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Guide to Laboratory Services
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Pathology Laboratory
Des Moines Hospitals
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Quality & Compliance
Accreditation
: College of American Pathologist (CAP)
Iowa Lutheran Hospital CAP # 1759001
Iowa Methodist Medical Center CAP # 1757901
Methodist West Hospital CAP # 7229293
Pathology Laboratory CAP # 1758001
Pathology Laboratory - North Ankeny CAP # 8094498
Licenses
:
Clinical Laboratory Improvement Amendments (CLIA)
Iowa Lutheran Hospital CLIA # 16D0383810
Iowa Methodist Medical Center CLIA # 16D0383378
Methodist West Hospital CLIA # 16D1097276
Pathology Laboratory CLIA # 16D0383397
Pathology Laboratory - North Ankeny CLIA# 16D2123745
Iowa Pathology Associates CAP & CLIA
Test Ordering and Results
General Test Ordering
Specimen Labeling Requirements
Critical Values
To request a change, addition, or removal of a critical value to the policy. A formal request must be submitted using
SBAR - Critical Value Policy Request
form
Reflex Testing and Interpretations by Pathologist
To request a change, addition, or remove of a reflex to the policy; a formal request must be submitted using
SBAR - Reflex Testing Request
form
Reference Ranges
Core Laboratory
(Chemistry & Immunochemistry, Hematology, and Coagulation & Urinalysis)
Test Result Reporting
Key to Units and Abbreviations
Approved Reference Laboratories
If a reference laboratory is not listed on the approved list, a formal request for approval must be submitted before ordering testing.
New Reference Laboratory Request Submission Portal
Billing
Billing and CPT Coding
Specimen Collection and Transport
Blood Specimen Collection
Cytology Gynecological Smear Collection
Cytology Non-Gynecological Collection
HPV Co-testing
Specimen Transport
Unacceptable Containers or Conditions
Microbiology Collection, Transport & Information
Microbiology Specimen Collection Guidelines
Copan eSwab Tip Color
Letter of Declaration
January 18, 2019
Antibiogram 2024
(released every 18 months)
NHSN Patient Safety Component Annual Survey
Poster - Blood Culture Collection for DM Hospitals
Poster - Blood Culture Collection for Pathology Laboratory Clients
Histology Collection and Transport
Autopsy Checklist
Autopsy Consent / Request
Autopsy Physician Authorization Form
Histology Specimen Collection for Pathology Laboratory Clients
Histology Specimen Collection for Des Moines Hospitals
Flow Cytometry (RPMI) Collection for Pathology Laboratory Clients
Flow Cytometry (RPMI) Collection for Des Moines Hospitals
Formaldehyde MSDS
Immunofluorescence Studies
Muscle Specimens
Forms
Cornelia de Lange UCGS Lab requisition
ABN (Advanced Beneficiary Notice of Noncoverage) Medicare
ABN (Advanced Beneficiary Notice of Noncoverage) Medicaid
Prometheus Anser IFX pre-authorization form
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