Everolimus, Blood
| PATIENT INFO |
| Patient Name: |
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| 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. Everolimus, Blood | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
EVERB
Test Workstation :
MAYO
Specimen Type:
Whole Blood
Tube Type:
EDTA Purple Top Tube
Collection Volume:
3.0 mL
Minimum Volume:
1.0 mL
Cause for Rejection:
Clotted specimens
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Draw Blood immediately before next scheduled dose. Do not centrifuge. Send specimen in original tube.
Lab/Phone:
330-543-8418
TAT:
1-2 days
Additional Info:
Reference range available on patient report
CPT Code:
80169
Synonyms:
Afintor
Evero
Zortress
