Centralized Core Laboratory - Cleveland 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. Lipoprotein (a)
2.
3.
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5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LPA
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Alternate Tube Type:
Red Top Serum, Lithium Heparin plasma
Collection Volume:
2.5 mL
Minimum Volume:
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: <30 mg/dL
CPT Code:
83695
Lipoprotein (a)
Test ID/Workstation :
LPA
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 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: <30 mg/dL
CPT Code:
83695
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There are 10 nurses in the picture.
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The five differences are:
– Phone color
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The two matching doctors are 9 and 14.
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The correct path:
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