Anti-DNase B Titer

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Anti-DNase B Titer
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

ADNAS

Test Workstation :

MAYO

Specimen Type:

Blood

Tube Type:

Red Top (no anticoagulant) tube

Alternate Tube Type:

SST

Collection Volume:

2.5 mL

Minimum Volume:

1.5 mL

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Nephelometry

Special Instructions:

13 days

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

Reference Values:

<5 years: < or = 250 U/mL

5-17 years: < or = 375 U/mL

> or = 18 years: < or = 300 U/mL

CPT Code:

86215

Synonyms:

AntiDnase B

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Anti-DNase B Titer

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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