EFTA00314063.pdf

89/21/2818 10:18 From: Uoodson C. Merrell M Uebfax Page: 9/13 Patient Report Specimen ID: 257480-2230-0 PicaIt 31143092 Phone: Control ID: F4931143092 Rtc 68 EPSTEIN, JEFFREY Woodson Merrell 9E7ISTST 44E6OthSt NEW YORK NY 10021 NewYmtNY10065 wilqrdurilimilflahruhrillAWKWOI Patient Details Specimen Details DOB: 01/20/1953 Physician Death Date collected: 09/14/2018 1255 Local Ordering: W MERRELL A ge(y/nt/c4:065/07/15 Date no< &vett 09/15/2018 Gender. M SSN: Referring: Date entered: 09/15/2018 Ilk Patient ID: JE012053 Date reponse 09/19/2018 0610 ET NPI: 1023153509 Ordered Items Vitamin B8. Marna TESTS RESULT FLAG "`NITS REFERENCE INTERVAL Vitamin 86, Plasma LAB ViIamin B6 7.2 ugiL 5.3 - 46.7 Disclaimer: Cl This test was developed and its performanc 0: e characteristics determined by LabCorp. It has not been clear by the Food and Drug Administration. ed or approved 01 BN LabCorp Burlington Dr Wham F Kama*, MD 1447 York Court. Baknoton NC 27215-3361 For inquIriea, the Phylicon may =el Branch: Datetwie&GM2Y1808MET FINAL REPORT Pagel oft madommentomoinspodemandcorlderrantin t taatdaystreand*terCalw aswhaverecontdditadocarno-tine-ccomwail 01995.2013 Laboratory Corporation of Amok.** Hollings AI Rag tes ReSewad -Ergerpdne PCOrtikniCat 140 EFTA00314063