Arsenic, Blood
| 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. Arsenic, Blood | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
ARSBL
Test Workstation :
CLEVE
Specimen Type:
Blood-Whole Blood
Tube Type:
NAVY BLUE (TRACE ELEMENT-K2EDTA)
Collection Volume:
7.0 mL
Minimum Volume:
0.5 mL
Storage:
Ambient
Availability:
Sent to reference lab
Methodology:
Inductively Coupled Plasma/Mass Spectrometry
Special Instructions:
Patient Prep: Diet, medication, and nutritional supplements may introduce interfering substances; patient should be encouraged to discontinue nutritional supplements, vitamins, minerals, and nonessential over-the-counter medications (upon advice of physician) and avoid shellfish and seafood for 48 to 72 hours; Send in original tube, Ambient
Lab/Phone:
330-543-8418
TAT:
2-4 days
Additional Info:
Reference range: 0.0-12.0 ug/L
CPT Code:
82175
