Quest

 Quest

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Diagnostics??

SPECIMEN INFORMATION Requisition #: Accession#: Collected: Received: Reported: Specimen ID:

Laboratory Report

DONOR INFORMATION Name:

Primary ID:

Reason:

Collection Site:

CLIENT INFORMATION

seals Intact: Yes Tests ordered: 35765N (SAP 4/2000 W/NIT)

urine Specimen validity Testing

Acceptable Range

CREATININE pH OXIDIZING ADULTERANTS

54.8 mg/dL 7.9 Negative

>/= 20 mg/dL 4.5-8.9

urine substance Abuse Panel

Initial Test Level

MS confirm Test Level

AMPHETAMINES COCAINE METABOLITES OPIATES PHENCYCLIDINE

Negative Negative Negative Negative

1000 ng/mL 300 ng/mL 2000 ng/mL 25 ng/mL

500 ng/mL 150 ng/mL 2000 ng/mL

25 ng/mL

CERTIFYING TECHNICIAN/SCIENTIST: KSKB13

SPECIMEN RECEIVED AND PROCESSED IN THE LENEXA DHHS CERTIFIED LABORATORY.

LAB:

Quest Diagnostics-Lenexa

10101 Renner Blvd

Lenexa KS 66219

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