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Test Code 1303 MMRV Immune Status Profile

Methodology

Indirect Chemiluminescence Immunoassay (CLIA)

Performing Laboratory

Alomere Health Hospital Laboratory

Specimen Requirements

Specimen Type: Serum only

Collection Container/Tube: Gold (gel separator) or Red (plain)

Specimen Volume: 3.0 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions:

1. Allow serum tubes to clot completely. This may take up to 30 minutes.

2. Remove sample from cells by pipetting.

 

Specimen Transport Temperature

Refrigerated

Reference Values

Measle Antibody IgG

Mumps Virus Antibody IgG

Rubella Antibody IgG

(Reported as Positive, Negative or Equivocal)

 

Varicella Zoster Antibody IgG

(Reported as Positive or Negative)

Day(s) Test Set Up

Monday - Friday

Test Classification and CPT Coding

86765 Measle IgG

86735 Mumps IgG

86762 Rubella IgG

86787 Varicella Zoster IgG