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ubmkten Lyme Antibody Analysis Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE IB Address: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK NY 10021 NEW YORK NY 10066 D.O.B.: 0020/1953 Order rg Submitter Provide:: WOCDSON C MERRELL MD Record #: IMUGEN Account #: MERW Patient #:
private and confidential health' hived by state and federal law. if wau have receiveo this document in error, please call Page I of 1 O1995.2018 Laboratory Corporation of Americas Holdings All lights Reserved • Fnterprhe Report Venlow 140 EFTA00299790 09/18/2018 16:30 From: Woodson C. Merrel l M Uebf ax Page: 8/11 ILaltorp Pati
l ID: Patient Report SHULIAK, KARYNA Patient Details DOB Age(y/m/d) Gender: F Patient ID: Acct Ellen S Marmur MD 12 East 87th Street Ste 1A New York NY 10128 Phone: Specimen Details Physician Details Date collected: 0452018 0000 Local Ordering: E MARMUR Date received: 11/30/2018 Referring: Da
ealth information protected by state and federal Ian. If you have received MIS document In error, please call 800-631-S2SO Page 3 of 3 o 1995.2018 Laboratory Corporation of Americas Holdings Al Rights Reserved - Enterpnse Repon Version: 1.00 EFTA00522653
IlabCorp Specimen ID: Control ID: Patient Report SHULIAK, KARYNA Acct Ellen S Marmur MD 12 East 87th Street Ste 1A New York NY 10128 Phone: Patient la Specimen Details Physician Details DOR: Date collected: Wgi2018 0000 Local Ordering: E MARMUR Age(y/m/d) Date receiv
health information protected by state and federal Ian. If you have Medved MIS document In error, please call 800-631-S2SO Page 3 of 3 o 1995.2016 Laboratory Corporation of Americas Holdings Al Rights Reserved - Enterpnse Repon Version: 1.00 EFTA00522656
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