EFTA00522651.pdf

La bcorp Patient Report Specimen ID: Acct Phone: Rte: 67 Control ID: Ellen S Marmur MD SHULIAK, KARYNA 12 East 87th Street Ste 1A New York NY 10128 PatientDetails DOB Specimen Details Date collected: 0452018 0000 Local Physician Details Ordering: E MARMUR Age(y/m/d) Date received: 11/30/2018 Referring: Gender: F Date entered: 11/30/2018 ID: Patient ID: Date reported: 11/30/2018 0610 ET NPI: General Comments 8 Additional Information Clinical Info: SRC: Oa lc Issued I 1;10/18 0611 ET FINAL REPORT Page 1 of 3 This document contains private and confidential heakh Information protected by state and federal law. 0 199S-2018 Laboratory Corporation of AmericaeHoldings W you have received this document in °nor, please cal 800631.5250 All Rights Reserved • Enterprise Report Yersiore 1.00 EFTA00522651 ;1LabCorp Patient Report Pant KARYNA Specimen ID: DOB: Patient ID Control ID: Date collected. 0000 Local 1 )tsk TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Cate Issued: 11/30/18 0611 ET FINAL REPORT Pape 2 of 3 This document contains private and confidential health information protected by state and federal law 0 1995.2018 Laboratory Cowmen of MINICAR Holdings If you have received the document in mot, please call 800631 5250 AN Rights Reserved - Interpose Report Version: 100 EFTA00522652  LabCorp Patient Report PalliallaKARYNA Specimen ID DOB Patient ID: Control10:M Date collected: 0000local n Z911E TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Date Issued: 11/30/180611 ET FINAL REPORT Page 3 of 3 This document contains private and confidential health information protected by state and federal Ian. o 1995.2018 Laboratory Corporation of Americas Holdings If you have received MIS document In error, please call 800-631-S2SO Al Rights Reserved - Enterpnse Repon Version: 1.00 EFTA00522653