Carnitine, Urine

Centralized Core Laboratory - Mayo Clinic Laboratories : 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. Carnitine, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

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

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Carnitine, Urine

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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