LaboratoryThe laboratory offers a variety of services including lab tests in such fields as chemistry, microbiology, kit testing, hematology, urinalysis and blood banking. Emergency services are available 24-hours a day. We also do wellness screenings and pre-employment urine drug screening (Monday through Friday). We are available for sample collection Monday through Friday 5 a.m. - 5 p.m. A doctor's written order is required before any lab work can be collected. Our staff includes four lab technicians and one phlebotomist. To contact the laboratory, please call 563-422-3876, ext. 1495.

Wellness Screening

Monday through Friday - 6:30 a.m.-1:00 p.m.

Palmer Lutheran Health Center  -  Outpatient Entrance

No Appointment is Necessary  -  Open to the Public


Click here for 2016 Annual Lab Notice

  • A physician’s order is not required for these tests.
  • A parent or legal guardian must accompany anyone under 18 years of age.
  • The customer or legal guardian must consent to take responsibility for the follow up of abnormal results.
  • A physician will review critical test results.
  • Payment for the tests must be received at the time of service in cash or check; insurance will not be billed.
  • The results will be sent directly to you within one week of collection the specimen.  You are encouraged to share these results with your health care provider.


Individual Tests

Lipid Panel (Cholesterol, Triglycerides, HDL, & calc. LDL) with Glucose (*Please fast for 9+ hours)


Cholesterol (*Please fast for 9+ hours)


Glucose (*Please fast for 9+ hours)


Hematology (WBC, RBC & Indices, Hgb, Hct, & Platelets


Chemistry (Potassium, Sodium, Chloride, Carbon Dioxide, BUN, Creatinine, Calcium, Alkaline Phosphatase, ALT, AST, Uric Acid, Total Protein, Iron (w/UIBC)






Iron (w/UIBC)



Free T4







Hemoglobin A1C




HEMOGLOBIN A1c:  Hemoglobin A1c gives a picture of the average amount of glucose of the last few months.  This is used to screen for/diagnose diabetes as well as help diabetics figure how high their uncontrolled glucose levels have been.  A provider may order this test several times a year.  This test should not be used for diagnostic purposes in pregnant women, people who have bleeding disorders, kidney or liver disease, or certain types of anemia.

ALKALINE PHOSPHATASE (Alk. Phos.): Alkaline phosphatase is an enzyme in all tissues. Tissues with particularly high concentrations include liver, bile ducts, placenta and bone. Since damaged or diseased tissue releases enzymes into the blood, serum ALP measurements can be abnormal in many conditions, including bone disease and liver disease. However, serum ALP is also increased in some normal circumstances (for example, during normal bone growth) or in response to a variety of drugs.

ALT: This test is used to determine if a patient has liver damage. ALT is an enzyme involved in the metabolism of the amino acid alanine. ALT is in a number of tissues but is in highest concentrations in the liver. Injury to the liver results in release of the enzyme into the blood.

AST:  This test is used to determine if a patient has heart or organ damage. AST is an enzyme found in red blood cells, liver, heart, muscle tissue, pancreas, and kidneys. Low levels of AST are normally found in the blood. An elevated AST may be caused by: liver damage from conditions such as hepatitis or cirrhosis, a heart attack or heart failure, many medicines such as statins, antibiotics, chemotherapy, aspirin, narcotics, and barbiturates, high doses of vitamin A, kidney or lung damage, mononucleosis, and some types of cancer.

BUN: The blood urea nitrogen (BUN) test is a somewhat routine test used primarily to evaluate evaluate (kidney) function. The test is often performed on patients with many different diseases.  Most renal diseases affect urea excretion so that BUN levels increase in the blood. Patients with dehydration or bleeding into the stomach and/or intestines may also have abnormal BUN levels. Numerous drugs also affect BUN by competing with it for elimination by the kidneys.

CALCIUM: Serum calcium is usually measured to screen for or monitor diseases of the bone or calcium regulation disorders (that is, diseases of the parathyroid gland or kidneys). All cells require calcium for numerous functions. Calcium is especially important in the structure of bones and teeth. Calcium is vital for muscle contraction, heart function, transmission of nerve impulses, and blood clotting.

CARBON DIOXIDE: CO2 is a buffer that keeps the pH of blood from becoming too acidic or too basic. High CO2 (bicarbonate) levels may be caused by: vomiting, dehydration, blood transfusions, and overuse of medicines that contain bicarbonate (especially antacids), conditions such as anorexia, chronic obstructive pulmonary disease (COPD), fluid in the lungs (pulmonary edema), heart disease, Cushing’s disease, and Conn’s syndrome. Low CO2 levels may be caused by: hyperventilation, aspirin or alcohol overdose, diarrhea, dehydration and severe malnutrition, liver or kidney disease, a massive heart attack, hyperthyroidism or uncontrolled diabetes.

CHLORIDE: Chloride is one of the most important electrolytes in the blood. Chloride helps keep the amount of fluid inside and outside of the cells in balance. It helps to maintain proper blood volume, vlood pressure, and pH of body fluids. High chloride levels may be caused by dehydration from diarrhea or vomiting, eating a lot of salt, kidney disease, an overactive parathyroid gland (hyperparathyroidism). Low chloride levels may be caused by conditions that increase the water retained in the body, such as with syndrome of inappropriate antidiuretic hormone secretion (SIADH), Addison’s disease, a condition that raises the pH of the blood above the normal range (metabolic alkalosis), heart failure, or ongoing vomiting.

CREATININE: A measurement of the serum creatinine level is used to evaluate kidney function. Creatinine is excreted from the body entirely by the kidneys. With normal renal excretory function, the serum creatinine level should remain constant and normal.

GLUCOSE:   This is a test for diabetes and is a measure of sugar levels in your blood.  If the test is elevated and you were fasting, consult your physician.

HEMATOLOGY WELLNESS: The CBC is a screening test, used to diagnose and manage numerous diseases. The results can reflect problems with fluid volume (such as dehydration) or loss of blood. It can show abnormalities in the production, life span, and rate of destruction of blood cells. It can reflect acute or chronic infection, allergies, and problems with clotting. MCV, MCH, and MCHC values reflect the size and hemoglobin concentration of individual cells and are useful in the diagnosis of various types of anemia.

IRON: Iron is essential to the formation of hemoglobin and myoglobin, which carry oxygen in the blood and muscles. It also makes up part of many proteins and enzymes in the body. Iron deficiency is the most common nutritional deficiency worldwide. Although full-blown anemia is rarely evident, partial deficiency is widespread. UIBC is used to assess the body’s ability to transport the iron. This test helps monitor liver function and nutrition when the provider suspects the amount of iron in your body is not normal.



Recommended Normal:                 Less than 200 mg/dL

Borderline High:                                201 to 239 mg/dL

High:                                                   240 mg/dL and above

This is a blood fat shown to be associated with an increased probability of heart disease in some people.  If elevated, the result should definitely be discussed with your physician.

POTASSIUM WELLNESS:  This test is performed to determine if there is a high or low level of potassium in the body.  Abnormal levels could cause development of shock, respiratory failure, or changes in the heart rhythm. Potassium is also tested while monitoring high blood pressure, kidney disease, water pills or heart medication. Many conditions affect potassium levels such as dehyradtion, vomiting, diarrhea, certain medications, and how much potassium is ingested.

PROSTATE SPECIFIC ANTIGEN (PSA):  Prostate cancer is the most common type of cancer found in men in the United States, with an incidence of approximately one case in every 10 men.  Early diagnosis of carcinoma of the prostate is hindered by the lack of symptoms in men with localized tumors.  Therefore, early detection requires a simple, safe, and inexpensive test for the disease in asymptomatic men.  Elevated serum PSA concentration can only suggest the presence of prostate cancer.  If elevated, the result should definitely be discussed with your physician.

SODIUM: Sodium is both a mineral and an electrolyte. It helps keep the water (the amount of fluid inside and outside the body’s cells) and electrolyte balance of the body. Sodium is also important in how nerves and muscles work. High sodium levels (hypernatremia) can be caused by a high-sodium diet or by not drinking enough water and being dehydrated. Low sodium levels (hyponatremia) can be caused by a lot of sweating, burns, severe vomiting or diarrhea, drinking too much water (psychogenic polydipsia), or poor nutrition.

TRIGLYCERIDE:  This is another of the blood fats and is also thought to be associated with an increased probability of heart disease.  This test also, if abnormal, should be discussed with your physician.  If you were not fasting and your result was elevated, a repeat fasting evaluation should be obtained.

HDL:  High-density lipoprotein cholesterol is often referred to as "good cholesterol."  If your HDL cholesterol levels are too low you may be at an increased risk of having a heart attack.

THYROID STIMULATING HORMONE (TSH): The results of a TSH test are used to determine the function of the thyroid gland.  Normally, your blood level of thyroid hormone is consistent, with little day to day variation. However, the gland may produce high thyroid hormone levels that may speed up body processes, or poorly functioning gland may produce less than normal amount of thyroid hormone which may slow body processes.  Abnormal TSH levels should be discussed with your physician.

T4: This text is used to help evaluate thyroid function and diagnose thyroid diseases, including hyperthyroidism and hypothyroidism.

TOTAL PROTEIN: Total protein is a rough measure of serum protein. Protein measurements can reflect nutritional state, kidney disease, liver disease, and many other conditions. If total protein is abnormal, further tests must be performed to identify which protein fraction, and then which specific protein, is abnormal.

URIC ACID: This test is performed to detect elevated uric acid levels. Increased levels of uric acid can cause gout. Uric acid is the end product of purine metabolism (purines are building blocks of RNA and DNA). The kidneys excrete most uric acid produced in the body. An overproduction of uric acid occurs when there is excessive breakdown of cells, which contain purines, or the inability of the kidneys to excrete uric acid.

ABO-RH:  This test is performed to determine a person’s blood type.