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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Basic Metabolic Panel

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. Basic Metabolic Panel  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
BMP
Test Workstation :
ACHM5
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin) tube
Minimum Volume:
500 uL
Preferred Volume:
1.5 mL
Cause for Rejection:
Hemolysis, lipemia
Storage:
Shipping- Send Refrigerated; Storage- Room Temp: 8 hours; Refrig: 3 days; Frozen: 3 days
Availability:
24 hours/day, 7 days/week
Methodology:
See individual tests
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Reference ranges available on patient report
CPT Code:
80048
Panel Includes:
Sodium, Potassium, Chloride, Carbon Dioxide, Urea Nitrogen, Glucose, Creatinine, Calcium
Synonyms:
BMP

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