Creatinine Clearance 12 hr
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Creatinine Clearance 12 hr | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
UCC12
Test Workstation :
ACHM5
Specimen Type:
Blood and Urine
Tube Type:
Green top (lithium heparin) tube and Urine container
Minimum Volume:
500 uL Blood
Entire 12 hour Collection.
See Special Instructions.
Preferred Volume:
1.5 mL Blood
Entire 12 hour Collection. See Special Instructions.
Storage:
Shipping- Send Refrigerated; Storage-Plasma- Room Temp & Refrigerated: 7 days; Frozen 3 months; Urine: R.T. 2 days, Refrig 6 days, Frozen 6 months
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-Enzymatic Colorimetric
Special Instructions:
Collect 1.5 mL Green top (lithium heparin) tube and 12 hour urine in an urine collection container. Due to compliance regulations blood creatinine must be collected during the 12 hours that the urine is being collected. Instruct patient on 12 hour urine collection. Refrigerate 12 hour urines during collection. Do not use urine preservatives. Mark each collection container with the following information required for resulting: patient demographic information, patient height (centimeters), patient weight (kilograms), and date and time collection was started and finished. Deliver specimens promptly to the lab.
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Ref. range is age dependent; avail on patient report
CPT Code:
82575
