LDL Cholesterol (Beta-Quant), S
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. LDL Cholesterol (Beta-Quant), S | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
LDLD
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant )tube
Collection Volume:
7.5 mL
Minimum Volume:
5.0 mL
Cause for Rejection:
Gross hemolysis, Grossly icteric
Storage:
Refrigerated
Availability:
Mon- Thur, Saturday, Sunday
Methodology:
Ultracentrifugation/Selective Precipitation/Enzymatic Colorimetry (Beta-Quantification)
Special Instructions:
Patient must not consume any alcohol for 24hours before the specimen is drawn.
Lab/Phone:
330-543-8418
TAT:
2-4 days
Additional Info:
Reference range available on patient report
CPT Code:
83701
