Page: 18/13 L a i l I C O M Spedmen ID: 257-480-2232.0 Control ID: FSA31103092 Patient Report EPSTEIN. JEFFREY Padenttletaib 90!: 01/20/1953 Avery/e/& 063/0725 Gender. M SSN: Pedant D. Acctift31143092 Woodson Memel 44 E 67th St NeeYorkNY10065 Specimen Details Date collect** 09/142018 1255 Loaf Date