NSW Health Pathology

Site

NSW Health Pathology Concord Hospital Laboratory

Accreditation No.

2146

Site No.

2107

Date of Accreditation

13 Sep 1985

Address

2 Hospital Road
Concord Repatriation Hospital, NSW 2139
Australia

Contact

Ms Liena Adwan P: +61 0457076346

Availability

Services available to external clients

Supervision

GX (General)

Scope of Accreditation

Anatomical Pathology/Cytology

ISO 15189 (2022)

Human Pathology

Medicare expiry date

24 Jan 2027

Last Activity Date

18 Aug 2024

Service Product Determinant
Anatomical pathology - Cytopathology - Non-gynaecological cytological investigations of body fluids, exudates, washings and brushings from non-squamous mucosal sites for the detection of malignancy Aspirates; Bronchial lavage; Cerebrospinal fluid (CSF); Ocular specimens; Other body fluids; Sputum; Tumour tissue; Urine; Vitreous specimens; Washings or brushings from other sites Cytological examination; Review and reporting of cytology samples
Anatomical pathology - Cytopathology - Non-gynaecological cytological investigations on samples obtained via fine needle aspiration biopsy Fine needle aspirates (FNA) Cytological examination; Rapid onsite evaluation (ROSE); Review and reporting of fine needle aspiration samples
Anatomical pathology - Tissue pathology - Examination of biopsy material Brain - Whole; Brain tissue; Formalin-fixed tissue; Fresh tissue; Muscle; Nerve biopsy; Smears; Spinal cord Review and reporting of biopsy material to identify or exclude morphological abnormalities
Anatomical pathology - Tissue pathology - Examination of biopsy material by electron microscopy Formalin-fixed tissue; Gluteraldehyde tissue; Leucocyte (leukocyte) buffy coat; Nasal brushings; Platelets Review and reporting of biopsy material to identify or exclude ultra-structural morphological abnormalities; Structured reporting
Anatomical pathology - Tissue pathology - Gene probes using paraffin fluorescence in situ hybridisation (FISH) Formalin-fixed paraffin-embedded (FFPE) tissues Detection of nucleic acid targets - Various
Anatomical pathology - Tissue pathology - Immediate frozen section diagnosis Fresh tissue; Sentinel node; Smears; Tissue imprint Intra-operative consultation and examination of biopsy material
Anatomical pathology - Tissue pathology - Immunohistochemical (immunofluorescence) investigation Fixed cytological smears; Formalin-fixed paraffin-embedded (FFPE) tissues; Fresh tissue; Frozen tissue Detection of antigenic targets - Various
Anatomical pathology - Tissue pathology - Immunohistochemical investigation Fixed cytological smears; Formalin-fixed paraffin-embedded (FFPE) tissues; Fresh tissue; Frozen sections of fresh tissue Detection of antigenic targets - Various
Diagnostic Pathology Unit

ISO 15189 (2022)

Human Pathology

Medicare expiry date

24 Jan 2027

Last Activity Date

18 Aug 2024

Service Product Determinant
Chemical pathology - Analysis of calculus Calculi Calcium; Carbonate; Cysteine; Magnesium; Oxalate; Phosphate; Uric acid
Chemical pathology - Analysis of drugs for toxicological (non-legal) purposes and ingested or absorbed toxic chemicals Plasma; Serum Ethanol; Paracetamol (acetaminophen)
Urine Amphetamine type substances; Benzodiazepines; Cannabinoids; Cocaine; Ethylglucuronide (ETG); Opiates
Chemical pathology - Detection and/or quantitation of drugs for therapeutic monitoring Plasma; Serum Amikacin; Carbamazepine; Digoxin; Gentamicin; Lithium; Methotrexate; Phenytoin (dilantin); Valproate (valproic acid, epilim); Vancomycin
Chemical pathology - Detection and/or quantitation of tumour markers Ascitic fluid; Pleural fluid CA125 antigen (CA125); Carcinoembryonic antigen (CEA); α-Fetoprotein (AFP)
Faeces Blood
Plasma; Serum β2-Microglobulin (B2M)
Serum CA125 antigen (CA125); CA15-3 antigen (CA15-3); Carcinoembryonic antigen (CEA); Prostate specific antigen (PSA); Prostate specific antigen (PSA) fractions and derived index; α-Fetoprotein (AFP)
Human chorionic gonadotropin (hCG)
Chemical pathology - Determination of hormones and hormone binding proteins (other than thyroid function tests) Plasma; Serum Cortisol; Follicle stimulating hormone (FSH); Luteinising hormone (LH); Oestradiol; Parathyroid hormone (PTH); Prolactin; Sex hormone binding globulin (SHBG); Testosterone
Serum Procalcitonin
Chemical pathology - Diagnosis and management of diabetes mellitus Blood Glycated haemoglobin (HbA1c)
Plasma; Serum Blood glucose
Chemical pathology - Further investigation of cardiac function Plasma; Serum Creatine kinase MB (CKMB); N-Terminal-pro b-type natriuretic peptide (NT-proBNP); Troponin T
Pleural fluid N-Terminal-pro b-type natriuretic peptide (NT-proBNP)
Chemical pathology - Further investigation of renal and/or hepatic function Plasma; Serum Prealbumin
Urine Uric acid
Chemical pathology - Haem related pigments and precursors (excluding porphyria) Serum Haptoglobins
Chemical pathology - Investigation and determination of hepatic, cardiac, bone, skeletal muscle and other profiles and metabolic studies Ascitic fluid Albumin; Cholesterol - Total; Glucose; Lactate dehydrogenase (LDH); Triglycerides
Ascitic fluid; Drainage fluid Amylase; Bilirubin - Total; Creatinine; Lipase; Potassium; Protein - Total; Sodium; Uric acid
Cerebrospinal fluid (CSF) Glucose; Lactate dehydrogenase (LDH); Phospho-tau (181P); Protein - Total; Total tau (T-tau); β-Amyloid 1-42
Drainage fluid Albumin; Cholesterol - Total; Glucose; Lactate dehydrogenase (LDH); Protein - Total; Triglycerides
Plasma; Serum Alanine aminotransferase; Albumin; Alkaline phosphatase; Amylase; Aspartate aminotransferase; Bicarbonate; Bilirubin - Any fractions; C-reactive protein (CRP); Calcium - Total; Chloride; Cholesterol - LDL; Cholesterol - Total; Creatine kinase; Creatinine; Glucose; HDL - Quantitation; Lactate dehydrogenase (LDH); Lipase; Magnesium; Phosphate; Potassium; Protein - Total; Sodium; Triglycerides; Urea; Uric acid; γ-Glutamyltransferase
Pleural fluid Albumin; Creatinine; Lipase; Potassium; Sodium
pH
Amylase; Bilirubin - Total; Cholesterol - Total; Glucose; Lactate dehydrogenase (LDH); Lipase; Protein - Total; Triglycerides; Uric acid
Serum Carbohydrate deficient transferrin
Serum; Urine Osmolality
Urine Calcium - Total; Chloride; Creatinine; Microalbumin; Phosphate; Potassium; Protein - Total; Sodium; Urea
Chemical pathology - Investigation for folate deficiency Serum Folate
Chemical pathology - Iron studies Serum Ferritin; Iron; Transferrin
Chemical pathology - Markers of bone metabolism Plasma; Serum Procollagen type 1 N-terminal propeptide (P1NP); β-Crosslaps (CTX)
Chemical pathology - Quantitation of blood gases and other measurements (performed on the same specimen) Blood Base excess; Calcium - Ionised; Carboxyhaemoglobin; Chloride; Glucose; Haemoglobin (Hb); Lactate; Methaemoglobin (MetHb); Oxygen saturation (sO2); Oxyhaemoglobin; Partial pressure of carbon dioxide (pCO2); Partial pressure of oxygen (PO2); Potassium; Sodium; pH
Base excess; Calcium - Ionised; Carboxyhaemoglobin; Creatinine; Deoxyhaemoglobin (HHb); Glucose; Haemoglobin (Hb); Lactate; Methaemoglobin (MetHb); Oxygen saturation (sO2); Oxyhaemoglobin; Partial pressure of carbon dioxide (pCO2); Partial pressure of oxygen (PO2); Potassium; Sodium; pH
Chemical pathology - Quantitation of precursor and intermediary metabolites Urine Citrate
Chemical pathology - Quantitation of vitamins Serum 25-Hydroxyvitamin D; Cobalamin (vitamin B12); Holotranscobalamin (active vitamin B12)
Chemical pathology - Tests for thyroid function Plasma; Serum Thyroid stimulating hormone (TSH); Thyroxine (T4) - Free; Triiodothyronine (T3) - Free
Haematology - Bone marrow examination Bone marrow Examination of aspirated material
Haematology - Examination of blood films by special staining Blood Iron
Malaria
Blood; Bone marrow; Urine Haemosiderin; Iron
Haematology - Full blood examination Blood Differential number; Morphology
Erythrocyte count (red blood cell count, RBCC); Haematocrit (packed cell volume, PCV); Haemoglobin (Hb); Leucocyte count (white blood cell count, WBCC); Platelet count; Red blood cell index or indices; Reticulocytes
Haematology - Haemostasis related analysis (including special coagulation testing and platelet function tests) Blood Activated partial thromboplastin time (APTT); Activated protein C (APC) resistance; Anti-Xa - Apixaban; Anti-Xa - Dabigatran; Anti-Xa - Rivaroxaban; Anti-Xa activity; Anti-Xa activity - Clexane - Low molecular weight heparin; Anti-Xa activity - Fragmin - Low molecular weight heparin; Anti-Xa activity - Heparin activity; Anti-Xa activity - Unfractionated heparin; Anti-thrombin III; D-dimer; Echis test; Factor II; Factor IX; Factor V; Factor VII; Factor VIII; Factor X; Factor XI; Factor XII; Fibrinogen; Heparin induced thrombotic thrombocytopenia (HITT); Lupus anticoagulant; Mixing studies - APTT; Protein C and protein S; Prothrombin time (PT); Prothrombin time (PT) mixing studies; Thrombin time (TT); Tinzaparin anti-XA assays; Von Willebrand factor (vWF) antigen - Quantitation
Plasma Vaccine-induced thrombotic thrombocytopenia (VITT)
Haematology - Investigation of haemolysis Blood Cold agglutinins
Haematology - Limited blood examination Blood Erythrocyte (RBC) sedimentation rate (ESR)
Immunohaematology - Blood group antibody detection Blood; Plasma Duffy system; Kell system; M and N factors; Other blood group systems; Rh phenotypes
Immunohaematology - Blood grouping Blood; Plasma ABO; RhD
Immunohaematology - Determination of compatibility of blood donor units Blood; Plasma Direct antiglobulin test (DAT, direct Coombs test); Electronic crossmatch; Examination for blood group antibodies; Group checks of patient and donor; Identification of detected antibodies; Indirect antiglobulin test (IAT)
Immunohaematology - Identification and quantitation of blood group antibodies Blood Antibody elution
Blood; Plasma Other blood group antibodies; Red blood cell phenotyping; Rh
Antibody absorption; Antibody titration
Immunohaematology - Investigation of blood transfusion reactions Blood; Blood products Antibodies; Contamination - Microbiological; Direct antiglobulin test (DAT, direct Coombs test); Examination for blood group antibodies; Group checks of patient and donor; Identification of detected antibodies
Immunohaematology - Issue and release of blood and blood product for transfusion Blood; Blood products; Cryoprecipitate; Fresh frozen plasma (FFP); Platelets Issue and release of blood and blood products for transfusion
Immunohaematology - Storage and distribution of blood and blood components Blood; Blood products; Cryoprecipitate; Fresh frozen plasma (FFP); Platelets Issue and release of blood and blood products for transfusion
Immunopathology - Characterisation of leucocyte surface antigens (including immunophenotyping) Aspirates; Blood; Bone marrow; Cerebrospinal fluid (CSF); Disaggregated tissues specimen; Fresh tissue; Lavage; Serous fluid Blast cells; CD10; CD103; CD117; CD11b; CD11c; CD123; CD13; CD138; CD14; CD15; CD16; CD19; CD1a; CD2; CD20; CD200; CD22; CD23; CD235a; CD25; CD27; CD28; CD3; CD30; CD33; CD34; CD38; CD4; CD45; CD5; CD56; CD57; CD61; CD64; CD7; CD71; CD79a; CD8; FMC7; HLA-DR1; Immunoglobulin D (IgD); Immunoglobulin M (IgM); Kappa light chains; Lambda light chains; Myeloperoxidase; Plasma cell; T-cell receptor aβ (TCRab); T-cell receptor γδ (TCRgd); Terminal deoxynucleotidyl transferase (TdT)
Immunopathology - Procedures related to the collection, processing, storage and issue of human haemopoietic progenitor cells Blood; Haemopoietic progenitor cells Enumeration of CD3+ cells; Enumeration of CD34+ cells
Infertility and pregnancy tests including assisted reproductive technology - Diagnosis of pregnancy Plasma; Serum Human chorionic gonadotropin (hCG)
Microbiology - Parasitology - Detection of ova, cysts and parasites Blood Malaria
Microbiology - Serology of infection - Microbial antibody and/or antigen detection and/or quantitation Blood Infectious mononucleosis
Emergency Department

ISO 15189 (2022)

Human Pathology

Medicare expiry date

24 Jan 2027

Last Activity Date

18 Aug 2024

Service Product Determinant
Chemical pathology - Quantitation of blood gases and other measurements (performed on the same specimen) Blood Base excess; Calcium - Ionised; Carboxyhaemoglobin; Chloride; Glucose; Haemoglobin (Hb); Lactate; Methaemoglobin (MetHb); Oxygen saturation (sO2); Oxyhaemoglobin; Partial pressure of carbon dioxide (pCO2); Partial pressure of oxygen (PO2); Potassium; Sodium; pH
Intensive Care Unit

ISO 15189 (2022)

Human Pathology

Medicare expiry date

24 Jan 2027

Last Activity Date

18 Aug 2024

Service Product Determinant
Chemical pathology - Quantitation of blood gases and other measurements (performed on the same specimen) Blood Base excess; Calcium - Ionised; Carboxyhaemoglobin; Deoxyhaemoglobin (HHb); Glucose; Haemoglobin (Hb); Lactate; Methaemoglobin (MetHb); Oxygen saturation (sO2); Oxyhaemoglobin; Partial pressure of carbon dioxide (pCO2); Partial pressure of oxygen (PO2); Potassium; Sodium; pH
Microbiology and Infectious Diseases

ISO 15189 (2022)

Human Pathology

Medicare expiry date

24 Jan 2027

Last Activity Date

18 Aug 2024

Service Product Determinant
Microbiology - Bacteriology - Detection of pathogenic bacteria Bacterial isolates Streptococcus group B screening; Carbapenem resistant Enterobacteriaceae (CRE); Extended spectrum beta-lactamases (ESBL); Methicillin resistant Staphylococcus aureus (MRSA); Vancomycin resistant Enterococci (VRE)
Blood Pathogenic identification and antibiotic susceptibility
Cerebrospinal fluid (CSF); Ear swabs; Eye swabs; Fluids; Genital swabs; Nasopharyngeal swabs; Respiratory specimens; Sputum; Synovial fluid; Tissues; Wound swabs Pathogenic identification and antibiotic susceptibility
Faeces Clostridioides difficile toxin
Fat globules
Pathogenic identification and antibiotic susceptibility
Gastric biopsy Helicobacter pylori
Synovial fluid Crystals
Urine Pathogenic identification
Legionella antigen; Streptococcus pneumoniae antigen
Eosinophils
Casts
Pathogenic identification and antibiotic susceptibility
Microbiology - Environmental investigations and/or infection control (clinical non-human testing) Blood transfusion bags; Environmental swabs; Gastrointestinal endoscopes; Vascular catheter tips Detection and characterisation of organisms (including identification and typing); Pathogenic identification and antibiotic susceptibility
Microbiology - Molecular biology - Detection, characterisation and/or quantitation of microbial nucleic acids (bacteria) Bacterial isolates Vancomycin resistant Enterococci (VRE)
Microbial identification
Carbapenem resistant Enterobacteriaceae (CRE)
Bacterial isolates; Blood culture Methicillin resistant Staphylococcus aureus (MRSA)
Blood culture Methicillin resistant Staphylococcus aureus (MRSA)
Faeces Clostridioides difficile
Campylobacter spp.; Clostridioides difficile; Salmonella spp.; Shigella spp.
Aeromonas spp.; Campylobacter coli; Campylobacter jejuni; Clostridium difficile toxin A; Clostridium difficile toxin B; Escherichia coli - Enteroinvasive (EIEC); Salmonella spp.; Shigella spp.
Rectal swabs Vancomycin resistant Enterococci (VRE)
Microbiology - Molecular biology - Detection, characterisation and/or quantitation of microbial nucleic acids (fungi) Fungal isolates Fungi identification
Hair; Isolates; Nails; Skin scrapings Candida albicans; Candida glabrata; Candida guilliermondii; Candida parapsilosis; Trichophyton interdigitale; Trichophyton mentagrophytes; Trichophyton rubrum; Trichophyton spp.
Microbiology - Molecular biology - Detection, characterisation and/or quantitation of microbial nucleic acids (mycobacteria) Bronchoalveolar lavage Mycobacterium rifampicin resistance rpoB; Mycobacteria identification
Sputum Mycobacterium rifampicin resistance rpoB; Mycobacteria identification
Microbiology - Molecular biology - Detection, characterisation and/or quantitation of microbial nucleic acids (protozoan parasites) Faeces Cryptosporidium spp.; Dientamoeba fragilis; Entamoeba histolytica; Giardia spp.
Entamoeba histolytica; Giardia lamblia
Microbiology - Molecular biology - Detection, characterisation and/or quantitation of microbial nucleic acids (viruses) Bronchial washings; Bronchoalveolar lavage; Endotrachael aspirate; Nasal swabs; Nasopharyngeal aspirate; Nasopharyngeal swabs; Throat swabs Adenovirus; Enterovirus; Human metapneumovirus; Influenza A virus; Parainfluenza virus type 1/2/3/4; Respiratory syncytial virus (RSV); Rhinovirus; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID); Seasonal coronavirus
Bronchial washings; Bronchoalveolar lavage; Nasal swabs; Nasopharyngeal aspirate; Nasopharyngeal swabs; Throat swabs; Tracheal aspirate Influenza A virus; Influenza B virus; Respiratory syncytial virus (RSV); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID)
Faeces Adenovirus group G; Adenovirus group F; Astrovirus; Norovirus G1; Norovirus G2; Rotavirus A; Sapovirus
Norovirus
Nasal swabs; Nasopharyngeal swabs Influenza A virus; Influenza B virus; Respiratory syncytial virus (RSV); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID)
Nasopharyngeal aspirate Influenza A virus; Influenza B virus; Respiratory syncytial virus (RSV); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID)
Microbiology - Molecular biology - Microbial DNA and/or RNA extraction Bacterial isolates; Blood; Body fluids; Bronchial swabs; Bronchial washings; Bronchoalveolar lavage; Endotrachael aspirate; Faeces; Fluids; Fungal isolates; Hair; Liver aspirate; Nails; Nasal swabs; Nasopharyngeal and throat swab; Pleural fluid; Skin scrapings; Sputum; Tissues DNA storage for future analyses; Purified PCR product; RNA storage for future analyses; Viable DNA; Viable DNA for sequencing; Viable RNA; Viable RNA for sequencing
Microbiology - Mycobacteriology - Detection and identification of mycobacteria Faeces; Other body fluids; Respiratory specimens; Tissues; Urine Mycobacteria detection; Mycobacteria identification
Microbiology - Mycology - Detection, isolation and/or identification of yeasts and/or fungal elements Bronchial lavage; Nails; Respiratory specimens; Skin scrapings; Tissues; Wound swabs Fungi identification; Fungi susceptibility; Yeast susceptibility; Yeasts identification
Cerebrospinal fluid (CSF); Serum Cryptococcus antigen
Microbiology - Parasitology - Detection of ova, cysts and parasites Blood; Faeces; Urine Cysts; Ova; Parasites
Cysts; Ova; Parasites
Microbiology - Serology of infection - Microbial antibody and/or antigen detection and/or quantitation Plasma Hepatitis A virus antibody (anti-HAV) - IgM; Hepatitis A virus antibody (anti-HAV) - Total; Hepatitis B virus core antibody (anti-HBc) - Total; Hepatitis B virus surface antibody (anti-HBs); Hepatitis B virus surface antigen (HBs Ag); Hepatitis C virus (HCV); Hepatitis C virus antibody (anti-HCV); Human immunodeficiency virus (HIV) p24 antigen; Human immunodeficiency virus type 1/2 (HIV-1/2) 1/2 antibodies

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