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

Chromosome Analysis, Blood

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. Chromosome Analysis, Blood  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB888
Specimen Type:
2 mL whole blood collected in sodium heparin (green top) tube.
Cause for Rejection:
Nonsterile, gross contamination, or frozen specimen
Storage:
Transport blood at room temperature. Upon arrival in laboratory, store refrigerated.
Availability:
Mon-Fri (0700-1600) Sun (0900-1300)
Methodology:
G-Banding. Images are captured digitally using image analysis software.
Special Instructions:
Include all pertinent medical findings with suspected diagnosis and/or indication(s) for testing.
Lab/Phone:
330-543-8483
TAT:
28 Days
CPT Code:
88230 (Cell Culture)
88262 (Chromosome Analysis)
88291 (Interpretation and Report)

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