6972172818 16:18 Fron: HE oodson C. Merrell M Webfax Page: 11713 LabCorp Patient Report Specimen ID: 257-480-2715-0 Acct #: 31143092 Phone: Control 1D: END31 143092 ws ataes EPSTEIN, JEFFREY 44E 67th St SE7ISTST New York NY 10065 NEW YORK NY 10021 Slee Bm Tb Tuo Tm Uo] Den nn Pe Patient Details Specimen Details Physician Details DOB: 01/20/1953 Date collected: 09/14/2018 1255 Local Ordering: W MERRELL Date received: 09/15/2018 Referring: Dateentered: 09/15/2018 1D: Agely/m/d}: 0565/07/25 Gender: M SSN: PatientiD: Date reported: 09/18/2018 0610 T NPI: 1023153509 General Comments & Additional information Total Volume: Not Provided Fasting: No Ordered Items Qn RPR/Confirm TP UNITS a/GC Amplification Chlamydia trachomatis, NAA Negative Negative 01 Neisseria gonorrhoeae, NAA Negative Negative 01 Panel 083935 HIV Screen 4th Generation wRfx Non Reactive Non Reactive 01 HCV 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. RPR, Rfx Qn RPR/Confirm TP RPR Non Reactive Non Reactive 01 Dir: Aracel 8 Reyes, MD Date Issued: 09/18/18 1053 ET FINAL REPORT Page tof 1 This document contains private and confidential health i by state and federal law. © 1995-2018 Laboratory Corporation of America® Holdings if you have recewed this document in error, please All Rights Reserved - Enterprise Report Version: 1.00 EFTA00314066