Tester Submitter: dfgmpvknl Labortory: pj Labortory Address: oh Director: ogh Georgia Clincial Labortary Licencse #: ig CLIA ID#: ig SPECIMEN SUBMITTER:: g Phone: j Lab NO:: uv Patient Name: ufv Gender: uvcu MED REC: ufv ETHNICITY: uvcu Address: vu Race: v DOB: uvu Race: vujv Phone: j Age: vk COLLECTED: jvk RECEIVED: cvkhj REPORTED: vkjh SPECIMEN SOURCE:: chj RPR w/Reflex : vkhjh SYPHILIS TREPSURE (TREPONEMAL) : chjk RECEIVED: cvkhj REPORTED: vkjh HIV 1/2 Insti-Rapid : cvkhj SPECIMEN SOURCE:: chj HIV RNA Combo Ag/Ab: ckhj HIV Final Interpretation:: vj SPECIMEN SOURCE: fguky GONORRHEA GC:: fu CHLAMYDIA CT:: vcj TRICHOMONAS VAGINALIS: hgj Hepatitis Panel : chg
