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

Chloride Urine 24 hr

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. Chloride Urine 24 hr  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
UCL24
Test Workstation :
ACHM5
Specimen Type:
Urine
Tube Type:
Urine Container
Collection Volume:
Entire 24 hour collection. See Special Instructions
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 7 days; Refrigerated: 7 days; Frozen: stable
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-ISE Indirect
Special Instructions:
Instruct patient on 24 hour urine collection. Refrigerate 24 hour urines during collection. Do not use urine preservatives. Mark each collection container with the following information required for resulting: patient demographic information and date and time collection was started and finished. Deliver specimens promptly to the lab.
Lab/Phone:
330-543-8417
TAT:
1 hour
CPT Code:
82436

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