Centralized Core Laboratory - Mayo Clinic Laboratories :
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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:
Hospital:
Test ID :
EOSU
Test Workstation :
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:
Hansel Stain
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:
330-543-8418
TAT:
1 day
Additional Info:
Reference Value: 0%
CPT Code:
85999
Synonyms:
Eos, Urine
Urine Eos
Eosinophil Count, Urine
Test ID/Workstation :
EOSU
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:
Hansel Stain
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:
330-543-8418
TAT:
1 day
Additional Info:
Reference Value: 0%
CPT Code:
85999
Synonyms:
Eos, Urine
Urine Eos
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