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Yes, a properly completed Test Request Form (TRF) is required for all tests. Clinical information and a pedigree is recommended for all tests. Providing this information is critically important in helping us to interpret genotype variations and to provide optimal genotype analysis on your patient.
For the current price list, please email us at mdl@coh.org with your name, title and institution.
Prenatal samples must arrive on a Monday, Tuesday, or Wednesday (see Prenatal Specimen Requirements below). It is preferred that other samples arrive at MDL during the week, however we are capable of receiving samples at other times.
 
Prenatal Specimen Requirements
Amniocentesis/CVS samples: 2 T25 flasks of confluent cells sent padded to arrive on M/Tu/W/Th. Testing is not available on uncultured amniocentesis or CVS.
 
A blood sample from the mother is also required (6 ccs in ACD, yellow top) for use as positive control. Maternal cell contamination studies are not done here but are required for autosomal disorders and dosage analysis on X-linked disorders. MDL can assist in coordinating sending out a specimen for this purpose.
 
Amniocentesis and CVS samples are accepted for prenatal testing only for known mutations. MDL does not perform carrier testing on a female fetus for hemophilia A or B. A copy of the cytogenetics report is required on samples sent in for prenatal diagnosis.

 Specimen Requirements

Tests that require blood samples

Blood samples: 2 tubes with a total of 6 ccs in ACD (yellow top) or EDTA (lavender top) tubes. Keep ambient temperature and ship by overnight courier. Samples must be received in our laboratory within 72 hours of draw.

Note:

  • For infants, a minimum of 3 ccs is sufficient
  • We accept DNA; at least 10 micrograms

Tests that require tissue samples

Microsatellite Instability (MSI)

We request formalin-fixed, paraffin-embedded tissue samples.  Please submit:

  • 6 slides of tumor sample (5 micron serial sections, unstained; 1 H/E stained).
  • 6 slides of matched normal tissue (bordering tissue, normal lymph node(s), unstained; 1 H/E stained).
  • Blood samples: 2 tubes (6 ccs each) in ACD (yellow top) or EDTA (lavender top) tubes (blood sample is used as a back-up normal control in case normal control from tissue sample is unsuccessful).

Ensure that the slides are clearly labeled with the patient name or identifier, date of birth, and type of sample (tumor, normal). Place slides in appropriate containers to ensure against breakage. Alternatively, the paraffin blocks may be submitted.

Immunohistochemistry (IHC) 

We request formalin-fixed, paraffin-embedded tissue samples. Ensure that the blocks are clearly labeled with the patient name or identifier, date of birth, and type of sample (tumor, normal). A copy of the pathology report should accompany the tissue block. We prefer to receive tissue blocks, but if they are not available, we will accept unstained slides (please submit one slide per antibody to be tested plus one for H&E, cuts must be 4 microns thick). Place slides in appropriate containers to ensure against breakage.

Epidermal Growth Factor Receptor (EGFR), KRAS, BRAF, PDGFRA mutation analysis

Formalin-fixed, paraffin-embedded tissue samples are accepted. We require one H&E slide (4 micron section) with a coverslip to serve as a reference slide, and five unstained slides (10 micron sections) with no coverslips. If the sample is a needle biopsy or clearly has very little tumor, please send additional slides. Ensure that the slides are clearly labeled with the patient name or identifier and date of birth and type of sample. Place slides in appropriate containers to ensure against breakage. Alternatively, the paraffin blocks may be submitted (they will be returned). Please call for any questions regarding sample requirements.

Prenatal Specimen Requirements

Amniocentesis/CVS samples: 2 T25 flasks of confluent cells sent padded to arrive on M/Tu/W. Testing is not available on uncultured amniocentesis or CVS.

A blood sample from the mother maybe required (2 tubes with a total of 6 ccs in ACD (yellow top) or EDTA (lavender top) tubes) for use as positive control. Maternal cell contamination studies are not done here but are required for autosomal disorders and dosage analysis on X-linked disorders. MDL can assist in coordinating sending out a specimen for this purpose.

Amniocentesis and CVS samples are accepted for prenatal testing only for known mutations. MDL does not perform carrier testing on a female fetus for hemophilia A or B. A copy of the cytogenetics report is required on samples sent in for prenatal diagnosis.

 Test Request Form

All tests require the MDL Test Request Form (TRF) (download from the forms page).

 CPT Codes

 Shipping Information

Please contact MDL Client Services if you would like to request a specimen collection kit or shipping label. You must include a completed Test Request Form (TRF) with every sample. If the Test Request Form (TRF) is not complete, testing WILL be delayed. The MDL is open Monday to Friday, 7:00 am to 5:00 pm Pacific time.

Please try to schedule specimen collection to ensure delivery during these hours. If it is necessary to schedule delivery during holidays and weekends, the samples will be held until working hours. Please note that, occasionally, for samples that are received on the weekends or holidays, a second sample is requested due to DNA extraction failure.

All specimens should be shipped to:

Molecular Diagnostic Laboratory
City of Hope 
Northwest Building, Second Floor, Room 2236
1500 East Duarte Road
Duarte, CA 91010