Last Modified: 3/25/2019 2:39:35 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions: Specimen should be drawn 1hour prior to next dose

Do not collect in a Serum Separator Tube (SST or PST)

Centrifuge and separate from cells immediately
Minimum Volume: 0.5 mL
Transport & Storage: Temperature/Stability: 3 days Ambient
5 days Refrigerated (Preferred)
1 month Frozen
Reference Range: Trough: 30 - 50 mcg/mL
Critical Ranges:  
Test Comments: Peak ranges depend on dosage amount. See Interpretive Report.
Methodology: Liquid Chromatography Tandem Mass Spectrometry
Clinical Significance:  
Custom Panel: No


Turn Around Time: 5 to 7 days
Days Performed: Tuesday, Friday
Sites Performed: Quest - Valencia
PHL Test Code: FELBA
EPIC Test Code: LAB686
Send Out Test Code: 3081
Alternate Test Names: Felbatol
Included Tests:  
CPT Coding: 82491

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