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Lithium heparin tube is a blood collection tube that contains lithium heparin, an anticoagulant that prevents blood from clotting. Lithium heparin tubes are used in medical and laboratory settings for a variety of tests, including: Chemistry and immunochemistry testing: Lithium heparin tubes are often used to draw blood for these types of tests. Electrolyte testing: Lithium heparin may be more accurate than sodium heparin for testing electrolyte levels.