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

Herpes Simplex Virus Type 1 and 2 Specific Antibodies, Serum

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 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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