Anti-Optic Antibodies by Western Blot
Label Mnemonic: OPTICWB
Epic code: LAB7574
Downtime form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Commercial Mail-out Laboratory
5231 RCP
Collection Medium:
Red top tube 5 mL (Clot Activator) Red top tube 5 mL (Clot Activator)
Preferred Minimum: Submit TWO red top tubes to yield 5 mL serum.
Absolute Minimum: 3 mL in a red top tube
Turn Around Time:
Anticipated turnaround time for routine cases is two to four weeks upon receipt at reference laboratory.
Submit the completed Requisition Form with specimen that must include all of the following items:
• Patient's name, gender and birthday
• Specimen collection date
• Referring clinic or physician name and contact information,
  including fax number
• Clinical history and findings (attach clinical notes)
• Clearly marked name of test requested

Note: A specimen will not be processed without a fully completed requisition form.

Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen.
Western blot
CPT Code: