Cancer Antigen 125
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Cancer Antigen 125 | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
CA125
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant) or Red top (no anticoagulant) tube
Collection Volume:
2.5 mL
Minimum Volume:
2.0 mL
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Electrochemiluminescent Immunoassay
Special Instructions:
This test cannot be used to diagnose cancer.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range:
Females <46 U/mL
Males N/A
CPT Code:
86304
