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Safeguard DNA Diagnostics

Unit 103-106 G Business Hub Building,728 Shaw


Boulevard, Mandaluyong City COVID-19 REPORT
(02) 296-7595
Medical Director: Rodelio D. Lim, M.D. F.P.S.P

Patient Information Specimen Information Facility Information

Name: CRESTITA VELOSO VELASCO Accession Number: COV-227443 Facility Name:


SDDI-SEED QC
DOB: 06/15/1960 Date Collected: 05/20/2021 10:55 AM
Provider Name:
Gender: Female Date Received: 05/20/2021 02:55 PM Dr. Andrea Paula Isabelle Ubaldo

Nationality: FILIPINO Report Date: 05/21/2021 02:36 AM Provider Address:


Sanville Subdivision
Passport Number: Sample Type: Combination Swab

Clinical Notes from Ordering Physician:

Covid-19 Test Result Summary


SARS-COV-2 VIRAL RNA - NOT DETECTED
Results Comment: Negative for SARS-CoV-2

Processing and Detection Methodology:


Test Performed:
SARS-CoV-2 (causative agent ofCOVID-19) virus detection by Real-Time Polymerase Chain Reaction.

Test Description:
The test includes Ribonucleic Acid (RNA) extraction with RT-PCR amplification and detection of SARS-Cov-2 virus gene, with positive and negative controls on each run.
Detection is dependent on the concentration of viral RNA in the specimen and the stage of disease. Quality ofthe specimen collection can affect the test results.
This test was developed, and its performance characteristics determined by, Co-Diagnostics Inc. It has received EUA approval by the Philippine and U.S. FDA. This test is used
for clinical purposes and should not be regarded as investigational or for research. 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. Safeguard DNA Diagnostics Inc. laboratory has been inspected by WHO, DOH and RITM and licensed by the
Philippine Department of Health as a COVID-19 testing laboratory.

This report has been electronically validated. No additional signature is required.

Disclaimer: This laboratory result should be interpreted together with the available clinical and epidemiological information. Please see sddi.com.ph for more information.

If Final Result is: Interpretation is:


SARS-CoV-2 viral RNA - DETECTED Positive for SARS-CoV-2 (causative agent ofCOVID-19)
SARS-CoV-2 viral RNA - NOT DETECTED Negative for SARS-CoV-2 (causative agent ofCOVID-19)
SARS-CoV-2 viral RNA - INCONCLUSIVE Negative fortest internal control(most likely poor specimen quality)

This test was performed by Safeguard DNA Diagnostics, Unit 103-106 G Business Hub Building,728 Shaw Boulevard, Mandaluyong City Phone:(02) 296-7595
Patient- CRESTITA VELOSO VELASCO Accession - COV-227443 Page 1 of 1

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