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Computer Code: NH4
Specimen Collection: 2 mL blood (lithium or sodium heparin green top tube). Collect and place immediately on ice. TRANSPORT IMMEDIATELY on ice or see Handling Instructions. NO MICROTAINERS. 
Minimum Volume: 1.5 mL 
Handling Instructions for Offsite Areas: Centrifuge for 20 minutes, remove plasma and freeze immediately. Min 0.5 mL plasma. 
Reference Values: 0-32 UMOL/L  
Lab Code: CC 
Requisition: SPEC C
Test Frequency: Daily 
Routine TAT: 2 hr 
Stat TAT: 60 min 
CPT Code(s): 82140 
LCD or NCD:  
Methodology Used: 20
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 05/03/2016
Time: 21:55:05 (24hr)