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LABORATORY REPORT
PATIENT SPECIMEN CLIENT INFORMATION
Name: PEETHAMBARA SWAMY, AMOGHAVARSHA
Specimen Type: NOSE NAS Client: LOOP MEDICAL CENTER
Address: 1300 PALMER DRIVE Collection Date: 12/03/21 15:02 Client ID: 1
WEST LAFAYETTE, IN 47906 Received Date: 12/04/21 09:30 Provider:NIDAL ELBARIDI, M.D.
Phone: (312) 647-3727 Reported Date: 12/04/21 13:47 Address: 432 East Grand Ave
DOB: 05/28/1994 CHICAGO, IL 60611
Gender: Male Accession #: 2112040096 Phone: (312) 414-1088
Covid-19 RT-PCR
Test Name Result Reference Range
SARS-COV-2 BY RT-PCR NEGATIVE NEGATIVE
Status:FINAL Page 1 of 1