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dson Merrell 44 E 67th St New York NY 10065 Aden Mom Na. JIMMY PoUncladdiNum Pt SU Tull/dam Ar(yall/D) 59/09/30 dram MSS Yes 9 EAST 71ST NEW YORK NY 10021 AMOS 'take UPIN: A62553 Doe sal Tr Colootud 11/19/12 09O0 Dom Baal 11/20/12 Dm =IM= Rend 11/23/12 15:06ET MOsidu Nom MERRELL W KW
276-0 _ Penn ID Ceara Neter Ammar Nub. A3L31143092 31143092 MOMI L Ltems 70 Mee tas Nen 126TZIN Aargau Afl Woodson Merrell 44 E 67th St New York NY 10065 Ma Pim Nose tin Pena Wine Nue Pena SU Taal Vas Assedwa 59/09/30 Sar M Pane Yes Atketleed keratin UPIN: A62553 9 E 71ST NEW YORK
ITS RZIZAZIKZ ISITIOWAL tan Request Problem Comment: The specimen submitted does not meet the laboratory's criteria for acceptability. Refer to LabCorp's Directory of Services for specimen acceptability criteria. TEST: 015610 PTH, Intact 01 01 RN LabCorp Raritan Dir: Araceli B Reyes, MD 69 Fi
: Woodson C. Merrell M Uebfax Page: 9/1j "WI M P Specimen ID: 257-480-22300 Control ID: F4931143092 Patient Report EPSTEIN, JEFFREY 9E 71STST NEW YORK NY 10021 Acct d: 31143092 Woodson Merrell 44 E 67th St New York NY 10065 Phone: Rte: 68 Patient Details Specimen Decals Physician Details DOB:
t Report ,!me:, i:1 ",r-lbrU-2371-0 Convo! ID: F3 [143092 EPSTEIN, JEFFREY IS: ST NEW YORK NY 10021 Acct 31143092 Woodson Merrell 44E6AhS( New York NY 10065 Phone: Patient Details Specimen Details Physician Details D08:01/20/1953 Date toilette& 09/14/2018 1255 Local Ordering: W MERRELL Agely
ed Items Vitamin 86. Plasma TESTS Vitamin B6, Vitamin B6 Disclaimer: This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration. RES12:7 FLAG UNITS REFERENCE INTERVAL LAE Plasma 7.2 ug/L 5.3 - 4
:18 From: Uoodson C. Merrell M Uebfax Page: 9/13 Patient Report Specimen ID: 257480-2230-0 Control ID: F4931143092 EPSTEIN, JEFFREY 9E7ISTST NEW YORK NY 10021 Patient Details DOB: 01 /20/1953 A ge(y/nt/c4:065/07/15 Gender. M SSN: Patient ID: JE012053 Ordered Items Vitamin B8. Marna Pica It 31
ITS REFERENCE INTERVAL LAB Vitamin 86, Plasma ViIamin B6 Disclaimer: This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration. 7.2 ugiL 5.3 - 46.7 Cl 0: 01 BN LabCorp Burlington 1447 York Cour
D PMemlbruNsme Jeffrey PuiembtAlleNur lanbane npubame Age (YAM) 63/08/28 Defter/Bibb Sex 01/20/53 M Sudo& Yes lbseeaA&Imn 9 E 71ST ST NEW YORK NY 10021 Adobwmfledansem WPM: 812269 DassidnmeCoUftW 10/:8/16 17:56 I I DmeNeaW 10/16/16 I I DeeaSTimeRaipmed 10/24/16 20:06ET Physician Name
ith Differential/Platelet, Test Code 4005009 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp client Inquiry/ RESULT FLAG UNITS REFERENCE INTERVAL LAB 6.5 xl0E3/uL 3.4 - 10.8 01 4.96 xl0E6/uL 4.14 - 5.80 01 14.6 g/dL 12.6 17.7
Control Mamba 10416404914 Atoms Number 31143092 Account R Number Rowe I 68 Nbmc Um Nnw Epstein Anon Address Woodson Merrell 44 E 67th St New York NY 10065 PaimaimNme Jeffrey PuMwMADeNmx PadeaSP PricaMmac 212-750-9895 TwalVokame ar(Ymm) 63/07/19 Dared Binh 01/20/53 Sex M Fladas Yes
t with Confirmation was updated to HIV-1/0/2 Antigen/Antibody (Fourth Generation) Preliminary Test with cascade reflex to Supplementary Testing by LabCorp. For future orders, please use the HIV-1/O/2 Antigen/Antibody test number 083935. Contact your LabCorp Key Account Executive to request new custom
Patient Report SHULIAK, KARYNA I Pati • DOB Age(y/m/c1): Gender: F SSN: Patient ID. Acct I: Ellen S Marmur MD 12 East 87th Street Ste 1A New York NY 10128 Phone: Specimen Details Physician Details Date collected: 1W3I/2018 0000 local Ordering: E MARMUR Date received: 11/01/2018 Referring:
Rte: 67 Page 1 ol 2 C 1995.2018 Laboratory Corporation of America0 Holdings Atl Rights Reserved Enterprise Report version: 1.00 EFTA00522657 ',LabCorp Patient Report Patient: SHULIA KARYNA DOB: Patient ID: Control ID: Sorglinen ID: Date collected:10/31/2018 0000 Local TESTS RESULT FLAG U
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