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Test Code LACTIC Lactic Acid ( L-Lactate), Blood

Important Note

If sample cannot be tested as whole blood or processed to plasma within 30 minutes of collection, it must be collected at one of the following Bronson locations:

  • Bronson Methodist Hospital Outpatient Testing: 601 John St., 1st floor South Campus, Kalamazoo, MI 49007
  • Bronson Battle Creek Lab: 300 North Ave., Battle Creek, MI 49037
  • Bronson Lakeview Hospital Outpatient Testing:  408 Hazen St., Paw Paw, MI 49079
  • Bronson South Haven Hospital:  955 South Bailey Ave.,  South Haven, MI 49090

Additional Codes

Epic Test ID

LAB95

Performing Laboratory

Bronson Laboratory Services-Chemistry

Reference Values

 

BMH BLH BBC
0.7-2.5 mmol/L 0.5-2.2 mmol/L

Critical value (automatic call-back): >5.0 mmol/L

Critical Value : >3.9 mmol/L

 

Methodology

Enzymatic measurment of L-Lactate.

 

Note:  This test does not measure D-Lactate, which is associated with gastrointestinal tract bacterial overgrown seen in conditions such as short bowel syndrome. The preferred sample for D-Lactate is urine, and the test is available through our reference lab.

Specimen Requirements

Specimen must be processed within 30 minutes of sample collection.

  • Patient should avoid exercise 30 minutes before collection.
  • If tourniquet is required, it must be applied for less than 1 minute.

Bronson Kalamazoo, Lakeview & South Haven

Specimen Type: Whole blood

Container/Tube:  Mint Top (PST) or Green Lithium Heparin tube. Blood gas syringe or heparinized capillary tube also acceptable.
Specimen Volume: Full tube

Minimum Volume: 0.5 mL whole blood

 

Collection Instructions:

  1. If tourniquet is required, it must be applied for less than 1 minute.
  2. Invert several times to mix blood.
  3. Do not centrifuge.
  4. Ship refrigerated whole blood sample immediately.
  5. Sample must be processed within 30 minutes of sample collection.

Causes for rejection include: Sample not processed within 30 minutes of collection.

 

Bronson Battle Creek

Specimen Type: Whole blood

Container/Tube:  Green Lithium Heparin tube. Blood gas syringe or heparinized capillary tube also acceptable.
Specimen Volume: Full tube

Minimum Volume: 1.0 mL whole blood

 

Collection Instructions:

  1. If tourniquet is required, it must be applied for less than 1 minute.
  2. Invert several times to mix blood.
  3. Do not centrifuge.
  4. Sample must be processed within 30 minutes of sample collection.

Causes for rejection include:

Samples collected in mint tube (PST) will be rejected.

Sample not processed within 30 minutes of collection.

 

Alternate Specimen processing (Kalamazoo only)

  • If specimen testing will be delayed, specimen may be centrifuged and plasma separated from the cells within 30 minutes of collection to extend sample integrity for Kalamazoo specimen testing only.
  • Plasma is stable for 14 days refrigerated.

Causes for rejection include: Sample not processed to plasma within 30 minutes of collection.

 

 

Specimen Transport Temperature

Must be tested as heparinized whole blood.
Sending specimen on ice may help with sample stability, but is not required. 

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

83605