Mitochondrial Ab Panel

- : Immunology

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. Mitochondrial Ab Panel
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

MITO

Test Workstation :

CLEVE

Specimen Type:

Serum

Tube Type:

Gold top (SST) no anticoagulant tube

Collection Volume:

2.5 mL(minimum 1.0 mL)

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Indirect Immunofluorescence Assay (IFA)

Special Instructions:

If Mitochondrial Ab Panel is Positive, titer will be performed and billed.

Lab/Phone:

330-543-8418

TAT:

1-4 days

Additional Info:

Reference range: Negative Days Performed: Mon-Fri

CPT Code:

86255

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

Search our Site

Need Help?

Operator

Ask Children's

For Healthcare Professionals

Go to section...

Quicklinks

Providers

Nurses

Research Institute

Search our site:

Laboratory Services

Mitochondrial Ab Panel

- : Immunology

Starting Locations:

Legal:

Mobile App:

About Akron Children's