Natural Killer (NK)/Natural Killer (NK Function)
| 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. Natural Killer (NK)/Natural Killer (NK Function) | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
NKFCT
Test Workstation :
CINCI
Specimen Type:
Whole Blood
Tube Type:
Green Top (Sodium Heparin)
Collection Volume:
Call Laboratory Sendouts ext. 34853 for collection volume.
Cause for Rejection:
Frozen, clotted, centrifuged, specimens greater than 28 hrs. old, specimens collected in anticoagulants other than Sodium Heparin
Storage:
Critical Ambient
Availability:
Sent to Reference Laboratory
Methodology:
Chromium Release
Special Instructions:
Transport whole blood in original collection tubes. Do not refrigerate or freeze. Draw Monday Thursday only, between 10:00 and 13:00. Must be received by laboratory by 14:00. Specimen stable for 24 hours.
Lab/Phone:
330-543-8418
TAT:
4 days
Additional Info:
Reference range available on patient report
CPT Code:
86357,86352
Panel Includes:
NK 50:1
NK 25:1
NK 12:1
NK 6:1
NK Lytic Unit
NK (CD16/56%) â no reference range for this component for this report
Interpretation
Synonyms:
Natural Killer Function, HLH: MK Function, NK Cell Function, Natural Killer Cell Function
