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Contact Information
Labs Ordered
83497 5HIAA
82154 3-Alpha Diol G
83036 A1c HGB
82088 Aldosterone
82157 Androstenedione
84460 ALT - SGPT
86341 Anti-GAD 65 AB
84450 AST - SGOT
82024 ACTH-Plasma
82847 Blood Glucose
Fasting or Random
84681 C-Peptide
82330 Calcium, Ionized
82310 Calcium, Total
82340 Calcium, 24 hr Urine
82384 Catecholamines
85025 CBC w Diff
85027 CBC w/out Diff
82560 Cortisol, Free
83491 Corticosteriod 17 OH
82550 CPK
82575 Creatinine Clearance
C-Reactive Protein
82670 Estradiol
82627 DHEAS
84439 Free T4
84481 Free T3
83718 HDL Cholesterol
83001 FSH
83525 Insulin Levels
84305 IGF-1
83704 Lipid Panel NMR
83002 LH
83735 Magnesium
80061 Lipid Panel
80048 Metabolic, Basic
80053 Metabolic, Comprehensive
82044 Microalbumin
83835 Metanephrines-Plasma
84132 Potassium
84100 Phosphorous
84155 Protein
84146 Prolactin
83970 PTH-Intact
84153 PSA
84144 Progesterone
82397 PTH-RP
84244 Renin
84398 Progesterone 17 OH
84402 Testosterone Free
85351 SED Rate
84432 Thyroglobulin Total {Panel}
84403 Testosterone Total
86376 Thyroid Peroxidase AB
86800 Thyroglobulin Antibody/Panel
84443 TSH 3rd Gen. Ultra Sensitive
84478 Triglycerides
82652 Vitamin D 1-25 Dihydroxy
82306 Vitamin D 25 OH
84450 Uric Acid-Serum
82607 Vitamin B-12
Other:
81000 Urinalysis
Draw in _______ days before next visit
Fasting/Non-Fasting
or in _______ weeks/months from today.
Special Instructions
ATTENTION LAB PERSONNEL

Lab Order Medical Form

Endocrinologist

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Published: Feb. 23, 2016, 12:17 p.m.
Doctor: Dr. History Physical
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Sunnyvale, CA 94089

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