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Test Code LAB 0207001 Urinalysis With Reflex to Microsopic

Methodology

Urinalysis by Dip Stick, Automated with Microscopy

Performing Laboratory

Alomere Health Hospital Laboratory

Specimen Requirements

Must arrive in lab within 8 hours of collection.

Specimen Type: Urine, random collection from first morning void
Collection Container/Tube: Clean, plastic urine collection container.  Vacutainer tubes set for collection.

Specimen Volume: 10 mL

Specimen Minimum Volume: 2 mL

Collection Instructions:

1. No preservative

2. Follow instructions in “Urine Collections” in “Special Instructions.”

Specimen Transport Temperature

Refrigerated

Reference Values

Specific Gravity:  1.010-1.030
pH:  5.5-8.5
Protein:  negative
Glucose:  negative
Ketone:  negative
Bilirubin:  negative
Blood:  negative

Leukocytes:  negative
Nitrate:  negative
Urobilinogen:  <2.0 EU/dL

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

81001 (with microscopic)

81003 (without microscopic)

Special Instructions