DEPARTMENT OF LABORATORIES

Form No.:
MOLECULAR BIOLOGY LABORATORY MD-LAB-374-Ø
McArthur Highway, Brgy. Parian, City of San Fernando, 2500 La Union
 (072) 607-64-18; 607-64-22 Local 188  itrmc.mbl@gmail.com Revision No.:
Ø
CoVID-19 TEST REPORT Page No.:
Page 1 of 1

Referring Institution (incl. address):

REGIONAL HEALTH SERVICE POLICE REGIONAL - BAUANG, LA UNION

Patient Name (Last Name, Given Name, Middle Name): Laboratory Accession No.: COVID-ITR21-039268
Age: 24 Gender: MALE
DELOS SANTOS, FIDEL Date of Birth: 05/03/1996
Passport No.: -
Location: Patient Address:

Region: I Ward: N/A CENTRAL EAST, BAUANG, LA UNION

Date and Time (mm/dd/yyyy hh:mm)
Type of Specimen:
Collected on: Specimen Receipt: Performed on:

OPS & NPS 02/20/2021 10:32 AM 02/22/2021 08:00 AM 02/22/2021 09:00 AM

SARS-CoV-2 Nucleic Acid Detection by Real Time Reverse Transcriptase-

Test Performed:
Polymerase Chain Reaction (rRT-PCR)

TEST RESULT

>>> SARS-CoV-2 (causative agent of COVID-19) viral RNA NOT detected

Interpretation: NEGATIVE for SARS-CoV-2 (causative agent of CoVID-19).

Result and Unit or Measure : NONE
Biological Reference Interval : NONE

Interpretation of Results:
SARS-CoV-2 viral RNA detected POSITIVE for SARS-CoV-2
SARS-CoV-2 viral RNA not detected NEGATIVE for SARS-CoV-2
Negative for test internal control (most likely due to poor
Invalid due to specimen quality
specimen quality).
NOTE: Interpretation of results must account for the possibility of false negative and false positive results
considering the integrity of referred samples (i.e. specimen quality, improper collection, storage and
transport). All results should be interpreted by a health care professional in the context of patient medical
history and clinical symptoms. This test cannot rule out diseases caused by other pathogens. A negative
result for any RT-PCR test does not conclusively rule out the possibility of infection.
Comments/Remarks:

Encoded: Performed:

CHRISTIAN LEO A. ANTONIO II

DENNIS BRYAN A. VALDEZ, RMT
Analyst | Lic. No. 0070895
Validated: Noted:

WILSON LEAL LARANANG, RMT, MSc JIMMY S. ROSALES, MD, DPSP

Laboratory Supervisor | Lic. No. 0043929 Head, Molecular Biology Laboratory | Lic. No. 0125326

This report has been electronically signed out. Released on: 2/23/2021 9:00 AM

*Call or email us during office hours to verify

authenticity of test report released.