Cytogenomic Microarray Analysis of Postnatal Blood
Cytogenetics Laboratory - :
Cytogenetics
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. Cytogenomic Microarray Analysis of Postnatal Blood
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MCRY1
Test Workstation :
CYTO
Specimen Type:
3 mL whole blood collected in one EDTA (purple top) tube and one sodium heparin (green top) tube.
Minimum Volume:
Specimen minimum volume is 1 mL.
Cause for Rejection:
Clotted, nonsterile, or frozen specimen.
Storage:
Transport blood at room temperature. Upon arrival in laboratory, store at room temperature for no more than 24 hours. If specimen is to be stored longer than 24 hours, it should be refrigerated for up to 7 days.
Availability:
Mon-Fri (0700-1600) Sat (0900-1300)
Methodology:
Chromosomal Microarray (CMA) Using Affymetrix Cytoscan DX
Special Instructions:
Must collect both Purple (EDTA) and Green (sodium heparin) tubes
Lab/Phone:
330-543-8483
TAT:
28 days
CPT Code:
81229
Synonyms:
CMA
Cytogenomic Microarray Analysis of Postnatal Blood
Test ID/Workstation :
MCRY1
Specimen Type:
3 mL whole blood collected in one EDTA (purple top) tube and one sodium heparin (green top) tube.
Cause for Rejection:
Clotted, nonsterile, or frozen specimen.
Storage:
Transport blood at room temperature. Upon arrival in laboratory, store at room temperature for no more than 24 hours. If specimen is to be stored longer than 24 hours, it should be refrigerated for up to 7 days.
Availability:
Mon-Fri (0700-1600) Sat (0900-1300)
Methodology:
Chromosomal Microarray (CMA) Using Affymetrix Cytoscan DX
Special Instructions:
Must collect both Purple (EDTA) and Green (sodium heparin) tubes
Lab/Phone:
330-543-8483
TAT:
28 days
CPT Code:
81229
Synonyms:
CMA
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