Report Status: Final SHULIAK, KARYNA G Quest Patient Information Specimen Information Client Information Requisition: 0006004 MOSKOW BRUCE W Wom | ICE MOSKOWITZ, MD Gender: F Collected: 3/2018 f NATIONWIDE ACCOUNT Phone: Received: / 21:34 EDT Hl I N nt AGLER DR STE 7100 —_ Patient I Reported: / 8 /06:00 EDT WEST PALM BEACH, FL 33401-3418 Out Of Range Reference Range CLIENT SERVICES: 866.697.8378 SPECIMEN: MR780641K PAGE | OF 2 Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00522370

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Report Status: Final {@) Quest SHULIAK, KARYNA Patient Information Specimen Information Client Information SHULIAK, KARYNA Specimen: MR780641K Client Collected: 08/03/2018 MOSKO 2, BRUCE W D0: Ei Received: 08/03/2018 / 21:34 EDT Gender: F Reported: 08/05/2018 / 06:00 EDT Patient ID: PF Test Name In Range Out Of Range _ Reference Range Lab PERFORMING SITE: MI QUEST DIAGNOSTICS-MIAMI, 10200 COMMERCE PARKWAY, MIRAMAR, FL 33025.3938 Laboratory Director: GLEN L. HORTIN MD PHD, CLIA: 1010277334 CLIENT SERVICES: 866.697.8378 SPECIMEN: MR780641K PAGE 2 OF 2 EFTA00522371