.NLabCorp

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