EFTA00304364.pdf
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18/420168:06:MPM FROM: LABCORP LCLS BULK
TO: 2125173303 LABCORP
Pagel of 12
r
TO:
Sebastian Lighvani MD
izakCov
Specimen Sumba
292-401-3880-0
PetientID
Omni Number
10416405675
Acoauog Nut
31981645
Amnia tot Number
212-517-3300
Route
68
Paw Lam Name
Epstein
Account Addres:
Sebastian Lighvani MD
261 E 78th St 4th Fl
NEW YORK NY 10075
It PIM Nan
Jeffrey
Puma, MAU Huse
Mat Us
I
Tall Wine
Arown
63/08/28
vie
i
01/20/53
M
Ruda
Yes
PafestAtkegs
9 E 71ST ST
NEW YORK NY 10021
AdthworMabrimaan
UPINI 1432269
DeemdTbaColimed
10/18/16 17:56
Dam Patti
10/18/16
Dee at
Time Repined
10/24/16 20:06ET
PhysicimName
LIGHVANT , S
1,04
1407879885
Italca4W
LabCorp Raritan
69 First Aver=
Raritan NJ 08869-1800
Phoor.800 -63 -5250
TtiaOrdaul
CBC/D188 Ambiguous Default; Fneumccoccal Ab (23 Serotype); Immunoglobulins A/G/M On: Ser;
Tetanus/Diphtheria Ab; Complement C4, Serum; TSH; Tryptase; Vitamin D, 25-Hydroxy; Cl Esterase
Inhibitor, Func; Histamine, Plasma; TSH Rix on Abnormal to Free T4; Antinuclear Antibodies
Direct; sedimentation Rate-Nestergren; Thyroid Antibodies; Vitamin 812; C-Reactive Protein,
Quart; Venipuncture
TESTS
RESULT
FLAG
UNITS
REFERENCE INTERVAL
LAS
CBC/Diff Ambiguous Default
WBC
6.5
RBC
4.96
Macrocytes present.
Marked anisocytosis.
Hemoglobin
14.6
Hematocrit
41.3
MCV
83
MCH
29.4
MCHC
35.4
RDW
14.1
Platelets
247
Neutrophils
47
Lymphs
39
Monocytes
8
Eos
5
Basos
1
Neutrophils (Absolute)
3.1
Lymphs (Absolute)
2.5
Monocytes(Absolute)
0.5
Eos (Absolute)
0.4
Base (Absolute)
0.0
Immature Granulocytes
0
Immature Grans (Abs)
0.0
Hematology Comments:
Note:
Verified by microscopic examination.
A hand-written panel/profile was received from your office. In
accordance with the LabCorp Ambiguous Test Code Policy dated July
2003, we have assigned CBC with Differential/Platelet, Test Code
#005009 to this request. If this is not the testing you wished to
receive on this specimen, please contact the LabCorp Client Inquiry/
xl0E3/uL
xl0E6/uL
g/dL
fL
Pg
g/dL
xl0E3/uL
x10E3/uL
x1083/uL
xl0E3/uL
x10E3/uL
x10E3/uL
x10E3/uL
3.4 - 10.8
31
4.14 - 5.80
01
12.6
37.5
79
26.6
31.5
:2.3
150
1.4
0.7
0.1
0.0
0.0
0.0
17.7
51.0
97
33.0
35.7
15.4
379
7.0
3.1
0.9
0.4
0.2
0.1
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
Epstein,
Jeffrey
292-401-3680-0
Ste 4 0393
10/24/16 20:06 ET
FINAL REPORT
MmdommentamulsoWmftandcmfldmdalbaIdluarommumprwatedbystewsndUedaenw.
If yoa lave received this docmneut m am. please call BOO-631-5250
Page 1 of 4
02004-16 Wyss
tory Capot Mica of America a lialdLop
All Riau Resound
DOC
I Va: I.49
EFTA00304364
.
10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK
TO: 2125173303 LABCORP
Page 2 of 12
r
TO:
Sebastian Lighvani MD
ITA..1aCcap
Pius Mace
Epstein, Jeffrey
SpenunNumbes
292-401-3880-0
Aucco, !:amber
31981645
Petra ID
C
ol Net
10416405675
Dace sod Tine Collected
10/18/16 17:56
Date Reputed
10/24/16
Srx
M
Ate(Yre0D)
63/08/28
Due of Berth
01/20/53
LabCorp Raritan
69 First Avenue
Raritan,
9-1
TESTS
RESULT
FLAG
UNITS
REFERENCE 'INTERVAL
LAS
test order.
Technical Services Department to clarify the
appreciate your business.
PUOUMOCOCCdi Ab (23 Serotype)
Pneumo Ab Type 1*
Pneumo At Type 3*
Pneumo Ab Type 4*
Pneumo Ab Type 8*
Pneumo Ab Type 9 (9N),,
Pneumo Ab Type 12 (12F)*
Pneumo Ab Type 14.
Pneumo Ab Type 17 (17F)*
Pneumo Ab Type 19 (19F)*
Pneumo Ab Type 2.
Pneumo At Type 20*
Pneumo Ab Type 22 (22F)le
Pneumo Ab Type 23 (23F)*
Pneumo Ab Type 26 (6B)*
Pneumo Ab Type 34 (10A)*
Pneumo Ab Type 43 (11A)*
Pneumo Ab Type 5'
Pneumo Ab Type 51
Pneumo Ab Type 54
Pneumo Ab
Pneumo Ab
Pneumo Ab
(7F)*
(158)'
Type 56 (18C).
Type 57 (19A)'
Type 68 (9V)*
Low
Pneumo Ab Type 70 (33F)'
'This test was developed and
performance
characteristics determined by Viracor-/BT Laboratories. It
has not been cleared or approved by the U.S. Food and Drug
Administration.
0.8 ) Low
CLE:
0.6
Low
0.8
Low
0.5
Low
Of t
Low
Low
Low
Low
Low
We
Immunoglobulins A/G/M, Qn, Ser
Immunoglobulin G, Qn, Serum
Immunoglobulin A, Qn, Serum
Immunoglobulin H, Qn, Serum
Tetanus/Diphtheria Ab
Tetanus Antitoxoid IgG Ab
<0.1
0.2
0.9
(1TX)
0.7
Low
cr
Low
996L,/
2164/
411/
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
-u
/mL
ug/r1.
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
ug/mL
mg/dL
mg/dL
mg/dL
1.01
IU/mL
Interpretation:
Non-Protective
Protective
Results for this test are for research purposes
only by the assay's manufacturer. The performance
characteristics of this product have not been
established. Results should not be used as a
diagnostic procedure without confirmation of the
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
>1.3
700 - 1600
61 - 437
20 - 172
<0.10
<0.10
>c.0.10
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
02
01
01
01
03
Epstein, Jeffrey
292-401-3880-0
Scq # 0393
10/24/16 20:06 ET
FINAL REPORT
The &canna cantina punk: and cadidend al health utfo=ttion protected by slate and federal law
if you have received this doctunent In ena. please call 900-631-5250
Page 2 of 4
01004 -16 La boraway Cozpootlec of AMOTICI
HoldLop
All Rights Reamed
DOC1 Vel: 1A9
EFTA00304365
10124/20188:06:55PM
FROM: LABCORP LCLS BULK
TO: 2125173303 LABCORP
TO:
Sebastian Ughvani MD
Page 3 of 12
r
LabCorp Raritan
69 First Avenue
iUn,NJ08869-1800
Phone, 800-6 I- 2
Wm Name
Epstein, Jeffrey
Sped ram Nat
292-401-3880-0
MOW m >knee
Meat 0
31981645
Cmaol Nwmm
10416405675
I Date,STInteOlmts
10/18/16 17:56
Due Riveted
10/24/16
Su
H
togerYMUM
63/08/28
L Doe of Binh
01/20/53
TESTS
RESULT
FLAG
UNITS
REFERENCE INTERVAL
LAS
diagnosis by another medically established diagnostic
product or procedure..
Diphtheria Antitoxoid Ab
0.15 it
IU/mle
<0.10
03
Interpretation:
Non-Protective
<0.10
Protective
>=0.10
For research use only.
Complement C4, Serum
26
mg/d1.
14 - 44
01
TSH
:.740 is/
uIU/m14
0.450 - 4.500
01
Tryptase
5.0 Le'
ug/L
2.2 - 13.2
03
Vitamin D, 2S-Hydroxy
31.0
ng/mL
30.0 - 100.0
0:
Vitamin D deficiency has been defined by the Institute of
Medicine and an Endocrine Society practice guideline as a
level of serum 25-OH vitamin D less than 20 ng/ml. (1,2).
The Endocrine Society went on to further define vitamin D
insufficiency as a level between 21 and 29 ng/mL (2).
1. ION (Institute of Medicine). 2010. Dietary reference
intakes for calcium and D. Washington DC: The
National Academies Press.
2. Holick MF, Hinkley NC, Bischoff-Ferrari HA, et al.
Evaluation, treatment, and prevention of vitamin D
deficiency: an Endocrine Society clinical practice
guideline. JCEM. 2011 Jul; 96(7):1911-30.
Cl Esterase Inhibitor, Fun=
Cl Est.Inhib.Funct.
109
Histamine, Plasma
Results for this test are f
manufacturer. The performance
not been established. Results
procedure without confirmation
established diagnostic product
%mean normal
C3
Abnormal
<41
Equivocal 41 - 67
Normal
>67
High ,.V
<1.00
03
earch p
°see only by the assay's
characteristics of this product have
should not be used as a diagnostic
of the diagnosis by another medically
or procedure.
TSH Rfx on Abnormal to Free T4
TSH
1.700 V /
uI0/mL
0.450 - 4.500
01
Epstein, Jeffrey
292-401-3880-0
Seq00393
10/24/16 20:06 ET
FINAL REPORT
Thb document contains private and confidential health infonnadon protected by state and federal law.
if you have received des docament in cCOF. pkase call E00-631-5250
Page 3 of 4
01004-161-abcaatory Corporation d ApIIMCN a Holettny
All RightsResereed
DOC! Ver. 1.49
EFTA00304366
10/24(20168:06:55PM
FROM: LABCORPLCLSBULK
TO: 2125173303
LABCORP
TO:
Sebastian Llghvani MD
Page 4 of 12
r
Latiggrep
PaomiNunt
Epstein, Jeffrey
Speciamchtgrao
292-401-3880-0
Aocccot Number
31981645
Panto ID
Control Nambet
10416405675
Dare inflict Conected
10/18/16 17:56
Date Reported
10/24/16
Sex
M
Aze( MD)
63/08/28
Date of Blab
01/20/53
TESTS
RESULT
FLAG
SNITS
REFERENCE INTERVAL
LAN
Antinuclear Antibodies Direct
ANA Direct
Negative
Negative
01
Sedimentation Rate -Westergren
20
mm/hr
0 - 30
01
Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab
8
IU/ra.
0 - 34
01
Thyroglobulin Antibody
<1.0
IU/mL
0.0 - 0.9
01
Thyroglobulir•. Antibody measured by Beckman Coulter Methodology
Vitamin 812
755
pg/mL
211 - 946
01
C-Reactive Protein, Quant
1.7 """--
mg/L
0.0 - 4.9
01
LabCorp Raritan
69 First Avenue
Raflan NI 08869-1800
Phone: 800-631-5250
31
RN
LabCorp Raritan
Dir: Armeeli B Reyes, MD
69 First Avenue, Raritan, NJ 08869-1800
02
NEW504 Viracor 1ST Laboratories Inc
Dir: Michelle Altrich,
PhD
1001 NW Technology Drive, Lees Summit, MO 64086-5603
03
BN
Labcorp Burlington
Dir: William F Hancock, MD
1447 York Court, Burlington, NC 27215-3361
For inquiries,
the physician may contact Branch: 800-631-5250 Lab: 800-631-5250
292-401-3880-0
Scq # 0393
Epstein,
Jeffrey
10/24/16 20:06 ET
FINAL REPORT
This doctuneal contains rya ic and confidential health :atom:anon mused by sine and I edelal law.
If you ban received this docwrotalia tna. please call 800-431-5250
Page 4 of 4
02004-16 Labmtory CoryaatIon or manta m Holdings
All Rights Reserved
DOC! Vu: 1.49
5
EFTA00304367
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| Filename | EFTA00304364.pdf |
| File Size | 547.2 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 9,594 characters |
| Indexed | 2026-02-11T13:25:00.034990 |