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Complete Blood Count (CBC): What This Common Blood Test Measures and Why Your Doctor May Order It

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

A urine test that checks for signs of infection, kidney problems, or other health conditions, with automatic follow-up testing if needed.

Quick summary

["This test analyzes urine for glucose, protein, blood, and other substances A reflex culture is automatically done if signs of infection are found It helps diagnose urinary tract infections, kidney disease, and diabetes A clean urine sample is required for accurate results Results are typically available within 1-2 days"]

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

Key facts at a glance

LOINC
57019-2
Short code
UA DIP RFLX
Synonyms
UA dipstick W Reflex Culture pnl Ur
Category
cardiac
Sample
serum
Container
Sterile, leak-proof urine container (plastic preferred)
Units
N/A
Ref low
5
Ref high
8
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Dipstick colorimetric analysis with reflex to urine culture when reflex criteria are met (positive nitrites, positive leukocyte esterase, or >10 WBC/hpf)
CPT
81003 (Urinalysis, non-automated, with microscopy); 87070 (Urine culture, bacterial; quantitative or semiquantitative)
SNOMED
271710005 (Urinalysis), 410145006 (Refers to procedure)
Specimen volume
10-20 mL minimum; 20-50 mL preferred for adequate testing
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 24-48 hours; Do not freeze. If culture required, refrigerate within 2 hours of collection or transport in insulated container with ice packs.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–72 hours
Order
routine

The complete blood count, or CBC, is one of the most frequently ordered blood tests in the United States. It measures the cells circulating in your blood, including red blood cells, white blood cells, and platelets, giving your care team a broad snapshot of your overall health and helping guide decisions about further testing or treatment.

A urinalysis is a test of your urine (not blood or serum). It uses a dipstick—a thin plastic strip with chemical pads—that changes color when it detects certain substances. The 'reflex culture' part means that if the dipstick shows signs of infection (like high white blood cells or nitrites), the lab will automatically run a urine culture to identify the specific bacteria causing the infection.

This test checks for a wide range of conditions, such as anemia, infections, inflammation, and bleeding or clotting problems. It can also help monitor chronic conditions like kidney disease and track how well treatments such as chemotherapy or certain medications are affecting your blood cells over time.

The dipstick tests for: glucose (sugar in urine, may indicate diabetes), protein (kidney function), blood (infection or kidney stones), ketones (fat breakdown), nitrites and leukocyte esterase (bacterial infection), pH level (acid-base balance), and specific gravity (concentration of urine). The culture, if performed, identifies specific bacteria and determines which antibiotics will work best.

A sample is collected by drawing a small amount of blood from a vein in your arm, usually at the inside of the elbow or the back of the hand. A trained phlebotomist cleans the skin, wraps a band around your upper arm, inserts a thin needle, and fills one or more tubes, a process that typically takes only a few minutes and may cause brief, mild discomfort.

You will be given a clean container to collect a 'midstream' urine sample. This means you start urinating, then collect the urine in the container without catching the first or last part. For women, cleansing the genital area before collection is important. A properly collected sample ensures accurate results.

Reference range

pH: 5.0-8.0; Specific Gravity: 1.005-1.030; Protein: Negative; Glucose: Negative; Ketones: Negative; Blood: Negative; Nitrites: Negative; Leukocyte Esterase: Negative; Bilirubin: Negative; Urobilinogen: Normal; Microscopic: 0-2 RBC/hpf, 0-5 WBC/hpf, Occasional epithelial cells, No bacteriaN/A

Specimen: serum

Collect midstream clean-catch urine specimen. For female patients, cleanse perineum from front to back before collection. For male patients, cleanse glans penis before collection. First morning specimen preferred but not required. Avoid contamination with toilet paper or feces. Patient should not have recently consumed vitamin C supplements as this may cause false negative results for glucose and blood.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Urinalysis helps detect and monitor conditions including urinary tract infections (UTIs), kidney infections, kidney stones, diabetes, kidney disease, and liver problems. The reflex to culture ensures that bacterial infections are properly identified and treated with the right antibiotics. Early detection of protein in urine can indicate kidney damage before symptoms appear.

Frequently asked questions

Do I need to fast before this test?
No fasting is typically required for urinalysis. However, your healthcare provider may ask you to collect the first morning urine sample for most accurate results, as it is more concentrated.
Will the reflex culture be done automatically?
Yes, if the dipstick shows abnormal findings suggesting infection (such as positive nitrites, positive leukocyte esterase, or visible blood/wbc), the lab will automatically perform a culture without needing to contact your doctor first.
How long does it take to get results?
Dipstick results are usually available the same day. If a reflex culture is performed, it takes an additional 24-48 hours as bacteria need time to grow and be identified.
What do abnormal results mean?
Abnormal findings vary: glucose may indicate diabetes; protein may suggest kidney damage; blood could mean infection, stones, or other conditions; positive nitrites/leukocytes suggest bacterial infection. Your doctor will interpret results based on your symptoms and medical history.
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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