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. Gastrin
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6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
GAST
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Chemiluminescence Immunoassay (CLIA)
Special Instructions:
Patient preparation: Preferably fasting for 12 hours or more. Patients taking a Biotin dose of up to 5 mg/day should refrain from taking Biotin for 4 days prior to sample collection. Patients taking a Biotin dose > 5 mg/day to 10 mg/day should refrain from taking Biotin for 7 days prior to sample collection. Patients taking a Biotin dose > 10 mg/day should consult with their physician or the laboratory prior to having a sample taken. Clinicians should consider biotin interference as a source of error, when clinically suspicious of the laboratory result.
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range: Fasting: <115.0 pg/mL
CPT Code:
82941
Gastrin
Test ID/Workstation :
GAST
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Chemiluminescence Immunoassay (CLIA)
Special Instructions:
Patient preparation: Preferably fasting for 12 hours or more. Patients taking a Biotin dose of up to 5 mg/day should refrain from taking Biotin for 4 days prior to sample collection. Patients taking a Biotin dose > 5 mg/day to 10 mg/day should refrain from taking Biotin for 7 days prior to sample collection. Patients taking a Biotin dose > 10 mg/day should consult with their physician or the laboratory prior to having a sample taken. Clinicians should consider biotin interference as a source of error, when clinically suspicious of the laboratory result.
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range: Fasting: <115.0 pg/mL
CPT Code:
82941
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