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free phenytoin
Synonyms: Free Dilantin 
Computer Code: (QFRDL)
Specimen Collection: 3 mL blood (red or lavender top tube). 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Serum: centrifuge for 20 minutes, remove serum, freeze. Min 0.5 mL serum. Plasma: centrifuge for 20 minutes, remove plasma, freeze. Transport specimen on wet ice. 
Reference Values: See reference laboratory report.  
Lab Code: CC REF 
Requisition: SPEC C
Test Frequency: NA 
Routine TAT: 5 days 
Stat TAT: NA 
CPT Code(s): 80186 
LCD or NCD:  
Methodology Used: R
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208 		Date: 05/18/2013
Time: 23:30:26 (24hr)