Angelman Syndrome and Prader-Willi Syndrome, Methylation DNA Assay

Molecular Diagnostics - : DNA

PATIENT INFO

Patient Name:

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BD: / / Sex: F M

PHYSICIAN INFO

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TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Angelman Syndrome and Prader-Willi Syndrome, Methylation DNA Assay
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB4658

Specimen Type:

Blood

Collection Volume:

Blood: 2 mL collected in a Purple Top- EDTA Tube (0.5 mL minimum)

Cause for Rejection:

Quantity Not Sufficient
Specimen Not Received
Specimen Mislabeled
Specimen Not Labeled
Broken/Spilled in Transport
Hemolyzed
Specimen Clotted
Unacceptable Type or Source Submitted
Wrong Container
Improperly Preserved/Processed
Sample Stored at Incorrect Temperature
Sample Exceeds Holding Time

Storage:

Refrigerated

Availability:

Mon-Fri (7:30-16:00)

Methodology:

Methylation-Specific PCR

Lab/Phone:

330-543-8722

TAT:

10-14 days

CPT Code:

81331

Synonyms:

PW/AS

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Angelman Syndrome and Prader-Willi Syndrome, Methylation DNA Assay

Molecular Diagnostics - : DNA

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