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Liver Fibrosis, Fibrosis-4 (FIB-4) Index Panel
Message***COLLECT MONDAY THRU THURSDAY ONLY***
DUE TO STABILITY, SPECIMEN HAS TO SHIP TO SJC OVERNIGHT DIRECT FROM ML USING THE SHORT STABILITY BOX.
Test Code
30555
Alias/See Also
FIB-4
FIB4
FIB4
Includes
- Aspartate Aminotransferase (AST)
- Alanine Aminotransferase (ALT)
- Platelet Count
- FIB 4 Index
Preferred Specimen
1 mL serum collected in a serum separator tube (SST) and whole blood full EDTA (lavender-top) tube
Minimum Volume
0.5 mL serum and 1 mL EDTA whole blood
Transport Container
Serum separator tube (SST) and EDTA (lavender-top) tube
Transport Temperature
- Serum: Refrigerated
Whole blood: Room temperature
Specimen Stability
- Serum
- Room temperature: 72 hours
- Refrigerated: 5 days
- Frozen: Unacceptable
- Whole blood
- Room temperature: 48 hours
Methodology
Spectrophotometry (SP) • Electronic Sizing and Counting/Cytometry/Microscopy
Clinical Significance
Liver Fibrosis, Fibrosis-4 (FIB-4) Index Panel - The FIB-4 index is a simple non-invasive approach using selected laboratory measures (AST, ALT, platelet count) in combination with patient age to assess if an individual is at higher risk for advanced liver fibrosis (F3-F4).
Last Updated: May 1, 2026

