Patient Testing Report

Printed on: 02-Jan-2021 4:46:26PM

5735 NE 2nd Avenue. Miami, FL 33137 - www.biocollections.com
With Branches in: Las Vegas, NV - Northridge, CA - Oakland, CA

Name: Blanc, Damian Esteban D/P ID #: 328798

Address: Corredor del Gas 9 Gender: Male

Sobreatico 3
Reus, Reus 43204 Date of Birth: 08-Dec-1967
Spain
Phone: +34636258426 Kit #: 260504

Email: damianeblanc@hotmail.com

Panel / Test Result Units Flag Ref. Range Lab Collected Received Reported

Individual tests
Negative Negative 700 02-Jan-2021 02-Jan-2021 02-Jan-2021
SARS-CoV-2 by RNA
(RT-PCR) Detection
This test was developed and its performance characteristics determined by BioCollections Worldwide, Inc. This test has not been FDA cleared or
approved. This test has been validated in accordance with the FDA's Guidance Document "Policy for Diagnostics Testing in Laboratories Certified to
Perform High Complexity Testing under CLIA prior to Emergency Use Authorization for Coronavirus Disease-2019 during the Public Health Emergency"
issued on February 29th, 2020.

Performing Laboratory(ies):
700: BioCollections Worldwide, Inc. - 5735 NE 2nd Ave. Miami, FL 33137 - Medical Director: Ricardo Blondet, MD - CLIA # 10D1042897 - License # AHCA 800020488

Notes:
- All abnormal values should be repeated under the direction of your primary care physician.
- These tests have been performed by a CLIA Certified Laboratory. Page 1 of 1
- Some tests may be performed by an outside laboratory.
- In order to avoid fraud, we have developed an encrypted online verification system as well as implemented QR Code technology in order to authenticate the true status of a Version 1.30
reported test result. Scan the QR Code on this page to verify authenticity of this result.