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General Information
Lab Test Id Test Name CPT4 Code
ACL G6PDB G-6-PD-QUANTITATIVE
Container: One lavender (EDTA) 3.0 mL (also acceptable: One green (sodium or lithium heparin) 6.0 mL and One yellow (ACD) 10 mL)
Stability: Ambient: 8 Hours / Refrigerated: 1 Week
82955 
ACL GAB GABAPENTIN
Container: One plain red 4.0 mL (also acceptable: One lavender (EDTA) 3.0 mL)
Stability: Ambient: 5 Weeks / Refrigerated: 6 Weeks / Frozen: 2 Months
80171 
PHC GFRR Gadolinium Creatinine w/ eGFR Stability: Refrigerated: 2 days 82565 
PHC GT Gamma-Glutamyltransferase (GGT), Plasma or Serum Stability: Room temperature: 7 days Refrigerated: 7 days Frozen: 6 months 82977 
ACL UGHB GAMMA-HYDROXYBUTYRIC ACID, URINE
Container: One urine - random
Stability: Ambient: 1 week / Refrigerated: 1 Weeks / Frozen: 3 weeks
80307 
ACL GHB GAMMA-HYDROYBUTYRIC ACID
Container: One plain red 6.0 mL
Stability: Ambient: 7 days / Refrigerated: 7 Days / Frozen: 2 months
80307 
ACL GASTR GASTRIN
Container: One gold gel 3.5 mL
Stability: Ambient: 8 Hours / Refrigerated: 1 Week / Frozen: 30 Days
82941 
ACL GPARX Gastrointestinal Parasites Panel by PCR
Container: Stool in liquid Cary-Blair (enteric pathogen). Raw stool in clean leak-proof container.
Stability: Ambient: 1 Hour, no preservative. 2 days in Cary-Blair./ Refrigerated: 4 Days in Cary-Blair / Frozen: Unacceptable
87505 
ACL GPPNL Gastrointestinal Pathogen Panel
Container: STOOL IN STERILE CONTAINER OR IN C&S (CARY- BLAIR) MEDIA
Stability: AMBIENT: 1 HOUR, NO PRESERVATIVE. 2 DAYS IN CARY-BLAIR / REFRIGERATED: 4 DAYS IN CARY-BLAIR/ FROZEN: UNACCEPTABLE
87507 
ACL GLOMBM GBM ANTIBODY
Container: One gold gel 5.0 mL (also acceptable: One plain red 6.0 mL)
Stability: Refrigerated: 7 Days / Frozen: 14 Days
83516 
ACL NGPT GC by Nucleic Acid Amplification
Container: Aptima Collection Container
Stability: Ambient: 30 Days Urines, 60 Days Swab / Refrigerated: 30 Days Urines, 60 Days Swab
87591 
ACL GENCLS Genital Bacterial Culture with Gram Stain
Container: ESWAB (ALSO ACCEPTABLE : AEROBIC CULTURE SWAB)
Stability: AMBIENT: 24 HOURS
87070  87205 
ACL TXCHMA GENOMIC MICROARRAY
Container: One green (sodium heparin no gel) 4.0 mL and One lavender (EDTA) 6.0 mL , Both specimens necessary for testing.
Stability: Ambient: 72 Hours / Refrigerated: 7 Days / Frozen: Unacceptable
81229  88291 
ACL MAPCO Genomic Microarray, POC W/ Maternal Contamination hold Stability: AMBIENT: 72 HOURS / REFRIGERATED: ACCEPTABLE, NOT PREFERRED. / FROZEN: UNACCEPTABLE 81229  88291 
ACL TXPNMA Genomic Microarray, Prenatal w/ Maternal Contamination Hold Stability: AMBIENT: 24 HOURS NOTE: SEND ALL SAMPLES TO THE CYTOGENETIC LABORATORY FOR VIABILITY DETERMINATION SINCE SPECIMEN SAMPLES ARE IRRETRIEVABLE. 81229  88291 
 
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