Chromogranin A

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. Chromogranin A
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CHRMA

Test Workstation :

MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Alternate Tube Type:

SST

Collection Volume:

1.5 mL

Minimum Volume:

0.5 mL

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

Homogeneous automated immunofluorescent assay using Time-Resolved Amplified Cryptate Emission (TRACE) technology.

Special Instructions:

Spin down and remove serum from clot. do not submit in original tube. Proton pump inhibitor drugs should be discontinued for at least 2 weeks before collection

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

Reference range: <93 ng/mL (Reference values apply to all ages)

CPT Code:

86316

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Chromogranin A

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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