Reducing Substance, Stool

Centralized Core Laboratory - : Special 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. Reducing Substance, Stool
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

REDST

Test Workstation :

SCMAN

Specimen Type:

Stool

Tube Type:

Stool container

Collection Volume:

5-10 grams (minimum 2 grams)

Cause for Rejection:

Specimen age exceeded (4 hours)

Storage:

Refrigerated for 24 hours or Frozen at -20 degrees Celsius for 7 days

Availability:

Monday -Friday 0800-1400

Methodology:

(Copper reduction) AimTab Reducing Substances Tablets, Germaine Laboratories

Special Instructions:

Deliver to lab immediately

Lab/Phone:

330-543-4870

TAT:

24 hours

Additional Info:

Reference range: < 0.5%

This test was developed and its performance characteristics determined by Children's Hospital Medical Center of Akron, Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

CPT Code:

81005