EFTA00441173

Quest —6* Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 62 Gender: M Patient ID: 090443348 Health ID: 8573003290851249 Specimen: MR001012M Collected: 08/24/2015 Received: 08/24/2015 1 19:39 EDT Reported: 08/25/2015 /12:45 EDT Client #: 17436 MOSKOWITZ, BRUCE W Test Name In Range Out Of Range UREA NITROGEN (BUN) 18 CREATININE 1.09 For patients >49 years of age, the reference limit for Creatinine is approximately 13% higher for people Reference Range 7-25 mg/dL 0.70-1.25 mg/dL identified as African-American. eGFR NON-AFR. AMERICAN 72 eGFR AFRICAN AMERICAN 84 > OR = 60 mL/min/1.73m2 > OR = 60 mL/min/1.73m2 BUN/CREATININE RATIO NOT APPLICABLE 6-22 (talc) SODIUM 139 135-146 mmol/L POTASSIUM 4.2 3.5-5.3 mmol/L CHLORIDE 108 98-110 mmol/L CARBON DIOXIDE 25 19-30 mmol/L CALCIUM 9.8 8.6-10.3 mg/dL PROTEIN, TOTAL 7.3 6.1-8.1 g/dL ALBUMIN 4.5 3.6-5.1 g/dL GLOBULIN 2.8 1.9-3.7 g/dL (talc) ALBUMIN/GLOBULIN RATIO 1.6 1.0-2.5 (talc) BILIRUBIN, TOTAL 0.7 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 64 40-115 U/L AST 16 10-35 U/L ALT 21 9-46 U/L URIC ACID 8.0 4.0-8.0 mg/dL Therapeutic target for gout patients: <6.0 mg/dL TSH 2.29 T4 (THYROXINE), TOTAL 7.2 FREE T4 INDEX (T7) 2.2 T3 UPTAKE 30 SED RATE BY MODIFIED WESTERGREN 6 CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT 6.3 RED BLOOD CELL COUNT 5.17 HEMOGLOBIN 15.1 HEMATOCRIT 44.3 MCV 85.8 MCH 29.1 MCHC 33.9 RDW 14.3 PLATELET COUNT 262 MPV 7.5 ABSOLUTE NEUTROPHILS 3314 ABSOLUTE LYMPHOCYTES 2205 ABSOLUTE MONOCYTES 428 ABSOLUTE EOSINOPHILS 315 ABSOLUTE BASOPHILS 38 NEUTROPHILS 52.6 LYMPHOCYTES 35.0 MONOCYTES 6.8 EOSINOPHILS 5.0 BASOPHILS 0.6 URINALYSIS, COMPLETE COLOR APPEARANCE YELLOW CLEAR 0.40-4.50 mIU/L 4.5-12.0 mcg/dL 1.4-3.8 22-35 % < OR - 20 mm/h 3.8-10.8 Thousand/uL 4.20-5.80 Million/uL 13.2-17.1 g/dL 38.5-50.0 % 80.0-100.0 fL 27.0-33.0 pg 32.0-36.0 g/dL 11.0-15.0 % 140-400 Thousand/uL 7.5-11.5 fL 1500-7800 cells/uL 850-3900 cells/uL 200-950 cells/uL 15-500 cells/uL 0-200 cells/uL YELLOW CLEAR Lab MI MI MI MI MI MI MI CLIENTSERIIICES:866.6971378 SPECIMEN: MR001012M Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 3 EFTA00441174

Quest —00 Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: MR001012M Client #: 17436 Collected: 08/24/2015 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 62 Received: 08/24/2015 I 19:39 EDT Gender: M Reported: 08/25/2015 I 12:45 EDT Patient ID: 090443348 Health ID: 8573003290851249 Test Name SPECIFIC GRAVITY PH GLUCOSE BILIRUBIN KETONES OCCULT BLOOD PROTEIN NITRITE LEUKOCYTE ESTERASE WBC RBC SQUAMOUS EPITHELIAL CELLS BACTERIA HYALINE CAST C-REACTIVE PROTEIN <0.10 <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PROLACTIN 3.2 2.0-18.0 ng/mL TESTOSTERONE, TOTAL, MALES (ADULT), IA 129 L 250-827 ng/dL Men with clinically significant hypogonadal symptoms and testosterone values repeatedly less than 300 ng/dL may benefit from testosterone treatment after adequate risk and benefits counseling. In hypogonadal males, Testosterone, Total, LC/MS/MS, is the recommended assay due to the diminished accuracy of immunoassay at levels below 250 ng/dL. This test code (15983) must be collected in a red-top tube with no gel. Two morning (8-10 III.) specimens obtained on different days are recommended by The Endocrine Society for screening for hypogonadism. PSA, TOTAL 0.6 In Range 1.022 5.5 NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NONE SEEN NONE SEEN NONE SEEN NONE SEEN NONE SEEN Out Of Range Reference Range 1.001-1.035 5.0-8.0 NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE < OR = 5 /HPF < OR = 2 /HPF < OR = 5 /HPF NONE SEEN /HPF NONE SEEN /LPF This test was performed using the Siemens chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. PSA levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease. PENDING TESTS: Lab MI MI MI < OR = 4.0 ng/mL MI HEMOGLOBIN A I c CULTURE. URINE. ROUTINE VITAMIN B12 PERFORMING SITE: MI QUEST DIAGNOSTICS.NIIAMI. HMOCOMMERCE PARKWAY. MIRAMAR. FL 33003.39M Laboraimy DIATIOI: GLEN I.. HORTIN MD PHD. WA: I OD0277334 CLIENT SERVICES: 866.697.8378 SPECIMEN: MR00 IOI 2M Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE30F3 EFTA00441175