ANALYSIS REPORT

Patient Number Birthdate Sex Page

LABORATORIO CLINICO PARQUE ESCORIAL
PARQUE ESCORIAL SHOP. CENTER Col. Tec. Med. P.R. 155966-000 10/12/1988 F 1
Pat. No.: 0000147
CARIBBEAN CINEMA BLD SUITE 109
CAROLINA, PR 00987-9998
Paid 5 Cents Physician Name
Exp: 4/30/2021
DIRECTOR: LCDA. DAMARIS BERMUDEZ GOMEZ Num: 2020-000382330

LIC # 1079 CLIA # 40D1026562 TEL: (787) 257-8861 FAX: (787) 257-8861
Origin / Special Instructions

ª*ŸF7>[¬
000864355 L401 misResultados

Request Reference Ordered On Supervisor

AQUINO-RODRIGUEZ, CAROL M. OCT 10,2020 11:47AM HMP
655 MORIS AVE APT 6H
NEW YORK 10451 C004: Reported On M.T.
OCT 10,2020 12:29PM MAC

Test Units Results Graphic Normal Range

SEROLOGY: Fa-Step COVID-19 antibody screening test

COVID-19 IgM............................NEGATIVE NEGATIVE
COVID-19 IgG............................NEGATIVE NEGATIVE
.
NOTE: The Fa-Step Covid-19 is an in vitro rapid qualitative procedure
not reviewed by the FDA for the detection of antibodies(IgG/IgM)
to Coronavirus(Covid-19) in human serum. Is authorized for use under
the FDA Emergency Use Authorization. Test result is intended to aid
in the diagnosis of presumptive Covid-19 infection but is a prelimi-
nary screening test and the final diagnosis should be based after
examination with other qualifed molecular assay(NAA). Negative result
do not rule out Covid-19 infection particulary in those who have been
in contact with the virus. Positive result may be due to past or
present infection with non SARS-CoV-2 such as coronavirus HKU1,NL63,
OC43 or 229E. BY: RAPID CHROMATOGRAPHIC IMMUNOASSAY
TEST PERFORMED BY: L:5180-MAC 10/10/2020 12:29 PM
TEST VALIDATED BY: L:5180-MAC 10/10/2020 12:29 PM

ORIGINAL