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Lab test

Urinalysis, Complete, with Reflex to Culture

This test evaluates chemical constituents and cells in a urine sample. When results indicate it, the same sample is used for a reflex culture to help identify organisms that may be causing an infection.

Quest patient service center

About this test

The urinalysis portion uses reagent-impregnated strips or tablets to evaluate chemical constituents in urine and their relationship to various disease states, alongside microscopic examination for abnormal cells and other formed elements. Quest lists a broad set of items this examination covers, including appearance and color, several chemical measures, and cellular and crystal findings seen under the microscope.

If any of the urinalysis results meet criteria for follow-up, the second submitted specimen is used to run a reflex culture, and if that culture is positive, the organism or organisms are identified. This structure means a single order can move from a broad chemical and microscopic screen to a targeted culture without a separate collection.

Test details

CollectionQuest patient service center

Quest resources

Additional details

What this test looks at

Quest asks for two separate urine specimens: one for the urinalysis itself, and a second, unpreserved specimen held in reserve for the reflex culture. The urinalysis reports chemical and microscopic findings; the culture, when triggered, reports which organism or organisms are present.

This test isn't part of the Celio Health store at the moment, so it can't be ordered or requested here. The test menu lists everything that can.

Laboratory results should always be interpreted by a licensed clinician who knows your health history. This page is information about a test, not medical advice.

Frequently asked questions

What does this test measure?

It evaluates chemical constituents and cells in urine, and, when indicated, runs a culture on a second urine specimen to identify infection-causing organisms.

How is the sample collected?

Quest asks for two separate urine specimens: one for the urinalysis and a second, unpreserved specimen held for the reflex culture if it is needed.

Do I need to prepare for this test?

No preparation instructions are listed for this test, though people follow any instructions their ordering clinician provides.

When does the culture run?

The reflex culture runs on the second urine specimen only if certain urinalysis results meet criteria for follow-up; it is not run automatically on every sample.

What happens if the culture is positive?

If the reflex culture is positive, the laboratory identifies the organism or organisms present in the sample.

Last updated 2026-09-18 · How we write about lab testing

Educational content

This page is for general educational purposes only. It is not medical advice, and it is not a substitute for consultation with a qualified healthcare professional. Laboratory results should always be interpreted by a licensed clinician who knows your health history. If you have questions about your health or your results, talk with your doctor. If you think you may be experiencing a medical emergency, call 911.