Order Tests

 

order form

 

 

Shipping:  

If you know the assays to order, or have shipped samples to us before,  please click for order forms  for the Hemoglobinopathy Reference Laboratory The pages will lead you to sample requirements and shipping forms for the different tests.

For questions, please contact:
Mahin Azimi, CLS, Laboratory Supervisor
Phone: (510) 450-7688, or (510) 450-7944
Fax: (510) 601-3928
Email: [email protected]


Sample Collection:

The requistion form PDF includes information for the requisition of clinical diagnostic tests performed by the Hemoglobinopathy Reference Laboratory. 

Please complete the requisition form. See detailed information here on the tests provided.
Please carefully read the sample collection and shipping instructions, and label the collection tubes clearly.

Do not freeze!!!


• When the temperature in the sample collection tube decreases below freezing point, the blood cells will hemolyze!!
• It is important to consider that “cold packs” routinely kept in the freezer compartment of laboratory freezers are at a temperature of -20°C.
• Direct contact of these packs with sample tubes will lead to freezing and renders the sample not useable.
• Package tubes with sufficient airspace between ice packs and tube (bubble wrap, inserted in secondary tube) to avoid direct contact. 

Procedures for Collection, Handling and Mailing of Whole Blood Specimens:

Blood Specimen Collection:

Newborns:

  • Blood specimen obtained via a heel stick or venipuncture.
  • Collect 0.3 to 0.5 ml whole blood into one microcontainer purple top EDTA tube.
  • Immediately invert the tube several times to ensure complete mixing of blood with anticoagulant in the tube.
  • Label the tube with the patient’s ID number and collection date.

Infants six months of age or older:

  • Blood specimen obtained via a venipuncture.
  • Collect a minimum of 2 ml whole blood into a 3 or 5 ml size purple top EDTA tube.
  • Immediately invert the tube several times to ensure complete mixing of blood with anticoagulant in the tube.
  • Label the tube with the patient’s ID number and collection date.

Adults:

  • Blood specimen obtained by venipuncture.
  • Collect 2.5 ml whole blood into a 5 ml size purple top EDTA tube.
  • Immediately invert the tube several times to ensure complete mixing of blood with anticoagulant in the tube.
  • Label the tube with the patient’s ID number and collection date.

Blood Specimen Packaging:
  1. Label all specimens with the patient’s name, date of birth, date of collection. (If the specimen is a source other than blood, please make a separate note of this and provide your contact information)
  2. Insert the specimen tubes into a BIOHAZARD Ziplock plastic bag with absorbent material (e.g. paper towel) and seal.
  3. Insert the sealed plastic bag into the mailing case. Cap the mailing case closed.
  4. Ship specimen (overnight) to the address below.
  5. Please call the Hemoglobinopathy Reference Laboratory if you have any questions about specimen collection or mailing: 510-450-7688.

Shipping:

Attn: Mahin Azimi
Hemoglobinopathy Reference Laboratory
UCSF Benioff Children's Hospital & Research Center Oakland
747 52nd Street, Oakland, CA 94609
(510) 450-7688