Test InformationPerformed at: Phadia Immunology Ref. Laboratory (PiRL), 4169 Commercial Ave., Portage, MI 49002

Patient's ReportPatient's test results from the allergen panel from PiRL continues on following pages.

Patient: DOB: Age: 19 Gender: MPatient Identifiers:

Visit Number (FIN):

Client:

Physician:

ARUP Test Code: 2005894

Collection Date: 10/28/2020Received in lab: 10/29/2020Completion Date: 11/05/2020

ARUP Enhanced Reporting | November 05, 2020 | page 1 of 11

Chart continues on following page(s)

Patient: ARUP Accession: 20-302-403483

Allergen Panel, IgE by ImmunoCap ISAC