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General Information
Lab Test Id Test Name CPT4 Code
PHC SPESCN IFE with Immunoglobulins 86334  82734 x3 
ACL SIFEMX IFE,SERUM w/IGG,A,M
Container: One gold gel 5.0 mL
Stability: Refrigerated: 7 Days / Frozen: 14 Days
82784 x3  83883 x2  more
ACL IG1234 IgG SUBCLASS 1,2,3,4
Container: One gold gel 3.5 mL
Stability: Ambient: 2 Hours / Refrigerated: 8 Days / Frozen: 6 Months
82787 x4 
PHC IGSUBA IgG SUBCLASSES WITH TOTAL IgG
Container: One 2.0 mL (min: 1.0 mL) serum refrigerated
Stability: Ambient: 7 Days / Refrigerated: 6 Weeks / Frozen: 12 Weeks
82787 x4  82784 
PHC IGHV IGHV Mutation Analysis by Sequencing Stability: Ambient: 1 hour: Refrigerated: 7 days: Frozen: Unacceptable 81263 
ACL IMPDES IMIPRAMINE & METAB
Container: One plain red 4.0 mL (also acceptable: lavender (EDTA) 3.0 mL or pink (EDTA) 6.0 mL)
Stability: Ambient: 5 Days / Refrigerated: 2 Weeks / Frozen: 6 Months
80335 
PHC IPF Immature Platelet Fraction Stability: Room temperature: Preferred specimen should be less than 8 hours old.  If stored at 4-8°C, allow it to come to room temperature before testing. 85055 
ACL UIFXMX Immunofixation Electrophoresis, Urine
Container: One Urine, random
Stability: Refrigerated: 7 Days / Frozen: 14 Days
86335 
ACL IGA Immunoglobulin A, IgA
Container: One gold gel 3.5 mL
Stability: Refrigerated: 3 Days / Frozen: 14 Days
82784 
ACL IGEB Immunoglobulin E, IgE
Container: One gold gel 5.0 mL (also acceptable: One plain red 6.0 mL)
Stability: Ambient: 4 Hours serum / Refrigerated: 2 Days serum / Frozen: 14 Days serum
82785 
ACL IGGS4 Immunoglobulin G Subclass 4
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 14 Days / Frozen: 6 Months
82787 
ACL IGG Immunoglobulin G, IgG
Container: One gold gel 3.5 mL
Stability: Refrigerated: 3 Days / Frozen: 14 Days
82784 
ACL IGM Immunoglobulin M, IgM
Container: One gold gel 3.5 mL
Stability: Refrigerated: 3 Days / Frozen: 14 Days
82784 
ACL IMMGLB Immunoglobulin, Quantitative
Container: One gold gel 3.5 mL (also acceptable: One gold gel microtainer 600 mcL (clear or amber))
Stability: Refrigerated: 3 Days / Frozen: 14 Days
82784 x3 
PHC ITDNR Infant Type and Coombs Non-Cord Stability: Specimen stability: Room temperature: 8 hours Refrigerated: 4 days Frozen: Do Not Freeze 86880  86900  more
 
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