EFTA00522657.pdf

.NLabCorp Patient Report Specimen ID: Acct I: Phone: Rte: 67 Control ID: Ellen S Marmur MD SHULIAK, KARYNA 12 East 87th Street Ste 1A New York NY 10128 I Pati • Specimen Details Physician Details DOB Date collected: 1W3I/2018 0000 local Ordering: E MARMUR Age(y/m/c1): Date received: 11/01/2018 Referring: Gender: F SSN: Date entered: 11/01/2018 ID: Patient ID. Date reported: 11/01/2018 0611 ET NPI: Date Issued: 11101/110611 ET FINAL REPORT Page 1 ol 2 This document contains private and confidential health information protected by state and ((ideal law C 1995.2018 Laboratory Corporation of America0 Holdings II you have received this document in error, please call 800-631-S250 Atl Rights Reserved Enterprise Report version: 1.00 EFTA00522657 ',LabCorp Patient Report Patient: SHULIA KARYNA Sorglinen ID: DOB: Patient ID: Control ID: Date collected:10/31/2018 0000 Local TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Date Issued 1 1/01/18 0611 ET FINAL REPORT Page 2 of 2 Dm document contains private and confidential health information protected by state and federal law 0 1995.2018 Laboratory Corporation of Arnelvelt Holdings If you have received this document in error. please call 800-031-S2S0 Al Rights Resents Enterprise Report Version 1.00 EFTA00522658