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. Arylsulfatase A, Leukocytes
2.
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6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
ARYLA
Test Workstation :
MAYO
Specimen Type:
Whole Blood
Tube Type:
Yellow top (ACD) tube: Whole Blood
Collection Volume:
6.0 mL
Minimum Volume:
5.0 mL
Cause for Rejection:
If blood is transferred to another container specimen will be rejected.
Storage:
Refrigerated
Availability:
Sent to reference lab.
Methodology:
Colorimetric Enzyme Assay
Special Instructions:
Specimen must arrive within 48 hours of draw to be stabilized.
Draw specimen Monday through Thursday only and not the day before a holiday. Specimen should be drawn and packaged as close to shipping time as possible.
Do not transfer blood to other containers.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
8-15 days
Additional Info:
Reference range: > or =62 nmol/h/mg
CPT Code:
82657
Arylsulfatase A, Leukocytes
Test ID/Workstation :
ARYLA
Specimen Type:
Whole Blood
Tube Type:
Yellow top (ACD) tube: Whole Blood
Collection Volume:
6.0 mL
Cause for Rejection:
If blood is transferred to another container specimen will be rejected.
Storage:
Refrigerated
Availability:
Sent to reference lab.
Methodology:
Colorimetric Enzyme Assay
Special Instructions:
Specimen must arrive within 48 hours of draw to be stabilized.
Draw specimen Monday through Thursday only and not the day before a holiday. Specimen should be drawn and packaged as close to shipping time as possible.
Do not transfer blood to other containers.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
8-15 days
Additional Info:
Reference range: > or =62 nmol/h/mg
CPT Code:
82657
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