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Laboratory Services

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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General Information

Test Update: Drug Screening Updates

Effective September 3, 2025, Drug Screen with Alcohol and Drug Screen without Alcohol will be discontinued for inpatient testing. The replacement test would be Drug Screen, Immunoassay, Urine [LAB677] for ED and inpatient.
Drug Screen Toxicology, Immunoassay, Urine [LAB3227] is available for outpatient testing.
For any questions or concerns, please contact your account manager or use the contact us link above.

Test Information

Discontinued Tests:
  • Drug Screen with Alcohol, Immunoassay, Urine [LAB2111694]
  • Drug Screen without Alcohol, Immunoassay, Urine [LAB2111041]
General Information

MRSA PCR: Updated indications for ordering

Effective Date: September 3, 2025

The MRSA Screen PCR [LAB1231076] detects the presence or absence of colonization with methicillin-resistant Staphylococcus aureus (MRSA) and may be used to guide antimicrobial prophylaxis decisions. To improve and standardize test utilization across all Corewell Health regions, the following restrictions will be added to this test order:

  • Ordering will be restricted to one test every 7 days.
  • An indication for ordering must be provided for each order. Acceptable indications are:
    • Pneumonia
    • Skin and soft tissue (use for non-purulent infections)
    • Surgical prophylaxis

Studies have shown that there is minimal utility in re-testing within 2 weeks as MRSA conversion rates are low and the PCR negative predictive values remain high for at least 14 days after initial testing.

Absence of nasal colonization with MRSA cannot be used to reliably rule out MRSA infection in scenarios other than those listed above.

Test Information

MRSA Screen PCR [LAB1231076]