HLA-B27

Molecular Diagnostics : DNA

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. HLA-B27
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

HLB27 / DNA1

Specimen Type:

Blood

Tube Type:

Lavender top (EDTA) tube: Whole Blood

Collection Volume:

3.0 mL (minimum 1.0 mL)

Storage:

Refrigerated

Availability:

M-F

Methodology:

Polymerase Chain Reaction (PCR)

Lab/Phone:

330-543-8722

TAT:

3-7 days

Additional Info:

Reference range: Negative for HLA-B27

CPT Code:

81374

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...