Specimen ID:
Labcorp
Specimen ID:
Control ID: Patient Report
SHULIAK, KARYNA
Patient DetailsDOB
Age(y/m/d)
Gender: F
Patient ID: Acct
Ellen S Marmur MD
12 East 87th Street Ste 1A
New York NY 10128 Phone:
Specimen Details Physician Details
Date collected: 0452018 0000 Local Ordering: E MARMUR
Date received: 11/30/2018 Referring:
Date entered: 11/30/2018 ID:
Date reported: 11/30/2018 0610 ET NPI: Rte: 67
General Comments 8 Additional Information
Clinical Info: SRC:
Oa lc Issued I 1;10/18 0611 ET FINAL REPORT
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;1 LabCorp
Pant KARYNA
DOB: Patient Report
Patient ID Control ID: Specimen ID:
Date collected. 0000 Local
1 )tsk
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Cate Issued: 11/30/18 0611 ET FINAL REPORT
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AN Rights Reserved - Interpose Report Version: 100
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LabCorp Patient Report
PalliallaKARYNA
DOB Patient ID: Control10:M Specimen ID
Date collected: 0000local
n Z911E
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
Date Issued: 11/30/180611 ET FINAL REPORT
This document contains private and confidential health information protected by state and federal Ian.
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Al Rights Reserved - Enterpnse Repon Version: 1.00
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