Albany Medical Center
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b cell lymphoma immunophenotyping panel
Computer Code: (BLP )
Specimen Collection: Peripheral blood - one lavender top tube. Bone marrow - one sodium heparin green top tube or red top tube from sodium heparinized syringe. Fresh tissue - place sample in container with transport media or saline and send ASAP to lab on ice at 4ÂșC. If not same day analysis, place tissue in transport media supplied by CIL. Call lab for details - 262-5367. Blood must be received within 24 hours of draw, other specimens must be received within 48 hours of obtaining specimen. 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Blood - store at room temperature. Tissue - refrigerate. 
Reference Values: Complete panel will include: CD10, CD23, CD19, HLA-DR, CD7, CD3, CD5, CD38, CD20, CD2, CD4, CD8, FMC7, CD22, CD45 and Kappa & Lambda Light Chain  
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, 88185X16TC, 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: 10:15:57 (24hr)