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. CMV IgG Ab
2.
3.
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6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
CMVIG
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
SST
Collection Volume:
1.5 mL
Minimum Volume:
1.0 mL
Cause for Rejection:
Specimens with Gross hemolysis, Gross lipemia or Gross icterus. Drawn in incorrect tube. QNS
Storage:
Refrigerated
Availability:
Sent to Reference Lab
Methodology:
Multiplex Flow Immunoassay (MFI)
Special Instructions:
CMV Isolation rather than Antibody detection is considered the method of choice for diagnosing CMV infection. A single titer is rarely significant, but a 4fold increase in titer between acute and convalescent serum could be diagnostic.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Values: Negative
CPT Code:
86644
Synonyms:
Cytomegalovirus Ab; CMV Titers
CMV IgG Ab
Test ID/Workstation :
CMVIG
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.5 mL
Cause for Rejection:
Specimens with Gross hemolysis, Gross lipemia or Gross icterus. Drawn in incorrect tube. QNS
Storage:
Refrigerated
Availability:
Sent to Reference Lab
Methodology:
Multiplex Flow Immunoassay (MFI)
Special Instructions:
CMV Isolation rather than Antibody detection is considered the method of choice for diagnosing CMV infection. A single titer is rarely significant, but a 4fold increase in titer between acute and convalescent serum could be diagnostic.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Values: Negative
CPT Code:
86644
Synonyms:
Cytomegalovirus Ab; CMV Titers
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There are 10 nurses in the picture.
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The five differences are:
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The two matching doctors are 9 and 14.
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The correct path:
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