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Computer Code: (LFLX)
Specimen Collection: 4 mL blood (red top tube preferred, sodium heparin green acceptable).   Include drug dosage, and time and date of last dose. 
Minimum Volume: 2 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge 10 minutes, remove serum immediately, freeze. Min 0.5 mL serum. 
Reference Values: See reference laboratory report.  
Lab Code: CC REF 
Requisition: SPEC C
Test Frequency: NA 
Routine TAT: 20 days 
Stat TAT: NA 
CPT Code(s): 80299 
LCD or NCD:  
Methodology Used: R
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/30/2015
Time: 21:08:58 (24hr)