Pyruvic Acid, CSF

Centralized Core 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. Pyruvic Acid, CSF
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PYRCF MAYO

Specimen Type:

CSF

Tube Type:

CSF container

Collection Volume:

0.6 mL (minimum 0.3 mL)

Cause for Rejection:

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

Spectrophotometry (SP)

Special Instructions:

Lab/Phone:

330-543-8418

TAT:

6-8 days

Additional Info:

Reference range: 0.06-0.19 mmol/L

CPT Code:

84210

Synonyms:

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