Osmolality, Urine
| 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, Urine | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
OSMUR
Test Workstation :
MAUA1
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
1.0 mL
Minimum Volume:
0.5 mL
Preferred Volume:
1.0 mL
Cause for Rejection:
Specimen age exceeded. Urine specimen excessively leaking from the container.
Storage:
Refrigerated 7 Days, or frozen
Availability:
Daily, 24 hours; STAT
Methodology:
Freezing Point Depression
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference range is available on patient report
CPT Code:
83935
