Processed Sample Commutability Evaluation Form
Use this form to evaluate how processed samples behave in commutability testing. Please provide complete and accurate details for each sample reviewed.
Sample Identifier
*
Sample Type / Material
*
Please Select
Serum
Plasma
Whole Blood
Urine
CSF
Other
Processing Method
*
Please Select
Centrifugation
Filtration
Heat Treatment
Chemical Stabilization
Freezing/Thawing
Other
Source Specimen or Matrix
*
Aliquot / Preparation Details
Storage / Handling Conditions
Please Select
Refrigerated (2-8°C)
Frozen (-20°C or below)
Room Temperature
Transport on Ice
Other
Reference Comparison / Comparator Method
*
Please Select
Reference Assay
Alternate Platform
Peer Laboratory
External Quality Material
Other
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator / Submitter Name
*
First Name
Last Name
Evaluation Notes / Comments
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