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test-result travel Yanxin Lu 2021-12-17 test_result_lu.pdf

COVID-19 Test Result — Lu Yanxin

Lab Information

Field Value
Lab Genentox Labs / Nova Diagnostics Labs
Address 2001 E 1st St Ste 109, Santa Ana, CA 92705
Phone 833-668-2522
CLIA# 05D0871568
Lab Director Rosaura Williams MD
Email results@novadxlabs.com
Report Type Final Report — SARS RT-PCR FLY

Patient Information

Field Value
Name Lu, Yanxin
DOB 10/17/1989
Gender Male
Address 11950 Idaho Ave. Apt. 113, Los Angeles, CA 90025
MRN E93603635

Sample Information

Field Value
Collected 12/17/2021 11:53
Received 12/17/2021
Reported 12/17/2021

Clinic Information

Field Value
Client Chinese Consulate
Site LAX Walk In
Physician Maxwell Y Jen

Detailed Results Summary

Specimen ID Test Specimen Type Results Expected Value
391449 SARS CoV-2 (Covid-19) by RT-PCR (NAAT) Nasopharyngeal Swab Not Detected (negative) Not Detected
391450 COVID-19 IgM (Chemiluminescence) Venous Blood Draw Not Detected (negative) (0 s/co) <1
391451 N-Protein Blood Drop Not Detected Not Detected

Resulted By: Eyas Mousa Date: 12/17/2021

Final Result for SARS CoV-2 (COVID-19): NOT DETECTED (negative)

Disclaimers

Not Detected (negative) results do not preclude SARS-CoV-2 infection and should not be used as the sole basis for patient management decisions. Negative results must be combined with clinical observations, patient history, and epidemiological information. Collection of multiple specimens or types of specimens may be necessary to detect virus. Improper specimen collection and handling, sequence variability under primers/probes or viruses present below the limit of detection may lead to false negative results. Positive and negative predictive values of testing are highly dependent on prevalence. False negative test results are more likely when prevalence is high.

This test has been authorized by the FDA under an Emergency Use Authorization (EUA). The test is only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of SARS-CoV-2 under Section 564(b)(1) of the Act, 21 U.S.C. section 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner. FDA review of the validation is pending.

The SARS-CoV-2 test is intended for the qualitative detection of nucleic acids from SARS-CoV-2 in nasal, nasopharyngeal and oropharyngeal swab samples from patients who meet COVID-19 clinical and/or epidemiological criteria. Testing methodology is (Real Time) RT-PCR. The assay targets the S, N and ORF1ab genes. Test results must be correlated with clinical presentation and evaluated in the context of another laboratory and epidemiologic data. Test performance can be affected because the epidemiology and clinical spectrum of infection caused by SARS-CoV-2 is not fully understood.

Genentox Laboratories, LLC. DBA Nova Diagnostics Labs CLIA Certification Number: 05D0871568 is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. section 263a, to perform high complexity tests.