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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Herpes Simplex Virus 1&2 PCR, CSF

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. Herpes Simplex Virus 1&2 PCR, CSF  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB4103
Specimen Type:
0.5 mL cerebrospinal fluid (CSF) in sterile container.
Tube Type:
Sterile container
Minimum Volume:
0.1 mL
Preferred Volume:
0.5 mL
Cause for Rejection:
Quantity not sufficient, specimen clotted, improper specimen type, improper storage/transport, mislabeled, or unlabeled.
Storage:
Transport at room temperature. Upon arrival in laboratory, store refrigerated.
Availability:
Monday thru Sunday (08:00 - 15:00)
Methodology:
Real-Time FDA-approved Polymerase Chain Reaction (PCR) assay
Lab/Phone:
330-543-4863
TAT:
24 hours
Additional Info:
Cerebrospinal fluids (including ventricular fluids) are the only acceptable sample type for this test. For HSV 1&2 testing on other sources, please order the Herpes Simplex Virus (HSV) Type 1 and 2, Qualitative PCR (LAB917).
CPT Code:
87529

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