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

Cyclosporine

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. Cyclosporine  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
CYCAC
Test Workstation :
ACHM5
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Minimum Volume:
500 uL
Preferred Volume:
1.5 mL
Cause for Rejection:
Centrifuged; Clotted
Storage:
Shipping- Send Refrigerated; Storage-Refrigerated: 7 days; Frozen: 1 month
Availability:
7 days/week, Day Shift.
Methodology:
Enzyme Immunoassay
Special Instructions:
Specimen in lab by 12:00. Results by 16:00. Available STAT with the approval of the Medical Director.
Lab/Phone:
330-543-8418
TAT:
4 hours
Additional Info:
Reference range: 150-450 ng/mL
CPT Code:
80158
Synonyms:
Cyclosporine A; Sandimmune

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