HISTOPATHOLOGY

histopathology

  • Gold Path provides gross tissue diagnosis, processing, embedding, sectioning and H&E (Hematoxylin & Eosin) staining of NBF (neutral buffered formalin) fixed tissue
  • Specimen Requirements: 10% NBF fixed tissue
  • Supplies for Submission: Specimen containers filled with 10% NBF, appropriately labelled with specimen type, patient name, and
    DOB
  • Storage and Transport: Store specimens at room temperature (15 to 30°C). Transport specimens at ambient temperature (1°C to 55°C).
  • Turn Around Time: 24-48 hours
  • Limitations: Cannot be performed on specimens fixed or processed in alternative fixatives (i.e. alcohol), heavy metal fixatives, or frozen specimens.
  • CPT Codes: 8302, 88304, 88305, 88307, 88309, 88311  
  • Gold Path utilizes numerous staining techniques to highlight specific cellular components or structures within a tissue sample that might not be readily visible with a standard H&E stain.  This allows for more detailed analysis and diagnosis of certain diseases by identifying particular elements like fibers, microorganisms, or deposits within the tissue.
  • Specimen Requirements: 10% NBF (neutral buffered formalin) fixed tissue, FFPE (formalin-fixed, paraffin-embedded) block, or unstained charged slides
  • Supplies for Submission: Specimen containers filled with 10% NBF, or container with with tissue block, or unstained slides, appropriately labelled with specimen type, patient name, and DOB
  • Storage and Transport: Store specimens at room temperature (15 to 30°C). Transport ambient temperature (1°C to 55°C).
  • Turn Around Time: 24-48 hours
  • Limitations: Cannot be performed on specimens fixed or processed in alternative fixatives (i.e. alcohol), heavy metal fixatives, or frozen specimens.
  • CPT Codes: 88312, 88313
  • Special Stains Library 
  • Immunohistochemistry (IHC) plays a central role in the histopathological classification of diseases, including cancer, by utilizing antibodies to detect specific antigens in tissue specimens.  Leveraging high-throughput IHC assays, Gold Path provides clinicians and patients with personalized diagnostic, prognostic, and therapeutic information.  
  • Specimen Requirements: 10% NBF (neutral buffered formalin) fixed tissue, FFPE (formalin-fixed, paraffin-embedded) block, or unstained charged slides
  • Supplies for Submission: Specimen containers filled with 10% NBF, or container with with tissue block, or unstained slides, appropriately labelled with specimen type, patient name, and DOB
  • Storage and Transport: Store specimens at room temperature (15 to 30°C). Transport ambient temperature (1°C to 55°C).
  • Turn Around Time: 24-48 hours
  • Limitations: Cannot be performed on specimens fixed or processed in alternative fixatives (i.e. alcohol), heavy metal fixatives, or frozen specimens.
  • CPT Codes: 88341, 88342, 88344
  • Immunohistochemistry Library

CYTOLOGY

CYTOLOGY

Gold Path performs cytopathology to examine the morphology, structure, and ultrastructure of individual cells.  Specimens are obtained from body fluids, tissue smears, and fine-needle aspirations (FNAs).

CLINICAL CHEMISTRY

CLINICAL CHEMISTRY

Gold Path utilizes advanced high-throughput assays to perform biochemical analysis of blood and body fluids in support of the diagnosis and treatment of disease.

HEMATOLOGY

HEMATOLOGY

Gold Path provides services for analyzing the components of blood, including red blood cells, white blood cells, and platelets, to diagnose and monitor diseases such as anemia, infections, bleeding disorders, and leukemia.

MOLECULAR DIAGNOSTICS

MOLECULAR MICROBIOLOGY

Gold Path uses molecular techniques to identify and characterize microorganisms in clinical specimens, thereby helping clinicians better define infectious processes and treatment options.  Through the analysis of nucleic acids, molecular assays are more sensitive and specific than culturing methods, and they dramatically improve turn-around time.  Results are typically provided within 24 hours of receiving the specimen.  Furthermore, comprehensive panels allow for the simultaneous detection of antibiotic resistant strains, optimizing patient outcomes.

  • Viruses
  • Norovirus GI/GII 
  • Rotavirus A 
  • Sapovirus (GI, GII, GIV, GV)
  • Bacteria 
  • Campylobacter spp. (C. jejuni, C. upsaliensis, C. coli
  • Clostridium difficile (toxin A/B) 
  • Enteroaggregative E. coli (EAEC) 
  • Enteroinvasive E. coli (EIEC)/Shigella 
  • Enteropathogenic E. coli (EPEC) 
  • Enterotoxigenic E. coli (ETEC) LT/ST 
  • Plesiomonas shigelloides 
  • Salmonella spp. 
  • Shiga-like toxin-producing E. coli (STEC) stx1/stx2 (including E. coli O157)
  • Vibrio cholerae
  • Vibrio parahaemolyticus 
  • Vibrio vulnificus
  • Yersinia enterocolitica
  • Protozoa (Parasites) 
  • Cryptosporidium spp. 
  • Cyclospora cayetanensis
  • Entamoeba histolytica 
  • Giardia lamblia 
  • Note: Shiga-like toxin-producing E. coli (STEC) stx1 and stx2 are grouped together and reported
  • Fungal
  • Alternaria spp.
  • Aspergillus spp.
  • Candida albicans
  • Candida glabrata
  • Candida krusei
  • Candida parapsilosis
  • Candida tropicalis
  • Cryptococcus spp.
  • Curvularia spp.
  • Epidermophyton floccosum
  • Fusarium spp.
  • Malassezia spp.
  • Meyerozyma guilliermondii
  • Microsporum canis
  • Sarocladium strictum
  • Scytalidium dimidatum
  • Trichophyton anthropophilic spp.
  • Trichophyton zoophilic spp.
  • Trichosporon spp.
  • Bacteria
  • mecA – antibiotic resistance gene in MRSA 
  • Pseudomonas aeruginosa
  • Viruses
  • Adenovirus 
  • Coronavirus 229E 
  • Coronavirus HKU1 
  • Coronavirus NL63 
  • Coronavirus OC43 
  • Metapneumovirus A+B 
  • Influenza A 
  • Influenza A subtype H1 
  • Influenza A subtype H1N1 pdm09 
  • Influenza A subtype H3 
  • Influenza B 
  • Parainfluenza virus 1 
  • Parainfluenza virus 2 
  • Parainfluenza virus 3 
  • Parainfluenza virus 4 
  • Respiratory Syncytial Virus (RSV) A+B 
  • Rhinovirus/Enterovirus 
  • SARS-CoV-2 (COVID-19) 
  • Bacteria
  • Bordetella pertussis 
  • Chlamydophila pneumoniae 
  • Mycoplasma pneumoniae 
  • Note: Enterovirus and Rhinovirus are both detected, but not differentiated
  • Influenza A 
  • Influenza B 
  • Respiratory Syncytial Virus (RSV) 
  • Rhinovirus/Enterovirus
  • SARS-CoV-2 (COVID-19)
  • Note: Enterovirus and Rhinovirus are both detected, but not differentiated
  • SARS-CoV-2 (COVID-19) 
  • Bacteria
  • Chlamydia Trachomatis
  • Neisseria gonorrhoeae
  • Treponema pallidum (Syphilis)
  • Protozoa (Parasite)
  • Trichomonas vaginalis
  • Viruses
  • Herpes Simplex Virus 1 (HSV-1)
  • Herpes Simplex Virus 2 (HSV-2)
  • Human Immunodeficiency Virus 1 (HIV-1)
  • Human Immunodeficiency Virus 2 (HIV-2)
  • Bacteria
  • Acinetobacter baumannii
  • Bacteroides fragilis
  • Citrobacter braakii / Citrobacter freundii
  • Citrobacter koseri
  • Enterobacter cloacae
  • Enterococcus spp.
  • Escherichia coli
  • Klebsiella aerogenes
  • Klebsiella michiganensis / Klebsiella oxytoca
  • Klebsiella pneumoniae
  • Morganella morganii
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Prevotella bivia
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Staphylococcus saprophyticus
  • Streptococcus agalactiae
  • Streptococcus pyogenes
  • Ureaplasma urealyticum
  • Antibiotic Resistance Genes
  • blaKPC  – Carbapenem resistance in Klebsiella spp.
  • blaNDM – Carbapenem resistance in Enterobacterales, Pseudomonas spp., A. baumanni
  • CTX-M-Group 1 – Cephalosporin (third generation) resistance in Enterobacterales
  • dfrA – Trimethoprim resistance
  • mecA – Methicillin resistance in S. aureus (MRSA)
  • qnr – Fluoroquinolone resistance in Enterobacteriaceae
  • sul – Sulfonamide resistance in E. coli, P. aeruginosa, Klebsiella spp., A. baumannii, and Salmonella spp.
  • VRE vanA – Vancomycin and teicoplanin resistance in Enterococci
  • VRE vanB – Vancomycin resistance in Enterococci
  • Fungal
  • Candida albicans
  • Candida dubliniensis
  • Candida glabrata
  • Candida krusei
  • Candida parapsilosis
  • Candida tropicalis
  • Bacteria
  • Atopobium vaginae
  • Bacterial Vaginosis-Associated Bacterium 2 (BVAB-2)
  • Bacteroides fragilis
  • Chlamydia Trachomatis
  • Enterococcus spp.
  • Escherichia coli
  • Gardnerella vaginalis
  • Haemophilus ducreyi
  • Lactobacillus crispatus
  • Lactobacillus gasseri
  • Lactobacillus iners
  • Lactobacillus jensenii
  • Mobiluncus curtisii
  • Mobiluncus mulieris
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Megasphaera type 1 
  • Megasphaera type 2
  • Neisseria gonorrhoeae
  • Prevotella bivia
  • Staphylococcus aureus
  • Streptococcus agalactiae
  • Treponema pallidum
  • Ureaplasma urealyticum
  • Fungal
  • Candida albicans
  • Candida dubliniensis
  • Candida glabrata
  • Candida krusei
  • Candida lusitaniae
  • Candida parapsilosis
  • Candida tropicalis
  • Protozoa (Parasite)
  • Trichomonas vaginalis
  • Viruses
  • Herpes Simplex Virus 1 (HSV-1)
  • Herpes Simplex Virus 2 (HSV-2)
  • Bacteria
  • Acinetobacter baumannii
  • Bacteroides fragilis
  • Citrobacter braakii / Citrobacter freundii
  • Citrobacter koseri
  • Enterobacter cloacae
  • Enterococcus spp.
  • Escherichia coli
  • Klebsiella aerogenes
  • Klebsiella michiganensis / Klebsiella oxytoca
  • Klebsiella pneumoniae
  • Morganella morganii
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Prevotella bivia
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Staphylococcus saprophyticus
  • Streptococcus agalactiae
  • Streptococcus pyogenes
  • Ureaplasma urealyticum
  • Antibiotic Resistance Genes
  • blaKPC  – Carbapenem resistance in Klebsiella spp.
  • blaNDM – Carbapenem resistance in Enterobacterales, Pseudomonas spp., A. baumanni
  • CTX-M-Group 1 – Cephalosporin (third generation) resistance in Enterobacterales
  • dfrA – Trimethoprim resistance
  • mecA – Methicillin resistance in S. aureus (MRSA)
  • qnr – Fluoroquinolone resistance in Enterobacteriaceae
  • sul – Sulfonamide resistance in E. coli, P. aeruginosa, Klebsiella spp., A. baumannii, and Salmonella spp.
  • VRE vanA – Vancomycin and teicoplanin resistance in Enterococci
  • VRE vanB – Vancomycin resistance in Enterococci
  • Fungal
  • Candida albicans
  • Candida dubliniensis
  • Candida glabrata
  • Candida krusei
  • Candida parapsilosis
  • Candida tropicalis