Rapamune
| PATIENT INFO |
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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. Rapamune | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
RAPAM
Test Workstation :
MAYO
Specimen Type:
Whole Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
3.0 mL
Minimum Volume:
1.0 mL
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
High Performance Liquid Chromatography/Tandem Mass Spectrometry
Special Instructions:
Collect immediately prior to next dose. Indicate date, time and dosage of last dose. Do not centrifuge. Send specimen in original tube.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range: 4-20 ng/mL
CPT Code:
80195
Synonyms:
Sirolimus
