Eosinophil Count, Urine

Infectious Disease Laboratories : Microbiology

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. Eosinophil Count, Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

EOSU/Mayo

Specimen Type:

Urine

Tube Type:

Sterile Urine Container

Collection Volume:

Collect Random Urine (minimum 10 mL)

Cause for Rejection:

Poor Smear Quality

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

MICROSCOPIC EXAMINATION

Special Instructions:

Collect random urine specimen (minimum 10mL). Deliver to lab within 2 hours. Lab - see specimen instructions for handling. Unstained slides should be prepared within 2 hours of collection.

Lab/Phone:

330-543-8377

TAT:

1 day

Additional Info:

Reference Value: 0%

CPT Code:

85999

Synonyms:

Eos, Urine Urine Eos

Specimen Collection Procedures:

Urines

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Eosinophil Count, Urine

Infectious Disease Laboratories : Microbiology

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