Zinc Protoporphyrins

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. Zinc Protoporphyrins
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

ZPP

Test Workstation :

MAYO

Specimen Type:

Blood - Whole Blood

Tube Type:

NAVY BLUE(TRACE ELEMENT-K2EDTA)

Alternate Tube Type:

Sodium Heparin, Lithium Heparin, Lavender EDTA

Collection Volume:

4.0 mL

Minimum Volume:

3.0 mL

Cause for Rejection:

Gross hemolysis

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Extraction followed by HPLC

Special Instructions:

DO NOT SPIN

Lab/Phone:

330-543-8418

TAT:

2-6 days

Additional Info:

Reference range is available on patient report

CPT Code:

82542

Synonyms:

Erythropoietic Protoporphyria (EPP), Free Protoporphyrin, Xlinked Dominant Protoporphyria (XLDPP or XDP)

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Zinc Protoporphyrins

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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