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raj Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Test Name => REVISED: Change in test result(s) URINALYSIS, COMPLETE CALCIUM OXALATE CRYSTALS Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: NG Patient ID: 19530120MJE Specimen: KP992835A Requisition: 0841963 Collected: 11/11/2016 / 11:59 EST Received: 11/14/2016 / 13:56 EST Reported: 11/16/2016 / 15:26 EST Client #: 78300020 MAIL992 MOSKOWITZ. BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 3340b3418 SUMMARY OF REPORT CHANGES Please refer to the body of the mpor(s) for complete! information In Range Out Of Range Reference Range NONE OR FEW /HPF Please refer to the body of the report PLEASE DISREGARD PREVIOUSLY REPORTED INFORMATION BELOW: ORIGINALLY REPORTED ON 11/14/2016 at 2:48 PM EST URINALYSIS, COMPLETE CALCIUM OXALATE CRYSTALS NONE OR FEW /HPF CALCIUM OXALATE CRYSTALS IDENTIFIED CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992835A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE I OF 2 EFTA00298594 Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: NG Patient ID: 19530120MJE Specimen: KP992835A Requisition: 0841963 Collected: 11/11/2016 / 11:59 EST Received: 11/14/2016 / 13:56 EST Reported: 11/16/2016 / 15:26 EST Client #: 78300020 MAIL992 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 3340 b3418 Test Name URINALYSIS, COMPLETE COLOR APPEARANCE SPECIFIC GRAVITY PH GLUCOSE BILIRUBIN KETONES OCCULT BLOOD PROTEIN NITRITE LEUKOCYTE ESTERASE WBC RBC SQUAMOUS EPITHELIAL CELLS BACTERIA => CALCIUM OXALATE CRYSTALS URIC ACID CRYSTALS HYALINE CAST NOTE In Range YELLOW 1.028 5.5 NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NONE SEEN NONE SEEN NONE SEEN NONE SEEN Out Of Range Reference Range CLOUDY YELLOW CLEAR 1.001-1.035 5.0-8.0 NEGATIVE NEGATIVE NEGATIVE TRACE NEGATIVE NEGATIVE NEGATIVE NEGATIVE < OR = 5 /HPF < OR = 2 /HPF < OR = 5 /HPF NONE SEEN /HPF NONE OR FEW /HPF Calcium Oxalate Crystals Identified NONE OR FEW /HPF Uric Acids crystals identified NONE SEEN NONE SEEN /LPF PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIE NO: 31D0696246 This urine was analyzed for the presence of WBC, RBC, bacteria, casts, and other formed elements. Only those elements seen were reported. CULTURE, URINE, ROUTINE MICRO NUMBER: TEST STATUS: SPECIMEN SOURCE: SPECIMEN QUALITY: RESULT: 61024207 FINAL URINE INADEQUATE Test not performed. No suitable specimen received. PERFORMING SITE: QUO QUEST DIAGNOSTICS HORSHANI.900 BUSINESS CENTER DRIVE HORSHAM. PA 190/4.3332 Laboratory Threctar ANDREW S EDELMAN. MD PHD. CLIA.39DC04104 Lab QUO QUO CLIENTSERNaCES:866.6971378 SPECIMEN: KP992835A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 2 EFTA00298595