Acid Phosphatase, Total

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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. Acid Phosphatase, Total
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

APHOS

Test Workstation :

CLEVE

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

4.0 mL

Minimum Volume:

1.5 mL

Storage:

Strict Frozen

Availability:

Sent to reference lab -Days Performed: Sun-Sat

Methodology:

Enzymatic

Special Instructions:

Separate serum from cells ASAP, Critical frozen For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)

Lab/Phone:

330-543-8418

TAT:

2-4 days

Additional Info:

Reference range: 0.0-4.3 U/L

CPT Code:

84060

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Acid Phosphatase, Total

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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