We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

Clostridium difficile by Amplification

Infectious Disease Laboratories : Virology

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. Clostridium difficile by Amplification
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

CDIFA MIC2

Specimen Type:

Stool

Tube Type:

Stool Container

Collection Volume:

5.0 mL(minimum 1.0 mL)

Cause for Rejection:

Formed stool, stool specimen sent on swab, diaper, or dried applicator stick, stool sent in viral transport media, stool in Cary-Blair.

Storage:

Refrigerated

Availability:

Daily

Methodology:

DNA Amplification Assy for the detection of cytotoxigenic C. difficile in stool specimen

Lab/Phone:

330-543-8576

TAT:

48 hours

CPT Code:

87493

Synonyms:

Stool for C. diff Toxin, Cl. difficile Toxin Assay, C. difficile

Specimen Collection Procedures:

Stool Specimen Collection

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...