West Nile Virus PCR, CSF

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. West Nile Virus PCR, CSF
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

WNVPR

Test Workstation :

MAYO

Specimen Type:

CSF

Tube Type:

Sterile Container

Collection Volume:

0.5 mL

Minimum Volume:

0.3 mL

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Real-Time Polymerase Chain Reaction (PCR)/RNA Probe Hybridization

Special Instructions:

Do not Centrifuge CSF. Vial number 2 is preferred, but any vial is acceptable.

Lab/Phone:

330-543-8418

TAT:

1-5 days

Additional Info:

Reference range is available on patient report

CPT Code:

87798

Synonyms:

WNV PCR, Flavivirus

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West Nile Virus PCR, CSF

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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