Labcorp Specimen ID: Control 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: Date entered: 11/30/2018 ID: Date reported: 11/30/2018 0610 ET NPI: Rte: 67 General Comments 8 Additional Information Clinical Info: SRC: Oa lc Issued I 1;10/18 0611 ET FINAL REPORT This document contains private and confidential heakh Information protected by state and federal law. W you have received this document in °nor, please cal 800631.5250 Page 1 of 3 0 199S-2018 Laboratory Corporation of AmericaeHoldings All Rights Reserved • Enterprise Report Yersiore 1.00 EFTA00522651

;1 LabCorp Pant KARYNA DOB: Patient Report Patient ID Control ID: Specimen ID: Date collected. 0000 Local 1 )tsk TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Cate Issued: 11/30/18 0611 ET FINAL REPORT This document contains private and confidential health information protected by state and federal law If you have received the document in mot, please call 800631 5250 Pape 2 of 3 0 1995.2018 Laboratory Cowmen of MINICAR Holdings AN Rights Reserved - Interpose Report Version: 100 EFTA00522652

LabCorp Patient Report PalliallaKARYNA DOB Patient ID: Control10:M Specimen ID Date collected: 0000local n Z911E TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Date Issued: 11/30/180611 ET FINAL REPORT This document contains private and confidential health 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