N-terminal pro B-type Natriuretic Peptide

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. N-terminal pro B-type Natriuretic Peptide
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

PBNP

Test Workstation :

E8011

Specimen Type:

Blood

Tube Type:

Green top (Lithium Heparin) tube

Collection Volume:

1.5 mL

Minimum Volume:

500 uL

Preferred Volume:

1.5 mL

Storage:

Shipping- Send Refrigerated; Storage: Room Temp: 3 days; Refrigerated: 6 days; Frozen: 24 months

Availability:

24 hours/day, 7 days/week

Methodology:

Roche- ECLIA sandwich principle

Lab/Phone:

330-543-8418

TAT:

2 hours

CPT Code:

83880