Interleukin-2
| 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. Interleukin-2 | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
INTL2
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant), gold top (SST gel-tube), or green top (lithium heparin) tube
Collection Volume:
2.5 mL (minimum 1.0 mL)
Storage:
Frozen
Availability:
Sent to Reference Laboratory
Methodology:
Quantitative Multiplex Bead Assay
Special Instructions:
Place specimen on ice after collection. Centrifuge specimen and freeze aliquot within 2 hours of collection.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-12 days
Additional Info:
Reference range: 2.1 pg/mL or less
CPT Code:
83520
