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330-543-2000
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Need Help?
Operator
330-543-1000
Ask Children's
8 a.m. - 4:30 p.m. M-F
330-543-2000
Providers
EpiCare
Referrals to Akron Children's
Advanced Practice Center
Medical Missions
Continuing Professional Development
Wellness Resources
Mary A. Hower Medical Library
Pathology and Laboratory Medicine
Nurses
Nursing Overview
Research Institute
Quicklinks
COVID-19 Updates
Find a Doctor/Provider
EpicCare Link Login
Epic Remote Access
Printable Medical Staff Directory
Continuing Medical Education Opportunities
View Physician Opportunities
Wellness Resources
Need Help?
Operator
330-543-1000
Laboratory Services
Hepatic Panel
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. Hepatic Panel
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID/Workstation :
LIVER ACHM5
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin) tube
Collection Volume:
1.5mL
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 1 day; Refrigerated: 7 days; Frozen: 2 monts
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:
330-543-8417
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
View and print a requisition form for this test
View and print ONLY the info for this test
Hepatic Panel
Test ID/Workstation :
LIVER ACHM5
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin) tube
Collection Volume:
1.5mL
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 1 day; Refrigerated: 7 days; Frozen: 2 monts
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:
330-543-8417
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