Transcription
LabCorp3060 S Church Street Testmaster TestingPhone: 336 436 2762Burlington, NC 27215Laboratory Corporation of AmericaSpecimen NumberPatient IDControl Number337 988 9606 0Patient Last Name SAMPLEPatient First Name 004440Patient SS#Age (Y/M/D)Date of Birth26/10/2001/11/9090000999336 436 8645Route 00Account AddressTotal VolumeSex FAccount Phone NumberLabCorp Test MasterTest Account3060 South Church StreetBurlington NC 27215Patient Middle NamePatient PhoneAccount NumberFastingAdditional Information NORMALPatient AddressREPORTDate and Time Collected12/01/16 00:00Date EnteredDate and Time ReportedPhysician NameNPIPhysician ID12/02/16Tests OrderedACTH, PlasmaTESTSRESULTFLAGUNITSREFERENCE INTERVALACTH, Plasma25.2pg/mL7.2 63.3ACTH reference interval for samples collected between 7 and 10 AM.SPACE01LAB01BNLabCorp BurlingtonDir: William F Hancock, MD1447 York Court, Burlington, NC 27215 3361For inquiries, the physician may contact Branch: 800 222 7566 Lab: 336 436 2762SAMPLE, 004440337 988 9606 0Seq # 0000
12/05/16 09:21 ETDUPLICATE FINAL REPORTThis document contains private and confidential health information protected by state and federal law.If you have received this document in error, please call 800 762 4344LabCorpPage 1 of 1 2004 16 Laboratory Corporation of America HoldingsAll Rights ReservedDOC1 Ver: 1.493060 S Church Street Testmaster TestingPhone: 336 436 2762Burlington, NC 27215Laboratory Corporation of AmericaSpecimen NumberPatient IDControl Number337 988 9607 0Patient Last Name SAMPLEPatient First Name 004440Patient SS#Age (Y/M/D)Date of Birth26/10/2001/11/90Total VolumeSex FAccount Phone Number90000999336 436 8645Route 00Account AddressPatient Middle NamePatient PhoneAccount NumberFastingLabCorp Test MasterTest Account3060 South Church StreetBurlington NC 27215Additional Information ABNORMALPatient AddressREPORTDate and Time Collected12/01/16 00:00Date EnteredDate and Time ReportedPhysician NameNPIPhysician ID12/02/16Tests OrderedACTH, PlasmaTESTSRESULTFLAGUNITSREFERENCE INTERVALACTH, Plasma2.2 Lowpg/mL7.2 63.3ACTH reference interval for samples collected between 7 and 10 AM.SPACE01BNLabCorp BurlingtonDir: William F Hancock, MD1447 York Court, Burlington, NC 27215 3361For inquiries, the physician may contact Branch: 800 222 7566 Lab: 336 436 2762LAB01
SAMPLE, 00444012/05/16 09:21 ET337 988 9607 0DUPLICATE FINAL REPORTThis document contains private and confidential health information protected by state and federal law.If you have received this document in error, please call 800 762 4344Seq # 0000Page 1 of 1 2004 16 Laboratory Corporation of America HoldingsAll Rights ReservedDOC1 Ver: 1.49
Report Status: FinalQuest DiagnosticsPatientInformationSpecimen InformationAGE:Client atient ID:Collected:Received:Reported ;Test NameACTH, PLASMAIn Range16Out Of Range Reference Range6—50 pg/mLAMD
CLIENT SERVICES: 866.697.8378SPECIMEN:PAGE I OF 1Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks ofQuest Diagnostics.
3060 S Church Street Testmaster Testing Laboratory Corporation of America Burlington, NC 27215 Phone: 336 436 2762 Specimen Number 337 988 9606 0 336 436 8645 Patient ID Control Number Account Number 90000999 Account Phone Number Route 00 Patient Last Name SAMPLE Account Address LabCorp Test Master Test AccountPatient First Name
