Testing includes Hemoglobins A1, A2, C, F and S. By ordering this test, the clinician acknowledges that a pathologist interpretation will be performed and billed as a separate charge if indicated. Confirmation of all new cases of hemoglobin variants and homozygous sickle samples will be performed in-house by capillary electrophoresis or by an outside reference laboratory at an additional charge. By ordering this test the clinician acknowledges that additional reflex testing will be performed and billed at a separate additional charge if indicated. All confirmation testing will be performed on test systems different from initial test system, as per CAP requirements. Various sendout confirmation test sites may be utilized depending on the complexity or uniqueness of the hemoglobinopathy. Confirmation tests may include pathologist interpretation of results at an additional charge.