89/18/2818 16:38

89/18/2818 16:38 From: Woodson C. Merrell M Uehfax Page: 8/11 ILabCorp Specimen ID: 257-4802715-0 Control /0:ER031143092 Patient Report EPSTEIN,JEFFREY 9E715757 NEW YORK NY 10021 PatientOetalls 008:01/20/1953 Arty/aid): 065/07/25 Gender: M SSN: Patient ID: Acctm 31143092 Woodson Merrell 44 E 67th St NmvYakNY10065 Phone: Spedmen Details Physician Details Date collects& 09/1412018 1255 Local Ordering: /./EgrC',. Date received: 09/15/2018 Redwing. Data *nitre& 09/15/2018 Date redone& 09/18/2018 0610 ET NFL 102 General COMMents & Addition& Information Tonal Volum*: Not Provided Ordered Items Chlarnydn/GC Ampefeabon; Pane. 083935; HCV Ab &Mix to Venficabon; RPR, Rfx On RPR/COnfirrn TF Rte 68 Faring: No T.F.C.TS RESULT FLAG UNITS REFERENCE INTERVAL LAB Chlamydia/GC Amplification Chlamydia tract:lc:anis, NAA Neisseria gonorrhoeae, NAA Negative Negative Panel 083935 HIV Screen 4th Generation wRfx Non Reactive Negative 01 Negative 01 Non Reactive 01 RCV Ab w/Rflx to Verification HCV Ab <0.1 s/co ratio 0.0 - 0.9 01 Comment: 01 Non reactive HCV antibody screen is consistent with no HCV infection, unless recent infection is suspected or other evidence exists to indicate HCV infection. RP!, Rix Qn RPR/Confirm TP RPR Non Reactive Non Reactive 01 L 01 RN LabCOrp Rennin Der: Amos& B Waste. MO eta First Avenue, Ftanten, NJ OS959-1800 For k1;04618. the ithysicart may contact Branch neowataviansurun FINAL REPORT DisdocumereamtthespieteadamedeSSNWthineowneumprowidedbynotarWledemilum IsmhemerecOMMthbdocurnembflotheade004314260 Page tot 01993401D Lehoreeery Carperaelon a Meet ma Holdings Al lopes nesened-Enerapitse PerionVersion 1.00 EFTA00314045