BI/721/CU16 16:18 Fron: FY Woodson C. Merrell M Webfax Page: 12713 00000: RR a a oper eer ny Specimen ID: 257-480-2542-0 Acct #: 31143092 Phone: Rte: 68 Control ID: F5C31143092 LSS Woodson Merrell EPSTEIN, JEFFREY 44 E 67th St SE7ISTST New York NY 10065 NEW YORK NY 10021 le eae lel Patient Details Specimen Details Physician Details DOB: 01/20/1953 Date collected: 09/14/2018 1255 Local Ordering: W MERRELL Agely/méd): 065/07/25 Date received: 09/15/2018 Referring: Gender: M SSN: Date entered: 09/15/2018 iD: MERRELL Patient ID: ee Date reported: 09/18/2018 0823 ET NPI: 1023153509 General Comments & Additional information Total Volume: Not Provided Fasting: No Ordered Items Zinc, Whole Blood Zinc, Whole Blood Be “BN” LabCorp Burlington Dir: William F Hancock, MD 1447 York Court —— - — Date tsswed: 09/18/18 1053 ET FINAL Page 1 of 1 This ocument contains private end confidential health information protected by state and federal law. © 1995-2018 Laboratory Corporation of America® Holdings you have received this document in error, please call (amma All Rights Reserved Enterprise Report Version: 1.00 EFTA00314067