Leukocyte Alkaline Phosphatase
| 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. Leukocyte Alkaline Phosphatase | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Specimen Type:
Whole Blood
Tube Type:
Green top (sodium or lithium heparin) tube
Collection Volume:
5.0 mL (minimum 1.0 mL)
Cause for Rejection:
Blood and smears not protected from light, collected in EDTA
Storage:
Ambient
Availability:
Sent to Reference Laboratory
Methodology:
Cytochemical Stain
Special Instructions:
Please order ZMSO with comment LAP to ARUP. ARUP test code 0049000.
Collect between 1000 and 1400 Monday through Thursday and send to the lab immediately. Blood and smears must be protected from light. Lab prepare 6 unfixed, well-prepared smears within 24 hours of collection.
Lab/Phone:
330-543-8418
TAT:
1-5 days
Additional Info:
Reference Range: Leukocyte Alkaline Phosphatase:
Female 33-149 (no units)
Male 22-124 (no units)
CPT Code:
85540
