3 Methylglutaconic Acid, Blood
| PATIENT INFO |
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| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. 3 Methylglutaconic Acid, Blood | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
3META
Test Workstation :
MAYO
Specimen Type:
EDTA, Plasma
Tube Type:
Purple Top (EDTA)
Collection Volume:
5.0 mL
Minimum Volume:
1.5 mL
Storage:
Strict Frozen
Availability:
Sent to Reference Lab
Methodology:
Gas Chromatography
Kennedy Kreiger Institute
Special Instructions:
For outpatients, send specimen by courier STAT to hospital laboratory.
Lab/Phone:
330-543-8418
TAT:
1-2 weeks
Additional Info:
CPT Code:
83921
