Centralized Core Laboratory - Quest Diagnostics :
Send Out
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. Growth Hormone Ab
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
GHAB
Test Workstation :
Quest
Specimen Type:
Blood - Serum
Tube Type:
Red Top Tube
Collection Volume:
1.5 mL
Minimum Volume:
0.5 mL
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Radiobinding Assay
Special Instructions:
Do not administer isotopes 24 hours prior to collection.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
4-11 days
Additional Info:
Reference range available on patient report
CPT Code:
86277
Panel Includes:
Growth Hormone Antibody and Growth Hormone Antibody, Titer
Growth Hormone Ab
Test ID/Workstation :
GHAB
Specimen Type:
Blood - Serum
Tube Type:
Red Top Tube
Collection Volume:
1.5 mL
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Radiobinding Assay
Special Instructions:
Do not administer isotopes 24 hours prior to collection.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
4-11 days
Additional Info:
Reference range available on patient report
CPT Code:
86277
Panel Includes:
Growth Hormone Antibody and Growth Hormone Antibody, Titer
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