Bulletin Number
        November 30, 1998
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
    Physicians, Hospitals, Clinics, and Laboratories
Subject      Midwives Referrals For Lab Tests:

Regulation 682 of the Revised Regulation of Ontario, 1990 made under the Laboratory and Specimen Collection Centre Licensing Act was amended on October 2, 1998 to allow Midwives to order four lab tests in addition to the existing list of tests.


As a result of an agreement between the Ministry of Health and the College of Midwives, effective January 1, 1994, midwives who are licensed by the College of Midwives and registered with the Ministry of Health can order lab tests. The midwife’s provider number does not permit claims submission to OHIP.


The four additional lab tests are:-

L103 L399 L471 and L494.

These tests can be referred by midwives effective October 2, 1998.

The following Fee Schedule Codes can be used by Midwives for referrals purposes only:-

L005 L030 L031 L103 L111 L253 L254 L309 L311 L318 L319 L329 L341 L372 L396 L399 L417 L418 L431 L453 L471 L482 L490 L494 L495 L621 L622 L625 L628 L634 L637 L640 L653 L655 L679 L683 L691.

For Lab Tests

For lab tests referred by midwives, Private Medical Laboratories must use one of the Fee Schedule Codes listed above, in addition to the respective L700, L713, L800, or L812 code in their claims submission to the Ministry.

Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
Head Office
P.O. Box 38
Kingston, ON
K7L 5J2