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 Lab Report

Avelino, Ursula S Brandeis, Vincent 02961-PZ-22203

DOB 09/14/1977 LABWORQ Date Collected 07/22/2022 6:26PM
Phone 455 Graham Avenue Date Received 07/23/2022 12:30AM
MRN# 1658528793 646.450.4344 Date Reported 07/23/2022 8:41AM
Email ursula.avelino7@gmail.com Brooklyn, NY 11222 Specimen Source Nasopharyngeal

SARS-CoV-2 (COVID-19)

Pathogens Tested
SARS-CoV-2 RNA Not Detected
A Not Detected (negative) test result for this test means that SARS-CoV-2 RNA was not present within the specimen above the limits of detection. A negative result
does not rule out the possibility of SARS-CoV-2 and should not be used as the sole bases for treatment, or patient management decisions. If SARS-CoV-2 is still
suspected based on exposure history and clinical findings, re- testing should be considered in consultation with public health officials. Laboratory tests should always be
considered in context of clinical observations and epidemiology data in making final diagnosis and patient management decisions. The SARS-CoV-2 test is intended for
the qualitative detection of nucleic acid from SARS-CoV-2 from patients who meet COVID-19 clinical and/or epidemiological criteria.

REFERENCE RANGE: NOT DETECTED

Reviewed and Accepted by Dr. Kenneth Hennrick

TESTING METHODOLOGY:

Real Time RT-PCR SARS-CoV-2 Multiplex Detection of SARS-CoV-2 COVID-19

DISCLAIMER:

Due to the public health emergency, we serve all patients during this emergency crisis, samples from appropriate clinical resources are being tested. Negative test results
derived from non-commercially manufactured collection and transport media, or in collection kits not authorized by FDA for SARS-CoV-2 testing should not be performed or
evaluated to ensure proper precautions are being performed, and patient safety. To ensure quality results, additional clinical monitoring, and a collection of a new specimen
with proper FDA collection material will be requested. This test is used for clinical purposes. A result of "Not Detected" does not rule out nucleic acid concentrations below the
limit of detection of the assay or the presence of PCR inhibitors in the patient specimen. Improper specimen handling can cause false negatives. False positives can be
caused by PCR contamination and should be further examined.
This assay is a Laboratory Developed Test (LDT) and has not been cleared or approved by the U.S. Food and Drug Administration (FDA).

This test has been authorized to be processed, tested, and analyzed at ProPhase Diagnostics which is certified under the Clinical Laboratory Improvement Amendments of
1988 (CLIA), 42 U.S.C. §263a, and meets requirements to perform high complexity tests.

Reporting Laboratories:
(1) Prophase Labs, Inc NY (CLIA ID: 33D2215033), Medical Director: Hennrick, Kenneth, M.D., 711 Stewart Ave, Ste 200, Garden
City, NY 11530, 5164646121
Results sent to: Mirth (Host Interface)

Lab Report REPRINT: Orig. printing on Page 1 of 1 Avelino, Ursula S, Order ID: 02961-PZ-22203

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