Cytomegalovirus (CMV), Qualitative PCR - Neonatal Screen, Urine

Molecular Diagnostics - : DNA

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. Cytomegalovirus (CMV), Qualitative PCR - Neonatal Screen, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB1332

Specimen Type:

Urine

Collection Volume:

Urine: 2.0 mL collected in a Sterile Container (0.2 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:

Real-Time Polymerase Chain Reaction

Special Instructions:

Testing for patients <= 4 weeks of age ONLY.

Lab/Phone:

330-543-8722

TAT:

1-3 days

CPT Code:

87496

Synonyms:

CMV DNA
CMVQL

Search our Site

Need Help?

Operator

Ask Children's

For Healthcare Professionals

Go to section...

Quicklinks

Providers

Nurses

Research Institute

Search our site:

Laboratory Services

Cytomegalovirus (CMV), Qualitative PCR - Neonatal Screen, Urine

Molecular Diagnostics - : DNA

Starting Locations:

Legal:

Mobile App:

About Akron Children's