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Computer Code: (RIFAM)
Specimen Collection: 4 mL blood (red top tube). Include drug dosage, and time and date of last dose. 
Minimum Volume:  
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, remove serum, freeze. Min 0.5 mL Separate within 1 hour of collection. Ship Mon-Thurs only. 
Reference Values: See reference laboratory report.  
Lab Code: CC REF 
Requisition: SPEC C
Test Frequency: Ship Mon-Thurs only 
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: 05/24/2016
Time: 23:23:56 (24hr)