SARS-CoV2/Flu A&B/RSV PCR (4-PLEX)

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB4685

Specimen Type:

One flocked swab in 3.0 mL M4 Viral Transport Medium collected from nasopharyngeal source.

Cause for Rejection:

Improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.

Storage:

Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.

Availability:

Monday - Sunday

Methodology:

CB-NAAT real-time PCR for simultaneous detection and differentiation of SARS-CoV-2, influenza A, influenza B, and /or RSV.

Lab/Phone:

330-543-4863

TAT:

Two hours from the time the specimen arrives in the Akron laboratory.

CPT Code:

0241U

Panel Includes:

Targets include the following:
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Influenza A and B
Respiratory Syncytial Virus (RSV)

Synonyms:

4PLEX