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Medical Department

Home » Departments » Center for Anatomic Pathology & Laboratory Medicine

Operating Hours

  • 24 Hours, 7 Days a Week

Contact Numbers

045-625-2999 / 0927-148-0853 / 0962-627-6196 Local 2440

Blood Bank

045-625-2999 / 0943-429-0607 Local 2421

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Center for Anatomic Pathology & Laboratory Medicine

The Center for Anatomic Pathology and Laboratory Medicine (CAPALM) is a duly accredited Tertiary Diagnostic Facility of the Department of Health. It is directly under the management, supervision and control of the Unit Head who reports directly to the Director for Ancillary Services and the CEO-President in his capacity as Vice President for Ancillary Services.

As a tertiary Clinical Diagnostic Facility, it is involved not only in the provision of routine and special diagnostic procedures but also as a training institution for Pathology and Medical Technology programs. As a tertiary Diagnostic facility, it is also a Reference laboratory catering to other freestanding laboratories and facilities that do not cater to special procedures available in the Center.

As a Clinical Diagnostic Laboratory, it aids to confirm a clinical impression, establish or rule out a diagnosis, monitor therapy and establish a prognosis through quality assured and controlled tests evidenced by its excellent performance in the various External Quality Assurance Programs by the different reference laboratories task to conduct the same. Performance of the diagnostic procedures is done by skilled, competent, highly proficient and duly licensed medical technologists under the direct supervision of the Unit Supervisor and Unit Head.

The Diagnostic Services performed under CAPALM are grouped into – Immunology and Serology, Clinical Chemistry, Clinical Microscopy and Parasitology, Drug Testing, Hematology, Microbiology, Blood Bank and Newborn screening. It is also the confirmatory center for the G6PD test. The different sections are headed by a respective section chief who is tasked with overseeing the implementation of its policies and standard operating procedures. As the Center for Anatomic Pathology, it caters to the performance of Histopathology examination (Biopsies), Cytopathology procedures, PAPS smear-conventional and liquid based studies. Rush frozen section studies, limited Immunohistochemical studies and autopsy services are also done in the Center.

As a Training Laboratory, it offers a four-year Residency Training Program for a combined Clinical and Anatomic Pathology program under the supervision of the Training Officer who also acts as the Assistant Unit Head. To date, it has produced 6 graduates, two of whom passed the Diplomate examinations in both Anatomic and Clinical Pathology and two in Clinical Pathology. To date, these Diplomates graduates are already conferred Fellows in both Anatomic and Clinical Pathology and Fellows in Clinical Pathology, respectfully. CAPALM as a training institution in Medical Technology is highly recommended and endorsed by the Commission on Higher Education as an exemplary training center for the said program. Currently, we have interns from our very own Angeles University Foundation, University of Baguio, Wesleyan University and Saint Louis University of Baguio. An intensive 6-month training program is provided for medical technology students in their senior year. Orientation, education and familiarization with different laboratory examinations is provided and imbued with our core values of honesty, efficiency, loyalty, and excellent performance. A Medical Technology Intern’s Training Officer is directly in-charge of the training program.

As a Referral Laboratory, it provides special laboratory services in the region north of Manila. Currently, the laboratory is recognized by the National Institute of Health as one of the G6PD Confirmatory Centers in Region 3. It collaborates with Easy DNA Philippines for the provision of DNA Testing.

One of its prides as a Center, CAPALM is one of the pioneers in Blood Banking services. It is duly accredited as a Hospital Blood Bank with center capabilities that can perform tests for the five common transfusion transmitted infections using highly sophisticated machines using Chemiluminescence technology, adding safeguards to our testing, thus providing for quality-assured and safe blood units for its patients and stakeholders. An added safeguard is through the performance of the antibody screening which aids in detecting unexpected antibodies in both donor and recipient. The antibody nece I is capable of processing and storing blood units into its components-pack RBC, platelets, fresh frozen plasma and cryoprecipitate. It involves the community in the conduct of voluntary mass blood donations, and to date, we have a total of 24 companies where we conduct rotational voluntary blood donation, thus assuring us of adequate blood supply.

Services Offered

Blood Bank
Clinical Chemistry
Clinical Microscopy
Hematology
Histopathology
Immunology
Microbiology
Serology
Blood Bank

These are the list of all laboratory tests available in Blood Bank. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
ABO/Rh Typing None
Antibody Screening None
Coomb’s test(Direct and Indirect) None
C-Reactive Protein (CRP) None
Crossmatching with Antibody Screening None
Clinical Chemistry

These are the list of all laboratory tests available in Clinical Chemistry. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Alanine Amino Transferase

(ALT/SGPT)

None
Albumin 6-8 hours fasting
Alkaline Phosphatase(ALP) None
Amylase None
Aspartate Amino Transferase (AST/SG0T) None
Bilirubin Total Bilirubin Direct Bilirubin None
BUN (Blood Urea Nitrogen) 6-8 hours fasting
Cardiac Panel None
Chloride None
Cholesterol None
CKMB None
Creatinine None
Creatinine Clearance 1. On day 1, anytime, discard the first morning urine and record the time. All succeeding urine samples must then be collected in the appropriate container and kept refrigerated during the interval of collection.

2.On day 2, at 7 am, the patient shall void and add the urine to the total urine collected.

3.The collected specimen must be immediately sent to the laboratory.

4.The urine container must be kept immersed in ice during transport to the laboratory.

D-dimer None
Globulin 6-8 hours fasting
Glucose- FastingBloodSugar 1. 6-8 hrs fasting

2. Strictly refrain from smoking and avoid strenuous exercises or activity

3. The following medications should be discontinued after the last meal prior to blood extraction:

a. Oral contraceptive pills

b. Thiazide diuretics

c. Salicylates

d. Insulin oral anti-diabetic drugs

Glucose — Oral Glucose

Tolerance Test(OGTT)

2hrs OGTT

3hrs OGTT

1. 6-8 hrs fasting

2. Strictly refrain from smoking and avoid strenuous exercises or activity

3. The following medications should be discontinued after the last meal prior to blood extraction:

a. Oral contraceptive pills

b. Thiazide diuretics

c. Salicylates

d. Insulin

e. oral anti-diabetic

Glucose — Post Prandial

Blood Sugar (PPBS)

1 hr PPBS

Take regular meals and extract after 1 hr
2 hrs PPBS Take regular meals and extract after 2 hrs
Glucose— Glucose Challenge

Test (GCT)

1 hr GCT

No need to fast
2 hrs GCT No need to fast
Glucose — Random Blood

Sugar

No need to fast
Glucose — Hemoglucose Test No need to fast
G6PD Confirmatory Test No patient preparation
HDL Cholesterol Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

lonized Calcium Non-fasting
Iron None
LDH (Lactate Dehydrogenase) Non-fasting
LDL Cholesterol Preferably 12-14 hrs fasting;
Magnesium Non-fasting
Phosphorus Non-fasting
Potassium Non-fasting
Sodium Non-fasting
Total Iron Binding Capacity (TIBC) None
Total Protein 6-8 hrs fasting
Troponin I No patient preparation
Triglyceride Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

Uric Acid (BUA) 6-8 hrs fasting
Urinary Total Protein, 24hour 1. On day 1, at 7 am, discard the first morning urine and record the time. All succeeding urine samples must then be collected in the appropriate container and kept refrigerated during the interval of collection.

2. On day 2, at 7 am, the patient shall void and add the urine to the total urine collected.

3. The collected specimen must be immediately sent to the laboratory.

4. The urine container must be kept immersed in ice during transport to the laboratory.

Urine Albumin No patient preparation
Urine Chloride No patient preparation
Urine Creatinine No patient preparation
Urine Potassium No patient preparation
Urine Sodium No patient preparation
VLDL Cholesterol Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

Clinical Microscopy

These are the list of all laboratory tests available in Clinical Microscopy. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
APT’STest None
Body Fluid Analysis(CSF, Peritoneal, Pleural, Synovial) Gross Examination and Cell count includes Glucose and Total protein None
H. Pylori Rapid Antigen Test (Qualitative) No patient preparation
Occult blood Diet (2 days before test):

1. Patient should eat only well-cooked meat (chicken, turkey, & tuna)

2. avoid red meat, raw fruits containing high peroxidase activity; turnips, cauliflower, broccoli, cantaloupe, red radish, horseradish

Medicines

3.7 days prior to & during testing- avoid aspirin or other inflammatory meds

4.2 days prior & during testing—avoid rectal meds, tonics, or vitamin C in excess of 250 mg/day or meds rich in iron

Pregnancy Test(Beta HCG) No patient preparation
Seminal Fluid Analysis(Sperm Analysis) 1 Patient is required to have 3 days & no more than 5 days of sexual abstinence prior to semen collection.

 

2. Specimen collection is preferably done in the laboratory using a wide- mouthed plastic or glass container(not condoms)

 

 

3. Specimen collection is

preferably done in the laboratory using a wide- mouthed plastic or glass container(not condoms).

 

 

4. Empty bladder prior to collection and note time of collection in the request form

 

5. Submit specimen immediately to the laboratory within 30 mins. to 1 hour and keep warm at body temperature to ensure accurate analysis

Stone Analysis No patient preparation
Stool Exam/Fecalysis (Routine) 1.      Avoid contamination of

specimen with water, urine or oils and any other chemical contaminants.

 

2.      Specimen must be submitted to the laboratory within 30 minutes after collection.

3.      If more than 30 mins,

specimen must be immersed in ice during transport

Urinalysis (Routine) 1.      Prior to collection,

patient must thoroughly

clean genitalia.

2.      Use clean containers for

collecting urine sample.

1.  Midstream of the urine shall be collected.

  1. The urine specimen must be brought to the laboratory within 30 minutes after collection.
Urinary Eosinophils No patient preparation
Urine Bilirubin No patient preparation
Urine Ketone No patient preparation
Urine Leukocyte Esterase No patient preparation
Urine Nitrite No patient preparation
Urine Urobilinogen No patient preparation
Hematology

These are the list of all laboratory tests available in Hematology. Please see the table below for your guide and reference.

TEST PATIENT PREPARATION
Anti-NuclearAntibody None
APTT None
Bleeding time          None
Bone Marrow Smears None
Clot Retraction Time None
Clotting time/Coagulation None
Complete Blood Count None
ESR (Erththrocyte None
Hematocrit No patient preparation
Hemoglobin No patient preparation
LE cell prep. No patient preparation
Malarial Test Preferably at the height of

fever

Peripheral Blood Smear None
Platelet Count (Automated) None
Prothrombin Time No patient preparation
PT/APTT(Mixingstudies) No patient preparation
Red Blood Cell Count No patient preparation
Reticulocyte Count No patient preparation
White Blood Cell Count None
White Blood Cell Differential Count None
Histopathology

These are the list of all laboratory tests available in Hematology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Cytokeratin (Basic)

Tissue

Immunohistochemistry

None
Cytology and Cell block None
Cyokeratin None
Complete Blood Count None
ESR (Erththrocyte Sedimentation Rate) None
Hematocrit No patient preparation
Hemoglobin No patient preparation
LE cell prep. No patient preparation
Malarial Test Preferably at the height of fever
Peripheral Blood Smear None
Platelet Count (Automated) None
Prothrombin Time No patient preparation
PT/APTT(Mixingstudies) No patient preparation
Red Blood Cell Count No patient preparation
Reticulocyte Count No patient preparation
White Blood Cell Count None
White Blood Cell Differential Count None
Immunology

These are the list of all laboratory tests available in Immunology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Alpha Feto Protein (AFP)

Tumor Marker

None
Carcinoembryonic Antigen None
Cyclosporin Assay None
FSH (Follicle Stimulating

Hormone)

Non — fasting
HBAlc

(Glycosylated Hemoglobin)

Non — fasting
Hepatitis Tests

1. HbsAg

2. HbeAg

3.Anti Hbc-IgM

4. Total Anti-Hbc

5. Anti-HAV— IgM

6. Anti-HAV— IgG

7. Anti-Hbs

8. Anti-Hbe

9. Anti-HCV

None
Prostate Specific Antigen

(PSA)

Non— fasting
Microbiology

These are the list of all laboratory tests available in Microbiology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Acid fast stain for TB Please see provided leaflets
AFB Package 3sputum collection:

1“earIy morning

2nd —spot collection (Can be on the same day, 1-2 hours interval)

Blood Culture (1site) None
Blood Culture (2 sites) None
Culture and Sensitivity

(Body fluids, exudates, wound discharge, Throat Swab,Sputum, Stool and other body fluids)

None
Culture and Sensitivity

(Urine)

None
Gram Stain No patient preparation
India lnk No patient preparation
KOH Preparation No patient preparation
Open Culture w/or w/o ID N/A
Water Analysis N/A
Wet Mount No patient preparation
Serology

These are the list of all laboratory tests available in Serology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Anti-Streptolysin 0Titer

(ASO)

None
Dengue Virus— IgG and IgM

(Denguedot) Immunochromatographic Assay

Collect specimen only after 5

days of fever

Dengue Virus—Antigen

Detection

NS1Dengue Antigen Test Immunochromatographic Assay

Collect specimen at0— 5

days of fever

Leptospira antibody

screening(IgM) Leptocheck

No patient preparation
Rapid Plasma Reagin (RPR) No patient preparation
Rheumatoid Factor(RF) No patient preparation
Salmonella typhi antibody

screening(IgM) Enterocheck

No patient preparation
Treponema Pallidum Particle

Agglutination (TPPA)

No patient preparation
Typhidot No patient preparation
Blood Bank

These are the list of all laboratory tests available in Blood Bank. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
ABO/Rh Typing None
Antibody Screening None
Coomb’s test(Direct and Indirect) None
C-Reactive Protein (CRP) None
Crossmatching with Antibody Screening None
Clinical Chemistry

These are the list of all laboratory tests available in Clinical Chemistry. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Alanine Amino Transferase

(ALT/SGPT)

None
Albumin 6-8 hours fasting
Alkaline Phosphatase(ALP) None
Amylase None
Aspartate Amino Transferase (AST/SG0T) None
Bilirubin Total Bilirubin Direct Bilirubin None
BUN (Blood Urea Nitrogen) 6-8 hours fasting
Cardiac Panel None
Chloride None
Cholesterol None
CKMB None
Creatinine None
Creatinine Clearance 1. On day 1, anytime, discard the first morning urine and record the time. All succeeding urine samples must then be collected in the appropriate container and kept refrigerated during the interval of collection.

2.On day 2, at 7 am, the patient shall void and add the urine to the total urine collected.

3.The collected specimen must be immediately sent to the laboratory.

4.The urine container must be kept immersed in ice during transport to the laboratory.

D-dimer None
Globulin 6-8 hours fasting
Glucose- FastingBloodSugar 1. 6-8 hrs fasting

2. Strictly refrain from smoking and avoid strenuous exercises or activity

3. The following medications should be discontinued after the last meal prior to blood extraction:

a. Oral contraceptive pills

b. Thiazide diuretics

c. Salicylates

d. Insulin oral anti-diabetic drugs

Glucose — Oral Glucose

Tolerance Test(OGTT)

2hrs OGTT

3hrs OGTT

1. 6-8 hrs fasting

2. Strictly refrain from smoking and avoid strenuous exercises or activity

3. The following medications should be discontinued after the last meal prior to blood extraction:

a. Oral contraceptive pills

b. Thiazide diuretics

c. Salicylates

d. Insulin

e. oral anti-diabetic

Glucose — Post Prandial

Blood Sugar (PPBS)

1 hr PPBS

Take regular meals and extract after 1 hr
2 hrs PPBS Take regular meals and extract after 2 hrs
Glucose— Glucose Challenge

Test (GCT)

1 hr GCT

No need to fast
2 hrs GCT No need to fast
Glucose — Random Blood

Sugar

No need to fast
Glucose — Hemoglucose Test No need to fast
G6PD Confirmatory Test No patient preparation
HDL Cholesterol Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

lonized Calcium Non-fasting
Iron None
LDH (Lactate Dehydrogenase) Non-fasting
LDL Cholesterol Preferably 12-14 hrs fasting;
Magnesium Non-fasting
Phosphorus Non-fasting
Potassium Non-fasting
Sodium Non-fasting
Total Iron Binding Capacity (TIBC) None
Total Protein 6-8 hrs fasting
Troponin I No patient preparation
Triglyceride Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

Uric Acid (BUA) 6-8 hrs fasting
Urinary Total Protein, 24hour 1. On day 1, at 7 am, discard the first morning urine and record the time. All succeeding urine samples must then be collected in the appropriate container and kept refrigerated during the interval of collection.

2. On day 2, at 7 am, the patient shall void and add the urine to the total urine collected.

3. The collected specimen must be immediately sent to the laboratory.

4. The urine container must be kept immersed in ice during transport to the laboratory.

Urine Albumin No patient preparation
Urine Chloride No patient preparation
Urine Creatinine No patient preparation
Urine Potassium No patient preparation
Urine Sodium No patient preparation
VLDL Cholesterol Preferably 12-14 hrs fasting;

8 hrs fasting if patient can’t tolerate prolonged fasting

Clinical Microscopy

These are the list of all laboratory tests available in Clinical Microscopy. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
APT’STest None
Body Fluid Analysis(CSF, Peritoneal, Pleural, Synovial) Gross Examination and Cell count includes Glucose and Total protein None
H. Pylori Rapid Antigen Test (Qualitative) No patient preparation
Occult blood Diet (2 days before test):

1. Patient should eat only well-cooked meat (chicken, turkey, & tuna)

2. avoid red meat, raw fruits containing high peroxidase activity; turnips, cauliflower, broccoli, cantaloupe, red radish, horseradish

Medicines

3.7 days prior to & during testing- avoid aspirin or other inflammatory meds

4.2 days prior & during testing—avoid rectal meds, tonics, or vitamin C in excess of 250 mg/day or meds rich in iron

Pregnancy Test(Beta HCG) No patient preparation
Seminal Fluid Analysis(Sperm Analysis) 1 Patient is required to have 3 days & no more than 5 days of sexual abstinence prior to semen collection.

 

2. Specimen collection is preferably done in the laboratory using a wide- mouthed plastic or glass container(not condoms)

 

 

3. Specimen collection is

preferably done in the laboratory using a wide- mouthed plastic or glass container(not condoms).

 

 

4. Empty bladder prior to collection and note time of collection in the request form

 

5. Submit specimen immediately to the laboratory within 30 mins. to 1 hour and keep warm at body temperature to ensure accurate analysis

Stone Analysis No patient preparation
Stool Exam/Fecalysis (Routine) 1.      Avoid contamination of

specimen with water, urine or oils and any other chemical contaminants.

 

2.      Specimen must be submitted to the laboratory within 30 minutes after collection.

3.      If more than 30 mins,

specimen must be immersed in ice during transport

Urinalysis (Routine) 1.      Prior to collection,

patient must thoroughly

clean genitalia.

2.      Use clean containers for

collecting urine sample.

1.  Midstream of the urine shall be collected.

  1. The urine specimen must be brought to the laboratory within 30 minutes after collection.
Urinary Eosinophils No patient preparation
Urine Bilirubin No patient preparation
Urine Ketone No patient preparation
Urine Leukocyte Esterase No patient preparation
Urine Nitrite No patient preparation
Urine Urobilinogen No patient preparation
Hematology

These are the list of all laboratory tests available in Hematology. Please see the table below for your guide and reference.

TEST PATIENT PREPARATION
Anti-NuclearAntibody None
APTT None
Bleeding time          None
Bone Marrow Smears None
Clot Retraction Time None
Clotting time/Coagulation None
Complete Blood Count None
ESR (Erththrocyte None
Hematocrit No patient preparation
Hemoglobin No patient preparation
LE cell prep. No patient preparation
Malarial Test Preferably at the height of

fever

Peripheral Blood Smear None
Platelet Count (Automated) None
Prothrombin Time No patient preparation
PT/APTT(Mixingstudies) No patient preparation
Red Blood Cell Count No patient preparation
Reticulocyte Count No patient preparation
White Blood Cell Count None
White Blood Cell Differential Count None
Histopathology

These are the list of all laboratory tests available in Hematology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Cytokeratin (Basic)

Tissue

Immunohistochemistry

None
Cytology and Cell block None
Cyokeratin None
Complete Blood Count None
ESR (Erththrocyte Sedimentation Rate) None
Hematocrit No patient preparation
Hemoglobin No patient preparation
LE cell prep. No patient preparation
Malarial Test Preferably at the height of fever
Peripheral Blood Smear None
Platelet Count (Automated) None
Prothrombin Time No patient preparation
PT/APTT(Mixingstudies) No patient preparation
Red Blood Cell Count No patient preparation
Reticulocyte Count No patient preparation
White Blood Cell Count None
White Blood Cell Differential Count None
Immunology

These are the list of all laboratory tests available in Immunology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Alpha Feto Protein (AFP)

Tumor Marker

None
Carcinoembryonic Antigen None
Cyclosporin Assay None
FSH (Follicle Stimulating

Hormone)

Non — fasting
HBAlc

(Glycosylated Hemoglobin)

Non — fasting
Hepatitis Tests

1. HbsAg

2. HbeAg

3.Anti Hbc-IgM

4. Total Anti-Hbc

5. Anti-HAV— IgM

6. Anti-HAV— IgG

7. Anti-Hbs

8. Anti-Hbe

9. Anti-HCV

None
Prostate Specific Antigen

(PSA)

Non— fasting
Microbiology

These are the list of all laboratory tests available in Microbiology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Acid fast stain for TB Please see provided leaflets
AFB Package 3sputum collection:

1“earIy morning

2nd —spot collection (Can be on the same day, 1-2 hours interval)

Blood Culture (1site) None
Blood Culture (2 sites) None
Culture and Sensitivity

(Body fluids, exudates, wound discharge, Throat Swab,Sputum, Stool and other body fluids)

None
Culture and Sensitivity

(Urine)

None
Gram Stain No patient preparation
India lnk No patient preparation
KOH Preparation No patient preparation
Open Culture w/or w/o ID N/A
Water Analysis N/A
Wet Mount No patient preparation
Serology

These are the list of all laboratory tests available in Serology. Please see table below for your guide and reference.

TEST PATIENT PREPARATION
Anti-Streptolysin 0Titer

(ASO)

None
Dengue Virus— IgG and IgM

(Denguedot) Immunochromatographic Assay

Collect specimen only after 5

days of fever

Dengue Virus—Antigen

Detection

NS1Dengue Antigen Test Immunochromatographic Assay

Collect specimen at0— 5

days of fever

Leptospira antibody

screening(IgM) Leptocheck

No patient preparation
Rapid Plasma Reagin (RPR) No patient preparation
Rheumatoid Factor(RF) No patient preparation
Salmonella typhi antibody

screening(IgM) Enterocheck

No patient preparation
Treponema Pallidum Particle

Agglutination (TPPA)

No patient preparation
Typhidot No patient preparation

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