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Newborn Hemoglobin Electrophoresis, Whole Blood — Qualitative (Alkaline Method)

Published: August 9, 2026Updated: August 16, 2026

A qualitative screening test that separates hemoglobin types to help identify inherited hemoglobin disorders, including sickle cell disease and thalassemia.

Quick summary

["This blood test checks for inherited variations in hemoglobin, particularly in newborns."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
4614-4
Short code
Hgb N-Balt Bld Ql Elph Alk
Synonyms
Hgb N-Balt Bld Ql Elph Alk
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
7
Ref high
56
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis-ph
CPT
84484
SNOMED
302773008
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

Hemoglobin electrophoresis is a laboratory test that separates different forms of hemoglobin so they can be identified. It is often part of newborn screening and may also be used to investigate anemia or a family history of an inherited blood disorder.

Why might I need this test?

The test may be ordered to screen newborns for sickle cell disease, thalassemia, or another hemoglobin condition. It may also be used when a patient has anemia, unusual blood counts, symptoms suggesting a hemoglobin disorder, or a close family member with one.

How is the test performed?

A blood sample is collected and the hemoglobin is separated using electrophoresis, including an alkaline method. The laboratory reviews the pattern of hemoglobin bands to determine whether abnormal hemoglobin forms are present.

How do I prepare for the test?

No special preparation is usually required for a routine blood draw. In newborns, the sample is generally taken through a heel or finger stick or from venous blood, depending on the testing program.

Reference range

Adult males: 7-56 U/L; Adult females: 7-43 U/LN/A

Specimen: whole-blood

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Newborn Hemoglobin Electrophoresis

Frequently asked questions

Does this test diagnose sickle cell disease on its own?
It can identify abnormal hemoglobin patterns strongly associated with sickle cell disease, but a diagnosis may require additional testing, such as a blood count, hemoglobin analysis, or genetic testing.
Why is newborn screening important?
Early identification allows affected infants to receive appropriate follow-up, treatment, and family counseling before significant health problems develop.
What if the hemoglobin electrophoresis result is normal?
A normal result means no common abnormal hemoglobin pattern was detected by the method. The laboratory may recommend additional testing if clinical findings or family history still suggest a blood disorder.
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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 16, 2026. · Read our editorial policy