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REVISED Patient: Patient #: Doctor: Test, Patient 1-24777 Doctor, Test Birth: Age: Gender: 1/14/1993 23 years Female Acc #: 23404 Collection Date: Received in Lab: 1/26/2016 4:08 PM SPECIMEN VALIDITY TESTING TEST Glucose Protein Bilirubin Urobilinogen pH Blood Ketone Nitrite Leukocytes Clarity Specific Gravity Color Ascorbic Acid TEST MEASURED OUTCOME RESULT REFERENCE RANGE Abnormal 50 <20 (Max >500) Abnormal 100 <20 (Max >500) Normal Negative <1.8 (Max >4) Normal Negative <1.6 (Max >4) Normal 6 5-9 Normal Negative <0.02 (Max >1) Normal Negative <3 (Max >80) Normal Negative <0.04 Negative Normal Negative <15 (Max >500) Normal Clear Clear/Cloudy/Turbid Normal 1.022 1 - 1.06 Abnormal Brown Yellow/Amber/RGB Normal Negative <17 (Max >40) Originally Reported On: 1/29/2016 5:16 PM Printed: 1/29/2016 5:28 PM Page 2 of 5 Accession: 23404 Patient ID: 1-24777 Lab Results For: Patient Test STAT[S] Corrected [C] Added [A] REVISED Patient: Patient #: Doctor: Test, Patient 1-24777 Doctor, Test Test Name Urinalysis (UA) Glucose Protein Bilirubin Urobilinogen pH Blood Ketone Nitrite Leukocytes Clarity Specific Gravity Color Ascorbic Acid Super Panel Amphetamine Methamphetamine Alprazolam Alphahydroxyalprazola m Clonazepam 7-Aminoclonazepam Diazepam Nordiazepam Lorazepam Oxazepam Temazepam 6-MAM Cocaine Benzoylecgonine MDA MDEA MDMA PCP THC (Tetrahydrocannabinol) Codeine Morphine Hydrocodone Norhydrocodone Hydromorphone Oxycodone Noroxycodone Oxymorphone Buprenorphine Norbuprenorphine Fentanyl Birth: Age: Gender: 1/14/1993 23 years Female Acc #: 23404 Collection Date: Received in Lab: 1/26/2016 4:08 PM Outcome Measured Result Cutoff Units Illicit? Status Abnormal Abnormal Normal Normal Normal Normal Normal Normal Normal Normal Normal Abnormal Normal 50 100 Negative Negative 6 Negative Negative Negative Negative Clear 1.022 Brown Negative <20 (Max >500) <20 (Max >500) <1.8 (Max >4) <1.6 (Max >4) 5-9 <0.02 (Max >1) <3 (Max >80) <0.04 Negative <15 (Max >500) Clear/Cloudy/Turbid 1 - 1.06 Yellow/Amber/RGB <17 (Max >40) mg/dL mg/dL mg/dL mg/dL Negative Negative Negative Negative <25 <10 <10 <10 ng/mL ng/mL ng/mL ng/mL No Yes No No Run by: CT on 1/29/2016 9:21 AM Consistent Result Consistent Result Consistent Result Consistent Result Negative Negative Negative Negative Negative Negative Negative Negative Positive Positive Negative Negative Negative Negative Positive <25 <25 <10 <10 <10 <10 <10 <10 <10 <10 <10 <10 <25 <10 <125 ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Inconsistent Result Inconsistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Inconsistent Result Inconsistent Result Consistent Result Consistent Result Consistent Result Consistent Result Inconsistent Result <25 <10 <10 <25 <10 <10 <25 <10 <10 <10 <10 ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL ng/mL No No No No No No No No No No No Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Consistent Result Run by: CT on 1/29/2016 5:26 PM Negative Positive Negative Negative Positive Negative Negative Negative Negative Negative Negative Originally Reported On: 1/29/2016 5:16 PM Printed: 1/29/2016 5:28 PM Page 3 of 5 50 35 500 1000 30 mg/dL mg/dL mg/dL WBCs/uL mg/dL Accession: 23404 Patient ID: 1-24777 Lab Results For: Patient Test STAT[S] Corrected [C] Added [A]