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Olanzapine *Build Your Own Panel Eligible [?]	$656	Info
Description: Therapeutic drug monitoring of antipsychotic drug. Categories: Price: $656
Olive Tree (t9) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test quantifies an individual's IgE response to olive tree. Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Omega 3 and Omega 6 Fatty Acids *Build Your Own Panel Eligible [?]	$181	Info
Description: This test is used to determine fatty acid-associated risk for cardiovascular events, screen for omega-3 fatty acid deficiency, and monitor omega-3 fatty acid intake. Includes: Alternative Name(s): Omega 3 and 6 Fatty Acids Patient Instructions: Patient should fast overnight. Estimated turnaround for results is 10 business days. If confirmation testing is required, the estimated time may be extended. Categories: General wellness, Heart & cholesterol, Price: $181
Onion (f48) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test detects the presence of specific IgE against onions. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Opiate, Confirmation, Meconium *Build Your Own Panel Eligible [?]	$326	Info
Description: This definitive drug assay is used to confirm in utero opioid exposure and identify the specific opioid(s) with gas chromatography/mass spectrometry [1]. Opioids included in this panel are codeine, morphine, hydrocodone, hydromorphone, and oxycodone. This test does not detect fentanyl, a major contributor to fatal overdoses in the United States [2].Meconium begins to form around 12 weeks' gestation and accumulates mostly during the last trimester. Opioids used by mothers, and opioid metabolites, may deposit in meconium by diffusing across placentas or fetuses swallowing amniotic fluid. Adverse effects of in utero opioid exposure include preterm birth, low birthweight, birth defects, and neonatal opioid withdrawal syndrome. The clinical presentation of neonates varies by opioid type, maternal drug history, and other factors. Maternal self-reporting of opioid intake may be unreliable. Therefore, confirming opioid exposure via meconium testing can provide information necessary for clinical management of affected neonates [1,3,4].The American Academy of Pediatrics recommends that meconium, urine, and umbilical cord tissue should all be considered for opioid testing. However, neonatal urine reflects only recent opioid exposure; umbilical cord tissue, though easy to collect, is not well understood as a specimen for opioid testing. For mothers who receive frequent toxicology testing to monitor treatment of opioid use disorder, meconium or umbilical cord tissue opioid testing does not provide additional clinical information and may not be necessary [4].Results equal to or greater than the cutoff value for each opioid are reported as quantitative values and indicate in utero exposure; results less than cutoff are reported as negative. Because the frequency of drug use during pregnancy may affect detection of drugs in meconium, negative results do rule out in utero exposure to opioids [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.⁠⁠⁠⁠⁠⁠⁠References1. Langman LJ, et al, eds. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients. American Association for Clinical Chemistry; 2018. Accessed October 1, 2021. https://www.aacc.org/-/media/Files/Science-and-Practice/Practice-Guidelines/Pain-Management/LMPGPain-Management20171220.pdf?la=en&hash=19670524407619F78999AB60731A24CB4901939D2. Wilson N, et al. MMWR Morb Mortal Wkly Rep. 2020;69(11):290-297.3. About opioid use during pregnancy. Centers for Disease Control and Prevention. Accessed November 2, 2021. https://www.cdc.gov/pregnancy/opioids/basics.html4. Patrick SW, et al; Committee on Fetus and Newborn; Committee on Substance Use and Prevention. Pediatrics. 2020;146(5). Categories: Price: $326
Opiate, Confirmation, Serum *Build Your Own Panel Eligible [?]	$296	Info
Description: Confirm opiate levels with certainty Clarify unexplained symptoms quickly Reveal hidden substance use issues Includes: Codeine Hydrocodone Hydromorphone Morphine Oxycodone Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics, Price: $296
Opiates Confirmation *Build Your Own Panel Eligible [?]	$572	Info
Description: This panel is useful for confirmation of screen positive results. Categories: Price: $572
Orange (f33) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test detects the presence of specific IgE against oranges. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Orange (f33) IgG *Build Your Own Panel Eligible [?]	$118	Info
Description: Check orange food sensitivity reactions Identify possible digestive symptom triggers Track antibody levels over time Categories: Price: $118
Orange IgG4 *Build Your Own Panel Eligible [?]	$254	Info
Description: Detect possible orange food sensitivity Screen digestive discomfort after citrus Track symptom patterns over time Categories: Price: $254
OraRisk® HPV *Build Your Own Panel Eligible [?]	$300	Info
Description: Identifies presence of HPV and HPV type (high or low risk) to enable clinicians to determine and initiate appropriate monitoring or referral for patients who have positive results. Categories: Price: $300
Orchard Grass (Cocksfoot) (g3) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test quantifies an individual's IgE response to orchard grass (also known as cocksfoot). Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Oregano (f283) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test detects the presence of specific IgE against oregano. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Organic Acids, Comprehensive, Quantitative, Urine *Build Your Own Panel Eligible [?]	$1001	Info
Description: Checks for metabolism issues in urine. Tests body's chemical reactions through urine. Analyzes urine for health indicators. Includes: Organic Acids, Comprehensive, Quantitative, Urine Categories: Price: $1001
Organic Acids, Limited, Quantitative, Urine *Build Your Own Panel Eligible [?]	$704	Info
Description: This test is intended for the diagnosis and monitoring of inherited disorders affecting multiple metabolic pathways. Organic acidurias are inherited disorders resulting from a deficient enzyme or transport protein. Although most are autosomal recessive disorders, several are X-linked. The more than 60 described organic acidurias affect many metabolic pathways including amino acid metabolism, lipid metabolism, purine and pyrimidine metabolism, the urea cycle, the Krebs cycle and fatty acid oxidation. These disorders are characterized by a wide variety of symptoms such as lethargy, coma, hypotonia, seizures, ataxia, vomiting, failure to thrive, developmental delay, liver disease, neutropenia, thrombocytopenia, osteomalacia and osteoporosis. Severity of presentation is highly variable as is age of onset, and patients may not present with the most characteristic features. Laboratory results commonly indicate metabolic acidosis, increased anion gap, hyperammonemia, hypoglycemia, lactic acidemia, ketosis, or abnormal lipid patterns. Treatment may be based on dietary restrictions and/or supplementation with cofactors (e.g., riboflavin or cobalamin) or conjugating agents (e.g., carnitine or sodium benzoate); however, there is no effective therapy for some of the disorders. Elevation of one or more organic acids is diagnostic for an organic aciduria; however, elevations should be interpreted in context with clinical findings and/or additional test results. See additional information for a table of selected organic acidurias and associated organic acid elevations. Since many organic acidurias are episodic, the diagnostic efficacy is maximized when the patient is expressing symptoms at the time of specimen collection. The test will be capable of diagnosing over 30 inherited metabolic defects, and will also allow physicians to determine dietary compliance or the effectiveness of dietary/cofactor therapy for their patients. It can also be used, alone or in conjunction with other tests, to confirm the findings of a positive expanded newborn screen. Categories: Price: $704
Organochlorine Pesticides, Blood *Build Your Own Panel Eligible [?]	$427	Info
Description: Exposure monitoring. Categories: Price: $427
Organochlorine Pesticides, Serum/Plasma *Build Your Own Panel Eligible [?]	$427	Info
Description: Exposure monitoring Categories: Price: $427
Oropouche Virus Antibody (IgM) *Build Your Own Panel Eligible [?]	$455	Info
Description: This immunoassay is intended for the qualitative detection of IgM antibodies to Oropouche virus in serum from patients suspected of having acute infection. A positive IgM result can help support diagnosis in a patient with the appropriate risk factors presenting with signs and symptoms consistent with Oropouche virus disease (Oropouche fever). If additional testing is needed, please contact the public health department.Oropouche virus disease is a vector-borne infectious disease that is primarily transmitted through the bite of an infected midge or mosquito. The disease is found in South America and the Caribbean. Increasing cases have been observed, including in US travelers, due to several outbreaks occurring outside known endemic areas. Symptomatic individuals typically present with fever, severe headache, chills, muscle aches, and joint pain with relapsing symptoms. These symptoms may overlap with other vector-borne illnesses in the same geographic regions, such as dengue, chikungunya, zika, or malaria. Complications related to neuroinvasive disease, Guillain-Barre syndrome, and vertical transmission in pregnant women has been reported.Although there is no specific treatment for Oropouche virus disease, diagnostic testing is recommended to inform clinical management. Viremia is highest during the first 7 days post symptom onset, therefore direct detection of viral RNA using a molecular assay should be performed during this timeframe. Antibodies are typically detected starting 1 week post symptom onset. False negatives can occur early during infection before seroconversion; therefore, paired acute (within 2 weeks of illness) and convalescent sera can be tested.References:1. Wesselmann K, et al. Lancet infectious Diseases. 2024;24 :e439-4522. Updated Interim Guidance for Health Department on Testing and Reporting for Oropouche Virus Disease. https://www.cdc.gov/oropouche/php/reporting/index.html⁠⁠⁠⁠⁠⁠⁠ Last updated April 10, 2025. Categories: Price: $455
Oropouche Virus RNA, Qualitative Real-Time Reverse Transcriptase (RT) PCR *Build Your Own Panel Eligible [?]	$623	Info
Description: This test is intended for the detection of Oropouche virus (OROV) RNA in serum or CSF from patients with exposure, signs or symptoms consistent with OROV infection. It can be used to help in the diagnosis of Oropouche fever infection during the acute phase of the disease, which is typically within 7 days post-symptom onset. Serological testing can be considered for confirmatory diagnosis during the convalescent phase of this disease (greater than 7 days). This molecular test cannot distinguish between closely related reassortant OROVs within the Orthobunyavirus genus including Madre de Dios Virus, Iquitos Virus and Perdoes Virus. The results of this test should be interpreted in the context of pertinent clinical findings and history. Reference1. Wesselmann K, et al. Lancet infectious Diseases. 2024;24 :e439-452 Categories: Price: $623
Orotic Acid, Urine with Creatinine *Build Your Own Panel Eligible [?]	$439	Info
Description: Orotic acid is an intermediate metabolite in the de novo pathway of pyrimidine nucleotide synthesis. When present at high levels in the blood, orotic acid accumulates in the liver, enters into the plasma, and is excreted by the kidney. There are several inherited metabolic disorders in which levels of orotic acid are increased. Certain medications can increase orotic acid levels as well. Measurement of orotic acid levels in urine is useful in evaluating the causes of hyperammonemia. Urea cycle disorders are a common cause of inherited hyperammonemia; orotic acid is elevated in ornithine transcarbamylase (OTC) deficiency, citrullinemia, and argininosuccinic aciduria. Orotic acid is also elevated in hereditary orotic aciduria and in defects of the dibasic amino acid transporter. Categories: Price: $439
Osmolality, Feces *Build Your Own Panel Eligible [?]	$360	Info
Description: Direct measurement of osmolality in liquid stool helps determine whether a specimen has been diluted with a hypotonic fluid (eg, water) [1]. Because bacterial metabolism in a specimen often increases stool osmolality after collection, this test may not be suitable for estimating osmotic gap [2].Depending on how the water content of stool is drawn in the intestine lumen, diarrhea can be categorized as secretory or osmotic. Osmotic gap-the difference between the stool osmolality and twice the sum of the stool sodium and potassium levels-is often calculated to differentiate between secretory and osmotic diarrhea [1]. The estimation of osmotic gap usually uses theoretical stool osmolality, which is approximately the same as plasma osmolality (290 mOsm/kg). However, when a stool specimen is deliberately diluted to simulate diarrhea, the increased osmotic gap is indifferentiable from the one in osmotic diarrhea. Directly measured osmolality in diluted stool specimen may show a decreased value as opposed to a normal value in osmotic diarrhea [3].Because bacterial metabolism generates osmotically active substances during specimen storage and results in falsely elevated stool osmolality, this test may not be suitable for estimating osmotic gap [2].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Block DR, et al. Body fluids. In: Rifai R, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elsevier Inc; 2022.2. Schiller LR. Pract Res Clin Gastroenterol. 2012;26(5):551-562.3. Shiau YF, et al. Ann Intern Med. 1985;102(6):773-775. Categories: Price: $360
Osmolality, Serum *Build Your Own Panel Eligible [?]	$280	Info
Description: Measures body's water-salt balance Checks hydration levels Assesses body's fluid concentration Includes: Osmolality, Serum Categories: Price: $280
Osmolality, Urine *Build Your Own Panel Eligible [?]	$325	Info
Description: Measures urine concentration levels. Checks body's water balance. Detects dehydration or overhydration. Includes: Osmolality, Urine Categories: Price: $325
Osmotic Gap, Feces *Build Your Own Panel Eligible [?]	$288	Info
Description: This panel measures sodium and potassium in liquid stool and provides an estimated osmotic gap. Measurements of electrolytes and osmotic gap in liquid stool help differentiate between secretory and osmotic diarrhea and, thus, guide further evaluation of chronic diarrhea [1,2].Depending on how the water content of stool is drawn in the intestine lumen, diarrhea can be categorized as secretory or osmotic. Secretory diarrhea is caused by defective electrolyte absorption that leads to increased stool osmolality. Conditions associated with secretory diarrhea include infection, neuroendocrine tumors, congenital chloridorrhea, intestinal resection, and diffuse mucosal disease [1]. Osmotic diarrhea is caused by the osmotic effect of a substance that retains water in the intestine lumen and leads to decreased stool osmolality. Conditions associated with osmotic diarrhea include ingesting poorly absorbed solutes (eg, sorbitol, mannitol, and laxatives containing magnesium) and enzyme dysfunction (eg, lactose intolerance) [2].Osmotic gap, calculated as the difference between the stool osmolality and twice the sum of the stool sodium and potassium levels, is useful in assessing the contribution of stool electrolytes to osmolality and differentiating between secretory and osmotic diarrhea [1,2]. A theoretical fecal osmolality, approximately the same as plasma osmolality (290 mOsm/kg), is used in the calculation.The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.⁠⁠⁠⁠⁠⁠⁠References1. Schiller LR. Pract Res Clin Gastroenterol. 2012;26(5):551-562.2. Block DR, et al. Body fluids. In: Rifai R, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elsevier Inc; 2022. Categories: Price: $288
Osteocalcin, N-MID *Build Your Own Panel Eligible [?]	$366	Info
Description: Osteocalcin, the most abundant non-collagen protein in bone matrix, is a bone-specific, calcium binding protein. Serum osteocalcin levels are related to the rate of bone turnover in various disorders of bone metabolism, e.g., osteoporosis, primary and secondary hyperparathyroidism, and Paget's disease. Categories: Price: $366
Ova and Parasites, Concentrate and Permanent Smear *Build Your Own Panel Eligible [?]	$136	Info
Description: Detects parasites in your stool. Finds eggs of intestinal parasites. Identifies parasitic infection sources. Includes: Ova and Parasites, Concentrate and Permanent Smear Patient Instructions: You will need to pick up the specimen container at Quest. Bring your order with you so the correct collection container is provided. Stool: Place fresh stool in a single Total-Fix transport vial or 10% formalin transport vial, as well as PVA transport medium, within 30 minutes of collection. Add stool to bring the liquid level to the "fill to here" line on the vial. Mix well. Send specimen(s) at room temperature in the same shipping container. If parasite infestation is strongly suspected, collect at least 3 stool specimens every other day, since a single specimen can be negative. Categories: Price: $136
Ovalbumin (f232) IgE *Build Your Own Panel Eligible [?]	$58	Info
Description: This test detects the presence of specific IgE against ovalbumin. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $58
Ova & Parasites w/Giardia Antigen (Stool) *Build Your Own Panel Eligible [?]	$161	Info
Description: This test may be useful to physicians whose patients live in or have traveled to an area where mixed parasitic infections occur or where Giardia incidence is not high, but is still present. The addition of the Giardia antigen EIA test assures maximum sensitivity in detecting this agent. Significant deviations from the normal range may require further evaluation by your physician. Includes: Ova and Parasites, Concentrate and Permanent Smear; Giardia Antigen, EIA, Stool Patient Instructions: Take the requisition to the lab and pick up the correct specimen container. Keep the specimen at room temperature. Be sure to label the specimen with your name, date, and time of collection before dropping it at the lab. Interfering substances - bismuth, barium (wait 7-10 days), antimicrobial agents (wait 2 weeks), gall bladder dye (wait 3 weeks after procedure). This test requires a stool sample. Please contact the patient service center to pick up the appropriate container for submission of specimen. Estimated turnaround for results is 5 business days. Categories: Gastrointestinal diseases, Price: $161
Ovarian Assessment Report (OBGYN Format) *Build Your Own Panel Eligible [?]	$395	Info
Description: The Ovarian Assessment Report can be used as a measure of ovulatory egg supply to aid clinicians in determining potential causes for female infertility, and to aid physicians who are counseling patients that are planning for future pregnancy. Categories: Price: $395
Ovarian Assessment Report (REI Format) *Build Your Own Panel Eligible [?]	$395	Info
Description: The Ovarian Assessment Report can be used as a measure of ovulatory egg supply to aid fertility specialists in determining potential causes for female infertility, and to identify the likely number of eggs that may be retrieved after controlled ovarian hyperstimulation preceding in vitro fertilization (IVF) or elective egg freezing. Categories: Price: $395
Ovomucoid (f233) IgE *Build Your Own Panel Eligible [?]	$58	Info
Description: This test detects the presence of specific IgE against ovomucoid. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $58
Oxalate, Serum/Plasma *Build Your Own Panel Eligible [?]	$451	Info
Description: Check kidney stone risk factors Screen for oxalate metabolism problems Monitor digestive absorption issues Categories: Price: $451
Oxalic Acid, 24-Hour Urine with Creatinine *Build Your Own Panel Eligible [?]	$202	Info
Description: This quantitative test, performed with a 24-hour urine specimen, may help screen for hyperoxaluria, assess kidney function, determine the cause of kidney stones, and monitor treatment compliance and outcomes [1]. In general, 24-hour urine specimens are preferred to random urine specimens when measuring oxalic acid for diagnostic evaluation and monitoring of hyperoxaluria [1,2].Oxalic acid is an organic compound that naturally exists in many food sources. Because humans cannot metabolize oxalic acid, it must be excreted in urine as oxalate (the ionic form of oxalic acid). Excessive excretion of oxalates is called hyperoxaluria and can be attributed to primary or secondary causes. Primary hyperoxaluria (PH) is a rare condition resulting from enzymatic defects and can lead to chronic kidney disease, which may progress to kidney failure. Secondary hyperoxaluria can be caused by fat malabsorption, which may be due to inflammatory bowel disease, extensive resection of the small bowel, or excessive ingestion of substances that increase serum oxalates [3].PH is associated with significant morbidity and mortality, including end-stage kidney disease [1]. Early diagnosis is associated with better outcomes, but more than 40% of PH diagnoses are delayed [1]. Screening for PH may be considered for children with their first episode of kidney stone, adults with recurrent calcium oxalate stones, and individuals with nephrocalcinosis or family history of stone disease [1].Urinary oxalic acid measurements may be inaccurate when estimated glomerular filtration rate declines [1]. Therefore, in patients with chronic kidney disease, plasma oxalate may be measured to help support the diagnosis of PH [1].Results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.⁠⁠⁠⁠⁠⁠⁠References1. Bhasin B, et al. World J Nephrol. 2015;4(2):235-244.2. Williams JC Jr, et al. Urolithiasis. 2021;49(1):1-16.3. Shchelochkov O, et al. Defects in metabolism of amino acids. In: Kliegman R, et al. Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2019:720-722. Categories: Price: $202
Oxalic Acid, 24-Hour Urine without Creatinine *Build Your Own Panel Eligible [?]	$202	Info
Description: This quantitative test, performed with a 24-hour urine specimen, may help screen for hyperoxaluria, determine the cause of kidney stones, and monitor treatment compliance and outcomes [1]. In general, 24-hour urine specimens are preferred to random urine specimens when measuring oxalic acid for diagnostic evaluation and monitoring of hyperoxaluria [1,2].Oxalic acid is an organic compound that naturally exists in many food sources. Because humans cannot metabolize oxalic acid, it must be excreted in urine as oxalate (the ionic form of oxalic acid). Excessive excretion of oxalates is called hyperoxaluria and can be attributed to primary or secondary causes. Primary hyperoxaluria (PH) is a rare condition resulting from enzymatic defects and can lead to chronic kidney disease, which may progress to kidney failure. Secondary hyperoxaluria can be caused by fat malabsorption, which may be due to inflammatory bowel disease, extensive resection of the small bowel, or excessive ingestion of substances that increase serum oxalates [3].PH is associated with significant morbidity and mortality, including end-stage kidney disease [1]. Early diagnosis is associated with better outcomes, but more than 40% of PH diagnoses are delayed [1]. Screening for PH may be considered for children with their first episode of kidney stone, adults with recurrent calcium oxalate stones, and individuals with nephrocalcinosis or family history of stone disease [1].Urinary oxalic acid measurements may be inaccurate when estimated glomerular filtration rate declines [1]. Therefore, in patients with chronic kidney disease, plasma oxalate can be measured to help support the diagnosis of PH [1].Results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Bhasin B, et al. World J Nephrol. 2015;4(2):235-244.2. Williams JC Jr, et al. Urolithiasis. 2021;49(1):1-16.3. Shchelochkov O, et al. Defects in metabolism of amino acids. In: Kliegman R, et al. Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2019:720-722. Categories: Price: $202
Oxalic Acid, Adult, Urine with Creatinine *Build Your Own Panel Eligible [?]	$212	Info
Description: This quantitative oxalic acid test, performed with a random urine specimen, may help screen for hyperoxaluria, determine the cause of kidney stones, and assess kidney function in adults [1]. However, 24-hour urine specimens are generally preferred to random specimens when measuring oxalic acid for diagnostic evaluation and monitoring of hyperoxaluria [1,2].Oxalic acid is an organic compound that naturally exists in many food sources. Because humans cannot metabolize oxalic acid, it must be excreted in urine as oxalate (the ionic form of oxalic acid). Excessive excretion of oxalates is called hyperoxaluria and can be attributed to primary or secondary causes. Primary hyperoxaluria (PH) is a rare condition resulting from enzymatic defects and can lead to chronic kidney disease, which may progress to kidney failure. Secondary hyperoxaluria can be caused by fat malabsorption, which may be due to inflammatory bowel disease, extensive resection of the small bowel, or excessive ingestion of substances that increase serum oxalates [3].PH is associated with significant morbidity and mortality, including end-stage kidney disease [1]. Early diagnosis is associated with better outcomes, but more than 40% of PH diagnoses are delayed [1]. Screening for PH may be considered for adults with recurrent calcium oxalate stones or family history of stone disease [1].Urinary oxalic acid measurements may be inaccurate when estimated glomerular filtration rate declines [1]. Therefore, in patients with chronic kidney disease, plasma oxalate may be measured to help support the diagnosis of PH [1].Results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.⁠⁠⁠⁠⁠⁠⁠References1. Bhasin B, et al. World J Nephrol. 2015;4(2):235-244.2. Williams JC Jr, et al. Urolithiasis. 2021;49(1):1-16.3. Shchelochkov O, et al. Defects in metabolism of amino acids. In: Kliegman R, et al. Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2019:720-722. Categories: Price: $212
Oxalic Acid, Pediatric Urine with Creatinine *Build Your Own Panel Eligible [?]	$202	Info
Description: This test is often used to screen for hyperoxaluria and assess kidney function in children. It can help to determine the cause of kidney stones and monitor treatment [1].Oxalic acid is an organic compound that naturally exists in many food sources. Because humans cannot metabolize oxalic acid, it must be excreted in urine as oxalate (the ionic form of oxalic acid). Excessive excretion of oxalates is called hyperoxaluria and can be attributed to primary or secondary causes. Primary hyperoxaluria (PH) is a rare condition resulting from enzymatic defects and can lead to chronic kidney disease, which may progress to kidney failure. Secondary hyperoxaluria can be caused by fat malabsorption, which may be due to inflammatory bowel disease, extensive resection of the small bowel, or excessive ingestion of substances that increase serum oxalates [2].PH is associated with significant morbidity and mortality, including end-stage renal disease [1]. By itself, PH accounts for 7% to 14% of nephrocalcinosis cases among children [3]. PH is treatable. Early diagnosis is associated with better outcomes, but more than 40% of PH diagnoses are delayed [1]. The National Organization of Rare Diseases (NORD) recommends metabolic screening of all children with nephrolithiasis or nephrocalcinosis [4].Results from this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Bhasin B, et al. World J Nephrol. 2015;4(2):235-244.2. Shchelochkov O, et al. Defects in metabolism of amino acids. In: Kliegman R, at al. Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2019:720-722.3. Hulton S-A. Int J Surg. 2016;36(Pt D):649-654.4. NORD. Primary hyperoxaluria. Accessed September 2,2021. https://rarediseases.org/rare-diseases/primary-hyperoxaluria/ Categories: Price: $202
Oxcarbazepine Metabolite *Build Your Own Panel Eligible [?]	$359	Info
Description: Oxcarbazepine (trileptal) is an anti-convulsant used for treating generalized tonic-clonic and partial seizures. It can be administered alone or as an adjunct to other anti-convulsants. Clinically significant effects of oxcarbazepine are observed when plasma levels of its active metabolite, 10-OH-carbazepine, are between 15 and 35 ug/mL. Toxic symptoms may occur when plasma levels exceed 35 ug/mL. The therapeutic monitoring of oxcarbazepine and its active metabolite are important for achieving proper serum/plasma concentration to inhibit epileptic seizures and avoid adverse effects. The precise mechanism of the action by which oxcarbazepine and its active metabolite exert their antiseizure effect is unknown. However, in vitro electro-physiological studies indicate that they produce blockade of voltage-sensitive sodium channels, resulting in the stabilization of hyperexcited neural membranes, inhibition of repetitive neuronal firing, and diminution of propagation of synaptic impulses. These are important in prevention of seizure spread in the brain. In addition, the increased potassium conduction and calcium channel activities may contribute to the antiseizure treatment effects. After oral administration, oxcarbazepine is readily absorbed in the body, followed by rapid and almost complete metabolization to 10-OH-carbazepine, active metabolite. The half-life of oxcarbazepine is only 1 to 2.5 hours, while that of 10-OH-carbazepine is 11 to 15 hours. The protein binding of oxcarbazepine is about 67%, whereas that of the metabolite is about 38%. The clearance of oxcarbazepine and its active metabolite from the body is mainly through ketone reduction and O-site conjugation with glucuronic acid rather than oxidative processes via cytochrome P450 system. More than 95% of the treatment dosage is excreted by the kidneys. Fecal excretion only accounts for less than 4%. Categories: Price: $359
Oxeye Daisy (w7) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test quantifies an individual's IgE response to oxeye daisy. Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
OxLDL *Build Your Own Panel Eligible [?]	$225	Info
Description: The oxidized LDL test may be ordered for individuals at low or intermediate risk of metabolic syndrome or cardiovascular disease. In addition, this test is useful in individuals who have cardiovascular disease and are at risk for an adverse cardiac event. Alternative names: Oxidized low-density lipoprotein,Oxidized LDL Patient Instructions: The patient should fast for 12 hours preceding the collection of the specimen. Fasting is defined as no consumption of food or beverages other than water for at least 12 hours before testing. Categories: General wellness, Price: $225
Oxycodone and Metabolite, Quantitative *Build Your Own Panel Eligible [?]	$281	Info
Description: For therapeutic drug monitoring of oxycodone (Oxycontin®, Percocet®, Percodan®). Oxycodone is a semisynthetic opioid analgesic. Steady state concentration is reached in 24-36 hours after initiation of therapy. Elimination half-life of oxycodone is 4.5 hours for controlled release and 3.2 hours for immediate release formulations. Peak plasma concentration of oxycodone is 11, 21, 39, 99, or 156 ng/mL after a single oral dose of 10, 20, 40, 80, or 160 mg respectively. Oxymorphone is a minor but active metabolite of oxycodone that is present at lower concentration in the circulation. Therapeutic concentrations for oxymorphone have not been established. Categories: Price: $281
Oyster (f290) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test detects the presence of specific IgE against oysters. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
Ozempic eligibility test	$132	Info
Description: The Comprehensive Wellness Panel is a unisex testing package. Significant deviations from the normal range may require further evaluation by your physician. Includes: Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated) Kidney (Renal) Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen Lipid Profile: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated) Liver (Hepatic) Function Profile: Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT Thyroid Profile w/ TSH: T3 Uptake; T4 (Thyroxine), Total; Free T4 Index (T7); Thyroid-Stimulating Hormone (TSH) Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. Categories: General wellness, Price: $132
p40, IHC with Interpretation *Build Your Own Panel Eligible [?]	$442	Info
Description: Recognizes an isoform of p63 reported to be highly specific for squamous and basal cells, especially useful in distinguishing pulmonary squamous cell carcinoma from adenocarcinoma. Categories: Price: $442
p40, IHC without Interpretation *Build Your Own Panel Eligible [?]	$370	Info
Description: Recognizes an isoform of p63 reported to be highly specific for squamous and basal cells, especially useful in distinguishing pulmonary squamous cell carcinoma from adenocarcinoma. Categories: Price: $370
p53 Oncoprotein, IHC without Interpretation *Build Your Own Panel Eligible [?]	$370	Info
Description: Screen tissue for abnormal cell markers Detect protein changes linked to growth Assess biopsy samples for diagnostic clues Categories: Price: $370
p53 Oncoprotein with Interpretation *Build Your Own Panel Eligible [?]	$436	Info
Description: Monitor cancer-related cell activity levels Track changes after a cancer diagnosis Support ongoing family cancer history concerns Categories: Price: $436
Pacific Squid (f58) IgE *Build Your Own Panel Eligible [?]	$49	Info
Description: This test detects the presence of specific IgE against pacific squid. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148. Categories: Price: $49
PALB2 Sequencing and Deletion/Duplication *Build Your Own Panel Eligible [?]	$628	Info
Description: Sequencing and deletion/duplication analyses of the PALB2 gene will identify individuals at risk for PALB2-related cancers. Fanconi Anemia (subtype FA-N) has been linked to homozygous or compound heterozygous mutations in the PALB2 gene, and thus this testing will identify carriers of Fanconi Anemia (FA-N) when a monoallelic mutation is identified. This testing can also assist with diagnosis of Fanconi Anemia in an individual suspected of having subtype FA-N, which is associated with Biallelic PALB2 mutations. Categories: Price: $628
Paliperidone *Build Your Own Panel Eligible [?]	$375	Info
Description: Paliperidone is an atypical antipsychotic drug. It is identical to 9-hydroxyrisperidone, the pharmacological active metabolite of Risperidone, and has a similar pharmacological profile as Risperidone. For treatment optimization, monitoring Paliperidone serum concentrations may be useful. Categories: Price: $375
Palladium, Urine *Build Your Own Panel Eligible [?]	$404	Info
Description: Detect palladium metal exposure levels Screen for occupational metal contact Monitor dental material sensitivity risks Categories: Price: $404

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