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

Chlamydia pneumoniae PCR

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. Chlamydia pneumoniae PCR  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
CPNPC
Test Workstation :
CLEVE
Specimen Type:
Respiratory specimen
Tube Type:
Sterile container
Collection Volume:
2.0 mL (minimum 0.5 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Polymerase Chain Reaction (PCR)
Special Instructions:
Bronchial lavage or respiratory swab in M4 media is also acceptable. Days Performed: SunSat
Lab/Phone:
330-543-8418
TAT:
2-6 days
Additional Info:
Reference range: Not Detected
CPT Code:
87486

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