Date Formal Report Sent

General Information

Lab Name

Date Formal Report Sent

Lab Code

DATE1

Interpretation

Reference Range

Ordering & Collection

Specimen Type

Collection

Processing

Performance

LIS Dept Code

Red Cell Disorders (RCD)

Performing Location(s)

Frequency

Available STAT?

Billing & Coding

CPT codes

LOINC

82772-5

Interfaced Result Code

UOW251