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VITAMIN D TEST REPORT

Patient Patient ID Non-smoker


Graciela Alicia Cruz GC810811 BMI 51.4 Waist Unspecified
DOB Report Date and Time Medications
8/11/1981 (37 yrs) 3/20/2019 15:00 None

Gender Received Date and Time


F 3/12/2019 15:00
Systolic blood pressure Specimen Collection Date and Time
Unspecified Blood Spot 3/4/2019
Provider ID: 0063
Menopausal Status Hours of Fasting Your Hormone Balance
Premenopausal Non-Fasting 21105 S. Wisteria Rd.
Family History of West Linn, OR 97068
Heart Disease No Ph: 503-730-8127
Diabetes No
Cancer No
Vitamin D Test
3/4/19 Range
25-OH Vitamin D, Total 19 L 32 – 100 ng/mL

This report is only for information purpose and does not provide any diagnosis or treatment. There may be many other risk factors that must be considered for a
complete assessment of your health. Please consult your healthcare provider to discuss your results and any questions you may have about your wellness.

AYUMETRIX, LLC 17387 63rd Ave, Lake Oswego, OR 97035 Sonia Kapur, PhD, HCLD
CLIA #:38D2112285 Ph: (503)344-1344; 800-215-8898 Laboratory Director

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