Sucrose Hemolysis

Last Modified: 6/10/2019 4:01:17 PM


Medical Necessity Documentation:  
Client Notes: Please contact PHL Client Response at 266-1500 (Option 1) to request a Stat courier pick up
Patient Preparation:  
Specimen Requirements:

3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions: Do not collect this specimen on a weekend or holiday
Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability: 3 days Ambient
4 days Refrigerated
Rejection Criteria: Frozen Specimen
Reference Range: Negative
Critical Ranges:  
Test Comments:  
Methodology: Complement Lysis
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 5 to 8 days
Days Performed: Monday, Tuesday, Wednesday, Thursday
Sites Performed: Quest - Chantilly
PHL Test Code: SUCRO
EPIC Test Code: LAB2613
Send Out Test Code: 6691 / 30235X
Alternate Test Names: Sugar Water
Included Tests:  
CPT Coding: 86941

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