89/21/2818 10:18 From: Uoodson C. Merrell M Uebfax Page: 9/13

EFTA00314063 Dataset 9 1 pages Download original PDF Download as text
89/21/2818 10:18 From: Uoodson C. Merrell M Uebfax Page: 9/13 Patient Report Specimen ID: 257480-2230-0 Control ID: F4931143092 EPSTEIN, JEFFREY 9E7ISTST NEW YORK NY 10021 Patient Details DOB: 01 /20/1953 A ge(y/nt/c4:065/07/15 Gender. M SSN: Patient ID: JE012053 Ordered Items Vitamin B8. Marna Pica It 31143092 Phone: Rtc 68 Woodson Merrell 44E6OthSt NewYmtNY10065 wilqrdurilimilflahruhrillAWKWOI Specimen Details Physician Death Date collected: 09/14/2018 1255 Local Ordering: W MERRELL Date no< &vett 09/15/2018 Referring: Date entered: 09/15/2018 Ilk Date reponse 09/19/2018 0610 ET NPI: 1023153509 TESTS RESULT FLAG "`NITS REFERENCE INTERVAL LAB Vitamin 86, Plasma ViIamin B6 Disclaimer: This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration. 7.2 ugiL 5.3 - 46.7 Cl 0: 01 BN LabCorp Burlington 1447 York Court. Baknoton NC 27215-3361 Dr Wham F Kama*, MD For inquIriea, the Phylicon may =el Branch: Datetwie&GM2Y1808MET FINAL REPORT madommentomoinspodemandcorlderrantin t taatdaystreand*terCalw aswhaverecontdditadocarno-tine-ccomwail Pagel oft 01995.2013 Laboratory Corporation of Amok.** Hollings AI Rag tes ReSewad -Ergerpdne PCOrtikniCat 1 40 EFTA00314063