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

Adenovirus PCR, Quantitative (non-blood specimens)

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. Adenovirus PCR, Quantitative (non-blood specimens)  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
ADPCR
Test Workstation :
MAYO
Specimen Type:
Respiratory Specimen, Plasma, Serum, fluid, BAL, Sputum, Urine, Bone Marrow
Collection Volume:
Acceptable specimens: 1 mL respiratory specimen in M4, 1 mL fluid, 1 mL Urine, 2.5 ml Bone Marrow or Whole blood in a lavender (EDTA) or yellow (ACD)tube
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Real-Time PCR
Lab/Phone:
330-543-8418
TAT:
1-5 days
Additional Info:
Reference range: <500 copies/mL
CPT Code:
87799

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