Report Status: Final Quest @ Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: KP992835A Client #: 78300020 MAIL992 Requisition: 0841963 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 BRUCE MOSKOWITZ, BRUCE MD cme ™ Collected: 11/11/2016 / 11:59 EST Aun: APAL NATIONWIDE ACT Phone: NG Received: 11/14/2016 / 13:56 EST 1411 N FLAGLER DR STE 7100 Patient ID: 19530120MJE Reported: 11/18/2016 / 07:44 EST WEST PALM BEACH, FL 33401-3418 SUMMARY OF REPORT CHANGES Please refer to the body of the report(s) for complete information Test Name In Range Out Of Range Reference Range => REVISED: Change in test result (s) URINALYSIS, COMPLETE CALCIUM OXALATE CRYSTALS NONE OR FEW /HPF Please refer to the body of the report PLEASE REFER TO THE BODY OF REPORT(S) FOR THE FOLLOWING CHANGE(S): => ADDENDUM: New or added information CULTURE, URINE, ROUTINE 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 PAGE | OF 2 Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304601

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@ Quest Report Status: Final => CALCIUM OXALATE CRYSTALS URIC ACID CRYSTALS HYALINE CAST NOTE S ! Diagnostics EPSTEIN, JEFFREY _ Patient Information Specimen Information Client Information a 7 99 EPSTEIN, JEFFREY Specimen: KP992835A Client #: 78300020 MAIL992 Requisition: 0841963 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 BRUCE MOSKOWITZ, BRUCE MD Gender: M Collected: 11/11/2016 / 11:59 EST ABA: APAL MATER WIDE ACE Phone: NG Racieed: 1L4D016 /1S56F5T 1411 N FLAGLER DR STE 7100 Patient ID: 19530120MJE Reported: 11/18/2016 / 07:44 EST WEST PALM BEACH, FL 33401-3418 Test Name In Range Out Of Range Reference Range Lab URINALYSIS, COMPLETE QHO COLOR YELLOW YELLOW APPEARANCE CLOUDY CLEAR SPECIFIC GRAVITY 1.028 1.001-1.035 PH 5.5 5.0-8.0 GLUCOSE NEGATIVE NEGATIVE BILIRUBIN NEGATIVE NEGATIVE KETONES NEGATIVE NEGATIVE OCCULT BLOOD TRACE NEGATIVE PROTEIN NEGATIVE NEGATIVE NITRITE NEGATIVE NEGATIVE LEUKOCYTE ESTERASE NEGATIVE NEGATIVE WBC NONE SEEN < OR = 5 /HPF RBC NONE SEEN < OR = 2 /HPF SQUAMOUS EPITHELIAL CELLS NONE SEEN < OR = 5 /HPF BACTERIA NONE SEEN 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: 61024207 =>TEST STATUS: ADDENDUM - FINAL SPECIMEN SOURCE: URINE =>SPECIMEN QUALITY: ADEQUATE =>RESULT: No Growth PERFORMING SITE: QHO QHO QUEST DIAGNOSTICS HORSHAM, 900 BUSINESS CENTER DRIVE, HORSHAM, PA 19044-3432 Laboratory Director: ANDREW S EDELMAN, MD PHD, CLLA: J9D024404 CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992835A PAGE 2 OF 2 Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304602