We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

Glucose, CSF

Laboratory : Chemistry

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. Glucose, CSF
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

GLUSF MACH3

Specimen Type:

CSF

Tube Type:

CSF container

Collection Volume:

0.5 mL (minimum 0.3 mL)

Storage:

Analyze immediately.

Availability:

24 Hours/day, 7 days/week

Methodology:

Enzymatic reference method with hexokinase

Special Instructions:

Deliver to lab immediately. Samples collected at an offsite location should be sent via STAT courier.

Lab/Phone:

330-746-9623

TAT:

1 hour

Additional Info:

Reference range: 40-70 mg/dL

CPT Code:

82945

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