veraurceosu 10:30 Fron: QM Yoodson C. Merrell i Webfax Page: 9/11 SLabCorp Patient Report Specimen 1D: 257-480-2542.0 Acct #: 31143092 Phone: —te:6a Control iD: F5C31 143092 ee eS Woodson Merrell EPSTEIN, JEFFREY 44 E 67th St SE7ISTST New York NY 10065 NEW YORK NY 10021 See TUTE OULU eR A Patient Details Specimen Details Physician Details DOB: 01/20/1953 Date collected: 09/14/2018 1255 Local Ordering: W MERRELL Agely/m/d): 065/07/25 Date received: 09/15/2018 Referring: Gender: M SSN: Date entered: 09/15/2018 ID: MERRELL Pationt ID: Date reported: 09/18/2018 0823 ET NPI 1023153509 na nh meee General Comments & Additional Information Total Volume: Not Provided Fasting: No Ordered items Zinc, Whale Blood Zinc, Whole Blood ug/dL 440 - 860 01 ~ Of BN LabCorp Burlington — Dir: William F Hancock, MD 1447 ¥: 1 For inquires, the piyysician may contact Branch: 800-631-5250 Lab: 800-762-4344 Date Issuect 09/18/18 1053 ET FINAL REPORT Page loft This document contains private and confidential health information by state and federal tew. © 1995-2018 Laboratory Corporation of America® Holdings Wyouhove received ths documentin ror pease ail! All Rights Reserved - Enterprise Report Versione 1.00 EFTA00314049