Eosinophil Count, Nasal

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

EOSN

Test Workstation :

Quest

Specimen Type:

Nasal

Tube Type:

Sterile Flocked Nasal Swab

Cause for Rejection:

Poor smear quality

Storage:

Room Temperature

Availability:

Sent to Reference Laboratory

Methodology:

Microscopic Examination/Wright's Stain

Special Instructions:

Collect 1 Nasal Flocked Swab. Deliver to the laboratory ASAP. Lab Make two airdried slides (minimum one airdried slide).

TAT:

1-2 days

Additional Info:

Reference Range: < or = 2% eos

CPT Code:

89190

Synonyms:

Eos, nasal Nasal Eosinophils