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Leukocyte Differential (Cell Count) with Absolute Counts

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

This test measures the types and quantities of white blood cells in your blood, helping identify infections, inflammation, or other conditions.

Quick summary

["Understanding your white blood cell types can help diagnose health issues early."]

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

Key facts at a glance

LOINC
88335-5
Short code
Predominant leukocyte Ear Micro
Synonyms
Predominant leukocyte Ear Micro
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order a leukocyte differential test to diagnose or monitor conditions like infections (such as bacterial or viral), autoimmune diseases, or blood disorders. It can also help assess how well your immune system is responding to treatment.

What to Expect Before the Test

No special preparation is needed for this test. You may have a simple blood draw, usually done in a doctor’s office or lab. If you’re on blood-thinning medication, let your provider know before the test.

What the Test Results Mean

The test reports the percentage and absolute count of each type of white blood cell (neutrophils, lymphocytes, monocytes, eosinophils, and basophils). Abnormal results may indicate infections, allergies, or other health concerns.

Common Conditions Linked to Abnormal Results

High or low counts of certain white blood cells can signal problems, such as infections (e.g., high neutrophils), chronic inflammation (e.g., high lymphocytes), or immune disorders (e.g., low lymphocytes).

Reference range

NCBI: WBC 4000-10000/mm³N/A

Specimen: serum

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.

Clinical significance: Leukocyte differentials are critical for diagnosing infections, autoimmune diseases, and blood disorders. For example, elevated neutrophils often point to bacterial infections, while low lymphocyte counts may suggest immune suppression or certain cancers.

Short name

Leukocyte differential

Frequently asked questions

What does a leukocyte differential test measure?
It measures the types of white blood cells (neutrophils, lymphocytes, etc.) and their relative proportions in your blood, along with their absolute counts.
Can fasting affect this test?
No, fasting is not required for this test, as it involves a simple blood draw and does not depend on dietary factors.
How long does it take to get results?
Results are typically available within a few hours to a couple of days, depending on your lab’s processing time.
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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