Calprotectin, Stool

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB1779

Specimen Type:

5 grams of stool collected in a sterile container free from preservatives or fixatives

Tube Type:

Sterile container

Minimum Volume:

5 grams

Preferred Volume:

5 grams

Cause for Rejection:

Specimen collected in diaper; quantity not sufficient; stool in any preservative or fixative; stool submitted on a swab;

Storage:

Room temperature (stable 6 hours); Refrigerated (stable 3 days); Frozen (stable 16 weeks)

Availability:

Test performed Mondays, Wednesdays, Fridays (08:00 - 15:00)

Methodology:

Chemiluminescence Immunoassay (CLIA)

Lab/Phone:

330-543-4863

TAT:

1-3 days

Additional Info:

Reference Values: < 50.0 mcg/g (Normal); 50.0-120 mcg/g (Borderline); > 120 mcg/g (Abnormal); Reference values apply to all ages.

CPT Code:

83993