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Leeuwarden

Voorstreek 21-23
8911 JH Leeuwarden

Amsterdam, 14-03-2022, 12:08

Dear Nosrat Arjomandzadeh,

Below you will find the results of your RT-PCR, SARS-CoV-2 test.
The test material has been examined by Holland Diagnostics BV.

Number: 04560122875089
Client: Nosrat Arjomandzadeh
Date of birth: 11-09-1985
Nationality: Dutch
Identification: Passport
ID Number: NV907KFR0
Material: Nasopharyngeal and oropharyngeal swab
Date and time test: 13-03-2022, 19:33
Date result: 14-03-2022, 12:08

INFECTION DIAGNOSTICS

PCR POSITIVE for SARS-CoV-2 (COVID-19)

INFECTION DIAGNOSTICS SARS-CoV-2 RNA PCR positive RNA of the novel coronavirus (SARS-CoV-2) was
detected in the submitted material. There is an indication of infection with SARS-CoV-2 at the time of
sampling (provided that there was correct material collection, storage and transport).

Medical validated MD C.D. Top,

Yours sincerely,

C.D. Top
Medical Director

Health Tests & Supplies B.V.

Spoedtest.nl
Robert Scottstraat 12
1056AX AMSTERDAM
(31)20-2443292
Info@spoedtest.nl

Medical Certificate
Order number: C2211006252 / TRC2210189529
Date 14-03-2022, 12:08

Name as in passport Nosrat Arjomandzadeh


Date of birth 11-09-1985
Passport number NV907KFR0

Results of sample number 04560122875089


As tested by Holland Diagnostics BV
This report is authorized by and released under the responsibility of accredited and certified
Clinical Microbiologists Jan C. Sinnige, MD * and Jayant S. Kalpoe, MD. PhD *

Used test method: RT-PCR, SARS-CoV-2 PCR by nasopharyngeal and oropharyngeal swab.

Unique sample code 04560122875089


Sample taken on date and time 13-03-2022, 19:33

Date received in our lab 14-03-2022, 12:08


Date result 14-03-2022, 12:08

Result PCR POSITVE for SARS-CoV-2 (COVID-19)

Medically validated by MD C.D. Top

* Jan C. Sinnige, MD. Clinical Microbiologist. Certification Id: 89911037901


, Jayant S. Kalpoe, MD. PhD, Clinical Microbiologist, Certification Id: 19053583401

Spoedtest.nl
Robert Scottstraat 12
1056AX AMSTERDAM
(31)20-2443292
Info@spoedtest.nl

Order number: C2211006252 / TRC2210189529

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