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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Specific gravity

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. Specific gravity  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
SPGRU
Test Workstation :
MAUA1
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
0.5 mL
Minimum Volume:
0.5 mL
Preferred Volume:
0.5 mL
Cause for Rejection:
Specimen leaking from container, excessive delay in transport
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
Clinitek Advantus/Multistik 10 Refractometry
Special Instructions:
Transport specimen to the lab within 2 hours. Stable 24 hours refrigerated.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference range is available on patient report
CPT Code:
81003

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