Clinical Chemistry
A Subspecialty Of Clinical Pathology
About Clinical Chemistry
Clinical chemistry is the biochemical analysis of body fluids in support of the diagnosis and treatment of disease. Testing in this specialty utilizes chemical reactions to identify or quantify levels of chemical compounds in bodily fluids.
Testing
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Our Faculty
The Stanford Clinical Chemistry Service offers a wide range of testsused to detect and quantify different compounds in blood, urine, and body fluids. Our services are available to patients within Stanford Healthcare, Stanford Children’s Health and outreach clients.
Testing at Stanford Healthcare’s Clinical Chemistry Laboratory is performed on multiple highly automated analyzers utilizing spectrophotometry, immunoassays, mass spectrometry, and other methods to assess a variety of analytes in electrolyte, basic and comprehensive metabolic, lipid, liver, renal, cardiac panels.
Electrolyte Panel
An electrolyte panel measures sodium, potassium, chloride, and bicarbonate to help detect electrolyte and fluid imbalances.
Basic and Comprehensive Metabolic Panels
We offer basic and comprehensive metabolic panels (Met B and Met C) that check for electrolyte abnormalities, organ function as the kidneys, and other metabolic abnormalities. The Met B panel includes an electrolyte panel, kidney function tests, glucose, and calcium.
A comprehensive metabolic panel (Met C) includes an electrolyte panel, kidney function tests, and liver function tests, glucose, and calcium. The Met C panel differs from Met B panel in that it includes tests for liver function.
Liver Tests
Liver tests measure alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate transaminase (AST), bilirubin, albumin, and total protein.
Renal Tests
The renal function panel contains tests such as albumin, creatinine, blood urea nitrogen, and a calcuated eGFR to assesses the overall function of the kidneys.
Lipid Panel
The lipid panel is used to assess a person's risk of developing cardiovascular disease or as a preventive measure to check any risks depending on factors like eating habits, diet, stress, exercise, and lifestyle-related. The standard lipid panel typically measures the total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides blood levels.
Toxicology
Our toxicology services evaluate for drugs of abuse including opioids and alcohol.
Urine Drug of Abuse Screen
Urine drug screens are ordered on patients who exhibit symptoms of intoxication, experience trauma or have a history of drug ingestion. See the full range of tests in the test directory.
Therapeutic Drug Monitoring
Clinical Chemistry offers evaluation of drug level monitoring for efficacy and dosage timing in transplant recipients and other key patient populations. Accurate measurements of therapeutic medication levels support optimal dosage. Tests are offered for monitoring therapy with various antiepileptic, cardiac chemotherapeutic, and immunosuppressive drug, and forevaluating suspected poisonings. Immunosuppressive drugs (cyclosporine, tacrolimus and sirolimus) are analyzed using state of the art tandem mass spectrometry.
Clinical Endocrinology
We provide a full spectrum of testing for the study of hormones, and the diagnosis of endocrine disorders. Rapid results are available for a range of assays including, diabetes diagnosis and monitoring and thyroid function testing. Our full range of diagnostic tests for patients with endocrine disorders includes thyroid, parathyroid, pituitary, pancreas, adrenal, and gonadal testing.
Lipids & Cardiovascular Risk
We offer comprehensive assessment of cardiac risk including the diagnosis of acute myocardial infarction.
Intraoperative PTH
Parathyroid hormone measurements in blood specimens are performed in real time in the operating room to follow the progress of parathyroid surgery.
Blood Gas Analysis
Blood gas analysis is performed on venous, arterial, and cord blood using blood gas analyzers to determine the acid-base status of an individual. The blood gas analyzers measures pH, pCO2, pO2, sodium, potassium, chloride, ionized calcium, glucose, and lactate concentrations. A full co-oximetry (oxygen saturation, carboxyhemoglobin, methemoglobin) and derive values for base excess, bicarbonate, p50, and total carbon dioxide are also provided.
Test Directory
Find tests related to Clinical Chemistry services.
Sample Submission
All specimens must be accompanied by a Stanford requisition and all samples must be labeled with the patient’s name, and at least one other unique identifier.
Proper specimen collection is vital to ensuring an accurate test result. A fasting specimen is preferred or required for many laboratory tests to reduce possible test interference. Please refer to the individual test listing in the Test Directory for fasting requirements collection requirements.
Shipping
Samples should be shipped or delivered via courier to:
Stanford Clinical Laboratories
Attn: Specimen Processing
3375 Hillview Avenue
Palo Alto, CA 94304
Customer Service Phone: 1-877-717-3733
New Client Inquiries
To arrange to be set up as a new client, please contact:
ClinOpsContracts@stanfordhealthcare.org.
Contact Us
To submit a sample to Clinical Chemistry, please complete a requisition and send with sample to:
Stanford Clinical Laboratories
Attn: Specimen Processing
3375 Hillview Avenue
Palo Alto, CA 94304
Customer Service Phone:
1-877-717-3733
Medical Directors:
Raffick Bowen, PhD, MHA, MLT
Run Shi, MD, PhD
To arrange to be set up as a new client, please contact:
ClinOpsContracts@
stanfordhealthcare.org
SAMPLE SUBMISSION LOGISTICS
For more information on submitting cases, see the links below:
All Requisitions
Download Stanford Requisitions for specimen submission.
Account Set-up
Information on personalized requisitions, supplies, shipping and courier pick-up.
Pricing Inquiries
Pricing inquiries and contract information.
Billing
Billing policies, information and questions.
Results Web Portal
Request access or log-in to our client results portal.
Specimen Collection and Handling
Specifications for Specimen Collection and Handling.
Consult Service FAQ's
Get answers to Frequently Asked Questions.
Raffick Bowen, PhD, MHA, MLT
APPOINTMENTS
- Clinical Professor of Pathology
- Co-Director, Clinical Chemistry and Immunology Laboratory
PRACTICE AREAS
- Clinical Pathology
- Clinical Chemistry
- Immunology
The Stanford Clinical Chemistry Service offers a wide range of testsused to detect and quantify different compounds in blood, urine, and body fluids. Our services are available to patients within Stanford Healthcare, Stanford Children’s Health and outreach clients.
Testing at Stanford Healthcare’s Clinical Chemistry Laboratory is performed on multiple highly automated analyzers utilizing spectrophotometry, immunoassays, mass spectrometry, and other methods to assess a variety of analytes in electrolyte, basic and comprehensive metabolic, lipid, liver, renal, cardiac panels.
Electrolyte Panel
An electrolyte panel measures sodium, potassium, chloride, and bicarbonate to help detect electrolyte and fluid imbalances.
Basic and Comprehensive Metabolic Panels
We offer basic and comprehensive metabolic panels (Met B and Met C) that check for electrolyte abnormalities, organ function as the kidneys, and other metabolic abnormalities. The Met B panel includes an electrolyte panel, kidney function tests, glucose, and calcium.
A comprehensive metabolic panel (Met C) includes an electrolyte panel, kidney function tests, and liver function tests, glucose, and calcium. The Met C panel differs from Met B panel in that it includes tests for liver function.
Liver Tests
Liver tests measure alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate transaminase (AST), bilirubin, albumin, and total protein.
Renal Tests
The renal function panel contains tests such as albumin, creatinine, blood urea nitrogen, and a calcuated eGFR to assesses the overall function of the kidneys.
Lipid Panel
The lipid panel is used to assess a person's risk of developing cardiovascular disease or as a preventive measure to check any risks depending on factors like eating habits, diet, stress, exercise, and lifestyle-related. The standard lipid panel typically measures the total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides blood levels.
Toxicology
Our toxicology services evaluate for drugs of abuse including opioids and alcohol.
Urine Drug of Abuse Screen
Urine drug screens are ordered on patients who exhibit symptoms of intoxication, experience trauma or have a history of drug ingestion. See the full range of tests in the test directory.
Therapeutic Drug Monitoring
Clinical Chemistry offers evaluation of drug level monitoring for efficacy and dosage timing in transplant recipients and other key patient populations. Accurate measurements of therapeutic medication levels support optimal dosage. Tests are offered for monitoring therapy with various antiepileptic, cardiac chemotherapeutic, and immunosuppressive drug, and forevaluating suspected poisonings. Immunosuppressive drugs (cyclosporine, tacrolimus and sirolimus) are analyzed using state of the art tandem mass spectrometry.
Clinical Endocrinology
We provide a full spectrum of testing for the study of hormones, and the diagnosis of endocrine disorders. Rapid results are available for a range of assays including, diabetes diagnosis and monitoring and thyroid function testing. Our full range of diagnostic tests for patients with endocrine disorders includes thyroid, parathyroid, pituitary, pancreas, adrenal, and gonadal testing.
Lipids & Cardiovascular Risk
We offer comprehensive assessment of cardiac risk including the diagnosis of acute myocardial infarction.
Intraoperative PTH
Parathyroid hormone measurements in blood specimens are performed in real time in the operating room to follow the progress of parathyroid surgery.
Blood Gas Analysis
Blood gas analysis is performed on venous, arterial, and cord blood using blood gas analyzers to determine the acid-base status of an individual. The blood gas analyzers measures pH, pCO2, pO2, sodium, potassium, chloride, ionized calcium, glucose, and lactate concentrations. A full co-oximetry (oxygen saturation, carboxyhemoglobin, methemoglobin) and derive values for base excess, bicarbonate, p50, and total carbon dioxide are also provided.
Test Directory
Find tests related to Clinical Chemistry services.
close Testing
Sample Submission
All specimens must be accompanied by a Stanford requisition and all samples must be labeled with the patient’s name, and at least one other unique identifier.
Proper specimen collection is vital to ensuring an accurate test result. A fasting specimen is preferred or required for many laboratory tests to reduce possible test interference. Please refer to the individual test listing in the Test Directory for fasting requirements collection requirements.
Shipping
Samples should be shipped or delivered via courier to:
Stanford Clinical Laboratories
Attn: Specimen Processing
3375 Hillview Avenue
Palo Alto, CA 94304
Customer Service Phone: 1-877-717-3733
New Client Inquiries
To arrange to be set up as a new client, please contact:
ClinOpsContracts@stanfordhealthcare.org.
Contact Us
To submit a sample to Clinical Chemistry, please complete a requisition and send with sample to:
Stanford Clinical Laboratories
Attn: Specimen Processing
3375 Hillview Avenue
Palo Alto, CA 94304
Customer Service Phone:
1-877-717-3733
Medical Directors:
Raffick Bowen, PhD, MHA, MLT
Run Shi, MD, PhD
To arrange to be set up as a new client, please contact:
ClinOpsContracts@
stanfordhealthcare.org
SAMPLE SUBMISSION LOGISTICS
For more information on submitting cases, see the links below:
All Requisitions
Download Stanford Requisitions for specimen submission.
Account Set-up
Information on personalized requisitions, supplies, shipping and courier pick-up.
Pricing Inquiries
Pricing inquiries and contract information.
Billing
Billing policies, information and questions.
Results Web Portal
Request access or log-in to our client results portal.
Specimen Collection and Handling
Specifications for Specimen Collection and Handling.
Consult Service FAQ's
Get answers to Frequently Asked Questions.
close Submit a Sample
Raffick Bowen, PhD, MHA, MLT
APPOINTMENTS
- Clinical Professor of Pathology
- Co-Director, Clinical Chemistry and Immunology Laboratory
PRACTICE AREAS
- Clinical Pathology
- Clinical Chemistry
- Immunology
close Our Faculty
Residencies and Fellowships
Clinical Pathology Residency Programs »
Stanford Pathology offers Clinical Pathology residencies as well as a combination Anatomic Pathology/Clinical Pathology Residency.