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SCHS Laboratory Services:

Lab orders and Forms

Lab Requisitions: call 541-706-7717 to order or access EpicCare Link to submit electronically.
Phlebotomy Therapy - Providers Request to Schedule Appt
Clinic Request - Electronic Order Cancelation Form
Provider Request ICD10 correction - update, correction or additional information

Medicare Medical Necessity Guide and Online ABN:

ABNs English or Spanish

Commercial Insurance Waiver

Patient Responsibility Waiver Cmmercial Insurance English or Spanish

SCHS Specimen Container Guide

Genetic Testing Pre-Authorization

PacificSource Genetic Testing Program FAQ
SCHS Letter to Providers regarding Genetic Testing Pre-Authorization requirements
Aim Provider Portal for Genetic Testing Authorizations
Starting May 1, 2026, Moda Health members in Oregon, Idaho and Alaska will require prior authorization through EviCore for genetic testing services for dates of service on or after May 1, 2026. Moda Health com/medical referrals

Reference Ranges

St.Charles Lab Ref Range (updated 3-16-2023)

Useful Links

MEMOS:

Mayo Clinic Laboratories

Page 7 of 7 Tests Beginning with C 155 entries

CFMP	Cystic Fibrosis, CFTR Gene, Variant Panel, Varies Mayo Clinic Laboratories in Rochester
CYSQN	Cystinuria Profile, Quantitative, 24 Hour, Urine Mayo Clinic Laboratories in Rochester
CMVQN	Cytomegalovirus (CMV) DNA Detection and Quantification by Real-Time PCR, Plasma Mayo Clinic Laboratories in Rochester
CMVPV	Cytomegalovirus (CMV) Molecular Detection, PCR, Varies Mayo Clinic Laboratories in Rochester
ANCA	Cytoplasmic Neutrophil Antibodies, Serum Mayo Clinic Laboratories in Rochester