EFTA01733964.pdf

. 10(24/20168:08:55PM FROM: LABCORP LCLS BULK TO LABCORP Page 1 of 12 r TO: Sebastian Lig LabCorp Raritan LatiCsarpSeemnimNundm Nina 69 First Avenue hImmlWmibee AomumNurdso Rome 292- 401- 3880- 0 10416405675 31981645 . 68 Psemtlasiblum AccovoAddren Epstein Sebastian Lighvani MD PMemlbruNsme PuiembtAlleNur Jeffrey lanbane npubame Age(YAM) Defter/Bibb Sex Sudo& 63/08/28 01/20/53 M Yes lbseeaA&Imn Adobwmfledansem 9 E 71ST ST NEW YORK NY 10021 WPM: 812269 DassidnmeCoUftW I DmeNeaW I DeeaSTimeRaipmed Physician Name NM AysicuoW 10/:8/16 17:56 I 10/16/16 I 10/24/16 20:06ET LIGHVANI , S :407879885 TeanekdalW CBC/Diff Ambiguous Default; Pneumococca: Ab (23 Serotype); Immmnoglobulins A/G/M On, Ser; Tetanus/Diphtheria Ab; Complement C4, Serum; TSR; Tryptase; Vitamin D, 25-Hydroxy; C/ Esterase Inhibitor, Punt; Histamine, Plasma; TSH Rfx on Abnormal to Pree T4; Antinuclear Antibodies Direct; Sedimentation Rate-Hestergron; Thyroid Antibodies; Vitamin 612; C-Reactive Protein, Want; Venipuncture TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB CBC/Diff Ambiguous Default NBC 6.5 xl0E3/uL 3.4 - 10.8 01 BBC 4.96 xl0E6/uL 4.14 - 5.80 01 Macrocytes present. Marked anisocytosis. Hemoglobin 14.6 g/dL 12.6 17.7 01 Hematocrit 41.3 % 37.5 51.0 01 MCV 83 fL 79 97 01 MCH 29.4 pg 26.6 33.0 01 MCHC 35.4 g/dL 31.5 35.7 01 RDW 14.1 % 12.3 15.4 01 Platelets 247 x10E3/uL 150 379 01 Neutrophils 47 % 01 Lymph& 39 % 01 Monocytes 8 % 01 Eos 5 % 01 Basos 1 % 01 Neutrophils (Absolute) 3.1 x10£3/uL 1.4 - 7.0 01 Lymphs (Absolute) 2.5 x10E3/uL 0.7 - 3.1 01 Monocytes(Absolute) 0.5 xl0E3/uL 0.1 - 0.9 01 Boa (Absolute) 0.4 x10E3/uL 0.0 - 0.4 01 Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01 Immature Granulocytes 0 % 01 Immature Grans (Abs) 0.0 x10£3/uL 0.0 - 0.1 01 Hematology Comments: Note: 01 Verified by microscopic examination. A hand-written panel/profile was received from your office. In accordance with the LabCorp Ambiguous Test Code Policy dated July 2003, we have assigned CBC with Differential/Platelet, Test Code 4005009 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp client Inquiry/ Epstein, Jeffrey 292-401-3880-0 Seq N 0393 10/24/16 20:06 ET FINAL REPORT Page 1 of 4 This elccument contains mint and el:cadential health Informanon peotecled by state and federal law O2004-16 labontosy Corporatien of America m Holdings Dyes hat teceived this dcostrent in en.please call AII Km,hts Item bed DOC I Vex. 1.49 EFTA_R1_00010947 EFTA01733964 10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK LABCORP Page 2 of 12 r TO: Sebastian Lighvani M LabCorp Raritan Labggarp 69 Brat Avenue Raritan. 08869-1 PabeolNume SronsoramS Epstein, Jeffrey 292-401-3880-0 Accountbombe: ➢ara ID °so: Number Dafi acdTine Cobard Date Recoiled Sa Are(YI740) Due of Binb 31981645 10416405675 10/10/16 17:56 10/24/16 14 63/08/28 01/20/53 TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAS Technical Services Department to clarify the test order. we appreciate your business. Pneumococcal Ab (23 Serotype) Pneumo Ab Type 1* 0.8 Low ug/mL >1.3 02 Pneumo Ab Type 3* ug/mL >1.3 02 Pneumo Ab Type 4* 0.6 Low ug/mL >1.3 02 Pneumo Ab Type 8e 0.8 Low ug/mL >1.3 02 Pneumo Ab Type 9 (98)* 0.5 Low ug/mL >1.3 02 Pneumo Ab Type 12 (12F)* Low ug/mL >1.3 02 Pneumo Ab Type 14* ug/mL >2.3 02 Pneumo Ab Type 17 (17F)* cit, Low ug/mL >1.3 02 Pneumo Ab Type 19 (19F)* ug/mL >1.3 02 Pneumo Ab Type 2* Low U >1.3 02 Pneumo Ab Type 20* /mL >1.3 02 Pneumo Ab Type 22 (22F)* <0.1 Low ug/mL >1.3 02 Pneumo Ab Type 23 (23P)* 0.2 Low ug/mL >1.3 02 Pneumo Ab Type 26 (6B)* 0.9 Low ug/mL >1.3 02 Pneumo Ab Type 34 (10A)* C0 7) ug/mL >1.3 02 Pneumo Ab Type 43 (12A)* 0.7 Low ug/mL >1.3 02 Pneumo Ab Type 5* ug/mL >1.3 02 Pneumo Ab Type 51 (7F)* C61r Low ug/mL >1.3 02 Pneumo Ab Type 54 (258)* ug/ML >1.3 02 Pneumo Ab Type 56 (18C)* ug/mL >1.3 02 Pneumo Ab Type 57 (19A)* ug/mL >1.3 02 Pneumo Ab Type 68 (9V)* Low ug/mL >1.3 02 Pneumo Ab Type 70 (33F)* ug/mL >1.3 02 *This test was developed and performance characteristics determined by Viracor-I8T Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. immunoglobuline A/O/N, Qn, Ser Immunoglobulin G, Qn, Serum 994.7 mg/dL 700 - 1600 01 Immunoglobulin A, Qn, Serum 216t/ mg/dL 61 - 437 01 Immunoglobulin 8, Qn, Serum 41LX' mg/dL 20 - 172 01 Tetanus/Diphtheria Ab Tetanus Antitoxoid IgG Ab 2.0: v IU/mL <0.10 03 Interpretation: Non-Protective <0.10 Protective >=0.10 Results for this test are for research purposes only by the assay's manufacturer. The performance characteristics of this product have not been established. Results should not be used as a diagnostic procedure without confirmation of the Epstein, Jeffrey 292-401-3880-0 scqsa393 10/24/16 20:06 ET FINAL REPORT Page 2 of 4 This document contains pins and confidential health naformatton 'erected try state and retinal law. O200916 Laboratory Corpantica of America W Holdinpn If you have received this doctunent 1n ma. please c All Rie,hts Reserved DOC1 Vet: 1A9 EFTA_R1_00010948 EFTA01733965 10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK TO: LABCORP Pap 3 of 12 r TO: Sebastian Ligh,P. LabCorp Raritan 69 First Avenue Raritan, NJ 08869-1800 Phone PreenNum Spe Epstein, Jeffrey 292-401-3880-0 occeout Mmbet Rem D Control tOrn:Wt Dew sodOme Collected Dee Mowed Scz Ate(aM/D) _ Doe of Birtb 31981645 10416405675 10/18/16 17:56 10/24/16 63/08/28 01/20/53 TESTS RESULT FLAG UNITS REFERENCE INTERVAL LLB diagnosis by another medically established diagnostic product or procedury Diphtheria Antitoxoid Ab 0.15 o IU/mL <0.10 03 Interpretation: Non-Protective <0.10 Protective >=0.10 For research use only. Complement C4, Serum 26 mg/dL :4 - 44 01 ESN 1.740 L/e/ uI13/mL 0.450 - 4.500 0: Tryptase 5.0 ✓ ug/L 2.2 - 13.2 03 Vitamin D, 25-Hydroxy 31.07 ng/mL 30.0 - 100.0 0: Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-0H vitamin D less than 20 ng/mL (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/r1 (2). 1. ION (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Hinkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30. Cl Esterase Inhibitor, rune Cl Est.Inhib.Funct. :09 %mean normal 03 Abnormal <41 Equivocal 41 - 67 Normal >67 Histamine, Plasma High, _V <1.00 03 Results for this test are f earch p oses only by the assay's manufacturer. The performance characteristics of this product have not been established. Results should not be used as a diagnostic procedure without confirmation of the diagnosis by another medically established diagnostic product or procedure. TSN Rfx on Abnormal to Free T4 TSH 1.700 V . u:U/ML 0.450 - 4.500 01 Epstein, Jeffrey 292-401-3880-0 f swim-3 10/24/16 20:06 ET FINAL REPORT Page 3 of 4 This documentcontains pints and confidential health thfonnation otorled by dm and federal law. 02004-16 Lab:eatery Corponflon of America E lictehngs If you have received dal dec.unent w arcs. please cal AU Rights Reserved DOC1 Vc: 1.49 EFTA_R1_00010949 EFTA01733966 . 10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK LASCORP Page 4 of 12 r TO: Sebastian Lighvan LabCorp Raritan Lallov 69 First Avenue liarLan NJ 08869-18tH! Nths Name Phone Smonsc:tea Epstein, Jeffrey 292-401-3880-0 Account Swam Padeu M crape Numbet Demand rime Named Due Repotted Sex AteNaMM Dm of Bum 31981645 10416405675 10/18/16 17:56 10/24/16 M 63/08/28 01/20/53 TESTS RESULT UNITS REFERENCE INTERVAL LAB Antinuclear Antibodies Direct ANA Direct Negative Negative 01 Sedimentation Rate-Westergren 20 mm/hr 0 - 30 01 Thyroid Antibodies Thyroid Peroxidase (TP0) Ab 8 IU/mL 0 - 34 01 Thyroglobulin Antibody <1.0 ✓ IU/mL 0.0 - 0.9 01 Thyroglobulin Antibody measured by Beckman Coulter Methodology Vitamin B12 755 pg/mL 211 - 946 01 C-Reactive Protein, Quant 1.7 v" mg/L 0.0 - 4.9 01 01 RN LabCorp Raritan Dir: Aracell B Reyes, MD 69 First Avenue, Raritan, NJ 08869-1800 02 NEWXW Viracor 1ST Laboratories Inc Dir: Michelle Altrich, PhD 1001 NW Technology Drive, Lees Summit, HO 64086-5603 03 BN LabCorp Burlington Dir: William F Hancock, MD 1447 York Court, Burlington, NC 272111 For inquiries, the physician may contact Branche Labs Epstein, Jeffrey 292-401-3880-0 Scq N 0393 10/24/16 20:06 ET FINAL REPORT Page 4 of 4 Ibis document cameos pdva lc and confidential health inform/ sled by slam and fetal law. 02004-.16 Laboratory Corporation of America 0 'folding, If you ban received des doormenlin error. plea= call All Rights Sesame DOCI Vet: 1.49 EFTA_R1_00010950 EFTA01733967