Vitamin B12
| 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. Vitamin B12 | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
VIT12
Test Workstation :
E8011
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin) tube
Collection Volume:
1.5 mL
Minimum Volume:
500 uL
Preferred Volume:
1.5 mL
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 2 hours; Refrigerated: 48 hours; Frozen: 56 days
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-ECLIA Competition principle
Special Instructions:
If patient has received a vitamin B12 injection within the past two weeks, this test cannot be ordered.
Lab/Phone:
330-543-8418
TAT:
4 hours
Additional Info:
Reference range: 180-914 pg/mL
CPT Code:
82607
