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

Hepatic Panel

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. Hepatic Panel  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LIVER
Test Workstation :
MACH3
Specimen Type:
Blood
Tube Type:
Green top ( lithium heparin ) tube
Collection Volume:
500 uL microtainer; 1.5 mL macrotainer
Minimum Volume:
500 uL microtainer; 1.5 mL macrotainer
Preferred Volume:
500 uL microtainer; 1.5 mL macrotainer
Storage:
Shipping: Send Refrigerated; Storage: For full panel: RT: 1 day; Refrigerated: 7 days. See each test for individual stability.
Availability:
24 Hours/day, 7 days/week
Methodology:
See individual tests
Special Instructions:
Protect the specimen from light exposure. Ask that the bilirubin lights in the NICU be turned off while collecting.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference ranges available under individual tests
CPT Code:
80076
Panel Includes:
Conjugated Bilirubin, Total Bilirubin, ALT, AST, Alkaline Phosphatase, Total Protein, Albumin
Synonyms:
Liver Function Test

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