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. Factor V Activity Assay
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
F5A
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Lt. Blue top (sodium citrate) tube
Collection Volume:
2.7 mL (minimum 1.8mL) - properly filled tube. Must use appropriate sodium citrate tube based on volume of blood drawn(1.8mL or 2.7mL)
Cause for Rejection:
Grossly hemolyzed, grossly lipemic, or grossly icteric specimens. Patient must not be receiving Coumadin or heparin therapy.
Storage:
Spin and freeze immediately. Frozen plasma.
Availability:
Sent to reference lab
Methodology:
Optical Clot-Based
Special Instructions:
Draw one lt. blue top tube per test. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-2 days
Additional Info:
Reference range available on patient report
CPT Code:
85220
Synonyms:
Coagulation Factor V Activity Assay, Plasma
Factor V Activity Assay
Factor V Activity Assay
Test ID/Workstation :
F5A
Specimen Type:
Blood
Tube Type:
Lt. Blue top (sodium citrate) tube
Collection Volume:
2.7 mL (minimum 1.8mL) - properly filled tube. Must use appropriate sodium citrate tube based on volume of blood drawn(1.8mL or 2.7mL)
Cause for Rejection:
Grossly hemolyzed, grossly lipemic, or grossly icteric specimens. Patient must not be receiving Coumadin or heparin therapy.
Storage:
Spin and freeze immediately. Frozen plasma.
Availability:
Sent to reference lab
Methodology:
Optical Clot-Based
Special Instructions:
Draw one lt. blue top tube per test. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-2 days
Additional Info:
Reference range available on patient report
CPT Code:
85220
Synonyms:
Coagulation Factor V Activity Assay, Plasma
Factor V Activity Assay
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The five differences are:
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The two matching doctors are 9 and 14.
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