Cortisol,Free, Random,Urine

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. Cortisol,Free, Random,Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

COCRU MAYO

Specimen Type:

Urine

Tube Type:

Urine Container

Collection Volume:

5.0mL (minimum 3.0 mL)

Storage:

Frozen

Availability:

Sent to Mayo Medical Laboratory

Methodology:

Enzymatic Colorimetric Assay Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Special Instructions:

Collect a random Urine Specimen

Lab/Phone:

330-746-9623

TAT:

2-4 days

Additional Info:

Reference ranges available on Patient Report.

CPT Code:

82530, 83789

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