CK, Total and CKMB

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. CK, Total and CKMB
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

CKMB% AKRON

Specimen Type:

Blood

Tube Type:

Green top (lithium heparin) tube

Collection Volume:

3.0 mL (minimum 1.5 mL)

Cause for Rejection:

Hemolysis

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Enzyme Immunoassay

Special Instructions:

Lab/Phone:

330-543-8418

TAT:

STAT: 1 hour

Additional Info:

Reference range is available on patient report

CPT Code:

82550

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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CK, Total and CKMB

Centralized Core Laboratory : Chemistry

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