Centralized Core Laboratory - Mayo Clinic Laboratories :
Send Out
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 E
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
VITE
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
SST
Collection Volume:
1.5 mL
Minimum Volume:
1.0 mL
Cause for Rejection:
Gross hemolysis, gross lipemia, specimen not protected from light
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Protect from light. Submit specimen in amber transport tube. Fasting overnight (1214 hours) preferred. Infants draw prior to next feeding.
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
Reference range available on patient report
CPT Code:
84446
Synonyms:
Alphatocopherol
Vitamin E
Test ID/Workstation :
VITE
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.5 mL
Cause for Rejection:
Gross hemolysis, gross lipemia, specimen not protected from light
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Protect from light. Submit specimen in amber transport tube. Fasting overnight (1214 hours) preferred. Infants draw prior to next feeding.
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
Reference range available on patient report
CPT Code:
84446
Synonyms:
Alphatocopherol
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There are 10 nurses in the picture.
And we have many more pediatric primary care providers in Northeast Ohio. You can meet some of them here.
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The five differences are:
– Phone color
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The two matching doctors are 9 and 14.
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The correct path:
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