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

Immunoglobulin A, G, M, E

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. Immunoglobulin A, G, M, E  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
IGAME
Test Workstation :
SCYEL
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.0 mL (minimum 0.7mL)
Cause for Rejection:
Specimen rejection: Lipemia, Samples drawn in serum separator tubes are unacceptable
Storage:
Frozen
Availability:
Mon, Wed, Fri (0800-1600)
Methodology:
Nephelometry
Special Instructions:
Do not use serum separator tube. Specimen must be in lab by 1300 for same day results.
Lab/Phone:
330-543-8484
TAT:
1-3 days
Additional Info:
Reference ranges available under individual tests
CPT Code:
82784, 82785

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