Interleukin-6
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Interleukin-6 | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
INTL6
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Cause for Rejection:
Gross hemolysis, Grossly lipemia, Gross icterus
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Immunoenzymatic
Special Instructions:
Immediately place tube on wet ice. Freeze specimen within 30 minutes.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range available on patient report
CPT Code:
83529
