FINAL COPY

Patient: CERNA, GENESIS GISEL Acc #: 461729

Patient #: 252-CG010105 Birth: 1/1/2005
Doctor: AFSHARI, PARVANEH Age: 16 years Collection Date: 8/26/2021 8:14 PM
Gender: Female Received in Lab: 8/26/2021 8:14 PM

Test Name Result Units Flag Reference Range

SARS-CoV-2 (COVID-19 NAAT) RNA RT-PCR Run by: ML on 8/27/2021 12:59 AM

Due to current public health emergency, Equaltox Laboratory is receiving a high volume of
samples from a wide variety of swabs and media for COVID-19 testing. In order to serve
patients during this public health crisis, samples from appropriate clinical sources are
being tested. Negative test results derived from specimens received in non-commercially
manufactured viral collection and transport media, or in media and sample collection kits
not yet authorized by FDA for COVID-19 testing should be cautiously evaluated and the
patient potentially subjected to extra precautions such as additional clinical monitoring,
including collection of an additional specimen.

This test has been authorized by the FDA under an Emergency Use Authorization (EUA) for
use by authorized laboratories.
Please review the “Frequently Asked Questions” and “Fact Sheets” for health care
providers, and patients and the FDA authorized labeling available on the FDA website:
www.FDA.gov/COVID-19

Due to the operational capacity limitations, and/or a specimen type/stability that is not
appropriate, or if we have received a hand-written order, we have changed your original
SARS-CoV-2 RNA test request to another FDA/EUA assay in order to expedite processing.
This has not affected billing.

A negative result does not rule out the possibility of COVID-19 and should not be used as
the sole basis for patient management decisions.

Type: Nasopharyngeal Swab

COVID-19 RT-PCR (NAAT) NEGATIVE

Equaltox Laboratory
CLIA: 05D0602385

Originally Reported On: 8/27/2021 1:01 AM Accession: 461729 Patient ID: 252-CG010105
Printed: 8/27/2021 1:03 AM Lab Results For: GENESIS CERNA
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