ANALYSIS REPORT

Patient Number Birthdate Sex Page

LABORATORIO CLINICO LA 116
CENTRO COMERCIAL PLAZA GUANICA Col. Tec. Med. P.R. 0004612-00 11/18/1978 F 1
Pat. No.: 0000342
BO CANO CARR 116 KM 24 HM 7
GUANICA, PR 00653-8442
Paid 5 Cents Physician Name
Exp: 4/30/2023
DIRECTOR: LCDA LISBETH LUGO Num: 000061900 LASALLE-RODRIGUEZ, MARINAIDA
LIC # 1319 CLIA # 40D2082435 TEL: (787) 821-7697 FAX: (787) 821-7697
Origin / Special Instructions

ª*Ÿ&3Ÿ#¬
000030018 L001 ENVIO A MISRESULTADOS

Request Reference Ordered On Supervisor

MERCADO-CINTRON, VIRGINIA 6/01/2022 7:26AM LLN
BO LA LUNA
CALLE 3 CASA 591 C001:004612-000 Reported On M.T.
GUANICA, PR 00653-9998 6/01/2022 7:59AM AAVR

Test Units Results Graphic Normal Range

SARS-CoV ANTIGEN RAPID TEST

SARS-CoV-2 ANTIGEN NEGATIVE
NEGATIVE
BY: CARESTART
CareSTART COVID-19Ag rapid Test Does NOT Differentiate Between SARS-CoV-2.
Results are for the identification of the SARS-CoV-2 nucleocapsid protein
antigen.The antigen is generally detectable in nasopharyngeal or anterior
nasal swab specimens during the acute phase of infection. Positive results
indicate the presence of viral antigens, but the clinical correlation with
patient history and other diagnostics information is necessary to determine
infection status.
Limitations:
The performance of this test has not yet been clinically validated for
use in patient without signs and symtoms of respiratory infection,
of for serial screening applications when tested twice over two or
three days with at least 24 hours and no more than 48 hours between
tests and performance may differ in these populations. A study to support
use for serial testing will be completed.
*** The CareSTART Covid-19 Antigen is only for use under the Food and Drug
Administration's (FDA) Emergency Use Authorization (EUA) ***
TEST VALIDADED BY: L:9305-AA VELEZ 6/01/2022 7:59AM
Sample ID: 000085741 Collected: 6/01/2022 7:26AM *Lab Received: 6/01/2022 7:26AM

ORIGINAL