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Lipoprotein (a)

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. Lipoprotein (a)
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

LPA CLEVE

Specimen Type:

Blood

Tube Type:

Gold top SST (serum separator tube, no anticoagulant)

Collection Volume:

2.5 mL (minimum 1.5 mL)

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Immunoturbidimetric Assay

Special Instructions:

Allow specimen to clot completely at room temperature. Separate serum from cells within 2 hours of collection. Evaluation of coronary artery disease risk associated with elevations of the athrogenic lipoprotein (a). For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)

Lab/Phone:

330-543-8418

TAT:

1-4 days

Additional Info:

Reference range available on patient report

CPT Code:

83695

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