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Test Code Z1554 Urine Drug Confirmation (23 Targets) Outpatient use only

Important Note

NOTE: Only order this if provider designated this exact Urine Drug Confirmation Test that goes to Corewell. If unsure, contact Holland Hospital Laboratory Services for direction on which urine drug test to order.

Additional Codes

Other Mnemonic
Corewell: SHO1230496

 

Methodology

LC/MS, Enzymatic, Colorimetric

Performing Laboratory

Corewell Health Laboratories

Specimen Requirements

Container/Tube: Plastic urine container

Specimen Volume: 10 mL from a random urine collection, No preservative

Collection Instructions:

  • Keep container upright at all times and check that lid is fastened evenly and securely.
  • Do not send container home with patient, must be collected on site.
  • Do not open container after collection.

Day(s) Test Set Up

Monday-Friday, day shift

Specimen Requirements Additional Information

Refrigerate

Reference Values

23 Panel Includes LC-MS Confirmation for:

Target Drug Common Names and Metabolites
Amphetamines

Amphetamine

 Adderall®, Dexedrine®, Vyvanse®

Methamphetamine

  
Benzodiazepines

Oxazepam

 Serax®  Also a metabolite of Valium®, Librium®, Restoril®

Lorazepam

 Ativan®

Nordiazepam

 Metabolite of Valium®, Librium®

Temazepam

 Restoril®  Also a metabolite of Valium®

Alprazolam

 Target α-OH, Xanax®

Clonazepam

 Target 7-amino, Klonopin®
Cocaine

Benzoylecgonine

 Cocaine metabolite
Fentanyl

Fentanyl

 Duragesic®

Norfentanyl

  
Marijuana (THC Metabolite)

11-nor-9-carboxy-THC

  
Methadone

Methadone

 Dolophine®

EDDP

 Methadone metabolite
Opiates

Codeine

 Tylenol 3®   A small percentage of codeine can metabolize into hydrocodone.

Morphine

 Avinza®, Kadian®, MS Contin®. Metabolite of codeine (10%). Metabolite of 6-MAM. Can also be seen in low concentrations with poppy seed ingestion(<2000 ng/mL). 

6-MAM

 Heroin Metabolite (6-Monacetylmorphine)

Oxycodone

 Endocet®, Percocet®, Oxycontin®

Oxymorphone

 Numorphan®, Opana ER®  Also a metabolite of oxycodone

Hydrocodone

 Lortab®, Norco®, Vicodin®

Hydromorphone

 Dilaudid®, Exalgo®  Also a metabolite of hydrocodone and a minor (<5%) metabolite of morphine
Tramadol

Tramadol 

 Ultram®

Tramadol metabolite

  

 

Includes Adulterants (pH, SG, and creatinine