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

Myelin Basic Protein CSF

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. Myelin Basic Protein CSF  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MBP
Test Workstation :
CLEVE
Specimen Type:
CSF
Tube Type:
CSF container
Collection Volume:
1.0 mL
Minimum Volume:
0.3 mL
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Enzyme Linked Immunoassay (ELISA)
Special Instructions:
If CSF is bloody, centrifuge the sample and separate supernatant from cells prior to freezing.
Lab/Phone:
330-543-8418
TAT:
2-5 days
Additional Info:
Reference range: 0.00-5.50 ng/mL
  • Days Performed: Mon, Wed, Fri
  • CPT Code:
    83873

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