Is sample stability at Quest Diagnostics sufficient for blood draws on Friday, or is a Monday draw preferable to avoid degradation?

Quest Diagnostics Sample Stability: Friday vs. Monday Blood Draw

For routine clinical testing, Quest Diagnostics can reliably preserve samples collected on Friday for Monday testing, provided proper handling protocols are followed—specifically refrigeration at 4°C and processing within 24 hours of receipt. 1

Standard Sample Stability Guidelines

The critical factor is not the day of the week, but rather the total time from collection to processing and the storage conditions during transport:

• Most serum biomarkers remain stable for up to 24 hours when refrigerated at 4°C after proper clotting (30 minutes) and centrifugation 1
• Blood samples should be refrigerated upon collection and sent via overnight delivery on cool packs or wet ice to maintain stability 2
• The optimal timeline is processing within 2 hours of collection after centrifugation, though refrigerated samples extend this window to 24 hours 1

Friday Collection Considerations

Friday blood draws are acceptable for most routine tests if the following conditions are met:

• Samples must be collected, allowed to clot for 30 minutes, and ideally centrifuged before weekend storage 1
• Refrigeration at 4°C (not room temperature) is mandatory during the 48-72 hour weekend period 1
• Quest should receive and process samples within 24 hours of Monday arrival 2, 1

Temperature Management is Critical

• Room temperature storage accelerates degradation exponentially compared to refrigeration, particularly for labile analytes 1
• Samples shipped at ambient temperature are acceptable for certain markers (PAPP-A, hCG) but high temperatures can cause spontaneous degradation of sensitive biomarkers 2
• Extreme temperatures must be avoided during transit—this is the primary risk with Friday collections 2

Test-Specific Stability Variations

Not all tests tolerate weekend delays equally:

Stable for 48-72 Hours (Refrigerated):

• Basic chemistry panels and electrolytes can be shipped at ambient temperature with adequate stability 2
• Most serum proteins remain stable at 4°C for at least 6 days 2
• Leukocyte pellets can be stored at -20°C for at least 1 month if separated promptly 2

More Sensitive to Delays:

• Specialized biomarkers (Alzheimer's markers, certain enzyme assays) are far more sensitive to processing delays and may require Monday collection 1
• Free beta-hCG subunit requires protection from high temperatures and may need cool pack shipping even for overnight delivery 2
• Coagulation studies are particularly vulnerable to pre-analytical variables and ideally should be processed within 2 hours 3, 4

Practical Algorithm for Deciding

Choose Monday collection if:

• Testing includes highly labile biomarkers (specialized enzyme assays, Alzheimer's blood biomarkers, certain coagulation factors) 2, 1
• Reliable refrigeration during weekend storage cannot be guaranteed 1
• The test requires leukocyte isolation within 24 hours (certain lysosomal enzyme assays) 2

Friday collection is acceptable if:

• Testing involves routine chemistry, CBC, basic metabolic panels 2
• Proper refrigeration (4°C) is available throughout the weekend 1
• Quest can receive and process samples within 24 hours of Monday arrival 2, 1
• Samples will be centrifuged before weekend storage (for serum/plasma tests) 1

Common Pitfalls to Avoid

• Never store samples at room temperature over the weekend—this is the single most common cause of sample degradation 1
• Document collection time, storage conditions, and any delays to facilitate result interpretation 2
• Avoid freeze-thaw cycles—if samples must be frozen, use -80°C (not -20°C) and limit to maximum 3 freeze-thaw cycles 2
• Contact time with cells matters—the 2-hour rule applies to total contact time between serum and cellular components, not just post-centrifugation time 1

Quest-Specific Considerations

While Quest Diagnostics has not published laboratory-specific stability data, they must follow CLIA 1988 validation requirements that mandate documentation of sample stability under different storage conditions 2. Their standard operating procedures should align with these published guidelines for sample handling and processing timelines.