Specimen

Whole blood

Collection Medium:

Alternate
Collection Media:

Lavender top tube (EDTA)

Minimum:

Preferred minimum: 10 mL whole blood - one yellow top ACD Solution A)
                                       tubes
Absolute minimum:  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).

Clinical Mlecular Diagnostic Laboratory 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(x2), 83898(x5), 83904(x5), 83894(x5), 83912