Aegis Sciences Corporation

(615) 255-2400
Lab Director: Matthew T. Hardison, PhD
CLIA#: 44D2062333

Laboratory Report

Client Information
Client: Mark H Roberts
Report To: 192 Crystal Brook Hollow Rd # R, Port Jefferson Station, NY 11776

Sample Information
Patient ID: 3006031525 PATIENT: Mark H Roberts
Lab Sample ID: 805858775 192 Crystal Brook Hollow Rd # R
Port Jefferson Station, NY 11776
Specimen Type: Nasal - Anterior Nares
Collected: 03/02/2024 12:05 PM Phone: 312-647-6383
Received: 03/02/2024 DOB: 08/02/1954
Reported: 03/02/2024 Gender: Male
Ethnicity: Not Hispanic

Test(s) Requested
05700 SARS-CoV-2, RT-PCR
Tested For Result Reference Range
SARS-CoV-2, RT-PCR
SARS-CoV-2 POSITIVE N/A
The Thermo Fisher Scientific, Inc. TaqPath COVID-19 Combo Kit used to perform this test has been authorized by FDA
under an Emergency Use Authorization for use by authorized laboratories. The test has not been otherwise FDA cleared or
approved. This test is authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or
pathogens. This test is only authorized for the duration of the declaration that circumstances exist justifying the authorization
of the emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under section 564(b)(1) of the
Act, 21 U.S.C. 360bbb-3(b)(1), unless the authorization is terminated or revoked.

Visit https://www.aegislabs.com/our-services/covid19-testing for COVID-19 testing resources

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