Uric Acid

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
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

URICA ACHM1

Specimen Type:

Blood

Tube Type:

Green top (lithium or sodium heparin) tube

Collection Volume:

1.5 mL

Cause for Rejection:

Icterus

Storage:

Refrigerated

Availability:

Daily, 24 hours; STAT

Methodology:

Enzymatic, colorimetric test with uricase and 4-aminoantipyrine

Special Instructions:

Lab/Phone:

330-543-8417

TAT:

1 hour

Additional Info:

Reference range ia available on patient report

CPT Code:

84550

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...

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Uric Acid

Centralized Core Laboratory : Chemistry

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