18/420168:06:MPM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP Pagel of 12 r TO: Sebastian Lighvani MD izakCov Specimen Sumba 292-401-3880-0 PetientID Omni Number 10416405675 Acoauog Nut 31981645 Amnia tot Number 212-517-3300 Route 68 Paw Lam Name Epstein Account Addres: Sebastian Lighvani MD 261 E 78th St 4th Fl NEW YORK NY 10075 It PIM Nan Jeffrey Puma, MAU Huse Mat Us I Tall Wine Arown 63/08/28 vie i 01/20/53 M Ruda Yes PafestAtkegs 9 E 71ST ST NEW YORK NY 10021 AdthworMabrimaan UPINI 1432269 DeemdTbaColimed 10/18/16 17:56 Dam Patti 10/18/16 Dee at Time Repined 10/24/16 20:06ET PhysicimName LIGHVANT , S 1,04 1407879885 Italca4W LabCorp Raritan 69 First Aver= Raritan NJ 08869-1800 Phoor.800 -63 -5250 TtiaOrdaul CBC/D188 Ambiguous Default; Fneumccoccal Ab (23 Serotype); Immunoglobulins A/G/M On: Ser; Tetanus/Diphtheria Ab; Complement C4, Serum; TSH; Tryptase; Vitamin D, 25-Hydroxy; Cl Esterase Inhibitor, Func; Histamine, Plasma; TSH Rix on Abnormal to Free T4; Antinuclear Antibodies Direct; sedimentation Rate-Nestergren; Thyroid Antibodies; Vitamin 812; C-Reactive Protein, Quart; Venipuncture TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAS CBC/Diff Ambiguous Default WBC 6.5 RBC 4.96 Macrocytes present. Marked anisocytosis. Hemoglobin 14.6 Hematocrit 41.3 MCV 83 MCH 29.4 MCHC 35.4 RDW 14.1 Platelets 247 Neutrophils 47 Lymphs 39 Monocytes 8 Eos 5 Basos 1 Neutrophils (Absolute) 3.1 Lymphs (Absolute) 2.5 Monocytes(Absolute) 0.5 Eos (Absolute) 0.4 Base (Absolute) 0.0 Immature Granulocytes 0 Immature Grans (Abs) 0.0 Hematology Comments: Note: Verified by microscopic examination. A hand-written panel/profile was received from your office. In accordance with the LabCorp Ambiguous Test Code Policy dated July 2003, we have assigned CBC with Differential/Platelet, Test Code #005009 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp Client Inquiry/ xl0E3/uL xl0E6/uL g/dL fL Pg g/dL xl0E3/uL x10E3/uL x1083/uL xl0E3/uL x10E3/uL x10E3/uL x10E3/uL 3.4 - 10.8 31 4.14 - 5.80 01 12.6 37.5 79 26.6 31.5 :2.3 150 1.4 0.7 0.1 0.0 0.0 0.0 17.7 51.0 97 33.0 35.7 15.4 379 7.0 3.1 0.9 0.4 0.2 0.1 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 Epstein, Jeffrey 292-401-3680-0 Ste 4 0393 10/24/16 20:06 ET FINAL REPORT MmdommentamulsoWmftandcmfldmdalbaIdluarommumprwatedbystewsndUedaenw. Ifyoa lave received this docmneut m am. please call BOO-631-5250 Page 1 of 4 02004-16 Wyss tory Capot Mica of America a lialdLop All Riau Resound DOC I Va: I.49 EFTA00304364 . 10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP Page 2 of 12 r TO: Sebastian Lighvani MD ITA..1aCcap Pius Mace Epstein, Jeffrey SpenunNumbes 292-401-3880-0 Aucco, !:amber 31981645 Petra ID Col Net 10416405675 Dace sod Tine Collected 10/18/16 17:56 Date Reputed 10/24/16 Srx M Ate(Yre0D) 63/08/28 Due of Berth 01/20/53 LabCorp Raritan 69 First Avenue Raritan, 9-1 TESTS RESULT FLAG UNITS REFERENCE 'INTERVAL LAS test order. Technical Services Department to clarify the appreciate your business. PUOUMOCOCCdi Ab (23 Serotype) Pneumo Ab Type 1* Pneumo At Type 3* Pneumo Ab Type 4* Pneumo Ab Type 8* Pneumo Ab Type 9 (9N),, Pneumo Ab Type 12 (12F)* Pneumo Ab Type 14. Pneumo Ab Type 17 (17F)* Pneumo Ab Type 19 (19F)* Pneumo Ab Type 2. Pneumo At Type 20* Pneumo Ab Type 22 (22F)le Pneumo Ab Type 23 (23F)* Pneumo Ab Type 26 (6B)* Pneumo Ab Type 34 (10A)* Pneumo Ab Type 43 (11A)* Pneumo Ab Type 5' Pneumo Ab Type 51 Pneumo Ab Type 54 Pneumo Ab Pneumo Ab Pneumo Ab (7F)* (158)' Type 56 (18C). Type 57 (19A)' Type 68 (9V)* Low Pneumo Ab Type 70 (33F)' 'This test was developed and performance characteristics determined by Viracor-/BT Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. 0.8 ) Low CLE: 0.6 Low 0.8 Low 0.5 Low Oft Low Low Low Low Low We Immunoglobulins A/G/M, Qn, Ser Immunoglobulin G, Qn, Serum Immunoglobulin A, Qn, Serum Immunoglobulin H, Qn, Serum Tetanus/Diphtheria Ab Tetanus Antitoxoid IgG Ab <0.1 0.2 0.9 (1TX )0.7 Low cr Low 996L,/ 2164/ 411/ ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL -u /mL ug/r1. ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL ug/mL mg/dL mg/dL mg/dL 1.01 IU/mL Interpretation: Non-Protective Protective Results for this test are for research purposes only by the assay's manufacturer. The performance characteristics of this product have not been established. Results should not be used as a diagnostic procedure without confirmation of the >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 >1.3 700 - 1600 61 - 437 20 - 172 <0.10 <0.10 >c.0.10 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 01 01 01 03 Epstein, Jeffrey 292-401-3880-0 Scq # 0393 10/24/16 20:06 ET FINAL REPORT The &canna cantina punk: and cadidend al health utfo=ttion protected by slate and federal law if you have received this doctunent In ena. please call 900-631-5250 Page 2 of 4 01004 -16 La boraway Cozpootlec of AMOTICI HoldLop All Rights Reamed DOC1 Vel: 1A9 EFTA00304365 10124/20188:06:55PM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP TO: Sebastian Ughvani MD Page 3 of 12 r LabCorp Raritan 69 First Avenue iUn,NJ08869-1800 Phone, 800-6 I- 2 Wm Name Epstein, Jeffrey Sped ram Nat 292-401-3880-0 MOW m >knee Meat 0 31981645 Cmaol Nwmm 10416405675 I Date,STInteOlmts 10/18/16 17:56 Due Riveted 10/24/16 Su H togerYMUM 63/08/28 L Doe of Binh 01/20/53 TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAS diagnosis by another medically established diagnostic product or procedure.. Diphtheria Antitoxoid Ab 0.15 it IU/mle <0.10 03 Interpretation: Non-Protective <0.10 Protective >=0.10 For research use only. Complement C4, Serum 26 mg/d1. 14 - 44 01 TSH :.740 is/ uIU/m14 0.450 - 4.500 01 Tryptase 5.0 Le' ug/L 2.2 - 13.2 03 Vitamin D, 2S-Hydroxy 31.0 ng/mL 30.0 - 100.0 0: Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/ml. (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. ION (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Hinkley NC, Bischoff -Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30. Cl Esterase Inhibitor, Fun= Cl Est.Inhib.Funct. 109 Histamine, Plasma Results for this test are f manufacturer. The performance not been established. Results procedure without confirmation established diagnostic product %mean normal C3 Abnormal <41 Equivocal 41 - 67 Normal >67 High ,.V <1.00 03 earch p °see only by the assay's characteristics of this product have should not be used as a diagnostic of the diagnosis by another medically or procedure. TSH Rfx on Abnormal to Free T4 TSH 1.700 V/ uI0/mL 0.450 - 4.500 01 Epstein, Jeffrey 292-401-3880-0 Seq00393 10/24/16 20:06 ET FINAL REPORT Thb document contains private and confidential health infonnadon protected by state and federal law. if you have received des docament in cCOF. pkase call E00-631-5250 Page 3 of 4 01004-161-abcaatory Corporation d ApIIMCN a Holettny All RightsResereed DOC! Ver. 1.49 EFTA00304366 10/24(20168:06:55PM FROM: LABCORPLCLSBULK TO: 2125173303 LABCORP TO: Sebastian Llghvani MD Page 4 of 12 r Latiggrep PaomiNunt Epstein, Jeffrey Speciamchtgrao 292-401-3880-0 Aocccot Number 31981645 Panto ID Control Nambet 10416405675 Dare inflict Conected 10/18/16 17:56 Date Reported 10/24/16 Sex M Aze( MD) 63/08/28 Date of Blab 01/20/53 TESTS RESULT FLAG SNITS REFERENCE INTERVAL LAN Antinuclear Antibodies Direct ANA Direct Negative Negative 01 Sedimentation Rate -Westergren 20 ✓ mm/hr 0 - 30 01 Thyroid Antibodies Thyroid Peroxidase (TPO) Ab 8 IU/ra. 0 - 34 01 Thyroglobulin Antibody <1.0 ✓ IU/mL 0.0 - 0.9 01 Thyroglobulir•. Antibody measured by Beckman Coulter Methodology Vitamin 812 755 pg/mL 211 - 946 01 C-Reactive Protein, Quant 1.7 """-- mg/L 0.0 - 4.9 01 LabCorp Raritan 69 First Avenue Raflan NI 08869-1800 Phone: 800-631-5250 31 RN LabCorp Raritan Dir: Armeeli B Reyes, MD 69 First Avenue, Raritan, NJ 08869-1800 02 NEW504 Viracor 1ST Laboratories Inc Dir: Michelle Altrich, PhD 1001 NW Technology Drive, Lees Summit, MO 64086-5603 03 BN Labcorp Burlington Dir: William F Hancock, MD 1447 York Court, Burlington, NC 27215-3361 For inquiries, the physician may contact Branch: 800-631-5250 Lab: 800-631-5250 292-401-3880-0 Scq # 0393 Epstein, Jeffrey 10/24/16 20:06 ET FINAL REPORT This doctuneal contains rya ic and confidential health :atom:anon mused by sine and I edelal law. If you ban received this docwrotalia tna. please call 800-431-5250 Page 4 of 4 02004-16 Labmtory CoryaatIon or manta m Holdings All Rights Reserved DOC! Vu: 1.49 5 EFTA00304367