Toxicology

Stone Clinical Laboratories offers state of the art LC/MS/MS testing with an extensive test menu, including controlled substances, illicit drugs, as well as specialized pain management and mental health product offerings.

Stone Clinical Laboratories’ oral fluid and urine toxicology services monitor recent use of prescribed medications, as well as identify possible illicit drug use, medication diversion or abuse.

Our personalized testing menu offers the flexibility to meet your patients’ individual needs at every stage of their treatment plan.

Stone Clinical Laboratories has an extensive drug testing menu and leads the way in providing quick, thorough and accurate toxicology reports from urine or saliva.  We provide cutting edge technology, automated computer systems, and a skilled laboratory staff—all to ensure accurate analyses that better enable physicians to make informed decisions.

DAST-10

Stone Clinical Laboratories has an agreement with The Center for Addiction and Mental Health to utilize the DAST-10 assessment.

  • Risk stratification tool
  • Establish medical necessity of testing
  • Peer reviewed and easy to administer
  • 78% degree of accuracy for risk of opioid abuse
AMA Aligned Drug Class Drugs included on the Stone Clinical Laboratories’ Test Menu
Alcohol & Alcohol Biomarkers Ethanol, Ethyl glucoronide (EtG) , Ethyl sulfate (EtS)
Alkaloids Cotinine
Amphetamine Amphetamine, Methamphetamine, Phentermine – Street Names Include: “Addys”, “Uppers”, “Beans”, “Speed”, “Zing”, “Study Buddies” ,”Crystal”, “Meth”, “Speed”, “Tina”, “Ice”, “Chalk”, “Crank”,”Crissy”, “Go”, “Yaba”, “Robins Eggs”
Serotonergic Class Citalopram, Duloxetine, Escitalopram, Fluoxetine, Paroxetine, Sertaline
Anti-Depressants; Tricyclic and other Cyclicals Amitriptyline, Clomipramine, Desipraimine, Doxepin, Imipramine, Mirtazapine, Nortriptyline, Trimipramine
Anti-Depressants; not otherwise specified Bupropion, Trazodone, Venlafaxine – Street Names Include: “Sleepeasy”
Anti-Epileptics, not otherwise specified Topiramate
Anti-psychotics; not otherwise specified Aripiprazole, Chlorpromazine, Clozapine, Fluphenazine, Haloperidol, Olanzapine, Risperidone, Quetiapine, Ziprasidone – Street Names Include: “White Lily”,”Risk it All”, “Quell”, “Baby Heroin”      
Barbiturates Amobarbital, Butabarbital, Butalbital, Phenobarbital, Secobarbital – Street Names Include: “Truth Serum”, “Blue Velvet”, “Blue Devils”, “Blues”, “Downers”, “Nebbies”, “Nembies”, “Nemmies”, “Yellow Dolls”, “Yellow Jackets”, “Yellow Bullets”, “Seccies”, “Seggies”, “M&M’s”, “Red Devils”, “Red Dolls”, “Red Birds”, “Red Bullets”
Benzodiazepines Alprazolam, Chlordiazepoxide, Clonazepam, Diazepam, Flunitrazepam, Flurazepam, Lorazepam, Midazolam, Nitrazepam, Oxazepam, Temazepam, Triazolam – Street Names Include: “Xannies”, “Bars”, “Zanbars”, “Z-Bars”, “Bricks”, “Tranks”, “Downers”, “Kpin”, “Benzos”, “Downers”, “Bennies”, “L”, “Blue Bombs”, “Nerve Pills”, “V’s”, “Howards”, “Blue V’s”, “Benzos”, “Circles”, “Mexican Valium”, “Roofies”, “The Five Way” (Heroin, Cocaine, Methamphetamine, Rohypnol, and Alcohol), “Z-bars”, “Bars”, “Control”, “Silence”, “Dazzle”, “King Kong”, “Jellies”, “Jelly”, “Tams”, “Temazies”, “Beans”, “Eggs”, “Mazzies” “Up Johns”
Benzoylecgonine Cocaine – Street Names Include: “Snow”, “Crack”, “White”, “Dust”, “Nose Candy”, “Blow”, “Rock”, “Bernice”
Buprenorphine Buprenorphine – Street Names Include: “Bup”, “Sub(s)”, “Box”, “Stop Sign”,
Cannabinoids THC – Street Names Include: “Weed”, “Reefer”
Fentanyls Acetyl fentanyl, Alfentanil, Fentanyl – Street Names Include: “Apache”, “China Girl”, “China White”, “Jackpot”, “Perc-a-Pop”
Gabapentin, non-blood Gabapentin – Street Names Include: “Quell”, “Morontin”, “Gabbies”
Heroin Metabolite 6-acetylmorphine – Street Names Include: “Big H”, “Black Tar”, “Smack”, “Thunder”, “Brown Sugar”, “Junk”, “Mud”, “Scag”
Ketamine Ketamine – Street Names Include: “K”, “Ket”, “Special K”, “Vitamin K”, “Kit Kat”, “Super C”, “Purple”
Methadone Methadone – Street Names Include: “Amidone”, “Fizzies”, “Wafer”, “Chocolate Chip Cookies” (when mixed with MDMA)
Methylenedioxyamphetamines MDA, MDEA, MDMA – Street Names Include: “Molly”, “Ecstasy”, “XTC”, “X”, “Beans”, “Adam”, “Clarity”
Methylphenidate Methylphenidate – Street Names Include: “Vitamin R”, “R-ball”, “Rids”, “Diet Coke”, “Skittle”, “Smarties”, “Poor Man’s Cocaine”
Opiates, natural Codeine, diHydrocodeine, Hydrocodone, Hydromorphone, Morphine – Street Names Include: “Loads”, “Pancakes and Syrup”, “Fours and Doors”, “Purple Drank”, “Vikes”, “Hydro”, “Norco”, “357s”, “Fluff” “Dust”, “Juice”, “Smack”, “D”, “Footballs”, “Miss Em”, “TNT”, “Tango and Cash”, “Murder 8”, “M”, “Monkey”, “Aunti”, “Morph”
Opioid and Opiate Analogs Dextromethorphan, Meperidine, Naloxone, Naltrexone – Street Names Include: “Juice”, “Dillies”, “D”, “Dust”, “Dexies”, “Drex”, “Rojo”, “Orange Crush”, ” Drank”, “Sizzle”
Oxycodone Oxycodone, Oxymorphone – Street Names Include: “Oxy”, “OC”, “Blue”, “Hillbilly Heroin”, “Ox”, “Killers”, “Blue Heaven”, “Mrs. O”, “Biscuits”, “Pink”, “Orgasna ER”, “Octagons”
Pregabalin Pregabalin – Street Names Include: “Budweisers”, “Lycia”
Phencyclidine Phencyclidine – Street Names include: “PCP”, “Angel Dust”, “Wack”, “Rocket Fuel”, “Ozone”
Propoxyphene Propoxyphene – Street Names Include: “65’s”, “N’s”, “Pinks”
Sedative Hypnotics (Non-Benzodiazepine) Zaleplon, Zipiclone, Zolpidem – Street Names Include: “Zombie Pills”, “Sleepers”, “No-Go”, “Zombies”, Sleepeasy”, “Tic Tacs”, “A-minus”, “No-Go”, “Sleepeasy”, “Tic Tacs”
Skeletal Muscle Relaxants Carisoprodol, Cyclobenzaprine, Meprobamate – Street Names Include: “Flex-ies”, “Mellow Yellow”, “Cyclone”, “Milltown”, “Las Vegas Cocktail”, “Soma Coma”, “Ds”, “Dance”
Tapentadol Tapentadol
Tramadol Tramadol – Street Names Include: “Chill Pills”, “Ultras”
 
13 Panel Presumptive Screening for DOA Testing
 
13 Panel Presumptive Screen for DOA will be available for clients who DO NOT perform presumptive screening in the office setting.
 
Please consult the Stone Clinical Laboratories Test Compendum for cutoffs of specific drugs within each class, as well as the AMA CPT code for presumptive screening. 
 
Clinical Abbreviation Drug/Drug Class Cut Off LC MS/MS Cut Off
AMP Amphetamines 1000 ng/ml 25-100 ng/ml
BAR Barbiturates 200 ng/ml 125 ng/ml
BZO Benzodiazepines 200 ng/ml 25 ng/ml
BUP Buprenorphine 10 ng/ml 2 ng/ml
COC Cocaine 300 ng/ml 25 ng/ml
MDMA Ecstasy 500 ng/ml 50 ng/ml
ETH Ethanol 50 mg/ml EIA Only
MTD Methadone 300 ng/ml 50 ng/ml
OPI Opiates 300 ng/ml 25 ng/ml
OXY Oxycodone 300 ng/ml 25 ng/ml
PCP Phencyclidine 25 ng/ml 10 ng/ml
THC Natural Cannabinoids 50 ng/ml 25 ng/ml
TCA Tricyclic Antidepressants 300 ng/ml 25 ng/ml

LC-MS/MS DRUG CONFIRMATION TEST MENU

Stone Clinical Laboratories offers a diverse confirmatory test menu to meet your clinical needs for drugs of abuse testing, medication monitoring and all phases of substance abuse treatment plans.

  • Alcohol
  • Alcohol Biomarkers
  • Alkaloids
  • Amphetamine
  • Antidepressants; Serotonergic Class
  • Anti-Depressants; Tricyclic and other Cyclicals
  • Anti-Depressants; not otherwise specified
  • Anti-Epileptics, not otherwise specified
  • Anti-psychotics; not otherwise specified
  • Barbiturates
  • Benzodiazepines
  • Benzoylecgonine
  • Buprenorphine
  • Cannabinoids
  • Fentanyls
  • Gabapentin, non-blood
  • Heroin Metabolite
  • Ketamine
  • Methadone
  • Methylenedioxyamphetamines
  • Methylphenidate
  • Opiates, natural
  • Opioid and Opiate Analogs
  • Oxycodone
  • Pregabalin
  • Phencyclidine
  • Propoxyphene
  • Sedative Hypnotics (Non-Benzodiazepine)
  • Skeletal Muscle Relaxants
  • Tapentadol
  • Tramadol

13 Panel Enzyme Immunoassay

For providers who do not perform presumptive screening in their office, Stone Clinical Laboratories offers a 13 panel EIA screen with confirmation of positive results. Stone Clinical Laboratories also offers practitioners the option to confirm unexpected negatives of submitted prescribed medications as well.

  • Amphetamine / 1000ng/mL
  • Barbiturates / 200ng/mL
  • Benzodiazepines / 200ng/mL
  • Buprenorphine / 10ng/mL
  • Cocaine / 300ng/mL
  • Methadone / 300ng/mL
  • Alcohol (ETOH) / 50ng/mL
  • MDMA (Ecstasy) / 500ng/mL
  • Opiates / 300ng/mL
  • Oxycodone / 300ng/mL
  • PCP / 25ng/mL
  • THC (marijuana) / 50ng/mL
  • TCA (tricyclic antidepressants)/ 300ng/mL

Sample REPORT

 

Stone Clinical Laboratories Toxicology Requisitions

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