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. Ova and Parasite Special Exam
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
OVPRX
Test Workstation :
MAYO
Specimen Type:
Stool, duodenal aspirate, colonic washing
Tube Type:
Stool container
Collection Volume:
10.0 mL (minimum 5.0 mL)
Cause for Rejection:
Stool specimen contaminated with urine or water. Specimen containing interfering substances such as barium. Specimen sent in a diaper. Rectal swab not acceptable.
Storage:
Ambient
Availability:
Sent to Reference Laboratory
Methodology:
Microscopic examination
Special Instructions:
Lab staff will transfer sample to EcoFix solution.
Lab/Phone:
330-543-8412
TAT:
4-5 days
CPT Code:
87177, 87209
Synonyms:
Stool for Ova and Parasite
Special Parasitology
Ova and Parasite Special Exam
Test ID/Workstation :
OVPRX
Specimen Type:
Stool, duodenal aspirate, colonic washing
Tube Type:
Stool container
Collection Volume:
10.0 mL (minimum 5.0 mL)
Cause for Rejection:
Stool specimen contaminated with urine or water. Specimen containing interfering substances such as barium. Specimen sent in a diaper. Rectal swab not acceptable.
Storage:
Ambient
Availability:
Sent to Reference Laboratory
Methodology:
Microscopic examination
Special Instructions:
Lab staff will transfer sample to EcoFix solution.
Lab/Phone:
330-543-8412
TAT:
4-5 days
CPT Code:
87177, 87209
Synonyms:
Stool for Ova and Parasite
Special Parasitology
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