Referral
Readiness
Calculator
Three inputs. Instant turnaround estimate. Know exactly when your patient's diagnostic picture becomes clear.
peripheral blood smears, flow panels, or coag specimens
ProjectedTimeline
Estimates update as you adjust inputs. Based on current lab capacity as of Feb 26, 2026.
Peripheral Smear Review
Morphology assessment begins
Thu, Feb 26
11:00 PM
Preliminary Report
Key findings + immunophenotype
Fri, Feb 27
1:00 PM
Full Panel Complete
Molecular markers + final sign-out
Sat, Feb 28
8:00 AM
Turnaround guarantee honored — lab capacity confirmed
2
Specimens
48h
Turnaround
3
Reports
Step 01
Specimen Collection
Preparation protocols that preserve diagnostic integrity
Collection Requirements
Peripheral Blood
EDTA tube (lavender top), 3–5 mL. Draw within 4h of smear preparation. Temperature: 18–22°C during transit.
Bone Marrow Aspirate
EDTA anticoagulant, ≥2 mL. Clot-free — critical for flow cytometry viability. Concurrent core biopsy in formalin.
Coagulation Studies
Sodium citrate tube (blue top), 2.7 mL. Fill to line precisely. Spin within 1h; double-centrifuge for platelet-poor plasma.
Packaging Protocols
Primary Container
Leak-proof, labeled with two patient identifiers. Specimen ID barcode affixed to tube body — not cap.
Secondary Containment
Absorbent material wrapping. Rigid outer box, Category B UN3373 labeling for biological substances.
Requisition Form
Marrow REQ-1 form — clinical history, ICD-10 code, referring physician NPI, and specimen collection timestamp required.
99.2%
Smear Quality Rate
<2h
Prep to Ship
0
Rejected Specimens YTD
Step 02
Shipping & Chain of Custody
Every specimen tracked from draw to sign-out
Shipping Logistics
Courier Partners
FedEx Medical Priority and World Courier. Pickup available same day before 3 PM local. Overnight guaranteed by 10:30 AM.
Transit Windows
Peripheral blood: ≤24h transit. Bone marrow: ≤6h transit preferred. Coagulation: ≤4h, refrigerated (2–8°C).
Receiving Address
Marrow Reference Lab · 1140 NW 14th St, Suite 310 · Miami, FL 33136. Receiving hours: Mon–Fri 7 AM–8 PM, Sat 8 AM–2 PM.
Chain-of-Custody Tracking
Digital Manifest
Scan the QR on your REQ-1 form to activate real-time tracking. Each handoff logged with timestamp and handler ID.
Arrival Notification
SMS + email alert sent to referring physician within 15 minutes of specimen accessioning. Includes accession number for portal access.
Regulatory Compliance
Full audit trail maintained per CAP checklist GEN.40495. HIPAA-compliant chain-of-custody documentation available on demand.
100%
Tracked Shipments
15 min
Arrival Alert
24/7
Portal Access
Step 03
Analytical Pipeline
Three sequential layers of analysis — morphology, immunophenotyping, molecular markers — each sharpening diagnostic resolution.
48-Hour Analysis Timeline
Morphology Review
Peripheral smear · Bone marrow
Immunophenotyping
Flow cytometry · 10-color panel
Molecular Markers
FISH · PCR · NGS panel
Full Panel Completion
≤ 48 Hours
Disorder-Specific Panels
Unexplained Cytopenia
24h TATBoard-certified hematopathologist signs every report. Direct phone consultation available for complex cases within the turnaround window.
Step 04
Report Delivery & EHR Integration
Results reach you in the format your workflow demands — before the patient's next appointment.
Report Delivery Formats
Structured PDF Report
Instant deliverySigned, stamped PDF with CAP-compliant format. Includes interpretive comments, reference ranges, and pathologist attestation.
HL7 FHIR Message
Real-timeStructured R4-compliant FHIR DiagnosticReport resource. Delivered to your endpoint within 5 minutes of sign-out.
Tabular CSV / Excel
Trial coordinatorsMachine-readable result tables for clinical trial data management. Column headers match CDISC SDTM conventions.
Clinical Summary Snapshot
Physician-firstOne-page visual summary designed for rapid physician review — key findings, interpretive flags, and recommended next steps.
EHR Integration Options
Direct interface setup in 2 business days. Our integration team handles mapping, testing, and go-live with your IT department.
HIPAA BAA included with all EHR integration agreements. Results transmitted over TLS 1.3 encrypted channels.
Bidirectional order entry available for Epic and Cerner — place orders from within the EHR, results route back automatically.
48h
Maximum Turnaround
Routine full panel
6
EHR Systems
Direct interface
99.7%
On-Time Delivery
Past 12 months
2 days
Integration Setup
From signed BAA
Start Your Referral
Two paths to your first diagnostic answer.
Ready to refer? Schedule a 15-minute call. Not ready yet? Download the specimen preparation guide first.
Schedule a Referral Call
15 minutes · A hematopathologist joins
Download Specimen Guide
PDF · 14 pages · Updated Feb 2026
Guide Covers
CAP Accredited
#8143-01
CLIA Certified
#05D2156284
Board Certified
Hematopathology