Interleukin 1b
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Interleukin 1b | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
INT1B
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube) or Lavender top (EDTA tube)
Collection Volume:
7.5mL (minimum 2.5mL)
Cause for Rejection:
Hemloysis, Lipemia, test strictly frozen
Storage:
Frozen
Availability:
Sent to Reference Laboratory
Methodology:
Direct Enzyme Immunoassay (EIA)
Special Instructions:
Separate serum or plasma from cells immediately. Indicate serum or plasma on request form and specimen. Patient should NOT be on any corticosteroids, antiinflammatory medications, or pain killers, if possible for at least 48 hours prior to collection.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
10-14 days
Additional Info:
Reference range: Less than 1.0 pg/mL
CPT Code:
83520
Synonyms:
Interleukin 1Beta
