Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972)...

17

Transcript of Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972)...

Page 1: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT
Page 2: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

Allergy done on 08/20/2018.

Abnormal Result(s) SummarySummary may not contain all abnormal results, especially those of Tests with an

interpretation. Please review the entire report.

TEST NAME RESULT RANGE/CUT OFFINTERPRETATION

110.0CHLORIDE (CL-) H 98 - 107

10.5CALCIUM (CA) H 8.4 - 10.2

240.0CREATINE KINASE (CK)TOTAL (82550) H 55 - 170

23.3BUN/CREATININE RATIO H 11.7 - 18.3

12.2FERRITIN L 23.9 - 336.2

222UIBC L 277 - 439

0.81APOLIPOPROTEIN B/A1 RATIO H 0.00 - 0.39

25.62sTFR H 0.00 - 21.00

1356D-DIMER HP

15.5C4 L 16.0 - 38.0

82.12aPS/PT IgM POSITIVE 0.0 - 30.1

3.36WHITE BLOOD CELL COUNT L 3.5 - 10.5

4.09RED BLOOD CELL COUNT L 4.32 - 5.72

11.9HEMOGLOBIN L 13.5 - 17.5

36.6HEMATOCRIT L 38.8 - 50.0

44.76ERYTHOPOIETIN (EPO) H 2.59 - 18.50

7.1RHEUMATOID FACTOR IgM POSITIVE 3.50

79ANTI-THROMBIN LIQUID L 83 - 128

1.22SILICA CLOTTING TIME CONFIRM H 0.84 - 1.16

79PLASMINOGEN L 80.2 - 132.5

HEMATOLOGY

0.0 - 5.6 %5.2HEMOGLOBIN A1C (83036)

Non Diabetic <6%

Excellent Control 6-7%

Good to Fair Control >7-8%

Suboptimal Glycemic Control >8%

3.36 3.5 - 10.5L 10e3/uLWHITE BLOOD CELL COUNT

4.09 4.32 - 5.72L 10e6/uLRED BLOOD CELL COUNT

11.9 13.5 - 17.5L g/dLHEMOGLOBIN

36.6 38.8 - 50.0L %HEMATOCRIT

81.2 - 95.1 fL89.5MCV

27.0 - 31.2 pg29.1MCH

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 1 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 3: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

31.8 - 35.4 g/dL32.5MCHC

cells/uL0.98ABSOLUTE LYMPHOCYTES

%29.2LYMPHOCYTES

%56.5NEUTROPHILS

cells/uL1.90ABSOLUTE NEUTROPHILS

%8.3MONOCYTES

cells/uL0.28ABSOLUTE MONOCYTES

%5.7EOSINOPHILS

cells/uL0.19ABSOLUTE EOSINOPHILS

%0.3BASOPHILS

cells/uL0.01ABSOLUTE BASOPHILS

150 - 450 Thousand/uL246PLATELET COUNT

%14.8RDW

fL10.6MPV (Mean Platelet Volume)

CLINICAL CHEMISTRY

137.0 -

146.0

mmol/L142.0SODIUM (NA+)

3.50 - 5.10 mmol/L4.7POTASSIUM (K+)

110.0 98 - 107H mmol/LCHLORIDE (CL-)

22 - 30 mmol/L25.0CARBON DIOXIDE, TOTAL (tCO2)

9 - 20 mg/dL21.0UREA NITROGEN (BUN)

0.7 - 1.2 mg/dL.9CREATININE (CRE)

73 - 106 mg/dL100.0GLUCOSE (GLU)

10.5 8.4 - 10.2H mg/dLCALCIUM (CA)

2.5 - 4.5 mg/dL3.6PHOSPHORUS (84100)

3.5 - 8.5 mg/dL6.1URIC ACID (84550)

6.3 - 8.2 g/dL6.6PROTEIN, TOTAL (TP)

3.5 - 5.0 g/dL3.8ALBUMIN, SERUM (ALB)

120 - 246 U/L174.0LACTATE DEHYDROGENASE (83615)

15 - 46 U/L24.0ASPARTATE AMINOTRANSFERASE (AST)

13 - 69 U/L34.0ALANINE AMINOTRANSFERASE (ALT)

240.0 55 - 170H U/LCREATINE KINASE (CK)TOTAL (82550)

0.2 - 1.3 mg/dL.6BILIRUBIN, TOTAL (TBIL)

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 2 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 4: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

23.3 11.7 - 18.3HBUN/CREATININE RATIO

30 - 110 U/L44.0AMYLASE (82150)

1.6 - 2.3 mg/dL2.1MAGNESIUM (83735)

23 - 300 U/L53.0LIPASE (83690)

38.00 -

126.00

U/L61.0ALKALINE PHOSPHATASE (ALP)

0.70 - 2.10 mmol/L1.3LACTATE

COAGULATION

0.00 - 1.17 RATIO1.01INR

9.4 - 12.5 Second11.5PT RecombiPlasTin

200 - 393 mg/dL200QFA THROMBIN

1356 HP ng/mLD-DIMER

[D-Dimer Reference Value: < or = 232 ng/mL]

critical value, notified Dr.Ayass on 11/20/2018 @ 4pm

2.16 -

100.00

TR2.85APCR (FACTOR V LEIDEN)

54.7 - 146.1 %122.1FREE PROTEIN S

65.0 - 150.0 %137.8FACTOR IX ACTIVITY

50.0 - 150.0 %109.9FACTOR VIII ACTIVITY

79 83 - 128L %ANTI-THROMBIN LIQUID

0.90 - 1.20 TR1.00DRVVT CONFIRM

4.30 - 11.10 umol/L5.40HOMOCYSTEINE

1.22 0.84 - 1.16H TRSILICA CLOTTING TIME CONFIRM

25.1 - 36.5 s30.2APTT SYNTHASIL

70 - 140 %84PROTEIN C ACTIVITY

65.0 - 150.0 %94.7FACTOR XI ACTIVITY

83.8 - 133.9 %93.8FACTOR II ACTIVITY

62.0 - 139.0 %87.2FACTOR V ACTIVITY

50.0 - 129.0 %84.7FACTOR VII ACTIVITY

81.7 - 146.8 %100.8FACTOR X ACTIVITY

50.0 - 150.0 %137.7FACTOR XII ACTIVITY

79 80.2 - 132.5L %PLASMINOGEN

92.0 - 124.0 %95PLASMIN INHIBITOR

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 3 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 5: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

IMMUNOLOGY

NEGATIVE GPS U/mL2.68ANTI-PHOSPHATIDYLSERINE IgG

[11.00 : Neg] [= or >11.0 : Pos]

NEGATIVE MPS U/mL15.55ANTI-PHOSPHATIDYLSERINE IgM

[<25.0 : Neg] [= or >25.0 : Pos]

NEGATIVE APS U/mL< 1.23ANTI-PHOSPHATIDYLSERINE IgA

[<20.0 : Neg] [= or >20.0 : Pos]

NEGATIVE UNITS6.35aPS/PT IgG

[=or <30.0 : Neg] [ >30.0 : Pos]

82.12 POSITIVE UNITSaPS/PT IgM

[=or <30.0 : Neg] [ >30.0 : Pos]

NEGATIVE ug Eq/mL< 1.23C1q CIC

[<4.4 : Neg] [4.4 - <10.8 : Equiv] [= or >10.8 : Pos]

NEGATIVE UNITS0.75ANTI-HISTONE

[<1.0 : Neg] [1.0 - 1.5 : Weak Pos] [1.6 - 2.5: Moderate Pos][>2.5 : Strong Pos]

NEGATIVE UNITS1.22ANTI-RIBOSOME P

[<20 : Neg] [20 - 39 : Weak Pos] [40 - 80: Moderate Pos][>80 : Strong Pos]

NEGATIVE UNITS3.28ANTI-CHROMATIN

[<20 : Neg] [20 - 60 : Moderate Pos][>60 : Strong Pos]

NEGATIVE IU/ml1.6dsDNA ANTIBODIES

[<10 : Negative] [10-15 : Equivocal] [>15 : Positive]

NEGATIVE EliA U/ml<0.8SMITH D(p) ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml2.1U1RNP ANTIBODIES

[<5 : Negative] [5-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml0.8SCL-70 ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml<0.3JO-1 ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml0.4ANTI-CENTROMERE

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 4 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 6: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

NEGATIVE EliA U/ml<0.3SSA (Ro) ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml0.4RNP-70 ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE EliA U/ml<0.3SSB (La) ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml<0.6tTG - TISSUE TRANSGLUTAMINASE AB IgG

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE EliA u/ml0.8tTG - TISSUE TRANSGLUTAMINASE AB IgA

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE EliA U/ml4.9GLIADIN DP IgA

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE EliA U/ml<0.4GLIADIN DP IgG

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE EliA U/ml<0.4ANTI-CCP

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE IU/ml8.7RHEUMATOID FACTOR IgA

[<14 : Negative] [14-20 : Equivocal] [>20 : Positive]

7.1 POSITIVE IU/mlRHEUMATOID FACTOR IgM

[<3.5 : Negative] [3.5-5 : Equivocal] [>5 : Positive]

NEGATIVE GPL-U/ml1.3CARDIOLIPIN ANTIBODIES IgG

[<10 : Negative] [10-40 : Weak Positive] [>40 : Positive]

NEGATIVE APL-U/ml2.7CARDIOLIPIN ANTIBODIES IgA

[<14 : Negative] [14-20 : Equivocal] [>20 : Positive]

NEGATIVE MPL-U/ml3.8CARDIOLIPIN ANTIBODIES IgM

[<10 : Negative] [10-40 : Weak Positive] [>40 : Positive]

NEGATIVE U/ml<0.6BETA 2 GLYCOPROTEIN IgG

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml<2.9BETA 2 GLYCOPROTEIN IgM

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml2.4BETA 2 GLYCOPROTEIN IgA

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 5 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 7: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml<0.3MPO - MYELOPEROXIDASE ANTIBODY

[<3.5 : Negative] [3.5-5.0 : Equivocal] [>5.0 : Positive]

NEGATIVE U/ml<0.7PR3 - PROTEINASE-3 ANTIBODY

[<2.0 : Negative] [2.0-3.0 : Equivocal] [>3.0 : Positive]

NEGATIVE ELiA-U/ml<1.90GBM ANTIBODIES

[<7 : Negative] [7-10 : Equivocal] [>10 : Positive]

NEGATIVE U/ml0.9M2 ANTIBODY

[<4 : Negative] [4-6 : Equivocal] [>6 : Positive]

ENDOCRINOLOGY/HORMONES

12.2 23.9 - 336.2L ng/mLFERRITIN

17.4 - 105.7 ng/mL38.3MYOGLOBIN

0.5 - 6.3 ng/ml4.5CK-MB

1.3 - 19.3 mIU/mL8.86FOLLICLE STIMULATING HORMONE

1.2 - 8.6 mIU/mL4.92LH - LEUTINIZING HORMONE

ng/mL5.07PROLACTIN (84146)

Gender Reference Ranges

Males 2.64-13.13ng/mL

Females

Premenopausal (<50 years of age) 3.34-26.72ng/mL

Postmenopausal (>50 years of age) 2.74-19.64ng/mL

0.1 - 2.1 ng/mL0.19PROGESTERONE

180 - 914 pg/mL498VITAMIN B12

5.9 - 25.0 ng/mL>23.40FOLIC ACID

0.0 - 22.7 ug/dL4.53CORTISOL

ng/mL2.51TESTOSTERONE TOTAL

95% REFERENCE INTERVAL

Males. (Age Range 18 - 66)...................1.75 - 7.81 ng/ml

Females.(Age Range 21 - 73)..............<0.1 - 0.75 ng/ml

0.00 - 0.03 ng/mL0.00TROPONIN I

5.0 - 690.0 ug/dL165.8DHEA-SULFATE

Females:[18-21 yrs: 51-321][21-30 yrs: 18-391][31-40 yrs: 23-266][41-50 yrs: 19-231][51-60 yrs: 8-188][61-70 yrs: 12-133][>71

yrs: 7-177]

Males:[18-21 yrs: 24-537][21-30 yrs: 85-690][31-40 yrs: 106-464][41-50 yrs: 70-495][51-60 yrs: 38-313][61-70 yrs: 24-244][>71

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 6 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 8: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

yrs: 5-253]

0.0 - 2.0 pg/mL0.5INHIBIN A

nmol/L42.3SEX HORMONE BINDING GLOBULIN (84270)

95% REFERENCE INTERVAL (nmol/L)

Males (20 - 50 years) .............................................13.3 - 89.5 nmol/L

Females (20 - 46 years) ........................................18.2 - 135.5nmol/L Females

Post-menopausal (47 - 91 years).....16.8 - 125.2 nmol/L

25.62 0.00 - 21.00H nmol/mlsTFR

0.029GROWTH HORMONE (83003)

95% REFERENCE INTERVAL

Males....................0.003 - 0.971 ng/ml

Females...............0.010 - 3.607 ng/ml

Negative AU/mLNegativeINTRINSIC FACTOR BLOCKING AB,SERUM

[<1.20 AU/mL: Negative][≥1.20 to <1.53 AUL/mL: Equivocal][≥1.53 AU/mL: Positive]

25 - 100 pg/mL65BNP

1.90 - 23.00 ulU/mL8.56INSULIN

44.76 2.59 - 18.50H mIU/mLERYTHOPOIETIN (EPO)

0.00 - 47.00 pg/mL13ESTRADIOL

Non-pregnant females: [Mid follicular phase(days -6 to -8 from the hLH peak (day 0)): 27-122][mid-luteal phase(days +6 to +8

from the hLH peak (day 0)): 49-291][peri-ovulatory phase(days -1 from the hLH peak (day 0)): 95-433]

Postmenopausal Females(not on hormone therapy): <20-40

24.4125 OH Vitamin D Total

In 2011, the Clinical Guidelines Subcommittee of the Endocrine Society Task Force established the guidelines below for

recommended serum 25(OH) vitamin D levels:

Deficient: <20 ng/mL

Insufficient: 20 to <30 ng/mL

Sufficient: 30 - 100 ng/mL

Upper Safety Limit: >100

%21FREE ANDROGEN INDEX (%)

[Estimate of Free Testosterone]

Gender Median Age Median Value (%) 95% REFERENCE INTERVAL (%)

Males (20-50 yrs) 37 51.57 24.3-110.2

Females (20-46 yrs) 34 2.67 0.65-10.93

Post-menopausal (49-91) 59 1.70 0.23-6.80

LIPIDS

mg/dL201.0CHOLESTEROL

The National Lipid Association and the National Cholesterol Education Program (NCEP) has set the following guidelines for

lipids (total cholesterol, triglycerides, HDL, LDL and non HDL cholesterol) in adults ages 18 and up in mg/dL:

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 7 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 9: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

1) CHOLESTEROL: ADULTS: [Desirable: <200] [Borderline high: 200-239] [High: > or =240]

2)TRIGLYCERIDES: [Normal: <150] [Borderline high: 150-199] [High: 200-499] [Very high: > or = 500]

3) HDL Cholesterol: [Males: > = 40] [Females: > or = 50]

4) LDL Cholesterol: [Desirable:<100] [Above Desirable:100-129] [Borderline high:130-159]

[High;160-189] [Very high: >= 190]

5) NON HDL Cholesterol: [Desirable:<130] [Above Desirable:130-159] [Borderline high:160-189]

[High;190-219] [Very high: >= 200]

The Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set

the following guidelines for lipids (total cholesterol, triglycerides, HDL, LDL and non HDL cholesterol) in children ages 2-17 in

mg/dL:

1)TOTAL CHOLESTEROL: [Acceptable: <170] [Borderline high: 170-199] [High: > or =200]

2)TRIGLYCERIDES: CHILD (2-9 yrs): [Acceptable: <75] [Borderline high: 75-99] [High: > or =100]

CHILD (10-17 yrs): [Acceptable: <90] [Borderline high: 90-129] [High: > or =130]

3) HDL Cholesterol: [Low : < 40] [Borderline Low: 40-45] [Acceptable: > 45]

4) LDL Cholesterol: [Acceptable:<110] [Borderline high:120-129] [High; > or = 130]

5) NON HDL Cholesterol: [Acceptable:<120] [Borderline high:120-144] [High; > or = 145]

mg/dL199.0TRIGLYCERIDES

mg/dL43.0HDL CHOLESTEROL

mg/dL40.0VLDL CHOLESTEROL

mg/dL118.0LDL (CALCULATED)

4.7CHOL/HDL RATIO

mg/dL158NON HDL CHOLESTEROL

THYROID

32.0 - 48.4 %42.8T3-UPTAKE

6.1 - 12.2 ug/dL7.67T4 TOTAL

2.50 - 3.90 pg/mL3.06FREE T3

1.2 - 130.8 ng/mL8.18TG (THYROGLOBULIN)

0.34 - 5.60 ulU/ml0.89hTSH

40.00Normal IU/ml<12ANTI-THYROGLOBULIN

[<40 : Negative] [40-60 : Equivocal] [>60 : Positive]

25.00Normal IU/ml<4ANTI-THYROID PEROXIDASE

[<25 : Negative] [25-35 : Equivocal] [>35 : Positive]

SPECIAL CHEMISTRY

49 - 181 ug/dL75.0IRON ,TOTAL (83540)

261 - 462 ug/dl297.0TIBC (83350)

222 277 - 439LUIBC

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 8 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 10: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

88 - 174 mg/dL143ALPHA-1 ANTITRYPSIN

0.000 -

0.744

mg/dL0.186CRP - HI SENSITIVE

90.0 - 170.0 mg/dL145APOLIPOPROTEIN A1

56.0 - 162.0 mg/dL117APOLIPOPROTEIN B

0.81 0.00 - 0.39HAPOLIPOPROTEIN B/A1 RATIO

MALE: [<0.40: Normal] [0.40-0.69: Low risk] [0.70-0.89: Moderate risk] [0.90-1.10: High risk]

FEMALE: [<0.30: Normal] [0.30-0.59: Low risk] [0.60-0.79: Moderate risk] [0.80-1.00: High risk]

313 - 723 mg/dL393LAMBDA

629 - 1350 mg/dL678KAPPA

1.53 - 3.291.73KAPPA LAMBDA RATIO

79.0 - 152.0 mg/dL83.6C3 (COMPLEMENT C3)

15.5 16.0 - 38.0L mg/dLC4

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 9 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 11: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

20

40

60

80

100

120

140

1808

2000

4

1811

2002

0

@High

@Low

@Result

For ANTI-THROMBIN LIQUID

Normal Range: 83 - 128

0

0.2

0.4

0.6

0.8

1

1808

2000

4

1811

2002

0

@High

@Low

@Result

For APOLIPOPROTEIN B/A1 RATIO

Normal Range: 0.00 - 0.39

0

20

40

60

80

100

1808

2000

4

1811

2002

0

@High

@Low

@Result

For aPS/PT IgM

Normal Range: 0.0 - 30.1

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 10 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 12: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

4

8

12

16

20

24

1808

2000

4

1811

2002

0

@High

@Low

@Result

For BUN/CREATININE RATIO

Normal Range: 11.7 - 18.3

0

5

10

15

20

25

30

35

40

1811

2002

0

@High

@Low

@Result

For C4

Normal Range: 16.0 - 38.0

0

2

4

6

8

10

12

1808

2000

4

1811

2002

0

@High

@Low

@Result

For CALCIUM (CA)

Normal Range: 8.4 - 10.2

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 11 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 13: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

20

40

60

80

100

120

1808

2000

4

1811

2002

0

@High

@Low

@Result

For CHLORIDE (CL-)

Normal Range: 98 - 107

0

40

80

120

160

200

240

1808

2000

4

1811

2002

0

@High

@Low

@Result

For CREATINE KINASE (CK)TOTAL (82550)

Normal Range: 55 - 170

0

200

400

600

800

1000

1200

1400

1600

1808

2000

4

1811

2002

0

@High

@Low

@Result

For D-DIMER

Normal Range:

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 12 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 14: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

5

10

15

20

25

30

35

40

45

1808

2000

4

1811

2002

0

@High

@Low

@Result

For ERYTHOPOIETIN (EPO)

Normal Range: 2.59 - 18.50

0

50

100

150

200

250

300

350

1808

2000

4

1811

2002

0

@High

@Low

@Result

For FERRITIN

Normal Range: 23.9 - 336.2

0

10

20

30

40

50

1808

2000

4

1811

2002

0

@High

@Low

@Result

For HEMATOCRIT

Normal Range: 38.8 - 50.0

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 13 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 15: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

2

4

6

8

10

12

14

16

18

1808

2000

4

1811

2002

0

@High

@Low

@Result

For HEMOGLOBIN

Normal Range: 13.5 - 17.5

0

20

40

60

80

100

120

140

1808

2000

4

1811

2002

0

@High

@Low

@Result

For PLASMINOGEN

Normal Range: 80.2 - 132.5

0

1

2

3

4

5

6

1808

2000

4

1811

2002

0

@High

@Low

@Result

For RED BLOOD CELL COUNT

Normal Range: 4.32 - 5.72

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 14 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 16: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

1

2

3

4

5

6

7

8

1808

2000

4

1811

2002

0

@High

@Low

@Result

For RHEUMATOID FACTOR IgM

Normal Range: 3.50

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1808

2000

4

1811

2002

0

@High

@Low

@Result

For SILICA CLOTTING TIME CONFIRM

Normal Range: 0.84 - 1.16

0

4

8

12

16

20

24

28

32

1808

2000

4

1811

2002

0

@High

@Low

@Result

For sTFR

Normal Range: 0.00 - 21.00

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 15 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX

Page 17: Ayass Bioscience LLC. · 2019. 11. 22. · Ayass Bioscience LLC. Phone: (972) 668-6005 Fax: (972) 668-6720 Frisco, TX 75034 8501 Wade Blvd. BLDG 9 CLIA: 45D2034851 LABORATORY REPORT

Ayass Bioscience LLC.

Phone: (972) 668-6005 Fax: (972) 668-6720

Frisco, TX 75034

8501 Wade Blvd. BLDG 9

CLIA: 45D2034851

LABORATORY REPORT

FINAL

ORDERED BY PATIENT SPECIMEN

Test Name UnitsResult Range/CutoffFlag/Interpret Lab

0

50

100

150

200

250

300

350

400

450

1811

2002

0

@High

@Low

@Result

For UIBC

Normal Range: 277 - 439

0

2

4

6

8

10

12

1808

2000

4

1811

2002

0

@High

@Low

@Result

For WHITE BLOOD CELL COUNT

Normal Range: 3.5 - 10.5

>>> END OF REPORT <<<

Lab Director: HOUSINI, IHSAN M.D.

Printed on 2/22/2019 at 11:44:02AMPage 16 of 16

The Respiratory Pathogen Panel was performed on the MAGPIX System (Luminex Corp). Such test has not been cleared or approved by the US Food and Drug Administration. The FDA does not require these tests

to go through pre-market FDA review. It should not be regarded as investigational or for research. These tests should be interpreted in context with other clinical findings. Tests were performed at Ayass Lung Clinic

DBA Ayass Bioscience. Ayass Lung Clinic is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. 8501 Wade Blvd, Suite 750,

Frisco, TX 75034 CLIA ID: 45D2034851 Phone Number: 972-668-6005.

N or Blank = Normal, A or AB=Abnormal, LP=Low Panic, L=Low, H=High, HP=High Panic, P=Panic, PO=Positive,

R*=Predicted Resistant, S*=Predicted Susceptible, R=Resistant, S=Susceptible, RPT=Report, DT=Date

XXXX, XXXXXXX

DOB: XX/XX/1963

Sex: Male ID: XXXXP: () -

Chart/EMR:

Accession : XXXXXXXXCollected :

Received : 11/19/2018 18:00

Reported : 11/26/2018 11:46

Sources :

11/19/2018 12:00

Lavender, SST, Blue Top

XXXXX, XXXXXXXXX MD

8501 Wade Blvd., Building 9Frisco, TX 75034Acct #: XXXXXXP: (XXX) XXX-XXXX F: (XXX) XXX-XXXX