NPHL has moved to an electronic ordering system, NUlirt, and it is now the preferred method to order all tests. Once ordered, print a "batch list" (see
NUlirt Guide).
Forms Required - NUlirt batch list of NPHL Test Request Form (completed in its entirety) must accompany the specimen to include the following information: symptoms and date of onset, pregnancy status, travel and vaccine history. Testing
will not be performed without all required information.
Please call NPHL Client Services at 402-559-2440 or toll free at 800-334-0459 for further clarification.
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| Test: |
Metals, Urine (Lead, Cadmium and Mercury) (TES, UM)
- For emergency Response/Chemical Terrorism only
- Contact NPHL emergency pager before sending specimen 402-888-5588
|
| Method: |
ICP-MS |
| Availability: |
- Emergency response only
- Reported within 24 hours of receipt
|
| Specimen: |
Urine |
| Collection Device: |
Standard urine container |
| Volume: |
Minimum: 1 mL |
| Storage/Transport: |
- Transported at -20 ºC
- Shipped on dry ice
|
| Unacceptable: |
- Low volume (<1 mL)
- Inappropriate storage temperature
- Damaged collection containers
- Suspected contamination
|
| Specimen Stability: |
Long term stability at -20 ºC |
| Reference Interval: |
The following reference ranges for this method are taken from the Fourth National Report on Exposures to Environmental Chemicals
| Analyte |
Survey Years |
Geometric Mean |
Percentile |
| 50th |
75th |
90th |
95th |
N |
| Be |
07 - 08 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
2627 |
| 09 - 10 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
≤ 0.072 |
2848 |
| Ba |
07 - 08 |
1.56 |
1.64 |
3.01 |
4.93 |
7.04 |
2627 |
| 09 - 10 |
1.47 |
1.48 |
2.81 |
4.66 |
6.78 |
2848 |
| TI |
07 - 08 |
0.146 |
0.16 |
0.25 |
0.33 |
0.4 |
2627 |
| 09 - 10 |
0.144 |
0.16 |
0.24 |
0.34 |
0.41 |
2848 |
| Pb |
07 - 08 |
0.493 |
0.5 |
0.85 |
1.38 |
1.97 |
2627 |
| 09 - 10 |
0.458 |
0.47 |
0.79 |
1.24 |
1.65 |
2848 |
| U |
07 - 08 |
0.007 |
0.007 |
0.013 |
0.024 |
0.039 |
2627 |
| 09 - 10 |
0.007 |
0.007 |
0.013 |
0.022 |
0.036 |
2848 |
| Cd |
07 - 08 |
0.185 |
0.18 |
0.38 |
0.7 |
1 |
2627 |
| 09 - 10 |
0.179 |
0.18 |
0.37 |
0.69 |
1.03 |
2848 |
| As |
07 - 08 |
8.1 |
7.49 |
14.9 |
33.3 |
50.8 |
2605 |
| 09 - 10 |
9.28 |
8.15 |
18 |
44.6 |
85.6 |
2860 |
|
| Comments: |
Contact NPHL emergency pager before sending specimen 402-888-5588 |
| Revised: |
10/24/2025 |
If you have questions about proper specimen collection, please call
NPHL Client Services at 402-559-2440 or toll free at 800-334-0459.
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