Protein, CSF
| 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. Protein, CSF | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
PRCSF
Test Workstation :
ACHM5
Specimen Type:
CSF
Tube Type:
CSF container
Minimum Volume:
500 uL
Preferred Volume:
1.5 mL
Storage:
1 day at RT, 6 day Refrigerated, 1 year Frozen
Availability:
24 Hours/day, 7 days/week
Methodology:
Roche - Turbidimetric method
Special Instructions:
Deliver promptly to the lab
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Reference range is available on patient report
CPT Code:
84157
