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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
Advanced Practice Center
Provider Referral Resources
Medical Missions
Continuing Medical Education
Mary A. Hower Medical Library
Nurses
Nursing Overview
Research Institute
About the Research Institute
Centers and Research Programs
Research Videos
Support the Research Institute
Pediatric Clinical Studies
Institutional Review Board
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EpicCare Link Login
Epic Remote Access
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Need Help?
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
