5 meters can still be done. Just do not use the silicone type, you need the harder plastics.
As said the test lab should have this available. Also if the test lab is accredited for telecoms audio measurements, they should have the audio analyzer available. (In general part of a modulation analyzer).
Just talk to the test lab they should be able to help you.
The bigger labs are more formal, with a clear separation between coordinators and button pushers. The first just handling the paper work. The latter just knowing how to start a test script. In the smaller labs, people tend to be more involved in all aspects of the work.
(Disclaimer: working myself in a location with 20 persons, although we have a logo of a big organisation on the front wall).
As for the 301 489, this is part of a bigger series. I do not know your product, the most likely candidates in general are the 301 489-3 or the 301 489-17. In both standards, the tube option is not explicitly mentioned. US labs are more strict, as the FCC is more prescriptive. This is what they are used to. For CE you have more freedom in testing, since in the end with the risk analysis, you as a manufacturer are responsible for the compliance.
Since the 301 489 series is currently not harmonized, be sure that the latest draft standards are used, because due to the RED transition, as soon as the EU decides to harmonize these standards, you need to apply them immediately, without the usual 1 year transition period. Also be aware of several changes the last couple of weeks in the blocking measurements, especially relating the new drafts of the EN 300 220 and the EN 300 440 (check whatever radio standard you are using). Finally I do not know what safety standard you are using for the RED, but be aware that the EN 60950 will be removed in 2018. To be prepared, use the EN 62368.