Anti-Thyroidperoxidase
| 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-Thyroidperoxidase | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
TPOXD
Test Workstation :
SUMMA
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
2.5 mL
Minimum Volume:
1.0 mL
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Enzyme Immunoassay
Lab/Phone:
330-543-8576
Additional Info:
Reference range:
Anti-thyroidperoxidase: 0-5.5 IU/mL
CPT Code:
86376
Synonyms:
Thyroid Microsomal Ab
Microsomal Ab
Antimicrosomal Ab
Microsomal Antibody
