Valproic Acid, Free
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Valproic Acid, Free | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
VPAFR
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube. (NO gel separator tubes).
Collection Volume:
5.0 mL
Minimum Volume:
4.0 mL
Cause for Rejection:
Blood collected in tube with gel separator
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Homogenous Enzym Immunoassay (HEIA)
Special Instructions:
Collect immediately before next dose.
Lab/Phone:
330-543-8418
TAT:
1 day
Additional Info:
Reference range:
Normal 4.0-30.0 ug/mL
CPT Code:
80165
Synonyms:
Depakene, Free
