TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Hepatitis B ...

Specimen ID: 057-374-0001-0 Control ID:

SAMPLE REPORT, 006530

Patient Report

Acct #: 90000045

Phone: (336) 436-8645 Rte: 00

Test Master Test Account

3060 South Church Street

Burlington NC 27215

Patient Details

DOB:

Age(y/m/d): 000/00/00

Gender: N

SSN:

Patient ID:

Specimen Details Date collected: 02/27/2018 0000 Local Date received: 02/27/2018 Date entered: 02/27/2018 Date reported: 02/27/2018 0000 ET

Physician Details Ordering: Referring: ID: NPI:

Ordered Items Hepatitis B Surf Ab Quant

TESTS

RESULT

FLAG

Hepatitis B Surf Ab Quant

25.2

Status of Immunity

------------------

Inconsistent with Immunity

Consistent with Immunity

UNITS REFERENCE INTERVAL LAB

mIU/mL Immunity>9.9

01

Anti-HBs Level

--------------

0.0 - 9.9

>9.9

01 HD

Houston

Dir: Kyle Eskue, MD

7207 North Gessner, Houston, TX 77040-3143

For inquiries, the physician may contact Branch: 800-222-7566 Lab: 713-856-8288

Date Issued: 02/27/18 0819 ET

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 713-856-8288

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