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

Phenylalanine and Tyrosine Plasma

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. Phenylalanine and Tyrosine Plasma  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
PTP
Test Workstation :
SHIMZ
Specimen Type:
Blood
Tube Type:
Green top tube- Lithium heparin is preferred. Sodium heparin is acceptable. NO GEL Tubes
Collection Volume:
1.0 mL (minimum 0.4 mL)
Storage:
Frozen
Methodology:
Liquid Chromatorgraphy-Tandem Mass Spectrometry (LC-MSMS)
Special Instructions:
Please have patient fast a minimum of 4 hours prior to collection. Specimens must be centrifuged and separated within 2 hours of collection. Collect Sunday Thursday Only
Lab/Phone:
330-543-0223
TAT:
3-5 days
Additional Info:
Reference range: Phenylalanine Premature: 98-213 uMol/L; 0 to 31 days: 38-137 uMol/L; 1 to 24 months: 31-75 uMol/L; 2-18 years: 26-91 uMol/L; > or = 19 years: 35-85 uMol/L; Tyrosine Premature: 147-420 uMol/L; 0 to 31 days:55-147 uMol/L; 1 to 24 months: 22-108 uMol/L; 2-18 years: 24-115 uMol/L; > or = 19 years: 34-112 uMol/L
CPT Code:
84030, 84510

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