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Reference #:
Age: 81 years Gender: M Patient ID:
Date of Birth: Jun 08 1940 Referring Site ID: FC26192677-1-17
Address: 100 International Blvd.
HC #: Toronto, Ontario
Canada M9W 6J6
Patient's Phone: (289) 952-7746 Date of Service: Dec 06 2021 15:16
Telephone: (877) 849-3637
Reported on: Dec 07 2021 07:16 Toll Free: (877) 849-3637
Ordered by: FLYCLEAR Fax: (905) 795-9891
Copy To:
Test Flag Result Reference Range - Units Lab Lic. #
Virology
COVID-19 #5812
Specimen Source BILATERAL NASAL
Collection Date 06-DEC-2021
Collection Time 15:16
Covid-19 Coronavirus RNA COVID-19 RNA: Negative
Lab - 5812: Multiplex Genomics - Hanlon Site, 574 Hanlon Creek Blvd, Guelph, ON.
FINAL RESULTS Page 1 of 1 Printed on: 2021-12-07 07:21