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Laboratory Services

Laboratory Services provides diagnostic laboratory and cervical cancer screening laboratory services.

Diagnostic laboratory services include phlebotomy, histopathology, diagnostic cytology, flow cytometry and cancer genetics. Testing performed in these sections is available through referrals from physicians and the BC cancer centres.

Cervical cancer screening laboratory services includes screening all the cervical specimens from physicians across BC and maintaining the database for rescreening of patients on a regular basis.

Turnaround Times

Turnaround Time (TAT) for reports are measured from time of accessioning into the Laboratory Information System to time of sign out by the pathologists. 

*Please note: turnaround time for Cervical Cancer Screening Lab conventional Pap tests is currently longer than expected at approximately 16-18 weeks from time of receipt in the lab. Thank you for your patience. 
Improved turnaround times can be achieved using liquid-based cytology (LBC) Pap collection (refer to Cervical Cancer Screening sub-section) however turnaround times for samples sent to temporary referral lab Quest Diagnostics is now approximately 6-7 weeks. *

Expected TAT are summarized via link: TurnAroundTimes - Updated Mar 2023

Under some circumstances, cases may take longer than the expected benchmark TAT. Reasons may include: 

  • Processing time- technical reasons requiring prolonged processing before examination
  • Second opinion- difficult diagnosis requiring another pathologist opinion
  • Additional testing- special tests may add several days
  • Troubleshooting- information missing which may aid in diagnosis 
Send-Out Testing
Oncotype DX testing is offered to patients with certain criteria and is performed off-site. The process and forms can be found below:


Note: This test is for Breast Only.

This testing is performed at Genomic Health, California USA. 

This process was revised in to accommodate payment for the test by BC Cancer, under certain new criteria (Sept 29, 2021). This process cannot be used for self pay patients.

The new procedure is (revised 2020):

  1. Complete a Compassionate Access Program request  on the CAP website.

  2. Complete the consent form with the patient (form is here ) and submit it to CAP by fax or via DocuSign. Note that the patient MUST sign the form, writing "telephone consent" is NOT acceptable. For further information on how to sign the document: DocuSign – how to sign document (provider guide) and DocuSign – how to sign document (patient guide)
  3. Complete a requisition form on the Genomic Health patient online portal: 
  4. CAP will advise if the application is successful.
  5. For a successful application, Genomic Health will apply to the hospital that holds the tissue for a sample to be tested.
  6. Upon completion of the test, the results will be available to the requesting physician on the secure patient portal.

A flow diagram of the process can be found here.

Additional information can be found at:

Genomic Health, Inc.®
Customer Service - International
Phone: +650 569 2080
Toll free: +866 662 6897 (Canada)

If you have any questions about the process for requesting this test 
please contact
Pathology Office, Supervisor, BC Cancer - VCC
604-877-6000 #672073

Test Request Forms


These forms are updated regularly, they can also be found under the appropriate section heading. Please only use the current form and do not write in other tests that are not on the form.

All files are in pdf format.

Most forms must be faxed to the hospital holding the tissue NOT BC Cancer lab (instructions on each form), a list of lab fax numbers can be found here.

Cancer Genetics

Cancer Genetics solid tumour requisition.pdf Cancer Genetics Lymphoid Request Form 

Cancer Genetics solid tumour requisition.pdfCancer Genetics Myeloid Request Form - UPDATEDAPR2022

Cancer Genetics solid tumour requisition.pdf Cancer Genetics Solid Tumour Request Form - Molecular - UPDATEDMAY2022

Cancer Genetics solid tumour requisition.pdf Cancer Genetics Solid Tumour Request Form  - Cytogenetics

Cancer Genetics solid tumour requisition.pdf Cancer Genetics HCP Multi-Gene Panel Requisition - UPDATEDFEB2023

Cancer Genetics solid tumour requisition.pdfCancer Genetics DPYD Genotyping Requisition  - NEWMAR2023

  Study-specific requisitions are also available for the following:

Cervical Cancer Screening
 (Gyne Cytology)

Cancer Genetics solid tumour requisition.pdf Cervical Cancer Screening Test Requisition form  *NEW* Mar 2022

Cancer Genetics solid tumour requisition.pdf Cervical Cancer Screening Test supply order form

Diagnostic Cytology

Cancer Genetics solid tumour requisition.pdfDiagnostic Cytology Request Form

Cancer Genetics solid tumour requisition.pdfCST Cerner Diagnostic Cytology Requistion

Anatomic Pathology

Cancer Genetics solid tumour requisition.pdf Histopathology Requisition - UPDATEDJUL2022

Cancer Genetics solid tumour requisition.pdf Immunohistochemistry Request Form *UPDATED* Feb 22                 *Pathologist Use ONLY. No report will be issued by the BC Cancer-VCC Lab

Other forms

Cancer Genetics solid tumour requisition.pdf Biomarker, Gastric HER2, MMR, & PDL1  Request Form  - UPDATEDAug2022

Cancer Genetics solid tumour requisition.pdfPathology Review Request Form "NEW" *Oncologist Use ONLY.    

Cancer Genetics solid tumour requisition.pdf HER2 Neu FISH Request Form       

Cancer Genetics solid tumour requisition.pdf Flow Cytometry Request Form - UPDATEDFEB2023

Cancer Genetics solid tumour requisition.pdf Lung Central Tissue Banking Study Consent Form  "NEW"

Cancer Genetics solid tumour requisition.pdf Outside Lab Request Form

Cancer Genetics solid tumour requisition.pdfPatient Consent For Sendout Of Tissue

The Laboratory is accredited by the Diagnostic Accreditation Program of the College of Surgeons and Physicians of BC.

A copy of the current certificate can be found here.
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