89/21/2818 18:18 Fron: QI voodson C. merrell m Webfax Page: 2713 - Loli SD a reer mm ny Specimen ID: 257-480-2371-0 Acct #: 31143092 Phone: te: 63 Control ID: F5831 143092 EPSTEIN, JEFFREY 44 E 67th St = . "W " NEW YORK NY 1002 ll ut Uy I! \ L livals'| Patient Details DOB: 01/20/1953 Agely/m/d): 065/07/25 Gender: M SSN: Patient ID: Specimen Details Physician Details Date collected: 09/14/2018 1255 Local Ordering: W MERRELL Date received: 09/15/2018 Referring: Dateentered: 09/15/2018 1D: MERRELL Date reported: 09/20/2018 0832 ET NPI: 1023153509 General Comments & Additional information Total Volume: Not Provided Fasting: No Ordered items CBC With Differentia/Ptatelet; Comp. Metabolic Panel (14); Urinalysis, Routine; PE+interp(Rfx IFE),S; Lipid Panel; iron and TIBC; Testosterone, Free+Weakly Bound; Vitamin B12 and Folate; FSH and LH; C-Reactive Protein, Cerdiac: Hemogiobin Aic; Prostate-Specific Ag, Serum; TSH; Vitamin D, 25-Hydroxy; Lipoprotein (a): IGF-1; ANA w/Reflex: Homocyst(e)ine, Plasma: Prolactin; Thyroxine (T4) Free, Direct, S; Cortisol; DHEA-Sulfate; Estradiol; Uric Acid; Phosphorus; LDH: GGT: Amylase; Ferritin, Serum; insulin; CBC With Differential/Platelet wWeC 5.7 x10E3/uL 3.4 - 10.8 ol RBC 4.90 x10E6/uL 4.14 - 5.80 01 Hemoglobin 14.7 g/dL 13,50 —27.7 01 Hematocrit 42.2 % 37.5 - 51.0 01 MCV 86 £L 79 - 97 01 MCH 30.0 pg 26.6 - 33.0 01 MCHC 34.8 g/dL 31.5 - 35.7 01 RDW 14.6 % 12.3 - 15.4 01 Platelets 242 x10E3/uL 150 - 379 01 Neutrophils 50 * Not Estab. 1 Lymphs 37 ‘ Not Estab. 01 Monocytes 5 + Not Estab. 01 Eos 7 % Not Estab. o1 Basos 1 s 7 Not Estab. 01 Neutrophils (Absolute) 2.8 x10E3/uL 1.4 - 7.0 01 Lymphs (Absolute) 2.2 x10E3/uL 0.7 - 3.1 01 Monocytes (Absolute) 0.3 x10E3/uL 0.1 - 0.9 01 Eos (Absolute) 0.4 x10B3/uL 0.0 - 0.4 01 Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01 Immature Granulocytes i) S Not Estab. 01 Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01 Comp. Metabolic Panel (14) Glucose 128 High mg/dL 65 - 99 01 Sample is lipemic. This may cause spurious increases in TBili, DBili, AST, ALT, and UIBC (if ordered). Clinical correlation indicated. Specimen received hemolyzed. Clinical correlation indicated. Date tesued: 09/20/18 0832 ET FINAL REPORT Page | of 6 This document Contains private and confidential health information by state and federsi law. © 1995-2018 Laboratory Corporation of America® Holdings if you heve received this document in error, please call All Rights Reserved - Enterprise Report Wersior: 1.00 EFTA00314053