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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

C1Q Binding Assay

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. C1Q Binding Assay  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
C1QBA
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL (minimum 1.0 mL)
Cause for Rejection:
Nonfrozen specimens
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Semi-Quantitative Enzyme-Linked Immunoabsorbant Assay
Special Instructions:
Days Performed: Mon, Thur. Allow complete clotting of red blood cells (up to 1 hour), then separate serum from cells within 30 minutes and freeze immediately in standard aliquot tube. Separate specimens must be submitted when multiple tests are ordered. Critical Frozen. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
3-10 days
Additional Info:
Reference range: < or = 3.9 ugEq/mL
CPT Code:
86332

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