Vitalant Specialty Laboratories & Therapeutics

ATTENTION CLIENTS:  

Effective 4/12/2021, the semi-quantitative D-Dimer will be replaced with a Quantitative D-Dimer test in our DIC Screen.  Our new panel is called DIC Screen 2 and the service code is 6376.  The CPT codes for the new panel are the same except code 85379 is replacing 85378.

 

Effective 3/26/2021, due to a nationwide shortage of reagents, we are unable to perform molecular testing for the Prothrombin Gene Variant and the MTHFR Gene Variant C677T.  This testing is discontinued until further notice. 

Forms

Test Requisition Form - Please complete all fields on the top of the form.

New Client Form

UPMC Children's Hospital Test Requisition Form (FOR USE BY UPMC CHP STAFF ONLY!)
NOTE: This form was revised on 2/21/13; the changes include: please circle either PRE/POST at the top of the form to indicate if a specimen was drawn before or after treatment; BOLD test names represent tests that need to reach the laboratory within 4 hours of draw time; we require 10cc citrated whole blood maintained at ambient (room temperature) for Adenine Nucleotides test.