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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Creatinine Clearance 24 hr

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. Creatinine Clearance 24 hr  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
UCC24
Test Workstation :
ACHM5
Specimen Type:
Blood and Urine
Tube Type:
Green top (lithium heparin) tube and Urine container
Minimum Volume:
500 uL Blood Entire 24 hour Collection. See Special Instructions.
Preferred Volume:
1.5 mL Blood Entire 24 hour Collection. See Special Instructions.
Storage:
Shipping- Send Refrigerated; Storage- Plasma Room Temp and Refrigerated 7 days; Frozen: 3 months; Urine- Room Temp and Refrig. 6 days, Frozen: 6 mos.
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-Enzymatic Colorimetric
Special Instructions:
Collect 1.5 mL Green top (lithium heparin) tube and 24-hour urine in a urine collection container. Inpatient: Green top must be collected during 24-hour collection period Outpatient: Green top must be collected no earlier than 24 hours before start of urine collection to no later than 48 hours after completion of urine collection. Instruct patient on 24-hour urine collection. Refrigerate 24-hour urines during collection. Do not use urine preservatives. Mark each collection container with the following information required for resulting: patient demographic information, patient height (centimeters), patient weight (kilograms), and date and time collection was started and finished. Deliver specimens promptly to the lab.
Lab/Phone:
330-543-8418
TAT:
1 hour
Additional Info:
Ref. range is age dependent; avail on patient report
CPT Code:
82575

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