Soluble IL-2R

Centralized Core Laboratory - : Send Out

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. Soluble IL-2R
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

SIL2R

Test Workstation :

CINCI

Specimen Type:

Blood-Plasma

Tube Type:

EDTA - Lavender Top Tube

Alternate Tube Type:

SST/Red

Collection Volume:

3.0ml

Minimum Volume:

1.0mL

Cause for Rejection:

Whole Blood sent frozen or refrigerated Interfering substances: Basiliximab binds with the IL2R in vivo. Results for patients on basiliximab reflect the unbound portion of sIL2R in the plasma sample.

Storage:

Frozen

Availability:

Sent to Reference Laboratory: Monday-Friday

Methodology:

Chemiluminescence

Special Instructions:

Lab Frozen: Two 0.5mL plasma/serum aliquots are preferred

Lab/Phone:

330-543-8418

TAT:

2 days

Additional Info:

Reference range available on patient report

CPT Code:

83520

Synonyms:

Soluble CD25 SIL2R HLH: Soluble IL2R Interleukin 2R Soluble IL2R sCD25 SCD25

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Soluble IL-2R

Centralized Core Laboratory - : Send Out

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