Ceruloplasmin

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. Ceruloplasmin
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CERUL

Test Workstation :

MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant)tube

Alternate Tube Type:

SST

Collection Volume:

2.5 mL

Minimum Volume:

1.5 mL

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Nephelometric Assay

Special Instructions:

Oral contraceptives may cause increased values.

Lab/Phone:

330-543-8418

TAT:

1-3 days Not reported on Sundays

Additional Info:

Reference Range:

Males:0-17 years: 14.0-41.0 mg/dL

> or = 18 years: 15.0-30.0 mg/dL

Females: 0-17 years: 14.0-41.0 mg/dL

> or = 18 years: 16.0 -45.0 mg/dL

CPT Code:

82390

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Ceruloplasmin

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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