Biomarkers · Chemical
Folate (Folic Acid), Serum
A vitamin B test measures the amount of one or more B vitamins in your blood or urine (pee). B vitamins are nutrients that your body needs to work well and stay healthy.
Folate, also called vitamin B9, is a B vitamin that the body uses to make healthy new cells. Serum folate reflects the body's folate status, and guidelines treat it as the first test to assess that status.
- Primary unit
- ng/mL
- LOINC codes
- 2284-8
- Tests that measure Folate (Folic Acid), Serum
- Labcorp 7, Quest Diagnostics 6
See why clinicians order the test
Clinicians often order folate together with vitamin B12 when symptoms point to certain types of anemia.
Goal: Anemia
Clinicians order B vitamin testing, which can include folate, when symptoms suggest a person may not be getting enough B vitamins.
Goal: Vitamin B12 and folate
Clinicians may order B vitamin testing even without symptoms when a condition or habits raise the risk of a vitamin B deficiency.
Read with companion markers
Check what can shift results
Prepare for the test
Each statement links to the source we wrote it from. Last updated October 19, 2026.
Ranges
Compare the reference ranges labs publish with guideline targets, diagnostic cut-offs, study-based ranges and practitioner targets. Move across the rows to check a value against each range, and open a source from the legend. How to read these ranges
All 3 published ranges, with sources
Lab reference ranges
Quest, 18 and older5.4 ng/mL and above
Adults 18 and older
Quest prints below 3.4 ng/mL as low, 3.4 to 5.4 as borderline and above 5.4 as normal.
Labcorp, adults3 ng/mL and above
Adults
Published as above 3.0 ng/mL.
Labcorp test menu, Folate (Folic Acid), Serum (002014), 2026
Diagnostic cut-offs
Tests
Check the catalog code, specimen, method and preparation for every test that measures Folate (Folic Acid), Serum. Select up to five tests to compare them side by side.
Labcorp 7 tests
Single-analyte tests
Folate (Folic Acid) 002014
Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence immunoassay (ECLIA)
- Collection
- If a red-top tube is used, transfer separated to a plastic transport tube.
- Reference notes
- >3.0 ng/mL
Panels that include this biomarker
Vitamin B12 and Folates 000810
2 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence immunoassay (ECLIA)
- Collection
- If red-top tube is used, transfer separated serum immediately to a plastic transport tube.
Pre-Bariatric Surgery Micronutrient Profile 259104
9 analytes · Serum · Fasting not stated · Turnaround 2 - 4 days
Labcorp catalog pageMethod and collection
- Method
- See individual test components.
Anemia Profile B 042077
26 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- See individual tests.
Post-Bariatric Surgery Micronutrient Profile 259129
33 analytes · Serum · Fasting not stated · Turnaround 3 - 5 days
Labcorp catalog pageMethod and collection
- Method
- See individual test components.
Post-Bariatric Surgery Comprehensive Profile 259090
50 analytes · Serum · Fasting not stated · Turnaround 5 - 7 days
Labcorp catalog pageMethod and collection
- Method
- See individual test components.
Quest Diagnostics 6 tests
Single-analyte tests
Folate, Serum 466
Serum · Fasting not stated · Turnaround Set up: Mon-Fri; Report available: 5 days
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Collection
- Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs)
- Reference notes
- ≤4 years Not established 5-9 years >7.1 ng/mL 10-17 years >8.0 ng/mL ≥18 years Low <3.4 ng/mL Borderline 3.4-5.4 ng/mL Normal >5.4 ng/mL
Micronutrient, Folate 10188
Serum · Fasting not stated · Turnaround Set up: Tues-Sat
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Collection
- Patients should be 18 years of age or older. Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommeded daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs).
- Reference notes
- ≥18 years >5.4 ng/mL Reference range not available for individuals <18 years for this micronutrient test.
Panels that include this biomarker
Vitamin B12 (Cobalamin) and Folate Panel, Serum 7065
2 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Collection
- Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs)
- Reference notes
- See individual tests
Dementia Panel, Secondary Causes 34541
3 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- See individual tests
- Preparation
- Fasting specimen is preferred. Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks. According to the assay manufacturer Siemens: "Samples containing fluorescein can produce falsely depressed values when tested with the Advia Centaur TSH3 Ultra assay."
- Collection
- EDTA (lavender-top): Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. Serum note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs).
- Reference notes
- See Laboratory Report
Micronutrients, B-Vitamin Panel 10195
7 analytes · Serum · Fasting required
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA) • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
- Preparation
- Overnight fasting is required. Avoid vitamin supplements for 24 hours prior to collection.
- Collection
- Patients should be 18 years of age or greater. Folate & Vitamin B12: Transfer 2 mL (1 mL min) serum into plastic transport tube, ship frozen. Vitamin B2, B3, B5: Transfer 2 mL (1 mL min) serum into an amber vial (or wrap with aluminum foil), ship frozen. Vitamin B6: Transfer 3 mL (1 mL min) EDTA plasma into an amber vial (or wrap with aluminum foil), ship frozen. Separate cells within 24 hours by centrifugation for 5-10 minutes. Transfer plasma to an amber polypropylene or polyethylene transport tube to protect from light. Alternately, neutral color polypropylene or polyethylene tube can be used if wrapped in aluminum foil. Freeze the tubes at -10 to -30° C. Ship frozen. Vitamin B1: Transfer 3 mL (1 mL min) EDTA whole blood into an amber vial (or wrap with aluminum foil), ship frozen. Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Remove serum or plasma from cells within 4 hours of collection.
- Reference notes
- ≥18 years Folate | >5.4 ng/mL Vitamin B1 (Thiamine) | 78-185 nmol/L Vitamin B2 | 6.2-39.0 nmol/L Vitamin B3 | ≤110 ng/mL Vitamin B5 | <275 ng/mL Vitamin B6 | 5.1-54.8 ng/mL Vitamin B12 | 200-1100 ng/mL Reference range not available for individuals <18 years for this micronutrient test.
Cognitive Assessment Panel with Reflex to T4 Free 18634
8 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Spectrophotometry (SP) • Immunoturbidimetric • Enzymatic • Mass Spectrometry (MS) • Electronic Cell Sizing/Counting/Cytometry/Microscopy • Immunoassay (IA)
- Preparation
- Fasting is preferred Additional Considerations for Patient Preparation: Comprehensive Metabolic Panel: Administration of STRENSIQ may interfere in certain assays and may falsely elevate values. For patients receiving STRENSIQ, consideration should be given to using alternate methods. TSH: Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values. Folate: Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.
- Collection
- Serum for Homocysteine: Red-top tubes: Place the specimen in a refrigerator or ice bath for 30 minutes after collection. Centrifuge the specimen as soon as possible after complete clot formation has taken place. Transfer the serum to a plastic screw-capped vial. Barrier gel separator tubes: Place the specimen in a refrigerator for 30 minutes after collection. Centrifuge the specimen as soon as possible after complete clot formation has taken place. Do not place barrier tubes in an ice bath as freezing may prevent the barrier gel from adequately separating serum from cells. Serum for other tests, 3 SSTs: Collect using standard venipuncture techniques. Separate from clot as soon as possible after visible clot formation, usually 30 minutes after collection. Whole blood, 1 EDTA: Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect lavender-top tube last. Traumatic venipuncture tap can introduce thromboplastin and trap white blood cells and platelets. Refrigeration can precipitate fibrin and trap white blood cells and platelets.
- Reference notes
- See Laboratory Report
0 of 5 tests selected
Pick one moreGoals and conditions
We link Folate (Folic Acid), Serum to these goals and conditions from named guidelines and studies.
Energy and fatigueGoal, companion marker
NICE leaves folate to clinical judgement as an additional test when ME/CFS is suspected.
Vitamin B12 and folateGoal, primary marker
The BSH guideline treats serum folate below 7 nmol/L (3 µg/L) as indicating folate deficiency.
Sources
Check the guidelines, studies and lab catalogs behind every range and link on this page. Open a source to see each claim it backs.
Clinical guidelines
Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management (NG206)
National Institute for Health and Care Excellence, 2021
Linked to Energy and fatigue (companion)
NICE leaves folate to clinical judgement as an additional test when ME/CFS is suspected.
Guidelines for the diagnosis and treatment of cobalamin and folate disorders
British Society for Haematology, 2014
What it reflects
Serum folate reflects the body's folate status, and guidelines treat it as the first test to assess that status.
“Serum folate offers equivalent diagnostic capability to red cell folate and is the first-line test of choice to assess folate status.”
Diagnostic cut-off: BSH 2014 folate deficiency, below 3 ng/mL
Population: Adults
Serum folate below 7 nmol/L (3 µg/L).
Linked to Vitamin B12 and folate (primary)
The BSH guideline treats serum folate below 7 nmol/L (3 µg/L) as indicating folate deficiency.
Lab catalogs
Labcorp test menu, Folate (Folic Acid), Serum (002014)
2026
Lab reference range: Labcorp, adults, 3 ng/mL and above
Published as above 3.0 ng/mL.
Retrieved October 16, 2026
Quest Diagnostics Test Directory, Folate, Serum (466)
2025
Lab reference range: Quest, 18 and older, 5.4 ng/mL and above
Population: Adults 18 and older
Quest prints below 3.4 ng/mL as low, 3.4 to 5.4 as borderline and above 5.4 as normal.
Retrieved October 12, 2025
Labcorp test menu
Labcorp
Test catalog: 7 tests, with codes, specimens, methods and reference intervals
Quest Diagnostics test menu
Quest Diagnostics
Test catalog: 6 tests, with codes, specimens, methods and reference intervals
Reference sources
Vitamin B Test
MedlinePlus, National Library of Medicine
Before the test
The test may require fasting, with no eating or drinking, for several hours before a vitamin B blood test.
“Before a vitamin B blood test, you may need to fast (not eat or drink) for several hours before the test.”
Read together with
Labs often measure folate and vitamin B12 together in a single vitamin B12 and folate test.
“B9 and B12 are often measured together in a vitamin B12 and folate test.”
Reasons to test
Clinicians may order B vitamin testing even without symptoms when a condition or habits raise the risk of a vitamin B deficiency.
“You may also need vitamin B testing if you have a condition or habits that increase your risk of having a vitamin B deficiency even if you don’t have any symptoms.”
Reasons to test
Clinicians order B vitamin testing, which can include folate, when symptoms suggest a person may not be getting enough B vitamins.
“Vitamin B testing is used if you have symptoms that suggest you may not be getting enough of one or more B vitamins.”
Reasons to test
Clinicians often order folate together with vitamin B12 when symptoms point to certain types of anemia.
“For example, a vitamin B12 and folate test is often used for symptoms of certain types of anemia.”
What can shift results
Certain medicines can affect vitamin B test results, so the meaning of a result is not always clear.
“That’s because several things can affect the results, including inflammation in your body and certain medicines.”
What can shift results
Inflammation in the body can affect vitamin B test results, which makes their meaning less clear.
“That’s because several things can affect the results, including inflammation in your body and certain medicines.”
What it reflects
Folate, also called vitamin B9, is a B vitamin that the body uses to make healthy new cells.
“B9, (folate or folic acid) helps your body make healthy new cells.”
Read together with
Labs often measure folate, also called vitamin B9, together with vitamin B12 in a combined vitamin B12 and folate test.
Retrieved October 19, 2026
Vitamin B Test
MedlinePlus, National Library of Medicine
The description at the top of this page
Codes and registries
LOINC 2284-8
Regenstrief Institute codes that identify the same result across labs.
Search ClinicalTrials.gov for Folate (Folic Acid), Serum
Registered studies that measure Folate (Folic Acid), Serum, on the U.S. National Library of Medicine registry.
Verify these ranges and sources
We compile this page from named laboratory catalogs, guidelines and studies. Labs calculate reference intervals from the people they test, for one assay method and one population group, so an interval describes that population rather than an optimal target.
Interpret your own results with a licensed clinician, or track your lab history and health goals in Aumnivida.
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