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Calcium

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. Calcium
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

CA MACH1

Specimen Type:

Blood

Tube Type:

Green top (lithium heparin)tube

Collection Volume:

0.5mL

Cause for Rejection:

Do not use anticoagulants such as citrate, oxalate or EDTA.

Storage:

Refrigerated

Availability:

Daily, 24 hours; STAT

Methodology:

Calcium ion reaction with 5-nitro-5-methyl-BAPTA

Special Instructions:

The only acceptable anticoagulant is Li heparin. Plasma should be separated from blood cells as soon as possible.

Lab/Phone:

330-746-9623

TAT:

1 hour

Additional Info:

Reference range: 7.6-22.0 mg/d/L

CPT Code:

82310

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Calcium

Laboratory : Chemistry

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