Test Overview
Test Methodology

Real time PCR

Reference Range *

Not Detected

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Details
Days Set Up
Once a week, varies
Analytic Time

7 - 14 days

Soft Order Code
Reference Laboratory
University of Washington Molecular Virology (Eastlake)
Special Testing
Specimen Requirements

The following steps need to take place:
Parents or clerk will need to call MDHHS Newborn Screening Follow-up Program
Contact Carrie Langbo, who is in charge of the bio bank to obtain the specimen. Her number is 517-335-6497.

MDHHS will need the attached form to be completed and sent back to them, along with:
Birth hospital and Mom’s first and last name at delivery. (probably on birth certificate)
The attached form completed and returned (by fax or regular mail) – to Carrie. You may need to contact her for a fax number.
A copy of either the mother or father’s ID. This can be captured via photo on smart phone and emailed.
A copy of the child’s birth certificate (this can be the hospital issued or state issued certificate, whatever is on hand). This can be captured via photo on smart phone and emailed.
Her email address is langboc@michigan.gov
Ask that the specimen be released to UM sendout lab. Our address is Michigan Medicine 1500 E.
Medical Center Drive Room 2F361 Ann Arbor, MI 48109 Ph 734-647-5454

Normal Volume
3-5 punches taken out of the original newborn screening card
Storage Temperature
Additional Information

Test performed by University of Washington, Molecular Virology Department

CPT Code