Histopathology
Microscopic information about the behaviour and nature of cells within a tissue sample is examined in order to supplement and guide the clinical team to develop the most appropriate treatment pathway for each individual patient.
Our current performance is 70%.
On all sites, urgent specimens must be received by 12:00 for same day results. For rapid renal biopsies, specimens must be received by 13:30.
Unstained sections on glass slides – as many slides as deemed appropriate on adhesive slides, fully labelled with the patient demographics in a sealed slide carrier
Wax blocks – as many blocks as deemed appropriate, marked with the sending laboratory’s accession number. Wrap the blocks in protective material to prevent crushing damage in transit
At times, it may be necessary to refer work to other laboratories or consultants. This requirement is assessed on a case-by-case basis. Referral centres are selected based on the EQA schemes in which they participate, any reported EQA exceptions, average turnaround times and accreditation status.
There are occasions where a centre without accreditation status is used; this is because it is a national referral centre and, on this basis, is deemed expert in this field. When cases require a specialist second opinion, they are referred by our pathologist to another pathologist, in line with the West London Cancer Network guidelines.
Hillingdon Hospital Mohs micrographic surgery – the laboratory is not UKAS accredited for this test for this sample type.
Muscle Biopsy specimens – the laboratory is not UKAS accredited for this test for this sample type.
Immunohistochemistry:
Please note that some immunohistochemistry stains are performed by external referral laboratories.
As of 4 March 2025, the following stains were referred to the laboratories listed below.
| Organisation | Tests / Markers Available |
| Great Ormond Street Hospital (GOSH) | NUT‑1; INI‑1; NTRK; SMARC (BRG‑1); PAN‑TRK |
| St Thomas’ Hospital | SDHB; P24; HLA‑DR; TOXOPLASMA |
| King’s College London | L‑FAB1 |
| St Bartholomew’s Hospital | CYP11BE; SF‑1 |
| St Mary’s Hospital, Oxford | Cathepsin |
| Sheffield | Adipophilin; Parafibronin |
| HSL | CALPONIN; SALL4; MUC2; MUC6; CD33; INSULIN; GLUCAGON; PGP9.5; SOX2; IgA; CD22; NSE; FOXP3; MUC1; NF; CA19.9; MUC5AC; CA125; Arginase‑1; SAA; LFABP; GLUT‑1; PMS2; MLH‑1; MSH6; MSH2 |
| RNOH | NTRK; CTNNB1 |
| Addenbrooke’s Hospital | FH (fumarate hydratase); Adipophilin |
| UCL | CLDN18.2; Claudin 18 |
| Manchester (MFT) | HNF1B |
| Royal Marsden Hospital (RMH) | FH (2× USS); TFE3 (3× USS); FOXL2; DICER1; FGFR |
| Poundbury | PIK3CA; PDL1 Breast |
Record last updated
March 10, 2026
Sample Container
60ml Universal container - Sputum and Fluids (White top)
Search test database
Test Results
Yes, we have a Pathology User Guide
Yes. Please email your request to Imperial.nwlpcustomerservice@nhs.net
Results are communicated to clinical staff and are normally not communicated direct to patients either on telephone requests or in written report. If you need to contact us please click here to view the contact details page
Please contact the Customer Service Team Monday to Friday from 8:30am – 6:00pm on 0203 313 5353. Alternatively, see the Pathology User Guide for how to contact the relevant department. If advice is not urgent you can also email your query to Imperial.nwlpcustomerservice@nhs.net
Additional tests may be added by discussion with the relevant laboratory. The time limit for adding additional tests to a sample already received in the laboratory will depend on the type of sample and the department it was sent to.
Information on the repertoire of tests performed by pathology, including reference ranges, turnaround times and specimen requirements, can be found in the test directory.
Different tests have different sample stability requirements. If a comment on results indicates that the sample was delayed, the links below will indicate which tests may have been affected. This information is for serum or plasma samples.
For some tests, the impact of delay is consistent and these are marked with an arrow:
↑ indicates tests where delayed centrifugation results in falsely elevated results and the true level is likely lower than that reported.
↓ indicates tests where delayed centrifugation results in falsely lowered results and the true level is likely higher than that reported.
If there is no arrow, the true level may be lower or higher than reported.
Please interpret results with caution and consider the impact of any uncertainty.
The comment on the report will state how delayed the sample was. Please click the relevant link below to see which other tests may have been affected.
| >8h | >12h | >24h | >48h | >72h |
Phlebotomy services are not managed by NWLP. For further information please see:
Imperial College Healthcare Trust Phlebotomy services
Chelsea and Westminster Hospital NHS Foundation Trust Phlebotomy services
NWLP operates UKAS accredited medical laboratories as per the references below. The current scope of accreditation for all NWLP’s laboratories can be found on the UKAS website.
UKAS accredited medical laboratory/medical diagnostic service:
- Clinical Biochemistry No. 8673
- Haematology and Blood Transfusion No. 8674
- Infection & Immunity Sciences (Including Immunology, Virology, Microbiology and Histocompatibility and Immunogenetics ) No. 8659
- Cellular Pathology (Including Histopathology, Cytology and Molecular Pathology) No. 9615
If you require copies of our certificate of accreditation and associated documentation please contact Imperial.nwlpcustomerservice@nhs.net.
UKAS requires the laboratories to be accredited for a particular repertoire/scope (ISO15189), any changes or additions to repertoire require assessment by UKAS (extension to scope).
The BD Hospital Tube Guide, BD GP Tube Guide and BD Paediatric Tube Guide provide visual references to the correct tube types and collection instructions.
Home testing
INSTRUCTION SHEET FOR BLOOD SAMPLE COLLECTION
We also have two instruction videos available (one with subtitles and one without) – please click on the links to view the videos on Google.
Our accreditations
Upholding excellence in diagnostic standards
Our laboratories are accredited by the UK Accreditation Service (UKAS) against the international standard ISO15189:2022. UKAS is the accreditation body for the UK that assesses medical laboratories.
Find out more about our accreditations on the UKAS website.
UKAS website