Laboratory Services (Pathology)
Clinical Operation Hours
The onsite laboratory is available for routine and emergency services 24
hours a day, 7 days a week, and 365 days a year. It is manned by certified
Medical Technologists, certified Medical Laboratory Technicians, certified
Histotechnician, and certified eligible Histotechnician along with phlebotomists
and point of care testing personnel.
Learn more about
Clinical Laboratory Education.
Riverview Laboratory Bay Street is located in Suite 402 of the Medical
Arts Building at the corner of 3rd and Bay Street and is staffed Monday
through Thursday from 7:30 a.m - 5 p.m. and Friday from 7:30 a.m. - Noon.
Patient Pretransfusion Testing
- ABO cell and serum grouping
- Rh slide and tube grouping
- Antiobody Detection
- Incompatibility testing
Processing of blood received from another facility (confirm ABO and Rh
type of units from a segment)
Storage of blood and components
Rh Immune Globulin Candidacy studies
Storage of tissue components
The Chemistry section does most routine chemistry analysis and refers other
to LabCorp Laboratories.
The following tests are done in the Chemistry section*:
Alanine Aminotransferase (GPT)
Alcohol, Ethyl (non-legal)
Aspartate Aminotransferase (GOT)
Bilirubin - Direct
Bilirubin - Neonatal
Bilirubin - Total
Blood Urea Nitrogen
G-Type Natriuretic Peptide (BNP)
Cholesterol - HDL
C-Reactive Protein, High Sensitive
Creatinine kinase (CK) - Total
Creatinine Kinase - MB Fraction
Drug of Abuse Screens
Glomerular Filtrate, estimate
Glutamyl transferase (GT)
Hemoglobin A-1 C
Lactic Dehydrogenase (LDH)
Arterial Blood Gases which include:
*Test ordered on specimens that have not been approved for use as a specimen
in the individual procedure will be done with the notation made of the
request that “no normal range studies have been conducted for (specimen
and test concern) using this methodology.”
For example: No normal range studies have been conducted for synovial fluid
LDH using this methodology.
Routine non-genital cytology smears
Bleeding Time (IVY)
Body Fluid Analysis – cell count and crystal analysis
Complete Blood Count
Factor Xa Activity (Heparin)
Fibrinogen Partial Thromboplastin Time (PTT)
Platelet Count and Estimate
Platelet Function – Aspirin and Plavix
Pre Operative Coagulopathy Work-Up
Sed. Rate Westergren
Thrombo-Wellcome Test FDP
Routine H & E staining.
Special stains except those being referred for consultative services.
Gross pathologic review.
Frozen section review.
Microscopic examination of slides by pathologist.
Serves as a Reference Laboratory for local physician's offices, Gadsden
Endoscopy, and Gadsden Surgery Center.
Routine Cultures (aerobic and anaerobic)
E. Coli O157 Cultures
Methylene Blue Stain for Fecal WBCs
Eosin Smear - Nasal, Sputum
CloTest - Urease Test for H. pylori
India Ink Prep
Occult Blood - Gastric, Fecal
Strep Screen- Group A
Clostridium difficile Toxin by PCR
Point of Care Testing
Whole Blood Glucose
Urine Macroscopic (dipstick)
Rapid Drug Screen
Saliva Ethanol Fecal Occult Blood (physician only)
Whole Blood Glucose
Laboratory testing not offered in-house will be sent to LabCorp. Orders
and Results are transmitted via a HL7 interface between the SoftLab and LabCorp.
Occasionally, some specialized testing may also be sent to Mayo Laboratories
or Quest Laboratories.
Some specialized Microbiology and Virology testing is sent to the State
Health Department such West Nile Virus.
Gynecology Cytology is also sent to LabCorp.
Bone Marrow Processing and Examination is performed by Integrated Oncology
as ordered by Physician.
Pathology referrals are sent to Integrated Oncology for testing and consultations
During instrument breakdowns, samples maybe sent to LabCorp or Gadsden
Regional Medical Center for testing depending on required turn-around.
Bacterial Antigens - CSF, Blood, and Urine
Cryptococcal Antigen – CSF
MRSA by PCR
Rheumatoid Factor - RA Latex
RPR - qualitative and quantitative
Staph aureus by PCR
Macroscopic Examination of urine
3. Specific gravity
7. Ketone Bodies
8. Occult Blood
12. Reducing Substance: This test is performed by a Clinitest tablet on
all pediatric specimens from children up to 10 years of age.
Microscopic Examination of urine sediment
4. Epithelial Cells
5. Mucous Threads
7. Budding Yeast
9. Amorphous Material
Collection of urine with instructions and directions for 24 hour collections
Fat droplets in urine, examination for
Urine Pregnancy Test
Refractile Bodies in urine, examination of
Turnaround and Testing Policy
It is the policy of this laboratory to make every effort to report all
test results in a timely manner.
A. Generally, all in-house testing should be collected according to the
1. STATs - within 30 minutes of order being placed in the computer
2. ER STATs - within 10 minutes of order being placed in the computer
3. Timed - within 30 minutes either side of time needed
4. Routine - within 4 hours on order day
5. Early AM Routine - 4 am till 6:30 am
B. Generally, all in-house testing should be completed according to the
1. STATs - within 1 hour of receipt of specimen in lab
2. ER STATs - within 35 minutes of receipt of specimen in lab
3. Timed - within 2 hours of receipt of specimen in lab
4. Routine - within 4 hours of receipt of specimen in lab
5. Early AM Routine - by 7:00 am
C. The following tests are exempt from the schedule and will take longer
to process. The laboratory may be contacted for specific details.
2. Anemia Profile
5. Bone Marrows
7. Clostridium difficile Toxin
11. Hemoglobin A1C
12. HIV Suds Test
13. Iron and TIBC
14. Microbiology Cultures and Smears
15. Reference Tests
18. Thyroid testing
D. Delays: The laboratory will notify the ward/clinic of any unusual delays
in reporting of tests. Example: instrument malfunctions, power failures, etc.