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lymphocyte mitogen screen
Synonyms: Concanavalin A; Phytohemagglutinin; Pokeweed 
Computer Code: (FOLMS)
Specimen Collection: 7 mL blood (sodium heparin green top tube).
Draw Mon-Thurs only, no later than 1:30 p.m. Deliver immediately to Special Chemistry. Must reach lab by 1400. 
Minimum Volume: 3 mL 
Handling Instructions for Offsite Areas: Maintain unspun whole blood at room temperature. Must be shipped to Focus same day. 
Reference Values: See reference laboratory report.  
Lab Code: CC REF 
Requisition: SPEC C
Test Frequency: NA 
Routine TAT: 14 days 
Stat TAT: NA 
CPT Code(s): 86353x3 
LCD or NCD: (NCD) http://www.cms.hhs.gov/mcd/index_section.asp?ncd_sections=40 
Methodology Used: R
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208 		Date: 05/23/2013
Time: 18:31:41 (24hr)