Deluxe Checkup
Blood Test for Fatigue and Overall Health Check
Recognize any of these?
This test is designed for people who suspect something is off but haven't had a clear answer. Each marker comes with a plain-English explanation, not just a number.
Symptom checker
Select any that apply — you'll see which markers in this panel are most relevant.
What this test measures
Absolute Promyelocytes
White Blood Cell Count
An elevated white blood cell count can indicate an infection or inflammation in the body.
Red Blood Cell Count
A low red blood cell count often indicates anemia, which can result from a variety of causes, including nutritional deficiencies, blood loss, or underlying disease.
Hemoglobin
Low hemoglobin levels can indicate anemia, a condition where the body does not have enough red blood cells or hemoglobin.
Hematocrit
Acute hemorrhage causes immediate drop in hematocrit, though initial values may be falsely normal until fluid shifts occur. Hematocrit directly measures blood loss severity and guides transfusion decisions.
MCV
A high MCV can indicate macrocytic anemia, often caused by a deficiency in vitamin B12 or folate.
MCH
Abnormal MCH levels can indicate different types of anemia. A high MCH can suggest macrocytic anemia, while a low MCH can suggest microcytic anemia.
MCHC
Low MCHC values can indicate hypochromic anemia, a condition where red blood cells don't have enough hemoglobin. High MCHC values can suggest spherocytosis, a condition where red blood cells are misshapen.
RDW
Higher RDW levels can indicate anemia, as it reflects variation in red blood cell size or volume. This is often seen in conditions where red blood cells are being destroyed or produced inappropriately.
Platelet Count
Lymphoid malignancy presenting with thrombocytopenia in >80% of cases due to marrow replacement. Platelet count is critical for bleeding risk assessment and monitoring remission.
MPV
High MPV levels may indicate a condition where the body is producing too many platelets, which can lead to blood clots.
Absolute Neutrophils
Low levels of absolute neutrophils can indicate a condition called neutropenia, which can result from various causes like infections, cancers, or drugs that damage the bone marrow.
Absolute Metamyelocytes
Absolute Myelocytes
Absolute Lymphocytes
Increased absolute lymphocyte count can indicate a viral infection or a condition like lymphocytic leukemia, while a low count can suggest a weakened immune system.
Absolute Monocytes
Monocytopenia, or low levels of monocytes, can occur due to certain infections or treatments such as chemotherapy.
Absolute Eosinophils
Eosinopenia is a lower than normal level of eosinophils. It may be caused by acute stress conditions, such as surgery, shock, or severe trauma.
Absolute Basophils
Absolute Blasts
A high number of blast cells (immature blood cells) can indicate Acute Leukemia, a type of cancer that affects the blood and bone marrow.
Absolute Nucleated Rbc
Neutrophils
Neutrophilia with left shift is a classic finding in acute appendicitis. Elevated neutrophils support clinical diagnosis and help differentiate from other causes of abdominal pain.
Metamyelocytes
Increased levels may indicate a disorder with increased bone marrow activity, such as polycythemia vera or essential thrombocythemia.
Myelocytes
The presence of myelocytes in the blood can indicate a form of leukemia known as myelogenous leukemia.
Promyelocytes
Lymphocytes
Characterized by malignant proliferation of lymphoblasts causing marked lymphocytosis with abnormal immature lymphocytes. Lymphocyte count is directly diagnostic and used for monitoring treatment response and detecting relapse.
Reactive Lymphocytes
Monocytes
Any condition causing bone marrow failure leads to decreased monocyte production and monocytopenia as monocytes are produced exclusively in bone marrow.
Eosinophils
Rapidly progressive respiratory illness with diffuse pulmonary infiltrates and eosinophils >25% on BAL fluid. Peripheral eosinophilia may be absent initially but develops during course. Eosinophil count aids diagnosis and monitoring.
Basophils
Increased levels of basophils are typically associated with allergic reactions or inflammation, as these cells play a role in the body's immune response.
Blasts
An increase in the number of blast cells can indicate a type of blood cancer known as leukemia, where the bone marrow produces too many immature white blood cells.
Nucleated RBC
The presence of nucleated red blood cells can suggest a bone marrow disorder or severe hemolytic anemia, as these cells are typically only found in the bone marrow.
White Blood Cells
Leukocytosis refers to a high white blood cell count, often occurring in response to infection, inflammation, malignancies, or physical or emotional stress.
Red Blood Cells
Low red blood cell count can indicate various types of anemia, including iron deficiency anemia, vitamin B12 deficiency anemia, or aplastic anemia.
Segmented Neutrophils
Increased levels of segmented neutrophils can be a sign of an ongoing bacterial infection or inflammation, as these cells are a part of the body's first line of defense.
Metamyelocyte
Myelocyte
An increase in myelocytes is often associated with Chronic Myelogenous Leukemia, a type of blood and bone marrow cancer.
Promyelocyte
An increase in promyelocyte count is associated with Acute Promyelocytic Leukemia, a type of blood cancer.
Nucleated RBCs
Smudge Cells
Smudge cells are often found in higher numbers in people with Chronic Lymphocytic Leukemia. They are remnants of fragile leukemia cells that break apart during the preparation of a blood smear.
RBC
Increased levels of red blood cells (RBC) in urine, or hematuria, can be a sign of kidney disease or urinary tract issues.
Squamous Epithelial Cells
While not indicative of a health issue, large numbers of squamous epithelial cells can suggest that the urine sample was contaminated, often by skin cells or vaginal secretions.
Transitional Epithelial Cells
An increase in transitional epithelial cells can be a sign of a urinary tract infection, as these cells line the urinary tract and can be shed into the urine in response to inflammation.
Renal Epithelial Cells
Increased numbers of renal epithelial cells in the urine can suggest a disease or injury to the kidney.
Bacteria
The presence of bacteria in the urine is a clear indicator of a urinary tract infection.
Calcium Oxalate Crystals
Calcium oxalate crystals in the urine can lead to the formation of kidney stones.
Occult Blood
Presence of occult blood can be a sign of urinary tract infections, kidney stones, or bladder infections.
Nitrite
Many bacteria that cause urinary tract infections convert nitrate, a chemical your body makes, to nitrite. Nitrite in urine usually indicates a UTI.
Leukocyte Esterase
Leukocyte esterase is an enzyme present in white blood cells. Its presence in urine suggests a urinary tract infection.
WBC
Increased levels of white blood cells (WBC) in urine often indicate an infection in the urinary tract.
Protein
Protein in the urine, or proteinuria, is often a sign of kidney disease.
Ketones
An excess of ketones in the urine can be a sign of diabetes, specifically diabetic ketoacidosis, a serious complication.
Bilirubin
Bilirubin in the urine may indicate liver disease or damage.
Glucose
High levels of glucose can indicate diabetes, a chronic condition where the body's ability to process sugar is impaired.
pH
An acidic urine pH can increase the risk of uric acid kidney stones, while an alkaline urine pH can increase the risk of calcium or phosphate kidney stones.
Specific Gravity
High specific gravity can indicate dehydration or kidney disorders, while low specific gravity can be indicative of kidney failure or excessive fluid intake.
Appearance
A dark, concentrated urine may suggest dehydration.
Color
A dark, concentrated urine may suggest dehydration.
Crystals
Certain types of crystals in the urine can lead to kidney stone formation.
Amorphous Sediment
Amorphous sediment in the urine could be a sign of dehydration, as it is often seen in concentrated urine.
Uric Acid Crystals
The presence of uric acid crystals in the urine can be a sign of gout, a type of arthritis caused by excess uric acid in the body.
Yeast
Presence of yeast in urine could indicate a yeast infection in the urinary tract.
Casts
The presence of any type of urinary cast can suggest kidney disease, as casts are formed in the tubules of the kidneys.
Granular Cast
Granular casts are clumps of white blood cells, red blood cells, or kidney cells. Their presence can suggest kidney disease.
Hyaline Cast
Hyaline casts are often seen in concentrated urine, which can be caused by dehydration.
Triple Phosphate Crystals
Triple Phosphate Crystals, or struvite stones, may form after a urinary tract infection and can lead to kidney stones.
Chloride
Hyperchloremia frequently develops in AKI due to reduced renal chloride excretion and fluid resuscitation with chloride-rich solutions (0.9% saline). Chloride monitoring guides fluid management and helps assess renal recovery.
Potassium
Acute adrenal insufficiency causes severe hyperkalemia with hyponatremia and hypoglycemia. Electrolyte pattern helps diagnose this life-threatening emergency requiring immediate corticosteroid replacement.
Sodium
Hyponatremia results from aldosterone deficiency causing renal sodium loss and cortisol deficiency impairing water excretion. Sodium is a key diagnostic marker in primary adrenal insufficiency.
Bun/Creatinine Ratio
A high BUN/Creatinine ratio can indicate conditions such as kidney disease or dehydration, as both BUN and creatinine are waste products filtered by the kidneys.
ALT
Elevated ALT levels can indicate liver damage, as ALT is an enzyme found primarily in the liver.
AST
High levels of AST can also indicate liver damage, as it is an enzyme that is often released when the liver is injured.
Alkaline Phosphatase
High levels of alkaline phosphatase can indicate liver disease or bone disorders, as this enzyme is produced in both the liver and bones.
Bilirubin, Total
Massive hepatocellular necrosis from acetaminophen overdose causes markedly elevated total bilirubin. Rising bilirubin indicates fulminant hepatic failure and poor prognosis.
Albumin/Globulin Ratio
An abnormal albumin/globulin ratio can indicate liver disease. The liver produces albumin and globulin, so changes in their levels might point to liver dysfunction.
Globulin
High levels of globulin can indicate certain infections, autoimmune diseases, and blood disorders, as globulin proteins are part of the body's immune response.
Albumin
Chronic CHF causes hypoalbuminemia through hepatic congestion impairing synthesis, intestinal edema reducing absorption, and cardiac cachexia. Low albumin (<3.5 g/dL) is an independent predictor of mortality and readmission in heart failure patients.
Protein, Total
Abnormally high levels of protein in urine can be indicative of kidney disease.
Calcium
Impaired kidney function disrupts calcium-phosphate homeostasis, typically causing hypocalcemia due to decreased vitamin D activation and phosphate retention. Calcium monitoring is crucial for CKD-mineral bone disorder management.
Carbon Dioxide
Low levels of carbon dioxide in the blood can indicate a metabolic disorder, such as metabolic acidosis, where the body produces too much acid or doesn't get rid of enough acid.
Creatinine
ATN from ischemia or nephrotoxins causes tubular cell death and kidney dysfunction, resulting in rapid creatinine elevation. Creatinine levels help diagnose ATN and monitor recovery of kidney function.
Urea Nitrogen (Bun)
High levels of urea nitrogen (BUN) can indicate kidney disease or dehydration, as this waste product is filtered out of the blood by the kidneys.
eGFR
A low eGFR (estimated glomerular filtration rate) can indicate kidney disease, as this measures how well the kidneys are filtering waste from the blood.
Chol/Hdlc Ratio
A high Chol/Hdlc ratio indicates a higher risk of heart disease. The higher the ratio, the higher the risk.
LDL Cholesterol
This rare genetic disorder results in extremely low or absent LDL cholesterol due to inability to produce apoB-containing lipoproteins. Very low LDL-C (<20 mg/dL) with fat malabsorption suggests this diagnosis.
Triglycerides
Mutations in APOA5 gene cause severe hypertriglyceridemia. Genetic testing typically prompted by extreme triglyceride elevations. Triglycerides are primary monitoring parameter.
HDL Cholesterol
Mutations in APOA1 gene cause severe HDL deficiency (<10 mg/dL) with increased atherosclerosis risk. Very low HDL with absent or dysfunctional apoA-I is diagnostic of this rare genetic condition.
Cholesterol, Total
This is characterized by high levels of cholesterol in the blood, increasing the risk of heart disease.
Non HDL Cholesterol
High levels of non-HDL cholesterol can indicate an increased risk of cardiovascular disease as it represents all of the 'bad' cholesterol.
Iron, Total
Chronic kidney disease can result in low levels of iron in the blood. The kidneys are responsible for producing an hormone that stimulates the production of red blood cells, and damage to these organs can result in a decrease in this hormone, leading to decreased production of red blood cells and lower iron levels.
Three steps from order to answer
Order online
Purchase securely on this page. Choose your nearest Quest Diagnostics draw site at checkout. Over 2,200 locations nationwide.
Takes about 2 minutes
Get your blood drawn
Book a time at your chosen location. A standard blood draw takes about 5 minutes. Your lab order is sent automatically when you purchase.
About 5 minutes at the lab
Review your results
Results arrive in your secure online portal in 1 to 2 business days. Each marker includes a plain-English explanation and reference range, not just a number.
Results in 1 to 2 business days
Results you can actually read.
Your results aren't just a number in a table. Each marker comes with a plain-English explanation and your result highlighted against the reference range. If anything falls outside normal, you'll see a note on what that typically means.
- Reference ranges shown for every marker
- Plain-English explanations, not medical jargon
- Downloadable as a PDF to share with your doctor
- Reviewed by a licensed physician before delivery
Results
what your report will look like
What makes this different from a standard doctor's visit
No doctor's visit required
All tests are physician-ordered on your behalf. You get clinical-grade diagnostics without a referral or prior appointment.
The same labs your doctor uses
Every blood draw is processed at Quest Diagnostics. The same facilities hospitals and clinics use nationwide. The science is identical. The experience is simpler.
Your results, your data
Results are private and belong to you. Download them, share with your own doctor, or keep them confidential. The choice is yours.
Physician-reviewed results
A licensed physician reviews your panel before results are released to you. If critical values are found, you'll be contacted directly.
Frequently asked questions
Text us at 863-270-9911 and we'll respond within a few hours.
No. When you purchase this test, a physician associated with our network reviews your order and issues the lab requisition on your behalf. You don't need a prior doctor's visit or referral.
This is a direct-pay test, priced to be accessible without insurance. Because you're paying directly, the cost is often lower than your insurance copay for a comparable physician-ordered panel. We provide an itemized receipt you can submit for HSA/FSA reimbursement.
The blood draw process and lab analysis are identical. Same CLIA-certified Quest Diagnostics facilities, same testing methodology. The difference is access. You order directly, skip the office visit, and get results faster.
A licensed physician reviews every panel before results are released. If any critical values are found, you'll receive a direct phone call before your results are posted. For out-of-range results that aren't critical, your results will include clear guidance on what the finding typically means and what next steps to consider.
Yes. Results are available as a PDF download from your portal. They're formatted in the standard lab report format your physician will recognize. Many people use these results to have a more informed conversation at their next appointment.
Your results are stored securely in a HIPAA-compliant system and are not shared with your insurance company, employer, or any third party without your explicit consent.