Southern Ohio Allergen Panel
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Southern Ohio Allergen Panel | |
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| SPECIMEN INFO |
| Collection Date & Time: |
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Test ID :
OSOTH
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
6.0 mL
Minimum Volume:
5.0 mL
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratories
Methodology:
Fluorescence Enzyne Immunoassay ( FEIA)
Lab/Phone:
330-543-8418
TAT:
1-3 days
CPT Code:
86003
Panel Includes:
Cat Epithelium IgE, Short Ragweed IgE, Elm IgE, Oak IgE, Lamb's Quarters IgE, Cockroach IgE, White Hickory IgE, Walnut Tree IgE, Bermuda Grass IgE, June Grass IgE, Johnson Grass IgE, House Dust Mites/D.P. IgE, House Dust mites/D.F. IgE, Alternaria Tenuis IgE, Aspergillus Fumigatus IgE, Cladosporium IgE, Dog Dander IgE
