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sirolimus
Synonyms: Rapamune; Rapamycin 
Computer Code: (SIRL)
Specimen Collection: 2 mL blood (lavender top tube). 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Refrigerate. 
Reference Values: 5.0-15.0 ng/mL Patients may require higher or lower levels dependent upon transplant indication.  
Lab Code: CC 
Requisition: TOXI
Test Frequency: 3x/week 
Routine TAT: 3 days 
Stat TAT: 1 day 
CPT Code(s): 80195 
LCD or NCD:  
Methodology Used: 84
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 10/30/2014
Time: 11:14:55 (24hr)