Centralized Core Laboratory - Mayo 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. Iodine
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
IODIN
Test Workstation :
MAYO
Specimen Type:
Blood - Serum
Tube Type:
NAVY BLUE(Trace Element-Serum No Additive)
Collection Volume:
2.5 mL (minimum 1.0 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Inductively Coupled Plasma/Mass Spectrometry
Special Instructions:
Do not use betadine disinfectant before venipuncture. High concentration gadolinium is known to interfere with most metals tests. If gadoliniumcontrast media has been administered, specimen can not be collected for 48 hours.
Days Performed: MonFri
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range: 40-92ng/mL
CPT Code:
83789
Synonyms:
Iodine
Iodine
Test ID/Workstation :
IODIN
Specimen Type:
Blood - Serum
Tube Type:
NAVY BLUE(Trace Element-Serum No Additive)
Collection Volume:
2.5 mL (minimum 1.0 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Inductively Coupled Plasma/Mass Spectrometry
Special Instructions:
Do not use betadine disinfectant before venipuncture. High concentration gadolinium is known to interfere with most metals tests. If gadoliniumcontrast media has been administered, specimen can not be collected for 48 hours.
Days Performed: MonFri
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
Reference range: 40-92ng/mL
CPT Code:
83789
Synonyms:
Iodine
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