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

Chromosome Analysis, Blood

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. Chromosome Analysis, Blood  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
KBLZ
Test Workstation :
KARYO
Specimen Type:
3 mL whole blood collected in sodium heparin (green top) tube.
Minimum Volume:
Specimen minimum volume is 1 mL.
Cause for Rejection:
Clotted, nonsterile, or frozen specimen.
Storage:
Transport blood at room temperature. Upon arrival in laboratory, store at room temperature for no more than 24 hours. If specimen is to be stored longer than 24 hours, it should be refrigerated for up to 7 days.
Availability:
Mon-Fri (0700-1600) Sat (0900-1300)
Methodology:
Cell culture of lymphocytes, harvest and chromosome analysis with G-banding
Special Instructions:
Five blood gas tubes can be used. Include pertinent medical findings on the requisition with suspected diagnosis and/or indication(s) for testing.
Lab/Phone:
330-543-8483
TAT:
7-28 days, patient with age less than or equal to 7 days and/or in NICU will be expedited.
CPT Code:
88230, 88262, 88291
Synonyms:
Karyotype, Peripheral Blood Lymphocyte Karyotype, Chromosome Analysis

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