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432 East Grand Ave, Chicago, IL 60611

Phone: (312)820-0070 Fax: (855)343-3420


Director: Nicolas Epie, PhD CLIA #: 14D2189187

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

SARS-CoV-2 BY RT-PCR,this is a RT (Real Time)PCR test method. This test


should be ordered for the detection of the 2019 novel Coronavirus SARS-CoV-
2 in individuals who meet SARS-CoV-2 clinical and/or epidemiological
criteria. The 2019 Novel Coronavirus SARS-CoV-2 by PCR test is in vitro
diagnostic use under the FDA Emergency Use Authorization(EUA)for
laboratories certified under CLIA to perform high complexity tests.
Negative results do not preclude SARS-CoV-2 infection and should not be
used as the sole basis for patient management decisions. Negative results
must be combined with clinical observations, patient history, and
epidemiological information.

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