B-Type Natr peptide

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. B-Type Natr peptide
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

BNP/SUMMA

Specimen Type:

Blood

Tube Type:

Green top (Lithium Heparin) tube

Collection Volume:

3.0 mL

Storage:

Refrigerate

Availability:

Sent to Reference lab

Methodology:

Immunoenzymatic Assay

Special Instructions:

Available Daily, 24 hours Please send minimum 1.0 mL Lithium heparin plasma and refrigerate within 24 hours

Lab/Phone:

330-543-8417

TAT:

1 Day

Additional Info:

Reference range: 0-100 pg/mL

CPT Code:

83880

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B-Type Natr peptide

Centralized Core Laboratory : Chemistry

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