This requisition is used for immunohistochemistry tech-only.

Insurance List - This document lists (Michigan Only) insurances for laboratory services. Laboratory testing benefits, copays, referral and prior authorization requirements may vary by individual policy.

Insurance, List

This requisition can be used for sending testing performed by the Michigan Center for Translational Pathology (MCTP) Molecular Testing Laboratory, which includes PCA3, MPS (MyProstateScore), and Circulating Tumor Cells by CellSearch.

A signed Advance Beneficiary Notice of Non-coverage (ABN) form must accompany any samples sent for PCA3 or MPS testing from Medicare patients when MLabs will be billing Medicare or the patient.

This flyer covers 11 of MLabs germline panels, including: Colorectal Cancer Germline NGS Panel,  Endometrial/Uterine Cancer Germline NGS Panel, Hereditary Breast and Ovarian Cancer, Comprehensive Cancer Germline NGS Panel, Hereditary Breast and Ovarian Cancer, High-Moderate Risk Cancer Germline NGS Panel, Melanoma Cancer Germline NGS Panel, Neurofibromatosis Cancer Germline NGS Panel, Pancreatic Cancer Germline NGS Panel, Paraganglioma Cancer Germline NGS Panel, Prostate Cancer Germline NGS Panel, Renal Cancer Germline NGS Panel, Stomach Cancer Germline NGS Panel.

Germline, Molecular, Tests, Panels

This requisition should accompany specimens sent for BRCA testing performed by the Michigan Medical Genetics Laboratories (MMGL) Molecular Genetics Laboratory.

This requisition should accompany specimens sent for testing performed by the Michigan Medical Genetics Laboratories (MMGL) Molecular Genetics Laboratory.

This requisition includes an expanded menu of Molecular Diagnostics assays. Complete and submit this form with all requests for the Cystic Fibrosis Mutation Detection or other molecular diagnostics assays.

The molecular services brochure covers details about our genetic, molecular oncology and translational services. 

Instructions cover all specimens for the Pap Test that include cervical, cervical and vaginal, endocervical, vaginal and/or vulvar scrapings or brushings. In addition, instructions include details for collecting patient clinical history, specimen collection and overview of unsatisfactory results from improper collection.