Centralized Core Laboratory - Mayo 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. Oxalate, Plasma
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
OXAP
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Green top (sodium heparin)
Collection Volume:
10mL (minimum 5.0mL)
Cause for Rejection:
Non heparinized specimen
Storage:
Frozen
Availability:
Sent to reference lab; Mon-Fri
Methodology:
Enzymatic
Special Instructions:
Fasting 12 hours is recommended. Patient should avoid taking vitamin C supplements for 24 hours prior to draw.
Place on wet ice immediately. Centrifuge within 1 hour of the draw and freeze. Reference lab will adjust the pH of the specimen.
Lab/Phone:
330-543-8418
TAT:
3-7 days
Additional Info:
< or =2.0 mcmol/L
Reference values have not been established for patients younger than 18 years of age or older than 87 years of age.
CPT Code:
83945
Oxalate, Plasma
Test ID/Workstation :
OXAP
Specimen Type:
Blood
Tube Type:
Green top (sodium heparin)
Collection Volume:
10mL (minimum 5.0mL)
Cause for Rejection:
Non heparinized specimen
Storage:
Frozen
Availability:
Sent to reference lab; Mon-Fri
Methodology:
Enzymatic
Special Instructions:
Fasting 12 hours is recommended. Patient should avoid taking vitamin C supplements for 24 hours prior to draw.
Place on wet ice immediately. Centrifuge within 1 hour of the draw and freeze. Reference lab will adjust the pH of the specimen.
Lab/Phone:
330-543-8418
TAT:
3-7 days
Additional Info:
< or =2.0 mcmol/L
Reference values have not been established for patients younger than 18 years of age or older than 87 years of age.
CPT Code:
83945
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