3/21/23, 10 : 09 PM Procedure - Intend Page 1 of 2 https://app.intend.io/handler.ashx ? req=nav&mop=test ! main-result&pk=00d13f4b-ce0c-44ec-9038-386a1b868cea&print=1 Procedure Date: 10/19/2022 (153 days ago) Patient: Yuhan Liu DOB: 4/12/1995 Gender: Female Mobile: (929) 359-0779 Passport #: EJ5534189 (CN) 115 East Covid Testing 115 East 57th Street, Suite 1450 New York, NY 10022 (212) 203-6957 CLIA#: 33D2214419 NPI #: 1013214089 The SARS-CoV-2 STANDARD RT PCR - 24 HOURS test for Yuhan Liu returned a result of NEGATIVE A Not Detected - NEGATIVE - test result for this test means that SARS-CoV-2 RNA was not present in the specimen above the limit of detection. A negative result does not rule out the possibility of COVID-19 and should not be used as the sole basis for treatment or patient management decisions. If COVID- 19 is still suspected, based on exposure history together with other clinical findings, re-testing should be considered in consultation with public health authorities. Laboratory test results should always be considered in the context of clinical observations and epidemiological data and making a final diagnosis and patient management decisions. REFERENCE RANGE: NOT DETECTED Methodology: RT Nucleic Acid Amplification Test (RT-NAAT) Molecular PCR. ABBOT ID NOW utilizes isothermal technology, a proven next-generation molecular technology that uses proprietary enzymes and constant temperature, to achieve the fastest available DNA amplification. This test has been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens. This specimen was tested using FDA under EUA authorized technology for use by laboratories certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a, to perform waived complexity tests and for use at the Point of Care (POC), i.e., in patient care settings operating under a CLIA Certificate of Waiver, Certificate of Compliance, or Certificate of Accreditation. Please review the fact sheets and FDA authorized labeling available for healthcare providers and patients using the following websites: https://www.fda.gov/media/136523/download and https://www.fda.gov/media/136524/download Expert Medical Diagnostics CLIA: 33D2214419 NPI: 1013214089 Tax ID: 27-4893333 CPT: 87635-QW ICD: Z20.822 3/21/23, 10 : 09 PM Procedure - Intend Page 2 of 2 https://app.intend.io/handler.ashx ? req=nav&mop=test ! main-result&pk=00d13f4b-ce0c-44ec-9038-386a1b868cea&print=1 Procedure Date: 10/19/2022 Ordering Provider: Luiza Petre - NPI: 1053465971 SNOMED Code: 260415000 Specimen Type: nasopharyngeal swab Procedure #: 5105221 CPT Code(s): 87635 -QW ICD Codes: Z20.822 Procedure: SARS-CoV-2 STANDARD RT PCR - 24 HOURS Device: Abbott ID NOW Expiration: 10/22/2022 Created: 10/18/2022 3:11 PM Collected: 10/19/2022 11:40 AM Completed: 10/20/2022 10:28 AM (UTC-05:00) Eastern Time (US & Canada) Completed By / Administered By: Karla Bonilla Provider NPI: 1013214089