Chromium, Blood

Centralized Core 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. Chromium, Blood
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

CHROB CLEVE

Specimen Type:

Blood

Tube Type:

NAVY BLUE(Trace element-K2EDTA)

Collection Volume:

2.0mL (minimum 1.0ml)

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Inductively Coupled Plasma / Mass Spectrometry (ICP-MS)

Special Instructions:

Whole Blood

Lab/Phone:

330-543-8418

TAT:

1-8 days

Additional Info:

Reference range: 0.2-0.6 ug/L

Days Performed: Tues

CPT Code:

82495

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Chromium, Blood

Centralized Core Laboratory : Chemistry

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