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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Chlamydia Culture

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. Chlamydia Culture  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB244
Specimen Type:
One flocked swab in viral transport media (M4) collected from eye (conjunctiva), cervix, urethra, or rectum; nasopharyngeal aspirates, swabs, or washings are also acceptable; peritoneal fluid collected in M4 media.
Cause for Rejection:
Specimen not in viral transport medium (M4).
Storage:
Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated. If specimen is to be stored longer than 24 hours, freeze specimen.
Availability:
Sent to reference laboratory
Methodology:
Cell culture with immunofluorescence.
Special Instructions:
Specimens in M4 must be sent on ice immediately to lab.
Lab/Phone:
330-543-4853
TAT:
5 days
CPT Code:
87110
Synonyms:
Chlamydia isolation; C. trachomatis isolation; Chlamydia Cx;

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