Carnitine, Urine
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Carnitine, Urine | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
CARUR
Test Workstation :
MAYO
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
1.5 mL
Minimum Volume:
0.5 mL
Storage:
Frozen
Availability:
Sent to Reference Laboratory
Methodology:
Flow Injection Analysis-Tandem Mass Spectrometry (FIA-MS/MS)
Special Instructions:
Reference Values:
FREE
77214 nmol/mg of creatinine
TOTAL
180412 nmol/mg of creatinine
RATIO
Acyl to free: 0.73.4
Lab/Phone:
330-543-8418
TAT:
2-9 days
CPT Code:
82379
Panel Includes:
Carnitine, Total
Carnitine, Free
AC/FC Ratio
Carnitine Interpretation
