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.

Growth Differentiation Factor 15, P

Centralized Core 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. Growth Differentiation Factor 15, P
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

GDF15 MAYO

Specimen Type:

Blood

Tube Type:

Purple top (EDTA) tube

Collection Volume:

1.5 mL (minimum 0.5 mL)

Storage:

Refrigerated

Availability:

Sent to Mayo Medical Laboratories

Methodology:

Enzyme-Linked Immunosorbent Assay (ELISA)

Special Instructions:

Do not expose specimen to heat or direct sunlight.

Lab/Phone:

330-543-8418

TAT:

8-15 days

Additional Info:

Reference range available on patient report

CPT Code:

83520

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