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|
| Factor IX Gene, Known Mutation, Carrier | ||
| Order Code: F9CAK
Epic Lab Code: LAB3105 Order Form: A-1a Miscellaneous Request or Epic Req |
Commercial "Mail-out" Laboratory 6240 RCP 356-3527 |
|
Specimen: |
Whole blood | ||
Collection Medium: |
| ||
Alternate Collection Media: |
Lavender top tube (EDTA) | ||
Minimum: |
Preferred minimum: 20 mL whole blood - two yellow top ACD Solution A)
tubes
Absolute minimum/infants: 6 mL whole blood from pink (K2EDTA) or
2-4 mL EDTA
DNA also accepted. | ||
Rejection Criteria: |
Specimen may be obtained Monday through Thursday only, no weekends, or holidays. Sample must be received at the reference laboratory within 72 hours of collection. | ||
Delivery Instructions: |
Submit specimen to laboratory as soon as possible after collection. | ||
Analytic Time: |
4 weeks | ||
Comments: |
Please print, complete, and submit the following forms to the lab, with the specimen and the A-1a Miscellaneous Request. Always include clinical information of the patient as this is required (this can be in the form of a recent doctor's note). Test Request Form - Referring Physician Signature and the Patient Consent are required and Hemophilia Patient Information Form from the City of Hope Clinical Molecular Diagnostic Laboratory - Entire form must be completed | ||
CPT Code: |
83890, 83898(x4), 83894, 83912 |
Updated: 09/16/2009
Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.