EU DIGITAL COVID CERTIFICATE

SURNAME: FIRST NAME:

Matei Marius-Minel

DATE OF BIRTH: PHONE NUMBER:

1989-03-08 4550348952

TEST RESULT:

NOT DETECTED (NEGATIVE) DETECTED (POSITIVE)

AGENT TARGETED: TEST TYPE:

SARS-CoV-2 (COVID-19) Rapid Antigen Test (RAT)

TEST NAME: TEST MANUFACTURER:

Standard Q COVID-19 AG Test (Nasal) SD Biosensor

TESTING LOCATION

Denmark, CPHMED Vallensbaek

DATE AND TIME OF SAMPLE COLLECTION:

2022-01-12 16:40:19

COMPANY RESPONSIBLE FOR THE TEST:

Sankt Annæ Plads 11
1250 Copenhagen K
CVR: 29519226

The scientific evidence on COVID-19 vaccination, test and recovery continues to evovle, including with regard to new virus variants
of concern.
Before travelling please check the applicable public health measures and related restrictions applicable at the point of destinations.
This certificate alone is not a travel document. Please remember to bring other relevant documents.
The person being tested is informed about the test procedure, possible outcome, the final result and that Copenhagen Medical A/S
shares the informations above including CPR-number/Date of birth with the Danish Health Authorities and accepts this.
The test is performed under medical delegations by Copenhagen Medical A/S and complies with applicable rules cf. the
publications 'The legal framework for offering test in relations to COVID-19 from the Danish Agency for Patiens Safety, the National
Board of Health and the Danish Medicne's Agency’ of 7 October 2020.
The test result is quality controlled and verified by:

Questions regarding the test must be addressed to:

Copenhagen Medical A/S +45 61 40 44 49 CVR: 29519226

Sankt Annæ Plads 11,1. Support@cphmed.com
1250 København K www.cphmed.com
Denmark