Comprehensive Laboratory Services for Reproductive and Infertility Specialists Infectious Disease/Donor Screening *139060 FDA Guidance Female No Reflex (HBsAg, HBcore Total, **139382 HCV, HIV-1/HIV-2 Plus O, Syphilis, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT) *139061 FDA Guidance Female with Reflex (HBsAg w/reflex **139383 to neutralization, HBcore Total w/reflex to IgM, HCV, HIV-1/HIV-2 Plus O w/reflex to HIV-1 WB, Syphilis, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT) *139062 FDA Guidance Male No Reflex (HBsAg, HBcore Total, **139384 HCV, HIV-1/HIV-2 Plus O, Syphilis, HTLV I/II, CMV Total, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT) *139063 FDA Guidance Male with Reflex (HBsAg w/reflex to **139385 neutralization, HBcore Total w/reflex to IgM, HCV, HIV-1/HIV-2 Plus O w/reflex to HIV-1 WB, Syphilis, HTLV I/II w/reflex to Immunoblot, CMV Total w/reflex to IgM, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT) 139036 FDA Guidance Female No Reflex No CT/NG (HBsAg, HBcore Total, HCV, HIV-1/HIV-2 Plus O, Syphilis, HIV-1/HCV/HBV Ultrio NAT) 139065 FDA Guidance Female with Reflex No CT/NG (HBsAg w/reflex to neutralization, HBcore Total w/reflex to IgM, HCV, HIV-1/HIV-2 plus O w/reflex to HIV-1 WB, Syphilis, HIV-1/HCV/HBV Ultrio NAT) 139066 FDA Guidance Male No Reflex No CT/NG (HBsAg, HBcore Total, HCV, HIV-1/HIV-2 Plus O, Syphilis, HTLV I/II, CMV Total, HIV-1/HCV/HBV Ultrio NAT) 139067 FDA Guidance Male with Reflex No CT/NG (HBsAg w/reflex to neutralization, HBcore Total w/reflex to IgM, HCV, HIV-1/HIV-2 Plus O w/reflex to HIV-1 WB, Syphilis, HTLV I/II w/reflex to Immunoblot, CMV Total w/reflex to IgM, HIV-1/HCV/HBV Ultrio NAT) 139068 FDA Guidance Female No Reflex plus HTLV (HBsAg, HBcore Total, HCV, HIV-1/HIV-2 Plus O, Syphilis, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT, HTLV I/II) 139069 FDA Guidance Female with Reflex plus HTLV (HBsAg w/reflex to neutralization, HBcore Total w/reflex to IgM, HCV, HIV-1/HIV-2 Plus O w/reflex to HIV-1 WB, Syphilis, CT/NG NAA, HIV-1/HCV/HBV Ultrio NAT, HTLV I/II with reflex to Immunoblot) 006494 096727 *138662 *138697 *138930 *138828 *138874 *138749 138820 *138699 *138979 *138907 138981 *138948 *138931 *139240 *138922 *138780 138984 *139425 *139280 CMV IgG CMV IgM CMV Total CMV Total with reflex to IgM CMV Total with reflex to IgM and IgG C. trachomatis/N. gonorrhoeae (GC/Chlamydia) NAA HBsAg Surface (Hepatitis B Surface Antigen) HBsAg with reflex to confirmatory neutralization assay HBsAg Neutralization HBcore Total (Hepatitis B core Total Antibody) HBcore Total Ab with reflex to IgM HCV (Hepatitis C Virus Antibody) HIV-1 Western Blot HIV-1/HIV-2 without reflex (includes Group O) HIV-1/HIV-2 with reflex to HIV-1 WB (includes Group O) HIV-1/HCV/HBV Ultrio NAT HTLV I/II HTLV I/II with reflex to Immunoblot HTLV Immunoblot RPR with reflex to FTA Syphilis (T pallidum IgG) Additional Tests 138741 ABO/Rh 138901 HIV-2 Antibody Screen with reflex to Immunoblot 139290 T cruzi (Chagas) Antibody 138896 WNV (Procleix NAT) * Required FDA testing (HTLV I/II and CMV Total for leukocyte-rich donors) ** Corresponding panel that includes RPR with reflex to FTA in lieu of Syphilis (T pallidum IgG) Revised: October 27, 2014
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