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Computer Code: PROG
Specimen Collection: 3 mL blood (red or gold top tube). 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, refrigerate. Serum must be removed from red top tube. Min 0.5 mL serum. 
Reference Values: MALE: 0.10-2.10 NG/mL FEMALE: Follicular phase: 0.31-1.52 NG/mL Mid luteal phase: 5.16-18.56 NG/mL Post menopausal: 0.00-0.78 NG/mL PREGNANT FEMALE: First trimester: 4.73-50.74 NG/mL Second trimester: 19.41-45.30 NG/mL  
Lab Code: CC 
Requisition: SPEC C
Test Frequency: Daily 
Routine TAT: 24 hr 
Stat TAT: 60 min 
CPT Code(s): 84144 
LCD or NCD:  
Methodology Used: 77
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 05/26/2016
Time: 04:50:22 (24hr)