Centralized Core Laboratory - Mayo Clinic Laboratories :
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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. EBV (VCA) IgG Ab
2.
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
EBVIG
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
3.0 mL
Minimum Volume:
1.3 mL
Cause for Rejection:
Grossly hemolyzed, lipemic or Icteric, contaminated specimen, drawn in incorrect tube, QNS.
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Chemiluminescence Immunoassay (CLIA)
Special Instructions:
High EBV VCA IgG titers may persist for months. Test need not be done on patients with a pos Heterophile Ab. May be diagnostic in pediatric patients with Heterophile neg Infectious Mononucleosis caused by EpsteinBarr virus. A 4fold or greater increase in IgG titer strongly suggests recent or active infection.
Lab/Phone:
330-543-8576
TAT:
1-2 days
Additional Info:
Reference range: Negative
CPT Code:
86665
Synonyms:
EBVIFA; EBVIgG; EB or EBV Virus Titers; VCA Titer
EBV (VCA) IgG Ab
Test ID/Workstation :
EBVIG
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
3.0 mL
Cause for Rejection:
Grossly hemolyzed, lipemic or Icteric, contaminated specimen, drawn in incorrect tube, QNS.
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Chemiluminescence Immunoassay (CLIA)
Special Instructions:
High EBV VCA IgG titers may persist for months. Test need not be done on patients with a pos Heterophile Ab. May be diagnostic in pediatric patients with Heterophile neg Infectious Mononucleosis caused by EpsteinBarr virus. A 4fold or greater increase in IgG titer strongly suggests recent or active infection.
Lab/Phone:
330-543-8576
TAT:
1-2 days
Additional Info:
Reference range: Negative
CPT Code:
86665
Synonyms:
EBVIFA; EBVIgG; EB or EBV Virus Titers; VCA Titer
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The five differences are:
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The two matching doctors are 9 and 14.
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