Instant DRUG Testing PLUS

Physicians require toxicology services in pain management, chemical dependency, drug abuse and mental health screens. Often, this testing is used to answer clinical concerns such as medication adherence, diagnosis or confirmation of drug abuse or addiction, an adjunct to self-report of drug use or drug history and to reinforce healthy behavioral changes as a requirement for continued treatment.

Lab Test Diagnostics

is one of the first private (local) clinical laboratories to offer LCMS/MS testing. The LCMS/MS is a technique that incorporates the separation power of Liquid Chromatography (LC) and the unique and specific identification of analyte mass using tandem mass detectors (MS/MS). This sophisticated and high complexity method is available to providers for confirmation of drugs of abuse as well as drugs commonly used in pain management and drug dependency programs. This type of advanced confirmation instrumentation is often only available to clients through large reference laboratories. The acquisition of the LCMS/MS technology shows the vision and commitment of Lab Test Diagnostics as a provider of quality laboratory testing.

DRUG Screening

The most commonly used urine screens for drugs are immunoassay (IA) and Point of Care Tests (POCT). Commonly prescribed medications and over-the-counter drugs can potentially cause false positive urine drug test results from these methods. Both of these screening methods are services available at Lab Test Diagnostics. Also Lab Test Diagnostics offer comprehensive drug screens by LCMS/MS.

Testing

In addition to urine screens for drugs, Lab Test Diagnostics provides urine validation testing. Validity testing includes checks for temperature, pH, creatinine, and specific gravity.
These screening methods need to be confirmed using more specific methods such as Liquid Chromatography/Tandem Mass Spectrometry (LCMS/MS).

What’s New in Toxicology

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Lab Test Diagnostics Toxicology
       
Urine Drug Screening
Analyte Cutoff (ng/ml) Analyte Cutoff (ng/ml)
Amphetamines 200 Methadone 100
Barbiturates 200 Methamphetamine 200
Benzodiazepines 50 Opiates 100
Buprenorphine 10 Oxycodone 100
Cocaine 200 Phencyclidine (PCP) 20
Ectasy (MDMA) 200 Tricyclic Antidepressants 300
Marijuana 50 Urine Ethyl Alcohol 10 mg/dL
       
Urine Validity
Analyte Reference Ranges Analyte Reference Ranges
Creatinine 20-300 mg/dL Specific Gravity 1.003-1.035 g/mL
pH 4.8-7.8    
       
Serum Vitamin D Testing
Analyte Reportable Range (ng/mL)
25 – Hydroxy Vitamin D2 1-80
25 – Hydroxy Vitamin D3 1-80
25 – Hydroxy Vitamin D Total 1-160
Reference Ranges for 25 – Hydroxy Vitamin D Total:
<10 ng/mL (severe deficiency)
10-19 ng/mL (mild to moderate deficiency)
20-50 ng/mL (optimum levels)
51-80 ng/mL (increased risk of hypercalciuria)
>80 ng/mL (toxicity possible)
Urine Drug Confirmation Test: Cutoff-Reportable Ranges
Analyte Cutoff (ng/mL) Reportable Range(ng/mL) Analyte Cutoff (ng/ml) Reportable Range(ng/mL)
7-Aminoclonazepam 25 25-1000 PCP 10 10-400
6MAM 10 10-400 Propoxyphene 50 50-2000
Hydroxyalprazolam 25 25-1000 Temazepam 25 25-1000
Alprazolam 25 25-1000 Meprobamate 100 100-4000
Amphetamine 100 100-4000 Carisoprodol 100 100-4000
Benzoylecgonine 100 100-4000 Cyclobenzaprine 50 50-2000
Buprenorphine 10 10-400 Tapentadol 50 50-2000
COOH-THC 20 20-400 Ketamine 50 50-2000
Chlordiazepoxide 25 25-1000 Norketamine 50 50-2000
Clonazepam 25 25-1000 Meperidine 50 50-2000
Codeine 50 50-2000 Normeperidine 50 50-2000
Desalkylflurazepam 25 25-1000 Noroxycodone 50 50-2000
Tramadol 50 50-2000 Methylphenidate 50 50-2000
Diazepam 25 25-1000 Naloxone 10 10-400
Dihydrocodeine 50 50-2000 Naltrexone 10 10-400
EDDP 50 50-2000 Pregabalin 100 100-4000
Fentanyl 5 5-200 Zolpidem 5 5-200
Trazodone 100 100-4000 Cotinine 100 100-4000
Hydrocodone 50 50-2000 ETOH 10 mg/dl 10 mg/dL-200 mg/dL
Hydromorphone 50 50-2000 ETG 500 500-5000
Lorazepam 50 50-2000 ETS 100 100-2500
MDA 100 100-4000 Pentobarbital 200 200-5000
MDEA 100 100-4000 Amobarbital 200 200-5000
MDMA 100 100-4000 Butalbital 200 200-5000
Methadone 50 50-2000 Phenobarbital 200 200-5000
Methamphetamine 100 100-4000 Secobarbital 200 200-5000
Morphine 50 50-2000 Amitriptyline 100 100-2000
Norbuprenorphine 10 10-400 O-Desmethyltramadol 50 50-2000
Nordiazepam 25 25-1000 N-Desmethyltramadol 50 50-2000
Norfentanyl 10 10-400 Nortriptyline 100 100-2000
Ritalinic Acid 50 50-2000 Imipramine 100 100-2000
Naltrexol 10 10-400 Desipramine 100 100-2000
Norhydrocodone 50 50-2000 Doxepin 100 100-2000
Norpropoxyphene 50 50-2000 Desmethyldoxepin 100 100-2000
Oxazepam 25 25-1000 Clomipramine 100 100-2000
Oxycodone 50 50-2000 Desmethylclomipramine 100 100-2000
Mitragynine 5 5-200 L-Methamphetamine 20% 0-100%
Oxymorphone 50 50-2000 D-Methamphetamine 20% 0-100%
Phentermine 100 100-4000    
Oral Fluid Test: Cutoff-Reportable Ranges
Analyte Cutoff (ng/ml) Reportable Range (ng/ml) Analyte Cutoff (ng/ml) Reportable Range (ng/ml)
Morphine 5 5-200 Clonazepam 2.5 2.5-100
Oxymorphone 5 5-200 Methadone 2.5 2.5-100
Hydromorphone 5 5-200 Oxazepam 10 10-400
Codeine 5 5-200 Lorazepam 10 10-400
Oxycodone 5 5-200 Alprazolam 2.5 2.5-100
Hydrocodone 5 5-200 Temazepam 2.5 2.5-100
6-MAM 2 2-40 Nordiazepam 2.5 2.5-100
Amphetamine 10 10-400 Diazepam 2.5 2.5-100
Methamphetamine 10 10-400 THC 2 2-40
MDMA 10 10-400 Phenobarbital 10 10-200
BE (Cocaine Metab) 20 20-800 Amobarbital 10 10-200
Tramadol 5 5-200 Butalbital 10 10-200
Cocaine 2.5 2.5-100 Pentobarbital 10 10-200
PCP 1 1-40 Secobarbital 10 10-200
Fentanyl 1 1-40 Oral Fluid Ethyl Alcohol 10mg/dL 10mg/dL-400mg/dL
Buprenorphine 1 1-40