Centralized Core Laboratory - Mayo Clinic Laboratories :
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. Toxoplasma IgM Ab
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
TOXM
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red Top (no anticoagulant) tube
Alternate Tube Type:
SST
Collection Volume:
2.5 mL
Minimum Volume:
2.0 mL
Cause for Rejection:
Gross hemolysis, gross lipemia
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Enzyme-Immunoassay (EIA)
Special Instructions:
Acute and convalescent sera drawn 24 weeks apart is recommended.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range available on patient report
CPT Code:
86778
Toxoplasma IgM Ab
Test ID/Workstation :
TOXM
Specimen Type:
Blood
Tube Type:
Red Top (no anticoagulant) tube
Collection Volume:
2.5 mL
Cause for Rejection:
Gross hemolysis, gross lipemia
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Enzyme-Immunoassay (EIA)
Special Instructions:
Acute and convalescent sera drawn 24 weeks apart is recommended.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range available on patient report
CPT Code:
86778
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There are 10 nurses in the picture.
And we have many more pediatric primary care providers in Northeast Ohio. You can meet some of them here.
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The five differences are:
– Phone color
– Coat pocket
– Stethoscope earpiece color
– Stethoscope bell dot
– Clipboard paper color
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The two matching doctors are 9 and 14.
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The correct path:
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