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DNA Archive

eDH Procedure Code(s)

LAB4195 DNA Archive

Test Information

Must provide a signed DNA consent form.

Order Questions

LAB4195 DNA Archive
  • I understand that it is my responsibility (as the ordering provider) to obtain a signed consent form when ordering DNA for archiving, and that the DHMC DNA Archive consent form can be found here: DNA Archive Consent Form
.
  • Please indicate reason for DNA archive/potential use of DNA:

Specimen Information

Specimen Type Specimen Source Acceptable Containers Minimum Test Volume (mL)
Blood Varies SterCont-R
Blood Varies ACDA-R 1.0
Blood Varies BucSwb-R
Blood Varies Lav4-R 1.0
Blood Varies Lav6-R 1.0

Shipping and Handling

Processing Instructions: N/A

Transport Temperature: Refrigerated @ 4°C
Instructions: N/A

Specimen Stability Unprocessed
Unprocessed: Refrigerated @ 4°C for 7 days
Specimen Stability Post Processing
Ambient: N/A
Refrigerate: N/A
Frozen: N/A

Test Components

Component LOINC Code
(DNA) EXTRACTION CONCENTRATION
DNA APPROXIMATE TOTAL YIELD 72496-3
DNA ARCHIVE METHODS USED 85069-3
DNA ARCHIVE RESULT 8251-1
DNA ARCHIVE: REASON FOR STORAGE 62364-5
EXTRACTION VOLUME 3169-0

CPT Code(s)

81479

Performing Lab Section

Molecular Pathology

Performing Lab(s)

Dartmouth Hitchcock Medical Center Laboratory (MHMH)