Gamma-Hydroxybutyric Acid, Serum
| 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. Gamma-Hydroxybutyric Acid, Serum | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
GHBSE
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
Green Top- Sodium Heparin
Collection Volume:
12.5 mL (minimum 3.0 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography with Tandem Mass Spectrometry (LC/MS/MS)
Gas Chromatography/Mass Spectrometry (GC/MS) (if appropriate)
Special Instructions:
Positive results will be confirmed by GCMS.
Lab/Phone:
330-543-8418
TAT:
5-9 days
Additional Info:
Reference Range: Negative
Screening threshold: 5.0 ug/mL
CPT Code:
80307
Synonyms:
GHB
