Referral/Sendouts, Southeast Michigan, Southwest Michigan, West Michigan

Primary Reference Lab Change to Quest Diagnostics

Effective November 19, 2025

Corewell Health Laboratory is transitioning to Quest Diagnostics as our primary reference testing laboratory. This change means that nearly all referral and send-out tests will now be performed by Quest Diagnostics. A limited number of tests will continue to be sent to other laboratories to ensure we meet the needs of our patients and clinicians.

What You Need to Know:

  • Test Crosswalks: Tests currently performed at ARUP and Mayo Clinic Labs will be matched to comparable tests at Quest Diagnostics.
  • Discontinued Tests: Tests with low utilization or those no longer deemed clinically necessary will be discontinued.
  • New LAB Numbers: All tests will receive new LAB numbers, which must be updated in your EMR compendium if interfaced.
  • Collection Devices: Some tests may require different collection devices.
  • Transition Timeline:
    • November 19, 2025: Focus on tests currently referred to ARUP.
    • December 17, 2025: Focus on tests currently referred to Mayo Clinic Labs.
  • Crosswalk Resources: Crosswalks between current and future test offerings will be provided to help you prepare.
  • Test Directory Access: Please refer to your regional Lab Test Directory for details on specific test changes. ARUP and Mayo Clinic Lab test pages will include links to the corresponding Quest Diagnostic tests.

We understand the significance of these changes and are committed to supporting your practice throughout this transition. Updates and modifications will be communicated promptly.

Contact Information:

  • Corewell Health East Sendouts: 248.551.9045
  • Corewell Health West Referrals: 616.267.2753
  • Or use the Contact Us link above.
Emergency, Inpatient, Test Utilization, West Michigan

Hypercoagulation/Thrombophilia Tests No Longer Available for Adult Emergency Room (ED) and Inpatient

Effective 10/29/2025, hypercoagulation/thrombophilia test ordering will no longer be available in the adult inpatient and emergency department settings at Corewell Health West.

This change aligns the hospital system with the American Society of Hematology Choosing Wisely initiative. This will decrease unnecessary costly testing in the inpatient setting and help to prevent inappropriate diagnoses.

The following orders will be impacted by these changes:

  • SH IP HYPERCOAGULATION WORKUP PANEL
  • Protein C Activity [LAB489]
  • Protein S Activity [LAB491]
  • Lupus Screen [LAB478]
  • Antiphospholipid Antibody Syndrome Panel [LAB1230572]
  • Factor V Leiden DNA Analysis [LAB346]
  • Prothrombin G20210A [LAB8340]
  • Factor V Leiden DNA / Prothrombin G20210A [LAB1230857]

Clinical Impact

Two AgileMD pathways are available to support appropriate testing decisions for adult inpatient populations:

  • “Hypercoagulable Testing, Adult, Inpatient” pathway patients with DVT or PE
  • “Hypercoagulable Testing, Adult, Inpatient” for patients with ischemic stroke

For appropriate cases, the following tests remain available:

  • Beta-2 glycoprotein I antibodies (LAB1231793)
  • Cardiolipin Antibodies (LAB1231792)

Note: These pathways do not apply to pediatric patients or pediatric protocols.

Questions or Concerns

For inquiries outside the AgileMD guidance, please contact the hematopathologist covering the coagulation service, or the on-call hematopathologist after hours.

Resources

General Information, Southwest Michigan, West Michigan

Temporary Disruption in Requisition Printing – October 15 to November 3

Due to a vendor transition for printing services at Corewell Health Laboratories Southwest and West, there will be a temporary pause in printing paper requisitions and forms.

Disruption Dates:
October 15 – November 3, 2025

What You Need to Know:

  • No requisitions or forms will be printed or distributed during this time.
  • If you anticipate needing paper requisitions or forms, please email CHWLabServices@corewellhealth.org by October 14 to place an advance order.
  • Orders received during the disruption period will be held and processed on November 3, once printing resumes.

We appreciate your understanding and apologize for any inconvenience this may cause.

Compliance & Safety, Southwest Michigan, West Michigan

Lab Catalog URL Update – Action Required by December 31, 2025

Effective December 31, 2025, the URL corewellhealth.testcatalog.org will be discontinued.
There will be no automatic redirect to the new site.

To avoid disruption of service, please update your saved links or browser favorites for the Lab Catalog (also known as the Lab Test Directory) to:

👉 corewellhealth.org/labcatalog

This landing page allows you to select the appropriate region for you or your patient’s specimen and will always direct you to the most up-to-date catalog URL for your area.

Update your bookmarks today to ensure uninterrupted access to lab testing information.

Southeast Michigan

Discontinuation of Pearl Top Tube Utilization

Updated 10/1/2025

Effective 10/1/2025, 5 mL Pearl top tubes will no longer be utilized for high sensitivity troponin testing at Corewell Health East Laboratories. In lieu of pearl top tubes, 4 mL lavender top tubes will be the preferred tube type for High sensitivity troponin testing. Should a Pearl top tube be sent for high sensitivity Troponin testing, it will still be accepted and testing performed.

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