Full Blood Count (CBC) with Differential

A full blood count with five-part white cell differential at AXIS-CZ's NASKL-accredited laboratory in Hradec Králové. The CBC measures red cell count, haemoglobin, haematocrit, and MCV/MCH/MCHC indices; the differential classifies white cells into neutrophils, lymphocytes, monocytes, eosinophils, and basophils as both absolute counts and percentages. Together these measurements provide the foundational haematology screen used to investigate anaemia, infection, inflammatory states, and haematological disorders. Walk-in collection is available from 05:30 Monday to Friday; no appointment is needed. The basic CBC (krevní obraz) is 37 Kč; adding the differential costs 84 Kč total. A reticulocyte count to assess bone marrow red cell production can be added for 122 Kč. Results are typically available on the same day. The blood draw fee of 59 Kč for adults is charged in addition to the panel price.

The full blood count with differential (CBC + Diff) at Laboratoř AXIS-CZ is the most fundamental haematological screening test and the standard first-line investigation for a broad range of clinical presentations. The panel is processed by the laboratory's haematology analysers the same day as collection and encompasses two complementary tiers of measurement. The CBC component measures red blood cell (erythrocyte) count, haemoglobin concentration, haematocrit (packed cell volume), and the three red cell indices: mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), and mean corpuscular haemoglobin concentration (MCHC). These indices are the critical diagnostic discriminators for anaemia: microcytic anaemia (low MCV) points toward iron deficiency or thalassaemia; normocytic anaemia suggests chronic disease, acute blood loss, or haemolysis; macrocytic anaemia (high MCV) raises folate or B12 deficiency, liver disease, or certain medications. The platelet count (thrombocytes) is included in the standard CBC, providing information on clotting potential and the risk of bleeding or thrombotic events. The 5-part white cell differential adds quantification of each white cell type: neutrophils (the primary defenders against bacterial infection, elevated in bacterial infections and inflammatory states), lymphocytes (the adaptive immune cells, elevated in viral infections and lymphoid malignancies), monocytes (tissue macrophage precursors, elevated in chronic infection and inflammatory conditions), eosinophils (elevated in allergic conditions and parasitic infections), and basophils (rarely elevated; when so, can indicate haematological malignancy or chronic allergic conditions). Both absolute counts and percentage distributions are reported, and the laboratory applies population-based reference ranges. For patients where anaemia is suspected and bone marrow regenerative capacity is relevant — for example in monitoring a patient with known iron deficiency on treatment, in the assessment of haemolytic anaemia, or where erythropoiesis is under investigation — the reticulocyte count option (122 Kč for CBC + Ret) adds the measurement of immature red cells, providing a direct indicator of marrow red cell production activity. At AXIS-CZ in Hradec Králové, blood collection for the CBC is handled at the phlebotomy station (open 05:30–14:30, walk-in, no appointment) using an EDTA anticoagulant tube. No fasting is required for the CBC. Processing by the laboratory's haematology instruments produces results the same day in most cases. The NASKL accreditation (2024) and R3 Audit certification mean the laboratory's haematology results are produced under documented quality management, with participation in external proficiency testing programmes. Common reasons patients attend AXIS-CZ for a CBC with differential on a self-pay basis include: monitoring known anaemia or iron deficiency without waiting for a public sector GP appointment; pre-travel health screening; employer occupational health requirements; screening during general wellness assessment; monitoring the haematological effects of medications (anticoagulants, NSAIDs, certain antibiotics); and as part of a broader self-ordered laboratory workup alongside biochemistry panels.