Urinalysis Test w/Reflex to Culture
A broad screen of your urine that flags infection, kidney issues, blood sugar problems, and more.
Consider this test if:
- Painful, frequent, or urgent urination, or cloudy or foul-smelling urine
- Blood in the urine, flank or lower back pain, or unexplained swelling
- Screening kidney and metabolic health as part of a general baseline
- Diabetes or high blood sugar, to check for glucose, ketones, or protein spilling into urine
- Following up on a prior abnormal urine result or a history of recurrent UTIs
Check availability by location.
Select a state to see whether this test is offered there.
Reflex testing
If your urinalysis shows signs of a possible infection, such as nitrites or leukocyte esterase, a urine culture runs automatically to identify the bacteria involved and guide treatment. This is done at no additional cost.
Pre-test considerations
No fasting required. A clean-catch, midstream sample is best: clean first, start the stream, then collect midstream to avoid contamination. Note that heavy vitamin C intake, some medications, and recent intense exercise can affect certain results, and a sample taken during your period may show blood that is not from the urinary tract.
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What this test is for
A urinalysis examines the physical, chemical, and microscopic properties of urine, including color, pH, protein, glucose, ketones, bilirubin, blood, nitrites, leukocyte esterase, and cells or crystals in the sediment. It is one of the most useful general screens available: protein or blood can point to kidney damage, glucose and ketones can flag uncontrolled blood sugar, and nitrites with leukocyte esterase suggest a urinary tract infection. It is commonly ordered to investigate symptoms like painful or frequent urination, flank or back pain, blood in the urine, or unexplained swelling, and it also works well as a routine baseline. Because it covers many analytes at once, an abnormal finding usually narrows down which more specific test to run next rather than diagnosing a single condition on its own.
Biomarkers tested
Includes 23 biomarkers
- Specimen
- Urine
- Measures
- Appearance
- Specimen
- Urine sediment
- Method
- Automated cell count
- Measures
- Count per area
This dipstick check flags whether bilirubin, a breakdown product of old red blood cells that your liver normally processes into bile, is leaking into your urine. Healthy urine carries none of it, so a positive result points to conjugated bilirubin backing up into the bloodstream, a sign of bile duct obstruction, hepatitis, or other liver dysfunction. It's a useful piece of the puzzle when you're investigating dark urine, yellowing skin or eyes, pale stools, itching, or unexplained fatigue, and it often shows up on the same strip as urobilinogen for a fuller read on liver and bile flow.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
- Specimen
- Urine sediment
- Method
- Automated cell count
- Measures
- Count per area
This dipstick test checks whether glucose is spilling into your urine, which normally shouldn't happen because your kidneys reclaim virtually all of it back into the blood. Glucose shows up in urine when blood sugar climbs high enough to overwhelm that reabsorption, most often from undiagnosed or poorly controlled diabetes. It's a quick, low-cost flag rather than a precise reading, so a positive result points you toward blood-based tests like fasting glucose or A1c to confirm what's actually happening.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Computer assisted
- Measures
- Presence / threshold
This dipstick screen detects hemoglobin in urine, the protein that carries oxygen in red blood cells and, when present in urine, signals that blood is leaking somewhere along the kidneys or urinary tract. A positive result points to causes ranging from kidney irritation, UTIs, kidney stones, or strenuous exercise, to more serious conditions like kidney disease that warrant follow-up. It is a simple way to catch silent urinary tract or kidney issues before symptoms like pain, changes in urination, or visible blood appear.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
This dipstick test detects ketones spilling into urine when the body burns fat for fuel instead of glucose. It's useful for tracking a ketogenic or low-carb diet, confirming your body has shifted into fat-burning mode, or checking on a fasting protocol. Unexplained positive results paired with high blood sugar, excessive thirst, or fatigue warrant prompt follow-up, since that combination can signal diabetic ketoacidosis rather than diet-driven ketosis.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
Leukocyte esterase is an enzyme released by white blood cells, and this dipstick test detects it in urine as a marker of inflammation in the urinary tract. A positive result signals that neutrophils have shown up to fight something, usually a urinary tract infection, and often shows up alongside symptoms like burning with urination, urgency, frequency, or pelvic discomfort. It pairs with urine nitrites and a urinalysis to confirm infection and decide whether further culture or treatment is needed.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This dipstick reading detects nitrite in urine, produced when certain bacteria (E. coli and other common culprits) convert dietary nitrate into nitrite as they multiply. A positive result signals a likely urinary tract infection and pairs with leukocyte esterase to confirm it, useful when you're tracking down burning urination, urgency, frequency, or pelvic discomfort. It's also a quick proactive check if you're prone to recurrent UTIs and want to catch one early, before it climbs to the kidneys.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
- Specimen
- Urine
- Measures
- Concentration
- Specimen
- Urine
- Method
- Computer assisted
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
- Specimen
- Stool
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Computer assisted
- Measures
- Presence / threshold
Urine color is a simple visual observation, part of a standard urinalysis, that reflects hydration, diet, medications, and sometimes blood or bile in the urine. Pale yellow signals good hydration, while dark amber urine points to concentrated urine and dehydration, and red, brown, or tea colored urine can flag blood, muscle breakdown, or liver issues that warrant a closer look. It's a quick baseline check alongside other urine markers, or a useful clue when investigating unusual fatigue, dark urine, or changes in urination.
- Specimen
- Urine
- Measures
- Color
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
This dipstick check flags whether protein is spilling into your urine at all, a quick presence or absence read rather than a precise count. Healthy kidneys keep protein locked in the blood, so a positive result signals that the filtering units are leaking and deserves a closer look with a quantitative test like urine albumin to creatinine ratio. It's a useful baseline for anyone tracking kidney health alongside blood pressure or blood sugar, and a natural next step if you've noticed foamy urine, swelling in the legs or eyes, or unexplained fatigue.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
- Specimen
- Urine
- Method
- Test strip
- Measures
- Concentration
- Specimen
- Urine
- Method
- Automated
- Measures
- Presence / threshold
What you'll learn
Insights that connect the dots. A clinician reads your whole picture, not one result in isolation, connecting family history, past results, and lifestyle into clear next steps.
Your personalized action plan. Nutrition, supplements, and training in one clinician-reviewed protocol, updated as your results change.
Track your trends. Upload results from any lab and see each biomarker trend over time, so you know what is working.
Never miss a recheck. Mito tells you what is worth retesting and when, then reminds you so nothing slips.
What to expect
- 1 Book instantly
Click, book, done. Choose a convenient lab location near you. Transparent, up-front pricing.
- 2 Quick lab visit
Testing to fit your busy schedule, usually 15 minutes or less. Walk-in and appointments available.
- 3 Typical results in 1-2 days
Your results post straight to your dashboard as soon as the lab completes them.
- 4 Expert guidance
Included with Mito membership. A clinician reviews your results and your personalized action plan follows, with clear next steps.
What members are saying
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Tired of arguing with my PCP
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3x the tests for less money
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Members pay our cost on every test, with lab fees passed straight through. The full receipt is itemized, never padded.
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Frequently asked questions
View all FAQsHow does pricing work?
Every test shows the member price next to the standard non-member price, so you can see what membership saves you. The member price is our cost, covering the lab and what it takes to run the service. It is never a profit on the test itself. Mito makes its money on the $9 membership, not on marking up your tests. Membership is $9 per month, and any applicable lab order or draw fee is itemized before you pay.
Where do I get tested?
Choose an available partner lab at checkout. If your cart contains multiple blood tests, Mito helps consolidate the eligible tests at one lab when possible. At-home kits and scans follow the collection or appointment process shown on their product page.
Is this eligible for HSA/FSA?
Yes. Eligible tests can be paid for with an HSA or FSA card at checkout.
When will I get my results?
Your results appear in your Mito dashboard after the laboratory completes processing. A clinician then reviews them before your analysis and personalized action plan are finalized. Timing varies by test, and specialty assays and at-home kits may take longer.
Do I need a physician's order?
No. Mito provides the laboratory order when one is required, so you do not need to arrange a separate physician visit before purchasing.
How do availability and prices vary by state?
Available in 3 states.
| States | Provider | Availability | Member price | Non-member price |
|---|---|---|---|---|
| NJ, NY, and RI | BioReference | Available | $8.10 | $11.34 |
| All states and DC except NJ, NY, and RI | Not currently available |
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