Quick Facts
- Sample: Blood + Urine
- Fasting: Fasting for at least 12 hours is required.
- Turnaround: 2-3 business days. May take longer based on weather, holiday, or lab delays.
What's Included
Antinuclear Antibodies (ANA Blood Test) Direct
Complete Blood Count with Differential and Platelets (CBC)
- White Blood Cells (WBC): Your body's primary defense against infection.
- Red Blood Cells (RBC): Carry oxygen and carbon dioxide to and from your cells.
- Hemoglobin: The protein in red blood cells that carries oxygen through your bloodstream.
- Hematocrit: The percentage of your blood made up of red blood cells.
- Neutrophils: The most common white blood cell, helping fight infection and inflammation.
- Lymphocytes: Immune cells that help fight bacteria and other pathogens.
- Monocytes: Work with neutrophils to fight infection and clear damaged cells.
- Eosinophils: White blood cells activated by allergies and certain infections.
- Basophils: Support early infection detection, wound healing, and allergic response.
- Immature Granulocytes: Early-stage white blood cells that can signal increased immune activity.
- Mean Corpuscular Hemoglobin (MCH): The average hemoglobin amount within a red blood cell.
- Mean Corpuscular Hemoglobin Concentration (MCHC): The average hemoglobin concentration percentage within a red blood cell.
- Mean Corpuscular Volume (MCV): The average size of your red blood cells.
- Platelets: Cell particles involved in blood clot formation.
- Red Cell Distribution Width (RDW): Measures variation in red blood cell size.
- Absolute Neutrophils: The total number of neutrophils in your blood.
- Absolute Lymphocytes: The total number of lymphocytes in your blood.
- Absolute Monocytes: The total number of monocytes in your blood.
- Absolute Eosinophils: The total number of eosinophils in your blood.
- Absolute Basophils: The total number of basophils in your blood.
- Immature Grans (Abs): The total number of immature granulocytes in your blood.
Urinalysis Complete
- Color: The visual color of your urine sample.
- Appearance: The clarity of your urine sample.
- Specific Gravity: Measures the concentration of your urine.
- pH: Measures the acidity or alkalinity of your urine.
- Protein: Screens for protein in your urine, which can indicate kidney involvement.
- Glucose: Screens urine for sugar.
- Ketones: Detects ketone byproducts in your urine.
- Occult Blood: Screens for hidden blood in your urine.
- Nitrite / Nitrite, Urine: Can indicate the presence of a urinary infection.
- Leukocyte Esterase / WBC Esterase: Can indicate white blood cells in the urine, suggesting inflammation or infection.
- Urobilinogen, Semi-Qn: A byproduct that can help evaluate liver and bile function.
- Bacteria: Screens for bacteria present in the urine sample.
- Casts / Hyaline Cast: Microscopic structures that can indicate kidney involvement.
- Epithelial Cells (non renal) / Squamous Epithelial Cells: Cell types observed during microscopic urine evaluation.
Rheumatoid Arthritis (RA) Factor
Sedimentation Rate (ESR) Westergren
C-Reactive Protein (CRP) High Sensitivity Cardiac Risk
Comprehensive Metabolic Panel (CMP-14)
- Glucose: Your blood sugar level.
Kidney Profile
- BUN (Urea Nitrogen): An indicator of kidney function.
- Creatinine, Serum: An indicator of kidney function.
- BUN/Creatinine Ratio: A calculated ratio that can suggest dehydration or intestinal bleeding.
- eGFR: An estimate of how well your kidneys are filtering waste.
Liver Panel
- Protein, Total: Supports evaluation of liver, kidney, and nutritional status.
- Albumin, Serum: A major protein important for liver and kidney function.
- Globulin, Total: A protein group that assists clotting and includes infection-fighting antibodies.
- Albumin/Globulin Ratio: A calculated ratio that can assist in evaluating liver related conditions.
- Bilirubin, Total: Helps evaluate liver function and detect conditions like hepatitis or jaundice.
- Alkaline Phosphatase: Helps detect bone disorders and liver conditions.
- AST (SGOT): An enzyme used to evaluate liver function.
- ALT (SGPT): An enzyme used to help identify liver damage.
Fluids & Electrolytes
- Sodium: Supports water balance and nerve and muscle activity.
- Potassium: Helps regulate nerve and muscle function.
- Chloride: Helps maintain electrolyte balance.
- Carbon Dioxide, Total: Helps evaluate electrolyte balance.
- Calcium: Supports bone health, muscle, nerve, and clotting function.
Prothrombin Time (PT) and Partial Thromboplastin Time (PTT)
- Prothrombin Time (PT): Measures clotting time along the extrinsic and common pathways.
- INR: A standardized value calculated from your PT result.
- Partial Thromboplastin Time, Activated (PTT): Measures clotting time along the intrinsic and common pathways.
Benefits
- Screens for autoimmune antibody activity using the ANA test.
- Reviews red and white blood cell counts and platelets.
- Assesses kidney and liver function markers together.
- Measures inflammation through ESR, CRP, and RA factor.
- Evaluates urine for kidney related and metabolic changes.
- Reviews blood clotting time through PT and PTT.
Who Is This Test For?
- Individuals who want a broader look at immune related blood markers.
- Individuals experiencing joint discomfort, fatigue, or skin changes they want assessed.
- Individuals whose healthcare provider has recommended autoimmune related screening.
- Individuals monitoring existing autoimmune related concerns over time.
- Individuals following up on previous antibody or inflammation related results.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. What is the purpose of this test?
This panel combines several blood and urine based tests to help evaluate immune system activity. It includes the ANA test, a complete blood count, urinalysis, RA factor, ESR, CRP, a comprehensive metabolic panel, and clotting time tests. Together, these results give your healthcare provider a broader picture of immune, kidney, liver, and clotting related function to consider alongside your symptoms and history. It is intended to provide information for you and your healthcare provider, not to diagnose a condition on its own.
2. Who would benefit from this test, and when should I order it?
This panel may be useful if you want a broader look at immune, kidney, liver, and inflammation related markers, such as part of a broader health check. It may also be appropriate if your healthcare provider has suggested autoimmune related screening, or if you are following up on previous antibody or inflammation related results.
3. Do I need to fast before this test?
Yes. Fasting for at least 12 hours is required before this test.
4. How quickly will I get results?
Results are typically available in 2-3 days. Results may take longer based on weather, holiday, or lab delays.
5. How do I interpret the results?
Your results include many individual biomarkers, and patterns across these markers are often more meaningful than any single value on its own. Rather than interpreting one result in isolation, your healthcare provider can review the full panel alongside your symptoms and medical history to help make sense of what the results may mean for you.
Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.
6. What should I do if my results are abnormal?
If any of your results fall outside the expected range, share them with your healthcare provider. They can help determine whether any follow up steps are needed.
7. How often should I get tested, and why does ongoing monitoring matter?
There is no single testing schedule that fits everyone. How often to repeat this panel depends on your individual health history and goals, so it's best to test as directed by your healthcare provider. Reviewing immune, blood cell, kidney, liver, and inflammation related markers over time may help support earlier awareness of changes in these systems. This panel is intended to support ongoing monitoring and conversations with your healthcare provider, not to guarantee detection of any specific condition.
Pre-test preparation
Fasting for at least 12 hours is required.
