Acetylcholine Rec/Bin Ab
| 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. Acetylcholine Rec/Bin Ab | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
ACHRA
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
SST
Collection Volume:
4.0 mL
Minimum Volume:
3.0 mL
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Radioimmunoassay (RIA)
Special Instructions:
Test Performed: MonThurs; 6 p.m., Sat; 10 a.m.
Lab/Phone:
330-543-8418
TAT:
3-6 days
Additional Info:
Reference range: < or = 0.02 nmol/L
CPT Code:
83519
