LABORATORY REPORT

Reliant Urgent Care

5901 W Century Blvd
Los Angeles, CA 90045

Dr. Max F Lebow - Medical Director

PATIENT NAME AGE SEX STATUS LAB ID
Pham Van Be 68 Male Final 305987

EMP ID SPECIMEN COLLECTION DATE/TIME RESULT DATE COMPANY

01/08/2022 1:00 AM 01/08/2022 Private - Reliant Cash & FastPass
DOB PHONE
11/15/1953 626-231-9646
TEST RESULT OUT OF RANGE UNITS REFERENCE RANGE

2019 NOVEL CORONA VIRUS

POC Abbott NAAT RT-PCR NOT DETECTED

This test was developed and its performance characteristized by the testing instrument’s manufacturer. The reagents
employed to perform the test have been authorized by the FDA’s emergency use authorization (EUA). This test has been
validated in accordance with the FDA’s guidance document (policy for diagnostics testing in laboratories certified to perform
high complexity testing under CLIA prior to emergency use of authorization for Coronavirus Disease-2019 during the public
health emergency), issued February 29th, 2020.