Report Status: Partial
raj Quest
Diagnostics SHULIAK, KARYNA
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #:
SHULIAK, KARYNA
Requisition: 0007032 MOSKOWITZ, BRUCE W
DOB: 05/31/1989 AGE: 29 BRUCE MOSKOWITZ, MD
Gender: F Attn: NATIONWIDE ACCOUNT
Collected: 12/06/2018
Phone: 1411 N FLAGLER DR STE 7100
Received: 12/06/2018 / 20:12 EST
Patient ID: WEST PALM BEACH, FL 33401.3418
Reported: 12/10/2018 / 10:27 EST
ViliAP Hams Tn Ranee. Out Of Amino Rpfprpncp Ranao Lab
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 1 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522213
RkportStatus:Pardal
Quest
Diagnostics SHULIAK, -
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #
SHULIAK, KARYNA
Collected: 12/06/2018 MOSKOWITZ. BRUCE W
DOB: AGE:■ Received: 12/06/2018 / 20:12 EST
Gender: F Reported: 12/10/2018 / 10:27 EST
Patient ID:
Teat Name In Range Out Of Range Reference Range Lab
Endnote I Please fax this signed form to Please do
not attempt to return this document by other methods.
Documents will not be viewed by a representative. Please
do not use this fax number for other service requests.
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 2 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522214
Report Status: Partial
raj
—•
Quest
Diagnostics' SHULIAK,
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #
SHULIAK, KARYNA
Collected: 12/06/2018 MOSKOWITZ, BRUCE W
DOB AGE. Received: 12/06/2018 120:12 EST
Gender: F Reported: 12/10/2018 10:27 EST
Patient ID:
PERFORMING SITE:
MI QUEST DIAGNOSTICSNIIAMI IMO COMMERCE PARKWAY. MIRAMAR. FL 33015.3938 Laboratory Diector: JULIE L FRIEDMAN.MD. CLIA: 11/D0277311
TP QUEST DIAGNOSTICSTAMPA. 1225 E FOWLER AVE TAMPA. FL 33617.2026 Laboratory Director GLEN L HORTIN.MD.PIID. CUA: 1000291120
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 3 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522215
Report Status: Partial
1 1) Quest
Diagnostics SHULIAK, KARYNA
Patient Information Specimen Information Client Information
Specimen: MR190205P Client W
SHULIAK, KARYNA
Collected: 12/06/2018 mosicowin, BRUCE W
DOB: Received: 12/06/2018 / 20:12 EST
Gender: F Reported: 12/10/2018 10:27 EST
Patient ID:
Teat Name In Range Out Of Range Reference Range Lab
PERFORMING SITE:
TP QUEST DIAGNOSTICSTAMPA 4223 E FOWLER AVE TAMPA FL 33617.2026 MEDICAL DIRECTOR: GLEN L HORTIN.MD.PHDCLIA NO: 1000291120
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 4 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522216
AI Analysis
Summarize this document or ask questions about its contents using Claude.
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Report Status: Partial
raj Quest
Diagnostics SHULIAK, KARYNA
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #:
SHULIAK, KARYNA
Requisition: 0007032 MOSKOWITZ, BRUCE W
DOB: 05/31/1989 AGE: 29 BRUCE MOSKOWITZ, MD
Gender: F Attn: NATIONWIDE ACCOUNT
Collected: 12/06/2018
Phone: 1411 N FLAGLER DR STE 7100
Received: 12/06/2018 / 20:12 EST
Patient ID: WEST PALM BEACH, FL 33401.3418
Reported: 12/10/2018 / 10:27 EST
ViliAP Hams Tn Ranee. Out Of Amino Rpfprpncp Ranao Lab
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 1 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522213
RkportStatus:Pardal
Quest
Diagnostics SHULIAK, -
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #
SHULIAK, KARYNA
Collected: 12/06/2018 MOSKOWITZ. BRUCE W
DOB: AGE:■ Received: 12/06/2018 / 20:12 EST
Gender: F Reported: 12/10/2018 / 10:27 EST
Patient ID:
Teat Name In Range Out Of Range Reference Range Lab
Endnote I Please fax this signed form to Please do
not attempt to return this document by other methods.
Documents will not be viewed by a representative. Please
do not use this fax number for other service requests.
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 2 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522214
Report Status: Partial
raj
—•
Quest
Diagnostics' SHULIAK,
Patient Information Specimen Information Client Information
Specimen: MR190205P Client #
SHULIAK, KARYNA
Collected: 12/06/2018 MOSKOWITZ, BRUCE W
DOB AGE. Received: 12/06/2018 120:12 EST
Gender: F Reported: 12/10/2018 10:27 EST
Patient ID:
PERFORMING SITE:
MI QUEST DIAGNOSTICSNIIAMI IMO COMMERCE PARKWAY. MIRAMAR. FL 33015.3938 Laboratory Diector: JULIE L FRIEDMAN.MD. CLIA: 11/D0277311
TP QUEST DIAGNOSTICSTAMPA. 1225 E FOWLER AVE TAMPA. FL 33617.2026 Laboratory Director GLEN L HORTIN.MD.PIID. CUA: 1000291120
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 3 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522215
Report Status: Partial
1 1) Quest
Diagnostics SHULIAK, KARYNA
Patient Information Specimen Information Client Information
Specimen: MR190205P Client W
SHULIAK, KARYNA
Collected: 12/06/2018 mosicowin, BRUCE W
DOB: Received: 12/06/2018 / 20:12 EST
Gender: F Reported: 12/10/2018 10:27 EST
Patient ID:
Teat Name In Range Out Of Range Reference Range Lab
PERFORMING SITE:
TP QUEST DIAGNOSTICSTAMPA 4223 E FOWLER AVE TAMPA FL 33617.2026 MEDICAL DIRECTOR: GLEN L HORTIN.MD.PHDCLIA NO: 1000291120
CLIENT SERVICES: 866.697.8378 SPECIMEN: MR190205P PAGE 4 OF 4
Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
EFTA00522216