We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

Citrate Excretion, Peds, Random, U

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. Citrate Excretion, Peds, Random, U
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

CITRU MAYO

Specimen Type:

Urine

Tube Type:

Urine Container

Collection Volume:

4 mL (minimum 1 mL)

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Enzymatic

Special Instructions:

Collect a random urine specimen, no preservative.

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

No established reference values

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