Report Status: Final

A R, BRYAN ARIEF

Patient Information Specimen Information Client Information

Specimen: VL186232A Client #: 77741675 MAIL600
A R, BRYAN ARIEF
Requisition: 0007591 PRODIA CLINICAL LAB C360
DOB: 04/04/1992 AGE: 28 Attn: LAB SULISTYOWATI
Gender: M Collected: 06/17/2020 JL KRAMAT RAYA 150
Phone: NG Received: 06/26/2020 / 13:05 PDT INDONESIA 10430
Patient ID: 200617-131SLO Reported: 06/27/2020 / 21:57 PDT

Test Name In Range Out Of Range Reference Range Lab

ESTROGEN, TOTAL, SERUM 211.8 H 60-190 pg/mL EZ
A dilution of the specimen was required to perform the
analysis. Specimen quantity insufficient to analyze
undiluted.

The total estrogen assay is not recommended for use in

pre-pubertal children.

PERFORMING SITE:
EZ QUEST DIAGNOSTICS/NICHOLS SJC, 33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042 Laboratory Director: IRINA MARAMICA,MD,PHD,MBA, CLIA: 05D0643352

CLIENT SERVICES: 800.421.4449 SPECIMEN: VL186232A PAGE 1 OF 1

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