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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Blood Smear Review

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Blood Smear Review  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
BSMRV
Test Workstation :
AHEM1
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
2.0 mL (minimum 0.3 mL) and 2 fresh peripheral blood smears
Cause for Rejection:
Specimens which are hemolyzed, clotted, diluted with IV fluid, or collected in heparin.
Storage:
Refrigerated
Availability:
Daily, 24 hours
Methodology:
Microscopic evaluation of Wright's stained blood film
Lab/Phone:
330-543-8416
TAT:
4 hours
Additional Info:
Reference range is available on patient report
CPT Code:
85007
Synonyms:
Manual Differential; Peripheral smear; WBC morphology

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