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Test Code 62871445 Theophylline Level

Additional Codes

UCI Pathology Test Code:  THEOPH

Performing Laboratory

UCI Pathology

 

New performing laboratory as of 10/4/15.

Specimen Requirements

Submit the following specimen:
 

Specimen Type:  Serum

Container/Tube:  Serum, red top only, no gel

Specimen Transport Temperature

Ambient

 

Storage Temp Stability (Collection to initiation of testing): After Separation from cells.:
Room Temperature: 8 hours
Refrigerated Temperature: 1 week

Methodology

Emit* 2000- Rate

Reference Range

< 12 months:  5.0 - 15.0 mcg/mL

≥ 12 months:  10.0 - 20.0 mcg/mL

 

Critical:  > 20 mcg/mL

Day(s) Test Set up/TAT

Performed:

Daily; once in lab will be sent to UCI STAT

 

TAT:

4 - 6 hours

Aliases

Aminophylline, Elixophyllin

CPT Code

80198