CLINICAL MICROSCOPY SERVICES

CLINICAL MICROSCOPY

ITEM/TEST/ASSAY
TEST METHODOLOGY
RUNNING DAY
TURN AROUND TIME
SPECIMEN REQUIREMENT
PATIENT PREPARATION
SPECIAL CONSIDERATIONS
Bence Jones ProteinManual MethodDailyRoutine: Two hoursRandom or early morning urine sample must be submitted within one (1) hour after collectionNoneNone
Chlamydia Antigen Test (Female)Chlamydia Test KitDaily
Routine: Two hours
Endocervical swab, no mucusTo be collected by the physicianNone
Chlamydia Antigen Test (Male)Chlamydia Test Kit
Daily
Routine: Two hours
Random or early morning urine sample must be submitted within one (1) hour after collection
NoneNone
Clostridium Difficile Test (Stool)Test KitDaily
Routine: Two hours
Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or looseNone
None
Crystals Examination, Synovial FluidManual MethodDaily
Routine: Two hours
Synovial FluidTo be collected by the physician

Sample should be submitted within one hour

Fecal Occult Blood - ImmunochemicalImmunochemicalDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or looseDo not collect stool sample when having menstrual bleeding, bleeding hemorrhoids, constipation bleeding, and urinary bleedingWatery, diarrheic, loose, and mucoid consistencies should be processed within 30 minutes of collection
Guaiac Fecal Occult Blood Test (gFOBT)Guaiac MethodDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or loose
Red meat-free diet for two (2) days prior to collection; Raw fruits and vegetables which contain peroxidase-like substances (e.g. turnips, cauliflower, cantaloupe, red radish, etc.) should be avoided during the test periodWatery, diarrheic, loose, and mucoid consistencies should be processed within 30 minutes of collection
Fecalysis (Routine Stool Examination)Light MicroscopyDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or loose
Stool samples should not be contaminated with urine, water, soil, mineral, or castor oil, anti-diarrheal compounds radiologic contrast medium or barium. There should be an interval of at least one week after ingestion or non-absorbable diarrheal compounds (e.g. Diatabs and Imodium), antacids, bismuth and mineral oil. There should be an interval of three weeks after taking barium sulfate, gall bladder dye, antibiotics, iodine preparations, anti-amoebic drugs and certain anti-malarial drugs
Watery, diarrheic, loose, and mucoid consistencies should be processed within 30 minutes of collection
Fecalysis with Occult Blood (Guaiac)Guaiac Method and Light MicroscopyDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or loose
Red meat-free diet for two (2) days prior to collection; Raw fruits and vegetables which contain peroxidase-like substances (e.g. turnips, cauliflower, cantaloupe, red radish, etc.) should be avoided during the test period
Watery, diarrheic, loose, and mucoid consistencies should be processed within 30 minutes of collection
Fecalysis with Occult Blood (Immunochemical)Immunochemical with Light MicroscopyDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens approximately 2 to 5 tbsp. if watery, Mucoid or loose
Do not collect stool sample when having menstrual bleeding, bleeding hemorrhoids, constipation bleeding, and urinary bleeding
Watery, diarrheic, loose, and mucoid consistencies should be processed within 30 minutes of collection
Parasite Examination and IdentificationLight MicroscopyDaily

Routine: Two hours


STAT: One hour

Stool sample should be submitted one (1) hour of collection; At least thumb-size for formed specimens; approximately
2 to 5 tbsp.
if watery, mucoid or loose. For adult parasites, it can be fresh or preserved. 

NoneNone

pH, Other Body Fluid 

Dip Stick 

Daily

Routine: Two hours


STAT: One hour

Body fluids 

None

Specimen should be processed immediately 

Pinworm Swab 

Scotch Tape Swab Method 

Daily

Routine: Two hours

STAT: One hour 

Scotch tape preparation to be done by lab staff 

usually collected early morning before defecation or midnight 

collection should be done before cleaning the anal area 

Pregnancy Test, Urine Test Pack 

Urine Test Pack 

Daily

Routine: Two hours

STAT: One hour 

Random or early morning urine sample; must be submitted within one hour after collection 

NoneNone

Rotavirus Antigen (Stool) 

Test Kit 

Daily

Routine: Two hours 

Freshly collected stool, should be submitted at least one hour after collection 

None
None

Semen Analysis; Complete (Volume, Count, Motility, and Differential) 

Manual Method 

Daily
(By appointment; coordinate with the Laboratory) 

Six hours 

Freshly collected seminal fluid; take note of the time of collection 

Sexual abstinence for two (2) to seven (7) days prior to collection 

Seminal Fluid should all be collected in a container provided by the Laboratory and submit immediately 

Specific Gravity 

Refractometry 

Daily 

Routine: Two hours

STAT: One hour 

Random or early morning urine sample; other body fluids; must be submitted within one hour of collection 

NoneNone

Stool Eosinophil 

Light Microscopy 

Daily

Routine: Two hours

STAT: One hour 

tool sample should be submitted within one (1) hour after collection 

Stool samples should not be contaminated with urine, water, soil, mineral or castor oil, anti-diarrheal compounds, radiologic contrast medium or barium. There should be an interval of at least 1 week after ingestion of non- absorbable diarrheal compounds (e.g. Diatabs and Imodium), antacids, bismuth and mineral oil. There should be an interval of three (3) weeks after taking barium sulfate, gall bladder dye, antibiotics, iodine preparations, anti- amoebic drugs and certain anti-malarial drugs. 

None

Stool Examination with Concentration 

Light Microscopy 
Daily

Routine: Two (2) hours 

Stool sample should be submitted within one (1) hour after collection 

NoneNone

Stool Reducing Sugar 

Benedict's Method 

Daily

Routine: Two (2) hours 

Stool sample should be submitted within one (1) hour after collection 
None
None

Urine Microalbuminuria, Semi-quantitative (Micral Test) 

Urine Dipstick Method 

Daily 

Routine: Two hours

STAT: One hour 

Random or early morning urine sample; must be submitted within one hour after collection 

NoneNone

Urinalysis, Routine 

Flow Cytometry 

Daily 

Routine: Two hours

STAT: One hour

Random or early morning urine sample; must be submitted within one hour after collection 

Mid-stream catch collection 

Clean the genitalia prior to collection of urine 

Urine Eosinophil 

Light Microscopy 

Daily 

Routine: Two hours

STAT: One hour

Random or early morning urine sample; must be submitted within one hour after collection 
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 

Urine Ketone by Dipstick Method 

Urine Dipstick Method 

Daily 

Routine: Two hours 

Random or early morning urine sample; must be submitted within one hour after collection 
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 

Urine Myoglobin 

Urine Dipstick Method 
Daily 
Routine: Two hours 
Random or early morning urine sample; must be submitted within one hour after collection 
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 

Urine pH 

Urine Dipstick Method 
Daily 

Routine: Two hours

STAT: One hour 

Random or early morning urine sample; must be submitted within one hour after collection; 30 cc of urine is required 

Mid-stream catch collection 
Clean the genitalia prior to collection of urine 
Urine Red Blood Cell (RBC) MorphologyPhase Contrast MicroscopyDailyRoutine: Two hoursRandom or early morning urine sample; must be submitted within one hour after collectionMid-stream catch collectionClean the genitalia prior to collection of urine
Urine Reducing SugarBenedict's MethodDailyRoutine: Two hours
Random or early morning urine sample; must be submitted within one hour after collection
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 
Urine Sugar by Dipstick MethodUrine Dip Stick MethodDaily

Routine: Two hours


STAT: One hour

Random or early morning urine sample; must be submitted within one hour after collection
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 
Urine Urobilinogen by Dipstick MethodUrine Dip Stick Method
Daily

Routine: Two hours


STAT: One hour

Random or early morning urine sample; must be submitted within one hour after collection
Mid-stream catch collection 
Clean the genitalia prior to collection of urine 
Wet Mount, Ova, and Parasites, DirectLight MicroscopyDaily 

Routine: Two hours


STAT: One hour

Stool sample should be submitted within one hour after collection. For discharge, sample should be submitted with NSSNoneSample moisture must be maintain