Amylase, Urine

Centralized Core Laboratory : Chemistry

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. Amylase, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

AMYU SUMMA

Specimen Type:

Urine

Tube Type:

Urine container

Collection Volume:

5.0 mL (minimum 0.5 mL)

Cause for Rejection:

Use of urine preservative

Storage:

Refrigerated

Availability:

Daily

Methodology:

Enzymatic

Special Instructions:

Lab/Phone:

330-543-8418

TAT:

6 hours

Additional Info:

Reference range is available on patient report

CPT Code:

82150

Synonyms:

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

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Amylase, Urine

Centralized Core Laboratory : Chemistry

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