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case western reserve university

Center for Inherited Disorders of Energy Metabolism

 

Laboratory Requisition

 

To view the CIDEM Laboratory Requistion as a PDF file click here! (Last updated Feb. 19, 2008)

To view the CIDEM Information Packet which contains sample preparation instructions as a PDF file click here!

The current/updated requisition has the following improvements:

  1. Additional space for multiple fax numbers for result reporting.
  2. Reminders that Collection Date and Diagnosis information (ICD9#s) are REQUIRED.
  3. A check box to direct us to do Mycoplasma testing.