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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Post-Transplant Engraftment (Chimerism), DNA Assay

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. Post-Transplant Engraftment (Chimerism), DNA Assay  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB4801
Specimen Type:
Blood
Bone Marrow
Collection Volume:
Blood or Bone Marrow: 2 mL collected in a Purple Top- EDTA Tube (0.5 mL minimum)
Cause for Rejection:

Quantity Not Sufficient
Specimen Not Received
Specimen Mislabeled
Specimen Not Labeled
Broken/Spilled in Transport
Hemolyzed
Specimen Clotted
Unacceptable Type or Source Submitted
Wrong Container
Improperly Preserved/Processed
Sample Stored at Incorrect Temperature
Sample Exceeds Holding Time

Storage:
Refrigerated
Availability:
Mondays
Methodology:
Polymerase Chain Reaction (PCR), Capillary Electrophoresis
Lab/Phone:
330-543-8722
TAT:
7-14 days
Additional Info:
Hours of Operation: Monday - Friday, 7:30 - 16:00

The Molecular Diagnostics Lab is not open on weekends or holidays.
CPT Code:
81265 (pre-transplant); 81267 (post-transplant)
Synonyms:
Chimerism
Post-Engr

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