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Laboratory Test: What It Is, Why It Is Done, and How to Prepare

Published: August 9, 2026Updated: August 10, 2026

A blood test that measures the level of 25-hydroxyvitamin D in your blood to evaluate vitamin D status.

Quick summary

{"Measures the main form of vitamin D in your blood (25-hydroxyvitamin D)","Helps diagnose vitamin D deficiency or excess","Simple blood draw from a vein in your arm","Results help doctors assess bone health and calcium metabolism","No special fasting is typically required"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
86918-0
Short code
25-OH Vit D
Synonyms
25(OH)D3+25(OH)D2 goal mCnc SerPl
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube; EDTA plasma also acceptable
Units
N/A
Ref low
30
Ref high
100
Critical range
10 N/A – 150 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Liquid chromatography-tandem mass spectrometry (LC-MS/MS) or chemiluminescent immunoassay (CLIA)
CPT
82306
SNOMED
371671009
Specimen volume
1.0 mL minimum, 2.0 mL preferred
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

This test is a laboratory procedure that helps your doctor evaluate your health by measuring specific substances in a sample taken from your body. The results provide a clear picture of how well certain organs and body systems are functioning and can help detect a medical condition early, sometimes before you notice any symptoms.

The 25-hydroxyvitamin D test measures the amount of 25-hydroxyvitamin D in your blood. This form of vitamin D is produced when your liver processes vitamin D from sunlight, food, or supplements. It is considered the best indicator of your overall vitamin D status because it reflects all sources of vitamin D and has a relatively long half-life in the blood.

Your doctor may order this test to help diagnose a health problem, to monitor a condition you already have, or to check how well a treatment is working. It can also be part of a routine checkup to screen for risk factors and to guide decisions about your ongoing care and follow-up plan.

Your doctor may order this test if you have symptoms of vitamin D deficiency such as bone pain, muscle weakness, or fatigue. It is also used to monitor vitamin D levels in people with conditions that affect vitamin D absorption (such as Crohn's disease or celiac disease), kidney disease, or those taking medications that affect vitamin D metabolism. Additionally, it may be used to check vitamin D levels in people with osteoporosis, rickets, or osteomalacia.

The test is usually performed in a clinic, hospital, or laboratory. A trained health professional will collect a small sample, such as blood or urine, using a standard procedure. The sample is then sent to a laboratory for analysis, and your doctor will review the results with you once they are available, often within a few days.

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood is collected into a tube and sent to a laboratory for analysis. The test is simple and only takes a few minutes. You may feel a brief sting or pinch when the needle is inserted.

Preparation depends on the type of test being done. Your care team will give you specific instructions, which may include fasting for a certain number of hours, avoiding certain foods, drinks, or medications, and drinking plenty of water beforehand. Tell your doctor about all medicines, vitamins, or supplements you take, and plan to arrive on time for your appointment.

Generally, no special preparation such as fasting is required for this test. However, it's important to inform your doctor about all medications, supplements, and vitamins you are taking, as some can affect vitamin D levels. Your doctor will provide specific instructions if needed.

Reference range

Deficiency: <20 ng/mL; Insufficiency: 20-29 ng/mL; Sufficiency: 30-100 ng/mL; Excess: >100 ng/mLN/A

Specimen: serum

No fasting required. Patient should inform about supplements containing vitamin D. Specimen can be collected at any time of day.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The 25-hydroxyvitamin D test helps diagnose vitamin D deficiency, which can lead to bone diseases such as rickets in children and osteomalacia or osteoporosis in adults. Low levels may also be associated with increased risk of fractures, muscle weakness, and certain chronic diseases. High levels of vitamin D (vitamin D toxicity) can cause hypercalcemia, leading to symptoms like nausea, vomiting, weakness, and kidney problems. The test results, along with your clinical symptoms and other test results, help your doctor determine if you need vitamin D supplementation or lifestyle changes.

Frequently asked questions

What do low vitamin D levels mean?
Low 25-hydroxyvitamin D levels indicate vitamin D deficiency. This can be caused by inadequate sun exposure, poor dietary intake, malabsorption disorders (such as celiac disease or Crohn's disease), kidney or liver disease, or certain medications. Deficiency can lead to bone loss, muscle weakness, and increased fracture risk.
What do high vitamin D levels mean?
High levels may indicate vitamin D toxicity (hypervitaminosis D), usually caused by excessive supplementation. This can lead to hypercalcemia (high blood calcium), which may cause kidney stones, kidney damage, bone pain, and other serious health problems. It is important not to take high doses of vitamin D supplements without medical supervision.
What is the normal range for 25-hydroxyvitamin D?
Generally, levels of 20-50 ng/mL (50-125 nmol/L) are considered adequate for most people. Levels below 20 ng/mL (50 nmol/L) may indicate deficiency, while levels above 150 ng/mL (375 nmol/L) may indicate toxicity. However, target ranges may vary slightly between laboratories, and your doctor will interpret your results in the context of your overall health.
How often should I have this test?
The frequency of testing depends on your individual health situation. Your doctor may recommend testing if you have known vitamin D deficiency and are being treated with supplements, or if you have conditions that affect vitamin D absorption. Follow your doctor's recommendations for testing frequency.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy