SARS-CoV-2 Report

PreCheck Health Services, Inc

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100 Biscayne Boulevard, Suite 1212,

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Miami, FL 33132
Phone #: 305.203.4711
CLIA #: 10D2210020

Patient Information Physician Information Sample Information

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Name: JOSEF PRESCHEL Name: LOURDES M. TRIGO M.D. Specimen Type: Nasopharyngeal Swab
Medical Record #: Address: LOCATEL NORTH Requisition#:
DOB: 07/31/1976 1715 E HALLANDALE BEACH BLVD Accession#: PCH21-03290
Age/Sex: 45/M HALLANDALE BEACH, FL 33009-4621 Date Collected: 11/ 06/2021 10:00 AM
Address: 3323 NE 163 ST, North Miami Phone: 954.416.1200 Date Received: 11/06/2021 03:00 PM
Beach, FL 33160 Date Reported: 11/06/2021 08:18 PM
Phone #:

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Email: JOSEF@PRESCHEL.COM

SARS-CoV-2 (COVID-19) PCR: NEGATIVE

Test Result

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SARS-CoV-2 NOT DETECTED

Final Report released on: 11/06 /2021 at 08:18 PM

Pathogens Tested: SARS-CoV-2

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Methodology and Clinical Significance: This SARS-CoV-2 test is a real-time reverse transcription polymerase chain reaction (RT-
PCR) assay intended for the in vitro qualitative detection of nucleic acid from severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2). This test is used for diagnostic purposes.
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The Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for this assay for the duration of the
declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/
or diagnosis of COVID-19. This assay has been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any
other viruses or pathogens. This test has not been FDA cleared or approved. Verification of performance characteristics of this
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assay were performed by PreCheck Health Services, Inc. that is certified under the Clinical Laboratory Improvement
Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing.
A result of “Not Detected” does not rule out nucleic acid concentrations below the limit of the assay or the presence of PCR
inhibitors in the patient specimen. Improper collection and handling can cause false negatives. Negative results do not preclude
SARS-CoV-2 infection. False positives can be caused by PCR contamination. Clinical correlation is indicated to determine patient
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infection status.

Laboratory Director : Lourdes M. Trigo, M.D.

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