Scleroderma-70 Ab
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Scleroderma-70 Ab | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
SCL70
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red Top (no anticoagulant) tube
Collection Volume:
1.5 mL (minimum 1.0 mL)
Cause for Rejection:
Gross hemolysis, Gross lipemia
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Multiplex Flow Immunoassay
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range:
<1.0 U (Negative)
> or = 1.0 U (Positive)
CPT Code:
86235
