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

Mitotane

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. Mitotane  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MIT2
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Green top (sodium heparin)tube - Plasma
Collection Volume:
5.0 mL (minimum 1.0 mL)
Cause for Rejection:
Plasma Gel tube
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Gas Chromatography/Flame Ionization Detection (GC-FID)
Special Instructions:
Draw blood in a greentop (sodium heparin) tube. Lab Spin down and send sodium heparin plasma refrigerated in a plastic vial.
Lab/Phone:
330-543-8418
TAT:
5-9 days
Additional Info:
Reference range available on patient report
CPT Code:
80299
Synonyms:
Lysodren

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