Osmolality, Serum

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. Osmolality, Serum
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

OSMOS MMCHM

Specimen Type:

Blood

Tube Type:

Red top( no anticoagulant) tube

Collection Volume:

1.0 mL ( minimum 0.5 mL)

Cause for Rejection:

Specimen age exceeded, EDTA or oxalated blood is unacceptable.

Storage:

Refrigerated

Availability:

Daily; 24 hours; STAT

Methodology:

Freezing point Depression

Lab/Phone:

330-746-9623

TAT:

1 hour

Additional Info:

Reference range is age dependent; available on patient report

CPT Code:

83930

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