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General Information
Lab Test Id Test Name CPT4 Code
ACL UGT1A1 UGT1A1 Genotyping
Container: One lavender (EDTA) 6.0 mL
Stability: Ambient: 3 Days / Refrigerated: 14 Days / Frozen: Unacceptable
81350 
PHC BUN Urea Nitrogen (BUN), Plasma or Serum Stability: Room temperature: 3 days Refrigerated: 7 days 84520 
PHC FLUN Urea Nitrogen, Body Fluid Stability: Room temperature: 3 days Refrigerated: 7 days 84520 
ACL UUNT Urea Nitrogen, Urine 24 Hour
Container: One 24 hour urine
Stability: Ambient: Unacceptable / Refrigerated: 3 Days / Frozen: Unacceptable
84540 
ACL UUNR Urea Nitrogen, Urine Random
Container: One random urine
Stability: Ambient: Unacceptable / Refrigerated: 3 Days / Frozen: Unacceptable
84540 
PHC URICR Uric Acid Rasburicase Stability: Ambient: Unacceptable Refrigerated: 4 Hours (if plasma removed from cells), 2 hours in original Li Hep tube Frozen: Unacceptable 84550 
PHC URIC Uric Acid, Plasma or Serum Stability: Room temperature: 1 days Refrigerated: 3 days 84550 
ACL UURICT Uric Acid, Urine 24 Hour
Container: One 24 hour urine
Stability: Ambient: Unacceptable / Refrigerated: 3 Days / Frozen: Unacceptable
84560 
ACL URURCR Uric Acid, Urine Random
Container: One random urine
Stability: Ambient: Unacceptable / Refrigerated: 3 Days
84560 
PHC UACNRX Urinalysis w/ Microscopic Analysis, No Reflex Culture 81001 
PHC UACOM Urinalysis w/ Microscopic Analysis, Reflex Culture 81001 
PHC UDPMIC Urinalysis with Reflex Microscopic Analysis 81003 
PHC UDPST Urinalysis, Dipstick 81003 
PHC MICRO Urinalysis, Microscopic Stability: Room temperature: 2 hours Refrigerated: 24 hours Frozen: Do Not Freeze 81015 
ACL URC Urine Culture
Container: Urine in a sterile container NOTE: First morning void preferred
Stability: Unpreserved Urine: Ambient: 2 Hours / Refrigerated: 24 Hours / Frozen: Unacceptable Urine in Boric Acid Tube: Ambient: 48 Hours / Refrigerated: 48 Hours / Frozen: Unacceptable
87086 
 
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