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General Information
Lab Test Id Test Name CPT4 Code
PHC SAL Salicylate, Serum Stability: Refrigerated: 7 days 80329 
ACL SCL70 Scl-70 Antibody, IgG, Serum
Container: One gold gel 5.0 mL (also acceptable: one plain red 6.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 1 Week / Frozen: 2 Weeks
86235 
ACL SEL Selenium, Plasma
Container: One royal blue (trace elements, EDTA) 6.0 mL (also acceptable: one royal blue (trace elements, no additive) 6.0 mL)
Stability: Ambient: Indefinitely / Refrigerated: Indefinitely / Frozen: Indefinitely
84255 
PHC SEMEN Semen Analysis, Complete (Fertility Work-Up) 89320 
PHC SEMPV Semen Analysis, Post Vasectomy 89310 
ACL SPR3 Serine Protease 3 (PR3)
Container: One gold gel 5.0 mL (also acceptable: one plain red 6.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 1 Week / Frozen: 2 Weeks
86036 
ACL SRAUH Serotonin Release Assay (SRA), Unfractionated Heparin
Container: One plain red 6.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
86022 
ACL SER Serotonin, Serum
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 24 Hours / Frozen: 1 Month
84260 
ACL SHB Sex Hormone Binding Globulin
Container: One gold gel 3.5 mL (also acceptable: one plain red 4.0 mL)
Stability: Ambient: 4 Hours / Refrigerated: 6 Days / Frozen: 2 Weeks
84270 
ACL SINCLS Sinus and Nasopharynx Culture with Gram Stain Stability: Ambient: 48 Hours 87070  87205 
ACL SIROLR Sirolimus
Container: One lavender (EDTA) 3.0 mL
Stability: Ambient: 24 Hours / Refrigerated: 7 Days / Frozen: 14 Days
80195 
ACL SMAAB Sm Antibody, IgG, Serum
Container: One gold gel 5.0 mL (also acceptable: one plain red 6.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 1 Week / Frozen: 2 Weeks
86235 
ACL DSAC Small Bowel Biopsy for Disaccharidases
Container: Fresh small bowel biopsy
Stability: Ambient: Unacceptable / Refrigerated: Unacceptable / Frozen: Indefinitely
82657 x4 
ACL SMAB Smooth Muscle Antibody
Container: One gold gel 5.0 mL (also acceptable: one plain red 6.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 48 Hours / Frozen: 14 Days
86015 
PHC NA Sodium, Plasma or Serum Stability: Room temperature: 1 week Refrigerated: 1 week Frozen: 1 year 84295 
 
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