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Operator
330-543-1000
Ask Children's
8 a.m. - 4:30 p.m. M-F
330-543-2000
Providers
EpiCare
Referrals to Akron Children's
Advanced Practice Center
Medical Missions
Continuing Professional Development
Wellness Resources
Mary A. Hower Medical Library
Pathology and Laboratory Medicine
Nurses
Nursing Overview
Research Institute
Quicklinks
COVID-19 Updates
Find a Doctor/Provider
EpicCare Link Login
Epic Remote Access
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Need Help?
Operator
330-543-1000
Laboratory Services
Renal Panel
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. Renal Panel
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID/Workstation :
RENAL MACH1
Specimen Type:
Blood
Tube Type:
Green top ( lithium heparin ) tube
Collection Volume:
2.0 mL ( minimum 0.5 mL)
Cause for Rejection:
Hemolysis, not delivered on ice, not delivered to lab immediately
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
See individual tests
Special Instructions:
Place specimen on ice and deliver to lab immediately.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference ranges available under individual tests
CPT Code:
80069
Panel Includes:
Sodium, Potassium, Chloride, Carbon dioxide, Urea Nitrogen, Glucose, Creatinine, Albumin, Calcium, Phosphorus
View and print a requisition form for this test
View and print ONLY the info for this test
Renal Panel
Test ID/Workstation :
RENAL MACH1
Specimen Type:
Blood
Tube Type:
Green top ( lithium heparin ) tube
Collection Volume:
2.0 mL ( minimum 0.5 mL)
Cause for Rejection:
Hemolysis, not delivered on ice, not delivered to lab immediately
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
See individual tests
Special Instructions:
Place specimen on ice and deliver to lab immediately.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference ranges available under individual tests
CPT Code:
80069
Panel Includes:
Sodium, Potassium, Chloride, Carbon dioxide, Urea Nitrogen, Glucose, Creatinine, Albumin, Calcium, Phosphorus