Amino Acids QN Random Urine

Centralized Core Laboratory - Mayo 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. Amino Acids QN Random Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

AAQU

Test Workstation :

MAYO

Specimen Type:

Urine

Tube Type:

Urine Container

Collection Volume:

2.0 mL Random urine collection

Minimum Volume:

1.0 mL

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

Liquid Chromatography-Tandem Mass Spectrophotometry

Special Instructions:

Include family history, clinical condition (asymptomatic or acute episode), diet, and drug therapy information. Patient's age is required.

Lab/Phone:

330-543-8418

TAT:

3-5 days

Additional Info:

Reference range is age dependent; available on the report

CPT Code:

82139

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Amino Acids QN Random Urine

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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