Proinsulin

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Proinsulin
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

PROIN

Test Workstation :

MAYO

Specimen Type:

Plasma

Tube Type:

EDTA top (lavender) tube - tube must be prechilled

Collection Volume:

1.5 mL

Minimum Volume:

0.75 mL

Cause for Rejection:

Specimen not drawn in a prechilled EDTA tube. Patient not fasting 8 hours prior to collection.

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

Electrochemiluminescent Assay

Special Instructions:

After draw, chill the whole blood on ice for at least 10 minutes, then spin down in a refrigerated centrifuge.

Lab/Phone:

330-543-8418

TAT:

2-5 days

Additional Info:

Reference range: 3.6-22 pmol/L

CPT Code:

84206

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Proinsulin

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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