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

Seasonal Inhalants Allergen Profile

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. Seasonal Inhalants Allergen Profile  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
SEAS
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
3.0 mL
Minimum Volume:
2.5 ml
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratory
Methodology:
Fluorescence Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range is available on patient report
CPT Code:
86003
Panel Includes:
Rye Grass IgE, Short ragweed IgE, English Plantain IgE, Lamb's Quarter IgE, Timothy Grass IgE, June Grass IgE, Oak IgE, Box Elder/ Mpale IgE, Silver Birch IgE

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