1.Complete Blood Count (CBC)
2.Hemoglobin
3.RBC Count
4.PCV
5.MCV
6.MCH
7.MCHC
8.RDW
9.Total WBC count
10.Platelet Count
11.Differential Count
12.Neutrophil
13.Eosinophil
14.Basophil
15.Lymphocyte
16.Monocyte
17.ESR
18.Prothrombin Time
19.aPTT
20.Fibrinogen Level
21.D- Dimer
22.Peripheral Smear
23.Smear for MP/MF
24.Smear for MP
25.Smear for MF
26.Absolute Eosinophil Count
27.Reticulocyte Count
28.MP/MF QBC
1.Urine Routine
2.Urine Complete Analysis
3.Urine Albumin
4.Urine Sugar
5.Urine Bilirubin
6.Urine Blood
7.Urine Ketones
8.Urine Leucocytes
9.Urine Nitrate
10.Urine pH
11.Urine Albumin
12.Urine Specific Gravity
13.Urine Urobilinogen
14.Urine Bile salts
15.Bence Jones Protein
16.Semen Analysis
17.Fluid Cytology for TC, DC, Malignant Cells
18.Stool Reducing Substance
1.Bone Marrow aspiration
2.Fine needle aspiration
3.Fluid cytology (CSF, Pleural, Ascitic Pericardial, Synovial, Urine)
4.Exfoliative cytology-Pap smear
5.Exfoliative cytology-Sputum, BAL , Urine
6.Tzanck smear
7.Tissue biopsy *
8.Fresh Tissue Sample *
9.Tissue sample/Paraffin blocks *
10.Fresh tissue samples from kidney and skin *
*Tests not included in Accreditation
1.Blood Glucose Fasting
2.Blood Glucose Postprandial
3.Blood Glucose Random
4.GTT 75 g Anhydrous (non – pregnant Adult)
5.GTT 75 g Anhydrous (Pregnant adult)
6.DIPSI Guidelines with 75g AnhydrousGlucose
7.Blood Urea Nitrogen
8.Blood Ketones *
9.Brain Natriuretic Peptide *
10.Creatinine
11.CA-125 *
12.Uric Acid
13.Calcium
14.Cholesterol
15.Triglycerides
16.HDL Cholesterol
17.LDL Cholesterol
18.VLDL Cholesterol
19.Bilirubin Total
20.Bilirubin Direct
21.Bicarbonate
22.Total Protein
23.Albumin
24.Anti-TPO *
25.Ammonia *
26.SGOT/AST
27.SGPT/ALT
28.Alkaline Phosphatase
29.Gamma GT
30.CK-Total
31.CK-MB
32.LDH *
33.Amylase
34.Lipase
35.Iron
36.Total Iron Binding Capacity (TIBC)
37.Phosphorus
38.Magnesium
39.MicroAlbumin *
40.HbA1c
41.Troponin I
42.Sodium
43.Potassium
44.Chloride
45.Urine spot protein
46.Urine spot creatinine
47.Urine spot uric acid
48.Urine spot Sodium
49.Urine spot Potassium
50.Urine spot Chloride
51.24 hrs urine protein
52.24 hrs urine creatinine
53.Creatinine clearance
54.24 hrs urine uric acid
55.24 hrs urine sodium
56.24 hrs urine potassium
57.24 hrs urine Chloride
58.24 hrs Urine Calcium
59.24 hrs Urine Phosphorus
60.CSF Glucose *
61.CSF Protein *
62.CSF Chloride *
63.Pleural Fluid Protein
64.Pleural Fluid LDH *
65.Synovial fluid Glucose
66.Synovial fluid Protein
67.Ascitic Fluid Glucose
68.Ascitic Fluid Protein
69.FT3
70.FT4
71.TSH
72.LH
73.FSH
74.Prolactin
75.Progesterone
76.Beta HCG
77.E2 Level *
78.Total Testosterone
79.Free Testosterone
80.Cortisol
81.Ferritin
82.Vitamin B12
83.Folic Acid
84.Vitamin D
85.Intact PTH
86.CEA
87.AFP
88.Total PSA
89.Free PSA
90.CA – 125
91.Anti GAD Antibody
92.Serum Osmolality
1.Gram Stain
2.Blood C/S – Aerobic
3.Blood C/S – Bactec – Aerobic
4.Urine C/S
5.Sputum C/S
6.Throat Swab C/S
7.Pus C/S
8.Wound Swab C/S
9.Semen C/S
10.Vaginal Swab C/S
11.Stool C/S
12.CSF C/S
13.Ascitic, Pleural, Pericardial, PD fluid
14.Invasive Devices C/S
15.AFB C/S (Not in NABL scope)
16.AFB Stain
17.ASO, RA, CRP
18.RPR / VDRL
19.Widal
20.HBsAg – ELISA
21.HBsAg – Rapid
22.HCV – Rapid
23.HCV – ELISA
24.HIV – ELISA
25.HIV – Rapid
26.Leptospira IgM ELISA
27.*ANA ELISA
28.Rubella IgG ELISA
29.*Urine Pregnancy – Rapid
30.Dengue NS1 IgG & IgM – Rapid
31.Dengue NS1 IgG & IgM – ELISA
32.Anti CCP *
33.Procalcitonin *
34.Mantoux *
35.KOH Mount*- Skin scrapings
36.KOH Mounted Slide (Nail clippings)
37.Fungal Culture (Filamentous fungi)
38.Stool Routine Examination *
39.Stool Ova / Cyst *
40.Stool Hanging Drop *
41.Stool Occult Blood *
Molecular Testing Division
42.H1N1(Swine flu)
43.SARS COV 2 (COVID 19)
Investigations marked with “*” are not covered under the scope of NABL Accreditation
X RAY STUDY
1.Chest – PA / AP
2.Chest – Lat (R / L)
3.Chest – Decubitus (R / L)
4.Chest – Portable PA / AP
5.Chest Lordotic (Apical view)
6.Chest (Inlet)
7.Chest for Ribs
8.Plain Abdomen (Erect / Supine / KUB)
9.Abdomen Decubitus
10.Skull AP/Lat
11.Skull PNS (Water’s view)
12.Skull for adenoids (Lat)
13.Skull for Town’s view
14.Perorbital view
15.Oblique Mandible (R / L)
16.Optic Foramen view
17.Skull PA for orbits
18.SMV view
19.Nasal view
20.Both Mastoids
21.CVJ Lat
22.C-Spine (AP/Lat/Both Oblique/Open mouth)
23.Soft tissue Neck – Lat
24.C-Spine Lat (Flex / Ext / Swimneer’s view)
25.Thoracic Spine AP / Lat
26.L.S. Spine AP / Lat
27.L.S. Spine AP / Lat (Standing position)
28.Pelvis AP
29.Pelvis (Inlet / Outlet)
30.Shoulder AP / Axial (R / L)
31.Elbow AP / Lateral (R / L)
32.Humerus AP / Lateral (R / L)
33.Forearm AP / Lateral (R / L)
34.Wrist AP / Lat / Scaphoid / Tunnel view (R / L)
35.Hand AP / Oblique (R / L)
36.Femur AP / Lat (R / L)
37.Knee AP / Lat / Axial (R / L)
38.Leg AP / Lat / (R/L)
39.Ankle AP / Lat / Mortise (R/L)
40.Foot AP / Oblique / Lateral (R / L)
41.Both Shoulder for AC joints
42.Both Hands with Wrist AP
43.Pelvis for Both Hips AP
44.Pelvis for Both SI joints
45.Pelvis for Both hip frog view
46.Both Heel Lateral / Axial
47.Barium swallow
48.Barium Meal (Upper GI)
49.Barium Meal follow through
50.Barium Enema / Double contrast
51.Small bowel enema
52.Gastrograffin study (Upper GI)
53.Intravenous Urogram
54.Micturiting Cystourethrogram (MCU)
55.Ascending Urethrogram
56.Nephrogram
57.Retrograde Pyelography
58.Loopogram
59.Fistulogram / Sinogram
60.Sialogram
61.Hysterosalphingogram (HSG)
62.Mammogram
1.USG ABDOMEN
2.USG PELVIS
3.USG KUB
4.USG THORAX
5.USG NECK
6.USG ORBIT
7.USG SCROTUM
8.USG THYROID
9.USG MSK EXTREMITIES
10.USG MSK JOINTS
11.NEURO SONOGRAM
12.USG BOTH BREASTS
13.USG PAROTID / SUBMANDIBULAR
14.USG SUPERFICIAL SOFT TISSUE
15.USG OBG EARLY (1ST TRIMESTER)
16.USG OBG ANOMALY (2ND TRIMESTER)
17.USG OBG GROWTH /AFI SCAN (3RD TRIMESTER)
18.USG TVS
19.USG FOLLICULAR STUDY PACKAGE
20.USG COLOR DOPPLER CAROTID AND VERTEBRAL ARTERIES
21.USG COLOR DOPPLER UPPER LIMB ARTERIES (SINGLE)
22.USG COLOR DOPPLER UPPER LIMB ARTERIES (BOTH)
23.USG COLOR DOPPLER UPPER LIMB VEIN (SINGLE)
24.USG COLOR DOPPLER UPPER LIMB VEIN (BOTH)
25.USG COLOR DOPPLER LOWER LIMB ARTERIES (SINGLE)
26.USG COLOR DOPPLER LOWER LIMB ARTERIES (BOTH)
27.USG COLOR DOPPLER LOWER LIMB VEIN (SINGLE)
28.USG COLOR DOPPLER LOWER LIMB VEIN (BOTH)
29.SINGLE UPPER LIMB ARTERY AND VEIN
30.SINGLE LOWER LIMB ARTERY AND VEIN
31.BILATERAL UPPER LIMB ARTERY AND VEIN
32.BILATERAL LOWER LIMB ARTERY AND VEIN
33.BILATERAL UPPER LIMB AND LOWER LIMBS ARTERIES AND VEINS
34.USG RENAL DOPPLER
35.USG PORTAL VEIN DOPPLER
36.USG DOPPLER ABDOMINAL AORTA
37.USG ANTENATAL / FETAL DOPPLER
38.USG PENILE DOPPLER
39.USG SCROTAL DOPPLER
40.USG GUIDED DIAGNOSTIC ASPIRATION
41.USG GUIDED THERAPEUTIC DRAINAGE PROCEDURE
42.USG GUIDED BIOPSY
43.USG GUIDED FNAC
1.CT BRAIN PLAIN
2.CT BRAIN PLAIN & CONTRAST
3.CT PNS PLAIN
4.CT PNS PLAIN & CONTRAST
5.CT – TEMPORAL BONE - PLAIN
6.CT – TEMPORAL BONE – PLAIN & CONTRAST
7.HRCT – TEMPORAL BONE – PLAIN
8.CT FACIAL BONES – PLAIN
9.CT FACIAL BONES – PLAIN & CONTRAST
10.CT – ORBIT - PLAIN
11.CT – ORBIT – PLAIN & CONTRAST
12.CT – NECK PLAIN
13.CT – NECK – PLAIN & CONTRAST
14.CT - CERVICAL SPINE – PLAIN
15.CT - CERVICAL SPINE – PLAIN
16.CT DORSAL SPINE - PLAIN
17.CT DORSAL SPINE – PLAIN & CONTRAST
18.CT - LUMBAR SPINE - PLAIN
19.CT - LUMBAR SPINE – PLAIN & CONTRAST
20.CT- THORACO- LUMBAR SPINE - PLAIN
21.CT – WHOLE SPINE – PLAIN
22.CT – WHOLE SPINE - PLAIN & CONTRAST
23.CT – ANY ONE REGION SCREENING - PLAIN
24.CT – ANY ONE REGION SCREENING – PLAIN & CONTRAST
25.CT CHEST PLAIN
26.CT - CHEST PLAIN & CONTRAST
27.HRCT – CHEST
28.CT – ABDOMEN – PLAIN
29.CT– ABDOMEN – PLAIN & CONTRAST (Oral & IV)
30.CT - KUB - PLAIN
31.CT - KUB – PLAIN & CONTRAST
32.CT - PELVIS - PLAIN
33.CT - PELVIS – PLAIN & CONTRAST
34.CT - JOINTS (ANY ONE) - PLAIN
35.CT – EXTREMITY (ANY ONE REGION) PLAIN
36.CT – EXTREMITY (ANY ONE REGION) PLAIN & CONTRAST
37.CT - CEREBRAL ANGIO
38.CT- NECK ANGIO
39.CT- CORONARY ANGIO
40.CT- AORTOGRAM
41.CT- RENAL ANGIO
42.CT- PERIPHERAL ANGIO
43.CT- ARTHROGRAPHY
44.CT- SINOGRAM
45.CT- ENTEROCYLSIS
46.CT - CHEST ESOPHAGRAM
47.CT - PERFUSION (CEREBRAL)
48.VIRTUAL COLONSCOPY
49.VIRTUAL BRONCHOSCOPY
50.VERTEBROPLASTY
51.SCANOGRAM
52.CT - GUIDES BIOPSY
53.CT - GUIDED ASPIRATION
1.MRI BRAIN PLAIN + MRA + MRV
2.MRI BRAIN PLAIN & CONTRAST
3.MRI SELLA PLAIN & CONTRAST
4.MRI TEMPORAL BONE / INNER EAR – PLAIN
5.MRI TEMPORAL BONE / INNER EAR – PLAIN & CONTRAST
6.MRI ORBITS - PLAIN
7.MRI ORBITS – PLAIN & CONTRAST
8.MR BRAIN SPECTROSCOPY
9.MR BRAIN CISTERNOGRAM
10.MRI BRAIN – PERFUSION IMAGING
11.MRI BRAIN – DTI
12.FUNCTIONAL MRI
13.MRI PARANASAL SINUSES - PLAIN
14.MRI PARANASAL SINUSES – PLAIN & CONTRAST
15.MRI NECK - PLAIN
16.MRI NECK – PLAIN & CONTRAST
17.MRI THORAX – PLAIN
18.MRI THORAX – PLAIN & CONTRAST
19.MRI ABDOMEN – PLAIN
20.MRI ABDOMEN - PLAIN & CONTRAST
21.MRI PELVIS PLAIN
22.MRI PELVIS - PLAIN & CONTRAST
23.MRI CV JUNCTION
24.MRI CERVICAL SPINE
25.MRI DORSAL SPINE
26.MRI LUMBAR SPINE
27.MRI CERVICODORSAL SPINE
28.MRI DORSOLUMBAR SPINE
29.MRI – BREAST PLAIN & CONTRAST
30.MRI – SHOULDER (SINGLE)
31.MRI ELBOW (SINGLE)
Fasting Plasma Glucose
Patient must be on overnight fasting for at least 8 hours before giving the blood sample. If the patient is taking any medications it should be reported to the lab.
2-hour postprandial Plasma Glucose
For Postprandial Plasma Glucose, sample should be collected exactly 2 hours after completing breakfast. Patient has to take regular diabetic medications as prescribed by physician, while giving sample for FBS / PPBS
Random Plasma Glucose
Random Plasma Glucose can be done regardless of the time of food intake at any time of the day.
Patient need to fast for 9 – 12 hours overnight before the Lipid profile test is performed.
Dinner at 8pm is ideal for the test.
Only water is allowed during the over night fasting period.
Should not consume any alcohol.
Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol, VLDL Cholesterol are the parameters included under Lipid profile. Serum Triglyceride values will vary depending on food intake.
No specific preparation is required.
(If the patient is on medication for any chronic ailment, that information should be given to the technician prior to sample collection)
Hormone Profiles
No specific preparation is required unless / otherwise instructed (Serum Cortisol at 8.00 A.M. & 4.00 P.M.).
This test should be performed only after preparing the patient for the test.
Patient should be on unrestricted carbohydrate diet for three days prior to testing.
Patient should abstain from smoking and drinking alcohol during the preparation period.
Patients who regularly exercise can continue with their exercise regimen before having the test done. Those who are not used to any exercise in the past should not start any new exercise program before having the test done.
Drugs may interfere with the glucose estimation. Hence patient is advised to stop any medication 24hrs prior to testing – except lifesaving drugs. If they are consuming life saving drugs, they need not stop them but the information has to be given to the collection centre for proper interpretation of the patient values.
The test is usually carried out in the morning after an overnight fasting for at least for 8 hours.
Patient has to be informed that the waiting period for the test is 2 hours at the collection centre. Blood is drawn for determination of fasting plasma glucose. If the Fasting plasma glucose is less than 126 mg/dL then proceed with oral intake of Glucose.
After collection of the fasting sample, 82.5gms of monohydrate glucose in 300ml of water is given orally. It should be consumed with in five (5) minutes and the time is noted down. The patient should be informed to give sample exactly at 2 hrs. Blood sample is collected in gray top vacutainer
Patient should sit in the waiting area till the completion of the investigations and should not eat, drink or smoke during that period.
For non obese Children between 4 – 15 yrs it is 1.925grams of Monohydrate glucose/Kg body weight.
This test is generally done for pregnant women (24 – 28 weeks) as per the Guideline given by ADA.
This test should be performed only after preparing the patient for the test.
Patient should be on unrestricted carbohydrate diet from last three days before testing.
Patient should abstain from smoking and alcohol during the preparation period.
Patients who regularly exercise can continue with it before having test done. Those who are not used to any exercise in the past should not start any exercise program before having test done.
Drugs may interfere with the glucose estimation. Hence patient is advised to stop any medication 24hrs prior to testing- except lifesaving drugs. If they are consuming life saving drugs, they need not stop them but the information has to be given to the collection centre for proper interpretation.
The test is usually carried out in the morning after a night’s fast of at least for 8 hours.
Patient has to be informed that the waiting period for the completion of test is 2 hours at the collection centre as many blood samples have to be collected. (Ideal time for testing is between 7 – 9 am)
Blood is drawn for determination of fasting plasma glucose. If the Fasting plasma glucose is less than 126 mg/dL, then proceed with oral intake of Glucose.
After collection of the fasting sample, for a pregnant adult 82.5gms of monohydrate glucose in 300ml of water will be given. It should be consumed with in five (5) minutes. The time of consumption is noted down and patient should be informed about further samples to be collected one-hour interval for subsequent 2 hours (1- and 2-hour samples)
Patient should sit in the waiting area till the completion of the investigations and should not eat, drink or smoke during that period.
No specific preparation is required for this test.
Regardless of food intake at anytime patient can come at any time during pregnancy
82.5gms of anhydrous Glucose is dissolved in 300ml of water and it should be consumed within 5 min and blood is collected after 2 hours for plasma glucose estimation.
Patient should sit in the waiting area till the completion of the investigations and should not eat, drink, smoke during that period.
Most ultrasound examinations do not require any preparation. Patients undergoing an abdominal, gallbladder or renal artery ultrasound should remain on fasting for at least 6 hours prior to the exam. Patients undergoing Prenatal or Transvaginal Pelvic ultrasound may be asked to drink several glasses of clear fluids prior to the exam in order to have a full bladder.
Patient should not eat or drink anything for at least 6 hours before the ultrasound.
Patient must inform the sonographer if he/she has undergone previous abdominal surgery, abdominal imaging tests such as ultrasound, CT, or MRI or if the female patient doubts that she may be pregnant.
Avoid eating, drinking, or taking your medicine immediately before your scan.
Be sure to tell your sonographer if you have:
Had a stroke
Undergone a previous procedure, such as a bypass, balloon angioplasty, or stent placement
Symptoms of stroke, like sudden short-term loss of strength, speech, or vision
Taking medicines
Doubt you may be pregnant.
Patient may be requested to drink several glasses of water, or other clear liquids, starting 1 to 2 hours before the test in order to have a full bladder.
Patient may be asked to empty your bladder before or during the procedure.
Patient must inform the sonographer if he/she has undergone previous abdominal surgery, abdominal imaging tests such as ultrasound, CT, or MRI or if the female patient doubts that she may be pregnant.
Patient may be requested to drink several glasses of water, or other clear liquids, starting 1 to 2 hours before the test in order to have a full bladder.
In case of patients undergoing a trans vaginal ultrasound, she may be asked to empty the bladder before the procedure.
Patient must inform the sonographer if he/she has undergone previous abdominal surgery, abdominal imaging tests such as ultrasound, CT, or MRI or if the female patient doubts that she may be pregnant.
Little preparation is needed for a CT scan.
Patients (with no history of congestive heart failure or are not on dialysis), are asked to drink 64 ounces of water before the exam, especially if the exam is performed with oral or intravenous contrast. If possible, they should start drinking the prescribed quantity 12 hours before their scheduled appointment time.
If the patient is receiving IV CONTRAST he/she should not eat or drink 4 hours prior to exam.
Patients are requested to remove jewelry and other metallic objects that might interfere with the scan.
Patients who are breastfeeding are given an opportunity to make an informed decision about whether to continue breastfeeding after receiving intravascularly administered iodinated contrast media or to temporarily abstain. A very small percentage of iodinated contrast medium can be excreted into the breast milk and absorbed by the infant’s gut. The patient can choose to temporarily abstain from breastfeeding for 24 hours with the active expression and discarding of breast milk from both breast during that period.
Patient can also use a breast pump to obtain milk beforehand to use during the 24 hour period following the administration of contrast media.
Prior to the administration of iodinated contrast, patients are screened for the following:
Previous reactions to iodinated contrast media
All severe allergies and reactions (both medications and food)
History of diabetes, kidney disease, pheochromocytoma, solitary kidney, kidney or other transplant, or myeloma
Pregnant or breast-feeding (in women of child-bearing age).
Routine creatinine testing prior to contrast administration is not necessary in all patients. The test should have been performed 30 days prior to contrast administration for patients with renal disease, HIV+, diabetic, hypertensive, over 60 years or on chemotherapy.
Patients (with no history of congestive heart failure or are not on dialysis), are asked to drink 64 ounces of water before the exam, especially if the exam is performed with oral or intravenous contrast. If possible, they should start drinking the prescribed quantity 12 hours before their scheduled appointment time
If the patient is receiving IV CONTRAST, he/she should not eat or drink 4 hours prior to exam.
Patients are requested to remove jewelry and other metallic objects that might interfere with the scan.
Patient does not have to remain on a full bladder for the rest of the test and may use the restroom
Patient should not drink or eat caffeine 4 to 6 hours before your CT Cardiac scan.
Patients who are breastfeeding are given an opportunity to make an informed decision about whether to continue breastfeeding after receiving intravascularly administered iodinated contrast media or to temporarily abstain. A very small percentage of iodinated contrast medium can be excreted into the breast milk and absorbed by the infant’s gut. The patient can choose to temporarily abstain from breastfeeding for 24 hours with the active expression and discarding of breast milk
Prior to the administration of iodinated contrast, patients are screened for the following:
Previous reactions to iodinated contrast media
All severe allergies and reactions (both medications and food)
History of diabetes, kidney disease, pheochromocytoma, solitary kidney, kidney or other transplant, or myeloma
Pregnant or breast-feeding (in women of child-bearing age).
Routine creatinine testing prior to contrast administration is not necessary in all patients. The test should have been performed 30 days prior to contrast administration for patients with renal disease, HIV+, diabetic, hypertensive, over 60 years or on chemotherapy.
General Instructions
All metallic objects, including jewelry and drug delivery patches, must be removed prior to the exam.
All patients and other individuals in the room during the actual scan receive acoustic noise protection. When possible, two forms of noise protection are utilized, i.e., ear plugs and pads or head phones.
Patients are thoroughly screened for any absolute contraindications to an MRI which are:
Intracranial aneurysm clips
Ocular metallic foreign bodies
Cardiac pacemakers
Any electrically active implant
Cochlear implants
Any known ferromagnetic metallic materials within the body
Pregnancy
Coils, stents, and filters
General Instructions
No preparation is needed for a routine X-ray
Most GI studies such as esophagrams, UGI's, and barium enemas require that patients fast for 8 hours prior to the exam.
Exams such as feeding tube checks to verify placement, nephrostograms, and cystograms do not require patients to be fasting.
Enemas and IVP patients are required to do a colon cleansing prep prior to the exam.
General Instructions
Patient should not eat or drink anything after midnight the night before your test.
Patient may need to stop eating the day prior your test.
Patient has to take their daily medicine the morning of your exam with a sip of water.
Patient is also prescribed a laxative the night before the test.
The procedure will be scheduled shortly after the end of the menstrual cycle.
Patient must avoid sexual intercourse, using creams or other vaginal medicine, douching.
Patient is required to empty your bladder before the exam
Inform the doctor if the patient has any allergies to X-ray dye/ has a bladder infection, patient is pregnant/ doubts that she may be pregnant