Herpes Simplex Virus Type 1 and 2 Specific Antibodies, Serum

- : Immunology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

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TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Herpes Simplex Virus Type 1 and 2 Specific Antibodies, Serum
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

HSVSP/MAYO

Specimen Type:

Blood

Tube Type:

Gold Top SST (Serum Separator Tube)

Collection Volume:

1.5 mL (minimum 1.0 mL)

Cause for Rejection:

Specimens with Gross hemolysis, Gross lipemia or Gross icterus. Drawn in incorrect tube. QNS

Storage:

Refrigerated

Availability:

Sent to Reference Lab Monday - Saturday

Methodology:

Multiplex Immunoassay (MFI)

Lab/Phone:

330-543-8418

TAT:

1-2 days

Additional Info:

Reference Value: Negative

CPT Code:

86695, 86696

Panel Includes:

HSV, Type 1 Ab, IgG, S HSV Type 2 Ab, IgG, S

Synonyms:

gG1; gG2; Herpes Simplex Antibodies, IgG Herpes Simplex Serology; Herpes Simplex Virus Antibody; HSV Ab; HSV Glycoprotein 1 & 2;

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Herpes Simplex Virus Type 1 and 2 Specific Antibodies, Serum

- : Immunology

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