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:  
Custom Panel: No


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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