Neutrophil Antibody

Centralized Core Laboratory : Hematology

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. Neutrophil Antibody
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

NEUAB MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

4.0 mL (minimum 1.0 mL)

Cause for Rejection:

Specimen grossly hemolyzed

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Indirect Immunofluorescence

Special Instructions:

Only pretransfusion reaction specimen is acceptable

Lab/Phone:

330-543-8418

TAT:

7-15 days

Additional Info:

Reference range: Negative

CPT Code:

86021

Synonyms:

Granulocyte Antibody; Granulocyte Serology

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...