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hsv-i type specific igg
Synonyms: Herpes Simplex Type 1 IgG 
Computer Code: (HSVT1)
Specimen Collection: 3 mL (red or gold top tube). 
Minimum Volume: 2 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge 20 minutes. Serum must be removed from red top tube. Refrigerate. 
Reference Values: Negative: <0.90 index, Equivocal: > or = 0.90 - < or = 1.10 index, Positive: >1.10 index  
Lab Code: SI 
Requisition: HEP/VIRUS
Test Frequency: Weekly 
Routine TAT: 7 days 
Stat TAT: NA 
CPT Code(s): 86695 
LCD or NCD:  
Methodology Used: 19
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 04/20/2014
Time: 17:11:49 (24hr)