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lymphocyte mitogen screen
Synonyms: Concanavalin A; Phytohemagglutinin; Pokeweed; Lymphocyte Mitogen Proliferation; PHA; Con A 
Computer Code: (FOLMS)
Specimen Collection: 7 mL blood (sodium heparin green top tube).
Draw Mon-Thur only, no later than 3 p.m. Deliver immediately to Special Chemistry. 
Minimum Volume: 7 mL 
Handling Instructions for Offsite Areas: Maintain whole blood at room temperature. Must reach referral lab within 48 hours of collection. Draw Mon-Thur only before 3 p.m. Must be collected and hand carried to the Special Chemistry Laboratory by 3 p.m. Min. 7.0 mL (adults), 3mL (peds) whole blood. Transport specimen at room temperature.. Draw a healthy, unrelated to patient, control sample. 
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: 05/24/2016
Time: 23:27:42 (24hr)