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TEST REQUEST FORM

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TEST CPT CODE All tests will be performed per blood draw Obtain your At-Home Kit using these options (Choose one) All faxed orders will be processed next business day. Shipping address required for faxed orders 8310070624 1A 1B 1C. PATIENT INFORMATION Welcome to Litholink!

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CONVERSION TABLE

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Bilirubin, Direct umol/L x 0.058 = mg/dL Bilirubin, Paediatric umol/L x 0.058 = mg/dL Bilirubin, Total umol/L x 0.058 = mg/dL Bilirubin, Unconjugated umol/L x 0.058 = mg/dL C-Peptide pmol/L x 0.003 = ng/mL C-Reactive Protein (CRP) mg/dL x …

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Laboratory Test Tube Color Guide Common lab tests sorted ...

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Lipase Green – invert 4-5 times to ensure proper mixing of additives Lipid Panel Includes: Trig, Chol, HDL, Calc LDL degrees, then returning it Green – invert 4-5 times to ensure proper mixing of additives Lithium Gold – invert 4-5 times to ensure proper mixing of additives

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Specimens that can be run on the same tube.

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brain natriuretic peptide green tops gold tops. mono mono test preg pregnancy pregr pregnancy w/reflex hcg msls measles igg bchc hcg tumor marker crl cryptococcal antigen lac lactic acid ghgb glycohgb (hba1c) cbc heme profile (complete blood count) cbca heme profile (complete blood count)w/auto diff rbcf red cell folate esr sed rate

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