TEST INFORMATION Test performed at Labcorp Monogram Biosciences, 345 Oyster Point Blvd., South San Francisco, CA 94080 PATIENT REPORT Patient's results continue on following page(s). Patient: DOB: Age: Gender: Patient Identifiers: Visit Number (FIN): Client: ARUP Physician Services 321 TESTING ANSR EXTRACT Salt Lake City, NY 84108 Physician: test test ARUP Test Code: 3001242 Collection Date: 05/18/2020 Received in lab: 05/18/2020 Completion Date: 05/19/2020 Human Immunodeficiency Virus Type 1 (HIV-1) GenoSure MG ARUP Enhanced Reporting | May 19, 2020 | page 1 of 3 Chart continues on following page(s) Patient: ARUP Accession: 20-139-106240
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TEST INFORMATION
Test performed at Labcorp Monogram Biosciences, 345 Oyster Point Blvd., South San Francisco, CA 94080
PATIENT REPORT
Patient's results continue on following page(s).
Patient: DOB: Age: Gender: Patient Identifiers:
Visit Number (FIN):
Client: ARUP Physician Services321 TESTING ANSR EXTRACTSalt Lake City, NY 84108
Physician: test test
ARUP Test Code: 3001242
Collection Date: 05/18/2020Received in lab: 05/18/2020Completion Date: 05/19/2020
Human Immunodeficiency Virus Type 1 (HIV-1) GenoSure MG
ARUP Enhanced Reporting | May 19, 2020 | page 1 of 3
Chart continues on following page(s)
Patient: ARUP Accession: 20-139-106240
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