Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHEMILUMINESCENT 2-8°C (24 hrs);
1 8825 1,25 DIHYDROXY VITAMIN D 4100 SERUM: Fasting prefered 3.0 mL (2.0 mL) 1,3,5: 1300 hrs NEXT DAY
IMMUNOASSAY (CLIA) F ( >24 hrs)

DRY BLOOD SPOT with complete

17-ALPHA CLINICAL HISTORY form including birth
2-8°C (14
2 3311 HYDROXYPROGESTERONE 450 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1100 HRS NEXT DAY
days)
(NEONATAL SCREENING) should be ideally collected within 3rd
and 5th day of life after birth)

17-ALPHA- SERUM (Age & Gender )+ clinical history 2-8°C (48 hrs);
3 3190 1700 RADIO IMMUNOASSAY 0.5 mL (0.2 mL) 2,4: 1300 hrs SAME DAY
HYDROXYPROGESTERONE applicable F (>48 hrs)
URINE
24 HOURS COLLECTED IN 10 ML CONC H
CL & REFRIGERATE DURING COLLECTION.
CHROMATOGRAPHY / 2-8°C (15
4 3313 17-KETOSTEROIDS,URINE 6300 ( MENTION 24 HRS. TOTAL URINE VOLU 20.0 ml (15.0 ml) 6: 1100 hrs SAME DAY
SPECTROPHOTOMETRY days)
ME ON TRF ALONG WITH PATIENT AGE,
GENDER AND CLINICAL HISTORY DETAILS.
)
BIOPSIES SOULD BE FIXED FOR 24-48
HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE
SHOULD BE 4 MICRONS THICK & PLACED
ON POSITIVELY CHARGED SLIDES. 3
5 6027F 1p/19q Deletions, FISH 15000 FISH NOT APPLICABLE A DAILY: 700 HRS 7TH DAY
SLIDES / SAMPLES CONTAINING
MALIGNANT TISSUE. * TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.* clinical details
in specified format

1] Require SERUM sample (to be

collected in plain tube not in gel tube)
preferably fasting upto 12-14 hrs.
25 HYDROXY VITAMIN D 2] Doctors Name and Contact details+ Refrigerated/F Mon,Wed,Fri at
6 8823L 2800 LCMSMS 3.0 mL [1.0 ml] Next Day 18:30 Hrs
GOLD, LCMS Clinical history of the patient is rozen 10:00Hrs
mandatory.
3] Sample should to be stored to
refrigerate or freeze immediately.
DAILY (MON TO
2-8°C (48 hrs);
7 8823 25-HYDROXY VITAMIN D 1650 CHEMILUMINESCENCE SERUM: Fasting not mandatory 1.0 mL (0.2 mL) SAT): 0500, 1430, SAME DAY
F (>48 hrs)
1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
24HRS URINE TO BE STRICTLY COLLECTED
IN 15ML OF 6N HCL. * WHILE
COLLECTING 24HRS URINE SPECIMEN,
THE CONTAINER SHOULD BE KEPT IN
DARK THROUGHOUT THE COLLECTION.
TO AVOID EXPOSURE TO LIGHT, THE
20ML ALIQUOT FROM THE COLLECTED
24HRS URINE SAMPLE HAS TO BE
WRAPPED IN ALUMINUM FOIL.DO NOT
CONSUME AVOCADOS,
5-HYDROXY INDOLE ACETIC FROZEN
8 9952 3500 ENZYME IMMUNOASSAY BANANAS,COFFEE, PLUMS, PINEAPPLE, 20.0 ML (10.0 ML) TUESDAY : 1000HRS NEXT DAY
ACID STRICTLY
TOMATOES, WALNUTS AS WELL AS
SOME MEDICATIONS(e.g. ASPIRIN,
CORTICOTROPIN, MAO INHIBITORS,
PHENAZETIN, CATECHOLAMINES,
RESERPIN, NICOTIN) 48HRS PRIOR TO
THE COLLECTION OF THE
SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION OF THE
PATIENT ON THE REQ FORM..

WB- EDTA | WB- HEPARIN | WB / 3-4 CC (1CC) / 3-4 CC

9 1674BB ABCD3 3100 FLOW CYTOMETRY SMEARS + CLINICAL HISTORY(WB to (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
reach within 48 hrs) / 3-4 CC (1CC)
DAILY:
ABSOLUTE NEUTROPHIL AUTOMATED CELL COUNTER / 3.0 ML (2.0) ML + 2
10 5110N 500 WB-EDTA + DIRECT BLOOD SMEAR A 12:00,15:30,17:30 SAME DAY
COUNT MICROSCOPY SMEARS
HRS
SERUM (PLEASE SEE TO THAT THE
SPECIMEN REACHES SRL,MUMBAI MONDAY TO
11 0011LS ACETONE, SERUM 1050 BIOCHEMISTRY 1.0 ML (0.5ML) FROZEN 3RD DAY
PREFERABLY WITHIIN 24HRS OF SATUDAY 09:00HRS
COLLECTION
URINE -RANDOM URINE WITHOUT 2-8°C (3 days);
12 1336 ACETONE, URINE 850 CHEMICAL ANALYSIS 10.0 ml (5.0 ml) 1,3,5 : 1200 hrs SAME DAY
PRESERVATIVE F (>3 days)

ACETYLCHOLINE RECEPTOR 2-8°C (7 days);

13 1411 4900 RADIO IMMUNOASSAY Serum / EDTA- Plasma 1.0 mL (0.5 mL) 1,3,5: 1100 hrs SAME DAY
AUTOANTIBODIES F (> 7 days)
5.0 ML (1.0 ML) IN
ACID FAST BACILLI CULTURE ( BLOOD/ BONE MARROW INOCULATED IN WK 6 (Or when culture
14 1464BA 1350 BACTEC METHOD MYCO F/ LYTIC A DAILY:1000 HRS
BLOOD & / BONE MARROW) MYCO F LYTIC BACTEC BOTTLE positive)
BACTEC BOTTLE
FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS,WK 3 &
ACID FAST BACILLI CULTURE: ANY SPECIMEN OF PULMONARY ORIGIN
15 1464 1350 NEELSEN STAIN & MGIT 960+LJ 3.0 ML (2.0) ML R DAILY: 1000 HRS WK 6 (OR WHEN CULTURE
MGIT IN STERILE CONTAINER/
CULTURE IS POSITIVE)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ANY SPECIMEN of Non-Pulmonary Origin
FLUORESCENT STAIN / ZIEHL (except Blood & Bone marrow) IN SMEAR - 48 HOURS WK 3
ACID FAST BACILLI CULTURE: 3.0 ML (2.0) ML / 1
16 1464EP 1350 NEELSEN STAIN & MGIT 960+LJ STERILE CONTAINER/ TISSUE IN STERILE R DAILY: 1000 HRS & WK 6 (Or when culture
MGIT TISSUE
CULTURE NORMAL SALINE / SWABS NOT positive)
ACCEPTED
ANY SPECIMEN (EXCEPT
ACID FAST BACILLI CULTURE: FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS WK 3
BLOOD/BONEMARROW) IN STERILE 3.0 ML (2.0) ML / 1 DAILY ( MON TO
17 1465 MGIT(WITHOUT 1600 NEELSEN STAIN & MGIT 960+LJ R & WK 6 (Or when culture
CONTAINER/ TISSUE IN STERILE NORMAL TISSUE SAT): 1000 HRS
IDENTIFICATION) CULTURE positive)
SALINE /SWABS ARE NOT ACCEPTED
4TH DAY - ONE DAY AFTER
ACID FAST BACILLI SMEAR (3 MICROSCOPY / ZIEHL NEELSEN 3.0ML (0.5 ML)/10.0
18 5320S 1000 SPUTUM / URINE R DAILY: 1500 HRS RECEIPT OF THIRD
SAMPLES) STAIN ML (5.0 ML),
SPECIMEN
6TH DAY - ONE DAY AFTER
ACID FAST BACILLI SMEAR (5 MICROSCOPY / ZIEHL NEELSEN 3.0ML (0.5 ML)/10.0
19 5320U 1000 SPUTUM / URINE R DAILY: 1500 HRS RECEIPT OF FIFTH
SAMPLES) STAIN ML (5.0 ML),
SPECIMEN
ANY SPECIMEN (EXCEPT
ACID FAST BACILLI STAIN AND BLOOD/BONEMARROW) IN STERILE SMEAR- 48 HOURS & WK 8
20 2419 1700 CULTURE- LJ 3.0 ML (0.5 ML) R DAILY: 1000 HRS
CULTURE CONTAINER/ TISSUE IN STERILE NORMAL (Or when culture positive)
SALINE /SWABS ARE NOT ACCEPTED

SMEAR - SAME DAY (Or

FLUORESCENT STAIN / ZIEHL
ACID FAST BACILLI, STAIN & 3.0ML (0.5 ML) / after last specimen is
21 1464S 2200 NEELSEN STAIN & MGIT 960+LJ SPUTUM/ URINE- STERILE CONTAINER R DAILY:1500 HRS
MGIT CULTURE (3 SAMPLES) 10.0 ML (5.0 ML) received), WK 3 & WK 6 or
CULTURE
when culture is positive)

SMEAR - SAME DAY (Or

FLUORESCENT STAIN / ZIEHL
ACID FAST BACILLI, STAIN & 3.0ML (0.5 ML) / after last specimen is
22 1464U 2000 NEELSEN STAIN & MGIT 960+LJ SPUTUM/ URINE- STERILE CONTAINER R DAILY:1500 HRS
MGIT CULTURE (5 SAMPLES) 10.0 ML (5.0 ML) received), WK 3 & WK 6 or
CULTURE
when culture is positive)
ACID PHOSPHATASE
SERUM + CLINICAL HISTORY + (AGE &
23 9333 (PROSTATIC) (Only for Walkin 650 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) F 2: 1100 hrs SAME DAY
GENDER IS MANDATORY)
Patient)
F (To be F
FASTING, CITRATED PLATELET POOR
immediately
ACTIVATED PROTEIN C PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQOUTS OF WED / SAT
24 5901 4900 CLOT BASED at -20°c & SAME DAY
RESISTANCE CENTRIFUGED PLASMA)* with CLINICAL 1.5 ML EACH 11:00HRS
transported in
HISTORY
dry ice)
CHEMILUMINESCENT 2-8°C (3days),
ACTIVE VITAMIN B12
25 9315 1700 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) > 3 DAYS (- Daily 15.30HRS SAME DAY
(HOLOTRANSCOBALMIN)
(CMIA) 20°C_
ACTN3 GENOTYPING (SPORTS 5 ML (3ML)/ 2
26 9940 4000 PCR-SEQUENCING EDTA WHOLE BLOOD/ BUCCAL SWAB A 5: 0930 HRS 7 DAYS
GENE TEST ) SWABS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ACUTE HEPATITIS VIRUS DAILY: 0730 HRS &
Chemiluminescent Microparticle
EVALUATION I (HCV ABS, HEV 2-8°C (7 days) 1530 HRS, EXCEPT
27 7756 4100 Immunoassay (CMIA) / ENZYME SERUM 3.0 ML (2.0 ML) SAME DAY
IgM, HBsAg, HAV IgM, HBcore ,>7 days -20°C FOR HEV IgM. DAILY
IMMUNOASSAY
IgM) 1130 HRS

DAILY: 0730 HRS &

ACUTE HEPATITIS VIRUS
Chemiluminescent Microparticle 1530 HRS, EXCEPT
EVALUATION II (HCV ABS, HEV 2-8°C (7 days)
28 7755 6300 Immunoassay (CMIA) / ENZYME SERUM 3.0 ML (2.0 ML) FOR HEV IgM. DAILY SAME DAY
IgM / IgG, HBsAg, HAV IgM, ,>7 days -20°C
IMMUNOASSAY 1130 HRS; HEV IgG:
HBeAg, HBeAb)
3:11:30HRS

HSV IgM, CMV IgM--

ACUTE HEPATITIS VIRUS
2-8°C (7 DAYS) -DAILY:03:00 am
EVALUATION III (HSV IgM, Enzyme Linked Immnunosorbent
29 7757 5500 SERUM 3.0 ML (2.0 ML) ,>7 DAYS - HRS; EBV (EA) IgG--- SAME DAY
CMV IgM, EBV (EA) IgG, VZV assay
20°C 2,5:1100 HRS; VZV
IgM)
IgM---3:1100HRS

ACUTE LEUKEMIA PANEL

(CD10,CD19,CD20,CD22,CD3,
CD5,CD7,CD13,CD33,CD34,CD
BM / WB- EDTA | BM / WB- HEPARIN |
117,HLA DR, CD11b, CD16, 3-4 ML (1ML) / 3-4
FLUID-EDTA I FLUID-HEPARIN I BM / WB
CD45, CD64, CD2, CD56, ML (1ML) / 3-4 ML
30 1608 10000 FLOW CYTOMETRY / FLUIDS DIRECT SMEARS + CLINICAL A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CYTOPLASMIC MARKERS (1ML) / 3-4 ML (1
HISTORY (MANDATORY) IN SPECIFIED
(CD3, CD79a and MPO, CD1a, ML)
FORMAT
CD4, CD8, CD14, CD15 ) WILL
BE DONE IF REQUIRED FOR
DIAGNOSIS)
ACUTE LYMPHOBLASTIC
BM / WB- EDTA | BM / WB- HEPARIN |
LEUKEMIA PANEL 3-4 ML (1ML) / 3-4
FLUID-EDTA I FLUID-HEPARIN I BM / WB
(CD3,CD4,CD5,CD7,CD8,CD10, ML (1ML) / 3-4 ML
31 1606 12000 FLOW CYTOMETRY / FLUIDS DIRECT SMEARS + CLINICAL A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD19,CD20,CD22,CD34,CD45, (1ML) / 3-4 ML (1
HISTORY(MANDATORY) IN SPECIFIED
IgM, HLA-DR, CD33, CD2, ML)
FORMAT
CD56, CD1a)
ACUTE MYELOID LEUKEMIA
(AML) PANEL (CD7, CD19,
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 ML (1ML) / 3-4
CD13, CD14, CD15, CD33,
FLUID-EDTA I FLUID-HEPARIN I BM / WB ML (1ML) / 3-4 ML
32 1047 CD34, CD117, CD41, CD45, 11000 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS DIRECT SMEARS + CLINICAL (1ML) / 3-4 ML (1
CD61, GLYCOPHORIN A, HLA-
HISTORY (MANDATORY) ML)
DR, CD11b, CD16, CD64,
CD56)
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
ACUTE PROMYELOCYTIC
33 5840 4800 KARYOTYPE CELL CULTURE MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML (3.0 ML) A DAILY: 7.00 HRS 12 WORKING days
LEUKEMIA (APL)
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
ADENOCARCINOMA V/S
BLOCK (Site of biopsy & Clinical details
34 Z217 MALIGNANT MESOTHELIOMA 6900 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
mandatory)MANDATORY IF TISSUE RECD.
(CEA, EMA, VIMENTIN, LWCK)
TISSUE PROCESSING WILL BE CHARGED
SERUM, PLEURAL FLUID, ASCITIC
FLUID/PERITONEAL FLUID, CSF,
PERICARDIAL FLUID, SYNOVIAL FLUID & 1.0 (0.5) ml, 2.0 (1.0)
ADENOSINE DEAMINASE
35 3131 1100 SPECTROPHOTOMETRY OTHER BODY FLUIDS (EXCEPT URINE, ml, 2.0 (1.0), 2.0 F DAILY: 1200 hrs SAME DAY
(ADA)
'SPUTUM, STOOL,SEMENS & (1.0) ml, 2.0 (1.0) ml
MENSTRUAL BLOOD). + CLINICAL
HISTORY
2-8°C (5 days);
Enzyme Linked Immnunosorbent
36 9921I ADENOVIRUS IgG 1700 SERUM 0.50 ML (0.25 ML) -20°C (>5 1ST FRI: 1030 HRS SAME DAY
assay
days)

2-8°C (5 days);
Enzyme Linked Immnunosorbent
37 9924I ADENOVIRUS IgM 1700 SERUM 0.50 ML (0.25 ML) -20°C (>5 1ST FRI: 1030 HRS SAME DAY
assay
days)
SWABS: (ORAL, EYE, NASAL) /
38 7589 ADENOVIRUS PCR 4500 POLYMERASE CHAIN REACTION 1.0 (0.5) ML A 2, 4 :1000 HOURS 4, 6 : 1800 HRS
RESPIRATORY FLUIDS
ADRB2 GENOTYPING FOR B-2- EDTA WHOLE BLOOD + CLINICAL
39 9938RD 3400 PCR-SEQUENCING 5 ML (3 ML) A 1: 0930 HRS 7 DAYS
AGONIST RESPONSIVENESS HISTORY

24HRS URINE (Preservative:15 - 20ML 6N

HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS, 48hrs
prior to the collection of the specimen.It
is advisable to discontinue all
medications, alpha methyldopa, MAO &
COMT Inhibitors as well as medications
related to Hypertension should be
discontinued atleast 72 hrs prior to F FROZEN WEDNESDAY :
40 9951U ADRENALIN URINE 3600 ENZYME IMMUNOASSAY 10.0 ML NEXT DAY
specimen collection.If medications STRICTLY 1000HRs
takenshould be STrictly on the advise of
the referring physician, the same should
be mentioned.Please freeze the
specimen immediately after collection.
CLINICAL DETAILS(Patient's clinical
history, CT SCAN , USG & MEDICATION
MANDATORY) mention 24 hrs urine
volume
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

THE BLOOD SAMPLE (EDTA) SHOULD BE

STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE
PLASMA WITHIN 2HOURS AFTER BLOOD
COLLECTION.DO NOT CONSUME
VITAMIN B ,COFFEE, BANANAS, ALPHA -
METHYDOPA,MOA AND COMT F FROZEN WEDNESDAY :
41 9951P ADRENALIN, PLASMA 3600 ENZYME IMMUNOASSAY 2.0 ML (1.0 ML) NEXT DAY
INHIBITORSAS WELL AS MEDICATION STRICTLY 1000HRS
RELATED TO HYPERTENSION FOR AT
LEAST 72 HRS PRIOR TO THE COLLECTION
OF THE SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..

TISSUE IN 10%FORMALIN / PARAFFIN

ADRENOCORTICOTROPIC
42 Z161K 2700 IMMUNOHISTOCHEMISTRY BLOCK (Site of biopsy & Clinical details 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
HORMONE (ACTH)
mandatory)MANDATORY IF TISSUE RECD.
Plasma-EDTA ( Collect blood into iced
EDTA tubes, noting the time of
collection. The tubes should be
ADRENOCORTICOTROPIC
immersed in an ice bath following F (Upto 30 2,4:
43 3102 HORMONE (ACTH) - 1900 CHEMILUMINESCENCE 2.0 mL (0.5 mL) SAME DAY
collection. Freeze the specimen days) 0500,1430,1600 hrs
COMPLETE
immediately after separation. Specimen
collected between 6-10 am is desirable)
+ Clinical History
250ug Synacthen IM/IV 3 Serum Samples
ADRENOCORTICOTROPIC Collected 1/2 hr. apart Basal (before DAILY (MON TO
2-8°C (48 hrs);
44 3103 HORMONE (ACTH) 2600 CHEMILUMINESCENCE drug) , 30min, 60min (Freeze the 1.0 mL (0.5 mL) SAT): SAME DAY
F (>48 hrs)
STIMULATION TEST - 1 HOUR specimen immediately after separation) 0500,1430,1600 hrs
+ Clinical History
AEROBIC BLOOD CULTURE - BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC PRELIM. 24 HRS, FINAL 5TH
45 1212 1300 8-10 ML (3.0 ML) A DAILY: 1700 HRS
BACTEC METHOD PLUS ) DAY
AEROBIC CULTURE- SCRAPINGS / PUS/ TISSUE IN SALINE-
CULTURE + SENSITIVITY BY MIC SCRAPINGS / 3.0 ML
46 1221CS ISOLATION & IDENTIFICATION 1150 STERILE CONTAINER(Swabs not R DAILY: 1700 HRS 3RD DAY
BREAKPOINT (0.5 ML)
(Culture + Sensitivity) accepted)
BODY FLUID- STERILE CONTAINER /
AEROBIC CULTURE, BODY BACTEC FLUORESCENT PRELIM. 24 HRS, FINAL 5TH
47 1195AP 1300 INOCULATED BACTEC BOTTLE (AEROBIC 5.0 ML (2.0 ML) A DAILY: 1700 HRS
FLUID BACTEC METHOD DAY
PLUS )
PURE & MODERATE
AEROBIC SUSCEPTIBILITY
48 1282VGN 1300 BREAKPOINT MIC BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
GRAM NEGATIVE ORGANISM
GROWTH

PURE & MODERATE

AEROBIC SUSCEPTIBILITY
49 1281VGP 1275 BREAKPOINT MIC BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
GRAM POSITIVE ORGANISM
GROWTH
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
50 AM5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Amikacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
51 CA5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Capreomycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
52 CI5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Ciprofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
PURE FRESHLY SUB-CULTURED M. PURE & FRESHLY
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE SUBCULTURED M.
53 CLO5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
CLOFAZIMINE IDENTIFICATION REPORT FROM THE TUBERCULOSIS
REFERRING LAB IS MANDATORY COMPLEX ISOLATE
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
54 ET5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Ethambutol IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
55 EH5654 2600 BACTEC MGIT-960 METHOD R DAILY 1000 HRS 15 DAYS
Ethionamide IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
56 IS5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Isoniazid IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
57 KA5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Kanamycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
58 LV5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Levofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
PURE & FRESHLY
AFB SUSCEPTIBILITY : SUBCULTURED M.
59 LZ5654 2600 BACTEC MGIT-960 METHOD CULTURE R DAILY:1000 HRS 15 DAYS
LINEZOLID TUBERCULOSIS
COMPLEX ISOLATE
PURE FRESHLY SUB-CULTURED M. PURE & FRESHLY
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE SUBCULTURED M.
60 MX5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 16 DAYS
MOXIFLOXACIN IDENTIFICATION REPORT FROM THE TUBERCULOSIS
REFERRING LAB IS MANDATORY COMPLEX ISOLATE
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
61 OF5654 2600 BACTEC MGIT-960 METHOD R DAILY 1000 HRS 15 DAYS
Ofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
62 PA5654 AFB SUSCEPTIBILITY : PAS 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
63 PY5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Pyrazinamide IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
64 RF5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
RIFABUTIN IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
65 RI5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Rifampicin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
66 ST5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Streptomycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
67 1464R2 11000 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 10 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
68 1464R3 14000 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 13 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
69 1464R1 6250 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 5 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
70 1490 5000 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: SIRE PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY

SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
71 5649 6200 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15TH DAY
: SIREP PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
AFB DRUG SENSITIVITY: MIC PURE FRESHLY SUB-CULTURED RAPID PURE & FRESHLY
TEST FOR RAPID GROWING GROWING NTM ISOLATE (ISOLATE SUBCULTURED
72 1464RGM 11000 MICRO BROTH DILUTION R DAILY:1000 HRS 15 DAYS
NON-TUBERCULOUS IDENTIFICATION REPORT FROM THE isolate of Rapidly
MYCOBACTERIA (NTM) REFERRING LAB IS MANDATORY Growing NTM

SPUTUM (AFB SMEAR POSITIVE)/ BAL

AFB RAPID GENOTYPIC TEST (AFB SMEAR POSITIVE) (SPECIMENS OF
73 9950 (MDR-TB) (Note: This test is 1800 PCR- HYBRIDISATION PATIENTS WITH AFB SMEAR LESS THAN 3.0 ML (2.0 ML) A/R 1,4:0930 HRS 4,1: 1800 HRS
not applicable for MOTT) 1+ ARE NOT ACCEPTABLE) / MTB
CULTURE SPECIMEN
AFB SECOND LINE DRUG- SPUTUM / BAL /MTB CULTURE
GENOTYPIC ASSAY (Note: PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB
74 9957 6500 5.0 ML ( 3.0 ML) A 1,4:0930 HRS 4,1: 1800 HRS
This test is not applicable for HYBRIDIZATION SMEAR LESS THAN 1+ ARE NOT
MOTT) ACCEPTABLE)
CULTURE/ SPUTUM/ BAL/ PUS +
CLINICAL HISTORY (SPECIMENS OF
75 2402 AFB SPECIATION 3500 PCR - SEQUENCING 5 ML (3ML) A 1:0930 HRS 5: 18:00 HRS
PATIENTS WITH AFB SMEAR LESS THAN
1+ ARE NOT ACCEPTABLE)
PURE FRESHLY SUB-CULTURED M. PURE & FRESHLY
AFB SUSCEPTIBILITY
TUBERCULOSIS ISOLATE (ISOLATE SUBCULTURED M.
76 MX5655 MOXIFLOXACIN (2.0 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 16 DAYS
IDENTIFICATION REPORT FROM THE TUBERCULOSIS
MCG/ML)
REFERRING LAB IS MANDATORY COMPLEX ISOLATE
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
77 Z071K AFP 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

SERUM (DO NOT USE SPIRIT SWAB

WHILE COLLECTING BLOOD SAMPLE. THE
SERUM SHOULD BE IMMEDIATELY
2-8°C (3 days);
ENZYMATIC/ TRANSFERRED IN A CAPPED AND SEALED
78 4105S ALCOHOL (ETHANOL), SERUM 2550 1.0 (0.5) ml F (>3 days - 14 DAILY: 17.00 hrs SAME DAY
SPECTROPHOTOMETRY CONTAINER & SHIPPED TO SRL,MUMBAI
days)
IN REFRIGERATED CONDITION).(CLINICAL
HISTORY + AGE & GENDER IS
MANDATORY).

URINE- RANDOM SEND TO SRL MUMBAI

WITHIN 24HRS OF COLLECTION IN A
ENZYMATIC/ 2-8°C (14
79 4105U ALCOHOL (ETHANOL), URINE 2500 CAPPED AND SEALED 15.0 ml (10.0 ml) DAILY: 17.00 hrs SAME DAY
SPECTROPHOTOMETRY days)
CONTAINER.(CLINICAL HISTORY + AGE &
GENDER IS MANDATORY).
SERUM (REFRIGERATED SERUM
SPECIMENS TO REACH SRL MUMBAI
80 1391D ALDOLASE 1200 SPECTROPHOTOMETRY WITHIN 24HRS, OR TO BE SENT FROZEN) 2.0 ml (1.0 ml) F 4: 12:00 HRS SAME DAY
(CLINICAL HISTORY + AGE & GENDER IS
MANDATORY).
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM (Age, Gender, Clinical &
2-8°C (48 hrs);
81 3105 ALDOSTERONE 2600 RADIO IMMUNOASSAY Treatment history Required if patient is 1.0 mL (0.5 mL) 2, 5: 1430 hrs NEXT DAY
F (>48 hrs)
on Spirolactone or ACE inhibitors)

TISSUE IN 10%FORMALIN / PARAFIN

BLOCK+ Site of biopsy and Clinical details
82 Z209K ALK-1 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
ALK-1 COMPANION
DIAGNOSTIC ASSAY FOR LUNG Monday to
83 4632 4800 Ventana immunohistochemistry Paraffin block / Tissue in 10% formalin 1 A 5TH DAY
TUMORS (ALK 1 (D5F3))-CoE Saturday 09:00hrs
Histopath
SERUM (CLINICAL HISTORY, AGE &
ALKALINE PHOSPHATASE
84 9992 6000 ELECTROPHORESIS GENDER IS MANDATORY ). FROZEN 2.0 ml (1.5 ml) 2-8°C(7 days) MON : 1100 hrs 5TH DAY REPORTING
ISOENZYMES
SPECIMEN NOT ACCEPTABLE
ALKALINE PHOSPHATASE 10 -12 HRS FASTING SERUM + (CLINICAL
85 3996 ISOENZYMES (BONE 1800 SPECTROPHOTOMETRY HISTORY + AGE & GENDER IS 1.0 ml (0.8 ml) 2-8°C (7 days) DAILY: 1630 hrs SAME DAY
FRACTION) MANDATORY)
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
ALL FISH PANEL: BCR/ABL
48 HRS + CLINICAL HISTORY [Please
86 4008F t(9:22) + TEL/AML t(12:21) + 9000 FISH 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
mention the clinical history, blood
MLL 11q rearrangement
picture (CBC Report) and medication of
the patient on the TRF]
ALLERGEN - Acacia Tree 2-8°C (1
Pollen (Latin Name:Acacia ImmunoCAP Specific IgE week); -
87 3111 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
longifolia ; Indian Name: inhouse allergen 20°C (>1
Babool) inhouse allergen week)
2-8°C (1
ALLERGEN - ACTH inhouse ImmunoCAP Specific IgE week); -
88 3255 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ALMOND ImmunoCAP Specific IgE week); -
89 3101 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ALTERNARIA
ImmunoCAP Specific IgE week); -
90 3050 ALTERNATA/TENIUS inhouse 1500 SERUM 2.0 ML Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
allergen
week)
2-8°C (1
ALLERGEN - AMOXYCILLIN ImmunoCAP Specific IgE week); -
91 3181 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - AMPICILLIN ImmunoCAP Specific IgE week); -
92 3187 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)

ALLERGEN - ANIMAL DANDER

2-8°C (1
PANEL (Cat dander, Horse
ImmunoCAP Specific IgE week); -
93 4073 dander, Cow dander, Dog 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
dander,Rat epithelium,Mouse
week)
epithelium,Pigeon droppings )

2-8°C (1
ALLERGEN - APPLE inhouse ImmunoCAP Specific IgE week); -
94 3210 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
95 3382 ALLERGEN - Ascaris 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ASPERGILLUS
ImmunoCAP Specific IgE week); -
96 3053 FUMIGATUS inhouse 1550 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
allergen
week)
ALLERGEN - BAINGAN
(ALLERGEN AUBERGINE)
ImmunoCAP Specific IgE 2-8°C (48 hrs),
97 3383 (Common Names:Eggplant 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
,Brinjal ; Indian
Name:Baingan)
2-8°C (1
ALLERGEN - BANANA ImmunoCAP Specific IgE week); -
98 3087 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN – Barley(Latin ImmunoCAP Specific IgE week); -
99 3094 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name: Hordeum vulgare) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
100 3330 ALLERGEN - BEEF 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Bermuda Grass 2-8°C (1
Pollen(Latin Name:Cynodon ImmunoCAP Specific IgE week); -
101 3162 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
dactylon ; Indian Name: inhouse allergen 20°C (>1
Dhoobghass) week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
102 3335 ALLERGEN - BLUE MUSSEL 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
103 3341 ALLERGEN - BRAZIL NUT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Buckwheat(Latin
ImmunoCAP Specific IgE week); -
104 3355 Name: Fagopyrum 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
esculentum)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
105 3083 ALLERGEN - CABBAGE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CANDIDA ImmunoCAP Specific IgE week); -
106 3051 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
ALBICANS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
107 3213 ALLERGEN - CARROT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
108 3056 ALLERGEN - CASEIN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
109 3085 ALLERGEN - CASHEW 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CAT ImmunoCAP Specific IgE week); -
110 3047 1500 SERUM 2.0 ML Daily :1100 HRS SAME DAY
DANDER/EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
111 3096 ALLERGEN - CAULIFLOWER 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
112 3360 ALLERGEN - CELERY 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
113 3057 ALLERGEN - CHEESE CHEDDAR 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
MONDAY TO
114 3178 ALLERGEN - CHERRY 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
ALLERGEN - Chick
Pea(Common Names:
ImmunoCAP Specific IgE 2-8°C (48 hrs),
115 3388 Garbanzo bean, Bengal 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
Gram;Indian Name:Kabuli
Chana)
2-8°C (1
ALLERGEN - CHICKEN ImmunoCAP Specific IgE week); -
116 3118 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
FEATHERS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
117 3063 ALLERGEN - CHICKEN MEAT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CLADOSPORIUM ImmunoCAP Specific IgE week); -
118 3055 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
HERBARUM inhouse allergen 20°C (>1
week)
ALLERGEN - Cocklebur Weed
2-8°C (1
Pollen (Latin Name:Xanthium
ImmunoCAP Specific IgE week); -
119 3153 commune;Indian 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Names:Bichha,Kutta,Chirchitt
week)
a)
2-8°C (1
ImmunoCAP Specific IgE week); -
120 3059 ALLERGEN - COCKROACH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
121 3108 ALLERGEN - COCOA 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
122 3060 Allergen - Coconut 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
123 3331 ALLERGEN - CODFISH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
124 3199 ALLERGEN - COFFEE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Common
2-8°C (1
Ragweed Pollen (Latin
ImmunoCAP Specific IgE week); -
125 3161 Name:Ambrosia elatior;Close 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
to Parthenium-Congress
week)
Grass)
MONDAY TO
ALLERGEN - COMMON REED
126 3166 1500 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
GRASS
09:00HRS
2-8°C (1
ALLERGEN - Common Silver
ImmunoCAP Specific IgE week); -
127 3117 birch Tree Pollen( Latin 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Betula verrucosa)
week)

ALLERGEN - COMPREHENSIVE
ALLERGY PANEL - ADULT
(Phadia Top Adult, LiST Of
Allergens Include:Milk,
Soybean, Cheese, Almond,
Coconut, Wheat, Egg White,
Chicken, Cod Fish, Shrimp, 2-8°C (1
Tuna, Salmon, ImmunoCAP Specific IgE week); -
128 1404 13500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
D.Ptteronyssinus, D.Farinae, inhouse allergen 20°C (>1
Cockroach, House DuST, week)
Mugwort, English Plantain,
Lambs Quarter, Alder, Birch,
Cat Epithelium, Dog Dander,
Cladoprorium, Aspergillus,
Candida, Sweet Vernal,
Cultivated Rye, Velvet)

2-8°C (1
ImmunoCAP Specific IgE week); -
129 3093 ALLERGEN - CORN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Cottonwood Tree
ImmunoCAP Specific IgE week); -
130 3390 Pollen (Latin Name: Populus 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
deltoides)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
131 3130 ALLERGEN - COWDANDER 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
132 3068 ALLERGEN - CRAB 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN – Cultivated rye
ImmunoCAP Specific IgE week); -
133 3233 Grass Pollen (Latin 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Secale cereale )
week)
2-8°C (1
ALLERGEN - DOG ImmunoCAP Specific IgE week); -
134 3042 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
DANDER/EPITHELIUM inhouse allergen 20°C (>1
week)
ALLERGEN - DRUG ALLERGY 2-8°C (1
(Amoxycillin, ACTH, Ampicilin, ImmunoCAP Specific IgE week); -
135 3257 6000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Penicilin G, Penicilin V, inhouse allergen 20°C (>1
Insulin) week)
2-8°C (1
ALLERGEN - DRUG ALLERGY
ImmunoCAP Specific IgE week); -
136 4074 PANEL (Amoxycillin,Ampicilin, 4000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Penicilin G, Penicilin V)
week)
ALLERGEN - DUST PANEL 2-8°C (1
(HouseduST- Greer, ImmunoCAP Specific IgE week); -
137 3033 3200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Cockroach, D.Farinae, inhouse allergen 20°C (>1
D.Pteronyssinus) week)
ALLERGEN - ECZEMA/GIT
(Non-veg & Veg) PANEL -
Hollister-Stier Labs.,
Dermatophagoides
pteronyssinus, 2-8°C (1
Dermatophagoides farinae, ImmunoCAP Specific IgE week); -
138 3376 10500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Blatella germanica,Milk, inhouse allergen 20°C (>1
Wheat, Rice, Soybean, Potato, week)
Onion,Tomato ,Peanuts, Egg
White,Egg yolk, Cod Fish,
Shrimp, Chicken, Mutton
(Lamb)

ALLERGEN - ECZEMA/GIT
(Veg) PANEL - Hollister-Stier
Labs., Dermatophagoides
pteronyssinus, 2-8°C (1
Dermatophagoides ImmunoCAP Specific IgE week); -
139 3375 6200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
farinae,Blatella inhouse allergen 20°C (>1
germanica(Cockroach), Milk week)
,Wheat, Rice, Soybean,
Potato, Onion,Tomato ,
Peanuts, ]
2-8°C (1
ImmunoCAP Specific IgE week); -
140 3043 ALLERGEN - EGG WHITE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
141 3076 ALLERGEN - EGG YOLK 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Elm Tree Pollen(
ImmunoCAP Specific IgE week); -
142 3389 Latin Name: Ulmus americana 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
; Indian Name:Papdi Chibil)
week)
ALLERGEN - English plantain 2-8°C (1
Weed Pollen (Latin ImmunoCAP Specific IgE week); -
143 3159 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Plantago lanceolata inhouse allergen 20°C (>1
;Common Name:Ribwort) week)
ALLERGEN - Eucalyptus Tree
ImmunoCAP Specific IgE 2-8°C (48 hrs),
144 3119 Pollen (Indian 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
Names:Nilgiri,Safeda)
ALLERGEN - Extended Eczema
Panel -
Milk,Wheat,Rice,Peanut,Soya
bean,ChickPea,Cashew
Nut,Coconut,Banana,Brinjal,L
emon,Spinach,Tomato,White 2-8°C (1
Bean,Cod ImmunoCAP Specific IgE week); -
145 3386 11500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
Fish,Shrimp,Chicken,Mutton,E inhouse allergen 20°C (>1
gg week)
White,D.Ptyerossinus,Cockroa
ch,Cat dander, Dog
dander,Cladosporium
herbarum, Aspergillus
fumigatus,
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN - Extended
Rhinitis/Asthma panel –Adult{
Bermuda Grass, Johnsson
Grass,Meadow Grass,
Cocklebur , Common Pigweed
, Common ragweed,Mugwort,
Goosefoot, Rape Seed, English
2-8°C (1
Plantain, Acacia, Oak,
ImmunoCAP Specific IgE week); -
146 3405 Elm,Cotton Wood ,Eucalyptus, 11500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mesquite, Mulberry ,
week)
Alder,Dermatophagoides
farinae, Dermatophagoides
pteronyssinus , Cockroach,Cat
dander, Dog
dander,Cladosporium
herbarum, Aspergillus
fumigatus.

ALLERGEN - Extended
Rhinitis/Asthma panel –Child {
Bermuda Grass, Johnsson
Grass, Cocklebur, Common
Pigweed, Common ragweed,
Mugwort ,Goosefoot, Rape
seed, Oak, Cotton Wood,
Eucalyptus, Mesquite,
Mulberry, Alder,
2-8°C (1
Dermatophagoides
ImmunoCAP Specific IgE week); -
147 3404 pteronyssinus, Cockroach, Cat 11500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
dander, Dog dander,
week)
Cladosporium herbarum,
Aspergillus fumigatus, Egg
white, Milk, CodFish, Wheat,
Peanut

MONDAY TO
148 3221 ALLERGEN - FIG 1500 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
09:00HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - (Select Any 10 ImmunoCAP Specific IgE week); -
149 4012 6200 serum 2.0 ML Daily :1100 HRS SAME DAY
Allergen from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - (Select Any 5 Allergen ImmunoCAP Specific IgE week); -
150 4010 3700 serum 2.0 ML Daily :1100 HRS SAME DAY
from available inhouse inhouse allergen 20°C (>1
Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - 2 ( Select Any 29 ImmunoCAP Specific IgE week); -
151 2109 13000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Allergens from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - 3 (Select Any 19 ImmunoCAP Specific IgE week); -
152 2179 10500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Allergen from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FOOD PANEL - 2-8°C (1
FRUITS 1 ( Apple, Banana, ImmunoCAP Specific IgE week); -
153 4081 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Pear,Peach,Orange,Pineapple, inhouse allergen 20°C (>1
Mango) week)
ALLERGEN - FOOD PANEL - 2-8°C (1
FRUITS 2 ImmunoCAP Specific IgE week); -
154 4087 4200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Kiwi,Strawberry,Melon,Peach inhouse allergen 20°C (>1
,Plum,Grapefruit) week)
ALLERGEN - FOOD PANEL -
2-8°C (1
NUTS AND SEEDS ( Peanut,
ImmunoCAP Specific IgE week); -
155 4082 Cashew nut ,Pista, Hazel nut, 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Brazil nut, Almond, Coconut
week)
,Sesame seed,Rape seed)

ALLERGEN - FOOD PANEL -

2-8°C (1
VEG 2
ImmunoCAP Specific IgE week); -
156 4083 (Wheat,Rice,Garlic,Tomato,Po 6200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
tato,Onion,Lemon,Mustard,Se
week)
same seed,Chick pea)
2-8°C (1
ALLERGEN - FOOD PANEL -
ImmunoCAP Specific IgE week); -
157 4085 VEG 3 (Tomato, Yeast, Garlic, 3700 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Onion, Celery)
week)
2-8°C (1
ALLERGEN - FOOD PANEL 2
ImmunoCAP Specific IgE week); -
158 3031 (Codfish, Tuna, Shrimp, Blue 3700 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mussel, Salmon
week)
2-8°C (1
ALLERGEN - FOOD PANEL 3
ImmunoCAP Specific IgE week); -
159 3074 (Wheat, Oat, Corn, Sesame 4200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Seed, Buck Wheat)
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - FOOD PANEL 7
ImmunoCAP Specific IgE week); -
160 3075 (Egg White,Fish, Milk, Rice, 4400 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Peanut, Soyabean)
week)
ALLERGEN - FOOD PANEL - 2-8°C (1
LEAFY VEGETABLES ImmunoCAP Specific IgE week); -
161 4090 3200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Spinach,Celery,Lettuce,Cabba inhouse allergen 20°C (>1
ge) week)
2-8°C (1
ALLERGEN - FOOD PANEL
ImmunoCAP Specific IgE week); -
162 4084 MEATS 3200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
(Chicken,Mutton,Pork,Beef)
week)
ALLERGEN - FOOD PANEL-
VEGETABLES 2-8°C (1
(Brinjal,Cabbage,Carrot,Caulifl ImmunoCAP Specific IgE week); -
163 4086 6200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
ower,Green pepper,Corn, inhouse allergen 20°C (>1
Mushroom,Spinach,Tomato,P week)
otato)
ALLERGEN - FOOD PANEL- 2-8°C (1
GRAINS ImmunoCAP Specific IgE week); -
164 4089 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Rice,Wheat,Corn,Oat,Buckwh inhouse allergen 20°C (>1
eat,Barley,Rye) week)
ALLERGEN - FOOD PANEL- 2-8°C (1
PULSES (Lentil, Chickpea, ImmunoCAP Specific IgE week); -
165 4091 4200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
White bean,Green inhouse allergen 20°C (>1
pea,Soyabean) week)
ALLERGEN - FOOD PANEL- 2-8°C (1
SEAFOOD (Codfish, Tuna, ImmunoCAP Specific IgE week); -
166 4092 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Shrimp, Blue Mussel, Salmon, inhouse allergen 20°C (>1
Crab, Lobster) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
167 3064 ALLERGEN - GARLIC 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
168 3065 ALLERGEN - GLUTEN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - GOAT ImmunoCAP Specific IgE week); -
169 3136 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Golden Rod
ImmunoCAP Specific IgE week); -
170 3354 Weed Pollen (Latin 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Solidago virgaurea)
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Goosefoot Weed
Pollen (Latin Name: 2-8°C (1
Chenopodium ImmunoCAP Specific IgE week); -
171 3353 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
album;Common Name:Lamb's inhouse allergen 20°C (>1
Quarters ; Indian week)
Name:Bathua )
2-8°C (1
ALLERGEN - Grapefruit (Latin ImmunoCAP Specific IgE week); -
172 3229 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Citrus paradisi ) inhouse allergen 20°C (>1
week)

ALLERGEN - GRASS POLLENS

PANEL (Bermuda 2-8°C (1
Grass,Cultivated rye,Johnson ImmunoCAP Specific IgE week); -
173 4093 5200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Grass,Meadow fescue,Sweet inhouse allergen 20°C (>1
vernal,Timothy Grass,Velvet week)
Grass)

2-8°C (1
ImmunoCAP Specific IgE week); -
174 3058 ALLERGEN - Green PEA 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Green
ImmunoCAP Specific IgE week); -
175 3097 pepper(Latin Name:Piper 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
nigrum)
week)
2-8°C (1
ALLERGEN – Grey alder Tree
ImmunoCAP Specific IgE week); -
176 3349 Pollen (Latin Name: Alnus 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
incana)
week)
2-8°C (1
ALLERGEN - GUINEA PIG ImmunoCAP Specific IgE week); -
177 3127 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
178 3345 ALLERGEN - HAMSTER EPITH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
179 3340 ALLERGEN - HAZEL NUT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Hazel Tree Pollen( ImmunoCAP Specific IgE week); -
180 3350 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Latin Name: Corylus avellana) inhouse allergen 20°C (>1
week)
ALLERGEN - MONDAY TO
181 3148 HELMENTHISPORIUM 1500 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
HALODES 09:00HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - Honey Bee
ImmunoCAP Specific IgE week); -
182 3133 Venom (Latin name: Apis 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
mellifera)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
183 3137 ALLERGEN - HORSE DANDER 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - HOUSE DUST ImmunoCAP Specific IgE week); -
184 3044 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
GREER inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - HOUSE DUST ImmunoCAP Specific IgE week); -
185 3379 1500 serum 2.0 ML Daily :1100 HRS SAME DAY
HOLLISTIER inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - House dust mite-
ImmunoCAP Specific IgE week); -
186 3036 Dermatophagoides 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
pteronyssinus
week)
2-8°C (1
ALLERGEN - House dust mite- ImmunoCAP Specific IgE week); -
187 3173 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Dermatophagoieds farinae inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
188 3197 ALLERGEN - INSULIN BOVINE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
189 3256 ALLERGEN – INSULIN HUMAN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
190 3080 ALLERGEN - INSULIN PORCINE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Japanese Cedar
ImmunoCAP Specific IgE week); -
191 3115 Tree Pollen (Latin 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Cupressus japonica )
week)
ALLERGEN - Johnson Grass 2-8°C (1
Pollen(Latin name:Sorghum ImmunoCAP Specific IgE week); -
192 3164 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
halepense ; Indian Name: inhouse allergen 20°C (>1
Jowar) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
193 3088 ALLERGEN - KIWI FRUIT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
194 3332 ALLERGEN - LAMB (MUTTON) 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Latex( Latin ImmunoCAP Specific IgE week); -
195 3041 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Hevea braziliensis) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
196 3203 ALLERGEN - LEMON 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Lentil ( Common ImmunoCAP Specific IgE 2-8°C (48 hrs),
197 3373 1500 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Indian Name: Masur Dal) inhouse allergen F (>48 hrs)
2-8°C (1
ImmunoCAP Specific IgE week); -
198 3200 ALLERGEN - LETTUCE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
199 3336 ALLERGEN - LOBSTER 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Malt (Latin ImmunoCAP Specific IgE week); -
200 3207 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Hordeum vulgare ) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
201 3054 ALLERGEN - MANGO 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Meadow fescue
ImmunoCAP Specific IgE week); -
202 3168 Grass pollen(Latin name: 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Festuca elatior)
week)
ImmunoCAP Specific IgE
203 8127 ALLERGEN - MELALEUCA 1500 Serum from 1 SST 3 mL (2 ml min.) R/F MONDAY 09:00HRS 6 DAYS
inhouse allergen
2-8°C (1
ImmunoCAP Specific IgE week); -
204 3209 ALLERGEN - MELON 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - MesquiteTree 2-8°C (1
Pollen (Latin Name:Prosopis ImmunoCAP Specific IgE week); -
205 3398 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
juliflora ; Indian Name: Pahadi inhouse allergen 20°C (>1
Keekar) week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
206 3037 ALLERGEN - MILK 1550 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - MOLD PANEL (P.
notatum,C. 2-8°C (1
herbarum,A.fumigatus,C. ImmunoCAP Specific IgE week); -
207 3034 4200 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
albicans,A.tenius,R inhouse allergen 20°C (>1
nigricans,M. week)
racemosus,Trichophyton)
2-8°C (1
ALLERGEN - MOSQUITO ImmunoCAP Specific IgE week); -
208 3129 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
AEDES inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - MOUSE ImmunoCAP Specific IgE week); -
209 3138 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - MUCOR ImmunoCAP Specific IgE week); -
210 3052 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
RACEMOSUS inhouse allergen 20°C (>1
week)
ALLERGEN - Mugwort Weed
2-8°C (1
Pollen (Latin Name: Artemisia
ImmunoCAP Specific IgE week); -
211 3160 vulgaris ;Indian 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Names:Barna,Sita Bani,Bano)
week)
inhouse allergen
2-8°C (1
ALLERGEN - Mulberry Tree
ImmunoCAP Specific IgE week); -
212 3391 Pollen (Latin Name:Morus 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
alba; Indian Name:Shahtoot)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
213 3201 ALLERGEN - MUSHROOM 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
214 3208 ALLERGEN - MUSTARD 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Nettle Weed 2-8°C (1
Pollen (Latin Name: Urtica ImmunoCAP Specific IgE week); -
215 3157 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
dioica ;Common Name: inhouse allergen 20°C (>1
Stinging Nettle) week)
ALLERGEN - NON VEG PANEL
2-8°C (1
(Chicken Meat, Codfish,
ImmunoCAP Specific IgE week); -
216 1425 Salmon, Tuna, Shrimp, Blue 6200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mussel,Egg white, Egg yolk,
week)
Lamb)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - Oak Tree Pollen ImmunoCAP Specific IgE week); -
217 3351 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Latin Name: Quercus alba) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
218 3219 ALLERGEN - OAT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ImmunoCAP Specific IgE
219 8129 ALLERGEN - OLIVE (FEIA) 1500 Serum from 1 SST 3 mL (2 ml min.) R/F MONDAY 09:00HRS 6 DAYS
inhouse allergen
2-8°C (1
ImmunoCAP Specific IgE week); -
220 3211 ALLERGEN - ONION 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
221 3030 ALLERGEN - ORANGE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)

ALLERGEN - OUTDOOR PANEL 2-8°C (1

(Rye, Sweet Vernal, Golden ImmunoCAP Specific IgE week); -
222 1430 5200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Rod, English Plantain, Alder, inhouse allergen 20°C (>1
Birch, Lambs Quarter, Nettle) week)

ALLERGEN - PADIATRIC PANEL 2-8°C (1

(EGG WHITE, MILK, ImmunoCAP Specific IgE week); -
223 5006 3500 SERUM 2 ML (1 ML) Daily :1100 HRS SAME DAY
SOYABEAN, WHEAT, HOUSE inhouse allergen 20°C (>1
DUST) week)
MONDAY TO
ALLERGEN - PAPERWASP
224 3132 1500 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R SATURDAY 4TH DAY
VENOM
09:00HRS
MONDAY TO
ALLERGEN - PARIETARIA
225 3158 1500 CHEMILUMINESCENCE SERUM 2.0 ML (1.0) ML A/R/F SATURDAY 4TH DAY
OFFICINALIS
09:00HRS
2-8°C (1
ALLERGEN - PARROT ImmunoCAP Specific IgE week); -
226 3135 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
FEATHERS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
227 3205 ALLERGEN - PEACH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
228 3077 ALLERGEN - PEANUT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
229 3086 ALLERGEN - PEAR 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
MONDAY TO
230 4009 ALLERGEN - PECAN NUT 1500 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R SATURDAY 4TH DAY
09:00HRS
2-8°C (1
ImmunoCAP Specific IgE week); -
231 3195 ALLERGEN - PENICILLIN G 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
232 3188 ALLERGEN - PENICILLIN V 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - PENICILLIUM ImmunoCAP Specific IgE week); -
233 3015 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
NOTATUM inhouse allergen 20°C (>1
week)
ALLERGEN - PHADIATOP 2-8°C (1
ImmunoCAP Specific IgE
234 4430 ADULT (INDIVIDUALS ABOVE 1300 SERUM 4.0 ML (1.0 ML) week); -20°C Daily :1100 HRS SAME DAY
inhouse allergen
5 YEARS) (>1 week)
ALLERGEN - PHADIATOP 2-8°C (1
ImmunoCAP Specific IgE
235 4432 INFANT (INDIVIDUALS BELOW 1300 SERUM 4.0 ML (1.0 ML) week); -20°C Daily :1100 HRS SAME DAY
inhouse allergen
5 YEARS) (>1 week)
ALLERGEN - Pigweed Pollen 2-8°C (1
(Latin Name: Amaranthus ImmunoCAP Specific IgE week); -
236 3385 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
retroflexus;Indian inhouse allergen 20°C (>1
Names:Kaantewali Chauli) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
237 4050 ALLERGEN - PINE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
238 3081 ALLERGEN - PINEAPPLE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
239 3202 ALLERGEN - PISTACHIO 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
240 3227 ALLERGEN - PLUM 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
241 3333 ALLERGEN - PORK 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
242 3107 ALLERGEN - POTATO 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Pumpkin ImmunoCAP Specific IgE week); -
243 3237 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
244 3329 ALLERGEN - RABBIT APITH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Rape 2-8°C (1
Seed(Common Names:Canola, ImmunoCAP Specific IgE week); -
245 3400 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
Oilseed Rape; Indian Name: inhouse allergen 20°C (>1
Sarson) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
246 3144 ALLERGEN - RAT EPITHELIUM 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Red Kidney Beans ImmunoCAP Specific IgE week); -
247 3239 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)

ALLERGEN -
RHINITIS/ASTHMA INDOOR
INHALANTS PANEL 2-8°C (1
(Aspergillus,Mucor,Alternaria ImmunoCAP Specific IgE week); -
248 1428 6200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Candida, House Dust, inhouse allergen 20°C (>1
D.Farinae, D.Pteronyssinus, week)
Cockroach, Cat Epithelium,
Dog Dander)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN -
RHINITIS/ASTHMA PANEL -
Ambrosia elatior(Common
Ragweed), Penicillium
notatum, Aspergillus
fumigatus, Mucor racemosus, 2-8°C (1
Candida albicans(yeast), ImmunoCAP Specific IgE week); -
249 3377 6200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Dermatophagoides inhouse allergen 20°C (>1
farinae(House dust mite), week)
Dermatophagoidespteronyssi
nuse(House dust mite), Greer
labs(house dust), Hollistier-
Stier labs(House dust),
Blatella germanica(Cockroach)

2-8°C (1
ALLERGEN - RHIZOPUS ImmunoCAP Specific IgE week); -
250 3145 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
NIGRICANS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
251 3038 ALLERGEN - RICE 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - RYE(Latin ImmunoCAP Specific IgE week); -
252 3347 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Secale cereale) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
253 3343 ALLERGEN - SALMON 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
254 3092 ALLERGEN - SESAME SEED 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
255 3067 ALLERGEN - SHRIMP 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
256 3169 ALLERGEN - SILK 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
257 3061 ALLERGEN - SOYBEAN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
258 3225 ALLERGEN - SPINACH 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
259 3106 ALLERGEN - STRAWBERRY 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Sweet vernal
ImmunoCAP Specific IgE week); -
260 3346 grass(Latin Name: 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Anthoxanthum odoratum)
week)
2-8°C (1
ALLERGEN - SWINE ImmunoCAP Specific IgE week); -
261 3122 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Timothy Grass
ImmunoCAP Specific IgE week); -
262 3167 Pollen( Latin Name:Phleum 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
pratense )
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
263 3212 ALLERGEN - TOMATO 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - TREE POLLENS
2-8°C (1
PANEL
ImmunoCAP Specific IgE week); -
264 4095 (Acacia,Eucalyptus,Elm,Mesqu 4500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
ite,Mulberry,Cottonwood,Co
week)
mmon Silver Birch)
2-8°C (1
ImmunoCAP Specific IgE week); -
265 3141 ALLERGEN - TRICHOPHYTON 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
266 3342 ALLERGEN - TUNA 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Vanilla inhouse ImmunoCAP Specific IgE week); -
267 4433 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
ALLERGEN - VEG PANEL 2-8°C (1
(Almond, Wheat, Coconut, ImmunoCAP Specific IgE week); -
268 1414 6200 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Corn, Peanut, Sesame Seed, inhouse allergen 20°C (>1
Cheese, Milk) week)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - Velvet Grass
ImmunoCAP Specific IgE week); -
269 3348 Pollen (Latin Name:Holcus 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
lanatus)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
270 3098 ALLERGEN - WALNUT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - WEED POLLENS
2-8°C (1
PANEL (Common
ImmunoCAP Specific IgE week); -
271 4096 Ragweed,Cocklebur,Goosefoo 4700 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
t,Mugwort,Pigweed,Nettle,Go
week)
ldenrod,,English plantain)
2-8°C (1
ImmunoCAP Specific IgE week); -
272 3039 ALLERGEN - WHEAT 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
273 3091 ALLERGEN - WHITE BEAN 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - White PineTree
ImmunoCAP Specific IgE week); -
274 3402 Pollen (Latin Name:Pinus 1500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
strobus)
week)
2-8°C (1
ALLERGEN - Willow Tree
ImmunoCAP Specific IgE week); -
275 3352 Pollen (Latin Name:Salix 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
caprea)
week)
ALLERGEN - Yeast (Latin 2-8°C (1
name: Saccharomyces ImmunoCAP Specific IgE week); -
276 3090 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
cerevisiae , Common Names: inhouse allergen 20°C (>1
Baker's yeast,Brewer's yeast) week)
MONDAY TO
277 4008 ALLERGEN -APRICOT 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
2-8°C (1
ALLERGEN -Papaya inhouse ImmunoCAP Specific IgE week); -
278 3236 1500 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
MONDAY TO
279 3366 ALLERGEN-BASIL 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
280 9310 ALLERGEN-BAY LEAF 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
MONDAY TO
281 3342I ALLERGEN-BLACK PEPPER 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
282 3341I ALLERGEN-CHILLI PEPPER 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS

ALLERGEN-COMPREHENSIVE
ALLERGY PANEL - INFANCY
(Phadia top infant, Individual
Allergens: Milk, Soybean,
Peanut,(Egg Yolk), Almond, 2-8°C (1
Wheat, Corn, Cat Epithelium, ImmunoCAP Specific IgE week); -
283 1408 11500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Dog Dander, Rabbit inhouse allergen 20°C (>1
Epithelium, Rye, English week)
Plantain, D. Pteronyssinus, D.
Farinae, House DuST,
Cockroach, Aspergillus,
Candida, Caesin, Potato)

MONDAY TO
284 3365 ALLERGEN-FENNEL 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
285 9312 ALLERGEN-GINGER 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
ALLERGEN-LIDOCAINE
286 9327 2000 Immunocap SERUM 3.0ML(2.0ML) FROZEN SATURDAY 3 DAYS
ANAESTHESIA (SERUM)
09:00HRS
MONDAY TO
287 9307 ALLERGEN-OREGANO 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
288 9308 ALLERGEN-PAPRIKA 1500 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
289 9309 ALLERGEN-PARSLEY 1500 CHEMILUMINSCENCE SERUM SERUM R/F SATURDAY 4 DAYS
09:00HRS
RANDOM URINE + CLINICAL HISTORY +
290 4522A ALPHA 1- MICROGLOBULIN 5900 NEPHELOMETRY 3.0 ML (2.0 ML) 2-8°C (8 DAYS) MON : 1200 hrs 5 th DAY
(AGE & GENDER IS MANDATORY)
2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
SAMPLE SHOULD BE AVOIDED)+ 90 DAYS, IF F
291 4522B ALPHA 2- MACROGLOBULIN 5900 NEPHELOMETRY 2.0 ML (1.5 ML) 3,6 : 1200 HRS NEXT DAY
CLINICAL HISTORY + (AGE & GENDER IS WITHIN 24
MANDATORY) HRS. OF
COLLECTION)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALPHA THALASSEMIA
MULTIPLEX DNA POLYMERASE
292 2479 MUTATION DETECTION (α3.7, 3800 EDTA WHOLE BLOOD+CLINICAL HISTORY 5 ML (3 ML) A 3: 0930 HRS 8 DAYS
CHAIN REACTION
α4.2, αFIL, αSEA, αTHAI )
Alpha-1 Antitrypsin,
293 RD1433 7000 PCR-SEQUENCING EDTA WHOLE BLOOD+CLINICAL HISTORY 5 ml Ambient 2: 0930 HRS 7 DAYS
Genotyping
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + (CLINICAL
90 DAYS, IF F
294 1512D ALPHA-1-ANTITRYPSIN 2400 NEPHELOMETRY HISTORY + AGE & GENDER IS 2.0 ML (1.0 ML) 4: 1630 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
295 Z072K ALPHA-1-ANTITRYPSIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

2-8°C (72 hrs); DAILY (MON TO

ALPHA-FETOPROTEIN / LIVER
296 3109 950 CHEMILUMINESCENCE SERUM ( Age+Gender+Clinical History ) 2.0 mL (0.5 mL) F (> 72 hrs - SAT): SAME DAY
CANCER MONITOR
15 Days) 0500,1430,1600 hrs
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE). 2-8°C (5
GFAAS WITH ZEEMAN AFTER SHAKING THE CAN TAKE ALQUOT (10-20
297 9148U24 ALUMINIUM, 24 HR URINE 2550 10-20 ML (5 ML) DAYS); F “3”, 11:30 HRS NEXT DAY
CORRECTION ml) URINE IN METAL FREE SCINTILLATION
(>5 -30 DAYS)
WHITE BOTTLE AVAILABLE FROM SRL (NO
PRESERVATIVE).
2-8°C (7
DAYS);
SENDING
COLLECT WHOLE BLOOD IN SPECIAL TRACE WHOLE
GFAAS WITH ZEEMAN ELEMENT BD, K2 EDTA VACCUTAINER BLOOD
298 9148 ALUMINIUM, PLASMA 2550 2.0 ML (1 ML) “6”, 11:30 HRS 3 rd DAY
CORRECTION AVAILABLE FROM SRL DO NOT SEPERATE SAMPLES
PLASMA UNDER COLD
CONDITIONS
(2-8°C) IS
MANDATORY

SPOT URINE IN METAL FREE (10-20 ML)

2-8°C (5
GFAAS WITH ZEEMAN SCINTILLATION WHITE BOTTLE AVAILABLE
299 9148U ALUMINIUM, URINE SPOT 2550 10-20 ML (5 ML) DAYS); F “3”, 11:30 HRS NEXT DAY
CORRECTION FROM SRL (NO PRESERVATIVE). VACCUTAINER
(>5 -30 DAYS)
COLLECTION WILL NOT BE ACCEPTED
2-8°C (3
AMA (ANTI MITOCHONDRIAL
DAYS);
ANTIBODIES) WITH TITRE
300 1102 2500 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML -20°C (>3 3,6: 1100 HRS SAME DAY
(Reflex to end titre to all
DAYS OR
positive cases)
SHIPPED)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
AMH (Anti-Müllerian
2-8°C (24HRS), DAILY: 5:00 HRS &
301 1705R Hormone)/ Müllerian 2200 CLIA SERUM 2.0 ML (1.0 ML) SAME DAY
F (> 24 HRS) 19:00 HRS
Inhibiting Substance (MIS)
2-8°C (24 hrs),
AMH PLUS + CLINICAL
302 4501M 2850 CLIA SERUM 3.0ML F (> 24 DAILY:12.30 HRS SAME DAY
HISTORY
hrs)
AMINO ACID QUALITATIVE MONDAY TO
303 9298 7600 Thin layer chromatography (TLC) SERUM 3.0ML(2.0ML) FROZEN 8 days
SCREEN SERUM SATUDAY 09:00HRS

Instruction:
1. Specimen requirement : 4.0 ml
Method : Capillary Gas MONDAY 09:00HRS
Heparinized Plasma (Reqd. Clinical
304 4631 AMINO ACIDS, PLASMA 7500 Chromatography Mass 3.0ML(4.0ML) FROZEN TO FRIDAY 8 DAYS
History, Age & Gender of the patient)
Spectrometry 09:00HRS
2. Transport & Storage temperature :
Frozen

Instruction:
1. Specimen requirement :
a. 20.0 ml Urine aliquot from 24hrs urine
sample, in sterile container (Reqd. MONDAY 09:00HRS
Capillary Gas Chromatography
305 4631U24 AMINO ACIDS,24HRS URINE 8250 Clinical History, Age & Gender of the 20.0ML(10.0ML) FROZEN TO FRIDAY 8 DAYS
Mass Spectrometry
patient).Mention 24hrs urine volume on 09:00HRS
the request form
2. Transport & Storage temperature :
Frozen

Instruction:
1 Specimen requirement :
a. 20.0 ml random urine sample, in MONDAY 09:00HRS
AMINO ACIDS,RANDOM Gas Chromatography Mass
306 4631U 8250 sterile container (Reqd. Clinical History, 20.0ML(10.0ML) FROZEN TO FRIDAY 8 DAYS
URINE Spectrometry
Age & Gender of the patient). 09:00HRS
2. Transport & Storage temperature :
Frozen

URINE -24 HOURS WITHOUT

PRESERVATIVE & REFRIGERATE DURING
COLLECTION. TO PROTECT FROM LIGHT,
ION EXCHANGE THE URINE SPECIMEN NEEDS TO BE 2-8°C
AMINOLEVULINIC ACID,URINE
307 9975U24 5500 CHROMATOGRAPHY COLLECTED IN A DARKED COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00 HRS NEXT DAY
24 hrs
/SPECTROPHOTOMETRY BOTTLE. ( MENTION 24 HRS. TOTAL MONTH)
URINE VOLUME ON TRF ALONG WITH
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
RANDOM URINE WITHOUT
PRESERVATIVE & REFRIGERATE DURING
ION EXCHANGE COLLECTION.TO PROTECT FROM LIGHT, 2-8°C
AMINOLEVULINIC ACID,URINE
308 9975 5500 CHROMATOGRAPHY THE URINE SPECIMEN NEEDS TO BE 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00hrs NEXT DAY
RANDOM
/SPECTROPHOTOMETRY COLLECTED IN A DARKED COLOURED MONTH)
BOTTLE. ( PATIENT AGE, GENDER AND
CLINICAL HISTORY DETAILS.)

WB OR BONE MARROW - SODIUM

HEPARIN SPECIMEN TO REACH US
AML FISH PANEL: PML Ra Ra
WITHIN 48 HRS AFTER COLLECTION.
309 4007F t(15:17) + Inv 16 + AML1/ETO 10000 FISH 4.0 ML + 2.0 ML A DAILY: 7:00 HRS 5TH DAY
[Please mention the CLINICAL HISTORY,
t(8:21)
blood picture (CBC Report) and
medication of the patient on the TRF]
AML with C EDTA WHOLE BLOOD / EDTA BONE D1 and D5 0930
310 4303 10000 PCR – Sequencing 5ml/2ml A 7 DAYS
KIT(FLT3+NPM1+C KIT) MARROW + CLINICAL HISTORY HRS
AML with Normal
EDTA WHOLE BLOOD / EDTA BONE
311 9303 Cytogenetics (FLT3, NPM1, 13500 PCR – Sequencing 5ml/2ml A 5; 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY
CEBPA)
WB OR BONE MARROW - SODIUM
HEPARIN. SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
312 6008F AMLI / ETO t(8:21) 5600 FISH [PLEASE MENTION THE CLINICAL 4.0 MLOR 3.0 ML A DAILY:7.00 HRS 5TH DAY
HISTORY, BLOOD PICTURE (CBC REPORT)
AND MEDICATION OF THE PATIENT ON
THE TRF]
AMYLOID A (SERUM, FROZEN/REFRI
313 4811 6500 NEPHELOMETRY SERUM 2.0ML(1.0ML) MONDAY 09:00HRS 4 DAYS
NEPHELOMETRY) GERATED
2-8°C (3
DAYS);
ANA BY IFA (Reflex to end DAILY:1100, 1530
314 1100 1500 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML -20°C (>3 SAME DAY
titre for all positive cases) HRS
DAYS OR
SHIPPED)
2-8°C (3
ANA POSITIVE REFLEX TO EIA DAILY: 1100, 1530
DAYS);
PROFILE (DSDNA with IMMUNO FLUORESCENT ASSAY/ HRS (ANA & Ds- SAME DAY, for ENA:
315 9206RFX 3500 SERUM 2.0 ML -20°C (>3
TITRES,SS-A,SS-B,U1- IMMUNOBLOT DNA) / for ENA Tues/Thurs (1900 hrs)
DAYS OR
SNRNP,SMITH ABS) :4:1000HRS
SHIPPED)
PURE CULTURE OF ANAEROBIC
ANAEROBIC BACTERIA
316 5708ID 2600 VITEK ORGANISM IN BACTEC ANAEROBIC 1 A DAILY: 1500 HRS 7TH DAY
IDENTIFICATION
BOTTLE
ANAEROBIC CULTURE BLOOD - BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE PRELIM-24 HRS, FINAL 7TH
317 1212NP 1300 8-10 ML (3.0 ML) A DAILY: 1700 HRS
BACTEC METHOD (ANAEROBIC PLUS ) DAY
ANY SPECIMEN IN STERILE CONTAINER
5.0ML (3.0ML), 0.5
ANAEROBIC CULTURE- (TRANSPORT MEDIUM MANDATORY) PRELIM- 3RD DAY; FINAL
318 5708 1300 CULTURE ML (0.2 ML) A DAILY: 1700 HRS
ISOLATION & IDENTIFICATION (URINE,STOOL,SWABS & SPUTUM 7TH DAY
SPECIMEN
SPECIMEN NOT ACCEPTED)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY: 1830 HRS,
EDTA WB :
17:30 HRS FOR
Ambient 2-8°C
CBC, 15:30 HRS FOR
ANC COMBO - ANTENATAL AUTOMATED CELL COUNTER/ (<48 HRS); F
FASTING PLASMA - FLUORIDE, URINE 1.0 ML (0.5 ML), 15 VDRL
PROFILE & TPC (CBC, Blood SPECTROPHOTOMETRY / (> 48 HRS);
FASTING, SERUM FASTING, EDTA (W.B ) + ML (10 ML), 2.0 ML DAILY (MON TO
319 1360 Group, Glucose Fasting, 1700 DIPSTICK & MICROSCOPY/ FLUORIDE SAME DAY
2 SMEARS + (AGE & GENDER IS (1.0 ML), 4.0ML ( 2.0 SAT) ; DAILY: 0730
Urinalysis, HIV 1 & 2, Abs, CHEMILUMINESCENCE PLASMA : 2-
MANDATORY) ML) HRS & 1530 HRS
Hepatitis B,VDRL,TPC) /CMIA/FLOCCULATION 8°C (3 DAYS);
FOR HIV/HEP B ;
URINE : 2-8°C(
0500, 1900 HRS
24 HRS)
FOR TPC
ANCA (ANTI NEUTROPHIL
2-8°C (1
CYTOPLASMIC ANTIBODIES) (P- ANCA
WEEK);
320 1862 ANCA + C-ANCA) WITH TITRE 2500 IMMUNO FLUORESCENT ASSAY SERUM 2 ML DAILY: 1100, 1530 SAME DAY
-20°C
(Reflex to end titre to all HRS
(LONGER)
positive cases)

2-8°C (1
week);
-20°C DAILY:1100, 1530
ANCA POSITIVE REFLEX MPO, IFA /FLUOROENZYME (longer)/ FOR HRS (ANCA),
321 9207RFX 2500 SERUM 2.0 ML SAME DAY
PR3 ANTIBODIES IMMUNOASSAY MPO, PR3 2- 2,5:1330 HRS
8°C (2 DAYS); (MPO, PR3)
-20°C (> 2
DAYS)

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
ANDROGEN RECEPTOR match the site of the tissue
322 9297 2100 IHC UPTO 2 AMBIENT Daily 09:00hrs 8 days
STUDIES sample/Paraffin Block numbers belongs
to the same patient or not. If not
received, will be created as a problem
sample.

FASTING ,SERUM TO BE DRAWN BEFORE

2-8°C (24 hrs); 2,5: 0500,1430,
323 3113 ANDROSTENEDIONE 2300 CHEMILUMINESCENCE 1200 NOON. (AGE+GENDER+CLINICAL 1.0 ML (0.5 ML) SAME DAY
F ( >24 hrs) 1600 hrs
HISTORY REQUIRED )

ANGIOTENSIN CONVERTING SERUM + (CLINICAL HISTORY + AGE & 2 - 8°C (1

324 3114D 1300 SPECTROPHOTOMETRY 1.0 ML (0.8 ML) DAILY :1830 hrs SAME DAY
ENZYME (ACE) GENDER IS MANDATORY) MONTH)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

AUTOMATED CELL COUNTER /

AUTOMATED (PHOTOMETRICAL DAIILY:1100 ;
CAPILLARY STOPPED FLOW DAILY: 1730 HRS
A, FLUORIDE
KINETIC ANALYSIS) / MANUAL SERUM+ EDTA WB + citrate black top for CBC& 1530 HRS
3.0 ML+ 5.0 ML+ 1.0 PLASMA : 2-
(MODIFIED WESTERGREN) / +SMEAR+ FASTING PLASMA - FLUORIDE, for HEPATITIS B
325 9124 ANTENATAL CHECK 800 ML (0.5 ML), 15 ML 8°C (3 DAYS); SAME DAY
SPECTROPHOTOMETRY / URINE FASTING + (AGE & GENDER IS SURFACE ANTIGEN
(10 ML) URINE : 2-8°C(
DIPSTICK & MANDATORY) and HIV 1 & 2 Abs.
24 HRS)
MICROSCOPY/Chemiluminescen test ; DAILY: 1830
t Microparticle Immunoassay HRS,
(CMIA)

DAILY: 1830 HRS,

EDTA WB :
17:30 HRS FOR
Ambient 2-8°C
AUTOMATED CELL COUNTER/ CBC,15:30 HRS FOR
ANTENATAL PROFILE & TPC, (<48 HRS); F
TUBE AGGLUUTINATION FASTING PLASMA - FLUORIDE, URINE 1.0 ML (0.5 ML), 15 VDRL
ANC COMBO (CBC, Blood (> 48 HRS);
/SPECTROPHOTOMETRY / FASTING, SERUM FASTING, EDTA (W.B ) + ML (10 ML), 2.0 ML DAILY (MON TO
326 1360 Group, Glucose Fasting, 1700 FLUORIDE SAME DAY
DIPSTICK & MICROSCOPY/ 2 SMEARS + (AGE & GENDER IS (1.0 ML), 4.0ML ( 2.0 SAT) ; DAILY: 0730
Urinalysis, HIV 1 & 2, Abs, PLASMA : 2-
CHEMILUMINESCENCE MANDATORY) ML) HRS & 1530 HRS
Hepatitis B,VDRL,TPC) 8°C (3 DAYS);
/CMIA/FLOCCULATION FOR HIV/HEP B ;
URINE : 2-8°C(
0500, 1900 HRS
24 HRS)
FOR TPC
ANTI - CYCLIC CITRULLINATED 2-8°C (3
FLUOROENZYME
327 3301 PEPTIDE ANTIBODIES (ANTI- 2150 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 1100HRS SAME DAY
IMMUNOASSAY
CCP) (>3 DAYS)
2-8°C (14
ANTI CENTROMERE
328 1202 2850 IMMUNOBLOT SERUM 1.0 ML days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ANTIBODIES
(>14 days)
PLASMA-EDTA ( DRAW BLOOD FROM
ANTIDIURETICHOROMONE FASTING PATIENT INTO A CHILLED TUBE
329 8718 FROZEN: UP
(Vasopressin) CONTAINING EDTA, CENTRIFUGE 2.0 ML (1.0ML) 2: 1100 hrs 3rd DAY
6000 RADIO IMMUNOASSAY TO 4 WEEKS
IMMEDIATELY, SEPERATE AND FREEZE
THE SPECIMEN IN A PLASTIC TUBE.)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
330 3885 ANTI Dnase B 3550 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 3 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
ANTI EPIDERMAL / SERUM FROM 1 SST. OVERNIGHT
331 1177I 6200 IMMUNO FLUORESCENT ASSAY 3.0 ML F/R 1,3,5:0900 HRS 5TH DAY
PEMPHIGUS ANTIBODY FASTING REQUIRED.
2-8°C (2days);
FLUOROENZYME
332 1287 ANTI GLIADIN IgA ANTIBODIES 3600 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
days)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (2days);
FLUOROENZYME
333 1260 ANTI GLIADIN IgG ANTIBODIES 3600 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
days)

ANTI GLOMERULAR 2-8°C (2days);

FLUOROENZYME
334 1135I BASEMENT MEMBRANE IgG 1950 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
ANTIBODIES (ANTI GBM) days)
2-8°C (14
335 1203 ANTI HISTONES ANTIBODIES 3100 IMMUNOBLOT SERUM 1.0 ML days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
ANTI HUMAN TISSUE
TRANSGLUTAMINASE
336 4067 8000 ELISA SERUM 2.0ML(1.0ML) R/F MONDAY 09:00HRS 4 DAYS
ANTIBODY (IgG)

Enzyme Linked Immnunosorbent 2-8°C (48 hrs),

337 3191 ANTI INSULIN ANTIBODIES 2550 SERUM 1.0 (0.5 ML) 5:1100 HRS SAME DAY
assay F (> 48 hrs)
2-8°C
(FEWDAYS);
338 1166 ANTI ISLET CELL ANTIBODY 2900 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3: 1100 HRS SAME DAY
-20°C
(LONGER)
2-8°C
ANTI ISLET CELL ANTIBODY (FEWDAYS);
339 1166T 4100 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3: 1100 HRS SAME DAY
WITH TITRE -20°C
(LONGER)
ANTI NMDA RECEPTOR 2-8°C /
THURSDAY:
340 2244 ENCEPHALITIS IGG 6400 IMMUNO FLUORESCENT ASSAY SERUM OR CSF + CLINICAL HISTORY 2.0 ML REFRIGERATE SAME DAY
1100 HRS
ANTIBODIES D
2-8°C (ONE
WEEK); -
341 1180 ANTI OVARY ANTIBODIES 3400 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML 2,5; 1100 HRS SAME DAY
20°C
(LONGER)
2-8°C (ONE
ANTI OVARY ANTIBODIES WEEK); -
342 1180T 5700 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML 2,5; 1100 HRS SAME DAY
TITRES 20°C
(LONGER)
2-8°C
ANTI PARIETAL CELL (FEWDAYS);
343 1101 3100 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3 ,6 : 1100 HRS SAME DAY
ANTIBODY (APCA) -20°C
(LONGER)
2-8°C
ANTI PARIETAL CELL (FEWDAYS);
344 1101T 6200 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3 ,6 : 1100 HRS SAME DAY
ANTIBODY (APCA) WITH TITRE -20°C
(LONGER)
2-8°C (48
ANTI PHOSPHOLIPID IgG Enzyme Linked Immnunosorbent hrs.);
345 1711T 1400 SERUM 1.0 ML (0.5 ML) DAILY: 1100 HRS SAME DAY
ANTIBODIES assay -20°C (>48
hrs.)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (48
ANTI PHOSPHOLIPID IgM Enzyme Linked Immnunosorbent hrs.);
346 1735 1400 SERUM 1.0 ML (0.5 ML) DAILY: 1100 HRS SAME DAY
ANTIBODIES assay -20°C (>48
hrs.)
ANTI PHOSPHOLIPID FASTING, CITRATED PLATELET POOR 1, 3, 5: 1000 HRS
F (To be F LUPUS
SYNDROME PANEL (Lupus PLASMA* - AT MINUS 20° C + SERUM (R) TWO ALIQUOTS OF FOR LUPUS
immediately ANTICOAGULANTNEXT DAY
Anticoagulant Screen, CLOT BASED & ENZYME + CLINICAL HISTORY+ H/O ORAL ANTI 1.5 ML EACH (1.0 ANTICOAGULANT &
347 1080A 4950 at -20°c & & & CARDIOLIPIN &
Cardiolipin IgG & IgM ABS, IMMUNOASSAY COAGULANT (PT. SHOULD BE OFF ML) + 2.0 ML CARDIOLIPIN &
transported in ANTIPHOSPHOLIPID :SAME
Anti-phospholipid IgG & IgM ANTICOAGULATION FOR 7 DAYS) SERUM (1.0 ML) ANTIPHOSPHOLIPID
dry ice) / A DAY
Abs) *(DOUBLE CENTRIFUGED PLASMA)* DAILY: 1100 HRS
ANTI SACCHAROMYCES
FLUOROENZYME
348 1111 CEREVISIAE (ASCA), IgA 3100 SERUM 1.0 ML (0.5 ML) Frozen -20°C) 2: 1100 HRS SAME DAY
IMMUNOASSAY(FEIA)
ANTIBODIES
ANTI SACCHAROMYCES
FLUOROENZYME
349 1108 CEREVISIAE (ASCA), IgG 3100 SERUM 1.0 ML (0.5 ML) F( -20°C) 2: 1100 HRS SAME DAY
IMMUNOASSAY(FEIA)
ANTIBODIES
2-8°C (3
Enzyme Linked Immnunosorbent DAYS); -
350 3303 ANTI SOLUBLE LIVER ANTIGEN 3100 SERUM 1.0 ML (0.5 ML) 4: 1100 HRS SAME DAY
assay 20°C (>3
DAYS)
Enzyme Linked Immnunosorbent
351 5225 ANTI SPERM ANTIBODIES 1500 SERUM 1.0 ML (0.5 ML) F( -20°C) 6:1100 HRS SAME DAY
assay
2-8°C (8
DAYS); F (>8 -
12 -14 HRS FASTING SERUM + CLINICAL
ANTI STREPTOLYSIN-O 90 DAYS, IF F
352 2376D 950 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY : 18:00 HRS SAME DAY
ANTIBODIES (ASO ) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
ANTI THROMBIN III ACTIVITY( PLASMA* - AT MINUS 20° C + CLINICAL TWO ALIQOTS OF 1.5 WED / SAT
353 5951 3900 CHROMOGENIC ASSAY AT -20°C & SAME DAY
Functional) HISTORY*(DOUBLE CENTRIFUGED ML EACH 11:00HRS
TRANSPORTE
PLASMA)
D IN DRY ICE)
CITRATED PLASMA(PLATELET POOR) +
SAT AND WED:
354 5952 ANTI THROMBIN III ANTIGEN 7800 RID METHOD *(DOUBLE CENTRIFUGED PLASMA) + 3 ML (2ML) F 4 DAYS
0900 HRS
CLINICAL HISTORY
2-8°C /
SERUM / CSF + Thursday:
355 2245 ANTI VGKC ANTIBODY 9000 IMMUNOFLUORESCENT ASSAY 2.0ML REFRIGERATE SAME DAY
CLINICAL HISTORY 1100 HRS
D
ANTI-AQUAPORIN-4 / NMO 2-8°C /
THURSDAY:
356 1000 ANTIBODIES (ANTI 4700 IMMUNO FLUORESCENT ASSAY SERUM/ CSF + CLINICAL HISTORY 2.0 ML REFRIGERATE SAME DAY
1100 HRS
NEUROMYELITIS OPTICA), D
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ANTIBODIES TO EXTRACTABLE
NUCLEAR ANTIGEN ( SMITH
ABS, U1 SNRP,SS-A (Ro) , SS-B
2-8°C (14
(La), Anti Histone Abs. Anti
357 1236 8500 IMMUNOBLOT SERUM 2.0 ML (1.0 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
Centromere abs, SCL-70
(>14 days)
IGG,JO1 - IGG Abs,PM-Scl
,nucleosomes,ribosomal P-
protein & AMA M2)
2-8°C (1
Anti-ECP (ANTI--EOSINIPHIL WEEK); -
358 4186 1500 ImmunoCAP SERUM 2.0 ML (1.0 ML) Thrusday: 1100 HRS SAME DAY
CATIONIC PROTEIN) 20°C (>1
WEEK)
2-8°C (2days);
ANTI-MPO ANTIBODIES (Anti- FLUOROENZYME
359 1295I 2100 SERUM 1.0 ML -20°C (>2 2,5:1330 HRS SAME DAY
Myleoperoxidase Antibodies) IMMUNOASSAY
days)
Anti-Müllerian Hormone
2-8°C (24HRS), DAILY: 5:00 HRS &
360 1705R (AMH)/ Müllerian Inhibiting 2200 CLIA SERUM 2.0 ML (1.0 ML) SAME DAY
F (> 24 HRS) 19:00 HRS
Substance (MIS)
2-8°C (14
ANTI-
Enzyme Linked Immnunosorbent DAYS); - Every FRIDAY:11:30
361 4601 PHOSPHOLIPASE A2 RECEPTO 5000 SERUM 1.0 Ml (0.5 ml) SAME DAY
assay 20°C (>14 AM
R (PLA2R) IGG
DAYS)
2-8°C (2days);
FLUOROENZYME
362 1296I ANTI-PR3 ANTIBODIES 2100 SERUM 1.0 ML -20°C (>2 2,5:1330 HRS SAME DAY
IMMUNOASSAY
days)
DAILY (MON TO
ANTI-THYROGLOBULIN 2-8°C (48 hrs);
363 1110 1800 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
ANTIBODIES (aTG) F (>48 hrs)
hrs
ANTI-THYROID PEROXIDASE DAILY (MON TO
2-8°C (48 hrs);
364 3062 ANTIBODIES (aTPO) / 1500 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
ANTI MICROSOMAL ABS hrs
2-8°C (1
WEEK); -
365 4185 Anti-Tryptase 2300 ImmunoCAP SERUM 2.0 ML (1.0 ML) Thrusday: 1100 HRS SAME DAY
20°C (>1
WEEK)
F (To be F 1, 3, 5: 1000 HRS
FASTING, CITRATED PLATELET POOR
APLA TOTAL (Lupus immediately FOR LUPUS
PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQUOTS OF
Anticoagulant Screen, at -20°c & ANTICOAGULANT &
CLOT BASED & ENZYME CENTRIFUGED PLASMA)* + SERUM (R) + 1.5 ML EACH (1.0 SAME DAY & LUPUS NEXT
366 4640 Cardiolipin IgG & IgM Abs, 4950 transported in CARDIOLIPIN -
IMMUNOASSAY CLINICAL HISTORY+ H/O ORAL ANTI ML) + 2.0 ML DAY
Beta 2 Glycoprotein IgG & dry ice) /2-8°C DAILY: 1100 HRS &
COAGULANT (PT. SHOULD BE OFF SERUM (1.0 ML)
IgM Abs) (3 DAYS), B2GP IgG/IgM - 2
ANTICOAGULATION FOR 7 DAYS)
>3DAYS -20°C &5:1100 HRS

367 RD1408 APO E GENOTYPING 25000 PCR-SEQUENCING EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML A 2 : 0930 HRS 7 DAYS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (8
DAYS); F (>8 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
368 1899 APOLIPOPROTEIN – E 4000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 4: 1200 hrs SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
369 1901D APOLIPOPROTEIN A-I 800 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
370 1903D APOLIPOPROTEIN B 800 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
APOLIPOPROTEIN 12 -14 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F
371 1900 EVALUATION [Apolipo A-1, 1800 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
Apolipo B, Lipoprotein (a) ] MANDATORY)
HRS. OF
COLLECTION)

24 HR URINE IN METAL FREE JERRY CAN

AVAILABLE FROM SRL (NO
PRESERVATIVE). 24 HRS VOLUME
SHOULD BE COMPULSORILY SPECIFIED .
FIRST SHAKE THE CAN AND TAKE THE 10- 2-8°C (5 days);
372 9141U24 ARSENIC, 24 HR URINE 3450 HGAAS WITH D2 CORRECTION 20 ML ALIQUOT IN STERILE PLASTIC 10-20 ML (5 ML) F (> 5 - “4” , 11:30 HRS NEXT DAY
URINE CONTAINER AVAILABLE FROM SRL 30days)
(10-20 ml) VACCUTAINER COLLECTION
WILL NOT BE ACCEPTED THE
MEASUREMENT OF URINE VOLUME
SHOULD BE DONE BEFORE ALIQUOTING.

2-8°C (7
GFAAS WITH ZEEMAN IMPROVE/BD, SRL EDTA VACCUTAINER,
373 9141 ARSENIC, BLOOD 3450 5.0 ML (3.0 ML) DAYS); F (> 7 - “4” , 11:30 HRS NEXT DAY
CORRECTION WHOLE BLOOD
30DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
CONTAINER AVAILABLE FROM SRL (10-20
374 9141U ARSENIC, URINE SPOT 3450 HGAAS WITH D2 CORRECTION 10-20 ML (5 ML) DAYS); F (> 5 - “4”, 11:30 HRS NEXT DAY
ml) VACCUTAINER COLLECTION WILL
30DAYS)
NOT BE ACCEPTED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

AUTOMATED CELL COUNTER //

AUTOMATED (PHOTOMETRICAL
DAILY:17:30 HRS
CAPILLARY STOPPED FLOW A /SERUM 2-
SERUM + EDTA + citrate black top + 2.0 ML + 3.0 ML + FOR CBC & ESR ;
KINETIC ANALYSIS) / MANUAL 8°C (2 days); F
FASTING URINE + (Age & Sex of the URINE 15.0 ANA DAILY: 1100,
375 1582A ARTHRITIS PANEL 2900 (MODIFIED WESTERGREN) / (>2 days); SAME DAY
patient is mandatory for reporting) + ML(10ML)+2 1530 HRS FOR ASO ;
SPECTROPHOTOMETRY / URINE : 2-8°C(
DIRECT SMEARS SMEARS RF & CRP DAILY -
DIPSTICK & 24 HRS)
18:00 HRS
MICROSCOPY/NEPHELOMETRY/
LPA

AUTOMATED CELL COUNTER

/AUTOMATED
DAILY:12:00, 1530
(PHOTOMETRICAL CAPILLARY
EDTA WB : FOR ASO, 17:30
STOPPED FLOW KINETIC
ARTHRITIS PANEL-1 Ambient HRS FOR CBC/ESR
ANALYSIS) / MANUAL SERUM + WB-EDTA +CITRATE WB BLACK 3.0 ML + 3.0 ML +3.0
(CBC, ESR, Protein A / SERUM 2- DAILY:17:30 HRS,
(MODIFIED WESTERGREN) / SPE TOP + FASTING URINE + SMEAR + ML+ URINE 15.0
376 1576 electrophoresis, CRP, Uric 3200 8°C (2days); F DAILY 18:00 HRS SAME DAY
/ LPA / SPECTROPHOTOMETRY / CLINICAL HISTORY (ESR AT SITE) +(AGE & ML(10ML) + 2
Acid, ANA, ASO, RF & Urine (>2 days); FOR CRP & RF &
IMMUNO FLUORESCENT GENDER IS MANDATORY) SMEARS
routine) URINE : 2-8°C( FOR PROTEIN
ANTIBODY / DIPSTICK /
24 HRS) ELECTROPHORESIS
MICROSCOPY/
DAILY : 12:00 HRS
NEPHELOMETRY/ELECTROPHOR
ESIS)

AUTOMATED CELL COUNTER

/AUTOMATED
EDTA WB :
(PHOTOMETRICAL CAPILLARY DAILY:17:30 HRS
SERUM + EDTA + FASTING URINE + Ambient
STOPPED FLOW KINETIC 3.0 ML + 2.0 ML + FOR CBC & ESR ;
ARTHRITIS PANEL-2 CITRATE WB BLACK TOP + (AGE & A /SERUM 2-
ANALYSIS) / MANUAL URINE 15.0 ANA DAILY: 1100,
377 1582 (CBC, ESR, CRP, Uric Acid, 2900 GENDER OF THE PATIENT IS 8°C (2 days); F SAME DAY
(MODIFIED WESTERGREN) / ML(10ML)+ 3.0 1530 HRS FOR ASO ;
ANA, ASO, RF & Urine routine) MANDATORY FOR REPORTING) + DIRECT (>2 days);
SPECTROPHOTOMETRY / ML+2 SMEARS RF & CRP DAILY -
SMEARS URINE : 2-8°C(
DIPSTICK & 18:00 HRS
24 HRS)
MICROSCOPY/NEPHELOMETRY/
IFA/LPA
ASKA-SKELETAL
378 1709 (STRIATED)MUSCLE 5800 IMMUNO FLUORESCENE ASSAY SERUM 4.0 ML (2.0ML) R/F MON: 0900HRS 4TH DAY
ANTIBODY,(SERUM IF)

ASMA (ANTI SMOOTH 2-8°C (3

MUSCLE ANTIBODIES) WITH DAYS); -20°C
379 1106 2500 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3,6: 1100 HRS
TITRE (Reflex to end titre to (>3 DAYS OR
all positive cases) SHIPPED)
SAME DAY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (8
DAYS); F (>8 -
12 -14 HRS FASTING SERUM + CLINICAL
ASO (ANTI STREPTOLYSIN-O 90 DAYS, IF F
380 2376D 950 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY : 18:00HRS SAME DAY
ANTIBODIES) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
2-8°C (24
INDIRECT HRS); -
381 2326 ASPERGILLUS ANTIBODIES 3500 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
HAEMAGGLUTINATION 20°C (>24
HRS)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
ASPERGILLUS FUMIGATES SPUTUM / CSF / FLUIDS / TISSUES +
382 2327 8000 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4:0930 HRS 3,6:1800 HRS
DNA DETECTOR CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
EDTA WHOLE BLOOD + CLINICAL
383 RD1478 ASS1 GENE MUTATION 45000 PCR-SEQUENCING 5 ML (3 ML) A 2 : 0930 HRS 15 days
HISTORY
2.0 (1.5) ML + 1.5
DAILY: 07:00 HRS
FASTING, CITRATED PLASMA - AT (1.0) ML + 3.0 ML + 12 WORKING DAYS,, (WED.
AUTOGEN (Blood Lympho. LUPUS
CELL CULTURE FOR MINUS 20° C + SERUM, FOR 3.0 ML (FOR / SAT. & MON. / THU) FOR
Culture, Lupus Anti Coagulant ANTIOAGULANT - 1,
CHROMOSOMAL ANALYSIS, CHROMOSOMAL ANALYSIS WB- SODIUM COAGULATION - 3 LUPUS NEXT DAY;
384 DT5102 Screen, Cardiolipin Antibodies 8800 F/A/A/A 3, 5: 1000 HRS,
CLOT BASED & ENZYME HEPARIN TO REACH US WITHIN 48 HRS + VIALS OF 1ML EACH, CARDIOLIPIN &
& Anti Phospholipid CARDIOLIPIN &
IMMUNOASSAY CLINICAL HISTORY*(DOUBLE OF FROZEN ANTIPHOSPHOLIPID SAME
Antibodies) ANTIPHOSPHOLIPID
CENTRIFUGED PLASMA) CITRATED PLASMA DAY
DAILY: 1100 HRS
AT -20°C
2-8°C /
AUTOIMMUNE ENCEPHALITIS SERUM / CSF + 1 and 3rd Thursday:
385 2246 20500 IMMUNOFLUORESCENT ASSAY 2.0ML REFRIGERATE SAME DAY
PANEL CLINICAL HISTORY 1100 HRS
D
ANA-DAILY:1100,
AUTOIMMUNE HEPATITIS
IMMUNOFLUOROSCENCE 1530 HRS, AMA,
PANEL-1 (ANA, SMA, AMA,
386 1019A 5900 ASSAY/ Enzyme Linked SERUM 2.0 ML R SMA-3,6:1100 HRS SAME DAY
LKM-1)
Immnunosorbent assay & LKM-3,6:1100
HRS
IMMUNOFLUOROSCENCE SLA-4: 1100 HRS &
AUTOIMMUNE HEPATITIS
387 1019B 3600 ASSAY, Enzyme Linked SERUM (R)+ SERUM (F) 2.0 ML+1.5 ML R/F ANCA-DAILY:1100, SAME DAY
PANEL-2 (ANCA , SLA)
Immnunosorbent assay 1530 HRS
TISSUE IN 10%FORMALIN / PARAFIN
B DIFFERENTIAL DIAGNOSIS BLOCK + SITE OF BIOPSY AND CLINICAL
388 Z223 (CD30, CD15, CD45, CD20, 7500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
CD3, EMA) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
DAILY (MON TO
B12 PLUS (Vitamin B12+Folic 2-8°C (48 hrs);
389 3524 1900 CHEMILUMINESCENCE SERUM FASTING 3.0 ML (2.0 ML) SAT): SAME DAY
Acid) F (>48 hrs)
0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BACTEC BLOOD CULTURE-
BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (PEDS PRELIM. 24 HRS, FINAL 5TH
390 1212P AEROBIC PAEDIATRIC 1300 3.0 ML (1 ML) A DAILY: 1700 HRS
METHOD PLUS ) DAY
CULTURE
BACTEC BLOOD CULTURE - BACTEC FLUORESCENT PRELIM/YEAST- 7TH DAY,
391 1212M 1300 INOCULATED BACTEC BOTTLE (MYCOSIS) 5.0 ML (2.0 ML) A DAILY: 1700 HRS
(YEAST & FUNGI) METHOD FINAL 21ST DAY
BACTEC BLOOD CULTURE - BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC PRELIM. 24 HRS, FINAL 5TH
392 1212 1300 8-10 ML (3.0 ML) A DAILY: 1700 HRS
AEROBIC METHOD PLUS ) DAY
BACTEC CULTURE, BODY BACTEC FLUORESCENT BODY FLUID- STERILE CONTAINER / PRELIM/YEAST-7TH DAY,
393 1195M 1300 5.0 ML (2.0 ML) A DAILY: 1700 HRS
FLUID -(YEAST & FUNGI) METHOD INOCULATED BACTEC BOTTLE (MYCOSIS) FINAL 21ST DAY
BODY FLUID- STERILE CONTAINER /
BACTEC PLUS ANAEROBIC - BACTEC FLUORESCENT PRELIM-24 HRS, FINAL 7TH
394 1195NP 1300 INOCULATED BACTEC BOTTLE 5.0 ML (2.0 ML) A DAILY: 1700 HRS
CULTURE, BODY FLUID METHOD DAY
(ANAEROBIC PLUS )
BACTERIAL ANTIGEN (5) CULTURE:PRELIM: SAME
DETECTION IF NEGATIVE BACTEC CULTURE/ LATEX DAY; FINAL 3RD DAY,
395 9208RFX 6000 CSF 2.0 ML (1.0 ML) A DAILY:1530 HRS
REFLEX TO CSF BACTERIAL PARTICLE AGGLUTINATION Antigen detection : same
CULTURE Day
2-8°C (FEW
BACTERIAL ANTIGEN LATEX PARTICLE
396 9601 6000 SERUM 2.0 ML (1.0 ML) HRS); -20°C DAILY:1530 HRS SAME DAY
DETECTION (5 ANTIGENS) AGGLUTINATION
(LONGER)
2-8°C (FEW
BACTERIAL ANTIGEN LATEX PARTICLE HRS); -
397 9601C 5600 CSF 2.0 ML (1.0 ML) DAILY:1530 HRS SAME DAY
DETECTION, CSF (5 ANTIGENS) AGGLUTINATION 20°C
(LONGER)
BACTERIAL MENINGITIS
1.0 ML (0.5 ML), 2.0
MULTIPLEX PCR (H. MULTIPLEX POLYMERASE CHAIN
398 9883 4300 CSF/THROAT SWAB ML(1.0 ML), 1.0 ML A 1,4: 1000 HRS NEXT DAY
Influenzae, N. Meningitidis, REACTION
(0.5 ML), 1
S.Pnemoniae)

BACTERIAL PNEUMONIA
SWAB (THROAT SWAB /
PANEL (Mycoplasma
399 9886 5800 POLYMERASE CHAIN REACTION NASOPHARYNGEAL SWAB) / 2.0 ML + 2.0 ML + 1 F 1,3,5:1000 HRS NEXT DAY : 1800 HRS
Pneumoniae, S.Pneumoniae,
RESPIRATORY SECRETIONS / BAL
Chlamydia Genus)

2 ml bone marrow should be collected in

both EDTA (lavender top) and Heparin
tubes (green top). Sample should be
transported at ambient temperature (DO
NOT FREEZE) and should reach MONDAY TO
B-Acute Lymphoblastic
400 7618 Leukemia MRD laboratory preferably within 24 hrs of 2.0ML/2.0ML A SATURDAY; 3.00 3RD DAY 7.00 PM
9800 FLOW CYTOMETRY collection. Filled history sheet, initial PM
Immunophenotyping report/data and
Flow Cytometry scatter plots reported at
the time of diagnosis/presentation shall
be sent along with sample.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
INSTRUCTION: FASTING SERUM (BLOOD
TO BE COLLECTED IN RED TOP
VACUTAINER TUBE) IN PLASTIC VIAL,
401 4068 B-CAROTENE,SERUM 5000 Spectrophotometry 2.0ML(1.0ML) FROZEN MONDAY 09:00HRS 4 DAYS
WRAPPED IN ALUMINIUM FOIL. PLEASE
FORWARD CLINICAL DETAILS ALONG
WITH THE SPECIMEN.
EDTA BONE MARROW / EDTA WHOLE 5 ML (3 ML), 5
B-CELL GENE POLYMERASE CHAIN REACTION/
402 9907 16000 BLOOD / PARAFFIN BLOCK+CLINICAL ML (3 ML), 0.5 CM A/A/ A 1: 0930 HRS 8 DAYS
REARRANGEMENT FRAGMENT ANALYSIS
HISTORY X 0.5 CM X 0.5 CM
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY & CLINICAL
403 Z014K BCL-2 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. IF TISSUE RECD. , 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
THEN TISSUE PROCESSING WILL BE
CHARGED.
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
404 Z254K BCL-6 ONCOPROTEIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BONE MARROW OR WB SODIUM

HEPARIN + CLINICAL HISTORY.SPECIMEN
BCR/ abl Gene rearrangement TO REACH US WITHIN 48 HRS AFTER
405 5834 (PHILADELPHIA 4900 CELL CULTURE COLLECTION. [PLEASE MENTION THE 4.0 ML (2.0 ML) A 1-5 :0700 HRS 12 Working days
CHROMOSOME) CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
WB-EDTA/ BONE MARROW-EDTA
BCR/abl - QUANTITATIVE
406 5350QN 6900 REAL TIME PCR (SPECIMEN TO REACH US WITHIN 48 2.0-3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
(Philadelphia Chromosome)
HRS)+CLINICAL HISTORY
A/R – SAMPLE
BCR/ABL BREAKPOINT SHOULD
EDTA WHOLE BLOOD / EDTA BONE 5 ML (3 ML)/5 ML (3
407 RD1318 ANALYSIS (Philadelphia 5000 MULTIPLEX RT-PCR REACH 1 : 0930 HRS 6;1830 HRS
MARROW + CLINICAL HISTORY ML)
Chromosome) WITHIN 48
HRS

BCR/ABL IS - INTERNATIONAL AMBIENT/

408 9892IS SCALE (Philadelphia 6900 Real time PCR WB-EDTA/BONE MARROW EDTA 3 ML REFRIGERATE DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
Chromosome) D

WHOLE BLOOD-EDTA/ BONE MARROW

COLD (2-8 OR
BCR-ABL 1 KINASE DOMAIN EDTA TRANSPORT AT COLD ( 2-8°C),
409 5351 10200 NESTED PCR SEQUENCING 5 ML (3 ML) FROZEN (- 2 :0930 HRS 8 DAYS
MUTATION ANALYSIS (SPECIMEN TO REACH US WITHIN 48
20°C))/ 2-8°C)
HRS)+CLINICAL HISTORY)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS AFTER COLLECTION.. [PLEASE
BCR-abl t(9:22) (Philadelphia
410 6001F 5500 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY: 0700 HRS 5TH DAY
Chromosome)
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
BCR-abl TRANSCRIPT WB- EDTA / BM- EDTA (SPECIMEN TO
411 9892 QUANTIFICATION 6900 REAL TIME PCR REACH US WITHIN 48 HRS)+ CLINICAL 3.0 ML + 3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
(Philadelphia Chromosome) HISTORY

24HRS URINE WITHOUT PRESERVATIVE &

REFRIGERATE DURING COLLECTION OR
412 1589 BENCE-JONES PROTEIN 800 CHEMICAL ANALYSIS RANDOM URINE WITHOUT 20.0 ML (15.0ML) F DAILY: 1200hrs SAME DAY
PRESERVATIVE. (CLINICAL HISTORY + AGE
& GENDER IS MANDATORY)
2-8°C (14
Enzyme Linked Immnunosorbent Tuesday & Friday
413 1720 BETA 2 GLYCOPROTEIN IGG 1350 SERUM 1.0 ML(0.5 ML) DAYS), >14 SAME DAY
assay :1100 HRS
DAYS -20°C
2-8°C (14
Enzyme Linked Immnunosorbent Tuesday & Friday
414 1719 BETA 2 GLYCOPROTEIN IGM 1350 SERUM 1.0 ML(0.5 ML) DAYS), >14 SAME DAY
assay :1100 HRS
DAYS -20°C

SERUM [Samples should not be taken

from patients receiving therapy
BETA CROSSLAPS (BETA CTX) with high biotin doses (i.e. > 5 mg/day) FROZEN: UP DAILY (MON TO
415 1058 2300 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
(CTx-1) until at least 8 hours TO 3 MONTHS SAT):1600 hrs
following the last biotin administration]
+ Clinical History

BETA THALASSEMIA
MUTATION DETECTION (IVS1-
MULTIPLEX DNA POLYMERASE EDTA WHOLE BLOOD+ CLINICAL
416 2482 5 G-C, 619 bp deletion, cd 8/9 7200 5.0 ML (3.0 ML) A 3: 0930 HRS 8 DAYS
CHAIN REACTION HISTORY
+ G, IVS1-1 G-T, 41/42 –
TTCT)
BETA THALASSEMIA
AMNIOTIC FLUID / CVS IN STERILE SALINE 20.0 ML (10.0 ML) / ONLY
MUTATION DETECTION (IVS1-
MULTIPLEX DNA POLYMERASE / FETAL BLOOD EDTA+EDTA WHOLE 10 MG (5-7 MG) / AMNIOTIC
417 2483 5 G-C, 619 bp deletion, cd 8/9 16500 3: 0930 HRS 8 DAYS
CHAIN REACTION BLOOD FOR BOTH PARENTS + CLINICAL 5.0 ML (3.0 ML) / 5.0 FLUID/ CVS AT
+ G, IVS1-1 G-T, 41/42 –
HISTORY ML (3.0 ML) 2-8 °C; REST A
TTCT) PNDT
2-8°C (7 days); 2,4,6:
418 3143 BETA-2-MICROGLOBULIN 2100 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAME DAY
F (2 Weeks) 0500,1430,1600 hrs
URINE (First void the urinary bladder,
then drink a large glass of water and 2-8°C (48 hrs); 2,4,6:
419 3143U BETA-2-MICROGLOBULIN 2100 CHEMILUMINESCENCE 10.0 ML (5.0 ML) SAME DAY
collect a URINE sample within 1 hour). F (>48 hrs) 0500,1430,1600 hrs
Clinical History
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY & CLINICAL
BETA-HUMAN CHORIONIC
420 Z073K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. IF TISSUE RECD., 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
GONADOTROPIN, (BETA hCG)
THEN TISSUE PROCESSING WILL BE
CHARGED.
BIOPSY &
IMMUNOFLUORESCENT TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
421 1528P ASSAY; (HISTOPATH + IgG + 4200 (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
IgA + IgM + C-3 + C1q + + CLINICAL HISTORY
FIBRINOGEN ON TISSUE )
BIOPSY &
IMMUNOFLUORESCENT TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
422 1528 ASSAY; (HISTOPATH + IgG + 4200 (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
IgA + IgM + C-3 + C1q + + CLINICAL HISTORY
FIBRINOGEN ON TISSUE)
TISSUE FIXED IN 10%FORMALIN + SITE OF
BIOPSY + CLINICAL DETAILS. RELEVANT
BIOPSY (BONE
423 1509 1400 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 CM A DAILY:1000 HRS 12 WORKING DAYS
HISTOPATHOLOGY)
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY+ CLINICAL DETAILS . RELEVANT
BIOPSY (BONE
424 1509P 1600 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 CM A DAILY:1000 HRS 12 WORKING DAYS
HISTOPATHOLOGY) - PHOTO
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE IN 10%FORMALIN+ SITE OF
BIOPSY SPECIMEN + CLINICAL DETAILS.
BIOPSY (LARGE TISSUE /
425 1507 2200 HISTOPATHOLOGY RELEVANT RADIOLOGY FINDINGS: X- MORE THAN 3 CMS. A DAILY:1200 HRS 4 WORKING DAYS
SPECIMEN)
RAY/CT/MRI PLATES OR REPORT-PLATES
ARE PREFFERED.
TISSUE IN 10%FORMALIN+ SITE +
CLINICAL DETAILS. RELEVANT
BIOPSY (MEDIUM TISSUE /
426 1511 1500 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 TO 3 CM A DAILY:1200 HRS 3 WORKING DAYS
SPECIMEN)
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY + CLINICAL DETAILS RELEVANT
427 P0002 BIOPSY (PHOTO) - IFA 450 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1CM A DAILY:1000 HRS 4 WORKING DAYS
PLATES OR REPORT-PLATES ARE
PREFFERED.
BIOPSY (SKIN TISSUE FIXED IN 10%FORMALIN- SMALL +
428 1502P 1600 HISTOPATHOLOGY 1 CM A DAILY: 1000 HRS 5 WORKING DAYS
HISTOPATHOLOGY) -(PHOTO) CLINICAL HISTORY
BIOPSY (SKIN TISSUE FIXED IN 10%FORMALIN - SMALL
429 1502 1400 HISTOPATHOLOGY 1 CM A DAILY: 1000 HRS 5 WORKING DAYS
HISTOPATHOLOGY) + CLINICAL HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE FIXED IN 10% FORMALIN+ SITE OF
BIOPSY + CLINICAL DETAILS. RELEVANT
BIOPSY (SMALL TISSUE BIOPSY
430 1500 800 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 CM A DAILY:1200 HRS 2 WORKING DAYS
/ SPECIMEN)
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE + SITE OF BIOPSY + CLINICAL
BIOPSY (SMALL TISSUE BIOPSY DETAILS. RELEVANT RADIOLOGY
431 1500P 1000 HISTOPATHOLOGY 1CM A DAILY:1200 HRS 2 WORKING DAYS
/ SPECIMEN) (PHOTO) FINDINGS: X-RAY/CT/MRI PLATES OR
REPORT-PLATES ARE PREFFERED.
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY + CLINICAL DETAILS RELEVANT
432 P0001 BIOPSY(PHOTO) - SINGLE (HP) 200 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1CM A DAILY:1000 HRS 2 WORKING DAYS
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE FIXED IN 10% BUFFERED
BIOPSY; BRAIN BIOPSY WITH FORMALIN + SITE OF BIOPSY + CLINICAL
433 1519 SPECIAL STAINS (PTAH & 1500 HISTOPATHOLOGY DETAILS. RELEVANT RADIOLOGY NOT APPLICABLE A DAILY:1000 HRS 4 WORKING DAYS
RETICULIN) FINDINGS: CT/MRI PLATES OR REPORT-
PLATES ARE PREFFERED.

BIOPSY; H&E SLIDE FOR

PARAFFIN BLOCK / SLIDE + CLINICAL
434 Z202K REVIEW (MORE THAN 2 2000 HISTOPATHOLOGY MORE THAN 2 A DAILY:1000 HRS 4 WORKING DAYS
HISTORY + SITE OF BIOPSY
SLIDES / PARAFFIN BLOCKS)
BIOPSY; H&E SLIDE FOR
PARAFFIN BLOCK / SLIDE + CLINICAL
435 Z201K REVIEW (UPTO 2 SLIDES / 1800 HISTOPATHOLOGY UPTO 2 A DAILY:1000 HRS 4 WORKING DAYS
HISTORY + SITE OF BIOPSY
PARAFFIN BLOCKS)
TISSUE FIXED IN 10% BUFFERED
BIOPSY; MUSCLE BIOPSY FORMALIN + SITE OF BIOPSY + CLINICAL
436 1533 WITH SPECIAL STAINS 1500 HISTOPATHOLOGY DETAILS (EMG STUDIES, LAB. NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
(MASSON TRICHOME) INVESTIGATIONS, DISTRIBUTION OF
MUSCLE WEAKNESS)

TISSUE FIXED IN 10% BUFFERED

BIOPSY; NERVE BIOPSY WITH FORMALIN + SITE OF BIOPSY + CLINICAL
437 1532 SPECIAL STAINS (LUXOL FAST 1500 HISTOPATHOLOGY DETAILS (EMG NERVE CONDUCTION NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
& GBS) STUDIES, MOTOR / SENSORY LOSS,
& SEGMENT INVOLVED)

BIOPSY; RENAL BIOPSY WITH TISSUE FIXED IN 10% BUFFERED

SPECIAL STAINS (PAS, GMS & FORMALIN + SITE OF BIOPSY + CLINICAL
438 1534 1500 HISTOPATHOLOGY NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
OTHER AS REQUIRED FOR EX: DETAILS. RENAL FUNCTION TESTS,
CONGORED IN AMYLOIDOSIS) INCLUDING 24 HRS URINE PROTEIN.

SATURDAY/WEDNE
439 9300 BIOTINIDASE, SERUM 6500 BIOCHEMICAL SERUM 2.0ML(1.0ML) FROZEN 4 DAYS
SDAY 09:00HRS
440 8407U24 BISMUTH, 24 HRS URINE 5500 ICPMS 24 HRS URINE VOLUME REQUIRED 20 ML (10ML) R DAILY: 900 HRS 15TH DAY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WHOLE BLOOD ( SEND TO
441 8407 BISMUTH, BLOOD 5500 ICPMS SRL,MUMBAI PREFERABLY WITHIN 5.0 ML (3.0 ML) 2-8°C (3 DAYS) DAILY: 900 HRS 15TH DAYS
24HRS OF COLLECTION)
442 8407U BISMUTH, URINE SPOT 5500 ICPMS SPOT URINE 20 ML (10ML) R DAILY: 900 HRS 15TH DAYS
EDTA WHOLE BLOOD/RANDOM
URINE.SPECIMEN COLLECTION
BK VIRUS DNA INSTRUCTIONS: EDTA WHOLE BLOOD/ REFRIGERATE
443 RD1470 7500 Real time PCR 10.0ML/10.0ML 1,4 09:00HRS 5,1 reporting 6 PM
QUANTITATIVE RANDOM URINE.SAMPLE SHOULD D
REACH SRL, MUMBAI WITHIN 24HRS OF
COLLECTION.

UPTO 8
BLOCKS/SLIDES.PLS.
SEND IN THE
SAMPLE/PARAFFIN
BLOCKS WITH
COMPLETE CLINICAL
HISTORY AND
SLIDES/PARAFFIN BLOCKS.PLS. SEND IN
PREVIOUS
THE SAMPLE/PARAFFIN BLOCKS WITH
HISTOPATH
COMPLETE CLINICAL HISTORY AND
REPORT(MANDATOR
PREVIOUS HISTOPATH
Y) SO AS TO MATCH
REPORT(MANDATORY) SO AS TO MATCH
THE SITE OF THE
BLOCK REVIEW/SLIDE REVIEW THE SITE OF THE TISSUE
TISSUE MONDAY TO
444 4055 UPTO 8 BLOCKS - - CoE 8800 HISTOPATHOLOGY SAMPLE/PARAFFIN BLOCK NO. BELONGS AMBIENT 8 DAYS
SAMPLE/PARAFFIN FRIDAY 09:00HRS
Histopathlogy TO THE SAME PATIENT OR NOT.
BLOCK NO. BELONGS
IT IS ALSO MANDATORY TO SENT X-RAY
TO THE SAME
FILM AND MRI REPORT FOR BONE
PATIENT OR NOT.
SAMPLES AND CBC REPORT FOR BONE
IT IS ALSO
MARROW SAMPLES.
MANDATORY TO
SENT X-RAY FILM
AND MRI REPORT
FOR BONE SAMPLES
AND CBC REPORT
FOR BONE MARROW
SAMPLES.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

MORE THAN 8
BLOCKS/SLIDES.Pls.
Send in the
sample/Paraffin
blocks with
complete clinical
history and previous
histopath
report(Mandatory)
so as to match the
BLOCK/SLIDE REVIEW 9 TO 15
site of the tissue MONDAY TO
445 4056 BLOCKS/SLIDES - CoE 9300 HISTOPATHOLOGY BLOCKS/ SLIDES AMBIENT 8 DAYS
sample/Paraffin FRIDAY 09:00HRS
Histopathlogy
Block no. belongs to
the same patient or
not.
It is also mandatory
to sent X-Ray film
and MRI report for
bone samples and
CBC report for Bone
Marrow samples.

WB-HEPARIN SPECIMEN TO REACH US

WITHIN 48 HRS + FAMILY HISTORY +
446 5814B BLOOD LYMPHO CULTURE 3600 CELL CULTURE 5.0 ML (3.0 ML) A DAILY:0700 HRS 12 WORKING DAYS
CLINICAL HISTORY IN SPECIFIED FORMAT
+ DETAILED PHYSICAL FEATURES
BLOOD LYMPHO CULTURE BY
WB-HEPARIN + FAMILY
FISH (Detects only five
HISTORY+DETAILED PHYSICAL
447 5814F chromossomes -Down's 3700 FISH 5.0 ML (3.0 ML) A DAILY 700 HRS 5TH DAY
FEATURES.SPECIMEN TO REACH US
syndrome,ambigious
WITHIN 48 HRS AFTER COLLECTION.
genetalia etc.)
BOH PANEL (LUPUS MON / WED / FRI
ANTICOAGULANT ASSAY, Lupus : Frozen 10:00 HRS TORCH
Antiphospholipid Evaluation, (F DAILY 3 AM, TSH
CLOT BASED & ENZYME DOUBEL CENTRIFUGED PLASMA
TORCH IgG & IgM 10 3.0 ML (2.0 ML)+4.0 immediately DAILY (MON - SAT)
448 1014 5400 IMMUNOASSAY/IFA/CHEMILUM CITRATE(F)+SERUM(R)+CLINICAL 3RD Day
Parameter, ANA, TSH, Factor ML (2.0 ML) at -20°c & 19:00 HRS
INECENCE HISTORY+H/O ORAL ANTICOAGULANT
V Leiden (optional, if required transported in Antiphospholipid
will be charged additionally, dry ice) R/F Evaluation 11:00am
EDTA WB required. daily
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
F (To be F
immediately
at -20°c &
transported in 1, 3, 5: 1000 HRS
BOH TOTAL (TORCH IgG & IgM FASTING, CITRATED PLATELET POOR
dry ice) /2-8°C FOR LUPUS
10 Parameter, TSH, Lupus PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQUOTS OF SAME DAY (AVIDITY WILL
CLOT BASED & ENZYME (3 DAYS), ANTICOAGULANT &
Anticoagulant Screen, CENTRIFUGED PLASMA)* + SERUM (R) + 1.5 ML EACH (1.0 BE REPORTED IF IgG AND
449 4638 5400 IMMUNOASSAY/ >3DAYS -20°C CARDIOLIPIN -
Cardiolipin IgG & IgM Abs, CLINICAL HISTORY+ H/O ORAL ANTI ML) + 5.0 ML IgM BOTH ARE POSITIVE) &
CHEMILUMINECENCE TORCH DAILY DAILY: 1100 HRS &
Beta 2 Glycoprotein IgG & COAGULANT (PT. SHOULD BE OFF SERUM (2.0 ML) LUPUS NEXT DAY
3 AM, 15.30 B2GP IgG/IgM - 2
IgM Abs) ANTICOAGULATION FOR 7 DAYS)
PM TSH &5:1100 HRS
DAILY (MON -
SAT) 1600 HRS
and

BONE MARROW ASPIRATION MICROSCOPY+ CYTOCHEMISTRY BONE MARROW SMEAR + PERIPHERIAL 5-6 BM SMEARS + 2
450 9214RFX 1600 A DAILY: 12:00 HRS 3RD DAY
REFLEX WITH MPO SPECIAL STAINS SMEAR + CLINICAL HISTORY PB SMEARS
BONE MARROW SMEAR + PERIPHERIAL
BONE MARROW ASPIRATION 4 BM SMEARS + 2 PB
451 1054 950 MICROSCOPY SMEAR + CLINICAL HISTORY IN SPECIFIED A DAILY :12:00 HRS 3RD DAY
SMEARS SMEARS
FORMAT
BONE MARROW REFLEX TO MICROSCOPY + CYTOCHEMISTRY BONE MARROW SMEAR + PERIPHERIAL 5-6 BM SMEARS + 2
452 9222RFX 1400 A DAILY :12:00 HRS 3RD DAY
LAP SPECIAL STAINS SMEAR + CLINICAL HISTORY PB SMEARS
BORDETELLA PERTUSSIS IGG FROZEN/REFRI
453 4052 3650 EIA SERUM 2.0ML(1.0ML) THURS 09:00HRS 3 DAYS
(SERUM,EIA) GERATED
PARAFFIN BLOCK Tissue embedded in 0.5 CM X 0.5 CM X Monday, Thursday:
454 RD1317 BRAF V600E Mutation 5700 ARMS PCR A 5th working days
Paraffin block + CLINICAL HISTORY 0.5 CM 9.30 hrs
BRCA 1 & 2 GENETIC TEST - EDTA WHOLE BLOOD + CLINICAL
455 RD1421 20000 Next Generation Sequencing 6.0 ML ( 4.0 ML) AMBIENT 1: 0930 HRS 20 DAYS
BREAST CANCER HISTORY
TISSUE IN 10%FORMALIN FOR 24-48
HRS/ PARAFFIN BLOCK+ Site of biopsy
and Clinical details MANDATORY.IF
BREAST CA PANEL (ER, PGR, 3RD DAY/ 7TH DAY FOR
456 1692 4500 IMMUNOHISTOCHEMISTRY TISSUE RECEIVED IT WILL BE CHARGED 1 CM / 1 BLOCK A DAILY:0800 HRS
HER2/neu, KI-67) DNA PLOIDY
FOR TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

DAILY (MON TO
BREAST CANCER MONITOR I SERUM ( Age+Gender+Clinical History 2-8°C (24 hrs);
457 3022 2300 CHEMILUMINESCENCE 2.0 ML (1.0 ML) SAT): SAME DAY
(CA 15-3, CEA) Required) F ( >24 hrs)
0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN FOR 24-48
HRS/ PARAFFIN BLOCK+ SITE OF BIOPSY
BREAST CANCER PROGNOSIS AND CLINICAL DETAILS MANDATORY.IF
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
458 Z229 PROFILE (ER, PGR, HER2/neu, 6500 TISSUE RECEIVED IT WILL BE CHARGED 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
DNA PLOIDY) FOR TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
459 1804 TUMOR PROFILE #1A (ER, 5500 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
PGR, DNA PLOIDY) TISSUE RECD. TISSUE PROCESSING WILL
BE CHARGED

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS
BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #2A (ER, IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
460 1813 6300 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, DNA PLOIDY, CATHESPIN FLOW CYTOMETRY DAY FOR DNA PLOIDY
TISSUE RECD. TISSUE PROCESSING WILL
D)
BE CHARGED

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
461 1817 TUMOR PROFILE #3A (ER, 6300 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
PGR, DNA PLOIDY, PS2) TISSUE RECD. TISSUE PROCESSING WILL
BE CHARGED

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #4A (ER, IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF 3 WORKING DAYS / 7TH
462 1812 7200 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, HER 2-neu, EGFR, DNA FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL DAY FOR DNA PLOIDY
PLOIDY) BE CHARGED TIME AND DURATION OR
FIXATION SHOULD BE MENTION ON TRF

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #5A (ER, IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF 3 WORKING DAYS / 7TH
463 1811 8000 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, HER 2-neu, CATHESPIN FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL DAY FOR DNA PLOIDY
D, EGFR, DNA PLOIDY) BE CHARGED TIME AND DURATION OR
FIXATION SHOULD BE MENTION ON TRF
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

TISSUE IN 10%FORMALIN / PARAFFIN

BREAST CANCER PROGNOSIS
BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #6A (ER,
IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF
464 1816 PGR, DNA PLOIDY, CATHESPIN 11000 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL
D, EGFR, HER 2neu, KI -67,
BE CHARGED TIME AND DURATION OR
PS2, P53)
FIXATION SHOULD BE MENTION ON TRF

TISSUE IN 10%FORMALIN FOR 24-48

HRS/ PARAFFIN BLOCK+ SITE OF BIOPSY
AND CLINICAL DETAILS MANDATORY.IF
BREAST EVALUATION PANEL
465 1831K 3600 IMMUNOHISTOCHEMISTRY TISSUE RECEIVED IT WILL BE CHARGED 1 CM / 1 BLOCK A DAILY:0800 HRS 3RD DAY
(ER, PGR, HER2/neu)
FOR TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
BREAST HORMONE RECEPTOR MONDAY 09:00HRS
match the site of the tissue MORE THAN 2
466 7206 PANEL(ER/PR,HER-2 NEU) > 2 3100 IHC A TO SATURDAY 8 DAYS
sample/Paraffin Block numbers belongs BLOCKS/SLIDES
BLOCKS - CoE Histopathlogy 09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
BREAST HORMONE RECEPTOR
match the site of the tissue
467 9317 PANEL(ER/PR,HER-2 NEU)F - 2900 IHC UPTO 2 AMBIENT Daily 09:00hrs 8 days
sample/Paraffin Block numbers belongs
CoE Histopath
to the same patient or not. If not
received, will be created as a problem
sample.
2-8º C (2
BRUCELLA IgG & IgM Enzyme Linked Immnunosorbent
468 8831 2550 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
2-8º C (2
Enzyme Linked Immnunosorbent
469 8831M BRUCELLA IgM ANTIBODIES 1500 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
assay
days- 20 °C
2-8º C (2
BRUCELLA ABORTUS IgG Enzyme Linked Immnunosorbent
470 8831G 1550 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
2-8°C
471 8836 BRUCELLA ANTIBODIES 1550 TUBE AGGLUTINATION SERUM 2.0 ML (2DAYS); - DAILY: 1530 HRS Next day
20°C (>2DAYS)
BUCCAL SMEAR FOR BARR
472 5823 3500 CELL CULTURE BUCCAL SMEAR SLIDES+ CLINICAL HISTORY 2-4 SLIDES A DAILY: 7.00 HRS 7TH DAY
BODY ANALYSIS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2nd and 4th
473 1531 C 1 Esterase Functional 5100 ENZYME IMMUNOASSAY SERUM / EDTA PLASMA 2.0 ML (1.0 ML) FROZEN Same day(1900 hrs)
Monday: 1100 hrs

R if specimen
with in 24 hrs
of collection.
C DIFFICILE TOXIN A/B: RAPID If received
474 1218T 3250 RAPID ENZYME IMMUNOASSAY STOOL in sterile leak proof Container 10.0 (1.0) G / 1.0 ML DAILY :15:00 HRS SAME DAY
TEST >24 hrs from
collection
then required
F at -20 deg C

THROAT SWAB IN STUARTS TRANSPORT

475 RD1450 C.diptheria Toxin A and B PCR 4590 PCR 1 ML AMBIENT 1, 10:30 7 days
MEDIUM, PURE CULTURE ISOLATES
EDTA WHOLE BLOOD + CLINICAL
476 RD1309 C0NNEXIN 26 MUTATION 6000 PCR-SEQUENCING 5 ML (3ML) A 4: 0930 HRS 8 DAYS
HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
C3 (COMPLEMENT PROTEIN 90 DAYS, IF F
477 1501D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
CONCENTRATION) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
TISSUE IN MICHEL'S TRANSPORT MEDIA
478 1526 C3, IFA 2200 IMMUNO FLUORESCENT ASSAY 1 CM A DAILY: 1000 HRS 4 WORKING DAYS
+CLINICAL HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
C4 (COMPLEMENT PROTEIN 90 DAYS, IF F
479 1504D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
CONCENTRATION) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

KIDNEY TISSUE IN MICHEL'S TRANSPORT

480 1500CD C4d IMMUNOFLOURESCENCE 1300 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
MEDIA + CLINICAL HISTORY

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY & CLINICAL
481 Z057K CA 125 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

DAILY (MON TO
2-8°C (24HRS);
482 3134 CA 15-3 1500 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) SAT): SAME DAY
F (>24 HRS)
0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
2-8°C (48 hrs);
483 3120 CA 19-9 1500 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
0500,1430,1600 hrs

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY & CLINICAL
484 Z111K CA 19-9 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

SERUM [Samples should not be taken

from patients receiving therapy
2-8°C (30
with high biotin doses (i.e. > 5 mg/day)
485 4117 CA 72.4 2700 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) days); F (3 2:1600hrs SAME DAY
until at least 8 hours
MONTHS)
following the last biotin administration]
+ Clinical History

CHEMILUMINESCENT 2-8°C (7
486 3121A CA125 1450 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) DAYS); -20°C Daily:1530 pm Same day
(CMIA) (>7 DAYS)
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) AFTER SHAKING THE
2-8°C (5
GFAAS WITH ZEEMAN TAKE THE ALIQUOT IN METAL FREE
487 9143U24 CADMIUM, 24 HRS URINE 3550 10-20 ML (5 ML) DAYS); F “6” , 11:30 HRS THIRD DAY
CORRECTION SCINTILLATION VIAL AVAILABLE OR
(>5 - 30DAYS)
STERILE URINE CONTAINER BOTTLE
BOTH AVAILABLE FROM SRL (NO
PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN
488 9143 CADMIUM, BLOOD 3550 IMPROVE/BD, SRL EDTA WHOLE BLOOD 5.0 ML (3.0 ML) DAYS); F (>7 - “6”, 11:30 HRS THIRD DAY
CORRECTION
30DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
489 9143U CADMIUM, URINE SPOT 2500 10-20 ML (5 ML) DAYS); F “6”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL
(>5 - 30DAYS)
NOT BE ACCEPTED
FROZEN: UP 5: 0500,1430, 1600
490 3126 CALCITONIN 2700 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML(0.5ML) SAME DAY
TO 2 WEEKS hrs
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
491 Z171K CALCITONIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

CALPONIN BLOCK + SITE OF BIOPSY & CLINICAL
492 Z223K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (2days);
FLUOROENZYME Wednesday &
493 9980 CALPROTECTIN 2800 STOOL 100 GMS (50 GMS) -20°C (>2 SAME DAY
IMMUNOASSAY Saturday : 1100 HRS
days)
EDTA WHOLE BLOOD / EDTA BONE
5 ML (3 ML)/5 ML (3
494 RD1476 CALR GENE MUTATIONS 6500 PCR-SEQUENCING MARROW + CLINICAL HISTORY in A 1,5 : 0930 HRS 7 days
ML)
specified format
TISSUE IN 10%FORMALIN / PARAFFIN
CALRETENIN BLOCK + SITE OF BIOPSY & CLINICAL
495 Z058K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
BY PRIOR
RECTAL BIOPSY, STOOL IN TRANSPORT
APPOINTMENT,
MEDIA (TRANSPORT MEDIA
CAMPYLOBACTER SPECIES 2.0 G (1.0 G) STOOL / (Ask for
496 5704 1850 CULTURE MANDATORY),BODY FLUID/BLOOD R 7TH DAY
CULTURE 5ML SPECIMEN -SC TRANSPORT
INOCULATED IN BACTEC BOTTLE
MEDIUM) specify
(AEROBIC PLUS )
sample source
2-8°C (24
CANDIDA ALBICANS INDIRECT
497 2330 3700 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIBODIES HAEMAGGLUTINATION
(>24 HRS)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
CANDIDA ALBICANS DNA SPUTUM / CSF / FLUIDS / TISSUES +
498 2331 8200 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4:0930 HRS 3,6:1800 HRS
DETECTOR CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
SERUM ( TREATMENT HISTORY
REQUIRED ) FOR THERAPEUTIC LEVELS
DAILY (MON TO
SAMPLE SHOULD BE COLLECTED JUST 2-8°C (48 hrs);
499 4116 CARBAMAZEPINE( TEGRETOL) 1050 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
BEFORE ORAL DOSE. FOR TOXIC LEVELS F (>48 hrs)
0500,1430,1600 hrs
COLLECTION SHOULD BE 4-8 HOURS
POST DOSE

2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
CARBOHYDRATE DEFICIENT 1st & 3rd MON :
500 4521 3200 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F SAME DAY
TRANSFERRIN (CDT) 1200 HRS
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

2-8°C (48 DAILY (MON TO

CARCINOEMBRYONIC
501 3258 900 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
ANTIGEN (CEA)
HRS) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CARCINOEMBRYONIC
502 Z043K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (CEA)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

Enzyme Linked Immnunosorbent 2-8°C (3 DAYS)

503 3370 CARDIOLIPIN IGA ANTIBODIES 950 SERUM 1.0 ML(0.5 ML) DAILY:1100 HRS SAME DAY 1800 HRS
assay ,>3DAYS -20°C

2-8°C (48 hrs);

CARDIOLIPIN IgG & IgM Enzyme Linked Immnunosorbent
504 3371 1800 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
ANTIBODIES assay
hrs)
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
505 3371G CARDIOLIPIN IgG ANTIBODIES 950 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
assay
hrs)
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
506 3371M CARDIOLIPIN IgM ANTIBODIES 950 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
assay
hrs)
EDTA WHOLE BLOOD + CLINICAL EVERY MONDAY:
507 RD1486 CARDIONEXT PANEL 59500 Next Generation Sequencing 5.0 ML A 45 DAYS
HISTORY 10:00 HRS
THE BLOOD SAMPLE (EDTA)SHOULD BE
STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE
PLASMA WITHIN 2 HOURS AFTER BLOOD
COLLECTION. KEEP AWAY FROM HEAT
OR DIRECT SUN LIGHT.DO NOT
CONSUME VITAMIN B ,COFFEE,
BANANAS, ALPHA -METHYDOPA,MOA F FROZEN WEDNESDAY :
508 3304 CATECHOLAMINES, PLASMA 7600 ENZYME IMMUNOASSAY 2.0 ML (1.0 ML) NEXT DAY
AND COMT INHIBITORSAS WELL AS STRICTLY 1000HRS
MEDICATION RELATED TO
HYPERTENSION 72 HRS PRIOR TO THE
COLLECTION OF THE
SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N

HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS, 48hrs
prior to the collection of the specimen.It
is advisable to discontinue all
medications, alpha methyldopa, MAO &
COMT Inhibitors as well as medications
related to Hypertension should be
discontinued atleast 72 hrs prior to FROZEN WEDNESDAY :
509 3304U CATECHOLAMINES, URINE 5000 ENZYME IMMUNOASSAY 20.0 ML (10.0ML) NEXT DAY
specimen collection.If medications STRICTLY 1000HRS
takenshould be STrictly on the advise of
the referring physician, the same should
be mentioned.Please freeze the
specimen immediately after collection.
CLINICAL DETAILS(Patient's clinical
history, CT SCAN , USG & MEDICATION
MANDATORY) mention 24 hrs urine
volume

AUTOMATED CELL COUNTER

+MICROSCOPY + EDTA WB +FRESH PERIPHERAL SMEARS
510 9211RFX CBC REFLEX TO LAP 800 3.0ML + 3-4 SMEARS A DAILY : 15:00 HRS 3RD DAY
CYTOCHEMISTRY SPECIAL (AIR DRIED) + CLINICAL HISTORY
STAINS
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
511 1602 CCD3 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6..00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

512 1604 CCD79A 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
CD 10
513 Z219K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
CD 138
514 Z244K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
CD 1a BLOCK + SITE OF BIOPSY & CLINICAL
515 Z224K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
516 Z248K CD 56 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK -SITE OF BIOPSY & CLINICAL
517 Z268K CD 7 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
518 Z249K CD 79A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
519 Z247K CD 8 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC

520 1676BC CD10 (CALLA) 2800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

521 1673 CD103 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
522 Z117K CD117 / C-KIT 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

523 1675BN CD11c-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
524 Z030K CD15 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB- EDTA | WB- HEPARIN | WB / 3-4 CC (1CC) / 3-4 CC
CD16+56-PERCENT +
525 1674BL 4700 FLOW CYTOMETRY SMEARS + CLINICAL HISTORY(WB TO (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
ABSOLUTE COUNTS
REACH WITHIN 48 HRS) / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC

526 1675BS CD19/KAPPA-PERCENT 2800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

527 1675BT CD19/LAMBDA-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC

528 1675BU CD19/Tdt-PERCENT 7000 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

529 1675BA CD19-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
530 Z022K CD20 (PAN-B CELL) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

531 1675BB CD20-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
532 Z034K CD21 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

533 1677BD CD22-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ Site of biopsy and Clinical details
534 Z261K CD23 (IHC) 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC

535 1677BC CD23-PERCENT 2800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
536 1674BM CD25-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

537 1675BC CD2-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
538 Z023K CD3 (PAN-T CELL) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

539 1674BY CD3/CD16+56-PERCENT 5800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC

540 1674BX CD3/CD19-PERCENT 5800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

3.0 ML (2.0 ML) + 1-

WB-EDTA / HEPARIN + SMEAR (WB TO
541 1674BU CD3/CD4-ABSOLUTE 2800 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY:1530 HRS SAME DAY 1800 HRS
REACH WITHIN 48 HRS)
SLIDES

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
542 Z029K CD30 (KI-1 ANTIGEN) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
543 Z212K CD31 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
544 Z211K CD34 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
545 1674BQ CD38-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CD4 (Lymphocyte
Enumeration, T- HELPER WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
546 1656B 2200 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
CELLS, (%CD3,%CD4,ABS WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4))
CD4 (LYMPHOCYTE SUBSET EDTA WB ONLY
547 1659 PERCENTAGE AND ABSOLUTE 1400 FLOW CYTOMETRY (SAMPLE TO REACH LAB WITHIN 3 – 5 ML A DAILY: 1530 HRS SAME DAY BY 6.00PM
COUNT) 48 HOURS.)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
548 Z025K CD4 (T-Helper cell) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

CD4/CD8 (Lymphocyte
Enumeration STudy-T Cells WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
549 1657B 2600 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
(%CD3,%CD4,%CD8,ABS WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4,ABS CD8))

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
550 Z024K CD43 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

CD45 [Also called as BLOCK + SITE OF BIOPSY AND CLINICAL
551 Z021K LEUCOCYTE COMMON 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (LCA)] RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

552 1676BB CD45-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
553 Z213K CD5 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
554 1675BP CD5/CD19-PERCENT 5800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

555 1675BD CD5-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CD68 IHC, TISSUE/PARAFFIN
556 Z026K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
BLOCK
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ Site of biopsy and Clinical details
557 Z260K CDX2 (IHC) 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
CEBPA MUTATION EDTA WHOLE BLOOD/EDTA BONE
558 7478 7500 PCR-SEQUENCING 5 ML (3ML) A 5: 0930 HRS 7 DAYS
DETECTION MARROW + CLINICAL HISTORY
2,4,6:1100 HRS For
Enzyme Linked Immnunosorbent
CELIAC PROFILE (Ttg IgA ABS, 2-8°C (2 days) TTG and 4:1100
559 1073 10300 assay , FLUOROENZYME SERUM 2.0 ML (1.0 ML) SAME DAY
Gliadin IgG & IgA ABS) ,>2 days -20°C HRS For Gliadin IgG
IMMUNOASSAY
& IgA
2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
560 1516D CERULOPLASMIN 1300 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 1/3/5:16.30 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
SPECIMEN FIXED IN LIQUIPREP
CERVI PLUS (LBC/ THIN PREP +
561 9508 4100 CYTOLOGY / FLOW CYTOMETRY PRESERVATIVE SOLUTION + CLINICAL 1 VIAL A 1,3,5: 1000 hrs AFTER 4 DAYS
CERVI REAL HPV E6/E7 MRNA)
HISTORY, AGE, LMP LBC/THIN PREP
562 RD1468 CerviReal (HPV E6/E7 mRNA) 3650 FLOW CYTOMETRY LBC/THIN PREP 10ML AMBIENT 1,3,5: 1000 hrs AFTER 4 DAYS
CH 50 COMPLEMENT TOTAL THURSDAY
563 1599 4700 ELISA SERUM 2.0ML(1.0)ML R 3TH DAY
SERUM 09:00HRS
CHICKEN POX (VARICELLA 2-8º C (5
Enzyme Linked Immnunosorbent
564 8761 ZOSTER VIRUS (VZV) IgG 1900 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
ANTIBODIES) DAYS- 20 °C

CHICKEN POX (VARICELLA 2-8º C (5

Enzyme Linked Immnunosorbent
565 8766 ZOSTER VIRUS (VZV) IgM 1900 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
ANTIBODIES) DAYS- 20 °C
2-8°C (3
566 2492 CHIKUNGUNYA IgM - RAPID 1000 IMMUNOCONCENTRATION SERUM 1.0 ML(0.5 ML) DAYS); -20°C Daily:1530 pm SAME DAY 1900 HRS
(>3 DAYS)
2-8º C (5
CHIKUNGUNYA IgM Enzyme Linked Immnunosorbent SERUM + CLINICAL HISTORY (DETAILS OF THURSDAY: 11:00
567 2491 1200 2.0 ML (1.0 ML) DAYS), >5 SAME DAY
ANTIBODY, SERUM assay FEVER, SYMPTOMS ETC.) HRS
DAYS- 20 °C
EDTA Whole Blood Donor + EDTA Whole Monday to Friday,
568 RD1453 CHIMERISM (Post -transplant) 23000 STR Analysis 3ml each Ambient 5 working days
Blood Recipient 10:30am
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHIMERISM (Pre transplant, EDTA Whole Blood Donor + EDTA Whole Monday to Friday,
569 RD1452 20000 STR Analysis 3ml each Ambient 5 working days
Donor and recipient) Blood Recipient 10:30am
URINE / GENITAL SWAB/URETHRAL 1.0 ML FLUID / 1
570 7437 CHLAMYDIA DNA DETECTOR 3600 POLYMERASE CHAIN REACTION A/R/F 1:1000 HRS NEXT DAY
SWAB/EYE SWAB SWAB
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
571 9405 4590 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
572 9410 2200 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgA ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
573 9408 2250 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgG ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
574 9409 2200 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgM ANTIBODIES assay
days- 20 °C
10.0ML(5.0) ML + 1 +
URINE / GENITAL/ URETHRAL SWAB/EYE
575 7438 CHLAMYDIA SPECIATION 4200 PCR Sequencing 1 + 1.0 (0.5)ML + 1 A/R 1:0930 HRS 5: 1830 HRS
SWAB /FLUID
(0.5) ML
2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
576 9404 4100 SERUM 2.0 ML (1.0 ML) DAYS), >5 2: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
577 9406 1200 SERUM 1.0 ML (0.5 ML) DAYS), >5 2: 1100 HRS SAME DAY
IgG ANTIBODIES assay
DAYS- 20 °C
2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
578 9411 1200 SERUM 1.0 ML (0.5 ML) DAYS), >5 2: 1100 HRS SAME DAY
IgM ANTIBODIES assay
DAYS- 20 °C
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE). 24 HRS VOLUME
SHOULD BE COMPULSARILY SPECIFIED .
FIRST SHAKE THE CAN AND TAKE THE 10-
2-8°C (5
GFAAS WITH ZEEMAN 20 ML ALIQUOT. THE MEASUREMENT
579 9147U24 CHROMIUM, 24 HRS URINE 3550 10-20 ML (5 ML) DAYS); F (>5 - “6”, 11:30 HRS THIRD DAY
CORRECTION OF URINE VOLUME SHOULD BE DONE
30 DAYS)
AFTER ALIQUOTING.IN METAL FREE
SCINTILLATION VIAL AVAILABLE OR
STERILE URINE CULTURE BOTH
AVAILABLE FROM SRL (NO
PRESERVATIVE)
2-8°C
GFAAS WITH ZEEMAN BD SRL SODIUM HEPARIN VACCUTAINER, (7DAYS);
580 9147 CHROMIUM, BLOOD 3700 5.0 ML (3.0 ML) “6”, 11:30 HRS THIRD DAY
CORRECTION WHOLE BLOOD FROZEN (>7 -
30 DAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C
GFAAS WITH ZEEMAN BD RED TOP VACCUTAINER, (7DAYS);
581 9147S CHROMIUM, SERUM 3550 3.0 ML (2.0 ML) “6”, 11:30 HRS THIRD DAY
CORRECTION CENTRIFUGE, SEPARATE SERUM FROZEN (>7 -
30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
582 9147U CHROMIUM, URINE SPOT 3550 10-20 ML (5 ML) DAYS); F (>5 - “6”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
583 Z081K CHROMOGRANIN A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (24
584 3951 CHROMOGRANIN A 7500 RADIO IMMUNOASSAY SERUM ( CLINICAL HISTORY REQUIRED ) 2.0ML(1.0ML) HRS); F (>24 1,4: 1100 hrs NEXT DAY
HRS)
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
CHROMOSOME ANALYSIS IN 48 HRS + CLINICAL HISTORY [PLEASE
585 5800 HEMATOLOGICAL DISORDERS 4200 KARYOTYPE CELL CULTURE MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML/3 ML A DAILY: 7.00 HRS 12 WORKING DAYS
(Blood cancer or Leukemia ) PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
DAILY: 0930 HRS
Chromosome SNP Microarray
586 RD1435 32000 Microarray EDTA WHOLE BLOOD 3-5 ML AMBIENT (EXCEPT SUNDAY 21 DAYS
(CSM)
AND HOLIDAYS)
DAILY: 18:30 HRS
FOR BIOCHEM,
AUTOMATED CELL COUNTER, DAILY:
AUTOMATED (PHOTOMETRICAL 12:00,15:30,17:30
EDTA WHOLE BLOOD +CITRATE WHOLE 3.0 ML EDTA WHOLE
CHRONIC FATIGUE CAPILLARY STOPPED FLOW FLUORIDE HRS FOR CBC/ESR ,
BLOOD BLACK TOP + RANDOM FLORIDE BLOOD + RANDOM
SYNDROME PANEL (CBC, ESR, KINETIC ANALYSIS) / MANUAL PLASMA : (2- DAILY; 1100 HRS
PLASMA+RANDOM URINE+FASTING FLUORIDE PLASMA
Random Glucose, Creatinine, (MODIFIED WESTERGREN) 8°C 3 DAYS); FOR ALLERGY,
URINE+SERUM FROZEN + (AGE & 2.0 ML (1.0 ML)+
Calcium, Magnesium, ,Chemiluminescent SERUM : 2-8°C DAILY 1100, 1530
587 1024 5700 GENDER IS MANDATORY) + DIRECT FASTING URINE 15.0 SAME DAY
Electrolytes, ALT, HBsAg, HIV, Microparticle Immunoassay (2 DAYS), F (> HRS FOR ANA,
SMEARS. (Folic Acid: Folates are light ML (10.0 ML)+
HCV, ANA, TSH, Folic Acid, (CMIA), Chemiluminescence, 2DAYS); DAILY: 0730 HRS &
sensitive. Minimize exposure to light SERUM 3.0 ML
Urinalysis, Food Allergy ImmunoCAP Specific IgE URINE : 2- 1530 HRS for HCV,
during sample handling and (2.0ML)+ 3.0 ML + 2-
(Wheat, Milk, Peanut) inhouse allergen, 8°C(24 HRS) DAILY (MON TO
storage). 3
SPECTROPHOTOMETRY, IMT, SAT); 0500, 1600
DIPSTICK & MICROSCOPY HRS FOR FOLIC
ACID AND 0500 ,
1900 HRS FOR TSH
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHRONIC
LYMPHOPROLIFERATIVE
DISORDER PANEL (CD5, BM / WB- EDTA | BM / WB- HEPARIN |
3-4 CC (1CC) / 3-4 CC
CD10, CD19, CD20, CD22, FLUID-EDTA I FLUID-HEPARIN I BM / WB
588 1609 13000 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD23, CD25, CD38, CD11c, / FLUIDS SMEARS + CLINICAL
/ 3-4 CC (1CC)
CD103, FMC 7, HLA DR, HISTORY(MANDATORY)
Surface immunoglobulins
AND LIGHT CHAINS )

24HRS URINE SAMPLE (BEFORE

STARTING THE COLLECTION, 10ML OF 6N
SATURDAY
HCL PRESERVATIVE SHOULD BE ADDED
CITRATE, URINE 24 H FROZEN(STABI 09:00HRS AND
589 8425 4000 Enzymatic TO THE 24HRS URINE COLLECTION 20.0ml(10.0ml) 3 days
ENZYMATIC LITY:4 DAYS) WEDNESDAY:0900
CONTAINER). MENTION AGE, GENDER,
HRS
24HRS URINE VOLUME AND CLINICAL
DETAILS ON THE REQUISITION FORM.

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK -SITE OF BIOPSY & CLINICAL
590 RD1444 C-KIT GIST 11000 PCR - SEQUENCING 2 NOS (1NO.) AMBIENT 1, 5: 1030 HRS 10 TH DAY
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
EDTA WHOLE BLOOD / EDTA BONE
591 RD1308 C-KIT MUTATION 5000 PCR-SEQUENCING 5 ML (3ML) A 1,5: 0930 HRS 6 DAYS
MARROW + CLINICAL HISTORY
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
CLL PANEL by FISH (13q14.3, 48 HRS + CLINICAL HISTORY [PLEASE
592 6024F 17p13.1, 11q22.3 deletions 8000 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY:7.00 HRS 7TH DAY
and Trisomy 12) PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
Clostridium Difficile Real Time
593 RD1430 3300 Real Time PCR STOOL 1.0 GM FROZEN/COLD 1,4: 0930 HRS 3,6 : 1830 HRS
PCR
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
594 1603 cmPO 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

WB- EDTA /BM-EDTA / WB- HEPARIN 3-4 CC (1CC) / 3-4 CC

595 1614 cmPO / CCD79A / CCD3 9300 FLOW CYTOMETRY /BM-HEPARIN / FLUIDS IN EDTA (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
/HEPARIN/SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
CMV COMBI TEST (CMV Viral EDTA PLASMA /EDTA WHOLE BLOOD +
596 7578 10500 REAL TIME PCR/SEQUENCING 5 ML (3 ML) F/A 3: 0930 HRS 8 DAYS
Load/GCV resistance) CLINICAL HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1 BLOCK. PLEASE
SEND THE
SLIDE/PARAFFIN
BLOCK WITH
COMPLETE CLINICAL
HISTORY AND
PREVIOUS
HISTOPATH
CMV IHC MARKER - CoE MONDAY TO
597 7198 1500 IMMUNO HISTOCHEMISTRY BLOCK REPORT(MANDATOR AMBIENT 8 DAYS
Histopathlogy FRIDAY 09:00HRS
Y) SO AS TO MATCH
THE SITE OF THE
TISSUE
SAMPLE/PARAFFIN
BLOCK NO. BELONGS
TO THE SAME
PATIENT OR NOT.

EDTA PLASMA
- A/R/F, EDTA
598 7576 CMV Viral Load 8800 Real Time PCR EDTA PLASMA /EDTA WHOLE BLOOD 5 ML (3 ML) 2,4,6 : 8 HRS 4, 6, 2: 1900HRS
WHOLE
BLOOD -A/R

BLOCK .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
MONDAY 09:00HRS
C-MYC IHC SLIDE STAINING - match the site of the tissue
599 7208 1800 IHC 1 BLOCK A TO SATURDAY 8 DAYS
ONE BLOCK sample/Paraffin Block numbers belongs
09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-
600 9149U COBALT URINE SPOT URINE 3550 10-20 ML (5 ML) DAYS); F (>5 - “3”, 11:30 HRS THIRD DAY
CORRECTION 20 ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) IN METAL FREE 2-8°C (5
GFAAS WITH ZEEMAN
601 9149U24 COBALT, 24 HRS URINE 3550 SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) DAYS); F (>5 - “3”, 11:30 HRS THIRD DAY
CORRECTION
STERILE URINE CONTAINER BOTH 30 DAYS)
AVAILABLE FROM SRL (NO
PRESERVATIVE)
GFAAS WITH ZEEMAN BD, SRL EDTA VACCUTAINER, WHOLE 2-8°C
602 9149 COBALT, BLOOD 3550 5.0 ML (3.0 ML) “3”, 11:30 HRS THIRD DAY
CORRECTION BLOOD (7DAYS);
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
COLORECTAL CANCER PANEL PCR DETAILS MANDATORY IF TISSUE RECD. 0.5 cm X 0.5 cm X Monday, Thursday:
603 4550 12000 A 5th working days
(KRAS, NRAS & BRAF) Sequencing/PyroSequencing TISSUE PROCESSING WILL BE 0.5 cm 9.30 hrs
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
COMMON MUTATION PANEL
mtDNA (MELAS 1, EDTA WHOLE BLOOD + CLINICAL
604 RD1465 13000 PCR Sequencing 5ML AMBIENT 3, 10:00AM 10 days
MERRF,NARP,LHON, KSS MT HISTORY
DNA MUTATION)
IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA
605 1555 COMPLEMENT C1q 3700 1CM A DAILY: 1000 HRS 4 WORKING DAYS
HP + CLINICAL HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
COMPLEMENT PROTEIN 90 DAYS, IF F
606 1501D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
CONCENTRATION (C3) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
COMPLEMENT PROTEIN 90 DAYS, IF F
607 1504D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 hrs SAME DAY
CONCENTRATION (C4) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

COMPLETE DIAGNOSIS WITH 6500 IMMUNOHISTOCHEMISTRY

608 Z009K SPECIAL STAINS & IHC (AS PARAFFIN BLOCKS (PLEASE LET US
AND WHEN NEEDED) KNOW THE SITE OF BIOPSY & CLINICAL
DETAILS)
1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS DAILY :1030 hrs ,
FOR
APOLIPOPROTEINS
& LIPOPROTEINS
COMPREHENSIVE CORONARY
SPECTROPHOTOMETRY/ 12-14 HOURS FASTING SERUM + SERUM/ F; 2-8°C (2 DAILY : 1630 hrs
RISK PROFILE (Extended
609 1209C 4000 CHEMILUMINESCENCE/ PLASMA- EDTA + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS); F (> 2 AND SAME DAY
Coronary Risk Profile,
NEPHELOMETRY MANDATORY) DAYS) BIOCHEM(LIPID)
Homocysteine)
:18:30 hrs, DAILY
(MON TO SAT):
0500, 1600 hrs for
HOMOCYSTEINE
ELECTROPHORESIS/
COMPREHENSIVE MYELOMA SERUM (CLINICAL HISTORY, AGE &
610 5040 PROTEIN PANEL 2.0 ML (1.5 ML) 2-8°C (7 DAYS) TUE & FRI: 1100 hrs 4TH DAY
8000 IMMUNOELECTROPHORESIS/NE GENDER IS MANDATORY )
PHELOMETRY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A. General Information
Collection Time: Collect sample 24 hours
AFTER birth up to 1 month of age. (DAY
2-7 REPORTED WITHOUT DISCLAIMER ,
DAY 8 TO 1 MONTH WITH DISCLAIMER
COMMENT)
REQUIRE FOLLOWING MADATORY
DETAILS: Storage and
Birth date and time, Sample collection Shipping
date and time, Age at the time of Temperature:
collection (more than 24 hours), Specimen and Allow blood to
Transfusion details if any with date and Volume: 4 - 5 whole dry 3 - 4 hrs
time, IV fluid infusion if any with date blood spots on before
COMPREHENSIVE NEONATAL and time, Feed details TUESDAY AND
611 3328IJ 5600 MS/MS Whatman 903® filter packing. 4TH DAY 6:00PM
SCREENING PANEL (Breast/Bottle/Both Breast and Bottle FRIDAY 10:00HRS
paper; Fill all circles Store/Ship the
feed), Status at the time of collection with blood. Do NOT sample in a
(Normal/Premature/Sick), Gestational Layer ZipLock© or
age, Birth weight details, Medication if equivalent
any.Single baby or Twin baby (please bag at 2° - 8°
specify),Ethnicity C.
(White/Hispanic/Asian/Am.Indian/Af.Am
er/Others),Doctors Name and Contact
details + Clinical history of the patient.
B. Sample Acceptability: Special
Instructions:
1. Venous blood from a central line is
acceptable (Do NOT apply blood to filter
paper through a needle as hemolysed
DRY BLOOD SPOT with complete 1,4:1100 HRS
COMPREHENSIVE NEONATAL CLINICAL HISTORY form including birth FOR BIOCHEMI
ENZYME
SCREENING PANEL (Neonatal date & birth time.(Dried Blood spot 2-8°C (14 BIOCHEMICAL CAL NEXT
612 3328II 6000 IMMUNOASSAY & 5 NOS.(4NOS.)
Screening Panel-1+NBS by should be ideally collected within 3rd DAYS) & MS/MS TUESDAY DAY &
MS/MS
MS/MS) and 5th day of life after birth), FOR AND FRIDAY MS/MS: 4TH DAY 6:00 PM
MS/MS refer test code 3358 10:00HRS
COMPREHENSIVE VIRAL FLU REAL TIME PCR FOR NOVEL
PANEL (INFLUENZA A, H1N1 AND INFLUENZA A; Daily 1730 HRS
NASAL/THROAT/NASOPHARYNGEAL SWAB
613 8012 INFLUENZA B, PARA 6100 MULTIPLEX RT-PCR FOR 2 SWABS IN VTM F (EXCEPT SUNDAY 3 DAYS 1800 HRS
IN VTM
INFLUENZA, RSV & NOVEL INFLUENZA B, RSV AND AND HOLIDAYS)
H1N1 VIRUS) PARAINFLUENZA
Whole Blood
EDTA WHOLE BLOOD/EDTA PLASMA +
614 RD1438 COMT GENOTYPING 30000 PCR Sequencing 2-3 ML (A)/PLASMA 2: 0930 HRS 7 DAYS
CLINICAL HISTORY
(F)
CONNEXIN 30 MUTATION EDTA WHOLE BLOOD + CLINICAL
615 RD1427 4600 DNA SEQUENCING 5.0 ML (3.0 ML) AMBIENT 4: 0930 HRS 8 DAYS
DETECTION HISTORY
2-8°C (48
3.0 ML (1.0 ML) + 1.0
616 1120 COOMBS DIRECT TEST 750 TUBE AGGLUTINATION WB-EDTA MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
ML (0.5 ML)
20 °C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (48
3.0 ML (1.0 ML) + 1.0
617 1121 COOMBS INDIRECT TEST 750 TUBE AGGLUTINATION SERUM MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
ML (0.5 ML)
20 °C
2-8°C (48
COOMBS TITRE (Rh ANTIBODY 3.0 ML (1.0 ML) + 1.0
618 1121T 1200 TUBE AGGLUTINATION SERUM MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
TITRE) ML (0.5 ML)
20 °C
2-8°C (7
BD RED TOP VACCUTAINER,
COPPER REFLEX TO DAYS); F (> 7
CENTRIFUGE, SEPARATE SERUM,( AGE + COPPER : 3,6 11:30
CERULOPLASMIN DAYS-90 COPPER 5th,2nd Day,
GFAAS WITH ZEEMAN SEX MANDATORY) +2 ALIQUOT HRS,
619 9202RFX (CERULOPLASMIN WILL BE 2500 1.0 ML (0.8 ML) DAYS, IF F SAME DAY:
CORRECTION/NEPHELOMETRY REQUIRED, 10 -12 HRS FASTING SERUM + CERULOPLASMIN
PERFORMED IF LOW VALUE WITHIN 24 CERULOPLASMIN
CLINICAL HISTORY + (AGE & GENDER IS 3,5:12:00 HRS
OF COPPER) HRS. OF
MANDATORY)
COLLECTION)

24 HR URINE IN METAL FREE JERRY CAN

AVAILABLE FROM SRL (NO
PRESERVATIVE). 24 HRS VOLUME
SHOULD BE COMPULSARILY SPECIFIED .
FIRST SHAKE THE CAN AND TAKE THE 10-
2-8°C (5
GFAAS WITH ZEEMAN 20 ML ALIQUOT IN METAL FREE
620 9144U24 COPPER, 24 HRS URINE 2250 10-20 ML (5 ML) DAYS); F “3”,”6” 11:30 HRS 5th,2nd Day
CORRECTION SCINTILLATION VIAL AVAILABLE OR
(>5 -30 DAYS)
STERILE URINE CONTAINER BOTH
AVAILABLE FROM SRL (NO
PRESERVATIVE) THE MEASUREMENT OF
URINE VOLUME SHOULD BE DONE AFTER
ALIQUOTING.

BD RED TOP VACCUTAINER, 2-8°C

GFAAS WITH ZEEMAN
621 9144 COPPER, SERUM 2250 CENTRIFUGE, SEPARATE SERUM, AGE + 2.0 ML (1 ML) (7DAYS); F (>7 “3”,”6” 11:30 HRS 5th,2nd Day
CORRECTION
SEX MANDATORY -30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
622 9144U COPPER, URINE SPOT 2250 10-20 ML (5 ML) DAYS); F “3” ,”6” 11:30 HRS 5th,2nd Day
CORRECTION ml) VACCUTAINER COLLECTION WILL
(>5 -30 DAYS)
NOT BE ACCEPTED
CORONARY RISK PROFILE DAILY:18:30
EXTENDED (E CROP) SERUM 12-14 HRS FASTING + CLINICAL 2-8°C HRS(For LIPID);
NEPHELOMETRY /
623 1209E (CORONARY RISK PROFILE 2650 HISTORY + (AGE & GENDER IS 3.0 ML (2.0 ML) (2DAYS); F ( DAILY:16.30 HRS SAME DAY
SPECTROPHOTOMETRY
+APOLIPOPROTEIN MANDATORY) >2 DAYS) (APOLIPOPROTEIN
EVALUATION) & LIPOPROTEIN)
SERUM HAS TO BE COLLECTED BETWEEN
2-8°C (48 DAILY (MON TO
7:00-9:00 AM AND 3:00-5:00 PM.
624 3128 CORTISOL 750 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
(CLINICAL HISTORY AND COLLECTION
HRS) 0500,1430,1600 hrs
TIME REQUIRED )
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
URINE -24 HRS, TO BE STORED IN
REFRIGERATED CONDITION DURING 10.0 ML ALIQUOT 2-8°C (48 DAILY (MON TO
625 3128U CORTISOL FREE, Urine 1050 CHEMILUMINESCENCE COLLECTION (WITHOUT PRESERVATIVE) (SPECIFY 24 HR VOL HRS); F (>48 SAT): SAME DAY
(CLINICAL HISTORY AND 24 HRS VOLUME ON TRF) HRS) 0500,1430,1600 hrs
REQUIRED)
WB-HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS + FAMILY HISTORY +
COUPLE KARYOTYPING - 5.0 ML (3.0 ML)
626 7535 5100 CELL CULTURE CLINICAL HISTORY IN SPECIFIED FORMAT A DAILY: 0700 HRS 12 working days
(PBLC) EACH
+ DETAILED PHYSICAL FEATURES +
DOCTOR CONTACT NO. (MANDATORY)
COXSACKIE ANTIBODY - IGG,
627 2547I 4000 EIA SERUM 2.0ML(1.0ML) R/F TUESDAY 09:00HRS 3 DAYS
SERUM
COXSACKIE ANTIBODY - IGM,
628 2548I 4050 EIA SERUM 2.0ML(1.0ML) R/F TUESDAY 09:00HRS 3 DAYS
SERUM
FASTING SERUM (FREEZE SERUM
DAILY (MON TO
SPECIMEN IMMEDIATELY AFTER FROZEN: UP
629 3140 C-PEPTIDE 1300 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
SEPARATION) CLINICAL HISTORY TO 2 WEEKS
0500,1430,1600 hrs
REQUIRED
2-8°C (1 DAY);
SERUM (CLINICAL HISTORY + AGE &
630 3615D CREATINE KINASE - MB 900 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F (> 1 DAY- 1 DAILY: 1830 hrs SAME DAY
GENDER IS MANDATORY)
MONTH)

SERUM [Samples should not be taken

from patients receiving therapy
CREATININE KINASE -MUSCLE with high biotin doses (i.e. > 5 mg/day) FROZEN: 3 DAILY (MON TO
631 3611 900 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
BRAIN (CK-MB) until at least 8 hours MONTHS SAT):1600 hrs
following the last biotin administration]
+ Clinical History

INSPECTION, PHYSICAL SERUM-AMBIENT ONLY / COLD 2 - 8

632 1158CG CRYOGLOBULIN-QUALITATIVE 1300 2.0 ML (1.0 ML) A DAILY:13:00 HRS NEXT DAY
(HEATING) DEGREE CELCIUS
2-8°C -3
633 9189 CRYPTOCOCCUS ANTIGEN 2800 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML (0.5 ML) days,>3 days: - DAILY:1530 HRS SAME DAY
20°C
A /For
CRYPTOCOCC
CRYPTOCOCCUS ANTIGEN CULTURE: PRELIM. 7TH
US ANTIGEN
DETECTION IF NEGATIVE BACTEC CULTURE DAY, FINAL 21ST DAY,
634 9209RFX 1200 CSF 1.0 ML (0.5 ML) DETECTION : 2- DAILY:1530 HRS
REFLEX CSF FUNGAL /IMMUNOCHROMATOGRAPHY Antigen detection : same
8°C - 3
CULTURE Day
days,>3 days: -
20°C
2-8°C -3
CRYPTOCOCCUS ANTIGEN,
635 9189C 2900 IMMUNOCHROMATOGRAPHY CSF 1.0 ML (0.5 ML) days,>3 days: - DAILY:1530 HRS SAME DAY
CSF
20°C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
3.0 ML + 5.0 ML (3.0
CRYPTOCOCCUS ML) + 2.0 ML (1.0
SPUTUM / CSF / FLUIDS / TISSUES+
636 9188 NEOFORMANS DNA 7750 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
CLINICAL HISTORY
DETECTOR ML) + 1.0 GM (0.5
GM)
CRYPTOSPORIDIUM ANTIGEN
RAPID
637 7661 DETECTION FROM STOOL: 1550 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST
CSF + SERUM SPECIMEN COLLECTION: IT
IS MANDATORY TO SEND SERUM ALONG MONDAY &
CSF,MEASELS (RUBEOLA), IGG 2.0 (1.0ML)ML + 3.0
638 5198 4200 EIA WITH THE CSF SAMPLE. IF NOT RECEIVED R THURSDAY: 4TH DAY
ANTIBODIES ML(1.0ML)
WILL BE CREATED AS A PROBLEM 0900HRS
SAMPLE.
ANY SPECIMEN IN STERILE CONTAINER
5.0ML (3.0ML), 0.5
CULTURE ANAEROBIC- (TRANSPORT MEDIUM MENDATORY) PRELIM- 3RD DAY; FINAL
639 5708 1300 CULTURE ML (0.2 ML) A DAILY: 1700 HRS
ISOLATION & IDENTIFICATION (URINE, SWABS & RESPIRATORY 7TH DAY
SPECIMEN
SPECIMEN NOT ACCEPTED)
SCRAPINGS / PUS/ TISSUE IN SALINE-
CULTURE, AEROBIC - SCRAPINGS / 3.0 ML
640 1221 950 CULTURE STERILE CONTAINER (SWABS NOT R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION (0.5 ML)
ACCEPTED)
THROAT SWAB FOR GRP A
CULTURE, BETA STREP STREPTOCOCCI,VAGINAL/RECTAL SWAB
641 1192 950 CULTURE 2 (1) SWABS A DAILY: 1700 HRS 3RD DAY
SCREEN FOR GRP B STREPTOCOCCI- IN STERILE
SCREW CAP VIAL
CULTURE, BLOOD, ISOLATION WB-HEPARIN /WB-SPS (SODIUM PRELIM. 24 HRS , FINAL
642 1193 950 CULTURE 5.0 ML (3.0 ML) A DAILY: 1700 HRS
& IDENTIFICATION POLYANETHANOL SULPHONATE) 7TH DAY

CULTURE, BLOOD, ISOLATION WB-HEPARIN / WB-SPS (SODIUM

CULTURE + SENSITIVITY BY MIC PRELIM. 24 HRS, FINAL 7TH
643 1193CS & IDENTIFICATION + 1150 POLYANETHANOL SULPHONATE) STERILE 5.0 ML (3.0 ML) A DAILY: 1700 HRS
BREAKPOINT DAY
SENSITIVITY CONTAINER

CULTURE, BODY FLUID,

644 1194 950 CULTURE FLUID-STERILE CONTAINER 3.0 ML (1.0 ML) R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

CULTURE, BODY FLUID,

CULTURE + SENSITIVITY BY MIC
645 1194CS ISOLATION & IDENTIFICATION 1150 FLUID-STERILE CONTAINER 3.0 ML (1.0 ML) R DAILY: 1700 HRS 3RD DAY
BREAKPOINT
(CULTURE + SENSITIVITY)
CULTURE, CLOT - PRELIM. 3RD DAY, FINAL
646 1206 1250 CULTURE CLOTTED BLOOD IN PLAIN VACUTAINER 5.0 ML (3.0 ML) A DAILY: 1700 HRS
SALMONELLA SPECIES 7TH DAY
CULTURE, CSF-ISOLATION & PRELIM: SAME DAY; FINAL
647 1200 950 CULTURE CSF STERILE CONTAINER 2.0 ML (0.5 ML) A DAILY: 1700 HRS
IDENTIFICATION 3RD DAY
CULTURE, CSF-ISOLATION &
CULTURE + SENSITIVITY BY MIC PRELIM: SAME DAY; FINAL
648 1200CS IDENTIFICATION + 1150 CSF STERILE CONTAINER 2.0 ML (0.5 ML) A DAILY: 1700 HRS
BREAKPOINT 3RD DAY
SENSITIVITY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EAR PUS /EAR SWAB IN STUARTS
CULTURE, EAR, ISOLATION & 2.0 ML (0.5 ML) / 2
649 1196 950 CULTURE TRANSPORT MEDIUM-STERILE A DAILY: 1700 HRS 3RD DAY
IDENTIFICATION (1) SWABS
CONTAINER
CULTURE, EYE- ISOLATION & CORNEAL SCRAPINGS / CONJUCTIVAL SCRAPINGS / 1
650 1211 950 CULTURE A DAILY: 1700 HRS 3RD DAY
IDENTIFICATION SWAB - STERILE CONTAINER SWABS
CULTURE, EYE- ISOLATION &
CULTURE + SENSITIVITY BY MIC CORNEAL SCRAPINGS / CONJUCTIUAL 0.1 - 0.5 CMS / 3 (2)
651 1211CS IDENTIFICATION + 1150 A DAILY: 1700 HRS 3RD DAY
BREAKPOINT SWAB-STERILE CONTAINER SWAB
SENSITIVITY

CULTURE, NASOPHARYNGEAL,
652 1213 950 CULTURE NASAL ASPIRATES IN STERILE CONTAINER 1.0 ML (0.3 ML) A DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

BAL /BRONCHOSCOPIC BIOPSY/

CULTURE, RESPIRATORY-
653 1214 950 CULTURE TRACHEAL SECRETION IN STERILE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION
CONTAINER
CULTURE, RESPIRATORY- BAL / BRONCHOSCOPIC BIOPSY /
CULTURE + SENSITIVITY BY MIC
654 1214CS ISOLATION & IDENTIFICATION 1150 TRACHEAL SECRETION IN STERILE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
BREAKPOINT
+ SENSITIVITY CONTAINER

CULTURE, SPUTUM - EXPECTORATED SPUTUM -STERILE

655 1217 950 CULTURE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION CONTAINER

CULTURE, SPUTUM -
CULTURE + SENSITIVITY BY MIC EXPECTORATED SPUTUM -STERILE
656 1217CS ISOLATION & IDENTIFICATION 1150 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
BREAKPOINT CONTAINER
+ SENSITIVITY

CULTURE, STOOL AEROBIC -

657 5700 950 CULTURE STOOL-STERILE CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1700 HRS 4TH DAY
ISOLATION & IDENTIFICATION

CULTURE, STOOL AEROBIC-

CULTURE + SENSITIVITY BY MIC
658 5700CS ISOLATION & IDENTIFICATION 1150 STOOL-STERILE CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1700 HRS 4TH DAY
BREAKPOINT
(CULTURE + SENSITIVITY)

CULTURE, THROAT SWAB -

659 1219 950 CULTURE SWABS-STERILE CONTAINER 2 (1) SWABS A DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

CULTURE, THROAT SWAB -

CULTURE + SENSITIVITY BY MIC
660 1219CS ISOLATION & IDENTIFICATION 1150 SWABS-STERILE CONTAINER 2 (1) SWABS A DAILY: 1700 HRS 3RD DAY
BREAKPOINT
+SENSITIVITY

CULTURE, URINE - ISOLATION R

URINE (EARLY MORNING MID STREAM
661 1285 & IDENTIFICATION (WITH 800 CULTURE 3.0 ML (1.0) ML (MANDATORY DAILY: 1700 HRS 3RD DAY
COLLECTION) STERILE CONTAINER
COLONY COUNT) )
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CULTURE, URINE - ISOLATION
R
& IDENTIFICATION (WITH CULTURE + SENSITIVITY BY MIC URINE(EARLY MORNING MID STREAM
662 1285CS 950 3.0 ML (1.0) ML (MANDATORY DAILY: 1700 HRS 3RD DAY
COLONY COUNT) + BREAKPOINT COLLECTION) STERILE CONTAINER
)
SENSITIVITY

CSF / BODY FLUID / URINE / SPECIMENS

OF BODY FLUIDS,PUS,TISSUE,NAIL
CLIPPINGS
SKIN SCRAPING,STOOL OR VAGINAL
MUCOUS MEMBRANES
CULTURE, YEAST SCREEN, AND SWABS FROM LESIONS SUSPECTED
PRELIM. 7TH DAY, FINAL
663 1222 ISOLATION & IDENTIFICATION 1150 CULTURE & IDENTIFICATION OF INFECTIONS 5.0 ML (3.0 ML) R DAILY: 1700 HRS
21ST DAY
(API) DUE TO YEAST SHOULD BE COLLECTED
ASEPTICALLY IN A STERILE CONTAINER
AND TRANSPORTED TO THE LAB AS
SOON AS POSSIBLE. IN CASE OF DELAY IN
TRANSPORTATION
STERILE SALINE MAY BE ADDED.

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

CUSTOM LEUKEMIA PANEL
664 SP1144 6500 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
(FOUR SURFACE MARKERS)
/ FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC

CUSTOM LEUKEMIA PANEL
665 SP1909 7500 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN/ BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
(SIX SURFACE MARKERS)
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
666 Z118K CYCLIN D1 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only
(Label time of collection and
CYCLOSPORINE, administration of drug),preferably with
Tue,Thu, Sat at
667 4314I EDTA/HEPARIN WHOLE 3100 LCMSMS drug dose. 3.0 mL 2-8ºC Same day 19:00 hrs
13:00Hrs
BLOOD 2] MENTION LEVEL CO or C2 AS IT IS
MANDATORY FOR REPORTING ( trough
or peak)
3] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

SERUM [Samples should not be taken

from patients receiving therapy
2-8°C (4
with high biotin doses (i.e. > 5 mg/day)
668 3938 CYFRA 21-1 3200 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) WEEKS); F 2:1600hrs SAME DAY
until at least 8 hours
(3MONTHS)
following the last biotin administration]
+ Clinical History

EDTA WHOLE BLOOD + CLINICAL

669 RD1311 CYP2C19 GENOTYPING 6700 PCR-SEQUENCING 5 ML (3ML) A 4: 0930 HRS 10 DAYS
HISTORY
EDTA WHOLE BLOOD + CLINICAL
670 RD1439 CYP3A4*22 Genotyping 5500 PCR Sequencing 2-3 ML A 1: 0930 HRS 8 DAYS
HISTORY
2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
671 3149 CYSTATIN C 1800 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 2,4,6: 1630 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
CYSTIC FIBROSIS DELTA F508 EDTA WHOLE BLOOD + CLINICAL
672 RD1446 14000 PCR SEQUENCING 5.0 ML (3.0) A 5;10:30 AM 6 DAYS
GENE MUTATION HISTORY
Cystic Fibrosis Extended EDTA WHOLE BLOOD + CLINICAL
673 RD1460 32000 Sanger Sequencing 6 ML A 2; 10:30 AM 40 days
Mutation Panel HISTORY
2-8º C (24
Enzyme Linked Immnunosorbent
674 9816C CYSTICERCUS IgG ANTIBODIES 2550 CSF 1.0 ML (0.5 ML) Hrs), >24 hrs 1: 1100 HRS SAME DAY
assay
Frozen
2-8º C (1
Enzyme Linked Immnunosorbent
675 9816S CYSTICERCUS IgG ANTIBODIES 2550 SERUM 1.0 ML (0.5 ML) week), >1 1: 1100 HRS SAME DAY
assay
week- 20 °C
CYTOCHEMISTRY PANEL FOR FRESH, AIR DRIED, UNSTAINED
LEUKEMIAS (PERIODIC ACID CYTOCHEMISTRY SPECIAL REPRESENTATIVE BONE MARROW MINIMUM 6
676 Z208 2300 A DAILY:1100 HRS 3RD DAY
SCHIFF,SUDAN BLACK B and STAINS ASPIRATE / PERIPHERAL BLOOD SMEARS SMEARS BMA / PBS
MYELOPEROXIDASE) + CLINICAL HISTORY
WB- SODIUM HEPARIN SPECIMEN TO
REACH US WITH US 48 HRS + FAMILY
CYTOGENETICS: BLOOD
677 5814B 3600 CELL CULTURE HISTORY + CLINICAL HISTORY IN 5.0 ML (3.0 ML) A DAILY: 7.00 HRS 12 WORKING DAYS
LYMPHO CULTURE
SPECIFIED FORMAT + DETAILED
PHYSICAL FEATURES
CYTOGENETICS: BUCCAL
678 5823 SMEAR FOR BARR BODY 3500 CELL CULTURE BUCCAL SMEAR SLIDES+ CLINICAL HISTORY 2-4 SLIDES A DAILY: 7.00 HRS 7TH DAY
ANALYSIS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BONE MARROW OR WB SODIUM HEPARIN
CYTOGENETICS: SPECIMEN TO REACH US WITH 48 HRS +
CHROMOSOME ANALYSIS IN CLINICAL HISTORY [PLEASE MENTION THE
679 5800 4200 KARYOTYPE CELL CULTURE 4.0 ML (1.5 ML) A DAILY7:00 HRS 12 WORKING DAYS
HEMATOLOGICAL DISORDERS CLINICAL HISTORY, BLOOD PICTURE (CBC
( Blood cancer or Leukemia) REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
4.0 ML OR 3.0 ML
680 6017F CYTOGENETICS: DEL 13q 6000 FISH MENTION THE CLINICAL HISTORY, BLOOD A DAILY: 7.00 HRS 5TH DAY
BONE MARROW
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
WB HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS + CLINICAL HISTORY,
CYTOGENETICS: FANCONI
681 5812 8600 KARYOTYPE CELL CULTURE SPECIMAN OF AGE AND SEX MACTCHED 8.0 ML A DAILY: 7.00 HRS 21 DAYS
ANEMIA
CONTROL SAMPLE IS STRONGLY
RECOMMENDED.
WB HEPARIN SPECIMEN TO REACH US
CYTOGENETICS: FRAGILE X
682 5364B 7500 KARYOTYPE CELL CULTURE WITHIN 48 HRS + CLINICAL HISTORY IN 5.0 (3.0) ML A DAILY: 7.00 HRS 21 TH DAY
CHROMOSOME ANALYSIS
SPECIFIED FORMAT
BIOPSIES SOULD BE FIXED FOR 24-48
HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE
SHOULD BE 4 MICRONS THICK & PLACED
ON POSITIVELY CHARGED SLIDES. 3
683 6006F CYTOGENETICS: HER2/neu 12500 FISH NOT APPLICABLE A DAILY: 7.00 HRS 5TH DAY
SLIDES / SAMPLES CONTAINING
MALIGNANT TISSUE. * TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.* CLINICAL
DETAILS IN SPECIFIED FORMAT
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
684 6015F CYTOGENETICS: Inv(16) 6000 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
685 6018F CYTOGENETICS: MDS PANEL 10200 FISH MENTION THE CLINICAL HISTORY, BLOOD 6.0 ML+8.0 ML A DAILY: 7.00 HRS 5TH DAY
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
CYTOGENETICS: MLL 11q
686 6019F 4300 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
rearrangement
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
WB-HEPARIN SPECIMEN TO REACH US IN
CYTOGENETICS: NEONATAL
24 – 48 HRS / CORD BLOOD- HEPARIN (If
687 5815 KARYOTYPING (NEWBORN TO 3500 KARYOTYPE CELL CULTURE 4.0 ML (2.0 ML) A DAILY: 7.00 HRS 12 WORKING DAYS
baby is alive)+CLINICAL HISTORY in
ONE MONTH OLD CHILD)
specified format
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
CYTOGENETICS: PML Ra Ra
688 6003F 6000 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
t(15:17)
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
AMINOTIC FLUID + DULY FILLED
AMNIOTIC FLIUD TRF + CLINICAL
CYTOGENETICS: PRENATAL HISTORY. CONSENT FORM WITH PND
689 5832F 11500 FISH 20 ML A DAILY: 7.00 HRS 5th Day
AMNIOTIC FLUID FISH REGISTRATION NUMBER MANDATORY.
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED

AMNIOTIC FLIUD TRF + CLINICAL
CYTOGENETICS: PRENATAL
HISTORY. CONSENT FORM WITH PND
690 5832K AMNIOTIC FLUID 12000 KARYOTYPING 20 ML A DAILY: 7.00 HRS 14 WORKING DAYS
REGISTRATION NUMBER MANDATORY.
KARYOTYPING
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED

AMNIOTIC FLIUD TRF + CLINICAL
CYTOGENETICS: PRENATAL
HISTORY. CONSENT FORM WITH PND
691 5832 AMNIOTIC FLUID 18000 KARYOTYPING + FISH 20 ML (15 ML) A DAILY: 7.00 HRS 14-18 days
REGISTRATION NUMBER MANDATORY.
KARYOTYPING + FISH
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION
CHORIONIC VILLUS IN MEDIUM+TRF
CYTOGENETICS: PRENATAL CONSENT FORM WITH PND
692 5833F CHORIONIC VILLUS BIOPSY 13500 FISH REGISTRATION NUMBER MANDATORY. 30.0 (40.0) MG A DAILY: 7.00 HRS 5TH DAY
FISH SPECIMEN TO REACH US IN 24 HRS
AFTER COLLECTION
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHORIONIC VILLUS IN MEDIUM,
CYTOGENETICS: PRENATAL BIOPSY+CLINICAL HISTORY CONSENT
693 5833K CHORIONIC VILLUS BIOPSY 11500 KARYOTYPING FORM WITH PND REGISTRATION 40 MG (30 MG) A DAILY: 7.00 HRS 14-18 days
KARYOTYPING NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

CHORIONIC VILLUS IN MEDIUM, BIOPSY

CYTOGENETICS: PRENATAL
IN MEDIUM+CLINICAL HISTORY CONSENT
CHORIONIC VILLUS BIOPSY
694 5833 19000 KARYOTYPING + FISH FORM WITH PND REGISTRATION 40 MG (30 MG) A DAILY: 7.00 HRS 14-18 days
KARYOTYPING + FISH (Need to
NUMBER MANDATORY. SPECIMEN TO
ask the dept for medium)
REACH US IN 24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM

HEPARIN +CLINICAL HISTORY. CONSENT
CYTOGENETICS: PRENATAL
695 5831F 11100 FISH FORM WITH PND REGISTRATION 4.0 ML A DAILY:1200 HRS 5TH DAY
FETAL CORD BLOOD FISH
NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM

CYTOGENETICS: PRENATAL HEPARIN +CLINICAL HISTORY. CONSENT
696 5831K FETAL CORD BLOOD 5750 KARYOTYPING FORM WITH PND REGISTRATION 4.0 ML A DAILY:7:00 HRS 14-18 days
KARYOTYPING NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM

CYTOGENETICS: PRENATAL HEPARIN +CLINICAL HISTORY. CONSENT
697 5831 FETAL CORD BLOOD 14550 KARYOTYPING + FISH FORM WITH PND REGISTRATION 4.0 ML A DAILY:7:00 HRS 14-18 days
KARYOTYPING + FISH NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

IST TRIMESTER - CHORIONIC VILLI; 2ND

OR 3RD TRIMESTER - PLACENTAL VILLI
10 GM CHORIONIC
(PLEASE SEND CLINICAL HISTORY IN
VILLI IN 2 STERILE
SPECIFIED FORMAT
RED TOP
CHORIONIC VILLI
VACCUTAINERS,
OR HEART BLOOD
CYTOGENETICS: PRODUCT OF CONTAINING
698 5818 7000 KARYOTYPING OR FISH OR CORD BLOOD A/R DAILY 12:00HRS 14 -20 days
CONCEPTION (POC) STERILE SALINE
IF NONE OF THESE ARE AVAILABLE, THEN
WITH 3-4 DROPS OF
A SMALL PIECE OF FOETAL SKIN (THIGH,
PROCAINE
STOMACH, ARMS)
PENICILLIN OR
FOR CHROMOSOMAL ANALYSIS/FISH
GENTAMICIN
Don't send full fetus to the dept. It will
not be acceptable.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
699 6021F CYTOGENETICS: TEL/AML 5700 FISH MENTION THE CLINICAL HISTORY, BLOOD 6.0 ML + 2.0 ML A DAILY: 7.00 HRS 7TH DAY
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
CYTOGENETICS: CLINICAL HISTORY [PLEASE MENTION THE
700 6021F 5700 FISH 6.0 ML + 2.0 ML A DAILY: 7.00 HRS 7TH DAY
TEL/AMLCYTOGENETICS: CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
701 Z259K CYTOKERATIN - 19 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 20
702 Z059K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 5/6
703 Z221K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 7
704 Z060K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
705 Z054K CYTOKERATIN 18 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
706 Z053K CYTOKERATIN 8 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN-HMW, 34BE12
707 Z045K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(SQUAMOUS)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN-LMW, 35BH11
708 Z046K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(NON SQUAMOUS)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
CYTOMEGALOVIRUS COMBI
EDTA PLASMA /EDTA WHOLE BLOOD +
709 7578 TEST (CMV Viral Load/GCV 10500 REAL TIME PCR/SEQUENCING 5 ML (3 ML) F/A 3: 0930 HRS 8 DAYS
CLINICAL HISTORY
resistance)
CYTOMEGALOVIRUS DNA
710 7575 4500 POLYMERASE CHAIN REACTION WB-EDTA / CSF 3.0 ML (1.0 ML) A 2,4,6 : 8 HRS 4, 6, 2: 1900HRS
DETECTOR
2-8º C SAME DAY(AVIDITY WILL
CYTOMEGALOVIRUS IgG & Enzyme Linked Immnunosorbent
711 9436 1600 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am BE REPORTED IF IgG AND
IgM ANTIBODIES assay
DAYS- 20 °C IgM BOTH POSITIVE)
2-8º C
CYTOMEGALOVIRUS IgG Enzyme Linked Immnunosorbent
712 9431 950 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C
CYTOMEGALOVIRUS IGG Enzyme Linked Immnunosorbent
713 9432 1200 SERUM 1.0 ML(0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY :1230 HRS
AVIDITY assay
DAYS- 20 °C
2-8º C
CYTOMEGALOVIRUS IgM Enzyme Linked Immnunosorbent
714 2486M 950 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY
ANTIBODIES assay
DAYS- 20 °C
D3- SERUM + (CLINICAL HISTORY + AGE &
715 6152 3200 SPECTOPHOTOMETRY 2.0 ML (1.0 ML) 2-8°C (7 DAYS) 3,5 : 12:00 HRS SAME DAY
HYDROXYBUTYRATE(RANBUT) GENDER IS MANDATORY)
2-8°C (8
DCP-DECARBOXY 1st and 3 rd
716 4827 5500 ENZYME IMMUNOASSAY SODIUM CITRATE PLASMA 2.0 ML(1 ML) HRS),>8 HRS - 3 days
PROTHROMBIN PIVKA-II :Sat:10:00 am
20°C
F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
LATEX PARTICLE TWO ALIQOUTS OF
717 4200 D-DIMER(Semi Quantitative) 1600 PLASMA* - AT MINUS 20° C*(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
AGGLUTINATION 1.5 ML EACH
CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (24
DEHYDROEPIANDROSTERONE
718 3146 3300 RADIO IMMUNOASSAY SERUM (CLINICAL HISTORY REQUIRED ) 2.0 ML (1.0 ML) HRS); F (2 3,6:1300 hrs. SAME DAY
(DHEA)
months)
2-8°C (48 DAILY (MON TO
DEHYDROEPIANDROSTERONE-
719 3150 1200 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) HRS), F (> 48 SAT): SAME DAY
SULFATE (DHEAS)
HRS) 0500,1430,1600 hrs
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
4.0 OR 3ML BONE
720 6017F DEL 13q 6000 FISH MENTION THE CLINICAL HISTORY, BLOOD A DAILY: 0700 HRS 5TH DAY
MARROW
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
A ( for
DAILY: 15: 30 HRS;
IMMUNOCHROMATOGRAPHY dengue abs 2-
DENGMAL (Dengue Abs 5.0 ML + 3.0 ML + 2 DENGUE (RAPID):
721 DT3210 2100 /MICROSCOPY/ AUTOMATED WB-EDTA + SERUM + SMEAR 8 d C upto 3 SAME DAY
(Rapid), MP, CBC ) SMEAR 17: 00 HRS FOR
CELL COUNTER days and > 3
CBC, MP
days: -20 d C )
2-8°C -3
722 7599R DENGUE DUO RAPID TEST 1700 IMMUNOCHROMATOGRAPHY SERUM/ WHOLE BLOOD (EDTA) 1.0 ml(0.5 ml) days,>3 days: - Daily:1530 pm same day 1900hrs
20°C
2-8º C (2
Enzyme Linked Immnunosorbent
723 7648 DENGUE NS1 ANTIGEN TEST 2000 SERUM 1.0 ML(0.5 ML) DAYS), 6:100 HRS SAME DAY 1800 HRS
assay
>2DAYS- 20 °C

724 7602 DENGUE RNA PCR 4000 REVERSE TRANSCRPTASE PCR EDTA PLASMA/CSF 1.0 ML (0.5 ML) F 3:1000 HRS NEXT DAY : 1800 HRS
2-8°C -3
DENGUE VIRUS IgG & IgM
725 7600 1850 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML (0.5 ML) days,>3 days: - DAILY: 15:30 HRS SAME DAY
ANTIBODIES, QUALITATIVE
20°C
2-8º C (2
DENGUE VIRUS IgG Enzyme Linked Immnunosorbent
726 7601 1700 SERUM 1.0 ML (0.5 ML) DAYS), 2,4,6:1030 HRS SAME DAY
ANTIBODIES, assay
>2DAYS- 20 °C

2-8º C (2
DENGUE VIRUS IgM Enzyme Linked Immnunosorbent
727 7646 1100 SERUM 1.0 ML (0.5 ML) DAYS), 2,4,6:10.30 HRS SAME DAY
ANTIBODIES assay
>2DAYS- 20 °C

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
728 Z093K DESMIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FLUORIDE
WB-EDTA 3.0 (2.0)
PLASMA : 2-
ML, FASTING SERUM
8°C (3 DAYS);
WB-EDTA, SERUM (12-14 HRS FASTING), 2.0 (1.0) ML,
EDTA WB 2-
DIABETES MELLITUS PANEL II FASTING PLASMA - FLUORIDE, PP FASTING PLASMA -
8°C (7 DAYS);
(Glucose F & PP, Glyco Hb, PLASMA - FLUORIDE, FASTING URINE, 24 FLUORIDE 1.5(1.0)
SPECTROPHOTOMETRY, HPLC, SERUM : 2-8°C
Creatinine, Microalbuminuria, HR OR 12 HOUR URINE ML, PP PLASMA -
729 DT9201 1800 IMMUNOTURBIDIMETRY, (2 DAYS); F (> DAILY: 1830 hrs SAME DAY
Cholesterol, HDL Cholesterol, COLLECTION(WITHOUT PRESERVATIVE & FLUORIDE 1.5 (1.0)
DIPSTICK & MICROSCOPY 2 DAYS);
LDL Cholesterol, Triglycerides, REFRIGERATE DURING COLLECTION) OR ML, FASTING URINE
URINE
Uric acid, Urinalysis) RANDOM URINE + (AGE & GENDER IS 15.0ML (10.0) ML,
FASTING/RAN
MANDATORY) 24 HRS /12 HRS/
DOM OR
RANDOM URINE
24HRS/12HRS:
15.0 ML(10.0 ML)
2-8°C(24 HRS)

FASTING SERUM - FLUORIDE

3.0 (2.0) ML, WB- PLASMA : 2-
EDTA - 3.0 (2.0) ML, 8°C (3 DAYS);
12-14 HRS FASTING SERUM, WB-EDTA,
DIABETES MONITORING FASTING FLUORIDE EDTA WB 2-
FASTING FLUORIDE PLASMA, PP DAILY: 1830 hrs
PANEL (Glucose F & PP, Glyco PLASMA - 1.5 (1.0) 8°C (7 DAYS);
SPECTROPHOTOMETRY, FLUORIDE PLASMA, URINE FASTING, (FOR BIOCHEM
HB, Urinalysis, Insulin, ML PP FLUORIDE SERUM : 2-8°C
DIPSTICK & MICROSCOPY, URINE 24 HR OR 12 HOUR COLLECTION TESTS),
730 DT9200 Microalbuminuria, 2400 PLASMA - 1.5 (1.0) (24 hrs); F (> SAME DAY
CHEMILUMINESCENCE, (WITHOUT PRESERVATIVE & DAILY (MON TO
Cholesterol, HDL Cholesterol, ML, FASTING URINE - 24 hrs);
HPLC,IMMUNOTURBIDIMETRY REFRIGERATE DURING COLLECTION) OR SAT): 0500, 1600
LDL Cholesterol, Creatinine, 15.0 (10.0) ML, URINE
RANDOM URINE + (AGE & GENDER IS hrs for Insulin.
Triglycerides, Uric acid) URINE - 10.0 ML OF FASTING/RAN
MANDATORY)
24 HRS /12 HRS/ DOM OR
RANDOM URINE 24HRS/12HRS:
15.0 ML(10.0 ML) 2-8°C(24 HRS)

F (TO BE F
FASTING, CITRATED PLATELET POOR TWO ALIQOUTS OF IMMEDIATELY
DIC PROFILE (PT, APTT, TT, CLOT BASED / LATEX
PLASMA - AT MINUS 20° C, WB- EDTA - 1.5 ML EACH + 3.0 AT -20°C &
731 3896 Fibrinogen, FDP, D- DIMER, 6000 AGGLUTINATION / AUTOMATED DAILY:1630 HRS SAME DAY
(A), BLOOD SMEAR - (A) * (DOUBLE (2.0) ML EDTA TRANSPORTE
Platelet count) CELL COUNTER
CENTRIFUGED PLASMA)* BLOOD + 2.0 PS D IN DRY ICE)
/A
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
DIFFERENTAIL DIAGNOSIS OF
732 Z218 6300 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
MEDIASTINAL MASS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
DI-GEORGE SYNDROME (22q HEPARIN WHOLE BLOOD + CLINICAL
733 6022F 6300 FISH 3.0 ML ( 2.0 ML) AMBIENT DAILY 07:00 HRS 6TH DAY
deletion) HISTORY
SERUM DRAWN 8HRS POST DAILY (MON TO
2-8°C (48 hrs);
734 1548H DIGOXIN (lanoxin) 1050 CHEMILUMINESCENCE ADMISISTRATION (TREATMENT HISTORY 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
REQUIRED) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (24
DIHYDROTESTOSTERONE Enzyme Linked Immnunosorbent
735 3151 2990 SERUM 1.0 ML (0.5 ML) HRS), >24 5: 1100 HRS SAME DAY
(DHT) assay
HRS -20°C
2-8º C (2
Enzyme Linked Immnunosorbent
736 9964 DIPTHERIA IGG ABS,SERUM 4500 SERUM 2.0ML(1.0ML) days), >2 days- 5:1100HRS SAME DAY
assay
20 °C
737 1533D DIRECT LDL 500 SPECTROPHOTOMETRY SERUM- 12- 14HRS FASTING 2.0 (1.0 ML) 2-8°C (3 DAYS) DAILY: 1830 hrs SAME DAY
1 BLOCK
DNA PLOIDY & CELL CYCLE PARAFFIN BLOCK ( ONLY BREAST TUMOR 7 TH DAY TURNAROUND &
738 5400K 5000 FLOW CYTOMETRY (REPRESENTATIVE A DAILY:1530 HRS
ANALYSIS ) + CLINICAL HISTORY 1800 HRS TAT
TISSUE)
2ND AND 4TH
739 1406 DOPAMINE 5300 ELISA EDTA PLASMA 2.0ML (1.0ML) F WEDNESDAY 6 DAYS
07:00HRS
24hrs Urine(Specimen collection
DOPAMINE, ELISA, 24 HRS
740 1406U24 4700 ELISA instructions:10 ml urine aliquot from 20.0ML (10.0 ML) FROZEN TUESDAY 09:00HRS 3 DAYS
URINE
collected 24 Hours Urine sample.
DPD GENE MUTATIONS
(Dihydropyrimidine EDTA WHOLE BLOOD + CLINICAL
741 8384 13500 PCR-SEQUENCING 5 ML (3 ML) A 1: 0930 HRS 6: 1830 HRS
Dehydrogenase Gene HISTORY
Mutation)
742 RD1326 DRPLA Gene analysis 5500 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 9 DAYS

DRUGS OF ABUSE: 5 DRUGS A (8HRS); 2- 8° DAILY (MON TO

FLOW CHROMATOGRAPHIC
743 4133 (Opiates, PCP, Cocaine, 2400 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
Cannabinoids, Amphetamine) (>3 DAYS) hrs

DRUGS OF ABUSE: 6 DRUGS

A (8HRS); 2- 8° DAILY (MON TO
(Opiates, PCP, Cocaine, FLOW CHROMATOGRAPHIC
744 4132 3100 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
Cannabinoids, Amphetamine, IMMUNOASSAY
(>3 DAYS) hrs
Barbiturates)

DRUGS OF ABUSE: 9 DRUGS

(Opiates, PCP, Cocaine,
A (8HRS); 2- 8° DAILY (MON TO
Cannabinoids, Amphetamine, FLOW CHROMATOGRAPHIC
745 4131 4600 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
Barbiturates, IMMUNOASSAY
(>3 DAYS) hrs
Benzodiazepines, Methodone,
Propoxyphene)

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
746 4134U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
AMPHETAMINE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
747 4135U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
BARBITURATES IMMUNOASSAY
(>3 DAYS) hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A (8HRS); 2- 8° DAILY (MON TO
DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
748 4136U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
BENZODIAZEPINES IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
749 4137U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
CANNABINOIDS IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

FLOW CHROMATOGRAPHIC
750 4140 DRUGS OF ABUSE: COCAINE 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
751 4130 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
METHAMPHETAMINE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
752 4152 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
METHAQUOLONE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

FLOW CHROMATOGRAPHIC
753 4138U DRUGS OF ABUSE: OPIATES 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
754 4139 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
PHENYCYCLIDINE (PCP) IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
755 4148 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
PROPOXYPHENE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO

DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
756 4101 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
TETRAHYDROCANNABINOL IMMUNOASSAY
(>3 DAYS) hrs

DsDNA (Reflex to end titre for INDIRECT IMMUNOFLUROSCENT DAILY :1100, 1530
757 1199 2500 SERUM 2.0ML F SAME DAY
all positive cases) ASSAY. HRS
DUCHENNE / BECKER
MUSCULAR DYSTROPHY (This
test is not intended for carrier MULTIPLEX POLYMERASE CHAIN EDTA WHOLE BLOOD + CLINICAL
758 2481 6700 5.0 ML (3.0 ML) A 2: 0930 HRS 8 DAYS
detection. thus, specimens REACTION HISTORY
from males only would be
accepted)
DUCHENNE MUSCULAR
Multiplex ligation-dependent EDTA WHOLE BLOOD + CLINICAL
759 RD1473 DYSTROPHY (DMD) CARRIER 13500 3.0 ML A 1: 1030 HRS 10DAYS
probe amplification (MLPA) HISTORY
TEST
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
< 72 hrs of
collection - R.
E.COLI O157 ANTIGEN RAPID
760 7667 2700 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML >72 hrs from DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
collection - F
at -20 deg C

< 72 hrs of
collection - R.
E.HISTOLYTICA ANTIGEN RAPID
761 7665 2700 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML >72 hrs from DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
collection - F
at -20 deg C

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
EBV-LMP - 1 (ANTI-EPSTEIN-
762 Z258K 2500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
BARR VIRUS, LMP)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
763 Z121K E-CADHERIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
MICROSCOPIC DETECTION -
764 1409 ECHINOCOCCUS DETECTION 1600 HYDATID CYST FLUID 3.0 ML (0.5 ML) A/R DAILY: 1500 HRS SAME DAY
SCOLICES
2-8º C (7
ECHINOCOCCUS IgG Enzyme Linked Immnunosorbent
765 1279 2100 SERUM 1.0 ML (0.5 ML) days), >7 1:1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
MALIGNANT TISSUE BIOPSIES FIXED FOR
24-48HRS IN 10% BUFFERED FORMALIN
AND EMBEDDED IN PARAFFIN. [PLEASE
MONDAY TO
766 6016F EGFR Gene AMPLIFICATION 7300 FISH MENTION THE CLINICAL HISTORY IN NOT APPLICABLE A 5TH DAY
FRIDAY: 0700 HRS
SPECIFIED FORMAT, BLOOD PICTURE
(CBC REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
TISSUE IN 10%FORMALIN / PARAFFIN
EGFR Mutation Detection (IF BLOCK -SITE OF BIOPSY & CLINICAL
TISSUE RECEIVED; TISSUE DETAILS MANDATORY IF TISSUE RECD. 0.5 CM X 0.5 CM X
767 RD1405 8000 PyroSequencing A 2, 5:0930 HRS 5 DAYS
PROCESSING WILL BE TISSUE PROCESSING WILL BE 0.5 CM
CHARGED SEPERATELY.) CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
KIDNEY BIOPSY OR MUSCLE BIOPSY IN
3% GLUTARALDEHYDE.IT IS MANDATORY
MONDAY to
ELECTRON MICROSCOPY – TO SENT HISTOPATHOLOGY DIAGNOSIS ON COLD
768 1503 14000 ELECTRON MICROSCOPY NOT APPLICABLE THURSDAY: 09:00 22 DAYs
TISSUE REPORT ALONG WITH THE SAMPLE(IF PACK
HRS
NOT GIVEN, WILL BE CREATED AS A
PROBLEM SAMPLE)
EML-4 ALK Translocation by TISSUE/PARAFFIN BLOCK+CLINICAL
769 6028F 13000 FISH 1 SLIDE AMBIENT Daily 7.00 HRS 15th Day
FISH HISTORY IN SPECIFIED FORMAT
2-8°C (ONE
ENDOMYSIAL ANTIBODY IgA, WEEK); -
770 1181 3100 IMMUNO FLUORESCENT ASSAY SERUM 1.0 ML 2,5; 1100 HRS SAME DAY
SERUM 20°C
(LONGER)
2-8°C (ONE
ENDOMYSIAL ANTIBODY IgA, WEEK); -
771 1181T 5200 IMMUNO FLUORESCENT ASSAY SERUM 1.0 ML 2,5; 1100 HRS SAME DAY
SERUM WITH TITRE 20°C
(LONGER)
2-8º C (7
ENTAMOEBA HISTOLYTICA Enzyme Linked Immnunosorbent
772 8441 1900 SERUM 1.0 ML (0.5 ML) days), >7 1:1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
A, FOR RAPID SAME DAY reporting for
DAILY:1530HRS(
ENTEROQUICK (Bactec Blood IMMUNOCHROMATOGRAPHY/B SERUM/ BLOOD INOCULATED BACTEC 1.0 ML (0.5 ML)/10 TYPHI IgM 2- Rapid Typhi IGM test &
773 3525 1500 Rapid Typhi IgM ) &
Culture + Rapid Thyphi IgM ) ACTEC FLUORESCENT METHOD BOTTLE (AEROBIC PLUS ) ML (8 ML) 8°C (24 hrs),> PRELIM. 24 HRS, FINAL 7TH
DAILY: 1700 HRS
24 hrs 20 °C DAY for Blood culture
774 RD1464 Enterovirus real time PCR 6600 Multiplex PCR CSF + CLINICAL HISTORY 3ML FROZEN 4:1000 AM 3 DAYS 1800 HRS
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
EPIDERMAL GROWTH
775 Z005K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FACTOR RECEPTOR (EGFR)
PROCESSING CHARGES APPLICABLE
INCASE SAMPLE RECEIVED IS TISSUE

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
EPITHELIAL MEMBRANE
776 Z049K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (EMA)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
EPSTEIN BARR VIRUS
ANTIBODIES TETRA PANEL
{(EBV (VCA) IgG, EBV(VCA) 2-8º C (2
Enzyme Linked Immnunosorbent
777 2066 IgM),EBV(EA) IgG] 6500 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS) &EBV (NA)
IgG
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EPSTEIN BARR VIRUS EARLY
2-8º C (2
ANTIGEN IgG ANTIBODIES, Enzyme Linked Immnunosorbent
778 2126EG 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
EBV (EA) (INFECTIOUS assay
DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS
NUCLEAR ANTIGEN IgG 2-8º C (2
Enzyme Linked Immnunosorbent
779 2266EG ANTIBODIES, EBV (NA) 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS
NUCLEAR ANTIGEN IgM 2-8º C (2
Enzyme Linked Immnunosorbent
780 2266EM ANTIBODIES, EBV (NA) 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS VIRAL
CAPSID ANTIGEN IgG 2-8º C (2
Enzyme Linked Immnunosorbent
781 2116EG ANTIBODIES, EBV (VCA) 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS VIRAL
CAPSID ANTIGEN IgM 2-8º C (2
Enzyme Linked Immnunosorbent
782 2116EM ANTIBODIES, EBV (VCA) 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN-BARR VIRUS (EBV) NESTED POLYMERASE CHAIN MON, THURS :1030
783 2136 4300 EDTA WB 2.0 ML A/R WED, SAT: 1800 HRS
DNA PCR REACTION HRS
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
MONDAY 09:00HRS
ER/PR ( > 2 BLOCKS) - CoE match the site of the tissue MORE THAN 2
784 7204 2600 IHC A TO SATURDAY 8 DAYS
Histopathlogy sample/Paraffin Block numbers belongs BLOCKS
09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.
TISSUE/BLOCK/SLIDES.TISSUE IN
ER/PR REPORTED (upto FORMALIN.Clinical details, site of the MONDAY TO
785 7199 2300 IHC 2 BLOCKS/2 SLIDES Ambient 8 DAYS
2blocks) - CoE Histopathlogy tissue, pathology reports along with the FRIDAY 09:00HRS
specimen will be required.
SERUM / PLASMA-HEPARIN (IT IS
IMPORTANT TO COLLECT SAMPLES AT A
CONSISTENT TIME OF DAY. MORNING
2-8°C (7 days); 2,4:
786 1160 ERYTHROPOIETIN (EPO Level) 2250 CHEMILUMINESCENCE SAMPLES TAKEN BETWEEN 7:30 AM AND 1.0 ML (0.5 ML) SAME DAY
F (2 Months) 0500,1430,1600 hrs
12:00 NOON HAVE BEEN
RECOMMENDED). CLINICAL HISTORY
REQUIRED.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (FEW
ESCHERICHIA COLI K1 LATEX PARTICLE HRS); -
787 2381 1530 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
2-8°C (FEW
ESCHERICHIA COLI K1 LATEX PARTICLE HRS); -
788 2381C 2500 CSF IN PLAIN VACUTAINER / STERILE VIAL 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
DAILY (MON TO
2-8°C (48 hrs);
789 3155 ESTRADIOL 750 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
hrs
DAILY (MON TO
2-8°C (7 days);
790 3156 ESTRIOL, UNCONJUGATED 1300 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAT): SAME DAY
F (3 months)
0500,1430,1600 hrs

TISSUE IN 10%FORMALIN FOR 24-48

HRS/ PARAFFIN BLOCK+ SITE OF BIOPSY
AND CLINICAL DETAILS MANDATORY.IF
ESTROGEN RECEPTOR &
791 1830K 2800 IMMUNOHISTOCHEMISTRY TISSUE RECEIVED IT WILL BE CHARGED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROGESTERONE RECEPTOR,
FOR TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
792 Z001K ESTROGEN RECEPTOR (ER) 1750 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (24
793 3886 ESTRONE(E1) 6000 RADIO IMMUNOASSAY SERUM FASTING 2.0 ML (1.0 ML) HRS); F (3 4 :1100 hrs SAME DAY
months)
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only. [Label with time of
EVEROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
794 7165 8000 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.]
2] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY

EWS-FLI -1 Translocation by PARAFFIN BLOCK Tissue embedded in

795 9749 5800 IHC 2 NOS A DAILY:1100 HRS 10 DAYS
RT PCR - CoE Histopathlogy Paraffin block/SLIDES

DAILY:18:30
EXTENDED CORONARY RISK
12 -14 HRS FASTING SERUM + CLINICAL 2-8°C HRS(For LIPID);
PROFILE (E CROP) (Coronary NEPHELOMETRY /
796 1209E 2650 HISTORY + (AGE & GENDER IS 3.0 ML (2.0 ML) (2DAYS); F ( DAILY:16.30 HRS SAME DAY
risk profile + Apolipoprotein SPECTROPHOTOMETRY
MANDATORY) >2 DAYS) (APOLIPOPROTEIN
Evaluation)
& LIPOPROTEIN)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EXTRACTABLE NUCLEAR 2-8°C (14
797 1234 ANTIGEN (ANCEA, SS-A, SS-B, 7500 IMMUNOBLOT SERUM 3.0 ML (2.0 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
U1SNRNP, SCL-70) (>14 days)
FACTOR II (PROTHROMBIN)
798 9893 8100 PCR Sequencing WB- EDTA + CLINICAL HISTORY 3.0 ML A/R 6: 1030 HRS 3: 1800 HRS
MUTATION DETECTION

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
799 1949 FACTOR IX ACTIVITY 2600 CLOT BASED AT -20°C & SAME DAY
CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)
FACTOR V MUTATION
800 9894 5800 PCR-SEQUENCING WB- EDTA + CLINICAL HISTORY 3.0 ML A/R 3,6: 1030 HRS 1,3 1800 HRS
DETECTION
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
801 Z097K FACTOR VIII 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
802 1947 FACTOR VIII ACTIVITY 3400 CLOT BASED AT -20°C & SAME DAY
CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)

F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
FACTOR XIII PLASMA - AT MINUS 20° C *(DOUBLE TWO ALIQOUTS OF AT -20°C
803 1957 1500 CLOT SOLUBILITY DAILY:11:00 HRS NEXT DAY
ACTIVITY(Qualitative) CENTRIFUGED PLASMA)*+ CLINICAL 1.5 ML EACH &
HISTORY TRANSPORTE
D IN DRY ICE)
WB HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS + CLINICAL HISTORY,
804 5812 FANCONI ANEMIA 8600 KARYOTYPE CELL CULTURE SPECIMAN OF AGE AND SEX MACTCHED 8.0 ML A DAILY: 7.00 HRS 21 DAYS
CONTROL SAMPLE IS STRONGLY
RECOMMENDED.
Enzyme Linked Immnunosorbent
805 4209 FDP(DR-70) - ONCOSURE 4000 SERUM 2.0 ML (1.0 ML) FROZEN 4 : 1000 HRS SAME DAY
assay
2-8°C (2days);
FLUOROENZYME Wednesday &
806 9980 FECAL CALPROTECTIN 2800 STOOL 100 GMS (50 GMS) -20°C (>2 SAME DAY
IMMUNOASSAY Saturday : 1100 HRS
days)

2-8°C (48 DAILY (MON TO

SERUM (AGE+GENDER+ CLINICAL
807 3170 FERRITIN 950 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
HISTORY REQUIRED)
HRS) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FERTILITY PANEL, FEMALE, SERUM ( AGE+GENDER+LMP+CLINICAL

DAILY (MON TO
ENDOCRINE (TSH3G UL, HISTORY REQUIRED ) **DRAW SAMPLE 2-8°C (48 hrs);
808 1578 2900 CHEMILUMINESCENCE 3.0 ML (2.0 ML) SAT): 0500, 1900 AFTER 3.0 hrs
Prolactin, Progesterone, BETWEEN 8 AM TO 10AM, 3-4 HRS F (>48 hrs)
hrs
Estradiol, LH, FSH) AFTER THE PATIENT HAS AWAKENED.**

DAILY (MON TO
SAT): 0500, 1900
FERTILITY PANEL, MALE, Serum ( Age+ Gender+ LMP +Clinical hrs FOR AFTER 3.0 hrs (LH, FSH &
ENDOCRINE (Testosterone CHEMILUMINESCENCE / History Required ) **Draw sample 2-8°C (24 hrs); LH/FSH/PROLACTIN PROLACTIN) & SAME DAY
809 1577 2700 5.0 mL (3.0 mL)
Free & Total, LH, FSH, RADIOIMMUNOASSAY between 8 AM to 10AM ,After 3-4 hrs F ( >24 hrs) & DAILY (MON TO (TESTOSTERONE
Prolactin) patient has awakened.** SAT): 1230 hrs FOR FREE/TOTAL)
TESTOSTERONE
FREE & TOTAL

AUTOMATED CELL COUNTER/ A/ SERUM 2- DAILY: 12:00,15:30

AUTOMATED (PHOTOMETRICAL 8°C (7 DAYS); FOR RAPID TYPHI
FEVER SCREENING PANEL
CAPILLARY STOPPED FLOW EDTA WB/BLACK TOP (CITRATE) F (3 MONTHS, IgM ,17:30 HRS FOR
(CBC,ESR,CRP ,BLOOD 3.0 ML (2.0) ML +
KINETIC ANALYSIS) / MANUAL WB/SMEARS/SERUM/HEPARIN IF F WITHIN CBC/ESR, SAME DAY & 3RD DAY BLD
810 5012 CULTURE/SENSITIVITY,RAPID 2100 SERUM 3.0 ML (2.0)
(MODIFIED WESTERGREN) WB/FASTING URINE + (AGE & GENDER IS 24 HRS OF DAILY:18:00HRS- CULTURE BY 7TH DAY
TYPHI IgM,MALARIA AG / URINE 15ML(10ML)
BACTECCULTURE/RAPIDIMMUN MANDATORY) COLLECTION); CRP; DAILY:
DETECTION & URINALYSIS)
OASSAY/NEPHELOMETRY URINE 2- 1830HRS-
/DIPSTICK & MICROSCOPY 8°C(24 HRS) URINALYSIS

TISSUE IN MICHEL'S TRANSPORT MEDIA

811 1553 FIBRINOGEN 1200 IMMUNOFLOURESCENCE 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
F (TO BE F
FIBRINOGEN DEGRADATION FASTING, CITRATED PLATELET POOR IMMEDIATELY
LATEX PARTICLE TWO ALIQOUTS OF
812 4208 PRODUCTS (FDP) (SEMI 1700 PLASMA* - AT MINUS 20° C*(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
AGGLUTINATION 1.5 ML EACH
QUANTITATIVE) CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)

F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
TWO ALIQOUTS OF
813 1426 FIBRINOGEN LEVEL 1350 CLOT BASED ( CLAUSS ) PLASMA* - AT MINUS 20° C *(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
1.5 ML EACH
CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)

10-12 HRS FASTING SERUM (LIPEMIC &

HEMOLYSED SAMPLE SHOULD BE EDTA whole
AVOIDED) + CITRATED PLASMA + EDTA blood &
WB AND CITRATE WB (LIGHT BLUE TOP) Citrated
NEPHELOMETRY/Hematology/E
814 4511 FIBROMETER ALD 4000 CLINICAL HISTORY + (DOB, SAMPLE 4ML/2ML/3ML whole blood- 3 : 11:00 HRS NEXT DAY
nzyme Linked Immunoassay
COLLECTION DATE, AGE & GENDER IS Ambient Rest
MANDATORY). ALL SAMPLES MUST BE all frozen
COLLECTED SIMULTANEOUSLY ON SAME SERUM (F)
DAY AND SAME TIME.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM 10-12 HRS FASTING (LIPEMIC &
HEMOLYSED SAMPLE SHOULD BE
EDTA whole
AVOIDED) +FASTING PLASMA FLOURIDE
blood &
+ CITRATED PLASMA + EDTA WB AND 4ML/FASTING
SPECTROPHOTOMETRY/NEPHEL Citrated
CITRATE WB (LIGHT BLUE TOP) (DOB, FLUORIDE PLASMA
815 4512 FIBROMETER NAFLD 4000 OMETRY/Hematology/Enzyme whole blood- 3 : 11:00 HRS NEXT DAY
SAMPLE COLLECTION DATE, AGE, (2ML) / SERUM
Linked Immunoassay Ambient Rest
WEIGHT & GENDER IS MANDATORY) ALL (2ML)/5ML
all frozen,
SAMPLES MUST BE COLLECTED
SERUM (F)
SIMULTANEOUSLY ON SAME DAY AND
SAME TIME.
10-12 HRS FASTING SERUM (LIPEMIC &
HEMOLYSED SAMPLE SHOULD BE
AVOIDED) CLINICAL HISTORY +
SPECTROPHOTOMETRY/ (FIBROSCAN REPORT , DOB, SAMPLE
816 4512V FIBROMETER VCTE 3000 2 ML SERUM (F) 6 : 12:00 HRS 2ND DAY
NEPHELOMETRY COLLECTION DATE, AGE & GENDER IS
MANDATORY). ALL SAMPLES MUST BE
COLLECTED SIMULTANEOUSLY ON SAME
DAY AND SAME TIME.
SERUM 10-12 HRS FASTING (LIPEMIC &
EDTA whole
HEMOLYSED SAMPLE SHOULD BE
blood &
AVOIDED) + CITRATED PLASMA + EDTA
Citrated
SPECTROPHOTOMETRY/NEPHEL WB AND CITRATE WB (LIGHT BLUE TOP) 4ML/SERUM
817 4590 FIBROMETER VIRUS 4000 whole blood- 3,6 : 12:00 HRS NEXT DAY
OMETRY/Hematology (DOB, SAMPLE COLLECTION DATE, AGE & 2ML/3ML
Ambient Rest
GENDER IS MANDATORY).ALL SAMPLES
all frozen,
MUST BE COLLECTED SIMULTANEOUSLY
SERUM (F)
ON SAME DAY AND SAME TIME.
2-8°C ( 5
SERUM/PLASMA (Heparin) or Whole
818 9337 FILARIA IgG/IgM ANTIBODIES 1250 IMMUNOCHROMATOGRAPHY 2.0 ML (1.0 ML) days), >5 DAILY : 1530 HRS SAME DAY
blood heparin
DAYS (-20ºC)
FINE NEEDLE ASPIRATION
ONLY FOR WALK-
CYTOLOGY (FNAC),
CYTOLOGY FIXED UNSTAINED SMEARS + SITE OF IN PATIENTS ( BY
819 1518 PROCEDURE (FOR SRL 1300 1 FNAB A NEXT DAY
PROCEDURE - FINE NEEDLE ASP. COLLECTION & clinical history PRIOR
MUMBAI WALK-IN PATIENTS
APPOINTMENT)
ONLY)
EDTA WHOLE BLOOD / EDTA BONE
FIP1L1-PDGFRA GENE
820 RD1314 6700 NESTED RT-PCR MARROW (SPECIMEN TO REACH US 5 ML (3ML) A 3:0930 HRS 9 DAYS
REARRANGEMENT
WITHIN 48 HRS)+CLINICAL HISTORY
BONE MARROW - SODIUM HEPARIN +
CLINICAL HISTORY SPECIMEN TO REACH
FISH for 17p (TP53) US WITHIN 48 HRS AFTER COLLECTION.
821 7644 3000 FISH 4 TO 5 ml A Daily 07:00 hrs 5 working Days
abnormalities [Please mention the CLINICAL HISTORY,
blood picture (CBC Report) and
medication of the patient on the TRF]
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
822 7641 FISH for 20q deletion 3000 FISH 5.0 ML (3.0 ML) A DAILY: 7:00 HRS 5 working Days
[Please mention the CLINICAL HISTORY,
blood picture (CBC Report) and
medication of the patient on the TRF]

WB OR BONE MARROW - SODIUM

FISH for 5q deletion and HEPARIN SPECIMEN TO REACH US
monosomy/numerical WITHIN 48 HRS AFTER COLLECTION.
823 7643 3000 FISH 5.0 ML (3.0 ML) A DAILY: 7:00 HRS 5 working Days
abnormalities of chromosome [Please mention the CLINICAL HISTORY,
5 blood picture (CBC Report) and
medication of the patient on the TRF]

WB OR BONE MARROW - SODIUM

FISH for 7q deletion and HEPARIN SPECIMEN TO REACH US
monosomy/numerical WITHIN 48 HRS AFTER COLLECTION.
824 7642 3000 FISH 5.0 ML (3.0 ML) A DAILY: 7:00 HRS 5 working Days
abnormalities of chromosome [Please mention the CLINICAL HISTORY,
7 blood picture (CBC Report) and
medication of the patient on the TRF]
FISH in sex-mismatched BMT (
Whole blood or bone marrow in Heparin
825 5813FF This test will be done at 4500 FISH 4ml A/R Daily 3 days
tube
Guragaon Lab)
FETAL CORD BLOOD WITH SODIUM
FISH CYTOGENETICS: HEPARIN +CLINICAL HISTORY. CONSENT
826 5831F PRENATAL FETAL CORD 11100 FISH FORM WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:1200 HRS 5TH DAY
BLOOD MANDATORY. SPECIMEN TO REACH US IN
24 HRS AFTER COLLECTION

FLOWCYTOMETRY PANEL;
ACUTE LEUKEMIA PANEL
(CD10,CD19,CD20,CD22,CD3,
CD5,CD7,CD13,CD33,CD34,CD BM / WB- EDTA | BM / WB- HEPARIN | 3-4 ML (1ML) / 3-4
117,HLA DR, CD11b, CD16, FLUID-EDTA I FLUID-HEPARIN I BM / WB ML (1ML) / 3-4 ML
827 1608 10000 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD45, CD64, CD2, CD56, / FLUIDS DIRECT SMEARS + CLINICAL (1ML) / 3-4 ML (1
CYTOPLASMIC MARKERS HISTORY (MANDATORY) ML)
(CD3, CD79a and MPO) WILL
BE DONE IF REQUIRED FOR
DIAGNOSIS )
FLOWCYTOMETRY PANEL;
ACUTE LYMPHOBLASTIC BM / WB- EDTA | BM / WB- HEPARIN | 3-4 ML (1ML) / 3-4
LEUKEMIA PANEL FLUID-EDTA I FLUID-HEPARIN I BM / WB ML (1ML) / 3-4 ML
828 1606 12000 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
(CD3,CD4,CD5,CD7,CD8,CD10, / FLUIDS DIRECT SMEARS + CLINICAL (1ML) / 3-4 ML (1
CD19,CD20,CD22,CD34,IgM, HISTORY(MANDATORY) ML)
HLA-DR ,)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
FLOWCYTOMETRY PANEL;
ACUTE MYELOID LEUKEMIA
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 ML (1ML) / 3-4
(AML) CHARECTERIZATION
FLUID-EDTA I FLUID-HEPARIN I BM / WB ML (1ML) / 3-4 ML
829 1047 PANEL (CD7, CD19, CD13, 11000 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
/ FLUIDS DIRECT SMEARS + CLINICAL (1ML) / 3-4 ML (1
CD14, CD15, CD33, CD34,
HISTORY (MANDATORY) ML)
CD117, CD41, CD61,
GLYCOPHORIN A, HLA-DR)
FLOWCYTOMETRY PANEL;
CHRONIC
LYMPHOPROLIFERATIVE BM / WB- EDTA | BM / WB- HEPARIN |
DISORDER PANEL (CD5, FLUID-EDTA I FLUID-HEPARIN I BM / WB 3-4 CC (1CC) / 3-4 CC
830 1609 CD10, CD19, CD20, CD22, 13000 FLOW CYTOMETRY / FLUIDS SMEARS + CLINICAL (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD23, CD25, CD38, CD11c, HISTORY(MANDATORY) IN SPECIFIED / 3-4 CC (1CC)
CD103, FMC 7, HLA DR, FORMAT
Surface immunoglobulins
AND LIGHT CHAINS )
FLOWCYTOMETRY PANEL;
MYELOMA PANEL
EDTA BM / HEP BM / SMEARS + 3.0 ML (2.0 ML) + 3.0
831 1607 (CD38,CD56,CD19, 7500 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY ML (2.0 ML) + 2(1)
CYTOPLASMIC KAPPA AND
LAMBDA,CD45, CD138)
FLOWCYTOMETRY PANEL;
NATURAL KILLER CELL WB-EDTA + HEPARIN 3.0 ML (1.0 ML) + 3.0
832 5422 4300 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
EVALUATION (%CD16+56,ABS (WB TO REACH WITHIN 48 HRS) ML (1.0 ML)
CD16+CD56)
FLOWCYTOMETRY PANEL; EDTA - WB / BM / / FLUIDS, HEPARIN WB
3.0 ML (2.0 ML) + 3.0
833 1611 NATURAL KILLER PANEL 4400 FLOW CYTOMETRY / BM / FLUIDS + BLOOD / BM SMEARS + A DAILY: 1530 HRS NEXT DAY BY 6.00PM
ML (2.0 ML) + 2(1)
(CD3,CD16,CD56,CD45) CLINICAL HISTORY
EDTA WHOLE BLOOD / EDTA BONE
834 7469 FLT3 MUTATION DETECTION 5000 PCR,SEQUENCING 5.0 ML (3.0 ML) A 5: 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY
NASAL/THROAT/NASOPHARYNGEAL Daily 1730 HRS
835 8008 FLU REAL TIME PCR 5700 REAL TIME PCR SWAB IN VTM + CLINICAL HISTORY IN 2 SWABS IN VTM F (EXCEPT SUNDAY Next Day 1800 HRS
SPECIFIED FORMAT AND HOLIDAYS)
EAR FLUID/NASAL FLUID(CSF
LEAKAGE)/CSFAND SERUM(SPECIMEN MONDAY 09:00HRS
IMMUNOFIXATION
836 4952 FLUID BETA -2 TRANSFERRIN 4500 SHOULD PREFERABLY REACH 2.0 ML AND 2.0 ML COLD TO SATURDAY 3RD DAY
ELECTROPHORESIS
SRL,MUMBAI WITHIN 24HRS OF 09:00hrs
COLLECTION)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SMEARS/SLIDES.CLINICAL DETAILS, SITE
OF THE TISSUE, PATHOLOGY REPORTS
ALONG WITH THE SPECIMEN WILL BE
REQUIRED. IF IT IS A BONE MARROW
FNAC / CYTOLOGY SMEARS - SPECIMEN, CBC REPORT WILL ALSO BE MONDAY TO
837 7372 8800 CYTOLOGY 4 SLIDES(2 SLIDES) AMBIENT 8 DAYS
CoE Histopathlogy REQUIRED AND FOR BONE SPECIMEN, FRIDAY 09:00HRS
WILL ALSO REQUIRE MRI & X-RAY OF THE
PATIENT.

DAILY (MON TO
2-8°C (48 hrs);
838 3522 FOLIC ACID 1300 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
0500,1430,1600 hrs

FOLLICLE STIMULATING SERUM ( AGE+GENDER+LMP+CLINICAL

2-8°C (48 DAILY (MON TO
HORMONE & LUTEINIZING HISTORY REQUIRED )DRAW SAMPLE
839 2020 1100 CHEMILUMINESCENCE 3.0 (1.5) ML HRS); F (>48 SAT): 0500, 1900 AFTER 3.0 hrs
HORMONE EVALUATION (FSH BETWEEN 8 AM TO 10AM, 3-4 HRS
HRS) hrs
& LH) AFTER THE PATIENT HAS AWAKENED.

SERUM ( AGE+GENDER+LMP+CLINICAL
2-8°C (48 DAILY (MON TO
FOLLICLE STIMULATING HISTORY REQUIRED )DRAW SAMPLE
840 3174 600 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
HORMONE (FSH) BETWEEN 8 AM TO 10AM, 3-4 HRS
HRS) 1900 hrs
AFTER THE PATIENT HAS AWAKENED.

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
FOLLICLE STIMULATING
841 Z162K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
HORMONE (FSH)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

FOLLICLE STIMULATING SERUM ( AGE+GENDER+LMP+CLINICAL

2-8°C (48 DAILY (MON TO
HORMONE, LUTEINIZING HISTORY REQUIRED )DRAW SAMPLE
842 2021 1600 CHEMILUMINESCENCE 3.0 (1.5) ML HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
HORMONE EVALUATION & BETWEEN 8 AM TO 10AM, 3-4 HRS
HRS) 1900 hrs
PROLACTIN (LH, FSH & PL) AFTER THE PATIENT HAS AWAKENED.

DAILY:1000 HRS
843 RD1442 FOOD DETECT 6000 Immunochromatography SERUM 1-2 ML A/R (EXCEPT SUNDAY SAME DAY 16.30 HRS
AND HOLIDAYS)
SERUM/PLASMA/ETDA WHOLE BLOOD +
844 RD1306 FOOD INTOLERANCE TEST 18500 PROTEIN MICROARRAY 2 ML (1ML) R/R/A 1,3 : 0930 HRS 3,5 18:30 HRS
CLINICAL HISTORY IN SPECIFIED FORMAT
FRAGILE X (FMR 1) TRIPLET PRIMED PCR EDTA WHOLE BLOOD + CLINICAL
845 RD1325 7250 5.0 ML ( 3.0 ML) A 3:0930 HRS 9 DAYS
MUTATION SCREEN FRAGMENT ANALYSIS HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM (AGE+GENDER+ CLINICAL
HISTORY REQUIRED) DO NOT SCHEDULE DAILY (MON TO
2-8°C (24 hrs);
846 3545 FREE PSA 1100 CHEMILUMINESCENCE ANY PROSTATIC EXAMINATION / 1.0 ML (0.5 ML) SAT): SAME DAY
F ( >24 hrs)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.

SERUM ( AGE+GENDER+LMP+CLINICAL 2-8°C (48

2,4:
847 3245 FREE ANDROGEN INDEX 3400 CHEMILUMINESCENCE HISTORY REQUIRED) SAMPLE TO BE 1.0 ML (0.5 ML) HRS); F (>48 SAME DAY
0500,1430,1600 hrs
DRAWN IN THE MORNING HOURS. HRS)

DAILY (MON TO
SERUM (CLINICAL DETAILS ); LMP DATE 2-8°C (7 days);
848 3285 FREE BETA HCG (FBHCG) 1450 CHEMILUMINESCENCE 1.0ML (0.5ML) SAT): SAME DAY
REQUIRED F (>7 days)
0500,1430,1600 hrs
849 3839I FREE PROTEIN S 6600 IMMUNO TURBIDIMETRY FROZEN CITRATED PLASMA 2.0 ML FROZEN SAT 1030 HRS SAME DAY
2-8°C (48 DAILY (MON TO
850 3228 FREE THYROXINE , FT4 450 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
HRS) 1900 hrs
2-8°C (48 DAILY (MON TO
FREE TRIIODOTHYRONINE,
851 3234 450 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
FT3
HRS) 1900 hrs
Freidreichs Ataxia mutation
852 RD1411 6700 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3, 0930 HRS 7 Days
analysis
2-8°C (2
SERUM + (AGE & GENDER IS
853 3935 FRUCTOSAMINE 1600 SPECTROPHOTOMETRY 3.0ML (2.0ML) WEEKS); F 2, 5:1200 hrs SAME DAY
MANDATORY)
(>2 WEEKS)
2-8°C (48 DAILY (MON TO
FSH (FOLLICLE STIMULATING SERUM ( AGE+ GENDER+ LMP +CLINICAL
854 3174 600 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
HORMONE) HISTORY REQUIRED)
HRS) 1900 hrs
FT - Plus (FT3, FT4, TSH 3G, 2-8°C (48 DAILY (MON TO
CHEMILUMINESCENCE/
855 7569 LIPID PROFILE, Fasting Blood 1199 SERUM 5.0 ML (2.0 ML) HRS); F ( >48 SAT): 0500 hrs to SAME DAY
SPECTROPHOTOMETRY
Sugar) HRS) 1900 hrs
2-8°C (48 DAILY (MON TO
FT3, FREE
856 3234 450 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
TRIIODOTHYRONINE
HRS) 1900 hrs
2-8°C (48 DAILY (MON TO
857 3228 FT4, FREE THYROXINE 450 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
HRS) 1900 hrs
SPUTUM / CSF / FLUID / URINE /
858 5323 FUNGAL STAIN 500 STAIN / MICROSCOPY ASPIRATE / TISSUE BIOPSY- STERILE 3.0 ML (0.5 ML) A/R DAILY: 1500 HRS SAME DAY
CONTAINER
MODERATE
FUNGAL SUSCEPTIBILITY MIC
859 5660 4600 BROTH DILUTION PURE CULTURE OF YEAST OBSERVABLE R DAILY: 1700 HRS 4TH DAY
PANEL
GROWTH
MODERATE
FUNGAL SUSCEPTIBILITY MIC
860 5661 2200 BROTH DILUTION PURE CULTURE OF YEAST OBSERVABLE R DAILY: 1700 HRS 4TH DAY
SINGLE DRUG
GROWTH
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
SPUTUM / CSF / FLUID / URINE /
FUNGUS CULTURE, STAIN & TEST/CHROMOGENIC PRELIM/YEAST- 7TH DAY,
861 5322 1200 ASPIRATE / TISSUE BIOPSY- STERILE 3.0 ML (0.5 ML) A/R DAILY: 1700 HRS
IDENTIFICATION MEDIA/AUTOMATED FINAL 21ST DAY
CONTAINER, SWABS NOT ACCEPTED
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
FUNGUS CULTURE, STAIN & TEST/CHROMOGENIC BLOOD INOCULATED IN BACTEC BOTTLE PRELIM. 7TH DAY, FINAL
862 5322B 1250 5.0 ML (3.0 ML) A DAILY: 1700 HRS
IDENTIFICATION MEDIA/AUTOMATED (MYCOSIS) 21ST DAY
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
PURE & MODERATE
TEST/CHROMOGENIC PURE CULTURE OF FUNGUS ON AGAR
863 5324 FUNGUS IDENTIFICATION 1000 OBSERVABLE R DAILY: 1700 HRS 21ST DAY
MEDIA/AUTOMATED SLANT
GROWTH
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

G6-PD (GLUCOSE-6-
PHOSPATE
864 1126 950 DYE DECOLORIZATION WB-EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
DEHYDROGENASE),
(QUALITATIVE)
G6PD QUALITATIVE REFLEX
DYE DECOLORIZATION +
865 9212RFX G6PD QUANTITATIVE 1550 WB-EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
SPECTROPHOTOMETRY
ESTIMATION
G-6-PD, QUANTITATIVE,
866 1300 SPECTROPHOTOMETRY 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
1146QT BLOOD WB-EDTA + (Clinical history )
SERUM(Care must be taken not to
contaminate the sample with fungal 2-8º C (48
Enzyme Linked Immnunosorbent
867 1728 GALACTOMANNAN 5500 spores and/or bacteria.Trasnport and 2.0 ML HRS), >48 1,4 : 1100 HRS SAME DAY
assay
store samples in sealed tubes, HRS 70 °C
unexposed to air)
Galactosemia (GALT) Gene
868 RD1434 9000 PCR Sequencing WHOLE BLOOD EDTA/BLOOD SPOT 3-5 ML AMBIENT 3; 0930 HRS 10 DAYS
Mutation
GALL BLADDER STONE WHOLE GALL BLADDER STONE.Please
869 4166 1800 BIOCHEMICAL NOT APPLICABLE A/R THURSDAY 9:00HRS 5TH DAY
ANALYSIS provide the clinical details.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WHOLE BLOOD TO BE COLLECTED IN 5
GAMMA INTERFERON ml BD ENDOTOXIN FREE HEPARIN TUBE COLLECTION :1,3,5:
Enzyme Linked Immnunosorbent
870 2405 (M.tuberculosis Interferon 2850 PROVIDED BY SRL FROM SUNDAY TO 5ML A ; 1530 HRS (RUN NEXT DAY
assay
Gamma Release Assay (IGRA) FRIDAY AND TRANSPORTED WITHIN 12 DAY 2,4,6)
HRS OF COLLECTION.
BY PRIOR
APPOINTMENT.Ask
GARDNERELLA VAGINALIS VAGINAL / CERVICAL SWABS / 2 (1) SWABS / 3.0 ML
871 1419 1250 CULTURE A for transport 7TH day
CULTURE SECRETIONS IN TRANSPORT MEDIA (0.5 ML)
medium specify
sample source
FASTING SERUM (CLINICAL HISTORY FROZEN: UP 1: 0500,1430,1600
872 3175 GASTRIN 1800 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAME DAY
REQUIRED) TO 30 days hrs
GASTROENTERITIS SCREENING
873 5013 1500 MICROSCOPY/ CULTURE STOOL SAMPLE 2.0 GM A Daily: 17:30 hrs 3rd day
PANEL
TISSUE IN 10%FORMALIN / PARAFFIN
GCDFP-15 (ANTI-HUMAN BLOCK+ SITE OF BIOPSY AND CLINICAL
874 Z256K GROSS CYSTIC DISEASE FLUID 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROTEIN-15) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
GCV RESISTANCE BY EDTA PLASMA /EDTA WHOLE BLOOD +
875 7577 6400 PCR-SEQUENCING 5 ML (3 ML) F/A 3: 0930 HRS 8 DAYS
SEQUENCING CLINICAL HISTORY
EDTA WHOLE BLOOD + CLINICAL EVERY MONDAY:
876 RD1487 GDNEXT 60000 Next Generation Sequencing 5.0 ML A 45 DAYS
HISTORY 10:00 HRS
DAILY: 0930 HRS
GENE EXPERT (XPERT MTB / REAL TIME PCR ON GENEXPERT
877 RD1324 2200 SPUTUM / BAL 5.0 ML ( 2.0 ML) A/R (EXCEPT SUNDAY SAME DAY: 1900 HRS
RIF) PLATFORM
AND HOLIDAYS)
GENETIC DISORDERS:
878 RD1411 Freidreichs Ataxia mutation 6700 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3, 0930 HRS 7 Days
analysis
GENETIC DISORDERS;
EDTA WHOLE BLOOD + CLINICAL
879 RD1417 ANGELMANS SYNDROME MS 6200 Methylation Specific - PCR 5.0 ML (3.0 ML) AMBIENT 1:0930 HRS 9 DAYS
HISTORY
PCR
GENETIC DISORDERS; DRPLA
880 RD1326 5500 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 9 DAYS
Gene analysis
GENETIC DISORDERS; MILLER
881 6023F 5600 FISH WHOLE BLOOD HEPARIN 3 ML A DAILY 7:00 HRS 6TH DAY
DIEKKER SYNDROME

GENETIC DISORDERS; PRADER- EDTA WHOLE BLOOD + CLINICAL

882 RD1418 7200 Methylation Specific - PCR 5.0 ML (3.0 ML) AMBIENT 1:0930 HRS 9 DAYS
WILLI SYNDROME MS PCR HISTORY
GENETIC DISORDERS; RETT
SYNDROME DNA EDTA WHOLE BLOOD + CLINICAL
883 RD1410 5500 DNA SEQUENCING 5.0 ML (3.0 ML) A 2: 0930 HRS 10 DAYS
SEQUENCING ( MECP2 HISTORY
MUTATION)
GENETIC DISORDERS; SCA 12
884 RD1456 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-12)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
GENETIC DISORDERS; SCA 2
885 RD1413 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-2)
GENETIC DISORDERS; SCA 3
886 RD1414 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-3)
GENETIC DISORDERS; SCA 6
887 RD1415 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-6)
GENETIC DISORDERS; SCA 7
888 RD1416 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-7)
GENETIC DISORDERS; SCA10
889 RD1455 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-10)
GENETIC DISORDERS; SCA17
890 RD1457 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-17)
GENETIC DISORDERS; SMA EDTA WHOLE BLOOD + CLINICAL
891 9443 7200 MLPA-FRAGMENT ANALYSIS 5 ML (3ML) A 5: 0930 HRS 9 DAYS
CARRIER DETECTION HISTORY

SPECIMEN IN BY PRIOR
TRANSPORT APPOINTMENT Ask
URETHRAL / CERVICAL
GENITAL MYCOPLASMA / 2 (1) SWABS / 3.0 ML MEDIA AT RT for transport
892 2408 1250 CULTURE SWABS,URINE,SEMEN IN TRANSPORT 3 RD DAY
UREAPLASMA CULTURE (1.0 ML) UP TO 48 HRS; medium please
MEDIA
AT 2-8°C UP specify sample
TO 72 HRS source

GIARDIA LAMBILA ANTIGEN

RAPID
893 7663 DETACTION FROM STOOL; 1530 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML A/R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST

TISSUE IN 10%FORMALIN / PARAFFIN

GIST PDGFRA GENE BLOCK -SITE OF BIOPSY & CLINICAL
894 RD1443 10000 PCR SEQUENCING 2 (1) A 1, 5: 1030 HRS 10 TH DAY
MUTATIONS DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
GLIAL FIBRILLARY ACIDIC
895 Z084K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROTEIN (GFAP)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

GLIOMA PANEL (1P/19Q, BLOCK -SITE OF BIOPSY & CLINICAL
896 4551 20000 FISH/Pyrosequencing 1 A Wednesday: 10am 10days
IDH1/2, MGMT) DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Glucose-6 Phospahte
897 RD1419 Dehydrogenase (G6PD) Gene 4200 PCR Sequencing WHOLE BLOOD EDTA 3-5 ML AMBIENT 3:0930 HRS 7 DAYS
Mutations
GLUTAMIC ACID 2-8º C (48
Enzyme Linked Immnunosorbent
898 3193 DECARBOXYLASE (GAD) IgG 6900 SERUM 1.0 (0.5 ML) hrs), >48 hrs 5:1100 HRS NEXT DAY
assay
ANTIBODIES 70 °C
WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC
899 1674BR GLYCOPHORIN A (ERYTHROID) 2600 FLOW CYTOMETRY EDTA/ HEPARIN/ FLUIDS/SMEARS + (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)

SERUM, PATIENT MUST BE FASTING AND DAILY (MON TO

FROZEN: UP
900 3182 GROWTH HORMONE (GH) 900 CHEMILUMINESCENCE AT COMPLETE REST 30 MINUTES BEFORE 1.0 ML (0.5 ML) SAT): SAME DAY
TO 2 Months
BLOOD COLLECTION 0500,1430,1600 hrs

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
901 Z163K GROWTH HORMONE (GH) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

SERUM - RECOMMENDED DOSE INSULIN -

0.1 - 0.15 U/KG , ARGININE 0.5 GM/KG,
DAILY (MON TO
GROWTH HORMONE GLUCAGON 0.03 MG/KG IM ( 5 SAMPLES FROZEN: UP
902 3183 3500 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
STIMULATION TEST COLLECTED 30 MINUTES APART, FIRST TO 2 Months
0500,1430,1600 hrs
SAMPLE COLLECTED BEFORE
STIMULATING AGENT)

H.PYLORI ANTIGEN RAPID

903 9981 1400 STOOL IN LEAK PROOF CONTAINER 1.0 GM (0.5 GM) R DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
2-8°C (FEW
HAEMOPHILUS INFLUENZAE B LATEX PARTICLE HRS); -
904 9606 1700 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
2-8°C (FEW
HAEMOPHILUS INFLUENZAE B LATEX PARTICLE HRS); -
905 9606C 1300 CSF 1.0 ML (0.5 ML) DAILY:1530 HRS SAME DAY
ANTIGEN, CSF AGGLUTINATION 20°C
(LONGER)
HAM TEST (ACIDIFIED SERUM 2.0 ML (1.0 ML), 2.0 MON/THUS/SAT:
906 3832 1500 HEMOLYSIS EDTA WB AND SERUM A/R NEXT DAY
LYSIS TEST) ML (1.0 ML) 11:00 HRS
SATURDAY &
HANTA VIRUS-IGM, SERUM BY
907 7178 2200 EIA SERUM 2.0ML(1.0ML) R/F WEDNESDAY 4 DAYS
EIA
09:00HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
908 1519I HAPTOGLOBIN 4500 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 2,4,6: 1630 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
EDTA WHOLE BLOOD + CLINICAL
909 7375 HAPTOGLOBIN GENOTYPING 4000 PCR 5 ML (3 ML) A 1, 4 : 0930 HRS 5 DAYS
HISTORY
910 2478 HAV RNA PCR 4000 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 1.0 ML (0.5 ML) F 6:1100 HRS TUE 1800 HRS

HB VARIANT REFLEX WITH

RED CELL INDICES
HPLC/ AUTOMATED CELL WB-EDTA+ BLOOD SMEAR + CLINICAL
(PERFORMED IF HB A2 OR HB 3.0 ML (2.0) ML + 2
911 9210RFX 1400 COUNTER / MICROSCOPY HISTORY IN SPECIFIED FORMAT+ AGE & A DAILY:1500 HRS NEXT DAY
F IS ABNORMAL) / SICKLING SMEARS
/DEOXYGENATION SEX
TEST (PERFORMED IF HB S IS
ABNORMAL)

Chemiluminescent Microparticle FOR HBEAG HBeAg-DAILY: 0730

HBeAG NEGATIVE REFLEX TO
Immunoassay (CMIA)/ COBAS 2.0 ML (1.0 ML) + TEST ---2-8°C HRS & 1530 HRS
912 9218RFX HBV PRECORE & BASAL CORE 2600 SERUM + PLASMA EDTA (FROZEN ONLY) SAME DAY AND 7TH DAY
TAQMAN & NESTED PCR 5.0(4.0 ML) F (7 DAYS) ,>7 AND THURSDAY
MUTATION
SEQUENCING DAYS -20°C, F 10:30
HBV BASAL CORE PROMOTER EDTA PLASMA / SERUM + CLINICAL
913 7475 4600 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
MUTATION HISTORY
HBV DRUG RESISTANCE
(Lamivudine, Telbivudine, EDTA PLASMA/SERUM + CLINICAL
914 RD1305 8200 NESTED PCR-SEQUENCING 5 ML (2 ML) F 1: 0930 HRS 6;1830 HRS
Adefovir, Tenofovir and HISTORY
Entecavir)
SERUM, EDTA-PLASMA + CLINICAL 2.0 ML (1.0 ML), 2.0
915 7474 HBV GENOTYPING 9000 PCR-SEQUENCING F 4: 0930 HRS 6 DAYS
HISTORY ML (1.0 ML)
EDTA PLASMA / SERUM +CLINICAL
916 7476 HBV PRECORE MUTATION 4600 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
HISTORY
917 8141 HBV QUALITATIVE 4800 REAL TIME PCR SERUM OR PLASMA - EDTA 3.0 ML (2.0 ML) F DAILY:0800 HRS NEXT DAY: 1800 HRS
HBV VIRAL LOAD BY REAL
918 9973 4500 REAL TIME PCR SERUM / PLASMA EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
TIME PCR
HBV QUANTITATIVE BY
919 8136 9000 COBAS TAQMAN SERUM / PLASMA EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
COBAS TAQMAN
HBV QUANTITATIVE BY
920 9890 9000 COBAS TAQMAN PLASMA EDTA/ SERUM 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
COBAS TAQMAN
DAILY (MON TO
HCG (HUMAN CHORIONIC SERUM ( AGE + GENDER + LMP + 2-8°C (7 days);
921 3184 800 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
GONADOTROPIN) CLINICAL HISTORY REQUIRED ) F (2 Months)
0500,1430,1600 hrs
HCV ALPHA (HCV RNA
PCR SEQUENCING & COBAS
922 DT4102 Quantitative and HCV 16500 PLASMA- EDTA 5.0 ML (4.0 ML) F DAILY: 0930 HRS 3RD DAY: 1900 HRS
TAQMAN
Genotyping)
923 7473 HCV GENOTYPING 8000 PCR SEQUENCING PLASMA- EDTA 3.0 (2.0) ML F DAILY: 0930 HRS 3RD DAY: 1900 HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
REAL TIME POLYMERASE CHAIN
924 7516A HCV RNA PCR, QUALITATIVE 4400 PLASMA- EDTA 2.0 ML (1.0 ML) F DAILY:0800 HRS NEXT DAY 1800 HRS
REACTION
925 9891 HCV RNA QUANTITATIVE 9000 COBAS TAQMAN PLASMA- EDTA 4.0 ML (3.0 ML) F DAILY 8.00 A.M NEXT DAY :20:00 hrs
HCV VIRAL LOAD BY REAL
926 9972 4500 REAL TIME PCR PLASMA-EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
TIME PCR
DAILY 0800 HRS
FOR HCV
SERUM 1.0 ML (0.5
HCV4 (HCV RNA Qualitative REAL TIME POLYMERASE CHAIN SERUM. FOR ECLIA/ PLASMA-EDTA FOR QUALITATIVE/HCV
927 7516 5600 ML)+ PLASMA F NEXT DAY: 1800 HRS
AND HCV Antibodies) REACTION/ CMIA PCR Abs
1.0ML(0.5 ML)
:0730am,1530pm
daily
928 8400 HDV RNA PCR 6500 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 5 ML (3ML) F 5: 1000 HRS TUE: 1800 HRS
CHEMILUMINESCENT 2-8°C (4
HE4 (Human Epididymis
929 4113 3000 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) DAYS); -20°C Thrus:11.00 am Same day(1900 hrs)
Protein-4)
(CMIA) (>4 DAYS)
DAILY; 1000 HRS,
HEALTH KUNDLI-
Chemiluminescent Microparticle 1500 HRS (For HB
BRIDE/GROOM (ABO Rh
Immunoassay EDTA-WHOLE BLOOD+SERUM + CLINICAL variant),15:30 FOR
930 3901 Blood Group, VDRL, HBsAg, 2100 2 ML+2 ML A NEXT DAY
(CMIA)+Flocculation+ Tube HISTORY IN SPECIFIED FORMAT VDRL, 7:30 AND
HIV 1&2 Antibodies, HB
Agglutination+HPLC 15:30 FOR HBsAg,
Variant Analysis)
HIV 1&2 Antibodies,
AMBIENT/COL
931 RD1402 HEART ENSURE PANEL 9500 PCR-Sequencing EDTA WHOE BLOOD 3ML 2 : 0930 HRS 7 DAYS
D
BY PRIOR
R ,WITHIN 24
HELICOBACTER PYLORI 1 TISSUE / 1.0 ML APPOINTMENT
932 2403 1300 CULTURE BIOPSY / FLUID - STERILE CONTAINER. HOURS OF 7TH DAY
CULTURE (0.3 ML) specify sample
COLLECTION
source
2-8º C (2
HELICOBACTER PYLORI IgA Enzyme Linked Immnunosorbent
933 7736 2700 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C (2
HELICOBACTER PYLORI IgG Enzyme Linked Immnunosorbent
934 7761 2750 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C (2
HELICOBACTER PYLORI IgM Enzyme Linked Immnunosorbent
935 7986 2750 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
DIALYSIS WATER/ DIALYSATE/ R. O.
HEMODIALYSIS WATER
936 1221DLW 1150 CULTURE WATER IN STERILE LEAK PROOF 10.0 ML (5.0) ML R DAILY :15:30 HRS 3RD DAY
CULTURE
CONTAINER
WB-EDTA (AGE, CLINICAL HISTORY IN
HEMOGLOBIN VARIANT
937 3834 1100 HPLC SPECIFIED FORMAT AND CBC(IF 3.0 ML (2.0 ML) A DAILY:15:00 HRS NEXT DAY
ANALYSIS
PERFORMED) FINDINGS MANDATORY)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
HEMOPHILIA PANEL (APTT, PLASMA *- AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
938 3897 4100 CLOT BASED AT -20°C & SAME DAY
FACTOR VIII, FACTOR IX) CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
HEPAR-1 [ANTI-HUMAN
939 Z257K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
HEPATOCYTE )
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
HEPATITIS A & B VIRUS
EVALUATI0N (HEP A IgG & CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
940 2463 IgM, HBCORE TOTAL & IgM, 7200 MICROPARTICLE IMMUNOASSAY SERUM 3.0 ML (2.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
HBsABS, HBsAg, HBeABS, (CMIA) 20°C
HBeAg)
CHEMILUMINESCENT 2-8º C (3
DAILY:0730 am,
941 6014 HEPATITIS A IGG ANTIBODY 1300 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML(0.5 ML) DAYS), >3 SAME DAY
1530 pm HRS
(CMIA) DAYS- 20 °C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS A VIRUS IgG & IgM DAILY: 0730 HRS &
942 2460 2150 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS A VIRUS IgM DAILY: 0730 HRS &
943 2451 1400 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
AMBIENT:3
CHEMILUMINESCENT
HEPATITIS B CORE TOTAL DAYS, 2-8°C DAILY: 0730 HRS &
944 2452 1250 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) SAME DAY
ANTIBODIES (7DAYS) ,>7 1530 HRS
(CMIA)
DAYS -20°C
CHEMILUMINESCENT
HEPATITIS B E ANTIBODY, 2-8°C (7 days) DAILY: 0730 HRS &
945 2455 1150 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) SAME DAY
SERUM ,>7 days -20°C 1530 HRS
(CMIA)
HEPATITIS B SURFACE CHEMILUMINESCENT 2-8°C 14
DAILY: 0730 HRS &
946 2453QN ANTIBODIES (HBsAb), TOTAL 1100 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) DAYS) ,>14 SAME DAY
1530 HRS
WITH TITRE (CMIA) DAYS -20°C
HEPATITIS B SURFACE CHEMILUMINESCENT 2-8°C 14
DAILY: 0730 HRS &
947 2449 ANTIGEN NEUTRALIZATION 1300 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.5 ML) DAYS) ,>14 SAME DAY
1530 HRS
(WITH CONFIRMATION) (CMIA) DAYS -20°C
HEPATITIS B SURFACE MONDAY 09:00HRS
FROZEN/REFRI
948 7658 ANTIGEN; QUANTITATIVE 2700 CMIA SERUM 2.0ML(1.0ML) TO FRIDAY 4 DAYS
GERATED
(CMIA) 09:00HRS
HEPATITIS B VIRUS BASAL EDTA PLASMA / SERUM + CLINICAL
949 7475 4600 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
CORE PROMOTER MUTATION HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
HEPATITIS B VIRUS CORE
950 Z077K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS B VIRUS CORE IgM DAILY: 0730 HRS &
951 2457 1250 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
HEPATITIS B VIRUS DNA
952 9890 9000 COBAS TAQMAN PLASMA EDTA/ SERUM 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY :20:00 hrs
,QUANTITATIVE
HEPATITIS B VIRUS DNA
953 8141 4800 REAL TIME PCR SERUM OR PLASMA - EDTA 3.0 ML (2.0 ML) F DAILY:0800 HRS NEXT DAY: 1800 HRS
DETECTOR, QUALITATIVE
HEPATITIS B VIRUS CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
954 2461 EVALUATION (HBCORE TOTAL 4250 MICROPARTICLE IMMUNOASSAY SERUM 3.0 ML (2.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
& IgM, HBsABS, HBsAg) (CMIA) 20°C
HEPATITIS B VIRUS SERUM, EDTA-PLASMA + CLINICAL 2.0 ML (1.0 ML), 2.0
955 7474 9000 PCR-SEQUENCING F 4:0930 HRS 6 DAYS
GENOTYPING HISTORY ML (1.0 ML)
HEPATITIS B VIRUS PRECORE EDTA PLASMA / SERUM +CLINICAL
956 7476 4600 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
MUTATION HISTORY
CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
957 2456 HEPATITIS Be VIRUS ANTIGEN 1050 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS Be VIRUS ANTIGEN DAILY: 0730 HRS &
958 2462 1700 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) ,>7 DAYS - SAME DAY
/ ANTIBODY EVALUATION 1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT
2-8°C (7 DAYS) DAILY: 0730 HRS &
959 2446 HEPATITIS C ANTIBODIES 1500 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) SAME DAY
,>7DAYS -20°C 1530 HRS
(CMIA)
HEPATITIS C VIRUS
960 7473 8000 PCR-SEQUENCING PLASMA- EDTA 3.0 (2.0) ML F DAILY: 0930 HRS 3RD DAY: 1900 HRS
GENOTYPING
HEPATITIS C VIRUS RNA PCR, REAL TIME POLYMERASE CHAIN
961 7516A 4400 PLASMA- EDTA 2.0 ML (1.0 ML) F DAILY:0800 HRS NEXT DAY 1800 HRS
QUALITATIVE REACTION
HEPATITIS C VIRUS RNA
962 9891 9000 COBAS TAQMAN PLASMA- EDTA 4.0 ML (3.0 ML) F DAILY 8.00 A.M NEXT DAY :20:00 hrs
QUANTITATIVE
HEPATITIS C VIRUS RNA,
963 7486 9000 COBAS TAQMAN PLASMA EDTA 3.0 ML (2.5 ML) F DAILY 8.00 A.M NEXT DAY :20:00 hrs
QUANTITATIVE
2-8º C (7
HEPATITIS DELTA VIRUS IgG Enzyme Linked Immnunosorbent
964 2458 2600 SERUM 2.0 ML (1.0 ML) days), >7 days- 2: 1100 HRS SAME DAY
ANTIBODIES assay
20 °C
2-8º C (7
HEPATITIS E VIRUS IgG Enzyme Linked Immnunosorbent
965 2466G 1800 SERUM 1.0 ML (0.5 ML) days), >7 days- 3: 1130HRS SAME DAY
ANTIBODIES assay
20 °C
2-8º C (7
HEPATITIS E VIRUS IgM Enzyme Linked Immnunosorbent
966 2466M 1800 SERUM 1.0 ML (0.5 ML) days), >7 days- DAILY: 1130 HRS SAME DAY
ANTIBODIES assay
20 °C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
967 2464 HEPATITIS G VIRUS RNA 6500 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 2.0ML F FRI:1030 HRS TUE: 1800 HRS

HEPATITIS PANEL- ACUTE DAILY: 0730 HRS &

Chemiluminescent Microparticle 2-8°C (7 DAYS)
HEPATITIS VIRUS EVALUATION 1530 HRS, EXCEPT
968 7756 4100 Immunoassay (CMIA) + ENZYME SERUM 3.0 ML (2.0 ML) ,>7 DAYS - SAME DAY
I (HCV ABS, HEV IgM, HBsAg, FOR HEV IgM. DAILY
IMMUNOASSAY 20°C
HAV IgM, HBcore IgM) 1130 HRS

DAILY: 0730 HRS &

HEPATITIS PANEL- ACUTE 1530 HRS, EXCEPT
HEPATITIS VIRUS EVALUATION Chemiluminescent Microparticle 2-8°C (7 DAYS) FOR HEV IgM. DAILY
969 7755 II (HCV ABS, HEV IgM / IgG, 6300 Immunoassay (CMIA) + ENZYME SERUM 3.0 ML (2.0 ML) ,>7 DAYS - 1130 HRS AND HEV SAME DAY
HBsAg, HAV IgM, HBeAg, IMMUNOASSAY 20°C IGG ONLY ON
HBeAb) WEDNESDAY:1130
AM HRS
HSV IgM, CMV IgM--
HEPATITIS PANEL- ACUTE
2-8°C (7 DAYS) -DAILY:0300, EBV
HEPATITIS VIRUS EVALUATION Enzyme Linked Immnunosorbent
970 7757 5500 SERUM 3.0 ML (2.0 ML) ,>7 DAYS - (EA) IgG---2,5:1100 SAME DAY
III (HSV IgM, CMV IgM, EBV assay
20°C HRS; VZV IgM---
(EA) IgG, VZV IgM)
3:1100HRS
HEPATITIS PANEL
ANA-DAILY:1100,
AUTOIMMUNE-
IMMUNOFLOROSCENCE ASSAY/ 1530 HRS, AMA,
AUTOIMMUNE HEPATITIS
971 1019A 5900 Enzyme Linked Immnunosorbent SERUM 2.0ML R SMA-3,6:1100 HRS SAME DAY
PANEL-1 (ANA, SMA, AMA,
assay & LKM-3,6:1100
LKM-1)
HRS
HEPATITIS PANEL
IMMUNOFLOROSCENCE ASSAY / SLA-4: 1100 HRS &
AUTOIMMUNE-
972 1019B 3600 Enzyme Linked Immnunosorbent SERUM (R)+ SERUM (F) 2.0 ML+1.5 ML R/F ANCA DAILY:1100, SAME DAY
AUTOIMMUNE HEPATITIS
assay 1500 HRS
PANEL-2 (ANCA , SLA)
HEPATITIS SCREENING PANEL AUTOMATED CELL DAILY 18:30HRS
EDTA WB :
(CBC,SGPT, SGOT, TOTAL COUNTER/SPECTROPHOTOMET DAILY FOR CBC 7.30
EDTA WB + DIRECT SMEARS + SERUM 10- 3.0 ML (2.0 ML) + 2 ambient
BILIRUBIN,DIRECT RY/ELISA/ENZYME HRS(HBsAg &HAV
973 5011 3000 12 HRS FASTING (AGE & GENDER IS SMEARS + SERUM /R/F, SERUM SAME DAY
BILIRUBIN,INDIRECT IMMUNOASSAY/CHEMILUMINES IgM:0730 am/15.30
MANDATORY) 2.0 ML 2-8°C (2 days);
BILIRUBIN,HBsAg,HAV CENT MICROPARTICLE pm and HEP E IGM:
F (> 2 days)
IgM,HEP E IGM.) IMMUNOASSAY (CMIA) Daily :1130 pm)

TISSUE IN 10%FORMALIN FOR 24-48

HRS/ PARAFFIN BLOCK+ SITE OF BIOPSY
AND CLINICAL DETAILS MANDATORY.IF
HER-2 / neu ONCOPROTEIN (C-
974 Z004K 2400 IMMUNOHISTOCHEMISTRY TISSUE RECEIVED IT WILL BE CHARGED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ERB B2)
FOR TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
MONDAY 09:00HRS
HER-2 NEU (> 2 BLOCKS) - match the site of the tissue MORE THAN 2
975 7205 2300 IHC A TO SATURDAY 8 DAYS
CoE Histopathlogy sample/Paraffin Block numbers belongs BLOCKS
09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
HER-2 NEU REPORTED - CoE match the site of the tissue
976 7200 1900 IHC UPTO 2 AMBIENT Daily 09:00hrs 8 days
Histopathlogy sample/Paraffin Block numbers belongs
to the same patient or not. If not
received, will be created as a problem
sample.

BIOPSIES SOULD BE FIXED FOR 24-48

HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE
SHOULD BE 4 MICRONS THICK & PLACED
ON POSITIVELY CHARGED SLIDES. 3
977 6006F HER2/neu 12500 FISH NOT APPLICABLE A DAILY: 7:00 HRS 5TH DAY
SLIDES / SAMPLES CONTAINING
MALIGNANT TISSUE. * TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.* CLINICAL
DETAILS IN SPECIFIED FORMAT
DAILY:0930 HRS
Hereditary Cancer Panel- EDTA WHOLE BLOOD + CLINICAL
978 RD1482 72000 Next Generation Sequencing 6.0 ML ( 4.0 ML) A (EXCEPT SUNDAY 42 Days
Expanded HISTORY
AND HOLIDAYS)
DAILY:0930 HRS
EDTA WHOLE BLOOD + CLINICAL
979 RD1481 Hereditary Cancer Panel-Next 35000 Next Generation Sequencing 6.0 ML ( 4.0 ML) A (EXCEPT SUNDAY 42 Days
HISTORY
AND HOLIDAYS)
980 RD1449 Hereditary Pancreatitis Panel 105000 PCR Sequencing EDTA WHOLE BLOOD 6ML A 1, 10.30 am 45 DAYS
2-8º C (4
HERPES SIMPLEX VIRUS 1&2 Enzyme Linked Immnunosorbent
981 9454 2000 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
IGG, ABS assay
DAYS- 20 °C
HERPES SIMPLEX VIRUS DNA
982 7581 5500 REAL TIME PCR CSF / SERUM 1.0 ML (0.5 ML) A/R 2,4,6 :9.00 HRS 3,5,1 : 19.00 HRS
DETECTOR
2-8º C (4
HERPES SIMPLEX VIRUS IgG Enzyme Linked Immnunosorbent
983 9451 950 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 1 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS IgG Enzyme Linked Immnunosorbent
984 9461 950 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 2 ANTIBODIES assay
DAYS- 20 °C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (4
HERPES SIMPLEX VIRUS IgM Enzyme Linked Immnunosorbent
985 9456 950 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 1 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS IgM Enzyme Linked Immnunosorbent
986 9466 950 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 2 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS TYPES Enzyme Linked Immnunosorbent
987 8051 1950 SERUM 3.0 ML (1.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
1& 2 IgG & IgM ANTIBODIES assay
DAYS- 20 °C
HERPES SIMPLEX VIRUS TYPES 2-8º C (4
Enzyme Linked Immnunosorbent
988 9471P 1& 2 IgM ANTIBODIES 1200 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
assay
(COMBINED) DAYS- 20 °C
HETEROPHILE ANTIBODIES 2-8°C (2 DAYS)
LATEX PARTICLE
989 2116 (HA) (INFECTIOUS 1550 SERUM 1.0 ML (0.5 ML) ,>2 DAYS - DAILY: 1730HRS SAME DAY
AGGLUTINATION
MONONUCLEOSIS) 20°C
990 RD1459 HFE gene mutations 7700 PCR Sequencing EDTA WHOLE BLOOD 6 ML AMBIENT 1,10AM 10 days
2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS- 8
HIGH SENSITIVE C-REACTIVE
991 1537D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) MONTHS, IF F DAILY : 18:00 HRS SAME DAY
PROTEIN (hsCRP)
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

HIRSUTISM EVALUATION
PANEL (DHEA, SERUM
Testosterone (Total and Free), 2-8°C (24
RADIOIMMUNOASSAY/CHEMILU SERUM (AGE+GENDER TO BE
992 1010 LH, FSH, Sex Hormone Binding 5600 5.0 ML (3.0 ML) HRS); F (>24 3,6:1300 HRS SAME DAY
MINECENCE MENTIONED+CLINICAL HISTORY
Globulin, 17 HRS)
hydroxyprogeSTerone)

HIRSUTISM SCREENING PANEL

RADIOIMMUNOASSAY/CHEMILU SERUM (Age+Gender to be 2-8°C (24 hrs);
993 1009 (DHEA, Testosterone (Total 3700 2.0 ML (1.0 ML) 3,6:1300 HRS SAME DAY
MINECENCE mentioned+CLINICAL HISTORY) F ( >24 hrs)
and Free)

994 8182 HISTAMINE 6600 ELISA EDTA PLASMA 3.0 ML ( 2.0 ML) FROZEN TUESDAY 0900 HRS 4TH DAY
HISTOPATH + IgG + IgA + IgM TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
995 1528 + C-3 + C1q + FIBRINOGEN ON 4200 (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
TISSUE + CLINICAL HISTORY
TISSUE in 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
996 9237RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC- BONE BIOPSY
&CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
997 9244RFX 5200 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC PANEL - OTHERS
&CLINICAL DETAILS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HISTOPATH REFLEX TO TISSUE in 10% BUFFERED FORMALIN
998 9239RFX CUSTOM IHC PANEL - 1900 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
PROSTATE &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
999 9241RFX CUSTOM IHC PANEL -BONE 4000 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
MARROW &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1000 9242RFX CUSTOM IHC PANEL -BRAIN 4000 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BIOPSY &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1001 9243RFX CUSTOM IHC PANEL -LIVER 3750 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BIOPSY &CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1002 9240RFX 1900 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC- UTERUSBIOPSY
&CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1003 9238RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC-BREAST BIOPSY
&CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1004 9235RFX CUSTOM IHC-ENDOBROCHIAL 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BX &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1005 9236RFX CUSTOM IHC-GI ENDOSCOPIC 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BX &CLINICAL DETAILS
HISTOPATHOLOGY & IHC;
6500 IMMUNOHISTOCHEMISTRY
COMPLETE DISGNOSIS WITH
1006 Z009K PARAFFIN BLOCKS (PLEASE LET US
SPECIAL STAINS & IHC (AS
KNOW THE SITE OF BIOPSY & CLINICAL
AND WHEN NEEDED)
DETAILS)
TISSUE
1 CM / IN 10% BUFFERED FORMALIN
1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
HISTOPATHOLOGY REFLEX TO
1007 9234RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC PANEL - COLON
&CLINICAL DETAILS
HISTOPATHOLOGY REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1008 9233RFX CUSTOM IHC - 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
ENDOMETRIUM &CLINICAL DETAILS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

TISSUE IN FORMALIN.CLINICAL DETAILS,

SITE OF THE TISSUE, PATHOLOGY
REPORTS ALONG WITH THE SPECIMEN
WILL BE REQUIRED. IF IT IS A BONE
MARROW SPECIMEN, CBC REPORT WILL
ALSO BE REQUIRED AND FOR BONE
HISTOPATHOLOGY REVIEW - MONDAY TO
1009 4062 8800 HISTOPATHOLOGY SPECIMEN, WILL ALSO REQUIRE MRI & X- ONE BIOPSY SITE AMBIENT 8 DAYS
CoE Histopathlogy FRIDAY 09:00HRS
RAY OF THE PATIENT. IF THE PARAFFIN
BLOCKS OF THE TISSUE ARE TO BE
RETURNED BACK TO THE CLIENT ALONG
WITH THE REPORT, A REQUEST LETTER
FROM THE REFERRING DOCTOR WILL BE
REQUIRED ALONG WITH THE SPECIMEN.

3.0 (2.0) ML PLASMA

EDTA + WB-EDTA - VIRAL load NEXT DAY:
HIV MONITOR (Viral Load, Abbott m2000 , FLOW PLASMA- EDTA (F); WB-EDTA, WB- DAILY 0800 HRS;
1010 DT4202 7200 3.0 (2.0) ML, WB- F/A CD4/CD8 :1800 HRS; SAME
CD4 / CD8) CYTOMETRY HEPARIN(WB TO REACH WITHIN 48 HRS) DAILY: 1530 HRS
HEPARIN - 3.0 (2.0) DAY
ML

F-HIV-1 VIRAL
3.0 (2.0) ML + WB- LOAD;
6: 1000HRS (FOR VIRAL LOAD NEXT DAY :
HIV ROCHE COBAS MONITOR Abbott m2000, FLOW PLASMA- EDTA (F); WB-EDTA, WB- EDTA - 3.0 (2.0) ML, CD4/CD8:
1011 DT4204 10500 MOLBIO); DAILY: 1800 HRS; CD4/CD8 :1800
(Viral Load, CD4 / CD8) CYTOMETRY HEPARIN (WB TO REACH WITHIN 48 HRS) WB-HEPARIN - 3.0 EDTA A 48
1530 HRS (FLOW) HRS; SAME DAY
(2.0) ML HRS; HEPARIN
A 96 HRS
HIV-1 DNA
1012 9885B 3750 POLYMERASE CHAIN REACTION WB-EDTA/ACD 5.0 ML (3.0 ML) A/R 1,3,5:1000 HRS SAME DAY 1800 HRS
DETECTOR,QUALITATIVE
1013 9939 HIV-1 GENOTYPIC RESISTANCE 16000 PCR-SEQUENCING EDTA-PLASMA + CLINICAL HISTORY 5.0 ML (3.0 ML) F 1:0930 HRS 10 DAYS
PLASMA EDTA (F) / *WB- EDTA / 3.0 ML (2.0 ML) + 3.0 Viral Load : NEXT DAY:
Abbott m2000 , FLOW DAILY 0800 HRS;
1014 DT4206 HIV-1 REAL TIME MONITOR 6300 HEPARIN (* SAMPLE TO REACH LAB ML (2.0 ML) + 3.0 ML F+A+A 1800 HRS; CD4/CD8 :1800
CYTOMETRY DAILY: 1530 HRS
WITHIN 48 HRS) (2.0 ML) HRS; SAME DAY
1015 9885 HIV-1 VIRAL Load 5700 Abbott m2000 PLASMA- EDTA 3.0 ML (2.0 ML) F DAILY 0800 HRS NEXT DAY: 1800 HRS
HIV-1 VIRAL LOAD BY REAL
1016 9974 5500 PCR PLASMA- EDTA 3.0 ML (2.0 ML) F 1,3,5: 8.00 A.M 2,4,6 : 20.00 hrs
TIME PCR
Monday 09:00hrs
HIV-1-RNA DETECTION
1017 7101PDK 3500 Real Time PCR EDTA PLASMA 3.0ML FROZEN to Saturday 5 DAYS
(QUALITATIVE)
09:00hrs
Tuesday, Friday,
1018 9917B HLA - A FOR HSCT 6000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 10.0 ML ( 5.0 ML) R 3RD DAY
10AM
Tuesday, Friday,
1019 4851B HLA - A B C DR FOR HSCT 22000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
Tuesday, Friday,
1020 4852B HLA - A B C DR DQ FOR HSCT 27000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HLA – A B DR DUO (PATIENT + Recipient EDTA-Whole Blood, Donor Tuesday, Friday,
1021 6150B 36000 HistoSpot SSO-PCR 5X2 ML for each R 3 days
DONOR) FOR HSCT EDTA-Whole Blood 10AM
Tuesday, Friday,
1022 9911B HLA - B FOR HSCT 6000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
Tuesday, Friday,
1023 9913B HLA - C FOR HSCT 6000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
Tuesday, Friday,
1024 9914B HLA - DQ FOR HSCT 6000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
Tuesday, Friday,
1025 4858B HLA - DR DQ FOR HSCT 10500 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
Tuesday, Friday,
1026 9915B HLA - DR FOR HSCT 6000 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
SODIUM HEPARIN WB (SAMPLE IS TO BE
COLLECTED AT LEAST AFTER 3 DAYS OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS
TO BE COLLECTED AFTER THREE WEEKS 20 ML ADDITIONAL
OF LAST BLOOD TRANSFUSION. DONOR/S, IF ANY,
MANDATORY DOCUMENTS TO BE SET OF MANDATORY
1027 1349G HLA (A,B,C) 8500 SEROLOGY ENCLOSED WITH THE SAMPLE ARE:- DOCUMENTS FOR COLD PACK Mon-Fri 11a.m. 3rd day
COMPLETELY FILLED IN HLA TRF, EACH TO BE
ADDITIONAL TRF, PHOTO I.D.PROOFS OF ENCLOSED WITH THE
PATIENT & DONOR ,DOCTOR'S SAMPLE.
PRESCRIPTION.) . APPLICABLE FOR SOLID
ORGAN TRANSPLANT ONLY(LIVER &
KIDNEY)
SODIUM HEPARIN WB (SAMPLE IS TO BE
COLLECTED AT LEAST AFTER 3 DAYS OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS
TO BE COLLECTED AFTER THREE WEEKS 20 ML ADDITIONAL
OF LAST BLOOD TRANSFUSION. DONOR/S, IF ANY,
MANDATORY DOCUMENTS TO BE SET OF MANDATORY
1028 1706G HLA (DR/DQ) 7500 SEROLOGY ENCLOSED WITH THE SAMPLE ARE:- DOCUMENTS FOR COLD PACK Mon-Fri 11a.m. 3rd day
COMPLETELY FILLED IN HLA TRF, EACH TO BE
ADDITIONAL TRF, PHOTO I.D.PROOFS OF ENCLOSED WITH THE
PATIENT & DONOR ,DOCTOR'S SAMPLE.
PRESCRIPTION.) APPLICABLE FOR SOLID
ORGAN TRANSPLANT ONLY (LIVER &
KIDNEY)
Recipient EDTA-Whole Blood, Donor Tuesday, Friday,
1029 9971GLB HLA –A B DR for HSCT 19000 Luminex 5X2 ML for each R 3 days
EDTA-Whole Blood 10AM
Tuesday, Friday,
1030 9971B HLA –A B DR for HSCT 19500 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WHOLE BLOOD . MANDATORY
DOCUMENTS TO BE ENCLOSED WITH
THE SAMPLE ARE:- COMPLETELY FILLED
1031 9971 HLA A, B, DR LOCI TYPING PCR 19000 PCR-SSO 10.0 ML ( 5.0 ML) A DAILY: 1230 HRS 3RD DAY
IN HLA TRF, ADDITIONAL TRF, PHOTO
I.D.PROOFS OF PATIENT & DONOR
,DOCTOR'S PRESCRIPTION.)
EDTA Whole Blood. Specimen should REFRIGERATE
HLA B*5701 GENOTYPING Monday 09:00hrs
reach SRL,Mumbai within 24hrs of D(Specimen
1032 4572 ABACAVIR HYPERSENSITIVITY, 5700 PCR SEQUENCING 10.0ML(5.0ML) and Wednesday 10 DAYS
collection by Monday 09:00hrs and stability: 5
B 09:00hrs
Wednesday 09:00hrs. days )
WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
1033 1350 HLA B27 (FLOWCYTOMETRY) 3000 FLOW CYTOMETRY A DAILY:1430 HRS SAME DAY 1800 HRS
WITHIN 72 HRS) ML (2.0 ML)
1034 1348 HLA B27 (PCR) 3850 POLYMERASE CHAIN REACTION WB-EDTA 3.0 ML (2.0 ML) A DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
WB-EDTA+ MANDATORY DOCUMENTS
TO BE ENCLOSED WITH THE SAMPLE
ARE:- COMPLETELY FILLED IN HLA TRF,
1035 9917 HLA Class I A LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS
TO BE ENCLOSED WITH THE SAMPLE
ARE:- COMPLETELY FILLED IN HLA TRF,
1036 9911 HLA Class I B LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS
TO BE ENCLOSED WITH THE SAMPLE
ARE:- COMPLETELY FILLED IN HLA TRF,
1037 9913 HLA Class I C LOCUS 8000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS
TO BE ENCLOSED WITH THE SAMPLE
ARE:- COMPLETELY FILLED IN HLA TRF,
1038 9914 HLA Class II DQ LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS
TO BE ENCLOSED WITH THE SAMPLE
ARE:- COMPLETELY FILLED IN HLA TRF,
1039 9915 HLA Class II DR LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
Tuesday, Friday,
1040 4849B HLA -DP & DQ for HSCT 10500 HistoSpot SSO-PCR EDTA-Whole Blood (Recipient or Donor) 5X2 ML R 3 days
10AM
EDTA WHOLE BLOOD + CLINICAL
1041 9920 HLA DQ Typing 7000 PCR-SEQUENCING 5 ML (3ML) A 1:0930 HRS 6:1830 HRS
HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC
1042 1675BO HLA-DR-PERCENT 4700 FLOW CYTOMETRY FLUIDS- EDTA/HEPARIN /SMEARS + (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
HMB-45 (MELANOMA
1043 Z062K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:8:00 HRS 3RD DAY
MARKER)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

CHEMILUMINESCENT 2-8°C (3days),

HOLO TC; ACTIVE VITAMIN
1044 9315 1700 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) > 3 DAYS (- Daily 15.30HRS SAME DAY
B12 (HOLOTRANSCOBALMIN)
(CMIA) 20°C_

FASTING FLUORIDE PLASMA WITH FLUORIDE

Daily, 10:00AM,
FASTING SERUM SIMULTANEOUSLY OF PLASMA 2-8°C
SPECTROPHOTOMETRY/ DAILY (MON TO
1045 7561 HOMA 1200 SAME DAY COLLECTION. (AGE & GENDER 2ML (1.0ML) (3 DAYS) AND NEXT DAY
CHEMILUMINESCENCE SAT): 0500, 1600
OF THE PATIENT IS MANDATORY FOR SERUM
hrs FOR INSULIN
REPORTING) FROZEN ONLY

SERUM / PLASMA-EDTA - CENTRFUGE

SAMPLES AND REMOVE SERUM OR 2-8°C (48 DAILY (MON TO
1046 3344 HOMOCYSTEINE 1350 CHEMILUMINESCENCE PLASMA FROM RED BLOOD CELLS AS 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
SOON AS POSSIBLE TO ENSURE HRS) 0500,1430,1600 hrs
ACCURATE MEASUREMENT.
HOMOCYSTEINE REFLEX VIT
B12 AND FOLIC ACID (If SERUM / PLASMA-EDTA - SEPARATE DAILY (MON TO
2-8°C (48 hrs);
1047 9203RFX Homocysteine value is high 2000 CHEMILUMINESCENCE SAMPLE IMMEDIATELY AFTER 2.0ML (1.0ML) SAT): SAME DAY
F (>48 hrs)
perform VIT B12 AND FOLIC COLLECTION. FASTING 0500,1430,1600 hrs
ACD)
SATURDAY &
URINE, RANDOM + CLINICAL HISTORY
1048 3344U HOMOCYSTEINE, URINE 1300 QUALITATIVE 20.0ML (10.0ML) FROZEN WEDNESDAY 4 DAYS
MANDATORY
09:00HRS
SATURDAY &
URINE, RANDOM. CLINICAL DETAILS OF
1049 0017LS HOMOGENTISIC ACID, URINE 900 QUALITATIVE 20.0 ML (10.0ML) FROZEN WEDNESDAY 4TH DAY
THE PATIENT IS MANDATORY.
09:00HRS
HP & BREAST PANEL
PROGNOSIS (LARGE
SPECIMEN {ONE BIG/ TWO
TISSUE IN 10%FORMALIN / PARAFIN 3 WORKING DAYS/ 7
SMALL}, DNA PLOIDY, FC,
1050 1804S 6700 IMMUNOHISTOCHEMISTRY BLOCK + SITE OF BIOPSY AND CLINICAL 1 CM / 1 BLOCK A DAILY:0800 HRS WORKING DAYS FOR DNA
BLOCK {DNA AND CELL
DETAILS MANDATORY PLOIDY
CYCLE}, ESTROGEN
RECEPTOR, PROGESTERONE
RECEPTOR, Her-2/neu IHC)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN FORMALIN/2BLOCKS & 2
HP REVIEW WITH CMV STUDY SLIDES.CLINICAL DETAILS, SITE OF THE MONDAY TO
1051 7197 2500 HISTOPATHOLOGY NOT APPLICABLE AMBIENT 8 DAYS
BY DR.ANJALI AM TISSUE, PATHOLOGY REPORTS ALONG FRIDAY 09:00HRS
WITH THE SPECIMEN WILL BE REQUIRED.

GENITAL SWABS – 2
GENITAL SWABS / LBC SAMPLE/
SWABS, FORMALIN
FORMALIN FIXED TISSUE PARAFFIN
FIXED TISSUE
1052 1820 HPV DNA DETECTOR 1699 POLYMERASE CHAIN REACTION BLOCKS / CERVICAL/ ORAL SCRAPINGS A 2,4,6 :9.00 HRS 3,5,1 19:00 HRS
PARAFFIN BLOCKS –
ON SLIDES -AIR DRIED + CLINICAL
0.5 GM, CERVICAL
HISTORY (AGE & SEX)
SLIDES- 3

SMEARS -4 (2 FIXED
FOR PAP + 2 AIR
DRIED FOR HPV)
FIXED UNSTAINED SMEARS (FOR PAP)
+
AND
DAIILY:1530 (PAP
GENITAL SWABS / CERVICAL SCRAPINGS NEXT DAY FOR PAP SMEAR
HPV DNA Detector & PAP POLYMERASE CHAIN REACTION GENITAL SWABS – 2 SMEAR) & 2,4 & 6:
1053 1821 2800 ON SLIDES (FOR HPV-PCR) A & 3,5,1 : 1900 hrs FOR HPV
Smear / CYTOLOGY SWABS OR 0900 HRS (HPV-
+ DNA DETECTOR
FORMALIN FIXED PCR)
SITE OF COLLECTION
TISSUE/PARRAFIN
CLINICAL HISTORY & AGE & SEX
BLOCK-1 OR
ENDOCERVICAL
SCRAPPINGS/
SWABS
LBC SAMPLES/ CERVICAL SWABS /
CERVICAL SCRAPINGS / CERVICAL BIOPSY
1054 1819 HPV TYPING BY SEQUENCING 2200 PCR-SEQUENCING 1/1/1/1 A 4: 0930 HRS 1 19:00 HRS
IN STERILE VIAL / PARAFFIN BLOCK +
CLINICAL HISTORY
2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS- 8
hSCRP (HIGH SENSITIVE C-
1055 1537D 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) MONTHS, IF F DAILY : 18:00 HRS SAME DAY
REACTIVE PROTEIN
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
1056 7581 HSV DNA DETECTOR 5500 REAL TIME PCR CSF / SERUM 1.0 ML (0.5 ML) A/R 2,4,6 :9.00 HRS 3,5,1 : 19.00 HRS
2-8º C (3
Enzyme Linked Immnunosorbent 1.0 ML (0.5 ML) + 1.0
1057 7781 HTLV I & II ANTIBODIES 5200 SERUM DAYS), >3 5:1030 HRS SAME DAY
assay ML (0.5 ML)
DAYS- 20 °C
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
1058 9979 h-tTG/DGP 2000 SERUM 2.0 ML (1.0 ML) -20°C (>48 3,6 : 1000 HRS SAME DAY
assay
hrs)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
HUMAN CHORIONIC SERUM ( AGE + GENDER + LMP + 2-8°C (7 days);
1059 3184 800 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
GONADOTROPIN CLINICAL HISTORY REQUIRED ) F (2 Months)
0500,1430,1600 hrs
HUNTINGTON DISEASE
1060 RD1409 6000 PCR / Fragment Analysis EDTA WHOLE BLOOD + clinical history 10.00 ML AMBIENT 3: 0930 HRS 9 DAYS
MOLECULAR ANALYSIS
HYBRID CAPTURE 2 HIGH RISK LBC/THINPREP, SUREPATH, DIGENE Only Wednesday at
1061 1823 3100 Diagen DNA Hybrid Capture 5ML A Same day
HPV DNA TEST CERVICAL SAMPLER 8:00 am
2: 1100 (ASCA IgA
A/R AND
AND
IBD SCREENING PANEL (ASCA STRICTLY
Enzyme Linked Immnunosorbent IgG)DAILY:1100,
1062 1020 IgA, ASCA IgG, ANCA) 4000 SERUM 2 ML FROZEN FOR SAME DAY
assay / IMMUNOFLOROSCENCE 1530 HRS (ANCA),
ASCA IgG &
HRS
IgA required

PURE & MODERATE

IDENTIFICATION - GRAM
1063 1282GNID 1150 IDENTIFICATION BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
NEGATIVE ORGANISM
GROWTH

PURE & MODERATE

IDENTIFICATION - GRAM
1064 1281GPID 1100 IDENTIFICATION BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
POSITIVE ORGANISM
GROWTH

TISSUE IN 10%FORMALIN / PARAFFIN

IDH1 AND IDH2 GENE BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X WEDNESDAY:1000
1065 RD1475 6500 PYROSEQUENCING A 10 DAYS
MUTATIONS DETAILS MANDATORY IF TISSUE RECD. 0.5 CM HRS
TISSUE PROCESSING WILL BE CHARGED

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1066 1506D IgA 950 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30hrs SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
TISSUE IN MICHEL'S TRANSPORT MEDIA
1067 1523P IgA ON TISSUE - PHOTO 1300 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
TISSUE IN MICHEL'S TRANSPORT MEDIA
1068 1523 IgA, IFA 2200 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
2-8°C (8
DAYS); F (> 8
IgA, IgM & IgG 10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1069 1045 IMMUNOGLOBULIN, 2200 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
QUANTITATIVE MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB- EDTA | BM / WB- HEPARIN / BM/ 3-4 CC (1CC) / 3-4 CC
1070 1675BI IgD HEAVY CHAIN (SURFACE) 3000 FLOW CYTOMETRY EDTA FLUID /HEPARIN FLUID /SMEARS + (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)

DAILY (MON TO
SERUM + CLINICAL HISTORY (Age is 2-8°C (48 hrs);
1071 1245E IgE, TOTAL 1150 EIA 1.0 ML (0.5 ML) SAT): SAME DAY
Mandatory for reporting) F (>48 hrs)
0500,1430,1600 hrs

SERUM (AGE AND GENDER 2-8°C (24 HRS) 3,5:

1072 3960 IGF BINDING PROTEIN-3 4300 CHEMILUMINESCENCE 2.0 ML SAME DAY
MANDATORY) ; F (3 Months) 0500,1430,1600 hrs

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1073 1505D IgG 950 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
IgG + IgA + IgM + C-3 + C1q + IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA
1074 1527 4500 1CM A DAILY: 1000 HRS 4 WORKING DAYS
FIBRINOGEN ON TISSUE HP + CLINICAL HISTORY
IgG + IgA + IgM + C-3 + C1q +
IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA
1075 1527P FIBRINOGEN ON TISSUE - 4200 1CM A DAILY: 1000 HRS 4 WORKING DAYS
HP + CLINICAL HISTORY
PHOTO
WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC
1076 1675BE IgG HEAVY CHAIN (SURFACE) 2750 FLOW CYTOMETRY EDTA / HEP FLUIDS/SMEARS + CLINICAL (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
HISTORY / 3-4 CC (1CC)
TISSUE IN MICHEL'S TRANSPORT MEDIA
1077 1522P IgG ON TISSUE - PHOTO 1500 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
(IFA) + CLINICAL HISTORY
CSF+CLINICAL HISTORY (AGE & GENDER
1078 2441 IgG, CSF 1800 NEPHELOMETRY 2.0 ML (1.0 ML) 2-8°C (8 DAYS) 1,4 : 1200 HRS 3 RD DAY
IS MANDATORY)
TISSUE IN MICHEL'S TRANSPORT MEDIA
1079 1522 IgG, IFA 2200 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1080 9548 IGG1 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1081 9548A IGG2 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1082 9548B IGG3 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F
1083 9548C IGG4 7250 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 4 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1084 1508D IgM 950 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

3-4 CC (1CC) / 3-4 CC

WB- EDTA | BM / WB- HEPARIN | BM /
1085 1675BG IgM HEAVY CHAIN (SURFACE) 2750 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
FLUIDS/SMEARS + CLINICAL HISTORY
/ 3-4 CC (1CC)
TISSUE IN MICHEL'S TRANSPORT MEDIA
1086 1524P IgM ON TISSUE - PHOTO 1500 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
TISSUE IN MICHEL'S TRANSPORT MEDIA
1087 1524 IgM, IFA 2200 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
+ CLINICAL HISTORY
1088 RD1428 IgVH GENE MUTATION 8700 DNA sequencing BONE MARROW EDTA/WB EDTA) 4.0 ML + 2.0 ML A 4: 0930 HRS 7 DAYS
IHC (PHOTO), TISSUE / TISSUE FIXED IN 10%FORMALIN /
1089 P0003 300 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:800 HRS 3 WORKING DAYS
PARAFFIN BLOCK PARAFFIN BLOCK
Ambient/FRO
1090 RD1436 IL28B Genotyping 5000 PCR Sequencing WB EDTA/EDTA PLASMA 3-5 ml 3:0930 HRS 5 DAYS
ZEN
2ND AND 4TH
1091 9949 IL-6 (INTERLUEKIN-6) 3300 ENZYME IMMUNOASSAY SERUM 1.0 ML(0.5 ML) FROZEN -20°C SAME DAY 1900 HRS
WED:1000 AM
IMMUNO FLUORESCENT
ASSAY (IgG + IgA + IgM + C-3 + IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA
1092 1527P 4200 1CM A DAILY: 1000 HRS 4 WORKING DAYS
C1q + FIBRINOGEN ON TISSUE HP + CLINICAL HISTORY
)- PHOTO
IMMUNO FLUORESCENT
ASSAY (IgG + IgA + IgM + C-3 + IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA
1093 1527 4500 1CM A DAILY: 1000 HRS 4 WORKING DAYS
C1q + FIBRINOGEN ON HP + CLINICAL HISTORY
TISSUE)
2-8°C (7
IMMUNOFIXATION SERUM (CLINICAL HISTORY, AGE &
1094 3125 7000 IMMUNOELECTROPHORESIS 1.0 ML (0.8 ML) DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS GENDER IS MANDATORY )
30 DAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
IMMUNOFIXATION
1095 3125C 6500 IMMUNOELECTROPHORESIS CSF + CLINICAL HISTORY 5.0 ML DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS, CSF
30 DAYS)
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
2-8°C (7
IMMUNOFIXATION COLLECTION) +
1096 3125U 7500 IMMUNOELECTROPHORESIS 20.0 ML (15.0 ML) DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS, URINE MENTION 24 HRS. TOTAL URINE VOLUM
30 DAYS)
E ON TRF ALONG WITH PATIENT AGE, GE
NDER AND CLINICAL HISTORY DETAILS.

DRY BLOOD SPOT with complete

IMMUNOREACTIVE CLINICAL HISTORY form including birth
Enzyme Linked Immnunosorbent 2-8°C (14
1097 3307 TRYPSINOGEN (NEONATAL 450 date & birth time.(Dried Blood spot 2 (1) 1,4:1030 HRS NEXT DAY
assay DAYS)
SCREENING) should be ideally collected within 3rd
and 5th day of life after birth)

INFECTIOUS
MONONUCLEOSIS (EPSTEIN
2-8º C (2
BARR VIRUS ANTIBODIES Enzyme Linked Immnunosorbent
1098 2066 6500 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
TETRA PANEL {(EBV (VCA) IgG, assay
DAYS- 20 °C
EBV(VCA) IgM),EBV(EA)
IgG])& EBV (NA) IgG

INFECTIOUS
2-8º C (2
MONONUCLEOSIS (EPSTEIN Enzyme Linked Immnunosorbent
1099 2126EG 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
BARR VIRUS EARLY ANTIGEN assay
DAYS- 20 °C
IgG ANTIBODIES, EBV (EA))
INFECTIOUS
MONONUCLEOSIS (EPSTEIN 2-8º C (2
Enzyme Linked Immnunosorbent
1100 2266EG BARR VIRUS NUCLEAR 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
ANTIGEN IgG ANTIBODIES, DAYS- 20 °C
EBV (NA))
INFECTIOUS
MONONUCLEOSIS (EPSTEIN 2-8º C (2
Enzyme Linked Immnunosorbent
1101 2266EM BARR VIRUS NUCLEAR 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
ANTIGEN IgM ANTIBODIES, DAYS- 20 °C
EBV (NA))
INFECTIOUS
MONONUCLEOSIS (EPSTEIN 2-8º C (2
Enzyme Linked Immnunosorbent
1102 2116EG BARR VIRUS VIRAL CAPSID 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
ANTIGEN IgG ANTIBODIES, DAYS- 20 °C
EBV (VCA))
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
INFECTIOUS
MONONUCLEOSIS (EPSTEIN 2-8º C (2
Enzyme Linked Immnunosorbent
1103 2116EM BARR VIRUS VIRAL CAPSID 2050 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
ANTIGEN IgM ANTIBODIES, DAYS- 20 °C
EBV (VCA))
INFECTIOUS
2-8°C (2 DAYS)
MONONUCLEOSIS LATEX PARTICLE
1104 2116 1550 SERUM 1.0 ML (0.5 ML) ,>2 DAYS - DAILY: 1730HRS SAME DAY
(HETEROPHILE ANTIBODIES AGGLUTINATION
20°C
(HA))
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1105 9609I INFLUENZA VIRUS A IgG 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1106 9610I INFLUENZA VIRUS A IgM 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1107 9605I INFLUENZA VIRUS B IgG 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1108 9607I INFLUENZA VIRUS B IgM 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8°C (48
DAILY (MON TO
1109 3983 INHIBIN A (DIMERIC) 2100 CHEMILUMINESCENCE SERUM + CLINICAL HISTORY 1.0 ML (0.5 ML) HRS); F (>48 SAME DAY
SAT) 1430 hrs
HRS)
2-8°C (24
1110 3339 INHIBIN B 2300 ENZYME IMMUNOASSAY SERUM 2.0 ML (1.0)ML HRS),>24 HRS - 4:1100 HRS SAME DAY 1900 hrs
20°C
4:1000 HRS FOR
Inhibin B,
INHIBIN B,LH, FSH & Prolactin 2-8°C < 24
ENZYME IMMUNOASSAY/ SERUM (Age+Gender to be DAILY (MON TO
1111 1013 (Inhibin B, LH, FSH, & 3100 3.0 ML (1.0 ML) HRS) ; F ( > 24 SAME DAY
CHEMILUMINESCENCE mentioned+CLINICAL HISTORY) SAT): 0500, 1900
Prolactin) HRS )
hrs for LH,FSH &
Prolactin.
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
INHIBIN
1112 Z0149K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (24
INSULIN LIKE GROWTH 3,5:
1113 3194 4500 CHEMILUMINESCENCE SERUM 2.0 ML (1.0)ML HRS); F (3 SAME DAY
FACTOR-1 (IGF-1) 0500,1430,1600 hrs
Months)
FASTING SERUM ( ORAL HYPOGLYCEMIC
AGENTS/ SUREPTITIOUS INSULIN CAUSES 2-8°C (24 DAILY (MON TO
1114 3192 INSULIN, Serum (Fasting) 1000 CHEMILUMINESCENCE ELEVATED INSULIN VALUE, FREEZE THE 1.0 ML (0.5 ML) HRS); F (>24 SAT): SAME DAY
SAMPLE IMMEDIATELY AFTER HRS) 0500,1430,1600 hrs
SEPARATION)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PP SERUM ( ORAL HYPOGLYCEMIC
AGENTS/ SURREPTITIOUS INSULIN 2-8°C (24 DAILY (MON TO
INSULIN, Serum (POST-
1115 3192A 1000 CHEMILUMINESCENCE CAUSES ELEVATED INSULIN VALUE, 1.0 ML (0.5 ML) HRS); F (>24 SAT): SAME DAY
PRANDIAL)
FREEZE THE SAMPLE IMMEDIATELY HRS) 0500,1430,1600 hrs
AFTER SEPARATION)
2-8°C ( < 48
Enzyme Linked Immnunosorbent
1116 9919I INTRINSIC FACTOR IgG 2600 SERUM 0.500 ML (0.250 ML) hrs) ; F ( > 48 5: 1030 HRS SAME DAY
assay
hrs )
BONE MARROW OR WB SODIUM
HEPARIN SPECIMEN TO REACH US WITH
48 HRS + CLINICAL HISTORY [PLEASE
1117 6015F Inv(16) 6000 FISH MENTION THE CLINICAL HISTORY, BLOOD 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
EDTA WHOLE BLOOD / EDTA BONE
1118 RD1310 JAK2 EXON 12 MUTATION 6500 PCR-SEQUENCING MARROW + CLINICAL HISTORY IN 5 ML (3ML) A 1,5: 0930 HRS 7 DAYS
SPECIFIED FORMAT
EDTA WHOLE BLOOD / EDTA BONE
JAK2 V617F MUTATION 5 ML (3 ML)/5 ML (3
1119 8386 6500 REAL TIME PCR MARROW + CLINICAL HISTORY IN A 1,3, 5: 0930 HRS 4, 6, 2 : 1830 HRS
DETECTION ML)
SPECIFIED FORMAT
JAPANESE ENCEPHALITIS
1120 RD1420 3700 RT-PCR- Sequencing CSF 3.0 ML F 1,4:9.30HRS 3,6: 18.00 HRS
VIRUS- RT-PCR
1121 RD1471 JC VIRUS (QUANTITATIVE) 7500 Real time PCR CSF/SERUM/EDTA PLASMA/URINE 3 ML FROZEN 1,4 09:00HRS 5,1 reporting 6pm
SERUM/
PLASMA –
JC/BK DNA PCR EDTA PLASMA,/CSF/ URINE + CLINICAL FROZEN, CSF –
1122 9937 6200 POLYMERASE CHAIN REACTION 5 ML (3ML) 1,4 0930 HRS 5,1:1830 HRS
(QUALITATIVE) HISTORY REFRIGERATE
D; OTHERS
AMBIENT
2-8°C (14
1123 1208 JO-1 IgG ANTIBODIES 2600 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (3
1124 9074 KALA-AZAR 1800 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML DAYS),>3 DAILY: 1530 HRS SAME DAY
DAYS -20 °C
10 -12 HRS FASTING SERUM + CLINICAL
2-8°C (21
1125 1661 KAPPA FREE LIGHT CHAIN 3000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
DAYS)
MANDATORY)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1126 Z031K KAPPA LIGHT CHAIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
24 HRS URINE SAMPLES WITHOUT
PRESERVATIVE & REFRIGERATE DURING
KAPPA LIGHT CHAIN
1127 1661U24 4000 NEPHELOMETRY COLLECTION+ CLINICAL HISTORY, AGE & 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
QUANTITATIVE, 24 hrs. URINE
GENDER IS MANDATORY (MENTION 24
HRS URINE VOLUME)
KAPPA LIGHT CHAIN
RANDOM URINE + CLINICAL HISTORY,
1128 1661U QUANTITATIVE, URINE 4000 NEPHELOMETRY 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
AGE & GENDER IS MANDATORY
RANDOM
BONE MARROW/WB WB (≥70% blast
cell) SODIUM HEPARIN SPECIMEN TO
Karyotyping Reflex to BCR-
REACH US WITHIN 48 HRS + CLINICAL
ABL (FISH). CML
1129 9245RFX 5400 CELL CULTURE/FISH HISTORY IN SPECIFIED FORMAT, BLOOD 2-3 ML A Mon-Fri 7:00 HRS 12 working days
and BCR/ABL suspected ALL
PICTURE(CBC REPORT) AND MEDICATION
cases
OF THE PATIENT ON THE TRF IN
SPECIMEN COLUMN
WB-SODIUM HEPARIN SPECIMEN TO
REACH US WITHIN 48 HRS + FAMILY
KARYOTYPING: BLOOD
1130 5814B 3600 CELL CULTURE HISTORY + CLINICAL HISTORY IN 5.0 ML (3.0 ML) A DAILY:7:00 HRS 12 WORKING DAYS
LYMPHO CULTURE
SPECIFIED FORMAT + DETAILED
PHYSICAL FEATURES
BONE MARROW WB SODIUM HEPARIN
SPECIMEN TO REACH US WITHIN 48 HRS
KARYOTYPING:
+ CLINICAL HISTORY IN SPECIFIED
1131 5800 CHROMOSOME ANALYSIS IN 4200 KARYOTYPE CELL CULTURE 4.0 ML (1.5 ML) A DAILY7:00 HRS 12 WORKING DAYS
FORMAT, BLOOD PICTURE(CBC REPORT)
HEMATOLOGICAL DISORDERS
AND MEDICATION OF THE PATIENT ON
THE TRF IN SPECIMEN COLUMN

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
1132 Z006K KI-67 (Proliferating Cells) 3000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
KIDNEY BIOPSY &
IMMUNOFLUORESCENT
TISSUE IN MICHEL'S TRANSPORT MEDIA
ASSAY; (HISTOPATH + IgG + IMMUNO FLUORESCENT ASSAY /
1133 1528P 4200 (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM A DAILY: 1000 HRS 7 WORKING DAYS
IgA + IgM + C-3 + C1q + HP
+ CLINICAL HISTORY
FIBRINOGEN ON TISSUE )
PHOTO
KIDNEY BIOPSY &
IMMUNOFLUORESCENT TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
1134 1528 ASSAY; (HISTOPATH + IgG + 4200 (IFA) + 10% FORMALIN FIXED TISSUE (HP) 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
IgA + IgM + C-3 + C1q + + CLINICAL HISTORY
FIBRINOGEN ON TISSUE)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE FIXED IN 10% BUFFERED
FORMALIN + SITE OF BIOPSY + CLINICAL
KIDNEY BIOPSY REFLEX TO IFA
IMMUNO FLUORESCENT ASSAY / DETAILS (RENAL FAILURE TEST, LAB
1135 9205RFX + IgG / IgA / IgM / 2800 1CM + 1 CM A DAILY: 1100 HRS 7 WORKING DAYS
HP INVESTIGATIONS, 24 HRS URINE
C3/C1Q/FIBRINOGEN
PROTEIN) AND TISSUE IN MICHEL'S
TRANSPORT MEDIA
KIDNEY STONE SAMPLE ( WITH OR
1136 4161 KIDNEY STONE ANALYSIS 1400 CHEMICAL ANALYSIS 0.5GMS R 2 & 5: 1100 hrs SAME DAY
WITHOUT D/W OR NORMAL SALINE)
Kidney stone analysis by FTIR
1137 4162 (TEST IS DONE IN GURGAON 1400 FTIR STONE ENTIRE STONE AMBIENT Daily Same Day
LAB)
TISSUE IN 10%FORMALIN / PARAFFIN
KRAS codon 61 Mutation BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X
1138 RD1315 5500 PCR – Sequencing A 2:0930 HRS 9 DAYS
Detection DETAILS MANDATORY IF TISSUE RECD. 0.5 CM
TISSUE PROCESSING WILL BE CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
DETAILS MANDATORY IF TISSUE RECD. 0.5 cm X 0.5 cm X Monday, Thursday:
1139 RD1307 KRAS MUTATION DETECTION 7500 PYROSEQUENCING A 5th working days
TISSUE PROCESSING WILL BE 0.5 cm 9.30 hrs
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
1140 1398 L E CELL 600 MICROSCOPY WB-HEPARIN / EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 SAME DAY
10 -12 HRS FASTING SERUM + CLINICAL
2-8°C (21
1141 1662 LAMBDA FREE LIGHT CHAIN 3200 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
DAYS)
MANDATORY)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1142 Z032K LAMBDA LIGHT CHAIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

24 HRS URINE SAMPLES WITHOUT

PRESERVATIVE & REFRIGERATE DURING
LAMBDA LIGHT CHAIN
1143 1662U24 4000 NEPHELOMETRY COLLECTION+ CLINICAL HISTORY, AGE & 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 hrs NEXT DAY
QUANTITATIVE, 24 hrs. URINE
GENDER IS MANDATORY (MENTION 24
HRS URINE VOLUME)
LAMBDA LIGHT CHAIN
RANDOM URINE + CLINICAL HISTORY,
1144 1662U QUANTITATIVE, URINE 4000 NEPHELOMETRY 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
AGE & GENDER IS MANDATORY
RANDOM
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PLASMA EDTA.INSTRUCTIONS:
SPECIMEN HAS BEEN COLLECTED AT
TROUGH LEVEL (BEFORE THE NEXT
Homogeneous Enzyme DOSE) CLINICAL HISTORY IS TUESDAY : 09:00
1145 4063 LAMOTRIGINE 5850 3.0ML(2.0ML) FROZEN 4 DAYS
Immunoassay MANDATORY, NAME OF THE DRUG AND HRS
DOSAGE HAS TO BE MENTIONED ON THE
TRF..IF NOT RECEIVED, WILL BE CREATED
AS A PROBLEM SPECIMEN

LAP (LEUCOCYTE ALKALINE

PHOSPHATASE / NEUTROPHIL CYTOCHEMISTRY SPECIAL FRESH PERIPHERAL SMEARS AIR DRIED +
1146 Z207K 1500 3-4 SMEARS A DAILY:15:30 HRS 3RD DAY
ALKALINE PHOSPHATASE STAINS CLINICAL HISTORY
(NAP)SCORE)
TISSUE IN 10%FORMALIN+ SITE OF
LARGE TISSUE / SPECIMEN BIOPSY SPECIMEN + CLINICAL DETAILS
1147 1507 2200 HISTOPATHOLOGY MORE THAN 3CM A DAILY:1200 HRS 4 WORKING DAYS
BIOPSY (FOR BONE SPECIMENS ALSO SEND X-
RAY)
TISSUE IN 10%FORMALIN+ SITE OF
LARGE TISSUE /
1148 9316B 2400 HISTOPATHOLOGY BIOPSY SPECIMEN + CLINICAL DETAILS MORE THAN 3CM A DAILY:1200 HRS 4TH DAY
SPECIMEN+SLIDE RETURN
(For bone specimens also send X-RAY)
LBC REFLEX TO HPV-PCR-
CYTOLOGY SPECIMEN FIXED IN THINPREP / DAIILY:1530 (LBC) &
THINPREP / SUREPATH NEXT DAY
1149 9224RFX 1600 + SUREPATH PRESERVATIVE SOLUTION + 1 VIAL 15 – 30 ºC 2,4: 1000 HRS (HPV-
CYTOLOGY [FULLY - (FOR PAP)
PCR CLINICAL HISTORY, AGE, LMP PCR)
AUTOMATED] + HPV-PCR
SERUM (CLINICAL HISTORY, AGE & 15-30°C (7
1150 9991 LDH ISOENZYMES 6500 ELECTROPHORESIS 2.0 ML (1.0 ML) MON : 1100hrs 4TH DAY
GENDER IS MANDATORY ) DAYS)
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) IN METAL FREE
GFAAS WITH ZEEMAN 2-8°C (5 days); “1, 3 & 5”, 11:30
1151 9142U24 LEAD, 24 HRS URINE 2200 SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) NEXT DAY
CORRECTION F (>5 -30 days) HRS
STERILE URINE CONTAINER BOTH
AVAILABLE FROM SRL (NO
PRESERVATIVE)

IMPROVE/BD, SRL EDTA VACCUTAINER, 2-8°C

GFAAS WITH ZEEMAN “1, 3 & 5”, 11:30
1152 9142 LEAD, BLOOD 2200 WHOLE BLOOD +AGE+SEX MANDATORY FOR 5.0 ML (3.0 ML) (7DAYS); F (>7 NEXT DAY
CORRECTION HRS
REPORTING -30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
1153 9142U LEAD, URINE SPOT 2200 10-20 ML (5 ML) DAYS); F (>5 - “2&5”, 11:30 HRS NEXT DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
MONDAY 09:00HRS
LEGIONELLA PNEUMOPHILA Immunochromatography FROZEN(STABI
1154 8111 5750 SPOT URINE 20.0ml(10.0ml) TO SATURDAY 3 DAYS
ANTIGEN DETECTION, URINE LITY: 4 DAYS)
09:00hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
LEGIONELLA PNEUMOPHILA WEDNESDAY
1155 7451 4600 EIA SERUM 2.0ML(1.0ML) R/F 3 DAYS
IGM (SERUM,EIA) 09:00HRS

R < 24 HRS; IF
EXPECTORATED SPUTUM/ BAL - STERILE BY PRIOR PRELIM. 7TH DAY, FINAL
1156 2404 LEGIONELLA SPP. CULTURE 1250 CULTURE 3.0 ML (1.0 ML) >24 HRS THEN
CONTAINER APPOINTMENT 14TH DAY
AT F AT -70°C
3.0 ML (2.0) ML BM /
LEISHMANIA DONOVANI (LD) EDTA / SPLENIC ASPIRATE / BONE
1157 1492 1200 MICROSCOPY WB / 4 (2) BM A DAILY: 14:30, HRS NEXT DAY
BODIES DETECTION MARROW+ SMEAR + CLINICAL HISTORY
SMEARS
MICROSCOPY- NEXT DAY:
LEISHMANIA SPECIES SPLENIC / LIVER ASPIRATE / BONE 1(0.5)GMS / 5.0 BY PRIOR
1158 1420 1300 MICROSCOPY/ CULTURE A PRELIM 7 DAY, FINAL 21ST
CULTURE MARROW / WB- HEPARIN (3.0)ML APPOINTMENT
DAY
2-8°C ( 24
2 ND
Enzyme Linked Immnunosorbent HRS.),
1159 4805 LEPTIN 4000 SERUM 2.0 ML (1.0 ML) WEDNESDAY:11.00 SAME DAY
assay >24HRS. (-
hrs
20°C)
SERUM : 2-8°C
(2 DAYS), F (>
2 DAYS);
URINE : 2-
8°C(24 HRS) For Leptospira
Enzyme Linked Immnunosorbent SERUM 10- 12 HRS FASTING/ WB-
3.0 ML (1.0 ML) + 3.0 FOR IgG/IgM-1/3/5:
assay / DARKFIELD MICROSCOPY HEPARIN / URINE IN PLAIN
1160 DT3220 LEPTOCHEQ 2000 ML (1.0 ML) + 20.0 DARKFIELD 1100 HRS, FOR SAME DAY
/ UA / DIPSTICK & MICROSCOPY/ VACCUTAINER STERILE. (AGE & GENDER
ML (10.0 ML) MICROSCOPY BIOCHEM DAILY
SPECTROPHOTOMETRY IS MANDATORY)
MUST BE :1830 HRS
AMBIENT,
WITHIN
24HRS OF
COLLECTION
A ,WITHIN 24 MICROSCOPY - SAME DAY;
LEPTOSPIRA DARKFIELD & CULTURE; DARKFIELD WB-HEPARIN / URINE & CSF-TO BY PRIOR
1161 2398 1200 5.0 ML (3.0 ML) HOURS OF CULTURE - PRELIM. 1
CULTURE MICROSCOPY DIRECTLY INOCULATE IN MEDIA APPOINTMENT.
COLLECTION WEEK, FINAL 6 WEEKS
A ,WITH IN
WB-HEPARIN / URINE &CSF TO DIRECTLY 3.0 ML (1.0 ML) + 3.0 SAME DAY IF SPECIMEN
1162 1417 LEPTOSPIRA DETECTION 800 DARKFIELD MICROSCOPY 24HRS OF DAILY: 1500 HRS
INOCULATE IN MEDIA ML (1.0 ML) RECEIVED BY 1500 HOURS
COLLECTION
1163 9910 LEPTOSPIRA DNA PCR 2100 POLYMERASE CHAIN REACTION WB-EDTA / URINE IN STERILE CONTAINER 3.0 ML + 10.5 ML A 2,5 0900 HRS 3,6 1900 HRS
2-8°C (5 days);
Enzyme Linked Immnunosorbent
1164 7551 LEPTOSPIRA IgG ANTIBODIES 1500 SERUM 1.0 ML (0.5 ML) -20°C (>5 1,3,5: 1100 HRS SAME DAY
assay
days)
2-8°C (5 days);
Enzyme Linked Immnunosorbent
1165 7621 LEPTOSPIRA IgM ANTIBODIES 1500 SERUM 1.0 ML (0.5 ML) -20°C (>5 1,3,5: 1100 HRS SAME DAY
assay
days)
LEUKEMIA / LYMPHOMA TISSUE IN 10%FORMALIN / PARAFFIN
IMMUNOHISTOCHEMISTRY &
1166 1674S EVALUATION WITH 7500 BLOCK (SITE OF BIOPSY & CLINICAL 1 CM / 1 BLOCK A DAILY:1000 HRS 4 working days
HISTOPATHOLOGY
HISTOPATHOLOGY DETAILS MANDATORY)MANDATORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Leukemia Translocation Panel EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1167 RD1330 6500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
(Custom 4 markers) HISTORY/EDTA BONE MARRAOW )/3.0(2.0)

LEUKEMIA TRANSLOCATION
PANEL 1 (t(1;19) (q23;p13),
Inv(16)(p13;q22), t(9;22)
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1168 1625 (q34;q11), t(4;11) (q21;q23), 7500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(12;21) (p13;q22),
t(15;17)(q22;q22),
t(8;21)(q22;q22))

LEUKEMIA TRANSLOCATION
PANEL 2 (Inv(16)(p13;q22), EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1169 1626 5500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
t(15;17)(q22;q22), HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(8;21)(q22;q22))

LEUKEMIA TRANSLOCATION
PANEL 3 (t(1;11) (p32;q23),
t(1;11) (p21;q23), t(4;11)
(q21;q23), t(6;11) (q27;q23),
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1170 1627 t(9;11) (p22;q23), t(10;11) 9000 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(p12;q23), t(11;17) (q23;q21),
t(11;19) (q23;p13.1), t(11;19)
(q23;p13.3), Dup MLL
(11q23), t(X;11) (q13;q23))

LEUKEMIA TRANSLOCATION
PANEL 4 t(1; 19) (q23; p13),
t(9; 22) (q34; q11), t(4;11)
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1171 1628 (q21; q23), t(1;11) (p32; q23), 6800 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(11;
19) (q23; p13.3), t(X;11) (q13;
q23)

LEUKEMIA TRANSLOCATION
PANEL 5 t(9; 22) (q34; q11), EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1172 1624 5500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
Dup MLL (11q23), t(11; 17) HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(q23; q21),

LEUKEMIA TRANSLOCATION
PANEL 6 t(1; 19) (q23; p13),
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1173 1678 t(9; 22) (q34; q11), t(4;11) 6500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(q21; q23) and t(12; 21) (p13;
q22),
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
3-4 CC (1CC) / 3-4 CC
WB- EDTA / BM-EDTA / WB- HEPARIN /
1174 1613 LGL PANEL 11300 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
BM HEPARIN+DIRECT SMEAR+HISTORY
/ 3-4 CC (1CC)

LH & FSH (FOLLICLE SERUM ( AGE+GENDER+LMP+CLINICAL

2-8°C (48 DAILY (MON TO
STIMULATING HORMONE & HISTORY REQUIRED )DRAW SAMPLE
1175 2020 1100 CHEMILUMINESCENCE 3.0 (1.5) ML HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
LUTEINIZING HORMONE BETWEEN 8 AM TO 10AM, 3-4 HRS
HRS) 1900 hrs
EVALUATION) AFTER THE PATIENT HAS AWAKENED.

DAILY (MON TO
SERUM (AGE + GENDER + CLINICAL 2-8°C (48 HRS
1176 3198 LH (LUTEINIZING HORMONE) 600 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): 0500 hrs to AFTER 3.0 hrs
HISTORY REQUIRED) ); F (>48 HRS)
1900 hrs
LH, FSH & PROLACTIN
SERUM ( AGE+GENDER+ LMP +CLINICAL
(LUTEINIZING HORMONE, 2-8°C (48 DAILY (MON TO
HISTORY REQUIRED) **DRAW SAMPLE
1177 2021 FOLLICLE STIMULATING 1600 CHEMILUMINESCENCE 3.0 (1.5) ML HRS); F (>48 SAT): 0500 hrs to AFTER 3.0 hrs
BETWEEN 8 AM TO 10AM ,AFTER 3-4
HORMONE EVALUATION & HRS) 1900 hrs
HRS PATIENT HAS AWAKENED.**
PROLACTIN)
2-8°C (7
SERUM 10- 12 HRS FASTING (AGE &
1178 3369D LIPASE 750 SPECTROPHOTOMETRY 1.0 ML (0.8 ML) DAYS),, F (>7 DAILY:1830 HRS SAME DAY
GENDER IS MANDATORY)
DAYS)
2-8°C (7
DAYS); F (> 7
12 -14 HRS FASTING SERUM + CLINICAL DAYS-30
1179 3446D LIPOPROTEIN (a) 1300 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY: 1630HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

12 - 14 HRS FASTING SERUM (TO BE SENT

TO SRL MUMBAI WITHIN 24HRS OF
LIPOPROTEIN
1180 9990 4500 ELECTROPHORESIS COLLECTION STRICTLY IN REFRIGERATED 2.0 ML (1.0 ML) 2-8°C (3 DAYS) 2,4,6 : 1100 hrs 4TH DAY
ELECTROPHORESIS
CONDITION).(CLINICAL HISTORY, AGE &
GENDER IS MANDATORY ).

LIPOPROTEIN-ASSOCIATED 2-8°C (2
ENZYME SERUM (AGE & GENDER OF THE PATIENT
1181 5966 PHOSPHOLIPASE A2 ACTIVITY 9500 2.0 ML (1.0 ML) WEEKS); F (18 1: 1100 hrs SAME DAY
ASSAY/SPECTROPHOTOMETRY IS MANDATORY FOR REPORTING)
(PLAC) MONTHS)

LIQUID BASED CYTOLOGY SPECIMEN FIXED IN THINPREP /

1182 1284 (THINPREP CYTOLOGY / 1100 CYTOLOGY SUREPATH PRESERVATIVE SOLUTION + 1 VIAL 15 – 30 ºC DAILY: 1530 HRS NEXT DAY
SUREPATH CYTOLOGY) CLINICAL HISTORY, AGE, LMP

LIQUID BASED CYTOLOGY SPECIMEN FIXED IN THINPREP /

1183 1284P (THINPREP CYTOLOGY / 1300 CYTOLOGY SUREPATH PRESERVATIVE SOLUTION + 1 VIAL 15 – 30 ºC DAILY: 1530 HRS NEXT DAY
SUREPATH CYTOLOGY) CLINICAL HISTORY, AGE, LMP
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (24 HRS
SERUM + (AGE & GENDER IS
1184 4871 LITHIUM 700 ION SELECTIVE ELECTRODE 1.0 ML ); F (>24 HRS - DAILY: 1830 HRS SAME DAY
MANDATORY)
7DAYS)
2-8°C (48 hrs);
LIVER KIDNEY MICROSOME 1 Enzyme Linked Immnunosorbent
1185 1115 2500 SERUM 1.0 ML (0.5 ML) -20°C (>48 3,6:1100 HRS SAME DAY
(LKM1) AUTOANTIBODIES assay
hrs)

LIVER PROFILE #2 (Bilirubin

Total, Protein Total, Albumin,
DAILY: 10:30
Globulin, Aspartate SERUM (10-12 HRS FASTING)+ FASTING
SERUM 3.0 ML (2.0 SERUM 2-8°C hrs,BIOCHEM DAILY
Aminotransferase, Alanine SPECTROPHOTOMETRY /ECLIA/ PLASMA CITRATED* (DOUBLE
1186 1389 1800 ML) + 1.0 ML (0.5 (2 DAYS); F (> 1830 HRS , 0730 SAME DAY
Aminotransferase, Bilirubin CLOT BASED CENTRIFUGED PLASMA)* + (AGE &
ML) 2 DAYS) HRS & 1530 HRS
Direct, Hepatitis B Surface GENDER IS MANDATORY)
FOR HBsAg
Antigen, Prothrombin Time,
Alkaline Phosphatase)

2-8°C (2
1187 9117 LIVER SCREENING PANEL 500 SPECTROPHOTOMETRY SERUM (10-12 HRS FASTING) 3.0 ML (2.0 ML) DAYS); F DAILY:18:00 HRS SAME DAY
(> 2 DAYS)
AFP--DAILY (MON
TO SAT):
430,1430,1600
EVERY THURSDAY 19:00
HRS; REST--
HRS; SAME DAY
2-8°C (72 1,3:10.30 HRS;EBV
CHEMILUMINESCENCE, ENZYME REPORTING FOR EBV (NA)
1188 DT6302 LIVORHYTHM - 2 5000 SERUM 2 VIALS 3.0 (2.5 ML) HRS), F (>72 (NA) IGG/ IGM
IMMUNOASSAY IGG/IGM, ENTAMOEBA
HRS) 2;5:1000;ENTAMOE
HISTOLYTICA AND
BA HYSTOLYTICA
ECHINOCOCCUS ABS
ABS,
ECHINOCOCCUS
IGG 1:1100

PLASMA -EDTA 3.0

CHEMILUMINESCENT
(2.0) ML (FROZEN),
MICROPARTICLE IMMUNOASSAY
LIVORHYTHM - 4 (HCV RNA SERUM 3.0 (2.0) ML,
(CMIA), ECLIA, REVERSE
{NESTED REVERSE PLASMA-EDTA, SERUM, SMALL TISSUE SMALL TISSUE
TRANSCRIPTASE PCR, DNA PCR, 7 DAYS + AFB SMEAR-48
TRANSCRIPTASE PCR}, HCV BIOPSY / CORE (NEEDLE) BIOPSY / FINE BIOPSY / CORE (HCV) SAT
FLUORESCENT STAIN / ZIEHL HRS ,WK 3, & WK 6 (OR
1189 DT6304 ABS, HBVDNA PCR, Small 7000 NEEDLE ASPIRATION BIOPSY IN (A) (NEEDLE) BIOPSY / F A A 10:30DAILY:0900
NEELSEN STAIN & MGIT 960+LJ WHEN CULTURE IS
tissue biopsy, Special STains, FORMALIN & (B) NORMAL SALINE, FINE NEEDLE HRS
CULTURE , HISTOPATHOLOGY POSITIVE)
AFB Culture, MYCO3PLEX DNA SPECIAL STAINS ASPIRATION BIOPSY
AND SPECIAL
PCR) IN (A) FORMALIN &
STAINS+MICROPARTICLE
(B) NORMAL SALINE,
ENZYME IMMUNOASSAY
SPECIAL STAINS

L-LACTATE, CSF (Only for

1190 WI7441C 1300 SPECTROPHOTOMETRY CSF(PLAIN TUBE) + CLINICAL HISTORY 2.0 ML (1.0 ML) F 1 & 4: 12:00 HRS SAME DAY
Walkin Patient)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PLASMA FLUORIDE (BLOOD COLLECTION
L-LACTATE, PLASMA (Only for FROM STASIS FREE VEIN TO BE STORE IN
1191 WI7441D 1300 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F 1 & 4: 12:00 HRS SAME DAY
Walkin Patient) ICE BATH. PLASMA TO BE SEPARATED
WITHIN 30 MIN) + CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
Lung Cancer Panel (EGFR DETAILS MANDATORY IF TISSUE RECD. 1 paraffin block or 5
1192 4817 16200 Pyrosequencing/FISH A 2,5: 0930 HRS 5 Days/15 Days
Mutation+EML4 ALK by FISH) TISSUE PROCESSING WILL BE unstained slides
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
LUPUS ANTICOAGULANT PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF MON / WED / FRI
1193 5964 2300 CLOT BASED AT -20°C & NEXT DAY
SCREENING PROFILE C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH 10:00 HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)
DAILY (MON TO
SERUM (AGE + GENDER + CLINICAL 2-8°C (48 HRS
1194 3198 LUTEINIZING HORMONE (LH) 600 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): 0500 hrs to AFTER 3.0 hrs
HISTORY REQUIRED) ); F(>48 HRS)
1900 hrs
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1195 Z164K LUTEINIZING HORMONE (LH) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

LYME DISEASE (BORRELIA Enzyme Linked Immnunosorbent 2-8°C (2 days

1196 2069I 1850 SERUM 1.0 ML (0.2 ML) 4: 1030 HRS SAME DAY
BURGDORFERI IgG) assay ),>2days -20°C

LYME DISEASE (BORRELIA Enzyme Linked Immnunosorbent 2-8°C (2 days

1197 2070I 2000 SERUM 1.0 ML (0.2 ML) 4: 1030 HRS SAME DAY
BURGDORFERI IgM) assay ),>2days -20°C
TISSUE IN 10%FORMALIN / PARAFIN
LYMPH NODE BIOPSY: BLOCK + SITE OF BIOPSY AND CLINICAL
1198 Z221 DIFFERENTIAL DIAGNOSIS 6500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD3,CD20,Bc12) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
LYMPH0CYTE
ENUMERATION, BASIC & NK
CELLS
WB-EDTA + HEPARIN 3.0 ML (2.0 ML) + 3.0
1199 1668 (%CD3,%CD4,%CD8,%CD19,% 7500 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
CD16+56,ABS CD3,ABS
CD4,ABS
CD8,ABSCD19,ABSCD16+56)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
LYMPHOCYTE ENUMERATION
STUDY -T CELLS WB-EDTA + HEPARIN 3.0 ML (2.0 ML) + 3.0
1200 1657B 2600 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
(%CD3,%CD4,%CD8,ABS (WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4,ABS CD8)
LYMPHOCYTE
ENUMERATION, T- HELPER WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
1201 1656B 2200 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
CELLS (%CD3,%CD4,ABS WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4)
LYMPHOCYTE
ENUMERATION, T & B CELLS WB-EDTA + HEPARIN + CLINICAL HISTORY 3.0 ML (2.0 ML) + 3.0
1202 1658B 3400 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(%CD3,%CD19,ABS CD3,ABS (WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
CD19)
LYMPHOCYTE ENUMERATION,
DAILY:1530 HRS ,
BASIC & HIV -1 FLOW CYTOMETRY WB-EDTA + HEPARIN + SERUM 3.0 ML (2.0 ML) + 3.0 FLOW--A, NEXT DAY BY 7.00PM; HIV
1203 1669 5500 HIV Western blot
ANTIBODIES,HIV ABS, /IMMUNOBLOT (WB TO REACH WITHIN 48 HRS) ML (2.0 ML) A/R/F WESTERN BLOT SAME DAY
1,3,5: 1000 HRS;
WESTERN BLOT
LYMPHOCYTE ENUMERATION,
BASIC
WB-EDTA + HEPARIN 3.0 ML (2.0 ML) + 3.0
1204 1671B (%CD3,%CD4,%CD8,%CD19,,A 5500 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
BS CD3,ABS CD4,ABS CD8,ABS
CD19)
LYMPHOCYTE SUBSET (CD4 EDTA WB ONLY
1205 1659 PERCENTAGE AND ABSOLUTE 1400 FLOW CYTOMETRY (SAMPLE TO REACH LAB WITHIN 3 – 5 ML A DAILY: 1530 HRS SAME DAY BY 6.00PM
COUNT ) 48 HOURS.)
TISSUE IN 10%FORMALIN / PARAFIN
LYMPHOMA: DIFFERENTIAL BLOCK + SITE OF BIOPSY AND CLINICAL
1206 Z219 DIAGNOSIS (CD30, CD15, 7500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
CD20, CD3, CD45) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (3
1207 1394 MALARIA ANTIBODY 1200 IMMUNOCHROMATOGRAPHY EDTA WHOLE BLOOD/SERUM 1.0 ML(0.5 ML) DAYS),>3 DAILY:1530 HRS SAME DAY
DAYS -20 °C
MALARIA ANTIGEN (P. 2-8°C (3
1208 1395 FALCIPARUM/P.VIVAX) 950 IMMUNOCHROMATOGRAPHY WB-EDTA / HEPARIN 3.0 ML (2.0 ML) days),>3 days - DAILY: 1530 HRS SAME DAY
DETECTION 20 °C

MALE INFERTILITY PANEL Serum ( Age+ Gender+ Clinical History DAILY (MON TO
(WITH SEMEN ANALYSIS & Required )Draw sample between 8 AM to SAT): 0500 hrs to
AFTER 3.0 hrs (LH, FSH &
SEMEN FRUCTOSE) CHEMILUMINESCENCE / 10AM ,After 3-4 hrs patient has 2-8°C (48 hrs); 1900 hrs FOR
PROLACTIN, TOTAL
ENZYME IMMUNOASSAY/ CELL awakened. SERUM 8.0 Ml (3.0 F ( >48 hrs); F(- LH/FSH/PROLACTIN
TESTOSTERONE &TSH)
(Testosterone Total, LH, FSH, CULTURE/ CULTURE + WB-HEPARIN SPECIMEN TO REACH US mL) ; WB-HEPARIN 20°C); /TOTAL
Semen ANALYSIS/ SEMEN
1209 5401SF Prolactin, TSH, Blood Lympho 4250 SENSITIVITY BY MIC within 48 hrs + FAMILY HISTORY + 5.0 ML (3.0 ML); HEPARIN (A); TESTOSTERONE/
FRUCTOSE); 10 -12
Culture, Anti sperm BREAKPOINT/ PHYSICAL, CLINICAL HISTORY in specified format + URINE 3.0 ML (1.0) URINE (R) TSH & DAILY:0700
working days (BLOOD
Antibodies, Urine culture, CHEMICAL & MICROSCOPY/ DETAILED PHYSICAL FEATURES ML; SEMEN (3.0) ML (MANDATORY HRS FOR BLOOD
LYMPHO CULTURE); 3RD
isolation & Identification + SELIWANOFF URINE(Early morning mid stream ); LYMPHO CULTURE;
DAY (FOR URINE C&S);
Sensitivity, Semen Analysis, collection) STERILE CONTAINER; SEMEN DAILY: 1700 HRS
Semen Fructose) in plastic disposable container (FOR URINE C&S)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
Serum ( Age+ Gender+ Clinical History
SAT): 0500 hrs to
MALE INFERTILITY PANEL, Required ) **Draw sample between 8
2-8°C (48 hrs); 1900 hrs FOR AFTER 3.0 hrs (LH, FSH &
AM to 10AM ,After 3-4 hrs patient has
CHEMILUMINESCENCE / SERUM 8.0 Ml (3.0 F ( >48 hrs); F(- LH/FSH/PROLACTIN PROLACTIN, TOTAL
(Testosterone Total, LH, FSH, awakened.**
ENZYME IMMUNOASSAY/ CELL mL) ; WB-HEPARIN 20°C); /TOTAL TESTOSTERONE &TSH) &
Prolactin, TSH, Blood Lympho WB-HEPARIN SPECIMEN TO REACH US
1210 5401 4250 CULTURE/ CULTURE + 5.0 ML (3.0 ML); HEPARIN (A); TESTOSTERONE/ 10 -12 working days
Culture, Anti sperm within 48 hrs + FAMILY HISTORY +
SENSITIVITY BY MIC URINE 3.0 ML (1.0) URINE (R) TSH & DAILY:0700 (BLOOD LYMPHO
Antibodies, Urine culture, CLINICAL HISTORY in specified format +
BREAKPOINT ML (MANDATORY HRS FOR BLOOD CULTURE); 3RD DAY FOR
isolation & Identification + DETAILED PHYSICAL FEATURES
); LYMPHO CULTURE; URINE C&S
Sensitivity) URINE(Early morning mid stream
DAILY: 1700 HRS
collection) STERILE CONTAINER
(FOR URINE C&S)
TISSUE IN 10%FORMALIN / PARAFIN
MALIGNANT TUMORS: BLOCK + SITE OF BIOPSY AND CLINICAL
1211 Z242 LYMPHOMA v/s CARCINOMA 3700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD45,CK) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) ALIQUOT. IN METAL FREE 2-8°C (5
GFAAS WITH ZEEMAN
1212 9146U24 MANGANESE 24 HRS URINE 3350 SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) DAYS); F (>5 - “5”, 11:30 HRS NEXT DAY
CORRECTION
STERILE URINE CONTAINER BOTH 30 DAYS)
AVAILABLE FROM SRL (NO
PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN
1213 9146 MANGANESE BLOOD 3350 BD, SRL EDTA WHOLE BLOOD 5.0 ML (3.0 ML) DAYS); F (>7 - “5”, 11:30 HRS NEXT DAY
CORRECTION
30 DAYS)
MONDAY 09:00HRS
1214 8424 MANGANESE SERUM ICPMS 4400 ICPMS SERUM 2.0ML(1.0ML) R/F TO SATURDAY 5 DAYS
09:00HRS
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-
1215 9146U MANGANESE SPOT URINE 3350 10-20 ML (5 ML) DAYS); F (>5 - “5,” 11:30 HRS NEXT DAY
CORRECTION 20 ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
DRY BLOOD SPOT with complete
MAPLE SYRUP URINE CLINICAL HISTORY form including birth
2-8°C (14
1216 3322 DISORDERS (NEONATAL 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
DAYS)
SCREENING) should be ideally collected within 3rd
and 5th day of life after birth)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

SERUM in 2 vials (Clinical Details in

MATERNAL SCREEN specified format, Maternal Date of Birth,
(QUADRUPLE MARKER TEST / Maternal Weight, Maternal Race,
2-8°C (48 hrs); DAILY (MON TO
1217 1275 2nd Trimester Risk 3600 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) SAME DAY
F (>48 hrs) SAT): 1100 hrs
assessment, 14-22 Weeks. ( Obstetric USG Report between 10 to 13
AFP, HCG,E3UN & DIA) weeks of gestation+Date of collection)
MANDATORY

SERUM in 2 vials (Clinical Details in

specified format, Maternal Date of Birth,
MATERNAL SCREEN (TRIPLE
Maternal Weight, Maternal Race, 2-8°C (72 hrs);
MARKER TEST / 2nd Trimester DAILY (MON TO
1218 1267 2950 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) F (> 72 hrs - SAME DAY
Risk assessment, 14-22 SAT): 1100 hrs
Obstetric USG Report between 10 to 13 15 Days)
Weeks. (AFP, HCG & E3UN)
weeks of gestation+Date of collection)
MANDATORY

SERUM in 2 vials (Clinical Details in

MATERNAL SCREEN; DOUBLE specified format, Maternal Date of Birth,
MARKER TEST (First trimester Maternal Weight, Maternal Race,
2-8°C (24 hrs); DAILY (MON TO
1219 1268 risk assessment 2450 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0mL) SAME DAY
F ( >24 hrs) SAT): 1100 hrs
8-13.6 weeks)- PAPA-P & FREE Obstetric USG Report between 10 to 13
B-HCG) weeks of gestation+Date of collection)
MANDATORY

MATERNAL SCREEN;
Phase I (1st
STANDARD INTEGRATED TEST,
Trimester): 2-
Phase I (1st Trimester) : 10 – SERUM IN 2 VIALS (CLINICAL DETAILS IN
8°C (24 hrs); F
13.6 Weeks. (PAPA-P & FREE SPECIFIED FORMAT, DATE OF BIRTH, PHASE -I: SAME DAY
(>24 hrs)
B-HCG). MATERNAL WEIGHT, MATERNAL RACE + DAILY (MON TO PHASE -II: ON NEXT DAY
1220 1277 5400 CHEMILUMINESCENCE 3.0 ML (1.0 ML) Phase II (2nd
Phase II (2nd Trimester): 15- USG REPORT BETWEEN 10 TO 13 WEEKS SAT): 1100 hrs ON RECIEPT OF
Trimester):
22 Weeks. (AFP, HCG, E3UN & OF GESTATION +DATE OF THE SAMPLE
2-8°C (48
DIA). Final risk assessment COLLECTION+LMP DATE) MANDATORY
hrs); F (>48
incorporates first and second
hrs)
trimester results.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

MATERNAL SCREENING; SERUM IN 2 VIALS (CLINICAL DETAILS IN

SEQUENTIAL INTEGRATED SPECIFIED FORMAT, DATE OF BIRTH,
TEST, Phase I (1st Trimester): MATERNAL WEIGHT, MATERNAL RACE + Phase I (1st
10 – 13.6 Weeks (PAPA-P & USG REPORT +DATE OF Trimester): 2-
FREE B-HCG). Screen Positive COLLECTION+LMP 8°C (24 hrs); F
3.0 ML (1.0 PHASE -I: SAME DAY, CVS
cases are offered CVS or DATE) GA: 8- 12 WEEKS (>24 hrs)
ML) CVS : 40 KARYIOTYPING: 21 ST
Amniocentesis Chromosome CHORIONIC VILLUS IN MEDIUM Phase II (2nd
CHEMILUMINESCENCE/ MG (30 MG) DAILY (MON TO DAY AMNIOTIC FLUID:
1221 1278 analysis, whereas Screen 6700 (MEDIUM WILL BE PROVIDED BY THE Trimester):
KARYOTYPING AMNIOTIC FLUID IN SAT): 1100 hrs 14 WORKING DAYS, PHASE -
Negative are offered second LAB), 2-8°C (48
STERILE TUBE 20.0 II: ON NEXT DAY ON
trimester Serum test. Phase II GA: 14-19 AMNIOTIC hrs); F (>48
ML RECEIPT OF THE SAMPLE
(2nd Trimester): 15-22 FLUID hrs)
Weeks. (AFP, HCG, E3UN & CLINICAL HISTORY, CONSENT FORM CVS: Ambient
DIA). Final risk assessment WITH PND REGISTRATION NUMBER IS Amniotic Fluid
incorporates first and second MANDATORY. SPECIMEN TO REACH US
trimester results. IN 24 HRS AFTER COLLECTION

SPUTUM (AFB SMEAR POSITIVE)/ BAL

MDR-TB RAPID GENOTYPIC (AFB SMEAR POSITIVE) (SPECIMENS OF
1222 9950 TEST (Note: This test is not 1800 PCR- HYBRIDISATION PATIENTS WITH AFB SMEAR LESS THAN 3.0 ML (2.0 ML) A/R 1,4:0930 HRS 4,1: 1830 HRS
applicable for MOTT) 1+ ARE NOT ACCEPTABLE) / MTB
CULTURE SPECIMEN
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
1223 6018F MDS PANEL 10200 FISH [PLEASE MENTION THE CLINICAL 6.0 ML+8.0 ML A DAILY: 7:00 HRS 5TH DAY
HISTORY, BLOOD PICTURE (CBC REPORT)
AND MEDICATION OF THE PATIENT ON
THE TRF]
2-8°C (2
MEASLES IgG & IgM Enzyme Linked Immnunosorbent
1224 8771 3300 SERUM 2.0 ML (1.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
ANTIBODIES assay
(>2 DAYS)
2-8°C (2
Enzyme Linked Immnunosorbent
1225 8776 MEASLES IgG ANTIBODIES 1800 SERUM 1.0 ML (0.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
assay
(>2 DAYS)
2-8°C (2
Enzyme Linked Immnunosorbent
1226 8781 MEASLES IgM ANTIBODIES 1800 SERUM 1.0 ML (0.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
assay
(>2 DAYS)
TISSUE IN 10%FORMALIN+ SITE +
CLINICAL DETAILS. RELEVANT
MEDIUM TISSUE / SPECIMEN
1227 1511 1500 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 TO 3 CM A DAILY:1200 HRS 3 WORKING DAYS
BIOPSY
PLATES OR REPORT-PLATES ARE
PREFFERED.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1228 Z253K MELAN-A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
MELANOMA (S- 100/HMB-
1229 Z235 4000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
45/Melan-A)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
MENOPAUSAL DIAGNOSTIC DAILY (MON TO
SERUM (Age+Gender to be 2-8°C (48 hrs);
1230 1006 PANEL (FSH, TSH, FT4, 2200 CHEMILUMINESCENCE 3.0 mL (2.0 mL) SAT): 0500, 1900 AFTER 3.0 hrs
mentioned+CLINICAL HISTORY) F (>48 hrs)
ESTRADIOL) hrs
7 SALIVA SAMPLES COLLECTED OVER A 6
DAYS PERIOD •WASH HANDS BEFORE
COLLECTION. • SEE INSTRUCTIONS
1231 7002 MENOPAUSE PLUS PROFILE 36000 LIA, EIA, RIA 5 ML (EACH TIME) F MON: 9:00 HRS 20-25 DAYS
INSIDE TEST KIT FOR DETAILS.ON
REQUEST KIT WILL BE PROVIDED BY
SRL,MUMBAI
DAILY: 1830 hrs
(FOR BIOCHEM
MENUPOSAL MONITORING 2-8°C (2
SPECTOPHOTOMETRY/CHEMILU SERUM :12- 14 HRS FASTING+(AGE & TESTS) & DAILY
1232 1008 PANEL (Estradiol, FSH, Lipid 2200 3.0 ML (2.0 ML) DAYS); F (>2 SAME DAY
IMINECENCE GENDER IS MANDATORY) (MON TO SAT):
Profile, Calcium, Phosphorus) DAYS)
0500, 1900 hrs FOR
HORMONES
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) ALIQUOT. IN METAL 2-8°C (5
1233 9138U24 MERCURY, 24 HRS URINE 3450 HGAAS FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) DAYS); F (>5 - "2", 11:30 HRS THIRD DAY
STERILE URINE CONTAINER BOTH 30 DAYS)
AVAILABLE FROM SRL (NO
PRESERVATIVE)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
CONTAINER AVAILABLE FROM SRL (10-20
1234 9138U MERCURY, URINE SPOT 3450 HGAAS 10-20 ML (5 ML) DAYS); F (>5 - "2", 11:30 HRS THIRD DAY
ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
MONDAY 09:00HRS
1235 9131 MERCURY,SERUM ICPMS 4400 ICPMS SERUM 2.0ML(1.0ML) R/F TO SATURDAY 7 DAYS
09:00HRS
METANEPHRINE-FREE,
SATURDAY
1236 3315P PLASMA (EDTA PLASMA, 5600 ELISA EDTA PLASMA 4.0ML(3.0ML) FROZEN 5 DAYS
09:00HRS
ELISA)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N

HCL) . (The patient should not
consume,Vitamin B, COFFEE AND
BANANAS, 48hrs prior to the collection
of the specimen.It is advisable to
discontinue all medications, alpha
methyldopa, MAO & COMT Inhibitors as
well as medications related to
Hypertension should be discontinued
TUESDAY : 10:00
1237 3317 METANEPHRINES 2500 ENZYME IMMUNOASSAY atleast 72 hrs prior to specimen 20.0 ML (10.0ML) STRICTLY F NEXT DAY: 19:00 HRS
HRS
collection.If medications takenshould be
STrictly on the advise of the referring
physician, the same should be
mentioned.Please freeze the specimen
immediately after collection. CLINICAL
DETAILS(Patient's clinical history, CT
SCAN , USG & MEDICATION
MANDATORY) mention 24 hrs urine
volume

TISSUE IN 10%FORMALIN / PARAFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
METASTASIS OF UNKNOWN
1238 Z243K 8000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
ORIGIN
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
METATASTIC TUMOUR BLOCK + SITE OF BIOPSY AND CLINICAL
1239 Z232 BREAST (ER, PgR, Her-2/neu, 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
GCDFP-15) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
A (8HRS); 2-
DAILY (MON TO
Lateral Flow Chromatography 8º C (3
1240 4149 METHADONE, URINE 1200 URINE + CLINICAL HISTORY 5.0 mL (2.0 mL) SAT): 1430, 1600 SAME DAY
Immunoassay. DAYS);F (>3
hrs
DAYS)
METHAEMOGLOBIN
1241 4202 1200 SPECTROPHOTOMETRY EDTA BLOOD 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
ESTIMATION
MONDAY 09:00HRS
METHYLMALONIC ACID,
1242 2124 2200 QUALITATIVE URINE (RANDOM) 20.0ML (10.0 ML) R TO SATURDAY 3RD DAY
URINE
09:00HRS
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
MIB-1
1243 Z245K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE FRESHLY SUB-CULTURED RAPID PURE & FRESHLY
MIC TESTING FOR RAPIDLY GROWING NTM ISOLATE (ISOLATE SUBCULTURED
1244 1464RGM 11000 MICRO BROTH DILUTION R DAILY:1000 HRS 15 DAYS
GROWING MYCOBACTERIA IDENTIFICATION REPORT FROM THE ISOLATE OF RAPIDLY
REFERRING LAB IS MANDATORY GROWING NTM
TISSUE IN 10%FORMALIN / PARAFIN
MIC2 GENE PRODUCTS, BLOCK+ SITE OF BIOPSY AND CLINICAL
1245 Z218K EWING SARCOMA 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MARKER/Also known as CD99 RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
WB-EDTA + SMEAR (MIDNIGHT 3.0 ML (2.0 ML) + 2
1246 1493 MICROFILARIA DETECTION 1150 MICROSCOPY A DAILY: 14:30 HRS SAME DAY
COLLECTION SPECIMEN PREFERRED) SMEARS
MICROSATELLITE STABILITY EDTA WHOLE BLOOD AND PARAFFIN
1247 RD1461 10000 PCR Fragment Analysis 6 ML / 1 PBF AMBIENT TUESDAY ,10AM 10 Days
INDEX(MSI ANALYSIS) BLOCK + CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
1248 Z262K MLH1 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK -SITE OF BIOPSY & CLINICAL
1249 RD1447 MLH1 Hypermethylation 7100 Pyrosequencing 2ML AMBIENT 1, 10:30 15 days
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
1250 6019F MLL 11q rearrangement 4300 FISH [PLEASE MENTION THE CLINICAL 4.0 ML + 2.0 ML A DAILY: 7:00 HRS 5TH DAY
HISTORY, BLOOD PICTURE (CBC REPORT)
AND MEDICATION OF THE PATIENT ON
THE TRF]
EDTA WHOLE BLOOD / EDTA BONE
1251 RD1322 MPL Mutation Detection 6800 PCR Sequencing 5 ML (3ML) A 1,5: 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY

BCR-ABL Qualitative - 3,5,1.

BCR-ABL
JAK2 V617F = 4,6,2.
Qualitative,
CALR Gene Mut = 7
JAK2 V617F - 1,3,5.
WB-EDTA/ BONE MARROW-EDTA WORKING DAYS.
CALR - 1,5.
1252 RD1322RFX MPN Reflex Panel 15700 PCR-SEQUENCING (Specimen to reach us within 48 5 ML (3ML) A/R JAK2 EXON12 – 7
JAK2 EXON12 - 1,5.
hrs)+CLINICAL HISTORY WORKING DAYS
MPL Gene Mut -
MPL Gene Mut = 7
1,5; 9:30AM
WORKING DAYS; 6.30 PM
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
JAK2 V617F = 4,6,2. CALR
JAK2 V617F - 1,3,5.
Gene Mut = 7 WORKING
WB-EDTA/ BONE MARROW-EDTA CALR - 1,5. JAK2
DAYS. JAK2 EXON12 – 7
1253 7687 MPN Reflex Panel 1 12000 PCR-SEQUENCING (Specimen to reach us within 48 5 ML (3ML) A/R EXON12 - 1,5. MPL
WORKING DAYS MPL
hrs)+CLINICAL HISTORY Gene Mut - 1,5;
Gene Mut = 7 WORKING
9:30AM
DAYS; 6.30 PM

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ Site of biopsy and Clinical details
1254 Z263K MSH2 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ Site of biopsy and Clinical details
1255 Z264K MSH6 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
MSI IHC MARKERS - CoE match the site of the tissue
1256 9323 5700 IHC UPTO 2 AMBIENT Daily 09:00hrs 8 days
Histopathlogy sample/Paraffin Block numbers belongs
to the same patient or not. If not
received, will be created as a problem
sample.
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
MSI STUDY (MLH-1,MSH-
1257 9336 6700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
2,MSH-6,PMS-2)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
MTHFR MUTATION
1258 9802 9200 PCR Sequencing EDTA Whole Blood + CLINICAL HISTORY 5 ml (3 ml) A 1, 4: 0930 HRS 5, 2 reporting 6 PM
DETECTION
BONE MARROW HEPARIN (2 VIALS)
To reach lab within 24 hours from
1259 4573 Multiple Myeloma MRD Panel 12000 Flowcytometry 3-5 ml A Mon-Sat 10:00 HRS 4 working days
collection

BONE MARROW - SODIUM HEPARIN +

CLINICAL HISTORY SPECIMEN TO REACH
US WITHIN 48 HRS AFTER COLLECTION.
1260 6031F Multiple Myeloma panel 14000 FISH 4 TO 5 ml ambient Daily 07:00 hrs 7 days
[Please mention the CLINICAL HISTORY,
blood picture (CBC Report) and
medication of the patient on the TRF]
2-8°C (5
MUMPS IgG & IgM Enzyme Linked Immnunosorbent DAYS); -20 TO
1261 9711 3600 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
ANTIBODIES assay -70°C (>5
DAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (5
Enzyme Linked Immnunosorbent DAYS); -20 TO -
1262 9716 MUMPS IgG ANTIBODIES 2200 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
assay 70°C (>5
DAYS)
2-8°C (5
Enzyme Linked Immnunosorbent DAYS); -20 TO -
1263 9721 MUMPS IgM ANTIBODIES 2200 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
assay 70°C (>5
DAYS)
MUSK ANTIBODY MONDAY :
1264 4065 10200 RADIO IMMUNOASSAY SERUM 2.0 ML ( 1.0 ML) F 4 DAYS
(SERUM,RIA) 09:00HRS
HEPARIN WB / Bone Marrow + +
CLINICAL HISTORY SPECIMEN TO REACH
US WITHIN 48 HRS AFTER COLLECTION.
1265 6029F MYC gene 3750 FISH 4 TO 5 ml ambient Daily 07:00 hrs 5 days
[Please mention the CLINICAL HISTORY,
blood picture (CBC Report) and
medication of the patient on the TRF]
2 BLOCKS AND 2
SLIDES.Please
provide the MONDAY 09:00HRS
MYCN Gene amplification Fluorescence in-situ
1266 4513 12000 BLOCKS histopathology A TO FRIDAY 12 DAYS
Assay Hybridization (FISH)
report and the 09:00HRS
clinical history of the
patient.
A UP TO 48
MULTIPLEX POLYMERASE CHAIN POLYMERASE CHAIN
ANY SPECIMEN OTHER THAN BLOOD IN HRS AND R
REACTION, MICROSCOPY REACTION - SAMEDAY; AFB
STERILE CONTAINER/ TISSUE IN STERILE 3.0 ML (2.0) ML / 1 >48 HRS DAILY ( MON TO
1267 2435 MYCO3PLEX 3300 FLUORESCENT STAIN/ ZIEHL CULTURE - SMEAR 48
NORMAL SALINE (SWABS NOT TISSUE AFTER SAT): 0800 HRS
NEELSEN STAIN & MGIT-960+LJ HOURS,WK 3 & WK 6 (Or
ACCEPTED) SPECIMEN
CULTURE METHOD when culture positive)
COLLECTION
MULTIPLEX POLYMERASE CHAIN Culture-R /A
POLYMERASE CHAIN
REACTION, MICROSCOPY up to 48 hrs
ANY SPECIMEN OTHER THAN BLOOD IN REACTION - SAMEDAY; AFB
FLUORESCENT STAIN/ ZIEHL 3.0 ML (2.0) ML / 1 and R >48 hrs
MYCO3PLEX AD WITH FREE STERILE CONTAINER/ TISSUE IN STERILE CULTURE - SMEAR 48
1268 2435F 3150 NEELSEN STAIN & MGIT-960+LJ TISSUE, 3.0 ML (2.0) after DAILY: 0800 HRS
ADA NORMAL SALINE (SWABS NOT HOURS,WK 3 & WK 6 (Or
CULTURE ML specimen
ACCEPTED) when culture positive) ADA
METHOD/SPECTROPHOTOMETR collection F
NEXT DAY
Y for ADA
Culture R/A
MULTIPLEX POLYMERASE CHAIN ANY SPECIMEN IN STERILE CONTAINER/ up to 48 hrs POLYMERASE CHAIN
REACTION, MICROSCOPY TISSUE IN STERILE NORMAL SALINE, 3.0 ML (2.0) ML / 1 and R >48 hrs REACTION - SAMEDAY;AFB
MYCO3PLEX AD WITH FREE
1269 2435T 3200 FLUORESCENT STAIN/ ZIEHL TISSUE + SITE OF BIOPSY + CLINICAL TISSUE FIXED IN 10% after DAILY: 0800 HRS SMEAR 48 HRS, WK 3 & WK
HISTOPATH
NIELSEN STAIN & MGIT-960+LJ DETAILS (FOR BONE SPECIMENS ALSO FORMALIN specimen 6 ,OR WHEN CULTURE
CULTURE METHOD SEND XRAY) - SWABS NOT ACCEPTED collection F TURNS POSITIVE
for ADA
MICROSCOPY / ZIEHL NEELSEN ANY SPECIMEN EXCEPT BLOOD, BONE
1270 5320 MYCOBACTERIA DETECTION 475 3.0 ML (0.5 ML) A/R DAILY:1500 HRS SAME DAY
STAIN MARROW.SWAB NOT ACCEPTABLE
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
MICROSCOPY / FLUORESCENT ANY SPECIMEN EXCEPT BLOOD, BONE
1271 1122 MYCOBACTERIA DETECTION 600 3.0 ML (0.5 ML) A/R DAILY:1500 HRS SAME DAY
STAIN MARROW.SWAB NOT ACCEPTABLE
SKIN SCRAPPING/ SKIN BIOPSY/ 1.0 (0.5) ML, 1.0
1272 2401 MYCOBACTERIUM LEPRAE 4050 POLYMERASE CHAIN REACTION NASAL/SKIN SWAB / TISSUE/ (0.5) ML, 1, 0.5 (0.1) A 3:1000 HOURS 6: 1800 HRS
SLIDES/BLOCKS GM, I
CULTURE/ SPUTUM/ BAL/ PUS +
MYCOBACTERIUM CLINICAL HISTORY (SPECIMENS OF
1273 2402 3500 PCR - SEQUENCING 5 ML (3ML) A 1:0930 HRS 5: 18:00 HRS
SPECIATION PATIENTS WITH AFB SMEAR LESS THAN
1+ ARE NOT ACCEPTABLE)
MYCOBACTERIUM PCR - REVERSE PROBE
1274 9956 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
SPECIATION – COMMON HYBRIDIZATION
MYCOBACTERIUM PCR - REVERSE PROBE
1275 9955 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
SPECIATION – EXTENDED HYBRIDIZATION
2-8°C (2 days);
MYCOPLASMA PNEUMONIAE Enzyme Linked Immnunosorbent
1276 8746 2500 SERUM 1.0 ML (0.5 ML) -20°C (>2 2: 1030 HRS SAME DAY
IgG ANTIBODIES assay
days)
2-8°C (2 days);
MYCOPLASMA PNEUMONIAE Enzyme Linked Immnunosorbent
1277 8746M 2400 SERUM 1.0 ML (0.5 ML) -20°C (>2 2: 1030 HRS SAME DAY
IgM ANTIBODIES assay
days)
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /
PLEURAL / CSF FLUIDS/ TISSUE IN
SAME DAY 1900HRS/ IF PB
STERILE NORMAL SALINE / BONE
1278 2434 MYCOREAL 2150 REAL TIME PCR 3.0 ML (2.0) ML / 1 A DAILY: 0800 HRS RECD. REPORTING NEXT
MARROW-EDTA / PARAFFIN BLOCK
DAY EVENING
(SWABS AND BLOOD SPECIMEN NOT
ACCEPTED)
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /
PLEURAL / CSF FLUIDS/ TISSUE IN
SAME DAY: 1900 HRS IF PB
STERILE NORMAL SALINE / BONE 3.0 ML (2.0) ML / 1
1279 2439 MYCOtect 2150 REAL TIME PCR A DAILY:0800 HRS THEN REPORT NEXT DAY
MARROW-EDTA / PARAFFIN BLOCK TISSUE + 1
EVENING
(SWABS AND BLOOD SPECIMEN NOT
ACCEPTED)
AMBIENT/
1,3 TUESDAY,
1280 RD1467 Myelin basic protein 5600 ELISA CSF 2ML REFRIGERATE Sameday
09:00AM
D
MYELOMA PANEL
(CD38,CD56,CD19, EDTA BM / HEP BM / SMEARS + 3.0 ML (2.0 ML) + 3.0
1281 1607 7500 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CYTOPLASMIC KAPPA AND CLINICAL HISTORY ML (2.0 ML) + 2(1)
LAMBDA,CD45, CD138)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1282 Z210K MYELOPEROXIDASE (MPO) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
FRESH, UNSTAINED, AIR DRIED
MYELOPEROXIDASE (MPO) CYTOCHEMISTRY SPECIAL 4 BM SMEARS + 2 PB
1283 Z206 1000 PERIPHERAL SMEAR / BONE MARROW A DAILY:11:00 HRS 3RD DAY
STAIN STAINS SMEARS
ASPIRATE SMEARS + CLINICAL HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1284 Z246K MYO-D1 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

SERUM [Samples should not be taken

from patients receiving therapy
with high biotin doses (i.e. > 5 mg/day) 2-8°C (7 days); DAILY (MON TO
1285 3612 MYOGLOBIN 3000 ELECTROCHEMILUMINESCENCE 2.0 mL (1.0 mL) SAME DAY
until at least 8 hours F (3 MONTHS) SAT):1600 hrs
following the last biotin administration]
+ Clinical History

R/F MONDAY 09:00HRS

MYOGLOBIN, URINE (URINE
1286 9273 1800 ECLIA RANDOM URINE 20.0ml(10.0ml) (STABILITY:4 TO SATURDAY 3 DAYS
SPOT, ECLIA)
DAYS) 09:00HRS
MYOTONIC DYSTROPHY TYPE EDTA WHOLE BLOOD + CLINICAL
1287 RD1484 8000 PCR-SEQUENCING 5 ML (3 ML) A 1 : 0930 HRS 15 days
1 (DM1) HISTORY in specified format
AMNIOTIC FLUID / CVS IN STERILE SALINE
MYOTONIC DYSTROPHY TYPE / FETAL BLOOD EDTA+EDTA WHOLE
1288 RD1485 16320 PCR-SEQUENCING 5 ML (3 ML) A 1 : 0930 HRS 15 days
1 (DM1) - PNDT BLOOD FOR BOTH PARENTS + CLINICAL
HISTORY
NATURAL KILLER CELL
WB-EDTA + HEPARIN 3.0 ML (1.0 ML) + 3.0
1289 5422 EVALUATION (%CD16+56,ABS 4300 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
(WB TO REACH WITHIN 48 HRS) ML (1.0 ML)
CD16+CD56)
EDTA - WB / BM / / FLUIDS, HEPARIN WB
NATURAL KILLER PANEL 3.0 ML (2.0 ML) + 3.0
1290 1611 4400 FLOW CYTOMETRY / BM / FLUIDS + BLOOD / BM SMEARS + A DAILY: 1530 HRS NEXT DAY BY 6.00PM
(CD3,CD16,CD56,CD45) ML (2.0 ML) + 2(1)
CLINICAL HISTORY
DRY BLOOD SPOT with complete CLINICAL
NBS 4 PARAMETERS (TSH,17 HISTORY form including birth date & birth
ALPHA time.(Dried Blood spot should be ideally
1291 7717 OHP,IMMUNOREACTIVE 1800 ENZYME IMMUNOASSAY collected within 3rd and 5th day of life 5NOS (4 NOS) A 1,4:1030 HRS NEXT DAY
TRYPSINOGEN, TOTAL after birth)DRY BLOOD SPOT with
GALACTOSE) complete CLINICAL HISTORY form including
birth date & birth t

DRY BLOOD SPOT with complete CLINICAL

HISTORY form including birth date & birth
NBS 7 PARA time.(Dried Blood spot should be ideally
1292 7708 (17OH,BIOT,G6PD,IRT,PHYL,G 2600 ENZYME IMMUNOASSAY collected within 3rd and 5th day of life 5NOS (4 NOS) A 1,4:1030 HRS NEXT DAY
ALAC,TSH) after birth)DRY BLOOD SPOT with
complete CLINICAL HISTORY form including
birth date & birth t
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DRY BLOOD SPOT with complete CLINICAL
NBS 8 PARAMETERS (17 HISTORY form including birth date & birth
ALPHA OHP, BIOTINIDASE time.(Dried Blood spot should be ideally
2-8°C (14
1293 4464 DEFICIENCY,G6PD,IRT,PHENYL 3250 ENZYME IMMUNOASSAY collected within 3rd and 5th day of life 5 NOS.(4NOS.) 1,4:1030 HRS NEXT DAY
DAYS)
ALANINE,GALACTOSE,TSH,SIC after birth), FOR MS/MS refer test code
KLE CELL 3358DRY BLOOD SPOT with complete
CLINICAL HISTORY for

DRY BLOOD SPOT with complete CLINICAL

HISTORY form including birth date & birth
time.(Dried Blood spot should be ideally
NBS NEW PANEL(CH, CAH,
1294 7517 1200 ENZYME IMMUNOASSAY collected within 3rd and 5th day of life 5NOS (4 NOS) A 1,4:1030 HRS NEXT DAY
G6PD, GALACTOSE)
after birth)DRY BLOOD SPOT with
complete CLINICAL HISTORY form including
birth date & birth t

NBS PANEL (MORE THAN 1 TEST FOR MORE THAN ONE MONTH OLD 5 DRY BLOOD
1295 4604 3530 Tandem Mass Spectrometry A DAILY 0900 HRS 5TH DAY
MONTH) BABY A. GENERAL INFORMATION SPOTS(2 SPOTS)
1.0 (0.5) ML / 1
TRANSPORT
PUS /URETHRAL DISCHARGE/VAGINAL
NEISSERIA GONORRHOEAE MEDIUM (ASK FOR
1296 2414 1150 CULTURE SECRETIONS OR URETHRAL/VAGINAL A DAILY 1500 HRS 3RD DAY
CULTURE TRANSPORT
SWABS IN TRANSPORT MEDIUM
MEDIUM) SPECIFY
SAMPLE SOURCE
NEISSERIA GONORRHOEAE URETHRAL/ ENDOCERVICAL SWABS OR 2 SWABS, 5.0 ML
1297 9801 3300 POLYMERASE CHAIN REACTION A 2: 1000 HRS 3RD DAY 1800
DNA PCR URINE URINE
NEISSERIA MENINGITIDIS A, B, 2-8°C (FEW
LATEX PARTICLE
1298 9611 C, Y, W135 ANTIGEN 2850 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
AGGLUTINATION
DETECTION (LONGER)
NEISSERIA MENINGITIDIS A, B, 2-8°C (FEW
LATEX PARTICLE
1299 9611C C, Y, W135 ANTIGEN 2800 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY:1530 HRS SAME DAY
AGGLUTINATION
DETECTION, CSF (LONGER)
WB-HEPARIN SPECIMEN TO REACH US IN
NEONATAL KARYOTYPING
24 – 48 HRS / CORD BLOOD- HEPARIN (IF
1300 5815 (NEWBORN TO ONE MONTH 3500 KARYOTYPE CELL CULTURE 4.0 ML (2.0 ML) A DAILY:7:00 HRS 12 WORKING DAYS
BABY IS ALIVE)+CLINICAL HISTORY IN
OLD CHILD)
SPECIFIED FORMAT

DRY BLOOD SPOT with complete

NEONATAL SCREENING (17- CLINICAL HISTORY form including birth
2-8°C (14
1301 3311 ALPHA 450 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1100 HRS NEXT DAY
DAYS)
HYDROXYPROGESTERONE) should be ideally collected within 3rd
and 5th day of life after birth)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DRY BLOOD SPOT with complete
CLINICAL HISTORY form including birth
NEONATAL SCREENING 2-8°C (14
1302 3320 700 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(Biotinidase) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

NEONATAL SCREENING CLINICAL HISTORY form including birth
2-8°C (14
1303 3321 (GLUCOSE-6-PHOSPHATE 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOS (1.0 NOS) 1,4:1030 HRS NEXT DAY
DAYS)
DEHYDROGENASE) should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

NEONATAL SCREENING CLINICAL HISTORY form including birth
2-8°C (14
1304 3322 (MAPLE SYRUP URINE 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
DAYS)
DISORDERS) should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

CLINICAL HISTORY form including birth
NEONATAL SCREENING 2-8°C (14
1305 3312 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(PHENYLALANINE) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

CLINICAL HISTORY form including birth
NEONATAL SCREENING 2-8°C (14
1306 3309 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(TOTAL GALACTOSE) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

CLINICAL HISTORY form including birth
2-8°C (14
1307 3308 NEONATAL SCREENING (TSH) 450 Enzyme Immunoassay date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TEST FOR MORE THAN ONE MONTH OLD
BABY A. GENERAL INFORMATION
COLLECTION TIME:
COLLECT SAMPLE 24 HOURS AFTER
BIRTH UP TO 14 YEARS OF AGE.
SPECIMEN AND VOLUME:
4 - 5 WHOLE BLOOD SPOTS ON
WHATMAN 903® FILTER PAPER; FILL ALL
CIRCLES WITH BLOOD. DO NOT LAYER

CONTAINER: WHATMAN 903® FILTER

PAPER
NEONATAL SCREENING PANEL
(All 42 Parameters) FOR STORAGE AND SHIPPING TEMPERATURE: 5 DRY BLOOD MONDAY TO
1308 3358A 5000 Tandem Mass Spectrometry A/R 4 DAYS
MORE THAN 1MONTH OLD ALLOW BLOOD TO DRY 3 - 4 HRS BEFORE SPOTS(2 SPOTS) FRIDAY 09:00HRS
UPTO 14 YEARS PACKING. STORE THE SAMPLE IN A
ZIPLOCK© OR EQUIVALENT BAG AT
ROOM TEMPERATURE OR 2¿ - 8¿ C. SHIP
THE SAMPLE IN THE ZIPLOCK OR
EQUIVALENT AT ROOM TEMPERATURE
OR 2¿ - 8¿ C.

B. SAMPLE ACCEPTABILITY
SPECIAL INSTRUCTIONS:
1. BLOOD COLLECTION BY HEEL-STICK
DIRECTLY ONTO FILTER PAPER UPTO 18
MONTHS AFTER BIRTH
2. BLOOD COLLECTION BY FINGER-STICK
NEONATAL SCREENING PANEL-
1 (Immunoreactive
Trypsinogen, TSH, Total DRY BLOOD SPOT with complete
Galactose, 17-Alpha- CLINICAL HISTORY form including birth
2-8°C (14
1309 3328IA Hydroxyprogesterone, 3250 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 5NOS (4 NOS) 1,4:1030 HRS NEXT DAY
DAYS)
Phenylalanine, Biotinidase, should be ideally collected within 3rd
Glucose-6-Phosphate and 5th day of life after birth)
Dehydrogenase, Maple Syrup
Urine Disease

NEONATAL SCREENING PANEL-

DRY BLOOD SPOT with complete
2 (Immunoreactive
CLINICAL HISTORY form including birth
Trypsinogen, TSH, 17-Alpha- 2-8°C (14
1310 3328IB 1800 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 5NOS (4 NOS) 1,4:1030 HRS NEXT DAY
HydroxyprogeSTerone, DAYS)
should be ideally collected within 3rd
Phenylalanine, Glucose-6-
and 5th day of life after birth)
Phosphate Dehydrogenase
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DRY BLOOD SPOT with complete
CLINICAL HISTORY form including birth
NEONATAL SCREENING PANEL- 2-8°C (14
1311 3328IC 700 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
3 (TSH, Phenylalanine) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)

DRY BLOOD SPOT with complete

CLINICAL HISTORY form including birth
NEONATAL SCREENING PANEL- 2-8°C (14
1312 3328ID 1000 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 3 NOS (2 NOS) 1,4:1030 HRS NEXT DAY
4 (G6PD, TSH, Phenylalanine) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)
TISSUE IN 10%FORMALIN / PARAFIN
NEUROENDOCRINE (NSE,
BLOCK + SITE OF BIOPSY AND CLINICAL
Chromogranin-A,
1313 Z236 6000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
Synaptophysin, CD56,
RECEIVED IT WILL BE CHARGED FOR
Pancytokeratin, Ki-67, S-100p)
TISSUE PROCESSING
Neuromuscular Disorders EDTA WHOLE BLOOD + CLINICAL
1314 RD1463 6700 PCR Sequencing 5ML AMBIENT 3, 10:00AM 10 days
mtDNA mutation Panel HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1315 Z048K NEURON SPECIFIC ENOLASE 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

DRY BLOOD SPOT with complete

NEW NEONATAL SCREENING
CLINICAL HISTORY form including birth
PANEL(TSH,Phenylalanine & 2-8°C (14
1316 3328IN 1000 ENZYME IMMUNOASSAY date & birth time.(Dried Blood spot 3 NOs (2 NOs) 1,4:1030 HRS NEXT DAY
17-Alpha- days)
should be ideally collected within 3rd
Hydroxyprogesterone)
and 5th day of life after birth)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A. General Information
Collection Time: Collect sample 24 hours
AFTER birth up to 1 month of age. (DAY
2-7 REPORTED WITHOUT DISCLAIMER ,
DAY 8 TO 1 MONTH WITH DISCLAIMER
COMMENT)
REQUIRE FOLLOWING MADATORY
DETAILS: Storage and
Birth date and time, Sample collection Shipping
date and time, Age at the time of Temperature:
collection (more than 24 hours), Specimen and Allow blood to
Transfusion details if any with date and Volume: 4 - 5 whole dry 3 - 4 hrs
NEWBORN SCREENING FOR time, IV fluid infusion if any with date blood spots on before
and time, Feed details TUESDAY AND
1317 3358 ACYLCARNITINE & AMINO 4500 LCMSMS Whatman 903® filter packing. 4TH DAY 6:00PM
(Breast/Bottle/Both Breast and Bottle FRIDAY 10:00HRS
ACIDS, Dried Blood spot paper; Fill all circles Store/Ship the
feed), Status at the time of collection with blood. Do NOT sample in a
(Normal/Premature/Sick), Gestational Layer ZipLock© or
age, Birth weight details, Medication if equivalent
any.Single baby or Twin baby (please bag at 2° - 8°
specify),Ethnicity C.
(White/Hispanic/Asian/Am.Indian/Af.Am
er/Others),Doctors Name and Contact
details + Clinical history of the patient.
B. Sample Acceptability: Special
Instructions:
1. Venous blood from a central line is
acceptable (Do NOT apply blood to filter
paper throughBLOOD
EDTA WHOLE a needle as hemolysed
+ CLINICAL
1318 RD1480 NF1 GENE MUTATION 65000 PCR-SEQUENCING 5 ML (3 ML) A 2 : 0930 HRS 21 days
HISTORY in specified format
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-
1319 9150U NICKEL URINE SPOT 3650 10-20 ML (5 ML) DAYS); F (>5 - “2” , 11:30 HRS THIRD DAY
CORRECTION 20 ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE). 24 HRS VOLUME
SHOULD BE COMPULSARILY SPECIFIED .
FIRST SHAKE THE CAN AND TAKE THE 10-
2-8°C (5
GFAAS WITH ZEEMAN 20 ML ALIQUOT IN METAL FREE
1320 9150U24 NICKEL, 24 HRS URINE 3650 10-20 ML (5 ML) DAYS); F (>5 - “2”, 11:30 HRS THIRD DAY
CORRECTION SCINTILLATION VIAL AVAILABLE OR
30 DAYS)
STERILE URINE CONTAINER BOTH
AVAILABLE FROM SRL (NO
PRESERVATIVE) THE MEASUREMENT OF
URINE VOLUME SHOULD BE DONE AFTER
ALIQUOTING.
NICKEL, SERUM BY ICPMS
1321 9132 4500 ICPMS SERUM 3.0ML(2.0ML) R MONDAY 09:00HRS 4 DAYS
(SERUM)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
FLOW CHROMATOGRAPHIC 2-8°C (48 hrs);
1322 8828 NICOTINE METABOLITE 2000 URINE 5.0 mL (2 mL) SAT): 1430, 1600 SAME DAY
IMMUNOASSAY F (>48 hrs)
hrs
NICOTINE METABOLITE, MONDAY TO
1323 9255 2200 EIA SERUM 3.0ML(2.0ML) R/F 3 DAYS
SERUM FRIDAY09:00HRS
1324 RD1458 NOCARDIA SPECIATION 6600 DNA SEQUENCING Pure Culture Isolate 1 A 3: 10:30 HRS 5; 18.00 HRS
TISSUE IN 10%FORMALIN / PARAFIN
NON HODGKIN LYMPHOMA BLOCK + SITE OF BIOPSY AND CLINICAL
1325 Z222 IMMUNOPHENOTYPING 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD20, CD3, CD43) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
A-SMEARS
OR
R - FLUIDS
/ASPIRATES,
2 FIXED SMEARS + IF FLUID SENT
1 AIR DRIED SMEAR WITHIN 24
UNSTAINED FNAC SMEARS OR BODY
NON-GYNAEC CYTOLOGY & (FOR FNAC) HRS. FOR
FLUIDS OR ASPIRATES + SITE OF
1326 1515 FINE NEEDLE ASPIRATION 1200 CYTOLOGY OR MORE THAN DAILY: 1530 HRS NEXT DAY
COLLECTION+ CLINICAL HISTORY &/OR
CYTOLOGY (FNAC) ENTIRE TAPPED 24 HRS, MIX
RADIOLOGICAL FINDGS.
FLUID TO BE EQUAL
SUBMITTED PROPORTION
OF FLUID
WITH 50%
ALCOHOL

A-SMEARS
OR
R - FLUIDS
/ASPIRATES,
2 FIXED SMEARS + IF FLUID SENT
1 AIR DRIED SMEAR WITHIN 24
UNSTAINED FNAC SMEARS OR BODY
NON-GYNAEC CYTOLOGY & (FOR FNAC) HRS. FOR
FLUIDS OR ASPIRATES + SITE OF
1327 1515P FINE NEEDLE ASPIRATION 1400 CYTOLOGY OR MORE THAN DAILY: 1530 HRS NEXT DAY
COLLECTION+ CLINICAL HISTORY &/OR
CYTOLOGY (FNAC), PHOTO ENTIRE TAPPED 24 HRS, MIX
RADIOLOGICAL FINDGS.
FLUID TO BE EQUAL
SUBMITTED PROPORTION
OF FLUID
WITH 50%
ALCOHOL
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

THE BLOOD SAMPLE (EDTA)SHOULD BE

STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE
PLASMA WITHIN 2HOURS AFTER BLOOD
COLLECTION.DO NOT CONSUME
VITAMIN B ,COFFEE, BANANAS, ALPHA -
METHYDOPA,MOA AND COMT F FROZEN WEDNESDAY :
1328 9953P NORADRENALIN, PLASMA 3600 ENZYME IMMUNOASSAY 2.0 ML (1.0 ML) NEXT DAY
INHIBITORSAS WELL AS MEDICATION STRICTLY 1000HRS
RELATED TO HYPERTENSION FOR AT
LEAST 72 HRS PRIOR TO THE COLLECTION
OF THE SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..

24HRS URINE (Preservative:15 - 20ML 6N

HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS,48hrs
prior to the collection of the specimen.It
is advisable to discontinue all
medications, alpha methyldopa, MAO &
COMT Inhibitors as well as medications
related to Hypertension should be
discontinued atleast 72 hrs prior to F FROZEN WEDNESDAY :
1329 9953U NORADRENALIN, URINE 3600 ENZYME IMMUNOASSAY 10.0 ML NEXT DAY
specimen collection.If medications STRICTLY 1000HRS
takenshould be STrictly on the advise of
the referring physician, the same should
be mentioned.Please freeze the
specimen immediately after collection.
CLINICAL DETAILS(Patient's clinical
history, CT SCAN , USG & MEDICATION
MANDATORY) mention 24 hrs urine
volume

EDTA WHOLE BLOOD + CLINICAL

1330 7579 NPM1 MUTATION DETECTION 3900 PCR - SEQUENCING 5 ML (3ML) A 5: 0930 HRS 7 DAYS
HISTORY/EDTA BONE MARRAOW
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X Monday, Thursday:
1331 RD1316 NRAS exon 1 and 2 Mutation 6500 NESTED PCR – Sequencing A 5th working days
DETAILS MANDATORY IF TISSUE RECD. 0.5 CM 9.30 hrs
TISSUE PROCESSING WILL BE CHARGED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM (Centrifuge blood within 1 hour)
[Samples should not be taken from
patients receiving therapy 2-8°C (24
NSE (NEURON SPECIFIC
1332 1702 3600 ELECTROCHEMILUMINESCENCE with high biotin doses (i.e. > 5 mg/day) 2.0 ML (1.0 ML) HRS); F (3 2:1600hrs SAME DAY
ENOLASE)
until at least 8 hours MONTHS)
following the last biotin administration]
+ Clinical History

SERUM [Samples should not be taken

from patients receiving therapy
NT-PRO BNP (N-TERMINAL 2-8°C (6
with high biotin doses (i.e. > 5 mg/day) DAILY (MON TO
1333 2121 PRO B TYPE NATRIURETIC 4200 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) DAYS); F (3 SAME DAY
until at least 8 hours SAT):1600 hrs
PEPTIDE) MONTHS)
following the last biotin administration]
+ Clinical History

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
NUT IHC - COE MONDAY 09:00HRS
match the site of the tissue
1334 4824 HISTOPATHOLOGY-FOR 2300 IHC 1BLOCK AMBIENT TO FRIDAY 8 DAYS
sample/Paraffin Block numbers belongs
STAINING 09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

URINE IN 4 TUBES (BLUE TOP-1, CREAM

TOP-1, CLEAR TOP-2)
+SERUM
+SODIUM HEPARIN PANEL
+RBC IN NA-HEPARIN TUBE
+EDTA WHOLE BLOOD – 2 TUBES.
BEFORE TAKING THIS TEST:DISCONTINUE
NON-ESSENTIAL MEDICATIONS (4 DAYS
EIA, HPLC, Kinetic (Jaffe), GC-MS,
BEFORE TEST) 10.0 ML+2.0 ML+2.0
NutriEVAL (KIT BASED TEST Enzymatic, LC-MS-MS,
1335 7003 65000 • REFER TO CLINICIAN INSTRUCTIONS ML+1.0 ML+3.0 ML F,F,F,R,R MON 09:00HRS 20-25 DAYS
ONLY) Colorimetric, TBARS, ICP-MS,
ABOUT WHAT OTHER MEDICATIONS AND EACH
Chemiluminescent
SUPPLEMENTS TO AVOID (4 DAYS
BEFORE TEST)
• PATIENTS MUST FAST OVERNIGHT
PRIOR TO BLOOD DRAW
• ARRANGE SHIPPING FOR MONDAY-
THURSDAY
• SEE INSTRUCTION.ON PRIOR REQUEST,
KIT IS PROVIDED BY SRL,MUMBAI
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
O6-methylguanine
BLOCK -SITE OF BIOPSY & CLINICAL
1336 RD1469 methyltransferase (MGMT) 7500 Pyrosequencing 1 AMBIENT WEDNESDAY,10AM 10days
DETAILS MANDATORY IF TISSUE RECD.
promoter
TISSUE PROCESSING WILL BE CHARGED

OBEY-CT PANEL I (Glucose F & SERUM 2-8°C

Glucose PP, T3, T4 & TSH, (<48 HRS); F
SERUM 5.0 ML (3.0
Triglycerides, Cholesterol, (> 48 HRS); Daily:1830 hrs (FOR
ML) + 1.0 ML (0.5
HDL Cholesterol, LDL FLUORIDE BIOCHEM
SPECTROPHOTOMETRY, SERUM (12-14HRS FASTING), FLUORIDE ML) EACH FASTING
Cholesterol, VLDL Cholesterol, PLASMA : 2- TESTS),DAILY (MON
DIPSTICK & MICROSCOPY/CELL PLASMA - FASTING & PP, FASTING & PP FLUORIDE
1337 DT8101 Cholesterol to HDL Ratio, LDL 3500 8°C (3 DAYS); TO SAT): 0500, SAME DAY
COUNTER/CHEMILUMINESCENC URINE, EDTA, MICRO SLIDE + (AGE & PLASMA 1.5 ML (1.0
to HDL Cholesterol Ratio, SERUM : 2-8°C 1900 hrs FOR T3,
E/IMT GENDER IS MANDATORY) ML) + URINE 15.0 ML
Creatinine, Total Protein, (2 DAYS), F (> T4, TSH
(10.0 ML) + 3.0 ML
Electrolytes, Calcium, 2 DAYS);
(2.0 ML) + 2
Phosphorus & Urine Analysis, URINE :2-
Uric acid 8°C(24 HRS)

OBEY-CT PANEL II (Glucose F SERUM 2-8°C

& Glucose PP , T3, T4 & TSH, (<48 HRS); F
Daily:1830 hrs (FOR
Cortisol, Triglycerides, (> 48 HRS);
SERUM 5.0 ML (3.0 BIOCHEM
Cholesterol, HDL Cholesterol, FLUORIDE
SERUM (12-14HRS FASTING), FLUORIDE ML) + EACH FASTING TESTS),DAILY (MON
LDL Cholesterol, VLDL SPECTROPHOTOMETRY, PLASMA : 2-
PLASMA - FASTING & PP, FASTING URINE & PP FLUORIDE TO SAT): 0500,
1338 DT8102 Cholesterol, Cholesterol to 4100 DIPSTICK & MICROSCOPY 8°C (3 DAYS); SAME DAY
, EDTA, MICRO SLIDE + (AGE & GENDER PLASMA 1.5 ML (1.0 1900 hrs FOR T3,
HDL Ratio, LDL to HDL /CHEMILUMINESCENCE/IMT SERUM : 2-8°C
IS MANDATORY) ML) + URINE 15.0 ML T4, TSH &
Cholesterol Ratio, Creatinine, (2 DAYS), F (>
(10.0 ML) + + 1.0 ML CORTISOL.
Total Protein, Electrolytes, 2 DAYS);
Calcium, Uric Acid, URINE : 2-
Phosphorus & Urine AnalysiS 8°C(24 HRS)

CSF & SERUM SAMPLE MUST BE

2 - 8 °C(1
ISOELECTRIC FOCUSING WITH COLLECTED SIMULTANEOUSLY ON SAME
1339 1316 OLIGOCLONAL BANDS, CSF 5700 2.5 ML + 2.0 ML WEEK), F(1 4 :1100 HRS 6TH DAY
IMMUNOFIXATION DAY AND SAME TIME (FOR PARALLEL
MONTH)
TESTING) + CLINICAL HISTORY

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK -SITE OF BIOPSY & CLINICAL 1st & 3rd MON:
1340 RD1499 ONCOFOCUS-NEXT 70000 Next Generation Sequencing 1 AMBIENT 12 days
DETAILS MANDATORY IF TISSUE RECD. 1000 HRS
TISSUE PROCESSING WILL BE CHARGED
BY PRIOR
OPERATION THEATRE APPOINTMENT ON
MICROBIOLOGICAL 2 AIR SAMPLE + 10 LOCATION & Aerobic culture: 3RD DAY,
1341 LC001 4800 AEROBIC+ANAEROBIC CULTURE AIR SAMPLES + SWABS. R
SURVEILLANCE (10 SWABS+2 SWABS EXPOSURE TIME OF Anaerobic culture: 5th Day
AIR SAMPLES) CULTURE PLATES
REQUIRED
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BY PRIOR
OPERATION THEATRE APPOINTMENT ON
MICROBIOLOGICAL 2 AIR SAMPLE + 5 LOCATION & Aerobic culture: 3RD DAY,
1342 LC002 2700 AEROBIC+ANAEROBIC CULTURE AIR SAMPLES + SWABS. R
SURVEILLANCE (5 SWABS+2 SWABS EXPOSURE TIME OF Anaerobic culture: 5th Day
AIR SAMPLES) CULTURE PLATES
REQUIRED
BY PRIOR
OPERATION THEATRE
APPOINTMENT ON
MICROBIOLOGICAL
2 AIR SAMPLE + 10 LOCATION &
1343 LC001A SURVEILLANCE- 10 (AEROBIC 4850 AEROBIC CULTURE AIR SAMPLES + SWABS. R 3RD DAY
SWABS EXPOSURE TIME OF
CULTURE ONLY- 10 SWABS+2
CULTURE PLATES
AIR SAMPLES)
REQUIRED
BY PRIOR
OPERATION THEATRE
APPOINTMENT ON
MICROBIOLOGICAL
2 AIR SAMPLE + 5 LOCATION &
1344 LC002A SURVEILLANCE-5 (AEROBIC 2750 AEROBIC CULTURE AIR SAMPLES + SWABS R 3RD DAY
SWABS EXPOSURE TIME OF
CULTURE ONLY- 5 SWABS+ 2
CULTURE PLATES
AIR SAMPLES)
REQUIRED
Gas Chromatography/Mass RANDOM URINE+ CLINICAL DETAILS AND
MONDAY - FRIDAY
1345 3966 ORGANIC ACID SCREEN,URINE 6600 spectrometry (GC/MS)-semi MEDICATION TO BE PROVIDED ALONG 20ML (10ML) F 10TH DAY
09:00HRS
quantitative analysis. WITH THE SPECIMEN.
URINE 24 HRS WITHOUT PRESERVATIVE
& REFRIGERATE DURING COLLECTION) (
1346 3231U24 OSMOLALITY, 24 hrs URINE 1200 FREEZING POINT DEPRESSION 5.0 ML (2.0 ML) 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)
SERUM ( PATIENT AGE, GENDER AND
1347 3231 OSMOLALITY, SERUM 1000 FREEZING POINT DEPRESSION 1.0 (0.5) ML 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
CLINICAL HISTORY DETAILS.)
RANDOM URINE WITHOUT
1348 3231U OSMOLALITY,URINE 1000 FREEZING POINT DEPRESSION 5.0 ML (2.0 ML) 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
PRESERVATIVE

SERUM [Samples should not be taken

from patients receiving therapy
2-8°C
with high biotin doses (i.e. > 5 mg/day)
1349 3550 OSTEOCALCIN (N MID) 3800 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) (3DAYS); 2,5:1600 hrs SAME DAY
until at least 8 hours
F (3 MONTHS)
following the last biotin administration]
+ Clinical History

SERUM [Samples should not be taken

from patients receiving therapy with high
OSTEOMON (BETA FROZEN: UP DAILY (MON TO
1350 1060 3500 ELECTROCHEMILUMINESCENCE biotin doses (i.e. > 5 mg/day) until at 2.0 ML (1.0 ML) SAME DAY
CROSSLAPS & TOTAL P1NP) TO 3 MONTHS SAT):1600 hrs
least 8 hours following the last biotin
administration]+ Clinical History
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
OSTEONECTIN
1351 Z0150K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:1100 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM [Samples should not be taken
OSTEOPORESIS MONITORING from patients receiving therapy with high
FROZEN: UP DAILY (MON TO
1352 1060 (BETA CROSSLAPS & TOTAL 3500 ELECTROCHEMILUMINESCENCE biotin doses (i.e. > 5 mg/day) until at 2.0 ML (1.0 ML) SAME DAY
TO 3 MONTHS SAT):1600 hrs
P1NP) least 8 hours following the last biotin
administration]+ Clinical History

SERUM [Samples should not be taken

2-8°C
from patients receiving therapy with high
OSTEOPOROSIS MONITORING (5DAYS); F (> DAILY (MON TO
1353 1059 2300 ELECTROCHEMILUMINESCENCE biotin doses (i.e. > 5 mg/day) until at 2.0 ML (1.0 ML) SAME DAY
(TOTAL P1NP) 5DAYS- 6 SAT):1600 hrs
least 8 hours following the last biotin
MONTH)
administration] + Clinical History

OSTEOSCREEN PANEL - I Calcium,

SERUM 2-8°C
(Calcium, Phosphorous, Phosphorous
1.0 mL (0.5 mL), 1.0 (2 DAYS); F
Vitamin D (25 Hydroxy), PTH CHEMILUMINESCENCE / SERUM (R) + 2 SERUM (F) + EDTA Plasma Daily:1830 hrs,
1354 1017 3700 mL (0.1 mL) + 2.0 mL (>2 DAYS) + SAME DAY
Intact) SPECTROPHOTOMETRY (F) Vit D & iPTH:
(1.0 mL) EDTA Plasma
Daily (Mon to Sat):
Frozen
0500, 1600 hrs.

Calcium,
Phosphorous and
SERUM (R) + 2 SERUM (F) + EDTA Plasma Alkaline
OSTEOSCREEN PANEL - II
(F) ,SERUM [Samples should not be taken SERUM 2-8°C Phosphatase DAILY
(Calcium, Phosphorous,
from patients receiving therapy 1.0 mL (0.5 mL), 1.0 (2 DAYS); F (MON TO
Vitamin D (25 Hydroxy), PTH CHEMILUMINESCENCE /
1355 1018 5800 with high biotin doses (i.e. > 5 mg/day) mL (0.1 mL) + 2.0 mL (>2 DAYS) + SAT):18:30 HRS, SAME DAY
Intact, Osteocalcin, Alkaline SPECTROPHOTOMETRY
until at least 8 hours (1.0 mL) EDTA Plasma Vit D & iPTH:
Phosphatase)
following the last biotin administration] Frozen Daily (Mon to Sat):
+ Clinical History 0500 to 1600 hrs.
Osteocalcin: 2, 5
1600 hrs.
OVA & PARASITE: COCCIDIA
1356 2363 765 STAINING: MICROSCOPY STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML 2-8°C (48 HRS) DAILY: 1530 HRS NEXT DAY
EVALUATION
OVA & PARASITE:
COMPREHENSIVE CONCENTRATION;
1357 2362S 700 STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1530 HRS NEXT DAY
EXAMINATION WITH MICROSCOPY; STAINING
COCCIDIA EVALUATION
CHEMILUMINESCENT 2-8°C (4
OVARIAN MALIGNANCY RISK SERUM (Note:LMP or Pre or Post
1358 7194 3350 MICROPARTICLE IMMUNOASSAY 2.0 ML (1.0 ML) DAYS); -20°C Thrus:1530 pm Same day
ALGORITHM (ROMA) Menopausal status Mandatory required)
(CMIA) (>4 DAYS)
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
MONDAY 09:00HRS
P16 IHC - COE match the site of the tissue
1359 4823 2300 IHC 1BLOCK AMBIENT TO FRIDAY 8 DAYS
HISTOPATHOLOGY sample/Paraffin Block numbers belongs
09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1360 Z008K p53 (MUTANT WILD TYPE) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK+ SITE OF BIOPSY AND CLINICAL
1361 Z255K p63 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

PAN NEUROTROPIC VIRUS

Same day 7.00 pm For
PANEL ( GOLD STANDARD IN
1362 RD1462 7500 Multiplex PCR CSF + CLINICAL HISTORY 3ml Frozen DAILY 11:00 AM Negative & positive next
DIAGNOSING ASEPTIC
day 11 AM
MENINGITIS & ENCEPHALITIS

DAILY (MON TO
PANCREATIC CANCER 2-8°C (48 hrs);
1363 3024 3100 CHEMILUMINESCENCE SERUM 2.0 ML (1.0 ML) SAT): SAME DAY
MONITOR (CA 19-9, CEA) F (>48 hrs)
0500,1430,1600 hrs

AMBIENT-5
Enzyme Linked Immnunosorbent DAYS, 2-8°C (7 2nd and 4th
1364 3884 Pancreatic Elastase Test 10500 STOOL 1.0 GM Same day(1900 hrs)
assay DAYS); -20°C Monday:10.00 am
(>7 DAYS)

TISSUE IN 10%FORMALIN / PARAFIN

BLOCK (SITE OF BIOPSY & CLINICAL
1365 Z055K PAN-CYTOKERATIN 2800 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY) IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
PANFUNGAL DETECTION & SPUTUM / CSF / FLUIDS / TISSUES +
1366 9602 13000 PCR SEquencing ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
IDENTIFICATION PANEL CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
SPUTUM / CSF / FLUIDS / TISSUES +
1367 9603 PANFUNGAL DNA DETECTOR 4000 PCR SEquencing ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
Hybrid capture Only
Diagen DNA Hybrid Capture and Wednesday at 8:00 Hybrid capture same day
1368 1479 PAP DUO + HYBRID 3550 LBC 10ML A
CYTOLOGY am and LBC daily and LBC next day
10:00am
PAP DUO-THINPREP / 2950 SPECIMEN FIXED IN THINPREP / DAIILY:1530 (LBC) &
NEXT DAY
1369 1822 SUREPATH CYTOLOGY+ CYTOLOGY/ POLYMERASE CHAIN SUREPATH PRESERVATIVE SOLUTION + 1 VIAL 15 – 30 ºC 2,4: 1000 HRS (HPV-
REACTION (FOR PAP)
HPV-PCR CLINICAL HISTORY, AGE, LMP PCR)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SMEARS -4 (2 FIXED
FOR PAP + 2 AIR
DRIED FOR HPV)

+
FIXED UNSTAINED SMEARS (FOR PAP)
DAIILY:1530 (PAP
AND NEXT DAY FOR PAP SMEAR
PAP SMEAR REFLEX TO HPV CYTOLOGY/ POLYMERASE CHAIN GENITAL SWABS – 2 SMEAR) & 2,4,6:
1370 9216RFX 1500 GENITAL SWABS / CERVICAL SCRAPINGS A & 3,5,1 : 1900 hrs FOR HPV
DETECTION(DNA DETECTOR) REACTION SWABS OR 1000 HRS (HPV-
ON SLIDES DNA DETECTOR
FORMALIN FIXED PCR)
+ CLINICAL HISTORY & AGE & SEX
TISSUE/PARRAFIN
BLOCK-1 OR
ENDOCERVICAL
SCRAPPINGS/
SWABS
FIXED UNSTAINED SMEARS + CLINICAL
1371 1272 PAP STAIN 700 CYTOLOGY 2 SMEARS A DAILY:1530 HRS NEXT DAY
HISTORY, AGE, LMP
FIXED UNSTAINED SMEARS + CLINICAL
1372 1272P PAP STAIN [PHOTO] 800 CYTOLOGY 2 SMEARS A DAILY:1530 HRS NEXT DAY
HISTORY, AGE, LMP
1] Require SERUM sample.Mention time
of drug dose.
REFRIGERATE
1373 1564I PARACETAMOL 1200 COLORIMETRY 2] Require Doctors Name and Contact 2.0 ML Friday 10:00 HRS NEXT DAY 18:00HRS
D
details + Clinical history of the patient is
mandatory.
PARANEOPLASTIC DISORDER
SERUM OR EDTA/HEPARIN/CITRATED 2-8°C (14
PROFILE ( HUABS, YOABS, RI
1374 3861 6300 IMMUNOBLOT PLASMA (CLINICAL HISTORY 1.0 ML(0.5 ML) days); -20°C TUESDAY: 1000 AM SAME DAY :1900 HRS
ABS, PNMA2 ABS,
MANDATORY) (>14 days)
AMPHIPHYSIN ABS)

0.5 ML (0.1 ML), 0.5 R-WB/BONE

EDTA-PLASMA / WB-EDTA / BONE
1375 3305 PARVOVIRUS B19 DNA PCR 2900 POLYMERASE CHAIN REACTION ML (0.1 ML), 0.5 ML MARROW, F- 2:1000 HRS 5: 1800 HRS
MARROW EDTA
(0.1 ML) EDTA PLASMA
2-8°C (5
Enzyme Linked Immnunosorbent
1376 2067I PARVOVIRUS B19 IgG 3150 SERUM 1.0 ML (0.2 ML) DAYS); -20°C 2: 1030 HRS SAME DAY
assay
(>5 DAYS)
2-8°C (5
Enzyme Linked Immnunosorbent
1377 2068I PARVOVIRUS B19 IgM 3100 SERUM 1.0 ML (0.2 ML) DAYS); -20°C 2: 1030 HRS SAME DAY
assay
(>5 DAYS)
DAILY:0930 HRS
1378 RD1424 PATERNITY TESTING DUO 28500 STR Analysis EDTA WHOLE BLOOD + BUCCAL SWAB 3.0 ML + 2 SWABS AMBIENT (EXCEPT SUNDAY 10 DAYS
AND HOLIDAYS)
DAILY:0930 HRS
1379 RD1425 PATERNITY TESTING TRIO 32500 STR Analysis EDTA WHOLE BLOOD + BUCCAL SWAB 3.0 ML + 2 SWABS AMBIENT (EXCEPT SUNDAY 10 DAYS
AND HOLIDAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
1380 Z267K PAX-5{} 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3RD DAY
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
SERUM: 2-8°C
(24 hrs); F (
PCOD Panel (LH, FSH,
FASTING SERUM + PLASMA FLOURIDE+ 2.0 ML (1.0 ML)+5.0 >24 hrs) F; DAILY(MON - SAT):
Prolactin, Testosterone (Total SPECTOPHOTOMETRY/RADIOIM
URINE AND POST PRANDIAL SERUM ML (2.0ML)+2.0 ML FLUORIDE 1230 hrs, DAILY :
1381 1011 & Free), Insulin (Fasting & PP) 4250 MUNOASSAY/CHEMILUMINECE SAME DAY
+PLASMA FLOURIDE+ URINE (AGE & (1.0 ML)+5.0 ML PLASMA : 2- 1830 hrs FOR
Fasting & PP Sugar) NCE/ DIPSTICK
GENDER IS MANDATORY) (2.0ML) 8°C (3 DAYS); GLUCOSE F & PP
URINE : 2-
8°C(24 HRS)

SERUM ( AGE+GENDER+LMP+CLINICAL 2-8°C (48

HISTORY REQUIRED ) **DRAW SAMPLE HRS); F (>48 DAILY (MON TO
PCOS TOTAL (LH, FSH,
BETWEEN 8 AM TO 10AM, 3-4 HRS HRS) SAT): 0500 hrs to
Prolactin, Testosterone (Free), CHEMILUMINESCENCE/ RADIO
AFTER THE PATIENT HAS 5.0 (2.5) ML + 2ML +FLUORIDE 1900 hrs & DAILY SAME DAY,HOMA NEXT
1382 4639 HOMA IR, DHEAS, TSH, Direct 4250 IMMUNOASSAY/
AWAKENED.**+FASTING FLUORIDE (1.0ML) PLASMA 2-8°C (MON - SAT): 1230 DAY
LDL Cholesterol, Cholesterol SPECTROPHOTOMETRY
PLASMA WITH 12-14 HRS FASTING (3 DAYS) AND HRS FOR FREE
Total, Triglycerides
SERUM (AGE & GENDER OF THE PATIENT SERUM TESTOSTERONE
IS MANDATORY FOR REPORTING) FROZEN ONLY

PDGFR PLUS (FIP1L1-PDGFRA

GENE REARRANGEMENT AND
1383 4806 9500 Nested RT-PCR EDTA WB / BONE MARROW EDTA 2.0 ML /1.0 ML A Tuesday, 10:30 AM 7 days
TEL-PDGR BETA T(5;12)
TRANSLOCATION)

PERIODIC ACID SCHIFF (PAS) CYTOCHEMISTRY SPECIAL BONE MARROW SMEAR + PERIPHERIAL 4 BM SMEARS + 2 PB
1384 Z204 1000 A DAILY:15:30 HRS 3RD DAY
STAIN STAINS SMEAR + CLINICAL HISTORY SMEARS

SERUM / PLASMA - EDTA , RESULTS

FROM SPECIMEN COLLECTED 2 TO 4 HRS 2-8°C (48 hrs); 2,4:
1385 1560 PHENOBARBITAL 1050 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAME DAY
AFTER DOSE CAN BE MISLEADING. F (>48 hrs) 0500,1430,1600 hrs
(TREATMENT HISTORY REQUIRED)

DRY BLOOD SPOT with complete

CLINICAL HISTORY form including birth
PHENYLALANINE (NEONATAL 2-8°C (14
1386 3312 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
SCREENING) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)
SERUM / Plasma - EDTA OR
DAILY (MON TO
HEPARINIZED, Specimen to be collected 2-8°C (48 hrs);
1387 4103 PHENYTOIN (Eptoin,Dilantin) 1100 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
4 - 5 hrs after dose. (Treatment history F (>48 hrs)
0500,1430,1600 hrs
Required)
PHILADELPHIA BONE MARROW-EDTA/ WB- EDTA
1388 5350 CHROMOSOME (BCR / abl 5500 REAL TIME PCR (SPECIMENS TO REACH US WITHIN 48 3.0 ML (1.0 ML) A/R 1,3,5 : 10 HRS 3, 5, 1: 1800HRS
qualitative) HRS) +CLINICAL HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PHILADELPHIA WB-EDTA/ BONE MARROW-EDTA
1389 5350QN CHROMOSOME (BCR/abl - 6900 REAL TIME PCR (SPECIMEN TO REACH US WITHIN 48 2.0-3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
quantitative) HRS)+CLINICAL HISTORY
A/R – SAMPLE
PHILADELPHIA SHOULD
EDTA WHOLE BLOOD / EDTA BONE 5 ML (3 ML)/5 ML (3
1390 RD1318 CHROMOSOME (BCR/ABL 5000 MULTIPLEX RT-PCR REACH 1 : 0930 HRS 6;1830 HRS
MARROW + CLINICAL HISTORY ML)
BREAKPOINT ANALYSIS) WITHIN 48
HRS

PHILADELPHIA AMBIENT/
1391 9892IS CHROMOSOME (BCR/ABL IS- 6900 Real time PCR WB-EDTA/BONE MARROW EDTA 3 ML REFRIGERATE DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
INTERNATIONAL SCALE) D
PHILADELPHIA WB- EDTA / BM- EDTA (SPECIMEN TO
1392 9892 CHROMOSOME (BCR-abl 6900 REAL TIME PCR REACH US WITHIN 48 HRS)+ CLINICAL 3.0 ML + 3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
transcript quantification) HISTORY
FASTING, CITRATED PLATELET POOR 1, 3, 5: 1000 HRS
PHOSPHOLIPID SYNDROME F (To be F LUPUS
PLASMA* - AT MINUS 20° C + SERUM (R) TWO ALIQUOTS OF FOR LUPUS
PANEL (Lupus Anticoagulant immediately ANTICOAGULANTNEXT DAY
CLOT BASED & ENZYME + CLINICAL HISTORY+ H/O ORAL ANTI 1.5 ML EACH (1.0 ANTICOAGULANT &
1393 1080A Screen, Cardiolipin IgG & IgM 4950 at -20°c & & & CARDIOLIPIN &
IMMUNOASSAY COAGULANT (PT. SHOULD BE OFF ML) + 2.0 ML CARDIOLIPIN &
ABS, Anti-phospholipid IgG & transported in ANTIPHOSPHOLIPID :SAME
ANTICOAGULATION FOR 7 DAYS) SERUM (1.0 ML) ANTIPHOSPHOLIPID
IgM Abs) dry ice) / A DAY
*(DOUBLE CENTRIFUGED PLASMA)* DAILY: 1100 HRS
PHOTO - IHC, TISSUE / TISSUE FIXED IN 10%FORMALIN /
1394 P0003 300 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PARAFFIN BLOCK PARAFFIN BLOCK
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
1395 RD1437 PIK3CA Gene Mutation 5700 PCR Sequencing 2 BLOCKS AMBIENT 2: 0930 HRS 7 DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
PIN 4
1396 Z222K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
PITITUARY LESION
BLOCK + SITE OF BIOPSY AND CLINICAL
HORMONES (Prolactin,
1397 Z239 8000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
Growth hormone, LH, FSH,
RECEIVED IT WILL BE CHARGED FOR
ACTH,TSH)
TISSUE PROCESSING
PLAC (LIPOPROTEIN- 2-8°C (2
ENZYME SERUM (AGE & GENDER OF THE PATIENT
1398 5966 ASSOCIATED PHOSPHOLIPASE 9500 2.0 ML (1.0 ML) WEEKS); F (18 1: 1100 hrs SAME DAY
ASSAY/SPECTROPHOTOMETRY IS MANDATORY FOR REPORTING)
A2 ACTIVITY) MONTHS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
PLACENTAL ALKALINE
1399 Z074K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PHOSPHATASE
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
HEPARIN WHOLE BLOOD (CLINICAL
HISTORY, AGE & GENDER IS
1400 4332P PLASMA OXALATE 8800 SPECTROPHOTOMETERY 10 ML ( 2 VIALS) 2-8°C 3 : 11:00 HRS 3 rd DAY
MANDATORY) HEMOLYSED SPECIMEN
NOT ACCEPTABLE.
PLASMA-EDTA (CLINICAL HISTORY
REQUIRED)(STANDING/ SUPINE)
UPRIGHT POSTURE INDUCES A PROMPT FROZEN: UP
1401 3216 Plasma RENIN 5500 RADIO IMMUNOASSAY 5.0 ML (3.0 ML) 2, 5: 1430 hrs NEXT DAY
ELEVATION IN PLASMA RENIN ACTIVITY TO 2 WEEKS
BEGINNING IN 15MINUTES AND PEAKING
BETWEEN 60 &120 MINUTES

Stable isotope dilution Gas MONDAY 09:00HRS

PLASMA VERY LONG CHAIN
1402 4069 22000 Chromatography Mass HEPARIN PLASMA 3.0ML(2.0ML) FROZEN TO SATURDAY ONE MONTH
FATTY ACIDS
spectrometry 09:00HRS

Plasminogen Activator
1403 RD1432 Inhibitor-1 (PAI-1) / SERPINE- 12500 PCR Sequencing WHOLE BLOOD EDTA 4 ML AMBIENT 4; 0930 HRS 7 DAYS
1, 4G/5G Genotyping
PLATELET ANTIBODIES
SATURDAY
1404 5115 (SERUM,IMMUNOFLUORESCE 10300 IMMUNOFLUORESCENCE SERUM 2.0ML(1.0ML) R/F 4 DAYS
09:00HRS
NCE)
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
1405 6003F PML Ra Ra t(15:17) 6000 FISH [PLEASE MENTION THE CLINICAL 4.0 ML + 2.0 ML A DAILY: 7:00 HRS 5TH DAY
HISTORY, BLOOD PICTURE (CBC REPORT)
AND MEDICATION OF THE PATIENT ON
THE TRF]
WB-EDTA / BONE MARROW (SPECIMEN
PML Ra Ra t(15:17),
1406 9905 6000 REAL TIME PCR TO REACH US WITHIN 48 HRS)+CLINICAL 3.0 ML / 2.0 ML A/R 2,4,6:1000 HRS 4,6,2:1800 HRS
QUALITATIVE
HISTORY
WB-EDTA / BONE MARROW (SPECIMEN
PML Ra Ra t(15:17),
1407 9906 5700 REAL TIME PCR TO REACH US WITHIN 48 HRS)+CLINICAL 3.0 ML / 2.0 ML A/R 2,4,6:1000 HRS 4,6,2:1800 HRS
QUANTITATIVE
HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
1408 Z265K PMS2 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHORIONIC VILLUS IN MEDIUM+TRF
CONSENT FORM WITH PND
PNDT- CHRIONIC VILLES
1409 5833F 13500 FISH REGISTRATION NUMBER MANDATORY. 30.0 (40.0) MG A DAILY: 7.00 HRS 5TH DAY
BIOPSY (FISH)
SPECIMEN TO REACH US IN 24 HRS
AFTER COLLECTION
PNEUMOCYSTIS CARINII
1410 7745S 2950 SPECIAL STAINS: MICROSCOPY SPUTUM / BAL RESPIRATORY FLUIDS 3.0 ML (1.0 ML) A/R/F DAILY:1500 HRS NEXT DAY
DETECTION
1411 1672 PNH (CD55 and CD59) 7100 FLOW CYTOMETRY EDTA WB + CLINICAL HISTORY 3.0ML(1.0ML) A DAILY :1530HRS 3RD DAY 6.00PM
PNH TEST ON WHITE BLOOD
CELLS
[ANTI-CD45, CD14, CD15, Ambient (25
Monday to Next day 7.00 pm (Except
1412 7669 CD24 AND CD64 ANTIBODIES, 7200 Flow Cytometry BLOOD (EDTA) 3 ml Degree
Saturday; 2.30 pm Sunday)
AND FLUOROSCENT Celcius)
AEROLYSIN (FLAER)]

IST TRIMESTER: CHORIONIC VILLI; 2ND

OR IIIRD TRIMESTER: PLACENTAL VILLI.
10 GM CHORIONIC
PLEASE SEND CLINICAL HISTORY IN
VILLI IN STERILE RED
SPECIFIED FORMAT-
TOP
CHORIONIC VILLI
VACCUTAINER,CONT
POC FISH REFLEX TO POC OR HEART BLOOD
1413 9219RFX 7000 FISH OR CYTOGENETICS AINING STERILE A/R DAILY 11:00HRS 21 DAYS
KARYOTYPING OR CORD BLOOD
SALINE WITH 3-4
IF NONE OF THESE ARE AVAILABLE, THEN
DROPS OF PROCAINE
A SMALL PIECE OF FOETAL SKIN (THIGH,
PENICILLIN OR
STOMACH, ARMS)
GENTAMICIN
FOR CHROMOSOMAL ANALYSIS/FISH
Don't send full fetus ti the dept.
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
COLLECTION.TO PROTECT FROM LIGHT,
ION EXCHANGE THE URINE SPECIMEN NEEDS TO BE 2-8°C
PORPHOBILINOGEN
1414 1652 9500 CHROMATOGRAPHY COLLECTED IN A DARK COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3: 1100 HRS NEXT DAY
QUANTITATIVE URINE, 24 HRS
/SPECTROPHOTOMETRY BOTTLE. ( MENTION 24 HRS. TOTAL MONTH)
URINE VOLUME ON TRF ALONG WITH
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)
RANDOM URINE WITHOUT
PRESERVATIVE.TO PROTECT FROM
PORPHOBILINOGEN ION EXCHANGE LIGHT, THE URINE SPECIMEN NEEDS TO 2-8°C
1415 1653 QUANTITATIVE URINE, 8500 CHROMATOGRAPHY BE COLLECTED IN A DARK COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3: 1100 HRS NEXT DAY
Random /SPECTROPHOTOMETRY BOTTLE.(PATIENT AGE, GENDER AND MONTH)
CLINICAL HISTORY DETAILS.)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
RANDOM URINE WITHOUT
PRESERVATIVE TO PROTECT FROM
LIGHT, THE URINE SPECIMEN NEEDS TO
BE COLLECTED IN A DARK COLOURED
2-8°C
BOTTLE. (PATIENT AGE, GENDER AND
1416 4170 PORPHOBILINOGEN, URINE 3500 CHEMICAL ANALYSIS 20.0 ML (10.0ML) (4DAYS); F (> 6 : 1100hrs SAME DAY
CLINICAL HISTORY DETAILS.) (PATIENT
4DAYS)
AGE, GENDER AND CLINICAL HISTORY
DETAILS.)

24HRS URINE (NO

PRESERVATIVE).COLLECT 24HRS URINE
SAMPLE IN BROWN BOTTLE. COURIER
PORPHYRINS SPECIATION, THE 25ML OF 24HRS URINE ALIQUOT IN 1ST & 3RD
1417 9999 6700 HPLC 25.0ML(10.0ML) F 3RD DAY 18:00HRS
24HRS URINE DARK BROWN CONTAINER.MENTION WED:1000 HRS
24HRS URINE VOLUME ON THE
REQUISITION FORM. DOCTORS NAME
AND CONTACT DETAILS REQUIRED.

URINE -24 HOURS WITHOUT

PRESERVATIVE & REFRIGERATE DURING
COLLECTION.TO PROTECT FROM LIGHT,
THE URINE SPECIMEN NEEDS TO BE
ION EXCHANGE 2-8°C
COLLECTED IN A DARK COLOURED
1418 4516 PORPHYRINS, 24HRS URINE 6600 CHROMATOGRAPHY 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00HRS NEXT DAY
BOTTLEDARKEDCOLOURED BOTTLE. (
/SPECTROPHOTOMETRY MONTH)
MENTION 24 HRS. TOTAL URINE
VOLUME ON TRF ALONG WITH PATIENT
AGE, GENDER AND CLINICAL HISTORY
DETAILS.)
PRADER- WILLI SYNDROME EDTA WHOLE BLOOD + CLINICAL
1419 RD1418 7200 Methylation Specific - PCR 5.0 ML (3.0 ML) AMBIENT 1:0930 HRS 9 DAYS
MS PCR HISTORY
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
1420 1550 PREALBUMIN 3500 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,6 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (24 DAILY (MON TO

PREGNANCY ASSOCIATED SERUM (Clinical Details ); LMP date
1421 3300 1600 CHEMILUMINESCENCE 2.0 ML (1.0ML) HRS); F (2 SAT): SAME DAY
Plasma PROTEIN-A (PAPP-A) required
Months) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
AMINOTIC FLUID + DULY FILLED
AMNIOTIC FLIUD TRF + CLINICAL
PRENATAL AMNIOTIC FLUID HISTORY. CONSENT FORM WITH PND
1422 5832F 11500 FISH 20 ML A DAILY:7:00 HRS 5th Day
FISH REGISTRATION NUMBER MANDATORY.
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED

AMNIOTIC FLIUD TRF + CLINICAL
PRENATAL AMNIOTIC FLUID HISTORY. CONSENT FORM WITH PND
1423 5832K 12000 KARYOTYPING 20 ML A DAILY:7:00 HRS 14 WORKING DAYS
KARYOTYPING REGISTRATION NUMBER MANDATORY.
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED

AMNIOTIC FLIUD TRF + CLINICAL
PRENATAL AMNIOTIC FLUID HISTORY. CONSENT FORM WITH PND
1424 5832 18000 KARYOTYPING + FISH 20 ML (15 ML) A DAILY:7:00 HRS 14-18 days
KARYOTYPING + FISH REGISTRATION NUMBER MANDATORY.
SPECIMEN SHOULD REACH US IN 24 HRS
AFTER COLLECTION

CHORIONIC VILLUS IN MEDIUM,

BIOPSY+CLINICAL HISTORY CONSENT
PRENATAL CHORIONIC VILLUS
1425 5833K 11500 KARYOTYPING FORM WITH PND REGISTRATION 40 MG (30 MG) A DAILY:7:00 HRS 14-18 days
BIOPSY KARYOTYPING
NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

CHORIONIC VILLUS IN MEDIUM, BIOPSY

PRENATAL CHORIONIC VILLUS IN MEDIUM+CLINICAL HISTORY CONSENT
1426 5833 BIOPSY KARYOTYPING + FISH 19000 KARYOTYPING + FISH FORM WITH PND REGISTRATION 40 MG (30 MG) A DAILY:7:00 HRS 14-18 days
(Ask the dept for medium) NUMBER MANDATORY. SPECIMEN TO
REACH US IN 24 HRS AFTER COLLECTION

FETAL CORD BLOOD SODIUM HEPARIN +

CLINICAL HISTORY. CONSENT FORM
PRENATAL FETAL CORD
1427 5831K 5750 KARYOTYPING WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:7:00 HRS 14-18 days
BLOOD KARYOTYPING
MANDATORY. SPECIMEN TO REACH US
IN 24 HRS AFTER COLLECTION

FETAL CORD BLOOD SODIUM HEPARIN +

CLINICAL HISTORY. CONSENT FORM
PRENATAL FETAL CORD
1428 5831 14550 KARYOTYPING + FISH WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:7:00 HRS 14-18 days
BLOOD KARYOTYPING + FISH
MANDATORY. SPECIMEN TO REACH US
IN 24 HRS AFTER COLLECTION
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WHOLE BLOOD IN STRECK TUBES +
CLINICAL/RISK HISTORY WITH
1429 RD1492 PRENAT-NEXT 25000 Next Generation Sequencing APPROPRIATE DOCUMENTATION. 10.0 ML Ambient TUESDAY, 1 PM 7 DAYS
CONTACT LAB FOR DETAILS ON
DOCUMENTATION REQUIRED
F (TO BE F
TWO ALIQOUTS OF
PRE-OP ROUTINE FASTING, CITRATED PLATELET POOR IMMEDIATELY
CLOT BASED / AUTOMATED CELL 1.5 ML EACH )+ 3.0
COAGULATION PROFILE (PT, PLASMA* - AT MINUS 20° C + *(DOUBLE AT -20°C &
1430 3898 2800 COUNTER / MICROSCOPY / CLOT (2.0) ML EDTA DAILY:14:30 HRS NEXT DAY
APTT, Platelet Count, Factor CENTRIFUGED PLASMA)* WHOLE BLOOD TRANSPORTE
SOLUBILITY WHOLE BL0OD + 2.0
XIII Activity) EDTA + BLOOD SMEAR D IN DRY ICE)
PERIPHERAL SMEAR
+A

SERUM [Samples should not be taken

from patients receiving therapy 2-8°C (24
with high biotin doses (i.e. > 5 mg/day) HRS); F (>24 DAILY (MON TO
1431 3226 PROCALCITONIN 5500 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
until at least 8 hours HRS-3 SAT):1600 hrs
following the last biotin administration] MONTH)
+ Clinical History

10gms to 25 gms
Tissue in normal
Saline with Procaine
penicillin
IST TRIMESTER - CHORIONIC VILLI; 2ND OR (antibiotics)
PRODUCT OF CONCEPTN.-
3RD TRIMESTER - PLACENTAL VILLI Completely Filled
1432 7698 REPORTED BY DR.HEMA 7400 KARYOTYPING AMBIENT DAILY 10.00 AM 25 DAYS
(PLEASE SEND CLINICAL HISTORY IN Consent Form With
PURANDARE
SPECIFIED FORMAT History required.
Specimen should
reach SRL,Goregaon
within 24hrs of
collection

DAILY (MON TO
SERUM ( Age+ Gender+ LMP +Clinical 2-8°C (48 hrs);
1433 3163 PROGESTERONE 750 CHEMILUMINESCENCE 1.0 mL (0.5 mL) SAT): 0500, 1900 AFTER 3.0 hrs
History Required) F (>48 hrs)
hrs
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
PROGESTERONE RECEPTOR
1434 Z002K 1750 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(PgR)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
SERUM - Draw sample between 8:00 AM DAILY (MON TO
2-8°C (48 hrs);
1435 3206 PROLACTIN 600 CHEMILUMINESCENCE & 10:00 AM. 3 - 4 hrs after patient has 1.0 mL (0.5 mL) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
awakened.(Clinical History Required) hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1436 Z165K PROLACTIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

PROLIFERATING CELL BLOCK + SITE OF BIOPSY AND CLINICAL
1437 Z010K NUCLEAR ANTIGEN (PCNA), 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IHC RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
PROSTATE SPECIFIC ANTIGEN
1438 Z041K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(PSA)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

SERUM (AGE+SEX+ CLINICAL HISTORY

REQUIRED) DO NOT SCHEDULE ANY DAILY (MON TO
PROSTATE SPECIFIC ANTIGEN 2-8°C (24 hrs);
1439 3547 1850 CHEMILUMINESCENCE PROSTATIC EXAMINATION / 2.0 ML (1.0 ML) SAT): SAME DAY
(PSA) FREE & TOTAL F (3 Months)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.

SERUM (AGE+GENDER+ CLINICAL

HISTORY REQUIRED) DO NOT SCHEDULE DAILY (MON TO
PROSTATE SPECIFIC ANTIGEN 2-8°C (24 hrs);
1440 3546 1000 CHEMILUMINESCENCE ANY PROSTATIC EXAMINATION / 1.0 ML (0.5 ML) SAT): SAME DAY
(PSA) TOTAL F (3 Months)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.

SERUM (AGE+GENDER+ CLINICAL

HISTORY REQUIRED) DO NOT SCHEDULE DAILY (MON TO
PROSTATE SPECIFIC ANTIGEN, 2-8°C (24 hrs);
1441 3545 1100 CHEMILUMINESCENCE ANY PROSTATIC EXAMINATION / 1.0 ML (0.5 ML) SAT): SAME DAY
FREE F (5 Months)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF WED & SAT:11:00
1442 3836 PROTEIN C ACTIVITY 4400 CLOT BASED AT -20°C & SAME DAY
C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)

SATURDAY:09:00HR
PROTEIN C ANTIGEN, PLASMA RADIAL IMMUNODIFFUSION
1443 7164 6000 Platelet Poor Citrated plasma 3.0ML(2.0ML) FROZEN S AND WEDNESDAY 4 DAYS
BY RID METHOD (RID)
09:00HRS
SERUM (CLINICAL HISTORY, AGE &
1444 1580 PROTEIN ELECTROPHORESIS 900 ELECTROPHORESIS 1.0 ML (0.8 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
GENDER IS MANDATORY )
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
PROTEIN ELECTROPHORESIS ELECTROPHORESIS SERUM (CLINICAL HISTORY, AGE &
1445 9201RFX 3200 2.0 ML (1.0ML) DAYS); F (>7 2,3,5: 1200 hrs NEXT DAY
REFLEX TO IMMUNOFIXATION +IMMUNOELECTROPHORESIS GENDER IS MANDATORY )
DAYS)
PROTEIN ELECTROPHORESIS, CSF + (CLINICAL HISTORY, AGE & GENDER
1446 1580C 1500 ELECTROPHORESIS 5ML (3.5 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
CSF IS MANDATORY ).
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
PROTEIN ELECTROPHORESIS, COLLECTION) +
1447 1580U 950 ELECTROPHORESIS 20 ML ( 15 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
URINE MENTION 24 HRS. TOTAL URINE VOLUM
E ON TRF ALONG WITH PATIENT AGE, GE
NDER AND CLINICAL HISTORY DETAILS.

URINE -24 HOURS WITHOUT

PROTEIN ELECTROPHORESIS, PRESERVATIVE & REFRIGERATE DURING
URINE REFLEX TO ELECTROPHORESIS COLLECTION) +
1448 9201RFXU 3600 20 ML ( 15 ML) 2-8°C (7 DAYS) 2,3,5:1200 hrs NEXT DAY
IMMUNOFIXATION +IMMUNOELECTROPHORESIS MENTION 24 HRS. TOTAL URINE VOLUM
ELECTROPHORESIS, URINE E ON TRF ALONG WITH PATIENT AGE, GE
NDER AND CLINICAL HISTORY DETAILS.

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF WED & SAT:11:00
1449 3837 PROTEIN S ACTIVITY 4400 CLOT BASED AT -20°C & SAME DAY
C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)

SERUM (AGE+GENDER+ CLINICAL

PSA REFLEX TO FREE PSA HISTORY REQUIRED) DO NOT SCHEDULE DAILY (MON TO
2-8°C (24 hrs);
1450 3548 (If PSA is > 4.0 perform Free 1300 CHEMILUMINESCENCE ANY PROSTATIC EXAMINATION / 2.0 ML (1.0 ML) SAT): SAME DAY
F ( >24 hrs)
PSA) INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.
2-8°C(2
SERUM + CLINICAL HISTORY + (AGE &
1451 1744 PSEUDOCHOLINESTERASE 1500 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) DAYS); F (>2 3,6 : 1100 hrs SAME DAY
GENDER IS MANDATORY)
DAYS)
2-8°C (2
PTH: DAILY (MON
SERUM for Calcium and EDTA Plasma for DAYS); F (> 2
PTH, INTACT INCLUDING CHEMILUMINESCENCE / TO SAT):
1452 3944 2100 iPTH (Freeze the Plasma immediately 2.0 ML (1.0 ML) DAYS) & SAME DAY
TOTAL CALCIUM SPECTROPHOTOMETRY 0500,1430,1600
after collection) + Clinical History FROZEN EDTA
hrs; CA- 1830hrs
PLASMA
EDTA WHOLE BLOOD / EDTA BONE JAK2 V617F = 1,3,5 JAK2 V617F = 4,6,2,JAK2
1453 RD1310RFX PV Jak2 Reflex Panel 7200 PCR-SEQUENCING MARROW + CLINICAL HISTORY in 5 ML (3ML) A ,JAK2 EXON 12 =1 EXON 12 = 7 WORKING
specified format ,5; 9.30 AM DAYS 6.30 PM
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

WB-EDTA 3.0 (1.0)

ML, PERIPHERAL
AUTOMATED CELL COUNTER, BLOOD SMEARS: 2
MICROSCOPY OF STAINED THICK / 2 THIN
SMEAR, ,ENZYME BLACK TOP 2.0 ML,, EDTA WB
PYRO-DETECT ( CBC, CHROMATOGRAPHY, MODIFIED WB-EDTA, PERIPHERAL BLOOD SMEARS ESR TUBE (GREINER) :A A R ALL BIOCHEM &
DAILY:1830 HRS
MP(Smear), MP antigen, ESR, WESTERGREN,SPECTROPHOTO HEPARIN WB/WHOLE BLOOD SPS, BLACK TOP 2.0 ML, URINE 2- HEMATOLOGY TESTS SAME
FOR BIOCHEM,
1454 DT3101 CRP, Urinalysis, Stool Routine, 2900 METRY,NEPHELOMETRY, SERUM 10-12 HRS FASTING, URINE, WHOLE BLOOD SPS 8°C(24 HRS) , DAY EXCEPT BLOOD
FOR CBC, MP ,ESR
WIDAL, Hepatic Profile, Blood DIPSTICK & MICROSCOPY, STOOL (ESR ON SITE) + (AGE & GENDER 5.0 (3.0) ML, SERUM SERUM 2-8°C CULTURE : PRELIMINARY
DAILY 17:30
Culture Preliminary & Final) AGGLUTINATION, BACTERIAL IS MANDATORY) 3.0 (2.0) ML, URINE (2 DAYS); F (> 2ND DAY / FINAL 7TH DAY
CULTURE & BIOCHEMICAL 15.0 (10.0) ML 2 DAYS)
IDENTIFICATION REACTIONS, (PREFERABLY
BACTERIAL REFRIGERATED),
STOOL 1.0 GM / 1.0
ML

SERUM in 2 vials (Clinical Details in

specified format, Maternal Date of Birth,
QUADRUPLE MARKER TEST /
Maternal Weight, Maternal Race,
2nd Trimester Risk 2-8°C (48 hrs); DAILY (MON TO
1455 1275 3600 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) SAME DAY
assessment, 14-22 Weeks. ( F (>48 hrs) SAT): 1100 hrs
Obstetric USG Report between 10 to 13
AFP, HCG,E3UN & DIA)
weeks of gestation+Date of collection)
MANDATORY

R/ FOR CRP &

ASO 2-8°C (7 DAILY: 1100HRS
RA TOTAL-(Anti-
DAYS); F (3 FORANA/ DAILY
CCP,ANA,CRP(Quantitative),R
1456 4635M 3200 NEPHELOMETRY/CMIA/EIA SERUM + CLINICAL HISTORY 2-5 ML MONTHS, IF F 18:00HRS FOR RF & SAME DAY
heumatoid factor
WITHIN 24 CRP/DAILY:10:30,
quantitative)
HRS OF 16:30 FOR ANTI CCP
COLLECTION).

PLASMA-EDTA & SERUM (CLINICAL

HISTORY REQUIRED) (STANDING/
PLASMA EDTA
RAAS SCREENING PANEL SUPINE) UPRIGHT POSTURE INDUCES A FROZEN: UP
1457 2333 5700 RADIO IMMUNOASSAY 5.0(3.0)ML + SERUM 2, 5: 1430 hrs NEXT DAY
(Plasma Renin, Aldosterone) PROMPT ELEVATION IN PLASMA RENIN TO 2 WEEKS
1.5 (1.0) ML
ACTIVITY BEGINNING IN 15MINUTES AND
PEAKING BETWEEN 60 &120 MINUTES
2-8°C (3
RAPID FILARIA ANTIGEN
1458 7664R 1200 IMMUNOCHROMATOGRAPHY SERUM/PLASMA HEPARIN 1.0 ML days)>3 days - DAILY:1530 HRS SAME DAY
DETECTION
20°C
2-8°C (24
RAPID TYPHI IgM (TYPHI SERUM/PLASMA EDTA/EDTA WHOLE
1459 9075 650 IMMUNOCHROMATOGRAPHY 1.0ML(2.0ML) HRS),> 24 HRS Daily:1530HRS SAME DAY
CHECK) BLOOD
20 °C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
RATIONAL THYROID PANEL 2-8°C (48 DAILY (MON TO
SERUM ( Age + Gender + Clinical History
1460 1499RTP (TSH3G - UL If abnormal then 550 CHEMILUMINESCENCE 3.0 ML (1.0 ML) HRS); F (>48 SAT): 0500, 1900 AFTER 3.0 hrs
Required ) Mandatory
FT3 & FT4) HRS) hrs
ONE EDTA
BLOOD
SAMPLE TO
BE KEPT AT 2-
8°C ONLY ,
1461 3523 RBC FOLATE 2400 CHEMILUMINESCENCE 2 TUBES OF WB-EDTA+CLINICAL HISTORY 2.0 ML + 2.0 ML 1,3,5: 1430 hrs SAME DAY
FOR SECOND
EDTA SAMPLE
2-8°C (24 HRS)
AND F (>24
HOURS)
HOMOCYSTEINE;
HOMOCYSTEI
RECURRENT MISCARRIAGE DAILY (MON TO
FASTING SERUM /PLASMA (Centrfuge NE:2-8°C (48
PANEL (Protein C, Protein S, SAT): 0500, 1430,
samples and remove SERUM or plasma hrs); F (>48
Lupus Antigoagulent, 1600 HRS,WED &
CLOT BASED / from red blood cells as soon as possible hrs)A/R/F
Antiphospholipid Antibody, 2.0 ML AND TWO SAT:11:00 HRS;
CHEMILUMINESCENCE/CHROM to ensure accurate measurement.) AND AND F (TO BE LUPUS ANTICOAGULANT
1462 1253A Serum Homocystein, Anti 18000 ALIQOUTS OF 1.5 ML DAILY FOR
OGENIC ASSAY/ENZYME CITRATED PLATELET POOR PLASMA* 2 F NEXT DAY SAME DAY
Thrombin III Activity) [To be EACH Antiphospholipid
IMMUNOASSAY VIALS- AT MINUS 20° C(DOUBLE IMMEDIATELY
ordered with Factor V leiden Antibody--MON/
CENTRIFUGED PLASMA) + CLINICAL AT -20°C &
(# 9894) if required ] which WED/ FRII 10:00
HISTORY TRANSPORTE
will be charged separately HRS FOR LUPUS
D IN DRY ICE)
ANTICOAGULANT
REDUCING SUBSTANCES IN
QUALITATIVE CHEMICAL RANDOM URINE WITHOUT
1463 5200R PAEDIATRIC URINE 300 15.0 ML (10.0 ML) 2-8°C (48 HRS) DAILY:17.30 HRS SAME DAY
ANALYSIS PRESERVATIVE + CLINICAL HISTORY
SPECIMENS
REDUCING SUBSTANCES, QUALITATIVE CHEMICAL
1464 2365 350 STOOL IN LEAK PROOF CONTAINER 10G (1G)/1.0 ML A/R DAILY: 1530 HRS SAME DAY
STOOL ANALYSIS
EVERY TUESDAY:
1465 RD1441 RET GENE MUTATIONS 6500 PCR SEQUENCING EDTA WHOLE BLOOD 5.0 ML A 16TH DAY
10:30 HRS
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
RETINOL BINDING PROTEIN 90 DAYS, IF F 2nd & 4th MON :
1466 4520 2600 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 3RD DAY
(RBP) WITHIN 24 1200 HRS
MANDATORY)
HRS. OF
COLLECTION)
RETT SYNDROME DNA
EDTA WHOLE BLOOD + CLINICAL
1467 RD1410 SEQUENCING ( MECP2 5500 DNA SEQUENCING 5.0 ML (3.0 ML) A 2: 0930 HRS 10 DAYS
HISTORY
MUTATION)
RETURN OF PARAFFIN BLOCK
1468 1500R 250 HISTOPATHOLOGY BLOCK/ SLIDE 1 CM A DAILY:1030 HRS 4TH DAY
/ SLIDE
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
REVIEW/SLIDE REVIEW MONDAY 09:00HRS
match the site of the tissue 16-20
1469 7202 16TO20 BLOCKS/SLIDES - CoE 9800 IHC A TO SATURDAY 8 DAYS
sample/Paraffin Block numbers belongs BLOCKS/SLIDES
Histopathlogy 09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

BLOCKS .Please send Paraffin blocks with

complete clinical history and previous
histopath report(Mandatory) so as to
REVIEW/SLIDE REVIEW MONDAY 09:00HRS
match the site of the tissue 21 -25
1470 7203 21TO25 BLOCKS/SLIDES- - 10300 IHC A TO SATURDAY 8 DAYS
sample/Paraffin Block numbers belongs BLOCKS/SLIDES
CoE Histopathlogy 09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

2-8°C (7
DAYS); F (3
MONTHS, IF F
WITHIN 24 DAILY;1200 HRS,
RHEUMATIC FEVER PANEL
IMMUNOTURBIDOMETRY, SERUM/THROAT SWAB/CITRATE WB 1 ML+ 2(1) SWAB + HRS OF FOR CRP DAILY : 3RD DAY, FOR CRP AND
1471 5001 (ASO,CRP,ESR,THROAT SWAB 1650
CULTURE/ NEPHELOMETRY/ LPA BLACK TOP 2.0 ML COLLECTION). 18:00 HRS, FOR ASO DAILY : SAME DAY
CULTURE/SENSITIVITY)
FOR THROAT ASO 15:30 HRS
SWAB
CULTURE AT
AMBIENT

2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
RHEUMATOID ARTHARITIS DAILY 18:00HRS
SAMPLE SHOULD BE AVOIDED) + 90 DAYS, IF F
1472 5008 PANEL (ANA, RHEUMATOID 3600 NEPHELOMETRY 2.0 ML (1.5 ML) FOR RF/12:00 FOR SAME DAY
CLINICAL HISTORY + (AGE & GENDER IS WITHIN 24
FACTOR, ANTI CCP) ANTI CCP
MANDATORY) HRS. OF
COLLECTION)

2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
RHEUMATOID FACTOR SAMPLE SHOULD BE AVOIDED) + 90 DAYS, IF F
1473 1540D 900 NEPHELOMETRY 2.0 ML (1.0 ML) DAILY:1800 HRS SAME DAY
ANTIBODIES CLINICAL HISTORY + (AGE & GENDER IS WITHIN 24
MANDATORY) HRS. OF
COLLECTION)

2 &4: 1000 HRS(for

RHEUMATOLOGY PROFILE - 1 immunoblot), for
IMMUNOBLOT / FARR SERUM IN 2 VIALS 1 AMBIENT+ 1 SAME DAY, for ENA
1474 1074 (Rheumatology Profile - 2, 7500 1.0 ML (0.5 ML) A/R/F ENA
RADIOBINDING ASSAY REFRIGERATED :Tue/Thru(1900 hrs)
DSDNA TITRE) (Tues/Thurs:1000
hrs)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
RHEUMATOLOGY PROFILE - 2 2-8°C (14
1475 1075 (SM ABS, U1SNRNP ABS, SS-A 6200 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ABS, SS-B ABS) (>14 days)
TUESDAY, 1
RMP TOTAL (Protein C PM,Anticardiolipin
Activity, FREE PROTEIN S, antibody:daily:1100
LUPUS ANTICOAGULANT hrs and B2GP
CLOT BASED/ 2.0 ML - SERUM & NEXT DAY --FOR LUPUS
Factor VIII SCREENING FASTING SERUM, CITRATED PLATELET IgG/IgM:2,5:1100
CHEMILUMINESCENCE/ EDTA PLASMA EACH ANTICOAGULANT, FACTOR
PROFILE, HOMOCYSTEINE, POOR PLASMA* - AT MINUS 20° C hrs--FOR LUPUS
1476 4637 22000 CHROMOGENIC ASSAY/ ENZYME & THREE ALIQUOTS FROZEN VIII, PROTEIN C AND
Antithrombin III activity, *(DOUBLE CENTRIFUGED PLASMA)* + ANTICOAGULANT,
IMMUNOASSAY/ PCR OF 2ML EACH ANTITHROMBIN III -
Anticardiolipin antibody, CLINICAL HISTORY+ EDTA WHOLE BLOOD FACTOR VIII,
SEQUENCING CITRATED PLASMA WEDNESDAY
Factor V Leiden, ANTI ß2 PROTEIN C AND
GLYCOPROTEIN 1 IGM/ IGG, ANTITHROMBIN III -
FACTOR VIII ACTIVITY) MONDAY, 10.00
AM
ROMA (OVARIAN 2-8°C (4
Chemiluminiscent Microparticle SERUM (Note:LMP or Pre or Post
1477 7194 MALIGNANCY RISK 3350 2.0 ML (1.0 ML) DAYS); -20°C Thrus:1530 pm Same day
Immunoassay(CMIA) Menopausal status Mandatory required)
ALGORITHM) (>4 DAYS)
BLOCKS.PLEASE PROVIDE THE
MONDAY 09:00HRS
ROS-1 GENE HISTOPATHOLOGY REPORT AND
1478 4571 13000 FISH 2BLOCKS AMBIENT TO FRIDAY 12 DAYS
REARRANGEMENT BY FISH CLINICAL HISTORY ALONG WITH THE
09:00HRS
BLOCKS.
1479 4489 ROS1 IHC 3500 IHC Paraffin Block Other A Daily 3 to 4 days
ROTA VIRUS ANTIGEN
RAPID
1480 7662 DETECTION FROM STOOL; 1550 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML A/R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1481 Z230 ROUND CELL TUMOURS 7200 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
ROUND CELL TUMOURS -
BLOCK + SITE OF BIOPSY AND CLINICAL
BONE (NSE, S-100P, CK,
1482 Z226 9000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
DESMIN, CD45,
RECEIVED IT WILL BE CHARGED FOR
SYNAP/CHROMAA, MIC-2)
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
ROUND CELL TUMOURS
1483 Z224 5000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(ADULTS) - 1 (NSE, CK, CD45)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
ROUND CELL TUMOURS BLOCK + SITE OF BIOPSY AND CLINICAL
1484 Z225 (ADULTS) - 2 (HMB45, MPO, S- 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
100P) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
3.0 (1.5) ML + 1.5
DAILY: 0700 HRS
(1.0) ML + 3.0 ML + 12 DAYS WORKING, (WED.
FASTING, CITRATED PLASMA - AT LUPUS
CELL CULTURE FOR 3.0 ML (FOR / SAT. & MON. / THU) FOR
MINUS 20° C + SERUM, WB- HEPARIN TO ANTIOAGULANT - 1,
RPL (RECURRENT PREGNENCY CHROMOSOMAL ANALYSIS, COAGULATION - 3 LUPUS NEXT DAY;
1485 1478 6600 REACH US WITHIN 48 HRS + CLINICAL F/A/A/A 3, 5: 1000 HRS,
LOSS PANEL) PANEL CLOT BASED & ENZYME VIALS OF 1ML EACH, ANTICARDIOLIPIN &
HISTORY*(DOUBLE CENTRIFUGED ANTICARDIOLIPIN &
IMMUNOASSAY OF FROZEN ANTIPHOSPHOLIPID SAME
PLASMA) ANTIPHOSPHOLIPID
CITRATED PLASMA DAY
DAILY: 1100 HRS
AT -20°C
RSV- RESPIRATORY SYNCYTIAL
1486 3963 4000 Immunofluorescence SERUM 2.0ML(1.0ML) R/F WED 09:00HRS 3 DAYS
VIRUS-IGG
RSV- RESPIRATORY SYNCYTIAL
1487 3964 3600 Immunofluorescence SERUM 2.0ML(1.0ML) R/F WED 09:00HRS 3 DAYS
VIRUS-IGM
2-8°C (4 SAME DAY(AVIDITY WILL
RUBELLA IgG & IgM Enzyme Linked Immnunosorbent
1488 9421M 1500 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am BE REPORTED IF IgG AND
ANTIBODIES assay
(>4 DAYS) IgM both ARE POSITIVE)
2-8°C (4
Enzyme Linked Immnunosorbent
1489 9416M RUBELLA IgG ANTIBODIES 900 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY
assay
(>4 DAYS)
2-8°C (4
Enzyme Linked Immnunosorbent
1490 9434 RUBELLA IGG AVIDITY 1650 SERUM 1.0 ML(0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY :1230 HRS
assay
(>4 DAYS)
Enzyme Linked Immnunosorbent SERUM + EDTA PLASMA / CSF / Rubella IGG/IGM
RUBELLA IGM / IGG +VE 1ML(0.5ML) +2ML SAME DAY + NEXT DAY
1491 9217RFX 2000 assay + NESTED REVERSE AMNIOTIC FLUID NASOPHARYNGEAL A/R/F + F DAILY:0300 am +
REFLEX RUBELLA RNA PCR (1ML) X 2 VIALS :18:00 HRS
TRANSCRIPTASE PCR SWAB 1,4:10:00 HRS
2-8°C (4
Enzyme Linked Immnunosorbent
1492 2475M RUBELLA IgM ANTIBODIES 900 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY
assay
(>4 DAYS)
NESTED REVERSE EDTA PLASMA / CSF / AMNIOTIC FLUID /
1493 9415 RUBELLA RNA PCR 3100 2ML (1ML) F 1,4 :9.00 HRS 2,5 : 19.00 HRS
TRANSCRIPTASE PCR NASOPHARYNGEAL SWAB
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1494 Z061K S-100 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1495 Z217K S-100 PROTEIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C(2 st rd
SERUM + CLINICAL HISTORY + (AGE & 1 & 3 TUE: 1200
1496 9442 SALICYLATE 2000 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) WEEKS); F (6 SAME DAY
GENDER IS MANDATORY) HRS
MONTHS)
SCA 1 (SPINAL CEREBRAL
1497 RD1412 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3, 10:30 7 DAYS
ATAXIA TYPE-1)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SCA 12 (SPINAL CEREBRAL
1498 RD1456 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 DAYS
ATAXIA TYPE-12)
SCA 2 (SPINAL CEREBRAL
1499 RD1413 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 DAYS
ATAXIA TYPE-2)
SCA 3 (SPINAL CEREBRAL
1500 RD1414 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 DAYS
ATAXIA TYPE-3)
SCA 6 (SPINAL CEREBRAL
1501 RD1415 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 DAYS
ATAXIA TYPE-6)
SCA 7 (SPINAL CEREBRAL
1502 RD1416 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 DAYS
ATAXIA TYPE-7)
SCA PANEL (SCA TYPE -
1503 4593 13000 PCR/ Fragment Analysis EDTA WHOLE BLOOD 3.0 ML A 3, 10:30 7 DAYS
1,12,2,3,6)
SCA10 (SPINAL CEREBRAL
1504 RD1455 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 DAYS
ATAXIA TYPE-10)
SCA17 (SPINAL CEREBRAL
1505 RD1457 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
ATAXIA TYPE-17)
2-8°C (14
1506 1235 Scl-70 IgG ANTIBODIES 2600 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (3
SCLERODERMA DIAGNOSTIC DAYS);
ANA DAILY: 1100;
PANEL (ANA,U1 Sm -20°C (>3
1507 5003 7200 IFA/IMMUNOBLOT SERUM 2.0 ML 1530 HRS, for ENA : Same day:1900 hrs
RNP,CENTROMERE DAYS OR
Tue/Thru :1000 HRS
ABS,SCLERODERMA -70 IgG SHIPPED) FOR
ANA
2-8°C (3
SERUM/PLASMA (Heparin/ EDTA/ DAYS); -
1508 1739 Scrub Typhus Antibody 1200 Immunochromatograpy 2.0 ML (1.0 ML) DAILY: 1530 HRS SAME DAY
Sodium citrate) 20°C (>3
DAYS)
2-8°C (48
Enzyme Linked Immnunosorbent Thrusday:11.00 am
1509 1739E Scrub Typhus IgM Antibody 1050 SERUM 1.0 ML (0.5 ML) HRS); -20°C Same Day
assay hrs
>48 HRS)
SERUM-12-14 HRS FASTING (AGE &
1510 7153 SdLDL; SMALL DENSE LDL 5500 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F 2, 5:1200 hrs SAME DAY
GENDER IS MANDATORY)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-
1511 9140U SELENIUM URINE SPOT 3550 10-20 ML (5 ML) DAYS); F ( >5 - “1”, 11:30 HRS THIRD DAY
CORRECTION 20 ml) VACCUTAINER COLLECTION WILL
30 DAYS)
NOT BE ACCEPTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE) ALIQUOT. IN METAL 2-8°C (5
GFAAS WITH ZEEMAN
1512 9140U24 SELENIUM, 24 HRS URINE 3550 FREE SCINTILLATION VIAL AVAILABLE OR 10-20 ML (5 ML) DAYS); F ( >5 - “1”, 11:30 HRS THIRD DAY
CORRECTION
STERILE URINE CONTAINER BOTH 30 DAYS)
AVAILABLE FROM SRL (NO
PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN IMPROVE/BD, SRL EDTA VACCUTAINER,
1513 9140 SELENIUM, BLOOD 3550 5.0 ML (3.0 ML) DAYS); F ( >7 - “1” , 11:30 HRS THIRD DAY
CORRECTION WHOLE BLOOD
30 DAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
MONDAY 09:00HRS
1514 8617 Selenium, Serum by ICPMS 4100 ICPMS SERUM 3.0ML(2.0ML) R TO SATURDAY 5 DAYS
09:00HRS

SEMEN + CLINICAL HISTORY(PATIENT

SHOULD HAVE 2 TO 7 DAYS OF SEXUAL
ABSTINENCE AT THE TIME OF SEMEN
1515 6151 SEMEN FRUCTOSE 450 SPECTOPHOTOMETRY COLLECTION, TOTAL EJACULATE SHOULD 3.0 ML (2.0 ML) F DAILY : 1200 hrs SAME DAY
BE COLLECTED) (PATIENT AGE, GENDER
AND CLINICAL HISTORY DETAILS.)

SEQUENTIAL INTEGRATED SERUM IN 2 VIALS (CLINICAL DETAILS IN

TEST, Phase I (1st SPECIFIED FORMAT, DATE OF BIRTH,
Trimester):10 – 13.6 Weeks MATERNAL WEIGHT, MATERNAL RACE + Phase I (1st
(PAPA-P & FREE B-HCG). USG REPORT +DATE OF Trimester): 2-
Screen Positive cases are COLLECTION+LMP 8°C (24 hrs); F
3.0 ML (1.0 PHASE -I: SAME DAY, CVS
offered CVS or Amniocentesis DATE) GA: 8- 12 WEEKS (>24 hrs)
ML) CVS : 40 KARYIOTYPING: 21 ST
Chromosome analysis, CHORIONIC VILLUS IN MEDIUM Phase II (2nd
CHEMILUMINESCENCE/ MG (30 MG) DAILY (MON TO DAY AMNIOTIC FLUID:
1516 1278 whereas Screen Negative are 6700 (MEDIUM WILL BE PROVIDED BY THE Trimester):
KARYOTYPING AMNIOTIC FLUID IN SAT): 1100 hrs 14 WORKING DAYS, PHASE -
offered second trimester LAB), 2-8°C (48
STERILE TUBE 20.0 II: ON NEXT DAY ON
Serum test. Phase II (2nd GA: 14-19 AMNIOTIC hrs); F (>48
ML RECEIPT OF THE SAMPLE
Trimester): 15-22 Weeks. FLUID hrs)
(AFP, HCG, E3UN & DIA). Final CLINICAL HISTORY, CONSENT FORM CVS: Ambient
risk assessment incorporates WITH PND REGISTRATION NUMBER IS Amniotic Fluid
first and second trimester MANDATORY. SPECIMEN TO REACH US
results. IN 24 HRS AFTER COLLECTION

1517 7690 SEROTONIN 5000 ENZYME IMMUNOASSAY SERUM + clinical history 3ML (2ML) FROZEN TUESDAY ,0900 HRS 4TH DAY

Spot Urine or 24 hr urine (no preservative).

SEROTONIN ,5-HYDROXY Mention 24 hrs urine volume on the test FROZEN
1518 7690U 6000 ENZYME IMMUNOASSAY 15ML (10ML) TUESDAY ,0900 HRS 4TH DAY
TRYPTAMINE URINE requisition form. Specimens should be STRICTLY
strictly sent in frozen condition.
SERUM FREE LIGHT CHAIN
10 -12 HRS FASTING SERUM + CLINICAL
(Free Light Chain Kappa, Free 2-8°C (21
1519 1732 6400 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
Light Chain Lambda, DAYS)
MANDATORY)
Kappa/Lambda Ratio)
2-8°C (7
SEX HORMONE BINDING SERUM + CLINICAL HISTORY 2,4:
1520 3218 2600 CHEMILUMINESCENCE 1.0 ML (0.5 ML) DAYS); F (2 SAME DAY
GLOBULIN (SHBG) (AGE/GENDER) 0500,1430,1600 hrs
Months)
EDTA WHOLE BLOOD + CLINICAL
1521 2488 SICKLE CELL DNA PCR 3400 PCR 5.0 ML (3.0 ML) A 4: 0930 HRS 9 DAYS
HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
AMNIOTIC FLUID (2-8 °C) (A) / CVS IN 20.0 ML (10.0 ML) / AMNIOTIC
STERILE SALINE / FETAL BLOOD EDTA & 10 MG (5-7 MG) / FLUID/ CVS AT
1522 2489 SICKLE CELL DNA PCR PND 9500 PCR 4: 0930 HRS 9 DAYS
WB-EDTA FOR BOTH PARENTS 5.0 ML (3.0 ML) / 5.0 2-8 °C,REST
MANDATORY + CLINICAL HISTORY ML (3.0 ML) AMBIENT
SICKLE SHORT PROGRAM
MON/THUS: 10:00
1523 2486 SICKLE CELL VARIANT 550 HPLC 3-4 DRIED BLOOD SPOT 2.0 ML (1.0 ML) A NEXT DAY
HRS
ANALYSIS, BLOOD SPOT
SODIUM METABISULFIDE/ DAILY:12:00,14:30,
1524 1400 SICKLING TEST 450 WB-EDTA +CLINICAL HISTORY 3.0 ML (2.0 ML) A NEXT DAY
MICROSCOPY 17:00 HRS

BLOCK/
SLIDES.PLEASE THE
SLIDE/PARAFFIN
BLOCK WITH
COMPLETE CLINICAL
HISTORY AND
PREVIOUS
HISTOPATH
REPORT(MANDATOR
Y) SO AS TO MATCH
THE SITE OF THE
TISSUE
SINGLE IHC MARKER - CoE MONDAY TO
1525 7196 Histopathlogy SAMPLE/PARAFFIN AMBIENT 8 DAYS
1800 IMMUNO HISTOCHEMISTRY BLOCKS/ SLIDES FRIDAY 09:00HRS
BLOCK NO. BELONGS
TO THE SAME
PATIENT OR NOT.
IT IS ALSO
MANDATORY TO
SENT X-RAY FILM
AND MRI REPORT
FOR BONE SAMPLES
AND CBC REPORT
FOR BONE MARROW
SAMPLES.

1] Require EDTA/Heparin Whole Blood to

be collected directly in relevant
vaccutainers only, [Label with time of
SIROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
1526 7166 8000 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.]
2] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY

SLE DIAGNOSTIC PANEL (ANA DAILY;1100, 1530

1527 5004 2300 IMMUNOFLUORESCENT ASSAY SERUM 2 ML R+F SAME DAY
& DsDNA WITH TITRE) HRS
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WHOLE BLOOD + CLINICAL
1528 9443 SMA CARRIER DETECTION 7200 MLPA-FRAGMENT ANALYSIS 5 ML (3ML) A 5: 0930 HRS 9 DAYS
HISTORY
DAILY:1830 HRS,
SERUM-12-14 HRS FASTING (AGE & FOR LIPID PROFILE
1529 7139 SMALL DENSE LDL COMBO 5500 SPECTROPHOTOMETRY 2.0 ml (1.0 ml) F same day
GENDER IS MANDATORY) & FOR SdLDL 2,
5:1200 hrs
2-8°C (14
1530 1220 SMITH (Sm) IgG ANTIBODIES 2850 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1531 Z092K SMOOTH MUSCLE ACTIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
SOLUBLE TRANSFERRIN 90 DAYS, IF F
1532 4523 1700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) MON : 12:00 HRS NEXT DAY
RECEPTOR( sTFR) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

SPECIAL STAINS - ANY ONE

(PAS/MUCICARMINE/CONGO
RED/RETICULIN/AFB/GMS/PR TISSUE IN 10%FORMALIN / PARAFIN
1533 Z203K USSIAN 900 HISTOPATHOLOGY BLOCK (PLEASE LET US KNOW THE SITE 1 CM / 1 BLOCK A DAILY:1000 HRS 4TH DAY
BLUE/MASSON/LUXOL FAST OF BIOPSY & CLINICAL DETAILS)
BLUE/ FITE FARRACO/ELASTIC
STAIN/GIEMSA/ALCIAN BLUE )

SEMEN . (Please send 3.0ml of semen

sample in a sterile leaked proof plastic
vial , preferably within 24hrs of collection
between Monday 09:00hrs to Friday
09:00hrs, strictly in frozen condition. MONDAY 09:00HRS
SPERM DNA Indirect assay using acridine
1534 9444 6600 Kindly mention the Sperm count report 3.0ML(4.0ML) FROZEN TO FRIDAY 6 DAYS
FRAGMENTATION orange by Flow Cytometry
or any other test related reports, marital 09:00HRS
status, smoking and any other medical
complications details on the requisition
form. Preferably 3 days abstinence is
mandatory for good results.)

SPINAL MUSCULAR ATROPHY EDTA WHOLE BLOOD + CLINICAL

1535 8764 3000 PCR SEQUENCING 5 ML (3ML) A 5: 0930 HRS 9 DAYS
MICRODELETION PCR HISTORY
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WHOLE BLOOD/AMNIOTIC
FLUID/CVS IN STERILE SALINE/FETAL ONLY
5 ML (3ML)/20ML
SPINAL MUSCULAR ATROPHY BLOOD (EDTA) - AMNIOTIC FLUID/CVS IN AMNIOTIC
1536 8765 7200 PCR SEQUENCING (10 ML)/10GM (7 5: 0930 HRS 9 DAYS
MICRODELETION PCR PNDT STERILE SALINE/FETAL BLOOD (EDTA) & FLUID/ CVS AT
GM)/5 ML (3ML)
EDTA WHOLE BLOOD FOR BOTH 2-8 °C; REST A
PARENTS+ CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1537 Z227 SPINDLE CELL TUMOUR 8900 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
SPORTS GENE TEST (ACTN3 5 ML (3ML)/ 2
1538 9940 4000 PCR SEQUENCING EDTA WHOLE BLOOD/ BUCCAL SWAB A 5: 0930 HRS 7 DAYS
Genotyping) SWABS
1539 6025F SRY by FISH 2700 FISH HEPARIN WHOLE BLOOD 2 ML AMBIENT DAILY 7:00 HRS 5th Day
BIOPSIES SOULD BE FIXED FOR 24-48
HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE
SHOULD BE 4 MICRONS THICK & PLACED
SS18 (SYT) Gene ON POSITIVELY CHARGED SLIDES. 3
1540 6030F 3950 FISH NOT APPLICABLE A Daily 07:00 hrs 7 days
Rearrangement FISH SLIDES / SAMPLES CONTAINING
MALIGNANT TISSUE. * TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.* clinical details
in specified format
2-8°C (14
SS-A (Ro) & SS-B (La) IgG
1541 1007 5100 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ANTIBODIES
(>14 days)
2-8°C (14
1542 1204 SS-A (Ro) IgG ANTIBODIES 3100 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (14
1543 1205 SS-B (La) IgG ANTIBODIES 3100 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)

STANDARD INTEGRATED TEST, Phase I (1st

Phase I (1st Trimester) : 10 – Trimester): 2-
SERUM IN 2 VIALS (CLINICAL DETAILS IN
13.6 Weeks. (PAPA-P & FREE 8°C (24 hrs); F
SPECIFIED FORMAT, DATE OF BIRTH, PHASE -I: SAME DAY
B-HCG). (>24 hrs)
MATERNAL WEIGHT, MATERNAL RACE + DAILY (MON TO PHASE -II: ON NEXT DAY
1544 1277 Phase II (2nd Trimester): 15- 5400 CHEMILUMINESCENCE 3.0 ML (1.0 ML) Phase II (2nd
USG REPORT BETWEEN 10 TO 13 WEEKS SAT): 1100 hrs ON RECIEPT OF
22 Weeks. (AFP, HCG, E3UN & Trimester):
OF GESTATION +DATE OF THE SAMPLE
DIA). Final risk assessment 2-8°C (48
COLLECTION+LMP DATE) MANDATORY
incorporates first and second hrs); F (>48
trimester results. hrs)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
STD DIAGNOSTIC PANEL (C
TRACHOMATIS DNA 2 SWABS /1PB/3 1:10:00 / 2,4, 6
SWABS / PARAFFIN BLOCK /SLIDES
1545 5005 DETECTOR, HPV DNA 6300 POLYMERASE CHAIN REACTION SLIDES /2.0 (1.0)/ 5.0 A/R/F 09:00 NEXT DAY 19:00 hrs
/CSF,URINE IN STERILE CONTAINER
DETECTOR, HSV DNA ML HRS/1,4:09:00 hrs
DETECTOR )
STOOL ROUTINE REFLEX TO MICROSCOPY + ANTIGEN
1546 9223RFX GIARDIA/CRYPTOSPIRA/ROTA 1000 DETECTION BY RAPID STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML A/R DAILY :15:30 HRS NEXT DAY
VIRUS ANTIGEN IMMUNOCHROMATOGRAPHY

STOOL-HANGING DROP (FOR RICE-WATERY STOOL IN STERILE LEAK

1547 2368 400 MICROSCOPY 5 GM (2-3 GM) A DAILY: 1530 HRS SAME DAY
WALK-IN PATIENTS ONLY) PROOF CONTAINER
2-8°C (FEW
STREPTOCOCCUS GROUP B LATEX PARTICLE
1548 9641 1300 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION
(LONGER)
2-8°C (FEW
STREPTOCOCCUS GROUP B LATEX PARTICLE
1549 9641C 1300 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIGEN, CSF AGGLUTINATION
(LONGER)
2-8°C (FEW
STREPTOCOCCUS LATEX PARTICLE
1550 9636 1300 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
PNEUMONIAE ANTIGEN AGGLUTINATION
(LONGER)
2-8°C (FEW
STREPTOCOCCUS LATEX PARTICLE
1551 9636C 1300 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
PNEUMONIAE ANTIGEN, CSF AGGLUTINATION
(LONGER)
1552 3831 SUCROSE LYSIS TEST 1000 HEMOLYSIS EDTA WB 3.0 ML (2.0 ML) A 1/4/6: 11:00 HRS SAME DAY
SUDAN BLACK STAIN , CYTOCHEMISTRY SPECIAL BONE MARROW SMEAR + PERIPHERIAL 4 BM SMEARS + 2 PB
1553 Z205 1000 A DAILY:11.00 HRS 3RD DAY
BLOOD/SMEAR STAINS SMEAR + CLINICAL HISTORY SMEARS

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
1554 Z086K SYNAPTOPHYSIN BLOCK 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (48
Enzyme Linked Immnunosorbent
1555 9020E SYPHILIS ANTIBODIES 1200 SERUM 1.0 ML (0.5 ML) HRS); -20°C 5: 1030 HRS SAME DAY
assay
(>48 HRS)
DAILY (MON TO
2-8°C (48 hrs);
1556 TPC T3, T4, TSH (THYROID PANEL) 550 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 2.0 ML (1.0 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
hrs
CHEMILUMINESCENT EDTA WHOLE BLOOD (Labelled with time
1557 5950T TACROLIMUS 4600 MICROPARTICLE IMMUNOASSAY of collection & administration of drug 3.0 ML (2.0 ML) 2-8°C (7 days) DAILY : 17.00 HRS Same day(1900 hrs)
(CMIA) with transplant history)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only [Label with time of
TACROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
1558 5950A 4600 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.] 2]
Doctors contact details+clinical historyis
mandatory.

FLUORESCENT STAIN / ZIEHL ANY SPECIMEN IN STERILE CONTAINER/

DAILY ( MON TO SMEAR -48 HOURS, WK 3 &
TB CULTURE POSITIVE REFLEX NEELSEN STAIN & BACTEC MGIT WHOLE BLOOD HEPARIN / TISSUE IN 3.0 ML (2.0) ML / 1
1559 9215RFX 2750 R SAT): 1000 HRS + WK 6 (OR WHEN CULTURE
MDR BY PCR SEQUENCING 960 CULTURE + PCR - STERILE NORMAL SALINE + PURE AFB TISSUE + 1
1;0930 HRS IS POSITIVE) / 5; 1830 HRS
SEQUENCING CULTURE
FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS,WK 3 &
TB CULTURE: ACID FAST ANY SPECIMEN OF PULMONARY ORIGIN
1560 1464 1350 NEELSEN STAIN & MGIT 960+LJ 3.0 ML (2.0) ML R DAILY: 1000 HRS WK 6 (OR WHEN CULTURE
BACILLI CULTURE MGIT IN STERILE CONTAINER/
CULTURE IS POSITIVE)

AUTOMATED CELL COUNTER,

AUTOMATED (PHOTOMETRICAL EDTA WB :
EDTA WB +CITRATE WB BLACK TOP
TB MONITORING PANEL CAPILLARY STOPPED FLOW 3.0ML + Ambient
+SERUM 10-12 HRS FASTING IN 2 VIALS DAILY:1830 HRS,
1561 5010 (CBC,ESR,SGPT/SGOT/CREATI 2000 KINETIC ANALYSIS) / MANUAL 2.0ML+2.0ML+2.0 A/R, SERUM 2- SAME DAY
+SMEARS + SPUTUM +(AGE & GENDER IS FOR CBC, ESR 17:30
NINE,ANA,AFB SMEAR) (MODIFIED WESTERGREN), ML + 2-3 8°C (2 days); F
MANDATORY)
SPECTROPHOTOMETRY/IFA/STAI (> 2 days)
NING MICROSCOPY

FOR ADA TEST

SERUM /
FLUID SAMPLE
: F, A/R
FORTBFERON
BLOOD TO BE
COLLECTED IN
TUBES ( TB- MON: 0800 HOURS;
SERUM, PLEURAL FLUID, ASCITIC FLUID,
NIL, TB TBFERON-
POLYMERASE CHAIN REACTION / CSF. FOR GAMMA INTERFERON TO BE 1.0 (0.5) ML, 2.0 3RD DAY, TBFERON- NEXT
TB PANEL (MYCO3 PCR, ADA, ANTIGEN & 1,3,5:1530 HRS,
1562 2440 6500 ENZYME IMMUNOASSAY / COLLECTED FROM SUNDAY TO (1.0) ML, , 2.0 (1.0) DAY, SAME DAY 1900 PCR,
GAMMA INTERFERON) MITOGEN DAILY 0800 HRS
SPECTROPHOTOMETRY THRUSDAY IN SPECIAL TBFERON ML, , 2.0 (1.0) ML ADA- SAME DAY
TUBE) FROM FOR PCR , ADA TEST
TUBES(3)
SUNDAY TO DALIY : 1200 HRS
FRIDAY AND
TRANSPORTE
D WITHIN 16
HRS OF
COLLECTION
AT AMBIENT
TEMP
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /
PLEURAL / CSF FLUIDS/ TISSUE IN
SAME DAY 1900HRS/ IF PB
STERILE VIAL NORMAL SALINE / BONE
1563 2434 TB PCR (MYCOREAL) 2150 REAL TIME PCR 3.0 ML (2.0) ML / 1 A DAILY: 0800 HRS RECD. REPORTING NEXT
MARROW-EDTA / PARAFFIN BLOCK
DAY EVENING
(SWABS AND BLOOD SPECIMEN NOT
ACCEPTED)
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /
PLEURAL / CSF FLUIDS/ TISSUE IN
SAME DAY: 1900 HRS IF PB
STERILE VIAL NORMAL SALINE / BONE 3.0 ML (2.0) ML / 1
1564 2439 TB PCR (MYCOtect) 2150 REAL TIME PCR A DAILY:0800 HRS THEN REPORT NEXT DAY
MARROW-EDTA / PARAFFIN BLOCK TISSUE + 1
EVENING
(SWABS AND BLOOD SPECIMEN NOT
ACCEPTED)
TB SECOND LINE DRUG, SPUTUM / BAL /MTB CULTURE
GENOTYPIC ASSAY (Note: PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB
1565 9957 6500 5.0 ML ( 3.0 ML) A 1,4:0930 HRS 4,1: 1830 HRS
This test is not applicable for HYBRIDIZATION SMEAR LESS THAN 1+ ARE NOT
MOTT) ACCEPTABLE)
PCR - REVERSE PROBE
1566 9956 TB SPECIATION – COMMON 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
HYBRIDIZATION
PCR - REVERSE PROBE
1567 9955 TB SPECIATION – EXTENDED 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
HYBRIDIZATION
DAILY: 0930 HRS
TB- XPERT MTB / RIF ( GENE REAL TIME PCR ON GENEXPERT
1568 RD1324 2200 SPUTUM / BAL 5.0 ML ( 2.0 ML) A/R (EXCEPT SUNDAY SAME DAY: 1900 HRS
EXPERT) PLATFORM
AND HOLIDAYS)
WHOLE BLOOD TO BE COLLECTED IN 5
TBferon (M.tuberculosis ml BD ENDOTOXIN FREE HEPARIN TUBE COLLECTION :1,3,5:
Enzyme Linked Immnunosorbent
1569 2405 Interferon Gamma Release 2850 PROVIDED BY SRL FROM SUNDAY TO 5ML A ; 1530 HRS (RUN NEXT DAY
assay
Assay (IGRA) FRIDAY AND TRANSPORTED WITHIN 12 DAY 2,4,6)
HRS OF COLLECTION.

TBG (THYROXINE BINDING 2-8°C (48 hrs);

1570 9506 5000 CHEMILUMINESCENCE SERUM 2.0ML (1.0 ML) 2, 4: 0500, 1600 hrs SAME DAY
GLOBULIN) F (>48 hrs)
SPUTUM/ CSF/ BAL/ PLEURAL FLUIDS/
URINE/ CULTURE (SPECIMENS OF
TBRESIST (Note: This test is 2.0 ML, 2.0 ML, 2.0
1571 2430 4300 PCR - SEQUENCING PATIENTS WITH AFB SMEAR LESS THAN A 1:0930 HRS 5: 18:30 HRS
not applicable for MOTT) ML, 2.0 ML, 1
1+ ARE NOT ACCEPTABLE) + CLINICAL
HISTORY
BONE MARROW / EDTA WHOLE BLOOD
5 ML (3 ML), 3. 5
T-CELL GENE POLYMERASE CHAIN REACTION/ / CLINICAL HISTORY TISSUE EMBEDDED
1572 9909 16000 ML (3 ML), 0.5 CM A/A/ A 1: 0930 HRS 8 DAYS
REARRANGEMENT FRAGMENT ANALYSIS IN PRAFFIN BLOCK OR IN NORMAL
X 0.5 CM X 0.5 CM
SALINE
TEL-PDGR BETA T(5;12) EDTA WHOLE BLOOD / BONE MARROW-
1573 RD1472 5800 Nested RT-PCR 2.0 ML / 2.0 ML A 3, 10:30 AM 9 DAYS
TRANSLOCATION EDTA
TERMINAL 3.0 ML (1.0 ML) + 1-
WB-EDTA + HEPARIN + SMEAR +
1574 1635B DEOXYNUCLEOTIDYL 3500 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY
TRANSFERASE (TDT) SLIDES
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TERMINAL 3.0 ML (1.0 ML) + 1-
BONE MARROW-HEPARIN + SMEAR /
1575 1635M DEOXYNUCLEOTIDYL 3500 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY: 1530 HRS NEXT DAY BY 6.00PM
EDTA + HISTORY
TRANSFERASE (TDT) SLIDES
TISSUE IN 10%FORMALIN / PARAFIN
TERMINAL BLOCK + SITE OF BIOPSY AND CLINICAL
1576 Z216K DEOXYNUCLEOTIDYL 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
TRANSFERASE (TDT) RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (72 DAILY (MON TO
TESTICULAR CANCER SERUM (AGE + CLINICAL HISTORY
1577 3028 1700 CHEMILUMINESCENCE 2.0 ML (1.0 ML) HRS); F (> 72 SAT): SAME DAY
MONITOR (AFP & HCG) REQUIRED)
HRS) 0500,1430,1600 hrs
SERUM (AGE + GENDER TO BE 2-8°C (24
DAILY (MON TO
1578 3248FT TESTOSTERONE, FREE 2000 RADIO IMMUNOASSAY MENTIONED)-SAMPLE TO BE DRAWN IN 1.0 ML (0.5 ML) HRS); F ( >24 SAME DAY
SAT): 1230 hrs
THE MORNING HRS HRS)
SERUM (Age + Gender to be mentioned)- 2-8°C (24
CHEMILUMINESCENCE / DAILY (MON TO
1579 3248 TESTOSTERONE, FREE/TOTAL 2500 SAMPLE TO BE DRAWN IN THE MORNING 2.0 ML (1.0 ML) HRS); F ( >24 SAME DAY
RADIOIMMUNOASSAY SAT): 1230 hrs
hrs HRS)
2-8°C (48 DAILY (MON TO
SERUM (Age + Gender to be mentioned).
1580 3244 TESTOSTERONE, TOTAL 800 CHEMILUMINESCENCE 2.0 ML (1.0 ML) HRS); F ( >48 SAT): SAME DAY
Sample to be drawn in the morning hrs.
HRS) 0500,1430,1600 hrs
2-8°C (2 days);
Enzyme Linked Immnunosorbent
1581 9963 TETANUS IgG Antibodies 6850 SERUM 2.0ML(1.0ML) -20°C (>2 5: 1100 HRS SAME DAY: 19:00 HRS
assay
days)
EDTA WB :
WB-EDTA + SERUM+ PERIPHERAL DAILY: 1830 HRS
3.0 ML (2.0 ML) + 3.0 Ambient
THALASSEMIA PROFILE (CBC, AUTOMATED CELL COUNTER / SMEARS (AGE, CLINICAL HISTORY AND (IRON & TIBC), FOR SAME DAY (NEXT DAY for
1582 4970B 1800 ML (2.0 ML) + 3 (2) / SERUM 2-
Iron, TIBC, HB variant analysis) HPLC / SPECTROPHOTOMETRY CBC(FINDINGS MANDOTARY) IN CBC 17:30; FOR HB HB variant)
SMEARS 8°C (7 DAYS),
SPECIFIED FORMAT VARIANT 1500 HRS
F (2 MONTHS)
THALASSEMIA; ALPHA
THALASSEMIA MUTATION MULTIPLEX DNA POLYMERASE
1583 2479 3800 EDTA WHOLE BLOOD+CLINICAL HISTORY 5 ML (3 ML) A 3: 0930 HRS 8 DAYS
DETECTION (α3.7, α4.2, αFIL, CHAIN REACTION
αSEA, αTHAI )
THALASSEMIA; ALPHA AMNIOTIC FLUID / CVS IN STERILE SALINE 20.0 ML (10.0 ML) / ONLY
THALASSEMIA MUTATION MULTIPLEX DNA POLYMERASE / FETAL BLOOD EDTA & EDTA WHOLE 10 MG (5-7 MG) / AMNIOTIC
1584 2480 9000 3:0930 HRS 8 DAYS
DETECTION (α3.7, α4.2, αFIL, CHAIN REACTION BLOOD FOR BOTH PARENTS + CLINICAL 5.0 ML (3.0 ML) / 5.0 FLUID/ CVS AT
αSEA, αTHAI ) PNDT HISTORY ML (3.0 ML) 2-8 °C; REST A

THALASSEMIA; BETA
THALASSEMIA MUTATION
MULTIPLEX DNA POLYMERASE EDTA WHOLE BLOOD+ CLINICAL
1585 2482 DETECTION (IVS1-5 G-C, 619 7200 5.0 ML (3.0 ML) A 3: 0930 HRS 8 DAYS
CHAIN REACTION HISTORY
bp deletion, cd 8/9 + G, IVS1-1
G-T, 41/42 – TTCT)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
THALASSEMIA; BETA
AMNIOTIC FLUID / CVS IN STERILE SALINE 20.0 ML (10.0 ML) / ONLY
THALASSEMIA MUTATION
MULTIPLEX DNA POLYMERASE / FETAL BLOOD EDTA /EDTA WHOLE 10 MG (5-7 MG) / AMNIOTIC
1586 2483 DETECTION (IVS1-5 G-C, 619 16500 3: 0930 HRS 8 DAYS
CHAIN REACTION BLOOD FOR BOTH PARENTS + CLINICAL 5.0 ML (3.0 ML) / 5.0 FLUID/ CVS AT
bp deletion, cd 8/9 + G, IVS1-1
HISTORY ML (3.0 ML) 2-8 °C; REST A
G-T, 41/42 – TTCT) PNDT
MONDAY09:00HRS
Spot Urine In Acid FROZEN(STABI
1587 4107 THALLIUM ICPMS URINE SPOT 7800 ICPMS 20.0ML(10.0ML) TO SATURDAY 15 DAYS
Wash Container LITY: 7 DAYS)
09:00HRS
1] Require SERUM sample.Mention time
of drug dose.
REFRIGERATE
1588 1563I THEOPHYLLINE, SERUM 1100 PETINIA 2] Require Doctors Name and Contact 2.0 ML Friday 10:00 HRS NEXT DAY 18:00HRS
D
details + Clinical history of the patient is
mandatory.
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C+ CLINICAL TWO ALIQOUTS OF
1589 4210 THROMBIN TIME 1200 CLOT BASED AT -20°C & DAILY:1630 HRS SAME DAY
HISTORY(DOUBLE CENTRIFUGED 1.5 ML EACH
TRANSPORTE
PLASMA)*
D IN DRY ICE)
FOR LUPUS
ANTICOAGULANT,
CLOT BASED / FASTING SERUM AND CITRATED 2.0 ML-Serum & FOR LUPUS
FACTOR VIII,
CHEMILUMINESCENCE/CHROM PLATELET POOR PLASMA* 3 VIALS- AT EDTA WB each AND ANTICOAGULANT, FACTOR
PROTEIN C AND
1590 1751 Thrombocheck Total 22500 OGENIC ASSAY/ENZYME MINUS 20° C(DOUBLE CENTRIFUGED Three ALIQOUTS OF Frozen VIII, PROTEIN C AND
ANTITHROMBIN III -
IMMUNOASSAY/PCR PLASMA)* + CLINICAL HISTORY, EDTA 2 ML EACH-Citrated ANTITHROMBIN III -
MONDAY, 10.00
SEQUENCING Whole Blood Plasma WEDNESDAY
AM
TUESDAY, 1 PM
HOMOCYSTEI
THROMBOCHEK PANEL
FASTING SERUM /PLASMA (Centrfuge NE:2-8°C (48 HOMOCYSTEINE;
(Protein C, Protein S, Lupus
samples and remove SERUM or plasma hrs); F (>48 DAILY (MON TO
Antigoagulent,
CLOT BASED / from red blood cells as soon as possible hrs),A/R/F SAT): 0500, 1430,
Antiphospholipid Antibody, 2.0 ML AND TWO
CHEMILUMINESCENCE/CHROM to ensure accurate measurement.) AND AND F (TO BE 1600 HRS, WED &
1591 1253 Serum Homocystein, Anti 18500 ALIQOUTS OF 1.5 ML SAME DAY
OGENIC ASSAY/ENZYME CITRATED PLATELET POOR PLASMA* 2 F SAT:11:00 HRS;
Thrombin III Activity) [To be EACH
IMMUNOASSAY VIALS- AT MINUS 20° C(DOUBLE IMMEDIATELY DAILY FOR
ordered with Factor V leiden
CENTRIFUGED PLASMA)* + CLINICAL AT -20°C & Antiphospholipid
(# 9894)] which will be
HISTORY TRANSPORTE Antibody
charged separately
D IN DRY ICE)

TWO ALIQUOTS OF 1, 3, 5: 1000 HRS

F (F
CLOT BASED & ENZYME PLATELet Poor Citrated plasma + 1.5 ML EACH (1.0 FOR LUPUS &
immediately LUPUS NEXT DAY & SAME
1592 4804 THROMBOTIC RISK PANEL 16000 IMMUNOASSAY AND PCR SERUM/EDTA PLASMA AND EDTA ML) + 2.0 ML ANTIPHOSPHOLIPID
at -20°c) / A DAY AND 1:3:1800 HRS
SEQUENCING WHOLE BLOOD SERUM (1.0 ML)+ 3.0 DAILY: 1100 HRS
OR R
ML AND 3:6:1030 HRS
DAILY (MON TO
THYPROBE (TSH3G - UL, aTG, SERUM ( Age + Gender + Clinical History 2-8°C (48 hrs);
1593 DT8100 2900 CHEMILUMINESCENCE 3.0 (2.0) mL SAT): 0500, 1900 AFTER 3.0 hrs
aTPO, FT4) Required ) Mandatory F (>48 hrs)
hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
1594 Z170K THYROGLOBULIN 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY) IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

2-8°C (72 hrs); 2,4:

1595 3251 THYROGLOBULIN 2000 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAME DAY
F (2 Months) 0500,1430,1600 hrs

THYROID ANTIBODIES (ANTI-

THYROID PREOXIDASE abs. 2-8°C (48 DAILY (MON TO
1596 1016 (also known as Anti 2700 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
Microsomal abs.) AND ANTI- HRS) 1900 hrs
THYROGLOBULIN ABS)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1597 Z231 THYROID LESIONS 6000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (48 DAILY (MON TO
THYROID PANEL II (FT3, FT4,
1598 1499 1000 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 2.0 ML (1.0 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
TSH3G - UL)
HRS) 1900 hrs
2-8°C (48 DAILY (MON TO
THYROID PANEL IV (T3, T4,
1599 TPC 550 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 2.0 ML (1.0 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
TSH)
HRS) 1900 hrs
DAILY (MON TO
THYROID SCREENING PANEL SERUM ( Age + Gender + Clinical History 2-8°C (48 hrs);
1600 TSP 1750 CHEMILUMINESCENCE 3.0 ML (2.0 ML) SAT): 0500, 1900 AFTER 3.0 hrs
(FT4, TSH3G - UL & aTPO) Required ) Mandatory F (>48 hrs)
hrs
DAILY (MON TO
THYROID STIMULATING 2-8°C (48 hrs);
1601 TSHR 300 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
HORMONE F (>48 hrs)
hrs
DAILY (MON TO
THYROID STIMULATING 2-8°C (48 hrs);
1602 3250C 300 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
HORMONE (TSH) F (>48 hrs)
hrs
THYROID STIMULATING DAILY (MON TO
2-8°C (48 hrs);
1603 3250 HORMONE, 3rd GENERATION 300 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
ULTRA (TSH3G - UL) hrs

TISSUE IN 10%FORMALIN / PARAFFIN

BLOCK + SITE OF BIOPSY AND CLINICAL
THYROID TRANSCRIPTION
1604 Z065K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FACTOR- 1
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1605 Z238 THYROID PANEL 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
THYROID-STIMULATING
1606 Z166K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
HORMONE (TSH)
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING
2-8°C (48 DAILY (MON TO
THYROSCREEN (FT4 & TSH3G -
1607 5009 700 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
UL)
HRS) 1900 hrs
DAILY (MON TO
2-8°C (48 hrs);
1608 3226C THYROXINE T4 280 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
hrs
SODIUM HEPARIN WB OF DONOR &
SERUM OF PATIENT.(SAMPLE IS TO BE
20 ML SODIUM
COLLECTED AT LEAST AFTER 3 DAYS OF
HEPARIN WB OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS
DONOR & 3 ML
TO BE COLLECTED AFTER THREE WEEKS
SERUM OF PATIENT.
OF LAST BLOOD TRANSFUSION.
ADDITIONAL
MANDATORY DOCUMENTS TO BE
1609 1351G TISSUE CROSSMATCHING 3500 SEROLOGY DONOR/S, IF ANY, COLD PACK Mon-Fri 11a.m. Next day
ENCLOSED WITH THE SAMPLE ARE:-
SET OF MANDATORY
COMPLETELY FILLED IN HLA TRF,
DOCUMENTS FOR
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
EACH TO BE
PATIENT & DONOR ,DOCTOR'S
ENCLOSED WITH THE
PRESCRIPTION.) APPLICABLE FOR SOLID
SAMPLE.
ORGAN TRANSPLANT ONLY (LIVER &
KIDNEY)

TISSUE FIXED IN 10%FORMALIN+ SITE OF

4TH DAY (10-14 DAYS FOR
1610 TISSUE TISSUE FOR PROCESSING 350 HISTOPATHOLOGY BIOPSY + CLINICAL DETAILS (FOR BONE 1 CM A DAILY:1000 HRS
BONE SPECIMENS)
SPECIMENS ALSO SEND X-RAY)
2-8°C (48
TISSUE TRANSGLUTAMINASE Enzyme Linked Immnunosorbent
1611 9362 1600 SERUM 2.0 ML (1.0 ML) hrs.); -20°C 2;4;6:1100 HRS SAME DAY 1900 HRS
IgA, TTG assay
(>48 hrs.)
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
TLE – 1 IHC - COE MONDAY 09:00HRS
match the site of the tissue
1612 4821 HISTOPATHOLOGY-FOR 1800 IHC 1BLOCK AMBIENT TO FRIDAY 8 DAYS
sample/Paraffin Block numbers belongs
STAINING 09:00HRS
to the same patient or not. If not
received, will be created as a problem
sample.

2-8°C (4 SAME DAY(AVIDITY WILL

TORCH IgG & IgM ANTIBODIES Enzyme Linked Immnunosorbent
1613 9901 3400 SERUM 4.0 ML (2.0 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
EVALUATION (10 Parameters) assay
(>4 DAYS) IgM BOTH ARE POSITIVE)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (4 SAME DAY(AVIDITY WILL
TORCH IgG & IgM ANTIBODIES Enzyme Linked Immnunosorbent
1614 9901M 2900 SERUM 4.0 ML (2.0 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
EVALUATION (9 Parameters) assay
(>4 DAYS) IgM BOTH ARE POSITIVE)
2-8°C (4
Enzyme Linked Immnunosorbent
1615 9911M TORCH IgG ANTIBODIES 1700 SERUM 2.0 ML (1.0 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
assay
(>4 DAYS)
2-8°C (4
TORCH IgM ANTIBODIES (4 Enzyme Linked Immnunosorbent
1616 2231M 1600 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
Parameters) assay
(>4 DAYS)
EDTA PLASMA, CSF, AMNIOTIC FLUID, 2ML (1.0ML), 2ML
TORCH PCR (Toxoplasma PCR,
SERUM, NASOPHARYNGEAL SWAB; IF (1.0ML), 2ML
1617 2232 Rubella PCR, Cytomegalovirus 6600 POLYMERASE CHAIN REACTION F 1,4 :9:00 HRS 2,5 : 19:00 HRS
SERUM SENT,EDTA PLASMA IS (1.0ML), 2ML
PCR, Herpes Simple Virus PCR)
MANDATORY (1.0ML),1ML(1.0ML)
2-8°C (4
TORCH IgM ANTIBODIES (5 Enzyme Linked Immnunosorbent
1618 9912 1800 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
Parameters) assay
(>4 DAYS)
2-8°C ( 7
DAYS); F ( >7
1619 5201 TOTAL BILE ACIDS 2100 SPECTROPHOTOMETRY SERUM 12-14 HRS FASTING 1.0 ML (0.8 ML) 3 :12.00 hrs SAME DAY
DAYS - 3
MONTHS)
DRY BLOOD SPOT with complete
CLINICAL HISTORY form including birth
TOTAL GALACTOSE 2-8°C (14
1620 3309 450 Enzymatic date & birth time.(Dried Blood spot 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(NEONATAL SCREENING) DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)

SERUM [Samples should not be taken

from patients receiving therapy with high 2-8°C
DAILY (MON TO
1621 1059 TOTAL P1NP 2300 ELECTROCHEMILUMINESCENCE biotin doses (i.e. > 5 mg/day) until at 2.0 ML (1.0 ML) (5DAYS); F (3 SAME DAY
SAT):1600 hrs
least 8 hours following the last biotin MONTH)
administration] + Clinical History

EDTA WHOLE BLOOD, CSF, AMNIOTIC

1622 7522 Toxoplasma gondii PCR 3000 NESTED PCR 2ML (1ML) A 1,4 :9:00 HRS 2,5 : 19:00 HRS
FLUID, SERUM + CLINICAL HISTORY

2-8°C (4 SAME DAY(AVIDITY WILL

TOXOPLASMA IgG & IgM Enzyme Linked Immnunosorbent
1623 2261M 1550 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
ANTIBODIES assay
(>4 DAYS) IgM BOTH ARE POSITIVE)
2-8°C (4
TOXOPLASMA IgG Enzyme Linked Immnunosorbent
1624 9426M 950 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
ANTIBODIES assay
(>4 DAYS)
2-8°C (4
Enzyme Linked Immnunosorbent
1625 9433 TOXOPLASMA IGG AVIDITY 1750 SERUM 1.0 ML(0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY :1230 HRS
assay
(>4 DAYS)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (4
TOXOPLASMA IgM Enzyme Linked Immnunosorbent
1626 7661M 920 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
ANTIBODIES assay
(>4 DAYS)
2ML (1.0ML), 2ML
TOXORubella PCR
EDTA PLASMA, CSF, AMNIOTIC FLUID, (1.0ML), 2ML
1627 2233 (Toxoplasma PCR, Rubella 4550 POLYMERASE CHAIN REACTION F 1,4 :9:00 HRS 2,5 : 19.00 HRS
SERUM, NASOPHARYNGEAL SWAB (1.0ML), 2ML
PCR)
(1.0ML),1ML(1.0ML)
TPC Plus (T3, T4, TSH 3G, DAILY (MON TO
Cholesterol total, CHEMILUMINESCENCE/ 2-8°C (48 hrs); SAT): 0500, 1900
1628 7568 599 SERUM 12-14 HRS FASTING 5.0 ML (2.0 ML) SAME DAY
Triglycerides, Fasting Blood SPECTROPHOTOMETRY F (>48 hrs) hrs, BIOCHEM
Sugar) DAILY 18:30 HRS
1629 8030 TPMT GENOTYPING 5600 PCR SEQUENCING EDTA WHOLE BLOOD 3ML (2 ML) 2-8°C 1 : 930 HRS 9 DAYS
TPMT GENOTYPING+MTHFR
EDTA WHOLE BLOOD + CLINICAL MONDAY:09:00
1630 9504 MUTATION DETECTION 13200 PCR SEQUENCING 10 ML A 9 DAYS
HISTORY HRS
PANEL
TPO; ANTI-THYROID 2-8°C (48 DAILY (MON TO
1631 3062 PEROXIDASE ANTIBODIES / 1500 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
ANTI MICROSOMAL ABS HRS) 1900 hrs
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
1632 1519HD TRANSFERRIN 1350 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 1,3,5 : 1630 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
TREPONEMA PALLIDIUM 2-8°C (7
1633 9020 HEMAGGLUTINATION ASSAY 900 PASSIVE HEMAGGLUTINATION SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 1530 HRS SAME DAY
(TPHA) (>7 DAYS)
DAILY (MON TO
2-8°C (48 hrs);
1634 3224C TRIIODOTHYRONINE T3 280 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
hrs

SERUM in 2 vials (Clinical Details in

specified format, Maternal Date of Birth,
TRIPLE MARKER TEST / 2nd Maternal Weight, Maternal Race, 2-8°C (72 hrs);
DAILY (MON TO
1635 1267 Trimester Risk assessment, 14- 2950 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) F (> 72 hrs - SAME DAY
SAT): 1100 hrs
22 Weeks. (AFP, HCG & E3UN) Obstetric USG Report between 10 to 13 15 Days)
weeks of gestation+Date of collection)
MANDATORY

2-8°C (24 DAILY (MON TO

1636 3393 TROPONIN I 1900 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 2.0 ML (1.0 ML) HRS); F (1 SAT): SAME DAY
Month) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

SERUM [Samples should not be taken

from patients receiving therapy
2-8°C (24
with high biotin doses (i.e. > 5 mg/day) DAILY (MON TO
1637 3395A TROPONIN T 1900 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) HRS); F (3 SAME DAY
until at least 8 hours SAT):1600 hrs
MONTHS)
following the last biotin administration]
+ Clinical History

2-8°C (2
TRUE CARD PANEL (hSCRP , SPECTROPHOTOMETRY/ SERUM-12-14 HRS FASTING+(AGE &
1638 1209TCP 1300 2.0 ML (1.0 ML) DAYS); F (> 2 DAILY:1800 hrs SAME DAY
Lipid Profile) NEPHELOMETRY GENDER IS MANDATORY)
DAYS)
2-8°C (2 DAYS)
Enzyme Linked Immnunosorbent 2nd and 4th Sat
1639 4115 Trypanosoma cruzi IgG 2250 SERUM 2.0 ML (1.0 ML) / >2 DAYS - Same day(1900 hrs)
assay :11.00 hrs
20°C
DRY BLOOD SPOT with complete
CLINICAL HISTORY form including birth
2-8°C (14
1640 3308 TSH (NEONATAL SCREENING) 450 Enzyme Immunoassay date & birth time.(Dried Blood spot 2 (1) 1,4:1030 HRS NEXT DAY
DAYS)
should be ideally collected within 3rd
and 5th day of life after birth)
2-8°C (48 DAILY (MON TO
TSH (THYROID STIMULATING
1641 3250C 300 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
HORMONE)
HRS) 1900 hrs
FROZEN: UP
1642 3254I TSH RECEPTOR ANTIBODIES 4900 RADIO IMMUNOASSAY SERUM 1.0 ML (0.5 ML) 6:1230 hrs SAME DAY
TO 2 WEEKS
2-8°C (48
TTG (TISSUE Enzyme Linked Immnunosorbent
1643 9362 1600 SERUM 2.0 ML (1.0 ML) hrs.); -20°C 2;4;6:1100 HRS SAME DAY 1900 HRS
TRANSGLUTAMINASE IgA) assay
(>48 hrs.)
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
1644 9979 TTG/DGP (h-tTG/DGP) 2000 SERUM 2.0 ML (1.0 ML) -20°C (>48 3,6 : 1000 HRS SAME DAY
assay
hrs)
BLOCKS.PLEASE PROVIDE THE
MONDAY 09:00HRS
TUMOR HOTSPOT PANEL BY HISTOPATHOLOGY REPORT AND
1645 7148 25300 NGS 2 BLOCKS AMBIENT TO FRIDAY 25 DAYS
NGS CLINICAL HISTORY ALONG WITH THE
09:00HRS
BLOCKS.
AFTER
SEPARATION
TUMOR NECROSIS FACTOR - OF SERUM THURSDAY:1000
1646 5433 4700 ENZYME IMMUNOASSAY SERUM 1.0 ML(0.5 ML) SAME DAY 1900 HRS
ALPHA IMMEDIATELY AM
STORE AT -20
°C
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

WB-EDTA 3.0 (1.0)

AUTOMATED CELL COUNTER, ML, PERIPHERAL
AUTOMATED (PHOTOMETRICAL BLOOD SMEARS: 2
CAPILLARY STOPPED FLOW WB-EDTA, PERIPHERAL BLOOD SMEARS THICK / 2 THIN, DAILY:1000 HRS ALL TESTS SAME DAY
KINETIC ANALYSIS) / MANUAL CITERATE WHOLE BLOOD ( BLACK TOP),, BLACK TOP 2.0 ML, EDTA WB : AND FOR BIOCHEM EXCEPT STOOL CULTURE
TYPHI-D (CBC, ESR, Urinalysis,
(MODIFIED WESTERGREN) ESR TUBE (GREINER) BLACK TOP, SERUM, SERUM 2.0 (1.0) ML, Ambient 18:30HRS NO PRELIMINARY / FINAL
1647 DT3200 Widal, Culture Prlim & Final, 1200
DIPSTICK & MICROSCOPY, TUBE BLOOD CLOT [AFTER SEPARATING BLOOD CLOT [AFTER A/URINE 2- ;17:30HRS FOR CBC 3RD DAY : CLOT
C)
AGGLUTINATION, BACTERIAL SERUM FOR ABOVE], URINE, STOOL IN SEPARATING SERUM 8°C(24 HRS) & ESR; 15:30 FOR CULTURE : PRELIMINARY
CULTURE & BIOCHEMICAL STERILE LEAK PROOF CONTAINER FOR ABOVE] 3.0 (1.5) WIDAL 4TH DAY / FINAL 7TH DAY
IDENTIFICATION REACTIONS, ML, URINE 15.0
BACTERIAL SEROTYPING (10.0) ML, STOOL 1.0
GM / 1.0 ML

2-8°C (14
1648 1215 U1 snRNP ANTIBODIES 2850 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
EDTA WHOLE BLOOD + CLINICAL
1649 RD1479 UGTA1 GENE MUTATION 13000 PCR-SEQUENCING 5 ML (3 ML) A 2 : 0930 HRS 15 days
HISTORY in specified format
URINARY
RANDOM URINE WITHOUT 2nd & 4th Wed
1650 4333 GLYCOSAMINOGLYCAN (GAG) 1100 SPECTROPHOTOMETRY (DMB) 20.0ML(10.0ML) F 2nd DAY
PRESERVATIVE + CLINICAL HISTORY 11.00 HRS
QUANTITATION
URINE -24 HOURS COLLECTED IN 10 ML
CONC HCL & REFRIGERATE DURING
ENZYMATIC COLLECTION.( MENTION 24 HRS. TOTAL
1651 4332 URINARY OXALATE 2050 20 ML (15ML) F (7 DAYS) 3 & 6: 1100 hrs SAME DAY
SPECTROPHOTOMETRY URINE VOLUME ON TRF ALONG WITH
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)

20ML OF URINE ALIQUOT FROM THE

COLLECTED 24HRS URINE SPECIMEN TO
BE SHIPPED STRICTLY IN FROZEN
CONDITION (Do not consume bananas,
pineapple, chocolates, coffee, ice
creams, high diet in cereals and vanilla,
potatoes and B-Complex, Vitamins 48
hours prior to the collection of the
specimen. It is advisable to discontinue
URINARY VMA (VANILYL TUESDAY & FRIDAY:
1652 3318U 4200 SPECTROPHOTOMETRIC all medications, but that should be 20.0 ML (10.0 ML) F 4TH DAY
MANDELIC ACID) 09:00 HRS
strictly on the advise of your physician.
The supplied container contains a
preservative ,15ML of 6N HCL. 24hrs
urine specimens received without the
preservative will be unacceptable. It is
mandatory to provide clinical
information(CT SCAN, MEDICATION AND
USG) and the volume on the requisition
form)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
URINE ,24 HRS WITH APPROPRIATE
URINE SUPERSATURATION
PRESERVATIVE & REFRIGERATE DURING DAILY 1830 hrs ,
PANEL (CALCIUM, SPECTROPHOTOMETRY,
COLLECTION.( MENTION 24 HRS. URINE 20.0 ML(IN 2 VIALS FOR URINARY
1653 5002 MAGNESIUM,OXALATE,URIC 2500 ENZYMATIC F SAME DAY
VOLUME ON TRF WITH PATIENT AGE, SEPERATELY) OXALATE 3 &
ACID AND PHOSPHORUS, SPECTROPHOTOMETRY
GENDER, HEIGHT, WEIGHT & CLINICAL 6:1100 hrs
FROM 24hrs URINE )
DETAILS)

AUTOMATED CELL COUNTER,

EDTA WB 2.0ML +
AUTOMATED (PHOTOMETRICAL EDTA WB/CITRATE WB BLACK TOP FLUORIDE
UTI SCREENING PANEL CITRATE WB 3.0ML
CAPILLARY STOPPED FLOW /FASTING PLASMA FLOURIDE & URINE + PLASMA : 2- DAILY: 18:30 HRS;
(CBC,ESR,GLUCOSE FASTING, +FASTING PLASMA
1654 5007 1150 KINETIC ANALYSIS) / MANUAL 2-3 SMEARS + (AGE & GENDER IS 8°C (3 DAYS); FOR CBC & ESR SAME DAY/3RD DAY
URINALYSIS,URINE 1.0 ML (0.5 ML) &
(MODIFIED WESTERGREN) MANDATORY)/URINE IN STERILE URINE : 2- DAILY : 17:30 HRS
CULTURE/SENSITIVITY) URINE15 ML (10
/SPECTROPHOTOMETRY/DIPSTI CONTAINER 8°C(24 HRS)
ML)/ 3.0 ML
CK& MICROSCOPY/CULTURE

DAILY: 0730 HRS &

1530 HRS FOR
VACCICHEQ (HBsAb, VZV IgG, Chemiluminescent Microparticle HBsAb,5: 1100 HRS
1655 DT3203 MUMPS IgG, MEASLES 6400 Immunoassay (CMIA)/ENZYME SERUM 3.0 ML (2.0 ML) R/F FOR MUMPS IgG & SAME DAY
IgG,Rubella IgG) IMMUNOASSAY MEASLES IgG , 3-
1100 HRS FOR VZV
IgG
SERUM (JUST BEFORE THE NEXT DOSE;
2-8°C (48 DAILY (MON TO
USUALLY EARLY IN THE MORNING;TO
1656 3360H VALPROIC ACID 1050 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F ( >48 SAT): SAME DAY
CONFIRM THAT AN ADEQUATE DOSE IS
HRS) 0500,1430,1600 hrs
PRESCRIBED BEFORE BEDTIME)
SERUM [IT IS MANDATORY TO MENTION
2-8°C (48 DAILY (MON TO
ON THE TRF WHETHER IT IS A TROUGH
1657 4197 VANCOMYCIN 6200 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (> 48 SAT): SAME DAY
LEVEL (PRE-DOSE) OR PEAK LEVEL (POST-
HRS) 0500,1430,1600 hrs
DOSE) SAMPLE].
VARICELLA (HERPES) ZOSTER 3.0(1.0ml) Serum Monday &
1658 8125 6500 E/A/Biochemical Serum & CSF FROZEN 4 days
IGG ANTIBODIES, CSF and CSF Thursday 09:00HRS

VARICELLA ZOSTER VIRUS 2-8º C (5

Enzyme Linked Immnunosorbent
1659 8761 (VZV) IgG ANTIBODIES 1900 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
(CHICKEN POX) DAYS- 20 °C

VARICELLA ZOSTER VIRUS 2-8º C (5

Enzyme Linked Immnunosorbent
1660 8766 (VZV) IgM ANTIBODIES 1900 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
(CHICKEN POX) DAYS- 20 °C
2-8°C (3 days);
VDRL REFLEX TPHA FLOCCULATION & PASSIVE
1661 9220RFX 600 SERUM 2.0 ML -20°C (>3 DAILY: 1530 HRS SAME DAY
CONFIRMATION HEMAGGLUTINATION
days)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1662 Z047K VIMENTIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
RECEIVED IT WILL BE CHARGED FOR
TISSUE PROCESSING

VIRAL PNEUMONIA PANEL I

SWAB (THROAT SWAB,
(Influenza A RNA, Influenza B MULTIPLEX POLYMERASE CHAIN
1663 9887 5600 NASOPHARYNGEAL SWAB, RESPIRATORY 2.0 ML + 2.0 ML + 1 F 1,3,5:1000 HRS NEXT DAY: 1800 HRS
RNA, Para Influenza, RSV, REACTION
SECRETIONS, BAL)
Enterovirus RNA)
VIRAL PNEUMONIA PANEL II
SWAB (THROAT SWAB,
(Adenovirus DNA,
1664 9888 5600 POLYMERASE CHAIN REACTION NASOPHARYNGEAL SWAB, RESPIRATORY 2.0 ML + 2.0 ML + 1 F 2, 4, 6 :1000 HRS 4, 6, 2 :1800 HRS
Cytomegalovirus DNA, HSV 1
SECRETIONS, BAL)
& 2)
1] Require 12-14 hrs fasting SERUM
sample (to be collected in plain tube not
in gel tube) or Plasma EDTA.
2] It should be light protected (wrap in
aluminum foil) and to be stored to freeze F [Serum 43
VITAMIN A, SERUM/EDTA immediately. days,EDTA
1665 3511 4600 HPLC 2.0 ML (1.0 ML) 3:1000 HRS NEXT DAY:18:00HRS
PLASMA 3] Doctors Name and Contact details + Plasmsa 8
Clinical history of the patient is days at -18ºC ]
mandatory.
4] Patients must have no alcohol and
must be without Vitamin A supplement
for 24 hrs.

1] Require 12-14 hrs fasting SERUM

sample (to be collected in plain tube not
in gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B1, SERUM/EDTA
1666 3512 3900 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is
mandatory.4] Patients must have no
alcohol and must be without Vitamin B1
supplement for 24 hrs.

2-8°C (48 DAILY (MON TO

1667 3020 VITAMIN B12 1300 CHEMILUMINESCENCE SERUM FASTING 1.0 ML (0.5 ML) HRS); F (> 48 SAT): SAME DAY
HRS) 0500,1430,1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

1] Require 12-14 hrs fasting SERUM

sample (to be collected in plain tube not
in gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B2, SERUM/EDTA
1668 3513 3500 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is
mandatory. 4] Patients must have no
alcohol and must be without Vitamin B2
supplement for 24 hrs.

1] Require 12-14 hrs fasting SERUM

sample (to be collected in plain tube not
in gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B6, SERUM/EDTA
1669 3514 3600 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is
mandatory.4] Patients must have no
alcohol and must be without Vitamin B6
supplement for 24 hrs.

1] Require 12-14 hrs fasting Plasma EDTA

only.
2] Specimen should be light protected
(wrap in aluminum foil) and should BE
STORED TO FREEZE IMMEDIATELY.
1670 3516 VITAMIN C, EDTA Plasma 3300 HPLC 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
3] Require Doctors Name and Contact
details+ Clinical history of the patient is
mandatory. 4] Patients must have no
alcohol and must be without Vitamin C
supplement for 24 hrs.

2-8°C (24
1671 8825 VITAMIN D (1,25 DIHYDROXY ) 4100 CHEMILUMINESCENT SERUM: Fasting prefered 3.0 ML (2.0 ML) HRS), F (> 24 1,3,5: 1300 hrs NEXT DAY
IMMUNOASSAY (CLIA) HRS)
DAILY (MON TO
VITAMIN D (25-HYDROXY 2-8°C (48 hrs);
1672 8823 1650 CHEMILUMINESCENCE SERUM: Fasting not mandatory 1.0 ML (0.1 ML) SAT): 0500, 1430, SAME DAY
VITAMIN D) F (>48 hrs)
1600 hrs
DAILY (MON TO
2-8°C (48 hrs);
1673 7102 VITAMIN D COMBO 1900 CHEMILUMINESCENCE SERUM: Fasting not mandatory 1.0 mL (0.2 mL) SAT): 0500, 1430, SAME DAY
F (>48 hrs)
1600 hrs
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
VITAMIN D PLUS (25 - OH VIT 2-8°C (48 hrs);
10-12 HRS FASTING SERUM AND EDTA 2.0 ML(1.0 ML) AND SAT): 0500, 1600
1674 9510 D,Calcium, PHOSPHORUS, 2000 Chemiluminescence/SPECTROPH F (>48 hrs) SAME DAY
PLASMA 2.0ML hrs, BIOCHEM
PTH INTACT) OTOMETRY AND FROZEN
DAILY 18:30 HRS
1] Require 12-14 hrs fasting sample, if
SERUM (to be collected in plain tube not
in gel tube) or Plasma EDTA.
2] It should be light protected (wrap in
aluminum foil) and should be stored to [Serum and
VITAMIN E, SERUM/EDTA freeze immediately. EDTA Plasmsa,
1675 3517 4000 HPLC 2.0 ML (1.0 ML) 3:1000 HRS NEXT DAY 18:00HRS
PLASMA 3] Doctors Name and Contact details + 15 days at -
Clinical history of the patient is 18ºC]
mandatory.
4] Patients must have no alcohol and
must be without Vitamin E supplement
for 24 hrs.
1] Require 3.5mL of 12 hrs fasting
SERUM sample (to be collected in plain
tube not in gel tube) and should have
refrained from taking nutritional
supplements for 24 hours prior to
2nd and 4th
venipunture. nd th
1676 7523 VITAMIN K1, SERUM 4200 HPLC 3.5 ml (2.5 mL) frozen Thursday : 10;00 2 & 4 Friday ,7 PM
2] It should be light protected (wrap in
hrs
aluminum foil) and should be stored to
freeze immediately.
3] Doctors Name and Contact details +
Clinical history of the patient is
mandatory.
DAILY (MON TO
2-8°C (48 hrs);
1677 7101 VITAMIN PLUS XL 2100 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1430, SAME DAY
F (>48 hrs)
1600 hrs
DAILY (MON TO
VITAMINPLUS (25-OH VIT D 2-8°C (48 hrs);
1678 9509 1950 Chemiluminescence. SERUM 3.0ML SAT): 0500, 1600 SAME DAY
AND VIT B12) F (>48 hrs)
hrs
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
VON WILLEBRAND FACTOR IMMUNOTURBIDIMETRY-STA PLASMA* - AT MINUS 20° C*(DOUBLE TWO ALIQOUTS OF 2ND/4TH TUE: 1200
1679 9050 11000 AT -20°C & SAME DAY
ANTIGEN, PLASMA COMPACT CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH HRS
TRANSPORTE
HISTORY
D IN DRY ICE)
20+/-5°C (8
VON WILLEBRAND FACTOR, 2nd and 4th
1680 9052 13400 ENZYME IMMUNOASSAY PLASMA (CITRATE) 1.0 ML (0.5 ML) HRS); -20°C NEXT DAY
PLASMA Tuesday :1030 HRS
(1MONTHS)
EDTA WHOLE BLOOD/CSF/VESICLE SWAB 5.0 ML (3.0 ML)/ 3.0
MONDAY 10:30
1681 8762 VZV PCR 3300 PCR IN STERILE SALINE/CSF/AMNIOTIC ML (1.5 ML)/3.0 ML A FRIDAY 1800HRS
HRS
FLUID/CVS (1.5 ML)
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WARFARIN SENSITIVITY BY
1682 RD1302 13500 PCR-SEQUENCING EDTA WHOLE BLOOD 5.0 ML ( 3.0 ML) A/R 1:0930 HRS 6;1830 HRS
GENOTYPING
2-8°C
1683 9121 WEIL FELIX 1050 TUBE AGGLUTINATION SERUM 2.0 ML (2DAYS); - DAILY: 1330 HRS SAME DAY
20°C (>2DAYS)
2-8°C (14 1ST & 3RD
Enzyme Linked Immnunosorbent
1684 9960 WEST NILE VIRUS IGG 3500 SERUM 2.0 ML DAYS); -20°C SATURDAY: 1000 SAME DAY
assay
(>14 DAYS) HRS
2-8°C (14 1ST & 3RD
Enzyme Linked Immnunosorbent
1685 9959 WEST NILE VIRUS IGM 3500 SERUM 2.0 ML DAYS); -20°C SATURDAY: 1000 SAME DAY
assay
(>14 DAYS) HRS
WESTERN BLOT-HIV -1 2-8°C (7 DAYS)
SERUM / EDTA (PLASMA MAY BE
1686 3012 ANTIBODIES(Confirmation) 3600 IMMUNOBLOT 2.0 ML (1.0 ML) ,>7 DAYS - 1,3,5: 1000 HRS SAME DAY
ACCEPTABLE)
INDICATES- HIV -2 20°C
TISSUE IN 10%FORMALIN / PARAFFIN
WILM'S TUMOR PROTEIN 1 BLOCK -SITE OF BIOPSY & CLINICAL
1687 Z119K 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(WT1) DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
EDTA WHOLE BLOOD / EDTA BONE
1688 RD1407 WT1 MUTATION DETECTION 5800 PCR – Sequencing 5 ML (3ML) A 4; 0930 HRS 8 DAYS
MARROW + CLINICAL HISTORY
PUS, PLEURAL FLUID , ASITIC
FLUID/GASTRIC ASPIRATE, TISSUE, CSF,
PERITONEAL FLUID, PERICARDIAL FLUID, DAILY: 0930 HRS
XPERT MTB / RIF ( GENE REAL TIME PCR ON GENEXPERT
1689 RD1324EP 2200 SYNOVIAL/KNEE JOINT FLUID, ABSCESS 5.0 ML ( 2.0 ML) A/R (EXCEPT SUNDAY SAME DAY: 1900 HRS
EXPERT) - EXTRAPULMONARY PLATFORM
ASPIRATE AND HOLIDAYS)

Semi nested Real time PCR on

SAME DAY EVENING
GeneXpert platform /
/SMEAR - 48 HOURS WK 3
1690 9507 XPERT PLUS 2850 FLUORESCENT STAIN / ZIEHL SPUTUM / BAL / ENDOMETRIAL TISSUE 2.0 ML /2 A DAILY:09:30 HRS
& WK 6 (Or when culture
NEELSEN STAIN & MGIT 960+LJ
positive)
CULTURE
Semi nested Real time PCR on
SAME DAY EVENING
GeneXpert platform /
/SMEAR - 48 HOURS WK 3
1691 9507EP XPERT PLUS 2850 FLUORESCENT STAIN / ZIEHL SPUTUM / BAL / ENDOMETRIAL TISSUE 2.0 ML /2 A DAILY:09:30 HRS
& WK 6 (Or when culture
NEELSEN STAIN & MGIT 960+LJ
positive)
CULTURE
Semi nested Real time PCR on
SAME DAY EVENING
GeneXpert platform /
DAILY: 0930 HRS /SMEAR - 48 HOURS WK 3
FLUORESCENT STAIN / ZIEHL
1692 7713 XPERT TOTAL 5800 SPUTUM / BAL / ENDOMETRIAL TISSUE 2.0 ML /2 A (EXCEPT SUNDAY & WK 6 (Or when culture
NEELSEN STAIN & MGIT 960+LJ
AND HOLIDAYS) positive). GENEXPERT
CULTURE /BACTEC MGIT-960
SAME DAY: 1900 HRS
METHOD
 Directory of Services : Specialised Test Menu - Central Reference Laboratory, Mumbai wef 15th March 2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Semi nested Real time PCR on
SAME DAY EVENING
GeneXpert platform /
DAILY: 0930 HRS /SMEAR - 48 HOURS WK 3
XPERT TOTAL - FLUORESCENT STAIN / ZIEHL
1693 7713EP 5800 ENDOMETRIAL TISSUE/PUS/CSF 2.0 ML /2 A (EXCEPT SUNDAY & WK 6 (Or when culture
EXTRAPULMONARY NEELSEN STAIN & MGIT 960+LJ
AND HOLIDAYS) positive). GENEXPERT
CULTURE /BACTEC MGIT-960
SAME DAY: 1900 HRS
METHOD
Y-CHROMOSOME EVERY TUESDAY:
1694 RD1440 9000 MULTIPLEX PCR EDTA WHOLE BLOOD 5.0 ML A 9TH DAY
MICRODELETION PCR 10:00 HRS
BY PRIOR
1695 5702 YERSINIA CULTURE 2150 CULTURE STOOL IN STERILE CONTAINER 1.0 GM (0.5 GM) R 7TH DAY, FINAL
APPOINTMENT,
2-8°C (2
YERSINIA ENTEROCOLITICA Enzyme Linked Immnunosorbent
1696 3329IG 3060 SERUM 0.500 ML (0.250 ML) DAYS); -20°C 2nd FRI: 1030 HRS SAME DAY
IgG assay
(>2 DAYS)
2-8°C (2
YERSINIA ENTEROCOLITICA Enzyme Linked Immnunosorbent
1697 3329IM 3060 SERUM 0.500 ML (0.250 ML) DAYS); -20°C 2nd FRI: 1030 HRS SAME DAY
IgM assay
(>2 DAYS)
EDTA WHOLE BLOOD / HEPARIN WHOLE
1698 4965 ZAP-70 7300 FLOW CYTOMETRY BLOOD + DIRECT SMEARS + CLINICAL 2.0ML/2.0ML + 2-3 A DAILY: 1430 HRS NEXT DAY BY 6.00PM
HISTORY
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO
PRESERVATIVE). 24 HRS VOLUME
SHOULD BE COMPULSARILY SPECIFIED .
2-8°C (5
FIRST SHAKE THE CAN AND TAKE THE 10-
1699 9145U24 ZINC, 24 HR URINE 2250 FAAS WITH D2 CORRECTION 10-20 ML (5 ML) DAYS); F ( >5 - “4”, 11:30 HRS NEXT DAY
20 ML ALIQUOT. IN METAL FREE
30 DAYS)
SCINTILLATION BOTTLE AVAILABLE
FROM SRL (NO PRESERVATIVE)THE
MEASUREMENT OF URINE VOLUME
SHOULD BE DONE AFTER ALIQUOTING.
COLLECT WHOLE BLOOD IN SPECIAL
GREINER VACCUTAINER WITH GEL AND
YELLOW RING IN THE CAP AVAILABLE 2-8°C (7
1700 9145 ZINC, SERUM 2250 FAAS WITH D2 CORRECTION FROM SRL CENTRIFUGE DO NOT 2.0 ML (1 ML) DAYS); F ( >7 - “4”, 11:30 HRS NEXT DAY
SEPERATE SERUM. SERUM MORNING 30 DAYS)
FASTING SPECIMEN SHOULD BE
COLLECTED.
SPOT URINE IN METAL FREE 2-8°C (5
1701 9145U ZINC, URINE SPOT 2250 FAAS WITH D2 CORRECTION SCINTILLATION BOTTLE AVAILABLE 10-20 ML (5 ML) DAYS); F ( >5 - “4”, 11:30 HRS NEXT DAY
FROM SRL (NO PRESERVATIVE) 30 DAYS)
RANDOM URINE + CLINICAL HISTORY +
1702 4522A α1- MICROGLOBULIN 5900 NEPHELOMETRY 3.0 ML (2.0 ML) 2-8°C (8 DAYS) MON : 1200 hrs 5 th DAY
(AGE & GENDER IS MANDATORY)
2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
SAMPLE SHOULD BE AVOIDED)+ 90 DAYS, IF F
1703 4522B α2- MACROGLOBULIN 5900 NEPHELOMETRY 2.0 ML (1.5 ML) 3,6 : 1200 HRS NEXT DAY
CLINICAL HISTORY + (AGE & GENDER IS WITHIN 24
MANDATORY) HRS. OF
COLLECTION)