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Operator
330-543-1000
Ask Children's
8 a.m. - 4:30 p.m. M-F
330-543-2000
Providers
EpiCare
Referrals to Akron Children's
Advanced Practice Center
Medical Missions
Continuing Medical Education
Wellness Resources
Mary A. Hower Medical Library
Nurses
Nursing Overview
Research Institute
Quicklinks
COVID-19 Updates
Find a Doctor/Provider
EpicCare Link Login
Epic Remote Access
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Operator
330-543-1000
Laboratory Services
Pediatric Foods Allergen Profile
Centralized Core Laboratory : 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. Pediatric Foods Allergen Profile
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Test ID/Workstation :
PFOOD MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant)tube
Collection Volume:
3.0 mL
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratory
Methodology:
Fluorescence Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range is available on patient report.
CPT Code:
86003
Profile Includes:
Milk IgE, Wheat IgE, Peanut IgE, Soybean IgE, Codfish IgE, Corn-Food IgE, Scallop IgE, Shrimp IgE, Walnut-Food IgE, Egg White IgE
View and print a requisition form for this test
View and print ONLY the info for this test
Pediatric Foods Allergen Profile
Test ID/Workstation :
PFOOD MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant)tube
Collection Volume:
3.0 mL
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratory
Methodology:
Fluorescence Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range is available on patient report.
CPT Code:
86003
Profile Includes:
Milk IgE, Wheat IgE, Peanut IgE, Soybean IgE, Codfish IgE, Corn-Food IgE, Scallop IgE, Shrimp IgE, Walnut-Food IgE, Egg White IgE
