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Peripheral Blood Leukocyte Aggregate Count (Qualitative Smear Examination)

Published: August 9, 2026Updated: August 17, 2026

This test examines the appearance of white blood cells (leukocytes) under a microscope from a blood sample. It helps identify abnormal cell shapes, clusters, or other features that may signal infection, inflammation, or other conditions.

Quick summary

["A qualitative blood smear check can reveal clues about your health beyond standard blood counts."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
74347-6
Short code
Leukocyte aggregates Bld Ql Smear
Synonyms
Leukocyte aggregates Bld Ql Smear
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4
Ref high
10
Critical range
— – 100 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
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

Why Is This Test Done?

Your healthcare provider may order this test to investigate symptoms like unexplained fever, persistent fatigue, or unusual bruising. It can also help diagnose conditions such as infections, blood disorders, or immune system issues by observing cell morphology in detail.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted to draw blood from a vein, usually in your arm. The blood sample is then spread thinly on a microscope slide for examination.

What Happens During the Test?

After drawing blood, the sample is sent to a lab where a trained technician stains the cells and examines them under a microscope. The focus is on identifying abnormal leukocyte shapes, clusters, or counts that may not be detected by routine blood tests.

What Are the Possible Results?

Results are qualitative (descriptive) rather than numerical. You’ll receive a report noting whether the leukocyte appearance looks normal or if there are signs of abnormalities such as increased or decreased cell types, clustering, or unusual shapes.

Reference range

NCBI: WBC 4000-10000/mm³N/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Leukocyte smear (qualitative)

Frequently asked questions

What does a leukocyte smear tell me about my health?
It provides a detailed look at the shape, size, and arrangement of your white blood cells, which can signal underlying issues like infections, blood disorders, or immune problems that standard blood tests might miss.
How often should I get this test?
Your doctor will determine the frequency based on your symptoms, medical history, or ongoing treatment. It’s often used as part of a broader diagnostic workup rather than a routine screening test.
Can I prepare for this test in any way?
No special preparation is needed. However, inform your doctor about any medications or conditions that might affect blood cell counts, such as recent infections or chronic illnesses.
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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 17, 2026. · Read our editorial policy