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

Environment Culture

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. Environment Culture  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
ENVIR
Test Workstation :
MIC2
Specimen Type:
Equipment swab, Formula, Water, Autoclave strips, pharmacy touch plates
Tube Type:
Specimen container
Collection Volume:
5.0 mL fluid (minimum 1.0 mL or swab)
Cause for Rejection:
Specimen collected in nonsterile container.
Storage:
Refrigerated, pharmacy plates at room temperature
Availability:
Daily
Methodology:
Culture
Special Instructions:
Use Eswab to culture equipment. For fluid samples such as formula or dialysis water, please send at least 1.0 mL for testing. Deliver to laboratory as soon as possible.
Lab/Phone:
330-543-8412
TAT:
48 hours
CPT Code:
87084
Synonyms:
Autoclave Culture; Respiratory Care Culture

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