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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Felbamate

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. Felbamate  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
FELBA
Test Workstation :
Mayo
Specimen Type:
Blood
Tube Type:
Red top Clot tube
Alternate Tube Type:
Gold top SST Gel Tube
Collection Volume:
3.0 mL
Minimum Volume:
1.3 mL
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory: Monday-Friday
Methodology:
High Performance Liquid Chromatography (HPLC)
Special Instructions:
Draw immediately before next scheduled dose. For Outpatients, test should only be drawn in outpatient locations with a centrifuge. Centrifuge and aliquot within 2 hours of collection. Aliquot 1.0mL (minimum 0.5mL) serum. Send Refrigerated
Lab/Phone:
330-543-8418
TAT:
1-8 days
CPT Code:
80167
Synonyms:
Felbatol

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