Testmaster Testing 3060 S Church Street Burlington, NC 27215 LabCorp Laboratory Corporation of America Specimen Number 239−988−9501−0 SAMPLE REPORT Patient ID Account Phone Number Route 90000999 336−436−8645 00 Account Address LabCorp Test Master Test Account 3060 South Church Street Burlington NC 27215 Patient Middle Name Patient SS# Account Number Patient Last Name Patient First Name 005009 Phone: 336−436−2762 Control Number Total Volume Patient Phone Age (Y/M/D) Date of Birth Sex 56/07/24 01/01/60 F Fasting Additional Information Patient Address NORMAL REPORT Date and Time Collected Date Entered 08/25/16 00:00 08/26/16 NPI Physician Name Date and Time Reported Physician ID Tests Ordered CBC With Differential/Platelet TESTS RESULT CBC With Differential/Platelet WBC RBC Hemoglobin Hematocrit MCV MCH MCHC RDW Platelets Neutrophils Lymphs Monocytes Eos Basos Neutrophils (Absolute) Lymphs (Absolute) Monocytes(Absolute) Eos (Absolute) Baso (Absolute) Immature Granulocytes Immature Grans (Abs) SPACE 01 FLAG 9.2 4.58 12.3 36.1 85 27.5 33.1 15.3 302 74 14 10 2 0 6.7 1.3 0.9 0.2 0.0 0 0.0 UNITS REFERENCE INTERVAL x10E3/uL x10E6/uL g/dL % fL pg g/dL % x10E3/uL % % % % % x10E3/uL x10E3/uL x10E3/uL x10E3/uL x10E3/uL % x10E3/uL 3.4 3.77 11.1 34.0 79 26.6 31.5 12.3 150 − − − − − − − − − 10.8 5.28 15.9 46.6 97 33.0 35.7 15.4 379 1.4 0.7 0.1 0.0 0.0 − − − − − 7.0 3.1 0.9 0.4 0.2 0.0 − 0.1 LAB 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 $$ Testmaster Testing Dir: Report Testing, PhD 3060 S Church Street, Burlington, NC 27215 For inquiries, the physician may contact Branch: 800−222−7566 Lab: 336−436−2762 SAMPLE REPORT, 005009 08/31/16 17:41 ET DUPLICATE FINAL REPORT This document contains private and confidential health information protected by state and federal law. If you have received this document in error, please call 800−222−7566 Seq # 0000 239−988−9501−0 Page 1 of 1 ©2004−16 Laboratory Corporation of America ® Holdings All Rights Reserved DOC1 Ver: 1.49 Testmaster Testing 3060 S Church Street Burlington, NC 27215 LabCorp Laboratory Corporation of America Specimen Number 239−988−9502−0 SAMPLE REPORT Patient ID Control Number Route 90000999 336−436−8645 00 Account Address LabCorp Test Master Test Account 3060 South Church Street Burlington NC 27215 Patient Middle Name Patient SS# Account Phone Number Patient Last Name Patient First Name 005009 Phone: 336−436−2762 Account Number Total Volume Patient Phone Age (Y/M/D) Date of Birth Sex 56/07/25 01/01/60 F Fasting Additional Information Patient Address ABNORMAL REPORT Date and Time Collected Date Entered 08/26/16 00:00 08/26/16 NPI Physician Name Date and Time Reported Physician ID Tests Ordered CBC With Differential/Platelet TESTS RESULT FLAG UNITS REFERENCE INTERVAL CBC With Differential/Platelet WBC 55.7 Critical x10E3/uL 3.4 − 10.8 RBC 3.48 Low x10E6/uL 3.77 − 5.28 Teardrops present. Schistocytes present. Hemoglobin 9.9 Low g/dL 11.1 − 15.9 Hematocrit 32.4 Low % 34.0 − 46.6 MCV 58 Low fL 79 − 97 MCH 24.4 Low pg 26.6 − 33.0 MCHC 30.6 Low g/dL 31.5 − 35.7 RDW 26.5 High % 12.3 − 15.4 Platelets 554 High x10E3/uL 150 − 379 Platelet count verified by examination of peripheral blood smear. Neutrophils 17 % Lymphs 78 % Atypical lymphocytes. Smudge cells present Monocytes 5 % Eos 0 % Basos 0 % Neutrophils (Absolute) 9.5 High x10E3/uL 1.4 − 7.0 Lymphs (Absolute) 43.5 High x10E3/uL 0.7 − 3.1 Monocytes(Absolute) 2.7 High x10E3/uL 0.1 − 0.9 Eos (Absolute) 0.0 x10E3/uL 0.0 − 0.4 Baso (Absolute) 0.0 x10E3/uL 0.0 − 0.2 Immature Granulocytes 4 % 0.1 x10E3/uL 0.0 − 0.1 Immature Grans (Abs) NRBC 15 High % 0 − 0 Hematology Comments: Verified by microscopic examination. Manual differential was performed. SPACE SAMPLE REPORT, 005009 08/31/16 17:42 ET DUPLICATE FINAL REPORT This document contains private and confidential health information protected by state and federal law. If you have received this document in error, please call 800−222−7566 LAB 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 Seq # 0000 239−988−9502−0 Page 1 of 2 ©2004−16 Laboratory Corporation of America ® Holdings All Rights Reserved DOC1 Ver: 1.49 Testmaster Testing 3060 S Church Street Burlington, NC 27215 LabCorp Laboratory Corporation of America SAMPLE REPORT, 005009 Account Number Patient ID 90000999 01 Phone: 336−436−2762 Patient Name Control Number Specimen Number 239−988−9502−0 Date and Time Collected 08/26/16 00:00 Date Reported Sex Age(Y/M/D) Date of Birth F 56/07/25 01/01/60 $$ Testmaster Testing Dir: Report Testing, PhD 3060 S Church Street, Burlington, NC 27215 For inquiries, the physician may contact Branch: 800−222−7566 Lab: 336−436−2762 SAMPLE REPORT, 005009 08/31/16 17:42 ET DUPLICATE FINAL REPORT This document contains private and confidential health information protected by state and federal law. If you have received this document in error, please call 800−222−7566 Seq # 0000 239−988−9502−0 Page 2 of 2 ©2004−16 Laboratory Corporation of America ® Holdings All Rights Reserved DOC1 Ver: 1.49
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