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Safeguard DNA Diagnostics

Unit 103-106 G Business Hub Building,728 Shaw


Boulevard, Mandaluyong City Covid-19 Report
(02) 296-7595
Laboratory Director: Rodelio D. Lim, M.D. F.P.S.P

Patient Information Specimen Information Facility Information


Name: MA. FLORDELIZA VILLAR Accession Number: COV−094059 Facility Name: Safeguard DNA Diagnostics
Inc.
DOB: 01/03/1998 Date Collected: 11/26/2020 04:00 PM
Provider Name: Dr. Rodelio Lim
Gender: F Date Received: 11/26/2020 05:30 PM
Address: Unit 103-106 G Business Hub 728
Nationality: FILIPINO Report Date: 11/27/2020 10:29 AM Shaw Boulevard Brgy. Wack-Wack,
Passport Number: P5852923A Sample Type: Combination Swab Mandaluyong city, 1550

Clinical Notes from Ordering Physician:

Covid-19 Test Result Summary


SARS-COV-2 VIRAL RNA - NOT DETECTED
Results Comment: Negative for SARS-CoV-2

Processing and Detection Methodology:


Test Performed:
SARS-CoV-2 (causative agent of COVID-19) virus detection by Real-Time Polymerase Chain Reaction.

Test Description:
The test includes Ribonucleic Acid (RNA) extraction with RT-PCR amplification and detection of SARS-Cov-2 virus gene, with positive and negative controls on each run.
Detection is dependent on the concentration of viral RNA in the specimen and the stage of disease. Quality of the specimen collection can affect the test results.
This test was developed, and its performance characteristics determined by, Co-Diagnostics Inc. It has received EUA approval by the Philippine and U.S. FDA. This test is used
for clinical purposes and should not be regarded as investigational or for research. This test has been validated in accordance with the FDA's Guidance Document ,Policy for
Diagnostics Testing in Laboratories Certified to Perform High Complexity Testing under CLIA prior to Emergency Use Authorization for Coronavirus Disease-2019 during the
Public Health Emergency, issued on February 29th, 2020. Safeguard DNA Diagnostics Inc. laboratory has been inspected by WHO, DOH and RITM and licensed by the
Philippine Department of Health as a COVID-19 testing laboratory.

This report has been electronically validated. No additional signature is required.

Disclaimer: This laboratory result should be interpreted together with the available clinical and epidemiological information. Please see SDDI.com.Ph for more information.

If Final Result is: Interpretation is:

SARS-CoV-2 viral RNA - DETECTED Positive for SARS-CoV-2 (causative agent of COVID-19)

SARS-CoV-2 viral RNA - NOT DETECTED Negative for SARS-CoV-2 (causative agent of COVID-19)

SARS-CoV-2 viral RNA - INCONCLUSIVE Negative for test internal control (most likely poor specimen quality)

This test was performed by Safeguard DNA Diagnostics, Unit 103-106 G Business Hub Building,728 Shaw Boulevard, Mandaluyong City Phone:(02) 296-7595

Patient - MA. FLORDELIZA VILLAR Accession - COV−094059 Page 1 of 1


This corrected report, associated with order #COV-094059, has been approved by the following
reviewers:

Correction Reason: Regenerated Report to Update Patient Details. Laboratory Technologist:


Electronically signed and dated on 11/27/2020 10:37 AM
Ben Rjee B. Yeo, RMT #0076224

Correction Reason: Regenerated Report to Update Patient Details. Senior Laboratory Technologist:
Electronically signed and dated on 11/27/2020 10:39 AM
Nionald L. Ong, RMT #0052567

Correction Reason: Regenerated Report to Update Patient Details. Pathologist:


Electronically signed and dated on 11/27/2020 10:40 AM
Dr. Rodelio Lim, M.D. F.P.S.P #0060854

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