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

Platelet Antibody

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. Platelet Antibody  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
PLTAB
Test Workstation :
NORC
Specimen Type:
Blood
Tube Type:
6.0 mL Red top (no anticoagulant)tube and two 6.0 mL Purple top (EDTA)tube
Collection Volume:
12.0 mL EDTA & 6.0 mL Red top (Do not centrifuge)
Cause for Rejection:
SST (serum separator) tubes will be rejected.
Storage:
Ambient
Availability:
Sent to reference lab
Methodology:
Platelet Antibody Screen, Platelet Associated IgG, HPA-1a (PLA1) Typing
Special Instructions:
Must have collector (employee # and date & time) written on specimen tubes. Red Cross paperwork must be completed. Notify Red Cross. For specimens collected at Mahoning Valley: Must have collector (employee # and date & time) written on specimen tubes. Red Cross paperwork must be completed and can be obtained from Akron Campus hematology department. Store at room temperature for same day delivery; refrigerate if sent the next day.
Lab/Phone:
330-543-8418
TAT:
5 days
Additional Info:
Reference range is available on patient report
CPT Code:
86022

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