Peroxisomal Panel

Centralized Core Laboratory:Chemistry

Test ID/Workstation: PEROX CLEVE

Specimen Type: Blood

Tube Type: Gold top (SST) tube

Collection Volume: 1.5 mL (minimum 0.5 mL)

Cause for rejection: -

Storage: Frozen

Availability: Sent to reference lab

Methodology: Gas Chromatography/Mass Spectrometry (GC/MS), Stable Isotope Dilution

Special Instructions: Patient preparation: 12-14 hour fast and 24 hour abstinence from alcohol. Indicate treatment, family history, and tentative diagnosis on request form.



Centrifuge, separate, and freeze within 45 minutes from collection.

OC Power Word: LPEROXISOM

Lab/Phone: 330-543-8418

TAT: 4-9 days

Additional Info: Reference range is available on patient report

CPT Code: 82726X1

Panel Includes: C22:0, C24:0, C26:0, C24:0/C22:0 Ratio, C26:0/C22:0 Ratio, Pristanic Acid, Phytaric Acid, Pristanic/Phytanic Ratio, Comment

Synonyms: -

Requisition Form
View and print a requisition form for this test

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330-543-1000 (operator)

330-543-2000
(8 a.m.-4:30 p.m.)

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