Order-no: 6211014546

Mironescu Catalin-Andrei
Teugestraat 16
1107SC, Amsteram Zuidoost

Document-no. : 254638 PCR-no : PC08012893

Date of Birth : 14-09-1999 Sample received : 08-12-2021
Telephone No. : 0619018258 Report date : 08-12-2021
Email : mironescu.andrei1999@gmail.com Sample date : 07-12-2021 14:01

Test Result

Positive
SARS-CoV-2 (Coronavirus) (Real-Time NAAT/PCR)
Remark: Throat and nose swab
(Nasopharyngeal and oropharyngeal swab)

Scan this QR-code to check validity of the result

This document can be used as a travel document with regard to SARS-CoV-2 (coronavirus). Note: throat and nose swab.

For further information please call : +31850045356

Explanation of the result:

Positive: Virus particles have been detected
Negative: No virus particles were detected

It is the traveller`s responsibility to comply with local corona rules and regulations. The applied sampling and testing method has
been approved by the RIVM (National Institute for Public Health and the Environment). Coronapcrtesten.nl is not liable for any
adverse consequences arising from the use of the test result by the client.

Start date analysis: 07-12-2021, end date: 08-12-2021.

Findings are based on the sample as submitted. For more detailed information on an applied method and the corresponding measurement uncertainty please
contact our Customer Service. Any interpretation of analytical results mentioned on this certificate lies outside the scope of accreditation. With the unit % is
meant: w/w%, unless otherwise stated. Coronapcrtesten.nl is not responsible for the information provided by the client. Only reproduction of the entire
certificate is permitted without explicit written authorisation by Coronapcrtesten.nl.

Naam: Drs. W. Moudrous

Functie: Verantwoordelijk arts
BIG-nummer: 59912013801

Coronapcrtesten.nl Page 1/1

Explanation of symbols:
info@coronapcrtesten.nl I Test performed by Coronapcrtesten.nl
www.coronapcrtesten.nl E Test performed by sub-contractor