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

Hereditary Hemochromatosis DNA Test

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. Hereditary Hemochromatosis DNA Test  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HFET
Test Workstation :
MAYO
Specimen Type:
Whole Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Alternate Tube Type:
ACD or any anticoagulant tube
Collection Volume:
2.5 mL (minimum 0.5 mL)
Storage:
Ambient
Availability:
Sent to Reference Laboratory
Methodology:
Droplet Digital Polymerase Chain Reaction (ddPCR) used to test for 3 mutations in the HFE gene: C282Y,H63D,S65C
Special Instructions:
Molecular Genetics: Congenital Inherited Diseases Patient Information (T521) in Special Instructions. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
6-7 days
Additional Info:
Reference range is available on patient report
CPT Code:
81256

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