Lead, Capillary

Centralized Core Laboratory : Special 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. Lead, Capillary
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

LEADC SCYEL

Specimen Type:

Blood

Tube Type:

Purple top (EDTA) tube - no gel separator

Collection Volume:

0.5 mL (minimum 0.2 mL)

Cause for Rejection:

Specimen rejected: Clotted, Specimen collected in gel separator tube

Storage:

Refrigerated

Availability:

Mon-Fri (0800-1600)

Methodology:

Graphite Furnace Atomic Absorption Spectrophotometry

Special Instructions:

Wash the collection site well with soap and water before cleansing with Chlorhexadine wipe. Notify lab if patient is being chelated. Please call the Laboratory as soon as possible if a clinical situation warrants testing outside of routine hours. Testing outside of routine hours requires Pathologist approval and is subject to staff availability.

Lab/Phone:

330-543-4870

TAT:

3 days

Additional Info:

Reference range: 0-4 ug/dL

CPT Code:

83655

Synonyms: