DNA Extraction & Hold

Cytogenetics Laboratory - : Cytogenetics

PATIENT INFO

Patient Name:

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BD: / / Sex: F M

PHYSICIAN INFO

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Address:

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Additional Report to:

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TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. DNA Extraction & Hold
2.
3.
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5.
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

DNEXZ

Test Workstation :

DNA

Specimen Type:

3 mL whole blood or bone marrow collected in one EDTA (purple 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:

DNA Extraction.

Lab/Phone:

330-543-8483

TAT:

10-14 days

CPT Code:

81479

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DNA Extraction & Hold

Cytogenetics Laboratory - : Cytogenetics

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