Wednesday, January 19, 2022

COVID (SARS-CoV-2, RT-PCR)

Laboratory Report Client Information

Client: WALGREENS CENTENNIAL

Report To: Lianne Marks
8959 E DRY CREEK RD

CENTENNIAL, CO 80112

Sample Information
Patient ID: 104699098

Lab Sample ID: 804366325 Specimen Type: Nasal - Anterior Nares

Collected: 01/17/2022 21:52 Mountain Time Received: 01/19/2022
Reported: 01/19/2022

Test(s) Requested

Aegis Sciences Corporation

501 Great Circle Road Nashville, TN 37228 (615) 255-2400 Lab Director: Matthew T. Hardison, PhD CLIA#: 44D2062333

PATIENT: Ricardo Reis
10266 Taliesin drive, 403

Englewood CO, 80112 Arapahoe
Phone: 415-601-8070 DOB: 02/25/1956 Gender: Male

Race: White

05700

SARS-CoV-2, RT-PCR

Tested For Result

SARS-CoV-2, RT-PCR

SARS-CoV-2 NEGATIVE

Reference Range

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.

Lab Director: Matthew T. Hardison, PhD

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