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White Blood Cell Count with Differential (Serum/Plasma or Whole Blood)

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

This test measures the types and proportions of white blood cells (WBCs) in your blood, which helps assess immune function and identify potential infections, inflammation, or blood disorders.

Quick summary

["Understanding your WBC types can help diagnose health issues early."]

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

Key facts at a glance

LOINC
63555-7
Short code
WBC ?Tm # UrnS HPF
Synonyms
WBC ?Tm # UrnS HPF
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light-hpf
CPT
85004
SNOMED
900000000000003002
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test to evaluate immune system function, detect infections (like bacterial or viral), check for blood disorders (such as leukemia or anemia), or monitor conditions like autoimmune diseases or chronic inflammation. It can also be used during pregnancy to screen for certain risks or after treatments like chemotherapy.

What to Expect Before the Test

No special preparation is needed for this test. You may donate blood or have a small sample drawn from your vein. If you’re taking certain medications (like steroids), let your healthcare provider know, as they might affect your results.

What Happens During the Test

A healthcare professional will insert a needle into your arm to draw blood. The sample is then sent to a lab, where it’s analyzed to count and identify the different types of white blood cells (neutrophils, lymphocytes, monocytes, eosinophils, and basophils).

What the Results Mean

Your results will show the absolute counts of each WBC type. Abnormal levels can signal conditions like low immunity (e.g., low lymphocytes), infections (e.g., high neutrophils), or allergic reactions (e.g., high eosinophils). Your doctor will interpret these findings in the context of your overall health and symptoms.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: urine

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

WBC Differential

Frequently asked questions

What causes abnormal WBC counts?
Abnormal WBC counts can result from infections (like colds or flu), autoimmune diseases (such as lupus), certain medications (like chemotherapy), or genetic blood disorders. If you notice unexplained fatigue, frequent infections, or other symptoms, discuss your results with your doctor.
How often should I get this test?
The frequency depends on your health status. Routine blood tests may include this differential as part of a general checkup, but your doctor will determine if you need it more often—especially if you have a chronic condition or are undergoing treatment.
Can diet or lifestyle affect WBC counts?
Diet and lifestyle factors like stress, poor sleep, or certain foods may influence immune function indirectly, but they don’t directly alter WBC counts. Avoiding extreme stress and maintaining a balanced diet can support overall immune health, though this test measures specific cell types rather than general wellness.
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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