Interleukin 1b

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Interleukin 1b
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

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

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Interleukin 1b

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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