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PCR-KEDDICI_YACINE

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FINAL

140 58 ST BLDNG A UNT 3L, BROOKLYN, NY 11220-2539

Phys: LABQ MOBILE TESTING 2853

14058 Street

BROOKLYN, NY 11220

(718) 784-5227

MARTIN KING PH.D

Patient: KEDDICI, YACINE

DOB. 11/28/1990 Room#

Phone: (310) 855-4869

ID#: 43876784265

Passport:

Martin J. King, Ph.D.

Laboratory Director

CLIA ID# 33U1020120

Age:31 Sex:M

Route#: 0

Page:1 of 1

Acc# 2919372150 Coll. Date: 11/27/21 Recv. Date: 11/27/21

Chart# 1021650 Coll. Time: 04:23 PM Recv. Time:05:34 PM

Final Report Date:

Final Report Time:

11/28/21

10:25 AM

Test Name Result Out of Range Normal Range Units

Report Status: FINAL

Specimen Source: Nasopharyngeal

**********

COVID19 SARS-COV2 NEGATIVE NEGATIVE

Source:NP

This test has been authorized as an EUA for use by authorized

laboratories. Negative results do not preclude infection of the upper

respiratory tract. Test Methodology: RT-PCR

_________________________ END OF REPORT

Printed: 11/28/21 05:25 PM

L = Low; H = High; CL = Critical Low; CH = Critical High

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