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24960 HLA-ABC, DR Class I & II(Work up on Recipient or Donor)-Fairview

HLA-ABC, DR Class I & II(Work up on Recipient or Donor)-Fairview
Test Code: MISC
Test Components
​Tests performed include: HLA-A,B,C Typing, HLA Class I and HLA- DR Typing, Class II (Low Resolution)
Useful For
​Tissue matching of donors and recipients for transplantation; genetic counseling and HLA matched platelets.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​Whole Blood ​EDTA Lavendar Top Tube ​ ​7 mL ​2 mL ​
Collection Processing Instructions

​This is a secondary lab for this test and requires a specific physician request. Primary reference lab is Blood Center of Wisconsin.

Ship at room temperature for Monday - Friday delivery

Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​Ambient ​4 days
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Fairview University​ ​Monday through Friday ​4-5 days ​Lymphocytotoxicity
Reference Lab
Fairview University
Reference Range Information
Performing Location Reference Range
​Fairview University ​Interpretive report
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​81372 ​ ​1 ​HLA Class 1 typing, low resolution ​
​81375 ​ ​1 ​HLA Class 2 typing, low resolution ​
Test Components
​Tests performed include: HLA-A,B,C Typing, HLA Class I and HLA- DR Typing, Class II (Low Resolution)
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​Whole Blood ​EDTA Lavendar Top Tube ​ ​7 mL ​2 mL ​
Collection Processing

​This is a secondary lab for this test and requires a specific physician request. Primary reference lab is Blood Center of Wisconsin.

Ship at room temperature for Monday - Friday delivery

Specimen Stability Information
Specimen Type Temperature Time
​Whole blood ​Ambient ​4 days
Useful For
​Tissue matching of donors and recipients for transplantation; genetic counseling and HLA matched platelets.
Test Components
​Tests performed include: HLA-A,B,C Typing, HLA Class I and HLA- DR Typing, Class II (Low Resolution)
Reference Range Information
Performing Location Reference Range
​Fairview University ​Interpretive report
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Fairview University​ ​Monday through Friday ​4-5 days ​Lymphocytotoxicity
Reference Lab
Fairview University
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​81372 ​ ​1 ​HLA Class 1 typing, low resolution ​
​81375 ​ ​1 ​HLA Class 2 typing, low resolution ​
For most current information refer to the Marshfield Laboratory online reference manual.