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Acadian Diagnostic Laboratories,LLC 11842 Justice Ave., Baton Rouge, LA 70816 Phone: (225)448-5886 Fax: (225)292-5956 Director: Jason Gregorio, MD CLIA #: 19D2062876 Client: ACADIAN DIAGNOSTIC LAB Doctor: Test Doctor Patient: TEST PATIENT DOB: 10/15/1980 Gender: Female Collected: 06/24/2016 Accessioned: 06/27/2016 Prescribed Medications: Lab Acc#: 1606230047 Specimen Type: Urine Reported: 6/28/2016 Adderall, Fentanyl, Hydrocodone, Lortab CONFIRMATION RESULTS SUMMARY Prescribed: Drug / Metabolite Amphetamine Fentanyl Hydrocodone Norfentanyl Result POSITIVE Not Detected Not Detected POSITIVE Interpretation CONSISTENT See Remarks INCONSISTENT CONSISTENT Not-Prescribed: Drug / Metabolite ETS Result POSITIVE Interpretation INCONSISTENT *The interpretation section provides interpretive assistance based on recognized prescribed medication(s), but may not cover all drug use scenarios or clinical circumstances. Test results should be used together with clinical observation and professional judgement to make treatment decisions. The interpretation section utilizes the LC MS/MS data only. 1'Consistent' indicates that the result is consistent with the medication(s) that have been listed as prescribed on the patient requisition. CONFIRMATION RESULTS Analyte Results Cutoff Conc. Analyte Results Cutoff Benzodiazepines 7-Aminoclonazepam Not Detected 50 ng/mL a-Hydroxyalprazolam Not Detected 50 ng/mL Alprazolam Not Detected 50 ng/mL Clonazepam Not Detected 50 ng/mL Diazepam Not Detected 50 ng/mL Lorazepam Not Detected 50 ng/mL Nordiazepam Not Detected 50 ng/mL Oxazepam Not Detected 50 ng/mL Temazepam Not Detected 50 ng/mL 7-Aminoflunitrazepam Not Detected 50 ng/mL alpha-Hydroxymidazolam Not Detected 50 ng/mL Desalkylflurazepam Not Detected 100 ng/mL Estazolam Not Detected 50 ng/mL Flurazepam Not Detected 50 ng/mL N-Desmethylclobazam Not Detected 50 ng/mL Phenazepam Not Detected 50 ng/mL 6-Acetylmorphine Not Detected 10 ng/mL Buprenorphine Not Detected 20 ng/mL Codeine Not Detected 100 ng/mL Fentanyl Not Detected 10 ng/mL Meperidine Not Detected 100 ng/mL Methadone Not Detected 50 ng/mL Morphine Not Detected 100 ng/mL Naloxone Not Detected 10 ng/mL Naltrexone Not Detected 50 ng/mL Norbuprenorphine Not Detected 25 ng/mL Norfentanyl POSITIVE 10 ng/mL Normeperidine Not Detected 100 ng/mL O-Desmethyltramadol Not Detected 100 ng/mL Oxycodone Not Detected 50 ng/mL Oxymorphone Not Detected 100 ng/mL Propoxyphene Not Detected 50 ng/mL Tapentadol Not Detected 25 ng/mL Tramadol Not Detected 100 ng/mL N-Desmethyltapentadol Not Detected 25 ng/mL Pentazocine Not Detected 50 ng/mL Norhydrocodone Not Detected 100 ng/mL Opiates 20 ng/mL Sleep Aids/Muscle Relaxants Carisoprodol Not Detected 100 ng/mL Meprobamate Not Detected 100 ng/mL Zolpidem Not Detected 50 ng/mL Zopiclone/Eszopiclone Not Detected 25 ng/mL Zaleplon Not Detected 50 ng/mL Amphetamine POSITIVE 100 ng/mL MDA Not Detected 100 ng/mL MDEA Not Detected 100 ng/mL MDMA Not Detected 100 ng/mL Methamphetamine Not Detected 100 ng/mL Methylphenidate Not Detected 100 ng/mL Phentermine Not Detected 100 ng/mL Ritalinic Acid Not Detected 25 ng/mL Stimulants TCA 200 ng/mL Conc. Client: Patient: Doctor: DOB: Lab Acc#: Specimen Type: Reported: Gender: Accessioned: CONFIRMATION RESULTS Results Analyte Cutoff Conc. Analyte Results Cutoff Trazodone Not Detected 25 ng/mL Amitriptyline Not Detected 50 ng/mL Cyclobenzaprine Not Detected 50 ng/mL Desipramine Not Detected 50 ng/mL Desmethyldoxepin Not Detected 50 ng/mL Doxepin Not Detected 50 ng/mL Imipramine Not Detected 50 ng/mL N-Desmethylclomipramine Not Detected 25 ng/mL Nortriptyline Not Detected 50 ng/mL 50 ng/mL JWH-073 3-Hydroxybutyl Not Detected 50 ng/mL Not Detected 100 ng/mL Primidone Not Detected 50 ng/mL Not Detected 50 ng/mL Nicotine Not Detected 25 ng/mL 3-Desmethylprodine (MPPP) Not Detected 50 ng/mL 3,4-MDPV Not Detected 50 ng/mL 4-Methylethcathinone (MEC) Not Detected 50 ng/mL Synthetics/Cannabinoid JWH-018 4-Hydroxypentyl Not Detected Anti-Epileptic/Anticonvulsant Pregabalin Nicotine/Tobacco Cotinine Bath Salts Illicits/Other Benzoylecgonine Not Detected 25 ng/mL Cocaine Not Detected 25 ng/mL Phencyclidine Not Detected 25 ng/mL Ketamine Not Detected 50 ng/mL Norketamine Not Detected 50 ng/mL POSITIVE 500 ng/mL Ethyl Glucuronide Not Detected 500 ng/mL Oxidants/Bleach 1 < 200 ug/mL Creatinine 50 20-200 mg/dL pH 5.9 4.5-8.9 Specific Gravity 1.015 1.003-1.035 g/mL Ethyl Glucuronide Ethyl Sulfate 750 ng/mL Specimen Validity POCT - Performed By Test Doctor 11842 Justice Ave. Baton Rouge, LA 70816 Amphetamine NEGATIVE Benzodiazepines NEGATIVE Barbiturates NEGATIVE Buprenorphine NEGATIVE Cocaine NEGATIVE Methadone NEGATIVE Methamphetamine NEGATIVE Ecstasy NEGATIVE Opiates POSITIVE Oxycodone NEGATIVE Phencyclidine NEGATIVE Tricyclics NEGATIVE Cannabinoids POSITIVE Norfentanyl is a metabolite of Fentanyl (e.g. Duragesic, Fentora, Actiq, Sublimaze, Lazanda). Amphetamine is a metabolite of Methamphetamine (e.g. Desoxyn). Amphetamine is also available as a prescription drug (e.g. Adderall, Dexedrine, Dextrostat, Biphetamine, Vyvanse). Conc.