Last Modified:
2/20/2019 12:40:58 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
Minimum Volume:
1.5 mL
Transport & Storage: Temperature/Stability:
3 days Ambient
3 days Refrigerated (Preferred)
4 months Frozen
Reference Range:
Clomipramine + Desmethyl-Clomipramine: 160 - 450 ng/mL
Detection Limit: 5 ng/mL
Critical Ranges:
Test Comments:
Methodology:
High Performance Liquid Chromatography
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
5 to 8 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
CLOMI
EPIC Test Code:
LAB2500
Send Out Test Code:
2040
Alternate Test Names:
Anafranil
Included Tests:
Clomipramine; N-Desmethylclomipramine
CPT Coding:
82491
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