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

Hemoglobin A1c

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. Hemoglobin A1c  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HBA1C
Test Workstation :
ACHM5
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Minimum Volume:
500 uL
Preferred Volume:
2 mL
Storage:
Shipping- Send Refrigerated; Storage- Room Temp: 3 days; Refrigerated: 7 days; Frozen: 6 months
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-TINA-Quant
Special Instructions:
Do not spin, whole blood sample required.
Lab/Phone:
330-543-8418
TAT:
4 hours
Additional Info:
Reference range is available on patient report
CPT Code:
83036
Synonyms:
Glycosylated Hemoglobin; GHB; Fast Hemoglobin

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