Centralized Core Laboratory - Mayo Clinic Laboratories :
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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-6
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
INTL6
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Cause for Rejection:
Gross hemolysis, Grossly lipemia, Gross icterus
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Immunoenzymatic
Special Instructions:
Immediately place tube on wet ice. Freeze specimen within 30 minutes.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range available on patient report
CPT Code:
83529
Interleukin-6
Test ID/Workstation :
INTL6
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Cause for Rejection:
Gross hemolysis, Grossly lipemia, Gross icterus
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Immunoenzymatic
Special Instructions:
Immediately place tube on wet ice. Freeze specimen within 30 minutes.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range available on patient report
CPT Code:
83529
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