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Tumor Necrosis Factor

Centralized Core Laboratory : Chemistry

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/Workstation :

TUMNF MAYO

Specimen Type:

Blood

Tube Type:

Purple top (EDTA) tube

Collection Volume:

1.5 mL (minimum 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:

1-8 days

Additional Info:

Reference range: 0.56-1.40 pg/mL

CPT Code:

83520

Synonyms:

Cachectin

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