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

Hemoglobin

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  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HGB
Test Workstation :
AHEM1
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
2.0 mL (minimum 0.3 mL)
Cause for Rejection:
Specimen hemolyzed, clotted, diluted with IV fluid; held at RT for more than 8 hours or at 4C for more than 24 hours
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
Flow Cell Spectrophotometry
Special Instructions:
Lipemic plasma or white count > 50,000/mm3 may falsely elevate the hemoglobin.
Lab/Phone:
330-543-8416
TAT:
4 hours
Additional Info:
Reference range is available on patient report
CPT Code:
85018
Synonyms:
HGB

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