Last Modified: 10/1/2020 12:54:57 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin (preferred)
1.0 mL Serum in a SST Gold Top Tube 

Collection Instructions: Avoid Hemolysis
Minimum Volume: 0.2 mL Plasma or Serum
Neonatal Volume: 0.3 mL Whole Blood Green Microtainer
Transport & Storage: Temperature/Stability: 7 days Refrigerated

72 hours unspun
Reference Range:

1 day to 1 year: 2.1 - 3.6 g/dL
1 year to 4 years: 2.9 - 4.2 g/dL
4 years to 7 years: 3.0 - 5.2 g/dL
7 years to 20 years: 3.2 - 5.6 g/dL

>20 years: 3.4 - 5.0 g/dL

Critical Ranges:  
Test Comments:  
Methodology: Colorimetric
Clinical Significance:  
Custom Panel: No


Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Cancer Institute, Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: ALB
EPIC Test Code: LAB45
Alternate Test Names: ALB
Included Tests:  
CPT Coding: 82040

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