DMD Gene Analysis Dup/Delet Variants
Label Mnemonic: DBMD
Epic Lab Code: LAB3037
Downtime Form: A-1a Miscellaneous Request
Commercial Mail-out Laboratory
5231 RCP
356-8593
Specimen(s):
Whole Blood
Specimen Instructions:
Requisition form must accompany specimen. Please have patient, or their legal guardian, sign consent form and submit it with the sample. Label each tube with the individual's name, date of birth, sex and the date collected.
Collection Medium:
and and
Yellow top tube 8.5 mL (ACD solution A) Yellow top tube 8.5 mL (ACD solution A) Yellow top tube 8.5 mL (ACD solution A)
Minimum:
THREE 8.5 mL (Yellow top ACD tubes) for each participant
Turn Around Time:
6 weeks
Reference Range:
Not detected
Comments:
Please print, complete, and submit the Information/Billing and DNA Testing Consent Form for (DBMD) from University of Utah Genome Center with the appropriate signatures, the correct sample type and the A-1a Miscellaneous Request.

This mailout test requires pathologist approval for orders during inpatient encounters. Mailouts staff will not process order without approval. The pathologist covering mailouts approval can be reached at pager #5379. If approval is given, the name of the pathologist can be selected in the drop-down menu to the right of the approval warning in Epic when ordering the test.
Methodology:
Deletion/Duplication MLPA
CPT Code:
81161