Uric Acid, Random Urine

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. Uric Acid, Random Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

UACUR CLEVE

Specimen Type:

Urine

Tube Type:

Urine container

Collection Volume:

5.0 mL (minimum 1.0 mL) random urine

Cause for Rejection:

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Uricase

Special Instructions:

5.0 mL (minimum 1.0 mL) from a well-mixed random urine specimen

Lab/Phone:

330-543-8418

TAT:

8 hours

Additional Info:

Reference range: 10-90 mg/dL

CPT Code:

84560

Synonyms:

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...