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Walk-in-lab Lab Test: Wellness #4 Extensive Blood and Urine Test Panel

Wellness #4 Extensive Blood and Urine Test Panel

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The Wellness #4 Extensive Blood and Urine Test Panel analyzes blood and urine samples to comprehensively assess overall health, identify potential health concerns, and monitor treatment effectiveness.

· Sale through 11/12!

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+$6.00 per order physician fee

Quick Facts

  • Sample: Blood and urine
  • Fasting: Fast for 12-14 hours before blood collection. Maintain a stable diet for 2–3 weeks before testing. Avoid vitamin C, fruits, alcohol, and biotin before collection. Blood must be drawn before a Schilling test, transfusion, or vitamin B12 therapy.
  • Turnaround: 3-5 business days. May take longer based on weather, holiday, or lab delays.

What's Included

Biomarkers tested may vary slightly between labs.

Comprehensive Metabolic Panel (CMP-14) with eGFR Blood Test

Blood Sugar

  • Glucose: The amount of sugar in your blood, used to screen for and monitor diabetes.

Kidney Profile

  • BUN (Blood Urea Nitrogen): A waste product formed when the body breaks down protein, normally removed by the kidneys.
  • Creatinine, Serum: A waste product from normal muscle activity that is filtered from the blood by the kidneys.
  • BUN/Creatinine Ratio: A calculated value (BUN divided by creatinine) that can suggest conditions like dehydration or intestinal bleeding.
  • Estimated Glomerular Filtration Rate (eGFR): A calculated estimate of how effectively the kidneys filter waste from the blood, used to assess kidney function.

Liver Panel

  • Protein, Total: The combined amount of albumin and globulin proteins in the blood, which helps assess liver and kidney function and nutritional health.
  • Albumin, Serum: A protein produced by the liver that helps maintain fluid balance and transport substances through the blood.
  • Globulin, Total: A group of blood proteins involved in immune defense, transporting substances, and other important body functions.
  • Albumin/Globulin Ratio: A calculated value (albumin divided by globulin) that, alongside other results, can assist in evaluating liver problems.
  • Bilirubin, Total: A yellow pigment produced during the normal breakdown of red blood cells and processed by the liver. Elevated levels can cause jaundice.
  • Alkaline Phosphatase: An enzyme found primarily in the liver, bile ducts, and bones that can help identify liver or bone disorders.
  • Aspartate Aminotransferase (AST or SGOT): An enzyme found in the liver and other tissues, such as the heart and muscles, that is released into the blood when cells are damaged.
  • Alanine Aminotransferase (ALT or SGPT): An enzyme that helps identify liver damage. Abnormal levels may represent liver disease.

Fluids & Electrolytes

  • Sodium: One of the major salts in your body fluid, important for water balance and the electrical activity of nerves and muscles.
  • Potassium: Helps control the function of your nerves and muscles.
  • Chloride: Similar to sodium, it helps maintain your body's electrolyte balance.
  • Carbon Dioxide, Total: A measure that primarily reflects bicarbonate in the blood, helping assess the body's acid-base balance.
  • Calcium: A mineral essential for developing and maintaining healthy bones and teeth, and for normal muscle, nerve, and blood clotting function.

Lipid Panel With Total Cholesterol:HDL Ratio

  • Cholesterol, Total - A measurement used to assess heart health. Cholesterol is required by your body to build healthy cells, but high cholesterol levels can increase your risk of heart disease.
  • Triglycerides - Surplus fats transported in the bloodstream and provide energy to the body.
  • HDL Cholesterol - High-density lipoproteins, or "good" cholesterol, take cholesterol away from the cells and transport it back to the liver for removal or processing.
  • LDL Cholesterol - Low-density lipoproteins (calculation), or "bad" cholesterol, contain the highest percentage of cholesterol and are responsible for depositing cholesterol on the artery walls.
  • Non HDL Cholesterol (Not Included with LabCorp): A measure of cholesterol carried outside of HDL particles.
  • Total Cholesterol: HDL Ratio - The Total Cholesterol to HDL Ratio is a critical indicator of the balance between good and bad cholesterol in the body. A ratio of less than 5:1 is considered optimal, while a ratio higher than 6:1 indicates an increased risk of developing heart disease.
  • VLDL Cholesterol (calculated, Labcorp only): Cholesterol carried by very low-density lipoproteins, which primarily transport triglycerides through the bloodstream.

Complete Blood Count (CBC) with Differential and Platelets Blood Test

White Blood Cells

  • White Blood Cells (WBC): Your body's primary defense against disease, these cells help you fight infection.

Red Blood Cells and Red Cell Indices

  • Red Blood Cells (RBC): Carries oxygen and carbon dioxide to and from your cells. Iron deficiency can lower this count.
  • Hemoglobin: A compound inside red cells that carries oxygen through your bloodstream and gives blood its red color.
  • Hematocrit: The percentage of blood volume made up of red blood cells.
  • MCH (Mean Corpuscular Hemoglobin): The average hemoglobin amount within a single red blood cell.
  • MCHC (Mean Corpuscular Hemoglobin Concentration): The average hemoglobin concentration percentage within a red blood cell.
  • MCV (Mean Corpuscular Volume): The average size of your red blood cells.
  • RDW (Red Cell Distribution Width): Measures the variation in volume and size among your red blood cells.

Platelets

  • Platelet Count: Blood cell particles that play a role in forming blood clots.
  • MPV (Mean Platelet Volume): The average size of platelets in the blood, providing information about platelet production and activity.

White Blood Cell Differential

  • Neutrophils: The most common white blood cell type, created by your bone marrow to combat inflammatory and infectious conditions.
  • Lymphocytes: B cells and T cells that fight bacteria and other pathogens, found mainly in your lymph system.
  • Monocytes: Work alongside neutrophils to fight infections and clear away dead or damaged cells.
  • Eos (Eosinophils): White blood cells that become active in response to allergies and certain infections.
  • Basophils: Help detect infections early, support wound healing, and respond to allergic reactions.
  • Immature Granulocytes: A component of your white blood cell differential included in this panel. (Labcorp only)

Thyroid Panel with TSH

  • TSH (Thyroid Stimulating Hormone): Produced by the pituitary gland, this hormone helps the thyroid create T4 and T3.
  • T4 (Thyroxine), Total: A hormone made by the thyroid that helps maintain metabolism and other body functions.
  • T3 Uptake: Evaluates the number of blood proteins that carry thyroid hormones throughout the body.
  • Free T4 Index (T7): A calculated value comparing the amount of unbound (free) T4 to T4 bound to proteins in the blood.

C-Reactive Protein, High Sensitivity (CRP-hs)

  • C-Reactive Protein, High Sensitivity (CRP-hs): A protein produced by the liver in response to inflammation. This high-sensitivity test detects low levels of CRP in the blood, helping assess inflammation and cardiovascular disease risk.

Hemoglobin A1c

  • Hemoglobin A1c: A form of hemoglobin with glucose attached to it that reflects average blood sugar levels over the past two to three months. Helps diagnose and monitor diabetes and evaluate long-term blood sugar control.

Urinalysis, Complete with a Microscopic Examination

  • Specific Gravity: The concentration of the urine sample. This is used to help evaluate the level of certain substances dissolved in the urine. Low specific gravity can result from ingesting large amounts of water before urination.
  • pH: This is affected by the acid/base balance in the body. A pH that is too high or low can form crystals in the urine, leading to the development of kidney stones. PH can be adjusted through diet or medication.
  • Color: Darker urine coloration can result from some medications, eating certain foods, blood in the urine, dehydration, or fever
  • Appearance: Bacteria, red blood cells, white blood cells, mucus, or contaminants such as lotions or powders may cause cloudy or turbid urine.
  • WBC Esterase: White blood cells in the urine typically indicate a bacterial urinary tract infection. It may also be caused by inflammation in the kidneys. 
  • Protein: The amount of albumin in the urine. Protein in the urine can indicate kidney disease or conditions affecting the urinary tract.
  • Glucose: Glucose in the urine can be a sign of abnormally high blood sugar levels, such as those caused by diabetes.
  • Ketones: Ketones are produced when the body metabolizes fat. They can indicate several conditions, including starvation, a high protein/low carbohydrate diet, diabetes, or frequent vomiting.
  • Occult Blood: Blood in the urine can indicate several conditions affecting the kidneys or urinary tract. It can also be caused by contamination from sources such as menstruation, hemorrhoids, or vaginal bleeding.
  • Bilirubin: Bilirubin is a waste product produced by the liver. Bilirubin in urine can be an early indicator of liver disease.
  • Urobilinogen: Urobilinogen is formed from Bilirubin. Its presence in urine is typically a sign of liver disease. (LabCorp Only)
  • Nitrite: Nitrite in the urine is usually caused by bacteria, which can indicate a urinary tract infection.
  • Microscopic Examination 

    • A microscopic examination will automatically be performed if any abnormalities are detected in the initial urinalysis. The microscopic examination may include some or all of the following if the results warrant:
    •  White Blood Cells (WBCs): WBCs in urine usually indicate inflammation or infection of the urinary tract.
    • Red Blood Cells (RBC): RBCs in urine can be caused by inflammation or injury to the kidneys or urinary tract.
    • Epithelial Cells: High concentrations of epithelial cells are typically caused by infection or inflammation of the urinary tract.
    • Crystals: Crystals may be formed by various particles dissolved in urine. Crystal formation may be due to an abnormal pH balance or a higher-than-normal concentration of particles. Crystals formed in the kidneys may lead to the development of kidney stones. 
    • Casts: Casts are cylindrical particles formed from proteins secreted by the kidneys. In people with kidney disease, substances such as RBCs or WBCs may become trapped in the proteins. Examining the casts can help differentiate between types of kidney disorders.
    • Mucus: Mucus in the urine may result from a urinary tract infection or conditions affecting the digestive system, specific STDs, or kidney disease.
    • Bacteria: Bacteria in the urine usually indicate a urinary tract infection. Care should be taken to avoid contaminating the specimen with bacteria from the genital area or hands.

Phosphorus

  • Phosphorus: An essential mineral found primarily in bones and teeth that supports energy production, cell function, and bone health. Abnormal blood levels may indicate kidney dysfunction or disorders affecting mineral balance.

Carcinoembryonic Antigen

  • Carcinoembryonic Antigen (CEA): Measures a protein in the blood that may be elevated in certain cancers and other conditions.

Cancer Antigen 27.29

  • Cancer Antigen 27.29 (CA 27-29): Measures a protein in the blood that is often used to help monitor breast cancer.

CA 19-9

  • CA 19-9: Measures a protein in the blood that may be elevated in pancreatic and other digestive system cancers.

Vitamin D 25-Hydroxy

  • Vitamin D, 25-Hydroxy: The primary circulating form of vitamin D in the blood, reflecting the body's vitamin D stores. Helps assess vitamin D status and identify deficiencies that may affect bone health and calcium absorption.

Vitamin A

  • Vitamin A: A fat-soluble vitamin that supports growth, healthy teeth, bones, skin, and vision. Helps assess vitamin A status and identify possible deficiencies.
  • Vitamin A (Retinol): The main active form of vitamin A in the blood. Helps assess vitamin A levels and identify deficiencies or excess.

Vitamin B1 (Thiamine)

  • Vitamin B1 (Thiamine), Whole Blood: An essential vitamin that helps convert food into energy and supports healthy nerves, heart, and muscles. Helps identify deficiencies that may affect energy production and nerve function.

Vitamin B6

  • Vitamin B6: A B vitamin that supports protein metabolism, nerve function, and immune health. Helps assess vitamin B6 levels and identify possible deficiencies or excess.

Vitamin B12

  • Vitamin B12: An essential vitamin that supports healthy nerve function, red blood cell production, and DNA formation. Measuring vitamin B12 levels helps identify deficiencies that may contribute to anemia, fatigue, or nerve problems.

Vitamin E

  • Alpha Tocopherol: The main form of vitamin E in the blood that helps protect cells from oxidative damage. Helps assess vitamin E levels and identify possible deficiencies.

  • Beta Gamma Tocopherol: Forms of vitamin E that act as antioxidants to protect cells. Helps assess vitamin E levels and antioxidant status.

Vitamin C

  • Vitamin C: A water-soluble antioxidant that protects cells, supports immune health, helps the body absorb iron, and promotes wound healing. Helps assess vitamin C levels and identify deficiencies.

Beta Carotene

  • Beta Carotene: A plant pigment the body converts into vitamin A, which supports healthy vision, skin, and immune function. 

Folic Acid (Folate)

  • Folate (Folic Acid): A B vitamin that helps the body make new cells, produce healthy red blood cells, and form DNA. Measuring folate levels helps identify deficiencies that may contribute to anemia and is especially important during pregnancy for healthy fetal development.

Testosterone, Free and Total

  • Testosterone, Free: The portion of testosterone circulating in the blood that is not bound to proteins and is available to enter cells and exert biological effects.
  • Testosterone, Total: The total amount of testosterone in the blood, including testosterone bound to proteins and testosterone circulating freely. LabCorp only: Total and Free (Direct) results above 1500 are reported as >1500.

Estradiol

  • Estradiol: The primary form of estrogen during the reproductive years, produced mainly by the ovaries and in smaller amounts by the testes and other tissues. Helps regulate reproductive function, menstrual cycles, and bone health.

DHEAS

  • DHEA Sulfate (DHEAS): An androgen hormone produced primarily by the adrenal glands that serves as a precursor to testosterone and estrogen. Helps evaluate adrenal function and investigate abnormal androgen levels.

Uric Acid

  • Uric Acid: A waste product formed when the body breaks down purines. Helps assess uric acid levels and identify potential issues related to gout or kidney stones.

Lactic Acid Dehydrogenase

  • Lactic Acid Dehydrogenase (LD or LDH): An enzyme found in many tissues, including the liver, heart, muscles, and red blood cells, that is released into the blood when cells are damaged. 

Gamma-Glutamyl Transferase 

  • Gamma-Glutamyl Transferase (GGT): An enzyme found mainly in the liver and bile ducts that can help identify liver or bile duct problem

Benefits

  • Review kidney, liver, electrolyte, and mineral markers together in one panel.
  • Check cholesterol, triglycerides, and the total cholesterol to HDL ratio.
  • Add thyroid, hemoglobin A1C, and high sensitivity CRP markers to the picture.
  • Look at vitamin levels, including vitamin D, B12, and folate.
  • Include hormone markers such as testosterone, estradiol, and DHEA sulfate.
  • Bring blood and urine results together to discuss with your healthcare provider.

Who Is This Test For?

  • People who want a broad look at their overall health and wellness.
  • Anyone who wants to track changes in their health over time.
  • People checking in on lifestyle changes or treatments they have started.
  • People who want vitamin, hormone, and cancer antigen results alongside routine labs.
  • People who want organized results to review with their healthcare provider.

How It Works

  1. Order Your Test Online
  2. Visit a Local Lab
  3. Get Results Online

FAQ

1. Do I need to fast or prepare for this test?

Yes, a few steps apply before your blood draw. You should be on a stable diet, ideally for 2-3 weeks prior to collection of blood. You should also fast for 12-14 hours before blood collection and avoid vitamin C, fruits, alcohol, and biotin before the test. Blood should be drawn before Schilling test, transfusions, or B12 therapy.

2. How quickly will I get results?

Expect 3-5 business days. Results may take longer based on weather, holiday, or lab delays.

3. What can my results tell me?

Think of this panel as several lenses on your health at a single point in time. Blood chemistry, cell counts, and urine findings sit alongside thyroid, A1C, inflammation, vitamin, hormone, and cancer antigen markers. Each area answers a different question, so results are most useful when reviewed as a set, and repeat testing can show how markers change over time.

4. How do I interpret the results?

Numbers on a report rarely tell the whole story. Meaning comes from patterns across the included tests, along with symptoms, medical history, medications, how you prepared, and the lab's methodology. Ratios and calculated values depend on the measurements behind them, and each biomarker offers a different kind of information. Review your report with a qualified healthcare provider. For LabCorp, Free (Direct) and Total Testosterone results above 1500 are reported as ">1500."

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.

5. What should I do if my results are abnormal?

An out-of-range value is a starting point for a conversation, not a conclusion. Share your full report with a qualified healthcare provider, who can look at patterns across several results alongside your history. Any further evaluation or testing is a decision to make together with them.

Pre-test preparation

You should be on a stable diet, ideally for 2-3 weeks prior to collection of blood. You should also fast for 12-14 hours before blood collection and avoid vitamin C, fruits, alcohol, and biotin before the test. Blood should be drawn before Schilling test, transfusions, or B12 therapy.

LC Sample ReportQD Sample Report
Notice: This is a sample report. Reporting format and ranges are subject to change. Contact us with any questions or concerns.

CPT Code(s): See Individual Tests

Test Code(s):

2166, 2240

Biomarkers Tested (94):

Notice: Biomarkers tested may vary slightly between labs. Please see the sample report(s) for detailed biomarker information.

Specimen:

Blood + Urine

Preparation:

Patients should be on a stable diet, ideally for 2-3 weeks prior to collection of blood. Patients should also fast for 12-14 hours before blood collection and avoid vitamin C, fruits, alcohol, and biotin before the test. Blood should be drawn before Schilling test, transfusions, or B12 therapy.

Test Results:

3-5 business days. May take longer based on weather, holiday, or lab delays. 

Details:

(LabCorp Only) Any Testosterone Free (Direct) and Total Testosterone Test result exceeding 1500 will be reported as ">1500."


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