Last Modified: 5/17/2019 2:15:22 PM

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

2.0 mL Serum from a Red Top Tube in a Plastic Vial

Collection Instructions: Centrifuge and separate from cells immediately

Do not collect in a Serum Separator Tube (SST or PST)
Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability: 3 days Refrigerated
Reference Range: 50 - 240 ng/mL

Detection Limit: 5 ng/mL
Critical Ranges:  
Test Comments:  
Methodology: HPLC
Clinical Significance:  
Custom Panel: No


Turn Around Time: 6 to 10 days
Days Performed: Tuesday, Thursday
Sites Performed: Quest - Chantilly
PHL Test Code: LORAZ
EPIC Test Code: LAB2505
Send Out Test Code: 0202
Alternate Test Names: Ativan
Included Tests:  
CPT Coding: 80346

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