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Clinic New Medicine Technology Arhimed

Address: Moscow, st. Vavilova, 68, building 2


License No. LO-77-01-008866 dated August 27, 2014
Contact + 7 (499) 288-07-29
Mail: arhimed@arhimedlab.com 910000036341
Request form №: 910000036341 GC-MARK CERTIFICATE: ISO 15189:2012
Certificate registration no. 545001 GC
Surname/ Forename: MAKSIM LIMAROV
EMG:
Passport No: 0501316328 Ленинским РУВД гор. 98/79 EC Directive
Владивостока ISO 13485:2016
Nationality: EN ISO 14971:2012
Date of birth: 25.11.1979 Sex: M EN ISO 15223-1:2014EN
Sample type: a combined throat and nose swab for COVID-19 ISO 18113-1 :2011
Date of collection: 27.12.2020 17:00 EN ISO 18113-2 :2011
EN ISO 13612 :2002
EN ISO 23640 :2015
EN 13641:2002

Coronavirus SARS-CoV-2 Real Time PCR (Smart technology EVOTECH-MIRAI GENOMICS LLC)
Test Result Standard
Testing on Coronavirus SARS CoV2,
negative negative
COVID -19
Comment: Attention! The negative test result for Coronavirus SARS CoV2 (COVID-19) does not cancel quarantine if
recommended by Rospotrebnadzor (Russian Federal Service for Surveillance on Consumer Rights Protection and
Human Wellbeing).
For advice on quarantine issues, please contact the Rospotrebnadzor Call Center by phone +7-800-555-49-43.
All test results for Coronavirus SARS CoV2 (COVID-19) are reported to Rospotrebnadzor obligatorily.

Date of analysis: 27.12.2020


18:02:28
Potapov V.A.
27.12.2020
Date of document issue: 18:09:14

QR code to check the result in the


database. Password: 755543

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