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Convenient access to year-round low-cost laboratory testing.

Direct Access Testing is laboratory testing in which individuals have the option to choose selected tests without a clinical provider’s order. Direct Access Testing is an important resource but shouldn’t be considered a substitution for treatment by a medical provider. You should discuss test results with their primary care provider.

Direct Access Testing is available on a walk-in basis, no appointment necessary, Monday to Friday from 7:30 a.m. to 6 p.m. and Saturday from 9 a.m. to 12 p.m.

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Request your results from the GVH Medical Records department

Available Tests

Blood Type (ABO Blood Type/Rh Blood Type): Detects ABO type and Rh type of a person's blood. Example: "B positive" blood type versus "O negative" blood type, etc.

Complete Blood Count (CBC): This screening measures the total number of white blood cells, red blood cells (with hematocrit and hemoglobin levels), and platelets.

Comprehensive Metabolic Panel (CMP): This tests liver function, kidney function, electrolytes, blood proteins, blood glucose (also known as blood sugar, which can screen for diabetes).

Estradiol: Measures the level of Estradiol.

Ferritin (Serum Ferritin): Ferritin is an iron-containing protein, the primary iron form stored inside cells. The small quantity of ferritin that is released into the bloodstream reflects the amount of total iron stored in the body. However, ferritin is an acute-phase reactant in the blood, which means that circulating ferritin levels increase with infection and inflammation, Therefore, circulating ferritin levels must be interpreted by your doctor together with other laboratory values (such as Serum Iron and other lab values).

Folate (Folic Acid): Folate is one of the B vitamins the body uses for growth and development and the production of red blood cells, white blood cells and platelets. A Folate Test can help determine the cause for anemia or aid in the diagnosis of malnutrition or malabsorption. This test is typically ordered when someone has symptoms of anemia or vitamin deficiency. It may also be ordered as a follow-up to irregular results from a CBC test or to monitor someone who is being treated for folate deficiency.

Free Thyroxine (Free T4, FT4): Free Thyroxine (FT4) is measured with Thyroid-Stimulating Hormone (TSH) when thyroid disorders are suspected. Elevations in FT4 can indicate hyperthyroidism (overactive thyroid); decreases can indicate hypothyroidism (underactive thyroid).

Free Triiodothyroni (free T3, FT3): Free T3 is used to assess thyroid function and may be ordered to help monitor a known thyroid disorder. Elevated levels of FT3 may indicate hyperthyroidism (overactive thyroid).

Hemoglobin A1C (HgbA1c, HbA1c): This test screens for diabetes by measuring your average blood sugar control for the past 2 to 3 months. For people with known diabetes, it indicates how well your diabetes treatment plan is working.

Hepatitis C Ab: Screens for the presence of Hepatitis C.

Iron (Serum Iron): This test is used to monitor the amount of iron (serum iron) circulating in the bloodstream. Iron is an essential mineral and a vital component of hemoglobin, the substance in red blood cells that carries oxygen from your lungs and transports it throughout your body.

The Serum Iron test can be ordered with the Serum Ferritin test to monitor for iron deficiency (anemia) or iron-overload diseases.

TIBC (Total Iron Binding Capacity) (cannot be ordered by itself): is a blood test to see if you have too much or too little iron in your blood. Iron moves through the blood attached to a protein called transferrin, produced in the liver. TIBC measures the blood's capacity to bind iron with transferrin and helps your provider know how well the protein transferrin is carrying iron in your blood.

Taken together with Iron and Transferrin Saturation, clinicians usually perform a TIBC test when concerned about iron-deficiency anemia. Since the liver produces transferrin, alterations in liver function (such as cirrhosis, hepatitis, or liver failure} must also be considered when performing this test.

Transferrin Saturation (% Saturation or % Saturation of Transferrin with Iron): The optimal range is 25 - 35%. When it is less than 17%, iron-deficiency anemia is possible. When it is greater than 45%, iron overload is possible. In either case, further testing might be necessary.

Iron & TIBC: This blood panel includes Iron, Serum Iron, Total Iron Binding Capacity (TIBC) and Transferrin Saturation (also known as % Saturation or % Saturation of Transferrin with Iron).

Lipid Panel: The Lipid Panel screens for blood findings associated with cardiovascular risk. It tests for total cholesterol, triglycerides, and HDL (High Density Lipoprotein) cholesterol. Studies have shown important cardiac risk factors include age, smoking status, hypertension (high blood pressure), diabetes, blood total cholesterol levels and blood HDL cholesterol levels. Fasting for 10-12 hours prior to the blood draw is preferred, but not required. However, people with diabetes should not fast. Check with your medical provider for specific recommendations. Drink water and continue to take prescription medications.

LDL (low density lipoprotein): Measures the level of LDL.

Magnesium: This test evaluates the level of magnesium in your blood to help determine the cause of abnormal levels of magnesium, calcium and/or potassium. Magnesium is vital for energy production, muscle contraction, nerve function and the maintenance of strong bones. It also regulates blood pressure, helps the heart to function normally, controls blood sugar level and supports the immune system.

Progesterone: Measures the level of Progesterone.

Serum Pregnancy Test (Qualitative HCG blood test): A basic pregnancy test that measures if human chorionic gonadotropin (HCG) is in your blood. HCG is a hormone produced in the body during pregnancy. Results will be reported as positive or negative. This test is useful in detecting pregnancy at 10 days (about 1 and a half weeks) or so after the date a woman is due to start her menstrual period. However, a "false negative test" can occur early in pregnancy.

Testosterone: This test will detect low testosterone or high testosterone levels in the blood. Testosterone is the main sex hormone in men and is responsible for male physical characteristics. It is present in the blood of both men and women and will help diagnose low sex drive, erectile dysfunction, infertility or delayed or early puberty, for example.

Thyroid Stimulating Hormone (TSH): This test is a screening for thyroid function, and to detect mild and overt hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). This test can help monitor therapy with thyroid hormone/Synthroid/Levothyroxine medication. TSH results can be used with Free Thyroxine (Free T4) levels to detect thyroid dysfunction.

Uric Acid: This screens for gout and monitors gout therapy. It also helps with diagnosis and treatment of kidney stone disease; monitoring patients receiving cytotoxic drugs/chemotherapy; and monitoring other disorders including leukemia, psoriasis, starvation, and other wasting conditions.

Urinalysis (UA): A urine sample is required. Urinalysis provides an overview of the function of the kidneys. The kidneys play a key role in the excretion of by-products of cellular metabolism and regulation water, acid-base and electrolyte balance. A urinalysis screens for protein or red blood cells in the urine (kidney disease/kidney function) and bacteria and white blood cells in the urine (urinary tract infection/bladder infection).

Vitamin B12: An essential vitamin which is necessary for the formation of healthy red blood cells and proper nerve function. A deficiency in B12 can cause a condition known as Macrocytic Anemia in which red blood cells are larger than normal. Common causes for Vitamin B12 deficiency are malnutrition, liver disease, alcoholism, and malabsorption disorders such as Celiac Disease, Cystic Fibrosis, and Inflammatory Bowel Disease. A Vitamin B12 test may be ordered when a person is experiencing symptoms such as diarrhea, dizziness, fatigue, pale skin, loss of appetite, rapid heartbeat, shortness of breath, tingling or numbness in the extremities and a sore mouth or tongue.

Vitamin D (25-Hydroxy Vitamin D): This screening can provide an initial baseline level of Vitamin D before starting Vitamin D therapy, or to monitor Vitamin D levels if you take a Vitamin D supplement. Vitamin D deficiency is a worldwide problem. Your body requires Vitamin D to absorb calcium, and Vitamin D plays a vital role in protecting your bone health (preventing and treating osteoporosis).

Payment and Registration

Direct Access Testing may or may not be reimbursed by a health insurance company or by Medicare, Medicaid or any other city, state, or federal program. Please check with your health insurance company or with Medicare, Medicaid or any other city, state, or federal program.

Full payment is expected at the time of service, no other billing will occur and there is no refund option available.

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