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acute leukemia immunophenotyping panel
Computer Code: (ALP)
Specimen Collection: Peripheral blood - 4 mL (lavender top tube). Bone marrow - one sodium heparin green top tube or red top tube from sodium heparinized syringe. Other - call lab for details - 262-5367. 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Store at room temperature. 
Reference Values: Complete panel will include: CD10, CD117, CD19, HLA-DR, CD7, CD3, CD5, CD22, CD20, CD33, CD13, CD34, CD14, CD11b, CD4, CD45, MPO and TdT  
Lab Code: CI 
Requisition: CIL
Test Frequency: Mon-Fri call to schedule 
Routine TAT: 1 day (3 days for Pathology report) 
Stat TAT: NA 
CPT Code(s): 88184, 88185x17 TC, 88189 PC 
LCD or NCD:  
Methodology Used: 24
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 09/22/2014
Time: 14:18:03 (24hr)