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

Rapid Plasma Reagin

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. Rapid Plasma Reagin  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
RPR
Test Workstation :
VIR4
Specimen Type:
3 mL whole blood collected in one no anticoagulant (red top) tube.
Minimum Volume:
Specimen minimum volume is 1 mL.
Cause for Rejection:
Hemolyzed, lipemic or icteric specimen; insufficient quantity; drawn in incorrect tube.
Storage:
Transport blood at room temperature. Upon arrival in laboratory, store at room temperature for no more than 24 hours. If specimen is to be stored longer than 24 hours, it should be refrigerated for up to 7 days.
Availability:
Mon-Fri (0700-1600)
Methodology:
Macroscopic latex agglutination
Lab/Phone:
330-543-4863
TAT:
72 hours
CPT Code:
86592
Synonyms:
STS, Standard Test for Syphilis, Syphilis Screen

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