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

Alpha -1-Antitrypsin, Stool (Mayo)

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. Alpha -1-Antitrypsin, Stool (Mayo)  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
A1ANT
Test Workstation :
MAYO
Specimen Type:
Stool
Tube Type:
Stool container
Collection Volume:
Random stool collection 5 grams
Minimum Volume:
1 gram
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Nephlometry
Lab/Phone:
330-543-8418
TAT:
1-2 days
Additional Info:
Send frozen in containers supplied. This test is for RANDOM samples ONLY. For 24hr collections please order on a manual requisition and also send 1mL serum (SST tube).
CPT Code:
82103

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