Ceruloplasmin
| 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. Ceruloplasmin | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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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
