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.

DHEA Sulfate

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. DHEA Sulfate
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

DHEAS MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

1.5 mL (minimum 1.25 mL)

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Immunoenzymatic Assay

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

Ref. range is age dependent; avail on patient report

CPT Code:

82627

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