Oxalate, Pediatric, Random, U
| 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. Oxalate, Pediatric, Random, U | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
OXAU
Test Workstation :
MAYO
Specimen Type:
Urine
Tube Type:
Urine Container
Collection Volume:
7 mL (minimum 6 mL)
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Enzymatic Using Oxalate Oxidase, Enzymatic Colorimetric Assay, Calculation
Special Instructions:
Collect a random urine specimen.
No preservative.
Avoid taking large doses (>2 g orally/24 hours) of vitamin C prior to specimen collection.
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
No established reference values.
CPT Code:
83945, 82570
