Specimen Requirements

Call Saint Luke’s Regional Medical Center Histology Laboratory at 712-279-3164 to obtain formalin-filled jar prior to collection.

Specimen Type: Tissue, fresh

Container/Tube: Formalin-filled jar

Additional Information: 

1. Label jar (not lid) with patient’s name (first, last, and middle initial), date of birth, date and time of collection, and source of specimen.

2. If multiple specimens, place each in a separate labeled jar.

3. Avoid temperature extremes.

4. The following specimens will be returned to submitting physician:

A. Spilled specimen

B. No request form

C. Name on request form does not match name on specimen

Forms: Tissue Examination Request Form including patient’s name (first, last, and middle initial), medical record number (if appropriate), date of birth and/or Social Security number, date and time of collection, medical history, source of specimen, and initials of person collecting specimen