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The Digestive Health - Advanced contains the following tests

• C-Reactive Protein (CRP) 
• CBC (includes Differential and Platelets) 
• Comprehensive Metabolic Panel (CMP)
• Fecal Globin by Immunochemistry (InSure®) 
• Ferritin
• Folate, Serum
• Iron and Total Iron Binding Capacity (TIBC)
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS 
• Sed Rate by Modified Westergren (ESR)
• Transferrin
• Vitamin B12 (Cobalamin) 
• Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex Test which if additional tests are run you will be charged for the specific tests that the lab peforms. Additional test will be run if the following criteria are met.

If the Tissue Transglutaminase IgA is positive, 

1. Endomysial Antibody Screen (IgA) will be performed at an additional charge (CPT code(s): 86255).

If the Endomysial Antibody Screen (IgA) is positive, 

2. Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

If the Total IgA is less than the lower limit of the reference range, based on age, 

3. Tissue Transglutaminase IgG will be performed at an additional charge (CPT code(s): 83516).

Clinical Significance

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.

Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.

The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

Digestive Health - Basic contains the following tests

• CBC (includes Differential and Platelets) 
• Comprehensive Metabolic Panel (CMP)
• Fecal Globin by Immunochemistry (InSure®) 
• Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex Test which if additional tests are run you will be charged for the specific tests that the lab peforms. Additional test will be run if the following criteria are met.

If the Tissue Transglutaminase IgA is positive, 

1. Endomysial Antibody Screen (IgA) will be performed at an additional charge (CPT code(s): 86255).

If the Endomysial Antibody Screen (IgA) is positive, 

2. Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

If the Total IgA is less than the lower limit of the reference range, based on age, 

3. Tissue Transglutaminase IgG will be performed at an additional charge (CPT code(s): 83516).

Clinical Significance

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.

Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.

The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

Digestive Health - Basic Plus contains the followwing tests: 

• C-Reactive Protein (CRP) 
• CBC (includes Differential and Platelets) 
• Comprehensive Metabolic Panel (CMP)
• Fecal Globin by Immunochemistry (InSure®) 
• Ferritin
• Iron and Total Iron Binding Capacity (TIBC)
• Sed Rate by Modified Westergren (ESR)
• Celiac Disease Comprehensive Panel (w/ Reflexes)

 Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex Test which if additional tests are run you will be charged for the specific tests that the lab peforms. Additional test will be run if the following criteria are met.

If the Tissue Transglutaminase IgA is positive, 

1. Endomysial Antibody Screen (IgA) will be performed at an additional charge (CPT code(s): 86255).

If the Endomysial Antibody Screen (IgA) is positive, 

2. Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

If the Total IgA is less than the lower limit of the reference range, based on age, 

3. Tissue Transglutaminase IgG will be performed at an additional charge (CPT code(s): 83516).

Clinical Significance

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.

Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.

The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

Digestive Health - Comprehensive contains the following tests: 

• C-Reactive Protein (CRP) 
• CBC (includes Differential and Platelets) 
• Comprehensive Metabolic Panel (CMP)
• Fecal Globin by Immunochemistry (InSure®) 
• Ferritin
• Folate, Serum
• Gliadin (Deamidated Peptide) Antibody (IgA) 
• Gliadin (Deamidated Peptide) Antibody (IgG) 
• Iron and Total Iron Binding Capacity (TIBC)
• Lipid Panel with Ratios
• Magnesium
• Prealbumin 
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS 
• Sed Rate by Modified Westergren (ESR)
• Transferrin
• TSH
• Vitamin A (Retinol)
• Vitamin B12 (Cobalamin) 
• Vitamin K
• Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex Test which if additional tests are run you will be charged for the specific tests that the lab peforms. Additional test will be run if the following criteria are met.

If the Tissue Transglutaminase IgA is positive, 

1. Endomysial Antibody Screen (IgA) will be performed at an additional charge (CPT code(s): 86255).

If the Endomysial Antibody Screen (IgA) is positive, 

2. Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

If the Total IgA is less than the lower limit of the reference range, based on age, 

3. Tissue Transglutaminase IgG will be performed at an additional charge (CPT code(s): 83516).

Clinical Significance

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.

Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.

The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

T3, Free: T4, Free; TSH; Thyroid Peroxidase and Thyroglobulin Antibodies

C-Reactive Protein (CRP); Ferritin and Sed Rate by Modified Westergren (ESR)

Chemistry Metabolic Panel Plus (CMP Plus)  Contains: Comprehensive Metabolic Panel (CMP); Lipid Panel With Ratios; Gamma Glutamyl Transferase (GGT); Iron, Total; Lactate Dehydrogenase (LD) and Uric Acid

Ferritin; Iron and Total Iron Binding Capacity (TIBC) - IRON, TOTAL; IRON BINDING CAPACITY; % SATURATION (Iron saturation) and UIBC (Iron binding capacity.unsaturated)

T3, Free and T3 Reverse (RT3), LC/MS/MS

Vitamin B12 (Cobalamin); Folate Panel, Serum and QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes: Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

This panel contains 3 tests and 3 biomarkers. Biomarkers include Free T3, Free T4, and TSH.

• T3 Reverse (RT3), LC/MS/MS
• T3, Free
• T4, Free
• Thyroid Peroxidase and Thyroglobulin Antibodies
• TSH

Thyroid Peroxidase and Thyroglobulin Antibodies

QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

Vitamin B12 (Cobalamin) and Folate Panel, Serum

This panel has 1 test and 1 biomarker. Biomarkers include Aldosterone, LC/MS/MS.

This panel contains 2 tests and 2 biomarkers. Biomarkers include Sodium and Potassium.

Candida Albicans Ab (IgG,Iga,IgM)

Includes- Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

The purpose of this test is to determine if you have two, one, or no copies of either of two mutations in the MTHFR gene, C677T and A1298C.

Alanine Aminotransferase (ALT)  and Aspartate Aminotransferase (AST)

TSI (Thyroid Stimulating Immunoglobulin); Thyroid Peroxidase (TPO) and Thyroglobulin Antibodies 

Baseline Hormone Panel - Cycling Women Under 40 (7 days after ovulation) - DHEA Sulfate, Immunoassay; Estradiol; Progesterone, Immunoassay; Testosterone, Total and Free And Sex Hormone Binding Globulin

Baseline Hormone Panel - Non-Cycling Women/Cycling Women Over 40 (7 days after ovulation)

• DHEA Sulfate, Immunoassay
• Estradiol
• Estriol, LC/MS/MS, Serum
• Estrone, LC/MS/MS
• Progesterone, Immunoassay
• Testosterone, Total And Free And Sex Hormone Binding Globulin

STTM recommends that the test be performed on day 2-4 of the cycle (while still bleeding).

POLYCYSTIC OVARY SYNDROME (PCOS) Panel contains:

• DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS
• DHEA Sulfate, Immunoassay
• Dihydrotestosterone (DHT), LC/MS/MS
• Estradiol
• FSH and LH
• Testosterone, Total And Free And Sex Hormone Binding Globulin

DHEA Sulfate, Immunoassay: Dihydrotestosterone (DHT), LC/MS/MS; Estradiol; Progesterone, Immunoassay; PSA Total; Testosterone, Total And Free And Sex Hormone Binding Globulin

Ceruloplasmin; Copper and Zinc

This panel contains 1 test and 3 biomarkers. Biomarkers include Aldo/Pra Ration, Aldosterone, LC/MS/MS, and Plasma Renin Activity.

Calcium, Ionized, PTH, Intact and Calcium

Vitamin D, 1,25-Dihydroxy, LC/MS/MS and QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

T3, Free; T4, Free and T3 Reverse (RT3), LC/MS/MS

Testosterone, Free (Dialysis) and Total LC/MS/MS

T3, Free; T4, Free; T3 Reverse (RT3), LC/MS/MS; Thyroid Peroxidase and Thyroglobulin Antibodies

Magnesium, RBC

Estrogen Dominance Panel - Cycling Women ( Estradiol & Progesterone, Immunoassay) - Estradiol and Progesterone, Immunoassay

T3, Free: T4, Free; TSH; Thyroid Peroxidase and Thyroglobulin Antibodies

C-Reactive Protein (CRP); Ferritin and Sed Rate by Modified Westergren (ESR)

Chemistry Metabolic Panel Plus (CMP Plus)  Contains: Comprehensive Metabolic Panel (CMP); Lipid Panel With Ratios; Gamma Glutamyl Transferase (GGT); Iron, Total; Lactate Dehydrogenase (LD) and Uric Acid

Ferritin; Iron and Total Iron Binding Capacity (TIBC) - IRON, TOTAL; IRON BINDING CAPACITY; % SATURATION (Iron saturation) and UIBC (Iron binding capacity.unsaturated)

T3, Free and T3 Reverse (RT3), LC/MS/MS

Vitamin B12 (Cobalamin); Folate Panel, Serum and QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes: Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

This panel contains 3 tests and 3 biomarkers. Biomarkers include Free T3, Free T4, and TSH.

• T3 Reverse (RT3), LC/MS/MS
• T3, Free
• T4, Free
• Thyroid Peroxidase and Thyroglobulin Antibodies
• TSH

Thyroid Peroxidase and Thyroglobulin Antibodies

QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

Vitamin B12 (Cobalamin) and Folate Panel, Serum

This panel has 1 test and 1 biomarker. Biomarkers include Aldosterone, LC/MS/MS.

This panel contains 2 tests and 2 biomarkers. Biomarkers include Sodium and Potassium.

Candida Albicans Ab (IgG,Iga,IgM)

Includes- Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

The purpose of this test is to determine if you have two, one, or no copies of either of two mutations in the MTHFR gene, C677T and A1298C.

Alanine Aminotransferase (ALT)  and Aspartate Aminotransferase (AST)

TSI (Thyroid Stimulating Immunoglobulin); Thyroid Peroxidase (TPO) and Thyroglobulin Antibodies 

Baseline Hormone Panel - Cycling Women Under 40 (7 days after ovulation) - DHEA Sulfate, Immunoassay; Estradiol; Progesterone, Immunoassay; Testosterone, Total and Free And Sex Hormone Binding Globulin

Baseline Hormone Panel - Non-Cycling Women/Cycling Women Over 40 (7 days after ovulation)

• DHEA Sulfate, Immunoassay
• Estradiol
• Estriol, LC/MS/MS, Serum
• Estrone, LC/MS/MS
• Progesterone, Immunoassay
• Testosterone, Total And Free And Sex Hormone Binding Globulin

STTM recommends that the test be performed on day 2-4 of the cycle (while still bleeding).

POLYCYSTIC OVARY SYNDROME (PCOS) Panel contains:

• DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS
• DHEA Sulfate, Immunoassay
• Dihydrotestosterone (DHT), LC/MS/MS
• Estradiol
• FSH and LH
• Testosterone, Total And Free And Sex Hormone Binding Globulin

DHEA Sulfate, Immunoassay: Dihydrotestosterone (DHT), LC/MS/MS; Estradiol; Progesterone, Immunoassay; PSA Total; Testosterone, Total And Free And Sex Hormone Binding Globulin

Ceruloplasmin; Copper and Zinc

This panel contains 1 test and 3 biomarkers. Biomarkers include Aldo/Pra Ration, Aldosterone, LC/MS/MS, and Plasma Renin Activity.

Calcium, Ionized, PTH, Intact and Calcium

Vitamin D, 1,25-Dihydroxy, LC/MS/MS and QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS - Includes Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

T3, Free; T4, Free and T3 Reverse (RT3), LC/MS/MS

Magnesium, RBC

This panel contains 3 tests and 5 biomarkers. Biomarkers include Aldo/Pra Ratio, Aldosterone, LC/MS/MS, Plasma Renin Activity, Sodium, and Potassium.

TSI (Thyroid Stimulating Immunoglobulin)

TSH Antibody 

Panel Contains: Epstein-Barr Virus Early Antigen D Antibody (IgG) and Epstein-Barr Virus (EBV) Antibody Panel (Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG))

• B1 (thiamine)
• B2 (riboflavin)
• B3 (niacin)
• B5 (pantothenic acid)
• B6 (P5P)
• B9 (folate)
• B12 (cobalamin)

Keto Lab Test Panel - Comprehensive includes the following tests.

• Apolipoprotein B, Cardio IQ™ 
• C-Peptide
• CBC (includes Differential and Platelets) 
• Comprehensive Metabolic Panel (CMP)
• Ferritin
• Hemoglobin A1c (HgbA1C)
• hs-CRP
• Insulin
• Lipid Panel, Cardio IQ™ 
• Lipoprotein (a), Cardio IQ™ 
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™ 
• Magnesium
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS 
• T3, Free
• T4 (Thyroxine), Total
• TSH
• Uric Acid
• Urinalysis (UA), Complete
• Vitamin B12 (Cobalamin)

Keto Lab Test Panel - Basic Plus includes the following tests.

• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Ferritin
• Hemoglobin A1c (HgbA1C)
• Insulin
• Lipid Panel, Cardio IQ™
• Lipoprotein (a), Cardio IQ™
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
• T3, Free
• T4 (Thyroxine), Total
• TSH
• Uric Acid
• Urinalysis (UA), Complete

Keto Lab Test Panel - Basic includes the following tests.

• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Hemoglobin A1c (HgbA1C)
• Insulin
• Lipid Panel, Cardio IQ™
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™
• TSH
• Uric Acid
• Urinalysis (UA), Complete

Keto Lab Test Panel - Advanced includes the following tests.

• C-Peptide
• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Ferritin
• Hemoglobin A1c (HgbA1C)
• hs-CRP
• Insulin
• Lipid Panel, Cardio IQ™
• Lipoprotein (a), Cardio IQ™
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
• T3, Free
• T4 (Thyroxine), Total
• TSH
• Uric Acid
• Urinalysis (UA), Complete

ABO Group and Rh Type

Blood typing is used to determine an individual's blood group, to establish whether a person is blood group A, B, AB, or O and whether he or she is Rh positive or Rh negative.

The Different Blood Types

There are four major blood groups and eight different blood types. Doctors call this the ABO Blood Group System.

The groups are based on whether or not you have two specific antigens -- A and B:

• Group A has the A antigen and B antibody.
• Group B has the B antigen and the A antibody.
• Group AB has A and B antigens but neither A nor B antibodies.
• Group O doesn’t have A or B antigens but has both A and B antibodies.

There’s also a third kind of antigen called the Rh factor. You either have this antigen (meaning your blood type is “Rh+” or “positive”), or you don’t (meaning your blood type is “Rh-” or “negative”). So, from the four blood groups, there are eight blood types:

• A positive or A negative
• B positive or B negative
• AB positive or AB negative
• O positive or O negative

Lactate Dehydrogenase (LD) (LDH)

Elevations in serum lactate dehydrogenase occur from myocardial infarction, liver disease, pernicious and megaloblastic anemia, pulmonary emboli, malignancies, and muscular dystrophy

Measles Antibody IgG - to establish whether you have immunity to measles due to a previous infection or to vaccination.

Measles, also known as rubeola, causes fever, irritability, respiratory illness, and the characteristic skin rash. Immunization has greatly diminished the incidence of measles. The presence of IgG is consistent with immunity or prior exposure. 

Alternate Test Name: Measles Immunity Test

For diagnosis of hypothyroidism and hyperthyroidism.

Note: Free T4 Index (T7) will only be calculated and reported if test code code 861 (T3 Uptake) is ordered as well.

This test is useful in the differential diagnosis of male hypogonadism. For males 18 years of age and older only. Pediatric and Female patients will need to order Testosterone, Total, MS #15983.

Please note: If Testosterone, Total, Males (Adult) Only #873 is ordered for a pediatric or female patient, the lab will automatically change the test to and charge for Testosterone, Total, MS #15983.

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.

Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.

Measles Immunity Test - to establish whether you have immunity to measles due to a previous infection or to vaccination.

Measles, also known as rubeola, causes fever, irritability, respiratory illness, and the characteristic skin rash. Immunization has greatly diminished the incidence of measles. The presence of IgG is consistent with immunity or prior exposure. 

Alternate Test Name: Measles Antibody IgG

Cardio IQ® ASCVD Risk Panel with Score 

This panel provides the 10-year and lifetime risk of atherosclerotic cardiovascular disease (ASCVD) using lipid results with anthropomorphic data and family history. 
The ASCVD risk assessment is recommended in the 2013 ACC/AHA Guidelines on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults.

IMPORTANT: For risk calculations to be performed, the following patient-specific information must be provided and recorded at the time of specimen collection:

• Age: Years 
• Gender: M (for male) or F (for female) 
• Height Feet: Feet 
• Height Inches: Inches 
• Weight: lbs 
• Race-African American: Y (for yes) or N (for no) 
• Systolic Blood Pressure: mmHg
• Diastolic Blood Pressure: mmHg
• Treatment for High B.P.: Y (for yes) or N (for no) 
• Diabetes Status: Y (for yes) or N (for no)
• Parental History of Diab: Y (for yes) or N (for no) 
• Smoking Status: Y (for Yes) or N (for no)

Comprehensive Wellness Profile (CWP) + Vit D

Epstein-Barr Virus (EBV) Antibody Panel

Includes: Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

Clinical Significance: Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. VCA-IgM is typically detectable at clinical presentation, then declines to undetectable levels within a month in young children and within 3 months in other individuals. VCA-IgG is typically detectable at clinical presentation, and persists for life. EBNA IgG typically appears during convalescence (3-4 months after clinical presentation) and remains detectable for life.

EBV-VCA IgG/IgM (viral capsid antigen): A positive IgG means you’ve had or currently have the infection; A positive IgM means the virus has been reactivated.

EBV-EBNA IgG (nuclear antigen): A positive test result is usually associated with past infections.

Reference Range(s)

Epstein-Barr Virus VCA Antibody (IgM)

U/mLInterpretation

• <36.00 Negative
• 36.00-43.99Equivocal
• >43.99Positive

Epstein-Barr Virus VCA Antibody (IgG)

U/mLInterpretation

• <18.00 Negative
• 18.00-21.99Equivocal
• >21.99Positive

Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

U/mLInterpretation

• <18.00 Negative
• 18.00-21.99Equivocal
• >21.99Positive

Alternative Name(s)

EBV Comprehensive,Infectious Mononucleosis Panel

Clinical Significance

Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. IgG recognizing Early Antigen D typically appears within a month after clinical presentation and is transient, lasting only 3-4 months. Persistently elevated levels suggest reactivation or persistence of EBV infection.

The Epstein-Barr EBV Early Antigen D Ab IgG test that will let one know if the virus is actively replicating.

For the most comprehensive look at your biomarkers for Epstein-Barr (EBV), we recommend the Epstein-Barr (EBV) Comprehensive Panel, as only one may come out positive:

• EBV-VCA IgG/IgM (viral capsid antigen): A positive IgG means you’ve had or currently have the infection; A positive IgM means the virus has been reactivated.
• EBV-EBNA IgG (nuclear antigen): A positive test result is usually associated with past infections.
• EBV-EA-D IgG (early antigen): A positive EA IgG may mean you have an active or reactivated infection.

• The Epstein-Barr EBV Early Antigen D Ab IgG test that will let one know if the virus is actively replicating.

Epstein-Barr (EBV) is a virus that causes mononucleosis, also known as the kissing disease, is a viral infection that is thought to be transmitted through the saliva of those who are infected. The Epstein-Barr virus creates an inactive infection in the body where it lies dormant. It can awaken and reactivate itself, even many years after its initial activation.

The reactivated virus has the potential to induce many debilitating autoimmune symptoms. In some, the infection may not be adequately suppressed and may cause or exacerbate autoimmune diseases. 

The Epstein-Barr (EBV) tests are used to figure out if a person has a reactivated infection. 

Reference Range(s)

Epstein-Barr Virus VCA Antibody (IgM)

U/mLInterpretation

• <36.00 Negative
• 36.00-43.99 Equivocal
• >43.99 Positive

Epstein-Barr Virus VCA Antibody (IgG)

U/mLInterpretation

• <18.00 Negative
• 18.00-21.99 Equivocal
• >21.99 Positive

Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

U/mLInterpretation

• <18.00 Negative
• 18.00-21.99 Equivocal
• >21.99 Positive

Epstein-Barr Virus Early Antigen D Antibody (IgG)

U/mLInterpretation

• <9.00 Negative
• 9.00-10.99 Equivocal
• >10.99 Positive

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

MMR (IgG) Panel (Measles, Mumps, Rubella) Titers - Includes Measles Antibody (IgG), Mumps Antibody (IgG), Rubella Immune Status

This panel provides presumptive evidence of immunity to measles, mumps, and rubella for purposes of routine vaccination, for students at post-high school educational institutions, and for international travelers.

Varicella-Zoster Virus (VZV) causes chicken pox and when reactivated, potentially decades later, causes shingles. Twenty percent of adults will develop shingles, a rash or blister of the skin that may cause severe pain. Varicella-Zoster IgG, EIA reliably measures immunity due to previous infection, but is unsuitable for detection of post-vaccination immune status.

The Varicella Zoster Virus Antibodies, IgG test is typically done to check for immunity to the virus which causes chickenpox.  Varicella Zoster Virus is a member of the Herpes Virus family.  This test measures the level of antibodies produced by the immune system in response to the virus.  Results provide a numerical value for the antibody level which can be compared to a reference interval to determine immune status.  IgG antibodies are typically detectable a few weeks after the initial infection.  In the United States, many people are vaccinated against Varicella when they are young.  In most cases those who contract the virus and recover develop a natural immunity which protects them from catching it again. 

The most common condition which results from infection with Varicella is Chickenpox.  The infection causes an outbreak of an itchy rash and the development of small fluid-filled blisters.  During the primary infection, chickenpox is highly contagious and spread through coughing, sneezing or touching fluid from the blisters.  Most people recover without treatment and the virus remains latent in their system.  There is a possibility for the virus to reactivate later in life, especially in those with weakened immune systems.  This can cause shingles, a condition characterized by a painful burning or itching sensation on one or more areas of the body.  Shingles typically clear up after a few weeks as the virus becomes latent again.

The Varicella IgG Antibody Titer is usually ordered when someone is required to show proof of immune status for work or school.  It may also be done for organ transplant patients or pregnant women.

The Varicella Titer is also available as part of our Immunity Panel which includes other common titer tests.

Tetanus Antitoxoid (Titer)

Clinical Significance

Tetanus is caused by Clostridium tetani. Immunization with Tetanus Antitoxoid is effective with boosters in immunocompetent individuals. Antibody levels > or = to 0.10 IU/mL are considered protective. However, tetanus can still occur in some individuals with such antibody levels. These results should not be used to determine the necessity to administer antitoxin when clinically indicated. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 91424, Tetanus Antitoxoid, Pre and Post Vaccination.

Diphtheria and Tetanus Antitoxoid (Titer)

Clinical Significance

Used to evaluate diphtheria immunization response. Antibody levels of > or = to 0.10 IU/mL are considered protective. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 10680, Diphtheria Antitoxoid, Pre and Post Vaccination.

Tetanus is caused by Clostridium tetani. Immunization with Tetanus Antitoxoid is effective with boosters in immunocompetent individuals. Antibody levels of > or = to 0.10 IU/mL are considered protective. However, tetanus can still occur in some individuals with such antibody levels. These results should not be used to determine the necessity to administer antitoxin when clinically indicated. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 91424, Tetanus Antitoxoid, Pre and Post Vaccination.

Diphtheria Antitoxoid (DPT Titer)

Clinical Significance

Used to evaluate diphtheria immunization response. Antibody levels of > or = to 0.10 IU/mL are considered protective. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 10680, Diphtheria Antitoxoid, Pre and Post Vaccination.

Alternative Name(s)

DPT Titer,Anti Diphtheria

Hepatitis A & B Titer Test

• Hepatitis A Antibody, Total
• Hepatitis A IgM Antibody
• Hepatitis B Surface Antigen with Reflex Confirmation
• Hepatitis B Surface Antibody Immunity, Quantitative
• Hepatitis B Core Antibody, Total

The Hepatitis A & B Titer Test is ordered when a person needs proof of immunity to Hepatitis A and B or just want to check their immune status.

The Hepatitis Titer Test includes immunity testing for both Hepatitis A and B.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis A and B can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis A or B and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis B Immunity

Not Immune and no active or prior infection; may be a good candidate for vaccine

• Hepatitis B Surface Antigen (HBsAg) = Negative
• Hepatitis B Surface Antibody (Anti-HBs) = Negative
• Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

Immunity due to vaccination

• Hepatitis B Surface Antigen (HBsAg) = Negative
• Hepatitis B Surface Antibody (Anti-HBs) = Positive
• Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

HEPATITIS B INFECTION

• Hepatitis B Surface Antigen (HBsAg) = Positive  A positive result indicates an infection, usually with symptoms; contagious; could also be a flare of a chronic infection

Hepatitis A immunity

Immunity

• Hepatitis A Antibody, Total = Positive
• Hepatitis A IgM Antibody = Negative

No active infection but previous HAV exposure; has developed immunity to HAV or recently vaccinated for HAV

No Immunity

• Hepatitis A Antibody, Total= Negative
• Hepatitis A IgM Antibody = Negative

No current or previous HAV infection; vaccine may be advised if at risk

HEPATITIS A INFECTION

• Hepatitis A IgM Antibody = Positive   A positive result indicates an acute or recent infection

Hepatitis A Titer Test Panel

• Hepatitis A Antibody, Total
• Hepatitis A IgM Antibody

The Hepatitis A Titer Test is ordered when a person needs proof of immunity to Hepatitis A or just want to check their immune status.

The Hepatitis A Titer Test includes immunity testing for Hepatitis A.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis A can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis A and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis A immunity

Immunity

• Hepatitis A Antibody, Total = Positive
• Hepatitis A IgM Antibody = Negative

No active infection but previous HAV exposure; has developed immunity to HAV or recently vaccinated for HAV

No Immunity

• Hepatitis A Antibody, Total= Negative
• Hepatitis A IgM Antibody = Negative

No current or previous HAV infection; vaccine may be advised if at risk

HEPATITIS A INFECTION

• Hepatitis A IgM Antibody = Positive   A positive result indicates an acute or recent infection

Hepatitis B Titer Test

• Hepatitis B Surface Antigen with Reflex Confirmation
• Hepatitis B Surface Antibody Immunity, Quantitative
• Hepatitis B Core Antibody, Total

The Hepatitis B Titer Test is ordered when a person needs proof of immunity to Hepatitis B or just want to check their immune status.

The Hepatitis Titer Test includes immunity testing for Hepatitis B.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis B can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis B and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis B Immunity

Not Immune and no active or prior infection; may be a good candidate for vaccine

• Hepatitis B Surface Antigen (HBsAg) = Negative
• Hepatitis B Surface Antibody (Anti-HBs) = Negative
• Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

Immunity due to vaccination

• Hepatitis B Surface Antigen (HBsAg) = Negative
• Hepatitis B Surface Antibody (Anti-HBs) = Positive
• Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

HEPATITIS B INFECTION

• Hepatitis B Surface Antigen (HBsAg) = Positive  A positive result indicates an infection, usually with symptoms; contagious; could also be a flare of a chronic infection.

Varicella-Zoster Virus Antibody (Immunity Screen), ACIF

Clinical Significance

A positive titer (≥1:4) by anticomplement immunofluorescence (ACIF) indicates a history of past infection by Varicella-Zoster virus (VZV). This antibody is usually detectable within 2 days after the onset of rash and is, thereafter, detectable for life. Conversely, the absence of detectable antibody can be used as evidence of susceptibility to varicella (chickenpox).

Immunity Panel

The Immunity Panel combines several common titer immunity tests for additional savings.  These tests are often ordered when someone needs proof of their immune status to common infectious diseases for work or school.  It may also be ordered for pregnant women as part of their prenatal testing. 

This package includes titers for: 

• Hepatitis B Surface Antibody, Quantitative
• MMR (IgG) Panel (Measles, Mumps, Rubella)
• Varicella-Zoster Virus Antibody (IgG)

For a testing package which also includes Hepatitis A, please see our Immunity Panel Plus.

Immunity Panel Plus

The Immunity Panel Plus combines several common titer immunity tests for additional savings.  These tests are often ordered when someone needs proof of their immune status to common infectious diseases for work or school.  It may also be ordered for pregnant women as part of their prenatal testing. 

This package includes titers for:

• Hepatitis A Antibody, Total
• Hepatitis B Surface Antibody, Quantitative
• MMR (IgG) Panel (Measles, Mumps, Rubella)
• Varicella-Zoster Virus Antibody (IgG)

Please note that the Hepatitis A Total Antibodies test included in this package does not provide numerical results.  Results for this test will be positive or negative only.

Tuberculosis (TB) Test - The QuantiFERON-TB Blood Test is used to aid in the diagnosis of both latent and active infections with the bacteria that causes Tuberculosis (TB). This test has been updated to offer the Quantiferon Gold Plus which has the same high level of specificity as the previous generation of testing along with an increased sensitivity of 94%.  This test is one of only 2 blood tests for TB approved by the FDA.  Tuberculosis is a bacterial disease that typically affects the lungs.  TB Bacteria is spread through the air from one person to another. While TB is not as common in the United States as it once was, there is the still a risk posed by TB infection.  It is estimated that 11 million people in the US have a latent Tuberculosis infection (LTBI).

Tuberculosis is a communicable disease caused by infection with M. tuberculosis complex. Infection results in either acute disease or Latent TB Infection (LTBI), a non-communicable asymptomatic condition. The main purpose of diagnosing the latent stage is to consider medical treatment for preventing overt disease. Until recently, the tuberculin skin test was the only available method for diagnosing LTBI.

QuantiFERON®-TB gold eliminates false positive skin test due to BCG vaccination and most Non-Tuberculous Mycobacteria (NTM) and is an objective, reproducible qualitative test. There are no side effects or adverse reactions due to patient hypersensitivity, and no "booster effect", whereby the first test induces a false positive response on re-testing. There is no need for follow-up patient visits to obtain test results.

The TB blood test has several advantages over a skin test.  Blood testing requires only one visit to the lab while skin testing requires multiple visits to a doctor's office.  Blood testing for Tuberculosis is typically more accurate than a skin test.  Skin testing has a higher likelihood of false positive results, especially if a person has been previously vaccinated for TB. 

Measles, Mumps, Rubella (MMR) Immunity Profile

MMR (IgG) Panel (Measles, Mumps, Rubella) Titers - Includes Measles Antibody (IgG), Mumps Antibody (IgG), Rubella Immune Status

This panel provides presumptive evidence of immunity to measles, mumps, and rubella for purposes of routine vaccination, for students at post-high school educational institutions, and for international travelers.