1600 Dempster St. Park Ridge, IL 60068, Ste#103 Phone: 224-888-3033 Fax: 224-203-5608
CLIA# 14D2267447
Laboratory Director Yevgeny Bulbin, MD
Email infocarecentrics@gmail.com
This SARS-COV2 PCR/NAAT Test has been authorized by the FDA under an EUA for use by authorized laboratories. Its performance characteristics were determined by CareCentrics Lab.
| Collected By: | Collection Site: | Specimen Type: |
|---|---|---|
| I.K | On site | Nasal Swab |
| Test ID : | $q26 | COMMENTS |
|---|---|---|
| Instrument Serial Number: | $q3 | Lab Technician |
| Result Reported: Date , Time: | Date: $ttd, Time: $ttm | Vyacheslav Prykhodko |
| Patient Name: | $nnm | Test name | Reference Range: |
|---|---|---|---|
| DOB: | $dob | $q26 | Negative |
| MRN: | $q10 | Test Result | |
| Test: | $q33 | $q35: | |
| Test: | $q51 | $q53: |
This report has been electronically signed by Yevgeny Bulbin, MD