ADP Platelet Aggregation
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. ADP Platelet Aggregation | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
ADP
Test Workstation :
SPCOG
Specimen Type:
Blood
Tube Type:
Blue top (sodium citrate) tube
Collection Volume:
10.0 mL (minimum 5.0 mL)
Cause for Rejection:
Specimen hemolyzed, clotted, or grossly lipemic; platelet count <50,000; specimen from patients who have taken drugs that inhibit platelet function.
Storage:
Ambient
Availability:
Must be scheduled in advance
Methodology:
Biodata Platelet Aggregation Profiler Model PAP-4/Platelet Rich Plasma.
Special Instructions:
Call CCL in advance to schedule test. Testing drawn at Akron campus only. Special handling is required.
Lab/Phone:
330-543-8416
TAT:
72 hours
Additional Info:
Reference range: Normal Study
CPT Code:
85576
Synonyms:
Aggregometer Test; Platelet Function Studies
