Tumor Necrosis Factor
| 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. Tumor Necrosis Factor | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
TUMNF
Test Workstation :
MAYO
Specimen Type:
Blood - Plasma
Tube Type:
Purple top (EDTA) tube
Collection Volume:
1.5 mL
Minimum Volume:
1.0 mL
Storage:
Frozen
Availability:
Sent to reference lab, Days performed: Mon
Methodology:
Electrochemiluminescence
Special Instructions:
Place tube on wet ice after draw; spin down at 4C for 10 minutes; Freeze specimen within 30 minutes.
Lab/Phone:
330-543-8418
TAT:
2-8 days
Additional Info:
Reference range available on patient report
CPT Code:
83520
Synonyms:
TNF, TNFAlpha, Cytokine
