Comp Metabolic Panel
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Comp Metabolic Panel | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
CMP
Test Workstation :
ACHM5
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin) tube
Minimum Volume:
500 uL
Preferred Volume:
1.5 mL
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 8 hours; Refrigerated 3 days; Frozen: 3 days
Availability:
Daily, 24 hours; STAT
Methodology:
See individual tests
Special Instructions:
Protect the specimen from direct light exposure. Ask that the bilirubin lights in the NICU be turned off while collecting.
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Reference ranges available under individual tests
CPT Code:
80053
Panel Includes:
Sodium, Potassium, Chloride, Carbon Dioxide, Urea Nitrogen, Glucose, Total Protein, AST, ALT, Alkaline Phosphatase, Calcium, Albumin, Creatinine, Total Bilirubin
