Centralized Core Laboratory - Mayo Clinic Laboratories :
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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. Vitamin C
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
VITC
Test Workstation :
MAYO
Specimen Type:
Blood - plasma
Tube Type:
Green top (sodium heparin) tube
Collection Volume:
3.0 mL
Minimum Volume:
1.3 mL
Cause for Rejection:
Hemolyzed, specimen not protected from light
Storage:
Frozen Critical
Availability:
Sent to reference laboratory
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Fasting specimens are preferred.
Immediately place specimen on wet ice, process within 4 hours of draw
Centrifuge at 4C, aliquot plasma into amber vial to protect from light
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
Reference range available on patient report
CPT Code:
82180
Synonyms:
Ascorbic Acid
Vitamin C
Test ID/Workstation :
VITC
Specimen Type:
Blood - plasma
Tube Type:
Green top (sodium heparin) tube
Collection Volume:
3.0 mL
Cause for Rejection:
Hemolyzed, specimen not protected from light
Storage:
Frozen Critical
Availability:
Sent to reference laboratory
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Fasting specimens are preferred.
Immediately place specimen on wet ice, process within 4 hours of draw
Centrifuge at 4C, aliquot plasma into amber vial to protect from light
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
Reference range available on patient report
CPT Code:
82180
Synonyms:
Ascorbic Acid
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There are 10 nurses in the picture.
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The five differences are:
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The two matching doctors are 9 and 14.
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The correct path:
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