We are experiencing exceptionally high volumes in our emergency rooms. Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.
Adalimumab Quantitative with Reflex to Antibody, Serum
Centralized Core Laboratory :
Chemistry
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. Adalimumab Quantitative with Reflex to Antibody, Serum
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID/Workstation :
ADALR/MAYO
Specimen Type:
Blood - Serum
Tube Type:
Red Top Tube (no anticoagulant)
Collection Volume:
1.25mL(minimum 1.0mL)
Cause for Rejection:
Specimens grossly lipemic and grossly hemolyzed
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Enzyme-Linked Immunosorbent Assay
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range available on patient report
CPT Code:
80145, 83520 if reflex testing added
Panel Includes:
Adalimumab Antibody, Serum Reflex Test
Synonyms:
Humira
Adalimumab Quantitative with Reflex to Antibody, Serum
Test ID/Workstation :
ADALR/MAYO
Specimen Type:
Blood - Serum
Tube Type:
Red Top Tube (no anticoagulant)
Collection Volume:
1.25mL(minimum 1.0mL)
Cause for Rejection:
Specimens grossly lipemic and grossly hemolyzed
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Enzyme-Linked Immunosorbent Assay
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range available on patient report
CPT Code:
80145, 83520 if reflex testing added
Panel Includes:
Adalimumab Antibody, Serum Reflex Test
Synonyms:
Humira
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There are 10 nurses in the picture.
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The five differences are:
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The two matching doctors are 9 and 14.
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The correct path:
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