Centralized Core Laboratory - Cleveland 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. Gamma-Hydroxybutyric Acid, Urine
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
GHBUR
Test Workstation :
CLEVE
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
10.0 mL random urine specimen
Minimum Volume:
1.2 mL random urine
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Positive initial results will reflex quantitative confirmation with an additional charge.
Lab/Phone:
330-543-8418
TAT:
8-11 days
Additional Info:
Screening threshold: 10.0 ug/mL This test is used to detect the presence of gamma hydroxybutyric acid (GHB), a central nervous system depressant. Reference range: Negative
CPT Code:
G0480, 80307
Gamma-Hydroxybutyric Acid, Urine
Test ID/Workstation :
GHBUR
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
10.0 mL random urine specimen
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Positive initial results will reflex quantitative confirmation with an additional charge.
Lab/Phone:
330-543-8418
TAT:
8-11 days
Additional Info:
Screening threshold: 10.0 ug/mL This test is used to detect the presence of gamma hydroxybutyric acid (GHB), a central nervous system depressant. Reference range: Negative
CPT Code:
G0480, 80307
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