Lab.

Clinico Teresita Clia: 40D2077572

Lic: 1323
J-1 CALLE 3 URB TERESITA
BAYAMON,PR 00961 Telephone: 787-918-8887

Patient Lab. Number Lab. Date Patient ID

MELENDEZ LOPEZ, SAUL O. 21114114 12/31/2021 49064
CALLE 6 M10 URB SIERRA LINDA
BAYAMON PR 00957 Birthdate Age Sex
Tel: Cel: 717-999-4228 Trab: 06/20/2011 10 year(s) M

Order Number
Referred by 105896
CLINICA PRIVADA [Sello CTMPR / $.05 / EHT5 / 1323]
Tel: Lab. Director LCDA. MARIA DE LOS A PEREZ PABON, MT

Test Result H/L Rck Reference Range Units

ANTIGEN
SARS-COV2-ANTIGEN TEST

SARS-CoV2- ANTIGEN NEGATIVE NEGATIVE

Comment
METHOD: LATERAL FLOW IMMUNOCHROMATOGRAPHIC

THIS TEST HAS NOT BEEN FDA CLEARED OR APPROVED; THE

TEST HAS BEEN AUTHORIZED BY FDA UNDER AN EMERGENCY
USE AUTORIZATION (EUA).
EXCESS BLOOD OR MUCOUS ON THE SWAB SPECIMEN MAY
INTERFERE WITH THE TEST PERFORMANCE AND MAY YIELD A
FALSE-POSITIVE RESULT.
NEGATIVE RESULTS, SHOULD BE TREATED AS PRESUMPTIVE
AND CONFIRMATION WITH A MOLECULAR ASSAY, IF
NECESSARY FOR PATIENT MANAGEMENT, MAY BE PERFORMED.
RESULTS FROM ANTIGEN TESTING SHOULD NOT BE USED AS
THE BASIS TO DIAGNOSTICS OR EXCLUDE SARS-COV-2
INFECTION OR DETERMINE INFECTION STATUS.
THIS DEVICE IS A QUALITATIVE TEST AND DOES NOT
PROVIDE INFORMATION ON THE VIRAL CONCENTRATION
PRESENT IN THE SPECIMEN. NEGATIVE RESULTS, FROM
PATIENTS WITH SYMPTOM ONSET BEYOND SEVEN DAYS,
SHOULD BE TREATED AS PRESUMPTIVE AND CONFIRMATION
WITH A MOLECULAR ASSAY.

POSITIVE TEST RESULTS DO NT RULE OUT CO-INFECTIONS

WITH OTHER PATHOGENS.POSITIVE TEST RESULTS DO NOT
DIFFERENTIATE BETWEEN SARS-CoV AND SARS-CoV-2.

Received:12/31/2021 06:16 AM Taken: 06:16 AM Processed:12/31/2021 07:49 AM

Reported: By: LCDA E. FELIX LIC 8523