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ANA Ab w/Reflex

Infectious Disease Laboratories : Immunology

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. ANA Ab w/Reflex
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

ANAPR VIR4

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

Collect 6.5 mL

Cause for Rejection:

Storage:

Ambient, refrigerated, or frozen

Availability:

Mon, Wed, Fri

Methodology:

Enzyme Immunoassay

Special Instructions:

If ANA Ab by IFA is positive, then the specimen is reflexed to include ANA titer and pattern, ENA1, ENA2 and n-DNA Ab.

Lab/Phone:

330-543-8576

TAT:

48 hours

Additional Info:

Reference range is available on patient report

CPT Code:

86038

Synonyms:

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

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Laboratory Services

ANA Ab w/Reflex

Infectious Disease Laboratories : Immunology

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