Test Details
Mnemonic
SIROL
Ordering Code
1800500
CPT-4 Code(s)
80195
Specimen Information
Collect
Lavender EDTA
Specimen Preparation
Send 1.0 mL whole blood.
Minimum Volume
0.5 mL
Transport Temperature
Refrigerated
Stability
Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 14 days
Refrigerated: 7 days
Frozen: 14 days
Methodology
High Performance Liquid Chromatography/Tandem Mass Spectrometry
Reference Range
4 - 12 ng/mL
Toxic Level: >25 ng/mL
Kidney Transplant (with cyclosporine)
Post Transplant: NA
Trough Level: 4.0 - 12.0 ng/mL
Kidney Transplant
Post Transplant:
After cyclosporine withdrawal:
<12 months Trough Level: 16.0 - 24.0 ng/mL
>12 month Trough Level: 12.0 - 20.0 ng/mL
Toxic Level: >25 ng/mL
Kidney Transplant (with cyclosporine)
Post Transplant: NA
Trough Level: 4.0 - 12.0 ng/mL
Kidney Transplant
Post Transplant:
After cyclosporine withdrawal:
<12 months Trough Level: 16.0 - 24.0 ng/mL
>12 month Trough Level: 12.0 - 20.0 ng/mL
Performing Laboratory
Warde Medical Laboratory
New York DOH Approval Status
No