Buprenorphine Screen, Urine

Centralized Core Laboratory - : 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. Buprenorphine Screen, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

BUPUR/SUMMA

Test Workstation :

Summa

Specimen Type:

Urine-Random

Tube Type:

Urine container

Collection Volume:

3.0 mL

Storage:

Refrigerated

Availability:

7 days a week on day shift and second shift only

Methodology:

Immunoassay

Lab/Phone:

330-543-8418

TAT:

1-2 days

CPT Code:

80307

Synonyms:

Suboxone

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...