Testosterone, Free

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. Testosterone, Free
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

TESFR ENDO

Specimen Type:

Blood

Tube Type:

Gold top SST (Serum Separator Tube-no anticoagulant) tube

Collection Volume:

5.0 mL (minimum 2.5 mL)

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

Equilibrium dialysis

Lab/Phone:

330-543-8418

TAT:

3-5 days

Additional Info:

Ref. range is age & sex dependent; see pt report

CPT Code:

84402

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

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Testosterone, Free

Centralized Core Laboratory : Chemistry

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