Centralized Core Laboratory - Mayo Clinic Laboratories :
Send Out
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. Fungitell, serum
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
FUNGT
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Serum Separator Tube (SST)
Collection Volume:
2.5 mL (minimum:1.5 mL)
Cause for Rejection:
Gross hemolysis, gross lipemia, gross icterus, drawn in incorrect tube, drawn in glass tube.
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Protease Zymogen-Based Colorimetric Assay
Special Instructions:
Specimen must be centrifuged within 2 hours of collection. Send to Laboratory immediately. DO NOT ALIQUOT. For Outpatients, test should only be drawn in outpatient locations within the Hospital at the Akron campus. If collected at an offsite location, Call a STAT Courier
Lab/Phone:
330-543-8418
TAT:
1-2 days
CPT Code:
87449
Synonyms:
BetaD glucan
Fungitell, serum
Test ID/Workstation :
FUNGT
Specimen Type:
Blood
Tube Type:
Serum Separator Tube (SST)
Collection Volume:
2.5 mL (minimum:1.5 mL)
Cause for Rejection:
Gross hemolysis, gross lipemia, gross icterus, drawn in incorrect tube, drawn in glass tube.
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Protease Zymogen-Based Colorimetric Assay
Special Instructions:
Specimen must be centrifuged within 2 hours of collection. Send to Laboratory immediately. DO NOT ALIQUOT. For Outpatients, test should only be drawn in outpatient locations within the Hospital at the Akron campus. If collected at an offsite location, Call a STAT Courier
Lab/Phone:
330-543-8418
TAT:
1-2 days
CPT Code:
87449
Synonyms:
BetaD glucan
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