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

Antinuclear Antibody Screen with Reflex

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. Antinuclear Antibody Screen with Reflex  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB148
Specimen Type:
5 mL whole blood collected in one no anticoagulant (red top) tube.
Minimum Volume:
4 mL whole blood
Preferred Volume:
5 mL whole blood
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:
Monday thru Friday (08:00 - 15:00)
Methodology:
Immunofluorescence (IFA)
Special Instructions:
Positive ANA Screens will be titered. A pattern will be reported with each positive ANA Screen. Positive ANA samples will be reflexed for the following send out tests: Anti-Smith (Sm) Antibody IgG (LAB4061), Anti-SS-A and Anti-SS-B Antibodies (LAB3321), RNP Antibody IgG (LAB4062), and Anti-nDNA Antibody (LAB648).
Lab/Phone:
330-543-4863
TAT:
72 hours
CPT Code:
86038
Synonyms:
Antinuclear antibody profile

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