DHR Flow Cytometric Test, Blood
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. DHR Flow Cytometric Test, Blood | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
DHR
Test Workstation :
MAYO
Specimen Type:
Whole Blood
Tube Type:
Green top ( sodium heparin) tube
Collection Volume:
5.0 mL
Minimum Volume:
1.0 mL
Cause for Rejection:
Gross hemolysis, Gross lipemia
Storage:
Ambient
Availability:
Mon-Thu specimen in lab by 1400
Methodology:
Flow Cytometry
Special Instructions:
Please send 5.0 mL whole blood specimen and a 5.0 mL whole blood sodium heparin control specimen from an unrelated, healthy donor. Draw Monday through Thursday only. Specimen must arrive in Main Campus CCL by 1400 to be sent out same day.
Lab/Phone:
330-543-8377
TAT:
3 days
Additional Info:
It is recommended that specimens arrive within 24 hours of draw. Samples arriving on the weekend may be cancelled. Draw and package specimen as close to shipping time as possible. Ship specimen overnight in an Ambient Mailer- Critical Specimens Only (Supply T668).
---Draw MON-THU only. Do not aliquot. DRAW CONTROL TUBE.
Sample must be in Akron Campus lab by 1400 same day to sendout.
CPT Code:
86352x2
Synonyms:
Chronic Granulomatous Disease, Neutrophil Oxidative Burst, Nitroblue Tetrazolium Assay, Chemiluminescence, Dihydrorhodamine, Neutrophil Function, Rac2 deficiency
