QuickLab
Order Form/receipt
Complete
Blood Count/CBC _____$10.00
Basic
Metabolic Panel/BMP _____$20.00
Diabetes
Screen (fasting Glucose) _____$20.00
Hemoglobin
A1C (Diabetes compliance) _____$35.00
Lipid
Panel (must be fasting 8-12 hrs) _____$21.00
Fasting (# Hours): ___________
Liver
Panel _____$66.00
Pregnancy
Test (serum) _____$12.00
Prostate
Specific Antigen _____$28.00
Thyroid
Stimulating Hormone/TSH _____$26.00
Blood
Type (ABO, RH) _____$10.00
Urinalysis _____$20.00
All tests on blood include the following additional charge:
Blood
Draw
_____$
5.00
