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

.NLabCorp Specimen ID: Control ID: 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

Specimen ID: Control ID: Patient Report SHULIAK, KARYNA 301 EAST 66TH STREET APT 8H NEW YORK NY 10065 y/n DOB Agel Gender: F SSN: Acct a: Ellen S Marmur MD 12 East 87th Street Ste 1 A New York NY 10128 Phone: Rte: 67 Patient Details Physician Details Ordering: E MARMUR Referring: ID: Patient ID

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 Or