceRange


<4 ng/mL0.365 PSA, 3rd GenThis test was performed using the Roche CobasElectrochemiluminescent method. Valuesobtained from different assay methods cannotbe used interchangeably. PSA levels,reagardless of value, should not beinterpreted as absolute evidence of thepresence or absence of disease.

<0.86 ng/mL0.134 PSA, FreeThis test was performed using the Roche CobasElectrochemiluminescent method. Valuesobtained from different assay methods cannotbe used interchangeably. Free PSA levels,reagardless of value, should not beinterpreted as absolute evidence of thepresence or absence of disease.


001

Pat

ien

t

Name:

Sample, Patient

(864)333-7777Phone:

222Patient ID #:

Fasting Status: Yes

Gender:

FemaleBirth:

9/12/1975Age:

43File ID:

Sp

ecim

en Collection Date:

Received Date:

9:18 AMCollection Time:

122Specimen ID:

Report Type:


9/9/2019

Complete

9/11/2019 Do

cto

r

Doctor:Pellecome Client Pellecome ClientAddressPhone Number

Complete Blood Count w/Diff

Test9/9/2019

ReferenceRange


4-10.5 x10E3/uL6.31 WBC3.87-5.11 x10E6/uL4.79 RBC

11-15 g/dL14.5 Hemoglobin34-46 %44 Hematocrit

78-100 fL91.9 MCV26-34 pg30.3 MCH30-37 g/dL33 MCHC

150-400 x10E3/uL335 Platelets%47.5 Neutrophils%40.7 Lymphs%7.8 Monocytes%3 Eosinophil%0.8 Basos

1.7-7.7 x10E3/uL3 Neutrophils #0.7-4 x10E3/uL2.6 Lymphs #

0.2-1.2 x10E3/uL0.49 Monocytes #<0.5 x10E3/uL0.19 Eosinophil #<0.2 x10E3/uL0.05 Basos #

fL10.5 MPVfL43.4 RDW-SD%12.9 RDW-CV

Lipid Panel

Test9/9/2019

ReferenceRange


<200 mg/dL236 HCholesterol, TotalOptimal Range Intermediate High Risk

<200 200-240 >240

<100 mg/dL132.4 HLDL CalculatedOptimal Range Intermediate High Risk

<100 100-130 >130>35 mg/dL82 Cholesterol, HDL

High Risk Range: <35, Optimal Range: >/=50<150 mg/dL108 Triglycerides

Optimal Range Intermediate High Risk <150 150-200 >200

<130 mg/dL154 HNon-HDL- C

<30 mg/dL21.6 VLDL

Comprehensive Metabolic Panel

Test9/9/2019

ReferenceRange


65-100 mg/dL95 Glucose, Serum6-23 mg/dL13 Urea Nitrogen

0.5-1.2 mg/dL0.7 Creatinine, SerumFor patients >49 years of age, the referencelimit for Creatinine is approximately 13%higher for people identified asAfrican-American.

9-23 RatioSee NoteBun/Creat RatioBUN/Creatinine ratio is not applicable.

134-145 mmol/L143 Sodium, Serum3.5-5.3 mmol/L4.5 Potassium, Serum96-112 mmol/L103 Chloride, Serum19-32 mmol/L24 CO28-16 mmol/LSee NoteAnion Gap

Anion gap is not applicable8.4-10.4 mg/dL9.3 Calcium, Serum

6-8.5 g/dL6.8 Total Protein, S3.2-5.5 g/dL4.7 Albumin, Serum1.9-3.7 g/dL2.1 Globulin, Calc1-2.5 Ratio2.2 A/G Ratio<1.2 mg/dL0.5 Bilirubin, Total

35-129 IU/L58 ALP<44 IU/L15 ALT (SGPT)<40 IU/L17 AST ( SGOT)>59 mL/m/1.73117.4 eGFR If African>59 mL/m/1.7397.1 eGFR Non Afr

Inflammatory Markers

Test9/9/2019

ReferenceRange


<5 mg/L0.5 CRP

Chemistry

Test9/9/2019

ReferenceRange


13-150 ng/mL39 Ferritin

Thyroid Function

Test9/9/2019

ReferenceRange



Pat

ien

t

Name:

Sample, Patient

(864)333-7777Phone:

222Patient ID #:

Fasting Status: Yes

Gender:

FemaleBirth:

9/12/1975Age:

43File ID:

Sp

ecim

en Collection Date:

Received Date:

9:18 AMCollection Time:

122Specimen ID:

Report Type:


9/9/2019

Complete

9/11/2019 Do

cto

r

Doctor:Pellecome Client Pellecome ClientAddressPhone Number

Thyroid Function

Test9/9/2019

ReferenceRange


0.45-4.5 uIU/mL2.78 TSH, 3rd Gen0.79-1.77 ng/dL1.12 Free T4

2-4.4 pg/mL2.7 Free T3<35 IU/mL<9 Anti-TPO

Hormones & Vitamins

Test9/9/2019

ReferenceRange


mIU/mL7.4 FSHMale: 1.5-12.4 mIU/mLFemale: Follicular 3.5-12.5 mIU/mL Ovulatory 4.7-21.5 mIU/mL Luteal 1.7-7.7 mIU/mL Postmenopausal 25.8-134.8 mIU/mL

ng/mL0.2 ProgesteroneMale: 0.0-0.50 ng/mLFemale: Follicular Phase 0.1- 0.9 ng/mL Luteal Phase 1.8-23.9 ng/mL Postmenopausal < 0.1 ng/mL Oral Contraceptives 0.34-0.92 ng/mL Pregnancy: First Trimester 11- 44.3 ng/mL Second Trimester 25.4-83.3 ng/mL Third Trimester 58.7-214 ng/mL

pg/mL126 Estradiol

Male 7.6-42.6 pg/mLFemale Follicular Phase 12.5-166 pg/mL Mid-Cycle 85.8-498 pg/mL Luteal Phase 43.8-211 pg/mL Postmenopausal <54.7 pg/mL Pregnancy: 1st trimester: 215.0 to >4300.0

<73 ng/dL62.3 Testosterone, T<2.2 ng/dL0.5 Testosterone, F

24.6-122 nmol/L103 SHBG60.9-337 ug/dL151 DHEA-Sulfate30-100 ng/mL41.8 Vitamin D 25-OH

Deficiency Insufficiency Sufficiency Toxicity < 20 20-30 30-100 >100

Cardiac Markers

Test9/9/2019

ReferenceRange


<15 umol/L11.3 Homocysteine


FAQ’S HOW WILL LABTECH DIAGNOSTICS BILL FOR PELLET HORMONE THERAPY LAB SERVICES?

Labtech has created very competitive client pricing to be billed to you, the provider. You can include the costs of these in your fees to the patient for pellet hormone therapy services.

WHAT IS THE CLIENT PRICE FOR A SPECIFIC TEST?

For the price of a test not listed on the price list in the brochure, you can request it at www.labtechdiagnostics.net, login in the top-right corner with the provided login info; on the dashboard, click “Request Test Price”. A billing representative will reach out to you.

You can also call (864)760-0039 ext. 112, Nadia.

CAN I SEND MY PATIENT TO A DRAW CENTER?

We encourage the drawing of patients at your office, but if a draw center is being used, please notify us so we can contact them. A $35 draw fee will be applied for each patient draw done at a draw center.

Please email [email protected]; Mobile: (864)202-2574 to notify of draw center location being used.

WHAT SUPPLIES WILL I BE RECIEVING?

A list of supplies is included in the brochure. There should be enough supplies for up to 12 shipments and 25 pre-insertion and post-insertion draws. If more supplies are needed, please login the web portal to order more.

CAN I INCLUDE MORE THAN ONE SPECIMEN PER SHIPMENT?

Yes, you can include 5-6 patient specimen per box.

http://www.labtechdiagnostics.net/

mailto:[email protected]

Quick Contacts

Test questions, results, lab questions, add ons, supplies: Customer Service line (864)760-0039

• Holly ext. 130• Dana ext. 131• Email [email protected], [email protected]

Client Price or client bill (for established accounts): Client Billing line (864)760-0039

• Nadia ext. 112• Email [email protected]• Text to (864)202-9834

I.T. Support: (864)760-0039

• Brian ext. 223• Email [email protected]• Text to (864)318-0504

FedEx: Logistics

• Garry (864)356-8608 or (864)359-6102• Email [email protected]

*On boarding, prospective account qualifying, prospective client price requesting:

• Vanessa Hoehne Mobile (864)202-2574• Dawn Deboskey Mobile (864)202-5300• Email [email protected], [email protected]









Hello and Welcome!...Hello and Welcome! Labtech Diagnostics is excited to partner with Pellecome in...

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