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What Is Pharmacogenomic (PGx) Testing and How It Improves Patient Outcomes

by | Jun 23, 2026 | Uncategorized | 0 comments

Introduction

Every patient is unique — so why should medication be one-size-fits-all? The science of pharmacogenomics recognizes that genetic differences between individuals can significantly affect how they respond to medications.

At PillarsDx, we offer advanced pharmacogenomic testing, also known as PGx testing, that helps healthcare providers make smarter, safer, and more personalized prescribing decisions.

By identifying how a patient’s genetic profile may influence drug response, PGx testing supports the future of precision medicine — helping providers choose the right medication and the right dose with greater confidence.

What Is Pharmacogenomics?

Pharmacogenomics, or PGx, is the study of how a person’s genes influence their response to medications. Genetic variations can affect how quickly or slowly the body metabolizes a drug, whether the medication will be effective, and how likely a patient is to experience side effects.

For example, a patient who is a poor metabolizer of a particular drug may accumulate dangerously high levels of that medication in their system, even when taking a standard dose. On the other hand, an ultra-rapid metabolizer may process the drug so quickly that it provides little to no therapeutic benefit.

PGx testing takes the guesswork out of prescribing by giving providers the genetic context they need to choose the right drug and the right dose from the start. PillarsDx is proud to offer this advanced testing capability as part of our commitment to precision medicine and patient-centered care.

How PGx Testing Works

Pharmacogenomic testing is simple, non-invasive, and easy to integrate into a clinical workflow. At PillarsDx, the process generally involves a quick sample collection followed by laboratory analysis and a comprehensive provider report.

The PGx testing process includes:

  1. A cheek swab or saliva sample collected from the patient
  2. The sample is analyzed in our certified laboratory
  3. A comprehensive PGx report is generated, identifying genetic variants relevant to drug metabolism
  4. The report is returned to the provider, typically within 24–48 hours

The results help identify how a patient is likely to respond to hundreds of commonly prescribed medications across a wide range of therapeutic areas, including psychiatry, cardiology, pain management, oncology, and more.

Which Genes Does PGx Testing Analyze?

PGx testing focuses on genes that encode drug-metabolizing enzymes. These enzymes play a major role in how medications are processed, activated, or cleared from the body.

Some of the most commonly analyzed genes include:

  • CYP2D6 — Affects metabolism of antidepressants, antipsychotics, opioids, and beta-blockers.
  • CYP2C19 — Relevant to antidepressants, antifungals, and proton pump inhibitors.
  • CYP2C9 — Impacts metabolism of NSAIDs, warfarin, and certain diabetes medications.
  • CYP3A4/CYP3A5 — Among the most important liver enzymes involved in metabolizing a wide variety of drugs.
  • TPMT and DPYD — Important for safe dosing of certain chemotherapy agents.

At PillarsDx, our comprehensive PGx panels cover the genetic variants most relevant to clinical decision-making, giving providers actionable insights that can be directly applied to the patient’s care plan.

Who Benefits From PGx Testing?

PGx testing is valuable across a broad spectrum of clinical settings. It is especially useful for patients who take multiple medications, have a history of medication side effects, or have not responded well to standard treatment options.

Psychiatry and Behavioral Health — Finding the right psychiatric medication can take months of trial and error. PGx testing provides insight into how a patient may metabolize antidepressants, antipsychotics, and anti-anxiety medications, helping reduce the guesswork in treatment planning.

Pain Management — Genetic variation in opioid metabolism can mean the difference between effective pain relief and dangerous toxicity. PGx testing helps pain management providers make safer, more effective prescribing decisions.

Cardiology — Medications such as warfarin and clopidogrel, also known as Plavix, have narrow therapeutic windows and can be significantly affected by genetic variation. PGx results allow providers to make more precise medication decisions.

Primary Care — For patients on multiple medications, PGx testing can help identify potential drug-gene interactions and reduce the risk of adverse drug events.

PillarsDx supports healthcare providers with advanced testing services designed to improve prescribing confidence, patient safety, and treatment outcomes.

The Real-World Impact of PGx Testing

The case for pharmacogenomic testing is backed by a growing body of clinical evidence. Medication response varies widely between patients, and genetics can play a major role in that variation.

PGx testing may help providers:

  • Reduce medication trial-and-error
  • Lower the risk of adverse drug reactions
  • Improve medication selection and dosing decisions
  • Support better outcomes in patients taking psychiatric, cardiac, pain, or oncology medications
  • Personalize treatment based on the individual patient, not just the diagnosis

When providers use PillarsDx PGx results to guide prescribing, they are not just treating the diagnosis — they are treating the individual. This shift from population-based medicine to personalized medicine is one of the most important trends in modern healthcare, and PillarsDx is proud to support that progress.

PGx Testing and Medication Compliance

There is another often-overlooked benefit of PGx testing: improved medication compliance. When patients understand that their medication has been selected with their genetic profile in mind, they may feel more confident and engaged in their treatment plan.

This is especially important in conditions such as depression, schizophrenia, chronic pain, and other long-term health concerns where medication adherence can be a significant challenge.

PGx testing gives providers another tool to educate patients, explain treatment choices, and build trust in the care plan. When patients understand the “why” behind a medication, they are often more likely to follow through consistently.

Fast Turnaround and Concierge Service

At PillarsDx, we know that clinical decisions cannot wait. Our PGx results are delivered with the same priority processing and fast turnaround that defines our approach to diagnostic testing.

With same-day courier pickup, dedicated account management, and fast 24–48 hour turnaround times, PillarsDx gives providers the answers they need when they need them.

Our concierge approach means no call centers, no unnecessary delays, and no confusion. Just clear, actionable results delivered by a team that understands the real demands of clinical practice.

Get Started With PGx Testing at PillarsDx

Personalized medicine is no longer just a vision of the future — it is here, and it is available to your patients right now through PillarsDx.

Our pharmacogenomic testing program is designed to integrate seamlessly into your practice, with minimal workflow disruption and maximum clinical value. Whether you are managing psychiatric medications, pain therapies, cardiac medications, or complex medication regimens, PGx testing can help support safer and more personalized care.

Contact us today at 404-777-1551 or email [info@labservicesofga.com](mailto:info@labservicesofga.com) to speak with our team about adding PGx testing to your practice.

You can also visit our contact page or explore our full list of services to see everything PillarsDx has to offer.

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Sharon Oliver

Client services and security professional

Sharon Oliver is a dedicated client services and security professional with extensive experience supporting government operations, personnel security programs, and client relationship management. With a strong background in onboarding, compliance, and operational coordination, with proven expertise in handling sensitive information and maintaining high service standards. Throughout her career, Sharon has successfully collaborated with cross-functional teams to improve workflows, support client satisfaction, and enhance operational efficiency in fast-paced environments. She earned her Bachelor of Business Administration from Strayer University and brings a professional, solutions-focused approach to every client interaction.
Phillip E.milies

Stuart Pierce

Director of Clinical Operations

Stuart Pierce is a seasoned laboratory professional with extensive experience in clinical toxicology and LCMS operations. A graduate of Indiana University, Stuart began his career in the laboratory field at just 18 years old and quickly developed a passion for analytical science and diagnostics. He started his journey in clinical toxicology with Pathway Diagnostics, where he built a strong foundation in laboratory operations and toxicology testing. Throughout his career, Stuart has gained hands-on expertise with a wide range of LCMS instrumentation and software platforms, including Waters, Shimadzu, Agilent, and AB Sciex systems. He is highly experienced in validating and implementing multiple clinical confirmation methods and has played a key role in maintaining accuracy, compliance, and operational excellence within the laboratory environment. Today, Stuart serves as the Director of Clinical Operations at PillarsDX, where he oversees laboratory workflows, method development, quality standards, and day-to-day clinical operations.
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Daniel Radovich

Sales Executive

Daniel Radovich serves as a Sales Executive at PillarsDx, bringing a dynamic blend of healthcare knowledge, sales expertise, and strategic relationship-building. With a strong background spanning both clinical operations and business development, Daniel excels at connecting providers with diagnostic solutions that enhance patient care and drive operational efficiency.

In his role, Daniel leads initiatives in client acquisition and territory development, establishing trusted partnerships with clinics, physicians, and healthcare networks. His collaborative approach, combined with a deep understanding of provider needs, enables him to deliver customized solutions that support practice growth and improve clinical workflows.
Passionate about elevating healthcare delivery, Daniel is dedicated to helping practices thrive—whether through boosting screening volumes, simplifying processes, or introducing high-value services. His reputation for integrity, follow-through, and measurable impact makes him a vital contributor to our mission.
Daniel resides in Acworth, Georgia, where he enjoys life with his two beloved dogs, Frank and Eddie.
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Joseph G. Hackel, MD

Medical Director

Dr. Joseph G. Hackel serves as the Medical Director at PillarsDx, where he brings over two decades of expertise in pathology and dermatopathology. He received his medical degree from Mercer University School of Medicine and went on to complete his residency in Anatomic and Clinical Pathology at St. Joseph’s Hospital and Medical Center in Phoenix, Arizona. Dr. Hackel further honed his skills through a prestigious Dermatopathology fellowship at the Ackerman Academy in New York City. He is double board-certified by the American Board of Pathology and the American Board of Dermatology.

Throughout his career, Dr. Hackel has been committed to providing accurate, timely diagnoses to support optimal patient care. Since joining Bako Pathology Services in 2008, he has played a key role in leading diagnostic efforts, leveraging his deep expertise in skin-related conditions. His passion for pathology, combined with his dedication to improving patient outcomes, makes him a valuable leader in the field.

Kelly Whitmire

Director of RCM

With an impressive 24 years of experience in healthcare, including 20 years specializing in healthcare administration, Kelly Whitmire brings a wealth of knowledge and expertise to our team. She holds a degree in Laboratory and Healthcare Management, showcasing her commitment to advancing healthcare operations and improving patient outcomes. Kelly’s extensive background and leadership skills make her an invaluable asset to our organization.

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Phillip E.milies

Eric Collier

Director of Operations

Originally from Detroit, Michigan, Eric Collier's diverse upbringing as a military child gave him the unique opportunity to live in various states and countries, fostering a love for travel and exploring new cultures. In his spare time, he enjoys discovering new restaurants and experiencing different culinary scenes throughout the city.

With over 19 years of experience in the clinical laboratory field, Eric is a seasoned laboratory manager and clinical laboratory scientist known for delivering high-quality, efficient testing results that directly aid in patient care. He has extensive experience in laboratory management, having successfully launched four individual labs from the ground up. His expertise spans recruiting and training top-tier teams, establishing comprehensive protocols, and ensuring strict adherence to all regulatory requirements.

Eric’s approach is deeply rooted in process improvement, team development, and a commitment to delivering exceptional customer service. His leadership in laboratory management has consistently driven operational excellence and enhanced patient outcomes.

Educational Background & Certifications

Eric holds a Bachelor of Science in Clinical Laboratory Sciences from Texas Southern University and has earned multiple certifications, including:

  • Certified Lean Six Sigma Black Belt
  • Certified Lean Six Sigma Green Belt Healthcare
  • Certified Laboratory Consultant

Eric’s blend of technical expertise, leadership, and dedication to continuous improvement makes him a valuable asset in the clinical laboratory industry

Jen Vuthy

Accessioning Supervisor

With over seven years of experience in accessioning and collections management, Jen Vuthy currently serves as the Accession Supervisor at PillarsDx. In this capacity, she is responsible for overseeing the intake and cataloging of new collections, ensuring that all items are meticulously recorded and preserved. Her attention to detail and commitment to organizational excellence have made her a key figure in maintaining the integrity of the lab’s processes.

Jen’s expertise has been instrumental in implementing best practices in accessioning, optimizing workflows, and promoting cross-departmental collaboration. She is dedicated to upholding principles of accessibility, preservation, and education, continuously working to ensure these values are reflected in the lab’s daily operations. Jen also takes pride in mentoring team members and sharing her knowledge to elevate the collective expertise of her colleagues.

Outside of her professional role, Jen is passionate about her family, friends, and personal development. She actively engages in learning experiences that contribute to her health and well-being and is involved in real estate education within her community."

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Phillip E.milies

Daniel Hewitt

Director of Business Development

Head of Business Development at PillarsDx, where he combines his deep technical expertise with a wealth of experience in sales, customer acquisition, and practice management. With a background that includes working for Microsoft, Daniel brings a unique fusion of IT proficiency and strategic business insight to his role. His ability to understand complex technological systems while excelling in customer relations allows him to develop innovative solutions that enhance client experiences and streamline operations. Daniel’s leadership has been instrumental in driving growth at PillarsDx. He is known for his dedication to building strong, lasting relationships with clients, ensuring their needs are not only met but consistently exceeded. His commitment to customer service excellence, coupled with his knack for identifying opportunities for business expansion, makes him a pivotal force in the lab’s continued success. Passionate about the intersection of technology and healthcare, Daniel strives to create an environment where innovation and service come together to deliver unmatched value to clients and patients alike.

Andrea Wood

Lab Manager

Andrea Wood has been a dedicated member of our team for the past seven years. She holds a bachelor's degree in Chemistry and an associate's degree as a Medical Laboratory Technician. Andrea brings a wealth of knowledge and expertise to her role, ensuring the highest standards in laboratory practices.

Outside of work, Andrea is an active and passionate coach, leading basketball teams and enjoying a variety of sports, including football, baseball, and softball. In her personal time, she enjoys cooking and spending quality moments with her family. She is married and the proud mother of a 21-month-old son, whose joy and curiosity inspire her every day.

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Phillip E.milies

Fern Johnson

Owner, PillarsDx

Fern Johnson is a dynamic and results-driven leader with over 25 years of experience spanning accounting, financial management, and laboratory operations. She holds a B.S. in Business Management from Eckerd College and an MBA in Accounting from Keller Graduate School of Management.

Fern has led strategic initiatives across both the for-profit and non-profit sectors, with a strong track record in mergers and acquisitions, financial restructuring, and sustainable growth. Her expertise in healthcare operations was sharpened during her leadership at one of the nation’s largest privately held cancer genetics laboratories, where she oversaw Accounting, Finance, and Revenue Cycle Management—culminating in a successful eight-figure LOI.

As the Owner of PillarsDx, Fern leverages her deep operational and financial knowledge to drive innovation and efficiency in the diagnostics space. She is also the founder and CEO of Career Sisters LLC, a consulting firm dedicated to empowering women of color in business and leadership. A published author and sought-after speaker, Fern is a passionate advocate for diversity, equity, and inclusion.

She resides in Johns Creek, Georgia, with her husband and four children. In her free time, Fern enjoys reading, traveling, and mentoring the next generation of leaders.