We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

Bartonella henselae PCR, Tissue

Molecular Diagnostics : DNA

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. Bartonella henselae PCR, Tissue
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

BARPR/DNA2

Specimen Type:

Tissue (formalin fixed paraffin embedded FFPE tissue)

Tube Type:

Specimen container

Collection Volume:

FFPE tissue (10-15, 5 micron sections)

Storage:

FFPE - Ambient

Availability:

Mon-Fri

Methodology:

Polymerase Chain Reaction (PCR)

Lab/Phone:

330-543-8722

TAT:

2-4 days

Additional Info:

Reference Range: Negative. No Bartonella henselae DNA detected

CPT Code:

87798

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