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Drugs of Abuse, 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. Drugs of Abuse, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

DRG ACHM1

Specimen Type:

Urine

Tube Type:

Urine container

Collection Volume:

10.0 mL (minimum 2.0 mL)

Storage:

Refrigerated

Availability:

Daily, 24 hours

Methodology:

Enzyme Immunoassay (EIA)

Special Instructions:

Specify which of the drugs, if any, are suspected.

Lab/Phone:

330-543-8418

TAT:

1 hour

Additional Info:

Reference range: None Detected

CPT Code:

80301

Synonyms:

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

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Drugs of Abuse, Urine

Centralized Core Laboratory : Chemistry

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