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Lab Test Catalog

Cytogenomic SNP Microarray

Ordering Tests

Test Name (Aliases)

Cytogenomic SNP Microarray

Test Code

LAB1779 Miscellaneous Test

Code Alt

2003414

Tests Included

Cytogenomic SNP Microarray

Method

Genomic Microarray (Oligo-SNP Array)

Performing Lab

ARUP

Days Performed

Reported in 10 – 14 days of receipt

Required Forms

Genomic Microarray Testing Patient History Form Please submit the Genomic Microarray Patient Clinical Information Form with the specimen packing list

Requirements Preps

Requirements Preps
Specimen Collecting and Handling

Specimen Type

Peripheral Whole Blood or Cord Blood

Collection Container

Green Sodium Heparin tube or Lavender EDTA tube

Required Volume

5 mL (min: 1 mL)

Specimen Handling

5 mL (min: 1 mL)

Name on Report

Name on Report

Clinical Use

Preferred first-tier test for developmental delay, multiple anomalies, and autism spectrum disorders. Testing is performed on peripheral blood or cord blood.

Reference Range

Reference Range

Critical Values

Critical Values
Charge and Set-up

Coding CPT

81229

Coding Loinic

Coding Loinic

Additional Information

Review our policy provided here to learn more about Riverview Health Laboratory’s services, requirements for orders and specimen submission.

Lab Client Services Guidelines

Lab Collection for Nursing Home and Assisted Living

Modified Sample Collection for Long-Term Care Clients – COVID-19 Plan

The Laboratory evaluates quality and integrity for each specimen submitted for testing in order to ensure accurate results. The policy for evaluation and handling of samples that do not meet quality criteria is viewable here.

Specimen Acceptability and Rejection Policy

Lab Client Portal

Riverview Health Laboratory can now connect with outreach clients to provide electronic order entry and results using the LabWorks Portal. Access to the portal is available for professional clients in the clinic, skilled care, and assisted living location. To request site access for your health care team, please contact the Laboratory at 317.776.7241.
Riverview LabWorks Portal

Lab Client Portal

The following forms may be used to submit requests for laboratory services.

Cytopathology Requisition Form

Surgical Pathology and Medical Cytology Requisition Form

Lead Form – Minors Only

AFP Maternal – Prenatal Quad Form

Patient Collection Instructions

Collection Instructions – Clean Catch Mid Stream Urine

Collection Instructions – 24-Hour Urine

Collection Instructions – Pinworm Prep

Collection Instructions – Semen Fertility

Collection Instructions – Semen Post Vasectomy

For More Information

Riverview Health Laboratory
395 Westfield Road
Noblesville, IN 46060

 

317.776.7241