Lactic Acid
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Lactic Acid | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
LA
Test Workstation :
ACHM5
Specimen Type:
Blood
Tube Type:
Grey top (Na-Fluoride/K-oxalate or Na-Fluoride/Na-heparin) tube
Minimum Volume:
1 mL
Preferred Volume:
2 mL
Storage:
Send to lab immediately on ice or separate plasma within 15 minutes of collection and send Refrigerated
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-Enzymatic, colorimetric method
Special Instructions:
Avoid the use of tourniquet if possible.
Samples should remain on ice prior to analysis.
Outpatient Lab Spin and Refrigerate.
Test cannot be drawn at an off site that does not have a centrifuge to immediately process the sample.
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Reference value: 0.5-2.2 mmol/L
CPT Code:
83605
Synonyms:
Lactate
