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Operator
330-543-1000
Ask Children's
8 a.m. - 4:30 p.m. M-F
330-543-2000
Providers
EpiCare
Advanced Practice Center
Provider Referral Resources
Medical Missions
Continuing Medical Education
Mary A. Hower Medical Library
Nurses
Nursing Overview
Research Institute
About the Research Institute
Centers and Research Programs
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Support the Research Institute
Pediatric Clinical Studies
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Need Help?
Operator
330-543-1000
Laboratory Services
Venoms Allergen Profile
Centralized Core Laboratory : Immunology
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. Venoms Allergen Profile
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Test ID/Workstation :
INSEC MAYO
Specimen Type:
Blood
Tube Type:
Red top ( no anticoagulant) tube
Collection Volume:
1.5 mL
Storage:
Refrigerated
Availability:
Sent to mayo Medical Laboratory
Methodology:
Fluorescence Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
Additional Info:
Reference range is available on patient report
CPT Code:
86003
Panel Includes:
Honeybee venom IgE,Yellow Faced Hornet IgE, Yellow Jacket Venom IgE, Wasp Venom, IgE, White Faced Hornet Venom IgE
View and print a requisition form for this test
View and print ONLY the info for this test
Venoms Allergen Profile
Test ID/Workstation :
INSEC MAYO
Specimen Type:
Blood
Tube Type:
Red top ( no anticoagulant) tube
Collection Volume:
1.5 mL
Storage:
Refrigerated
Availability:
Sent to mayo Medical Laboratory
Methodology:
Fluorescence Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
Additional Info:
Reference range is available on patient report
CPT Code:
86003
Panel Includes:
Honeybee venom IgE,Yellow Faced Hornet IgE, Yellow Jacket Venom IgE, Wasp Venom, IgE, White Faced Hornet Venom IgE
