Oxalate, Plasma
| 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, Plasma | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
OXAP
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Green top (sodium heparin)
Collection Volume:
10mL (minimum 5.0mL)
Cause for Rejection:
Non heparinized specimen
Storage:
Frozen
Availability:
Sent to reference lab; Mon-Fri
Methodology:
Enzymatic
Special Instructions:
Fasting 12 hours is recommended. Patient should avoid taking vitamin C supplements for 24 hours prior to draw.
Place on wet ice immediately. Centrifuge within 1 hour of the draw and freeze. Reference lab will adjust the pH of the specimen.
Lab/Phone:
330-543-8418
TAT:
3-7 days
Additional Info:
< or =2.0 mcmol/L
Reference values have not been established for patients younger than 18 years of age or older than 87 years of age.
CPT Code:
83945
