Oxalate, Pediatric, Random, U

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

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