CF DNA Extended Mutation

Last Modified: 4/7/2021 6:10:24 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation: This Specimen can only be collected at the Parkview Outpatient Service Center (OSC) located at 11141 Parkview Plaza Dr. Fort Wayne In 46845
Specimen Requirements: CF Kit - 
 6.0 mL Whole Blood in a Lavender Top Tube(s) - EDTA
Collection Instructions: Specimen should have a minimum of 2 patient identifiers, prefer that there is 3 patient identifiers (patient identifiers can be Name, DOB, MRN, Sample accession number, and CF Port Id) Do not used Genetic id provided by the lab at authorization as patient identifier. 

Package with absorbent layer and two plastic barriers, label the package UN3373, Biological Specimen Category B"

Ship by Federal Express to: 
John Hopkins Genomics - DDL
1812 Ashland Ave. 
Sample Intake, Room 245
Baltimore, MD 21202
Phone 410-955-0483
Minimum Volume: 3.0 mL Whole Blood EDTA
Transport & Storage: Temperature/Stability:  
Reference Range: Reference Range Not Established
Critical Ranges:  
Test Comments:  
Methodology: .
Clinical Significance:  
Custom Panel: No


Turn Around Time: 90 days
Sites Performed: John Hopkins DNA Diagnositic Laboratory
PHL Test Code: MSOT
Send Out Test Code: CFFMAP
Alternate Test Names: CF Foundation Mutation Analysis Program; CFFMAP; CFTR gene; Cystic Fibrosis Foundation Mutation Analysis Progr; Mutation Analysis Program
Included Tests:  
CPT Coding: .

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