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

Coenzyme Q10 Reduced and Total Plasma

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. Coenzyme Q10 Reduced and Total Plasma  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
COQ10
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Green top (lithium or sodium heparin)
Collection Volume:
1.5 mL
Minimum Volume:
1.0 mL
Storage:
Frozen
Availability:
Draw Monday - Thursday only
Methodology:
High-Performance Liquid Chromatography (HPLC) with Electrochemical Detection
Special Instructions:
1. Fasting ( 8 hours) 2. Immediately place specimen on wet ice. Maintain on wet ice and process within 3 hours of draw. 3. Spin down, separate plasma from cells, and immediately freeze specimen. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)
Lab/Phone:
330-543-8418
TAT:
3-7 days
CPT Code:
82492

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