Centralized Core Laboratory - Mayo Clinic Laboratories :
Send Out
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. Vitamin K
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
VITMK
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
SST
Collection Volume:
6.0 mL
Minimum Volume:
1.9 mL
Cause for Rejection:
Gross lipemia, specimen not protected from light
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratories
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Protect from light. Submit specimen in amber transport tube. Obtain specimen following an overnight (12 hour) fast. (Infants: draw prior to next feeding)
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Protect from light. Submit specimen in amber transport tube. Obtain specimen following an overnight (12 hour) fast. (Infants: draw prior to next feeding)