Lab Services Overview

Periodic or yearly lab results can provide important information on health status and risk for future illness. Susan has organized several custom wellness lab panels that clients or visitors to this website can order and complete at Labcorp. Sometimes she draws blood in the office during an appointment.

The cost of the labs is paid in full by credit card or HSA card. There are no additional bills. The prices include phlebotomy services, order authorization, shipping fees, lab processing, HIPAA compliant electronic communication of results and a phonecall and email if unexpected critical results are received. Results are completely private and do not populate into any electronic medical record system besides this practice’s Client Portal and the Labcorp Patient Portal. If someone orders labs through this practice without a Medical Visit, Susan will provide some basic interpretation if requested.

Many people are unaware Virginia residents have the right to obtain labs on their own without a medical appointment when they are paying for the labs without health insurance. If someone would like labs to be run through their insurance, Susan will provide a written order during a Medical Visit to take to Labcorp or elsewhere to have the samples obtained.

  • General Wellness Panel ($195)

    This is a basic adult yearly screening panel.

    • CBC (Complete Blood Cell Count with differential)

    • CMP (Complete Metabolic Panel)

    • Hemoglobin A1C

    • Lipid Panel (total cholesterol, HDL, LDL, triglycerides)

    • TSH (Thyroid Stimulating Hormone)

    • Vitamin D

    Comprehensive Wellness Panel ($265)

    This panel includes the General Wellness Panel, as well as some tests not typically covered by insurance that can further assess health status.

    • CBC (Complete Bloodcell Count with differential)

    • CMP (Comprehensive Metabolic Panel)

    • Hemoglobin A1C

    • Lipid Panel (HDL, LDL, triglycerides, total cholesterol)

    • TSH (Thyroid Stimulating Hormone)

    • Vitamin D

    PLUS

    • Vitamin B12

    • Free T3 (triiodothyronine)

    • Free T4 (thyroxine)

    • Fasting insulin

    • CRP (C-reactive protein cardiac)

    • Uric acid

  • This practice is particularly interested in ways lifestyle can help prevent or mitigate illness and improve overall vitality. The term “cardiometabolic health” refers to the interconnected cluster of conditions that affect both the cardiovascular system (heart and blood vessels) and metabolism, such as high blood pressure, high cholesterol, insulin resistance and diabetes.

    Advanced Cardiovascular Risk Panel ($235)

    These tests provide some indication of an individual’s statistical risk for future cardiovascular illness. Some people find this information uniquely motivating for encouraging positive lifestyle changes, but it is not necessary for everyone and does not necessarily change a plan of care.

    • Lipid Panel (HDL, LDL, triglycerides, total cholesterol)

    • sdLDL (small density LDL)

    • CRP-hs (C-reactive protein, high sensitivity)

    • Homocysteine

    • Lipoprotein (a)

    • Apolipoprotein a-1

    • Apolipoprotein b

    • Fasting Insulin

    • Uric acid

    Biomarker Check Panel ($165)

    This panel was created for clients and others who are making significant lifestyle changes and want to see how this might be reflected in relevant labwork. Trends in these labs provide some indication of cardiometabolic health. Lab responses to lifestyle changes vary greatly but some people find this data useful and like to track it more often than in a yearly physical.

    • Lipid Panel (HDL, LDL, triglycerides, total cholesterol)

    • CMP (Comprehensive Metabolic Panel)

    • CRP-hs (C-reactive protein, high sensitivity)

    • Hemoglobin A1C

    • Fasting Insulin

    • Uric Aid

  • Women’s health over the lifespan is addressed holistically during medical visits in this practice, including providing birth control prescriptions and discussion of menstruation, menopause, growing older gracefully and sexual health. When indicated, testing can include labs that address anemia, irregular periods and PCOS concerns. Vaginal microbiome home tests are discussed when appropriate for persistent concerns with yeast, bacterial vaginosis and other chronic issues.

  • Sexually Transmitted Infections (STI)

    Like all testing in this practice, STI testing is completely confidential, labs are not run through insurance, prices are transparent and results do not populate into any other electronic medical record. Results are communicated as soon as possible, usually within 1-2 business days.

    Basic Urine STI Testing ($175)

    • Urine testing:

      • chlamydia

      • gonorrhea

      • trichomoniasis

    Comprehensive STI Testing ($265)

    • Urine testing:

      • chlamydia

      • gonorrhea

      • trichomoniasis

    • Blood:

      • HIV (5th generation)

      • syphilis (RPR w/ reflex)

    When results are positive for STIs clients can email Susan about a brief medical visit for treatment in some situations.

    While the above is considered standard comprehensive STI testing, in practice many individuals do not understand what they are asking for when they want to be tested for “everything” and are rarely tested for “everything.” Typically testing for “everything” is not needed. This chart from the CDC gives some idea of prevalence of STIs.

    HPV (human papillomavirus)

    There are over 100 HPV virus types identified and most sexually active people will be infected at some point. Usually infection is harmless, people have no symptoms and the body clears the virus naturally. A few high risk strains cause cancer that typically develops over 10-20 years. For women, HPV testing to detect cervical cancer is usually combined with a Pap Test. No other HPV screening is routinely done. The HPV vaccine (Gardasil) can prevent over 90% of HPV-related cancers from ever developing.

    HSV 1 & 2 (herpes simplex virus)

    The CDC does not recommend HSV testing for people without symptoms. It is estimated that 90% of people who test positive by blood have no symptoms. Anyone who has ever been kissed can get HSV 1, including infants. Anyone who has ever had any type of sex can get HSV 1 or 2 in the genital area. It is estimated that more than 50% of adults will test positive for HSV 1 by blood and more than 1 in 8 adults will test positive by blood for HSV 2. HSV is different from the herpes zoster virus that causes shingles. If requested, HSV 1&2 IgG testing can be completed in this practice.

    Hepatitis B and C

    Hepatitis B and C can be sexually transmitted. However, it can take up to three months after a potential exposure to show a positive lab result so individuals should consider appropriate timing of testing for their situation. However the CDC also recommends that all adults at some point have a screening test of Hepatitis C as it can be asymptomatic for decades. This screening should be covered as preventative care by health insurance carriers. If requested, Hepatitis B&C testing can be completed in this practice.

  • Having recent lab work in an Initial Medical Visit for this practice is helpful but not required.

    If a new client would like to discuss lab results in the first visit and would like to get them through our practice, we suggest getting the General or Comprehensive Wellness Panel described above on this page at least a week before the Initial Visit to provide new baseline data. Some of the tests on those panels are not routinely ordered in most medical settings because health insurance does not typically cover it.

    Our clients have multiple options to get blood drawn. They include:

    • bringing lab results from previous medical care

    • getting labs at Labcorp through this website

    • getting a written lab order from Susan during a medical visit that you will have drawn at Labcorp or elsewhere and will be run through your insurance policy

    • requesting Susan draw blood during an in person visit

    • ordering your own labs through local direct access lab test options such as LabCorp On Demand

  • Susan can order a full range of lab tests after having a Medical Visit with a client. She will discuss what is indicated for the individual based on established medical criteria and patient concerns.

    While she will test reproductive hormones in certain situations (such as amenorrhea or PCOS) , she does not typically order reproductive hormone testing in medical visits as she does not prescribe oral hormone replacement therapy for females or treat testosterone deficiency in males. She will always assist with integrative approaches to specific symptoms.

    She does not typically order bloodwork for food allergy testing but does assist clients who wish to try elimination diets to identify food allergies and intolerances.

    She does not typically order genetic testing.

Step by step instructions for obtaining labs at Labcorp

Please note the information in bold to make your experience as smooth and efficient as possible.

1) After paying for a lab panel you will see the message "Your Request Has Been Sent!" on your screen.

2) You will then receive an automated email confirmation from Integrative Consultations with the subject "Invoice Payment Confirmation" with an attached invoice.

3) The next email will have the subject “LABCORP ORDER.”

  • If your labs are ordered between 7am and 3pm Monday-Friday this email typically arrives within 2 hours. Otherwise it will arrive the next business day.

  • This email is from Access Medical Labs. Although the blood is drawn at Labcorp, this practice works through Access Medical Labs for administrative assistance and access to negotiated rates.

  • This email contains a link to schedule a lab appointment at a Labcorp location and an attachment with your two page Lab Requisition that you will print out and bring with you.

  • As this email highlights in yellow, when checking in electronically at Labcorp please select the option that states “I have already paid or someone else is responsible.” This is important.

4) Make your appointment at a Labcorp location and when you arrive provide the printed requisition to the lab technician.

5) Typically lab results are available in 1-2 business days. 

  • If you are an established client and have access to the Client Portal you will receive an email with the subject “New Lab Results Available in Client Portal.” You can login as usual with your password and find the results and comments under "Documents" from the menu on the left.

  • If you are a new client, do not have a login for the Client Portal and/or will only be getting labs with no associated visit, you can see your results by creating a Labcorp Patient Portal Account.

6) Please download your lab results to your personal computer or take a picture of them with your phone or print them out for your records.

TIP: If you are not seeing any of the above emails, check your Spam folder.