Additional Information

Distribution Services
Cleveland Clinic Reference Laboratory provides local courier services to clients in the metropolitan and surrounding areas. Reference Laboratory Distribution Service Representatives pick up specimens and deliver reports and supplies to clients on a scheduled basis. For further information, call the Client Services Department.

Consultation Services
Staff pathologists and PhDs are available for consultation upon request. Call the Client Services Department to arrange such services.

Operational Hours
Cleveland Clinic Reference Laboratory is in operation twenty-four hours per day, seven days per week. Tests are performed according to a defined production schedule based on need and methodology.

Holiday Hours
Cleveland Clinic Reference Laboratory recognizes the following as official holidays:

Production schedules are adjusted to meet the varied workflow of holiday seasons but required STAT testing is provided as needed. Holidays which occur on weekends are observed on Friday or Monday. Notices are sent to clients in advance of each holiday and special pick-up or testing arrangements are made as needed.

Quality Assurance
Extensive proficiency testing and quality control measures assure that each specimen is provided the full benefits of in-house quality, expertise and knowledge. Staff pathologists, PhDs, laboratory scientists and technologists are all highly experienced in handling complex tests. The Quality Coordinating Team and senior management monitor performance indicators for all laboratory services. Performance improvement initiatives are regularly instituted and reviewed as part of an aggressive on-going quality improvement program. Telephone calls in the Client Services department are monitored and recorded for quality assurance.

Supplies
All supplies required to collect and transport laboratory specimens to the Reference Laboratory at the Cleveland Clinic are available by contacting Client Services or by submitting a Supply Order Form (PDF; provided by the Distribution Service representatives). Supplies provided include serum and urine transfer tubes, specimen transport bags and special collection materials described in the Test Directory. Order supplies in advance to facilitate timely delivery. Specimen collection devices supplied by the Cleveland Clinic Reference Laboratory are to be used only for the collection of specimens to be sent to this laboratory. The supplies are not to be used to store or dispose of biological materials or sharp instruments or for any activity not connected with the collection of specimens being referred to this laboratory.

Allergens (Individual)
Please clearly print the complete name of each required allergen on the Test Request Form (PDF).

Specimen Requirements: 0.1mL serum per allergen. Separate serum from cells ASAP. Hemolyzed, icteric or lipemic serum is unacceptable. (Min: 0.1mL)
Methodology: Fluorescent Enzyme Immunoassay

*Drugs*	- Penicilloyl G	- Penicilloyl V
*Dust and Mites*	- Dermatophagoides farinae -Dermatophagoides pteronyssinus	- Dust, Hollister Stiers Labs - Dust, Greer Labs
*Epidermals*	- Cat dander - Chicken feathers - Cow dander - Dog dander	- Dog epithelium - Feathers (goose, chicken, duck, turkey)*	- Goose feathers - Horse dander	- Pigeon droppings* - Sheep epithelium
*Foods*	- Almond - Apple - Avocado* - Banana* - Barley - Beef - Buckwheat - Cacao (Cocoa) - Carrot - Casein - Celery - Cheese, mold type	- Cheese, cheddar type - Chicken - Coconut - Cod fish - Corn (Maize) - Cow's milk - Crab - Egg white - Egg yolk - Gluten - Kidney bean* - Lettuce	- Lobster - Oat - Onion* - Orange - Parsley - Pea - Peanut - Pecan nut - Pork - Potato - Rice - Rye	- Sesame seed - Shrimp - Soybean - Strawberry - Sweet chestnut - Tomato - Tuna - Wheat - Whey* - White bean - Yeast
*Grasses*	- Bahia grass - Bermuda grass - Johnson grass - June, Meadow, Kentucky Blue grass	- Meadow fescue - Orchard grass (Cocksfoot) - Perennial Rye grass	- Redtop grass (Bentgrass) - Sweet vernal grass	- Timothy grass
*Insects & Venoms*	- Cockroach - Honey bee - Paper wasp	- White hornet - Yellow hornet - Yellow jacket (Common wasp)
*Molds*	- Alternaria tenuis (alternata) - Aspergillus fumigatus	- Aspergillus niger* - Candida albicans	- Cladosporium herbarum - Mucor racemosus*	- Penicillium notatum - Trichophyton rubrum
*Occupational*	- Latex
*Trees*	- Australia pine tree* - Common Silver Birch tree - Cotton wood tree	- Elm tree - Hickory, Pecan tree - Maple, Box Elder	- Melaleuca, Cajeput tree - Oak tree - Walnut tree	- White Pine tree - Willow tree
*Weeds*	- Dandelion - English plantain - Firebush (Kocia) - Giant ragweed	- Golden Rod - Lamb's quarters, Goosefoot - Pigweed	- Rough marshelder - Russian thistle, Saltwort - Sheep sorrel	- Short (common) ragweed

* Assay is for investigational use only and is not approved for diagnostic purposes.

ANIMAL GROUP Test Code: ANIMALS Billing Code: 41450 Specimen: 1.0mL serum	Chicken Feathers Cow Dander Goose Feathers	Horse Dander Pigeon Droppings
ANIMAL GROUP RL Test Code: ANIMH Billing Code: 79180 Specimen: 1.0mL serum	Cat Epithelium Dog Epithelium Dog Dander	Goose Feathers Sheep Epithelium
CEREAL GROUP Test Code: CEREAL Billing Code: 41560 Specimen: 1.0mL serum	Barley Buckwheat Gluten	Rice Rye
FOOD GROUP Test Code: FOODS Billing Code: 41330 Specimen: 1.5mL serum	Corn Crab Egg White Milk	Orange Peanut Shrimp Soybean	Tuna Wheat
FOOD GROUP RL Test Code: FOODRL Billing Code: 179 Specimen: 3.0mL serum	Banana Barley Beef Cheese, Chedder Chiken Corn Egg White	Gluten Milk Oats Orange Peanut Pork Potato	Rice Rye Soybean Tomato Wheat Yeast
GRASS GROUP Test Code: GRASS Billing Code: 41460 Specimen: 1.0mL serum	Meadow Fescue Orchard Redtop (Bent)	Rye Grass Sweet Vernal
INHALANT GROUP (GREAT LAKES) Test Code: INHALR Billing Code: 41010 Specimen: 1.5mL serum	Alternaria tenuis Cat Dander Cladosporium herbarum Common Ragweed	Dermatophagoides farinae Dog Dander June/Kentucky Blue Grass	Lamb's Quarters Oak Timothy Grass
INHALANTS GROUP Test Code: INHALE Billing Code: 41220 Specimen: 2.0mL serum	A. Fumigatus Alternaria tenuis Box Elder C. Herbarium Cat Epithelium	D. farinae Dog Dander English Plantain House Dust June Grass	Lamb's Quarters Oak P. notatum Short Ragweed Timothy Grass
MOLD GROUP Test Code: MOLDS Billing Code: 41170 Specimen: 1.0mL serum	Alternaria tenuis Aspergillus fumigatus Candida albicans	Cladosporium herbarum Mucor racemosus
NUT MIX GROUP Test Code: NUTMIX Billing Code: 41610 Specimen: 1.0mL serum	Almond Coconut Peanut	Pecan Nut Sesame Seed
PEDIATRIC GROUP Test Code: PEDTRC Billing Code: 41490 Specimen: 1.0mL serum	Egg White Milk Oat	Soybean Wheat
PEDIATRIC GROUP RL Test Code: PEDMH Billing Code: 79434 Specimen: 1.5mL serum	Barley Casein CodfishCorn Egg White	Oats Rye Shrimp Soybean	Tuna Wheat Whey
PENICILIN GROUP Test Code: PENCLS Billing Code: 41520 Specimen: 0.2mL serum	Penicilloyl G Penicilloyl V
RAST SCREEN Test Code: SCR Billing Code: 56 Specimen: 4.0mL serum	A. fumigatus A. tenuis Barley Box Elder Cat Epithelium Corn D. farinae Dog Epithelium Egg White English Plantain Giant Ragweed	Horse Dander House Dust Milk Oak Oat Orange Pea Peanut Pork Potato Rice	Rye Short Ragweed Shrimp Soybean Sweet Vernal Timothy Grass Tomato Wheat Willow
RAST SCREEN, MINI Test Code: MINI Billing Code: 41640 Specimen: 1.5mL serum	Alternaria tenuis Bermuda Grass Cat Dander CommonRagweed	D. farinae (mites) Dog Epithelium Elm English Plantain	June Grass (Kentucky Blue) Oak
RAST SCREEN RL Test Code: SCRNRL Billing Code: 180 Specimen: 1.5mL serum	A. niger Alternaria tenuis Aspergillus fumigatus Bermuda Grass Box Elder C. albicans Cat Epithelium Cladosporium herbarum	Cockroach Cottonwood D. farinae D. pteronyssinus Dog Epithelium English Plantain Giant Ragweed Golden Rod	House Dust June Grass Lamb's Quarters Oak Penicillium notatum Timothy Grass White Pine
SALAD GROUP Test Code: SALAD Billing Code: 41180 Specimen: 3.0mL serum	Celery Lettuce Orange	Parsley Tomato
SEAFOOD GROUP Test Code: SEFOOD Billing Code: 41510 Specimen: 1.0mL serum	Codfish Crab Lobster	Shrimp Tuna
STINGING INSECT GROUP Test Code: INSECT Billing Code: 41190 Specimen: 1.0mL serum	Honeybee Venom Paper Wasp White-faced Hornet	Yellow Hornet Yellow Jacket
TREE GROUP Test Code: TREES Billing Code: 41480 Specimen: 1.0mL serum	Box Elder (Maple) Cottonwood Elm	Pecan (Hickory) Tree Walnut Tree
VEGTABLE GROUP Test Code: VEGGIE Billing Code: 41390 Specimen: 1.0mL serum	Carrot Corn Pea	Potato White Bean
WEED GROUP Test Code: WEEDS Billing Code: 41470 Specimen: 1.0mL serum	English Plantain Kochia (Firebush) Marsh Elder	Pigweed Sheep Sorrell

* Normal Values are highly dependent upon age. Appropriate reference values are reported through the laboratory computer system.