Report Status: Final

ARROYO, STEVEN

Patient Information Specimen Information Client Information

Specimen: EN521324X Client #: 76077720 AN08010
ARROYO, STEVEN
Requisition: 0002027 KOCKINIS, THOMAS C
DOB: 04/20/1957 AGE: 58 KOCKINIS MD, THOMAS
Gender: M 18811 HUNTINGTON ST STE 130
Collected: 07/15/2015 / 10:14 PDT
Phone: 714.727.6774 HUNTINGTON BEACH, CA
Received: 07/16/2015 / 05:31 PDT
Patient ID: 042057SA 92648-6003
Reported: 07/16/2015 / 13:45 PDT
Health ID: 8573011143384896

COMMENTS: FASTING:NO
Test Name In Range Out Of Range Reference Range Lab
HEPATITIS PANEL, ACUTE W/REFLEX TO CONFIRMATION
HEPATITIS A IGM NON-REACTIVE NON-REACTIVE EN
HEPATITIS B SURFACE EN
ANTIGEN W/REFL CONFIRM
HEPATITIS B SURFACE
ANTIGEN NON-REACTIVE NON-REACTIVE
HEPATITIS B CORE EN
ANTIBODY (IGM) NON-REACTIVE NON-REACTIVE
HEPATITIS C ANTIBODY NON-REACTIVE NON-REACTIVE EN
SIGNAL TO CUT-OFF 0.09 <1.00
CHLAMYDIA/N. GONORRHOEAE EN
RNA, TMA
CHLAMYDIA TRACHOMATIS
RNA, TMA NOT DETECTED NOT DETECTED
NEISSERIA GONORRHOEAE
RNA, TMA NOT DETECTED NOT DETECTED
See Endnote 1

Endnote 1 This test was performed using the APTIMA COMBO2 Assay
(Gen-Probe Inc.).

The analytical performance characteristics of this

assay, when used to test SurePath specimens have
been determined by Quest Diagnostics.

CLIENT SERVICES: 866.697.8378 SPECIMEN: EN521324X PAGE 1 OF 2

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
 Report Status: Final
ARROYO, STEVEN

Patient Information Specimen Information Client Information

Specimen: EN521324X Client #: 76077720
ARROYO, STEVEN
Collected: 07/15/2015 / 10:14 PDT KOCKINIS, THOMAS C
DOB: 04/20/1957 AGE: 58 Received: 07/16/2015 / 05:31 PDT
Gender: M Reported: 07/16/2015 / 13:45 PDT
Patient ID: 042057SA
Health ID: 8573011143384896

Infectious Diseases

Test Name Result Reference Range Lab

HIV 1/2 ANTIGEN/ANTIBODY,FOURTH GENERATION W/RFL
HIV 1/2 ANTIGEN/ANTIBODY, FOURTH GENERATION W/RFL EN
HIV AG/AB, 4TH GEN NON-REACTIVE NON-REACTIVE
A Nonreactive HIV Ag/Ab result does not exclude
HIV infection since the time frame for seroconversion
is variable. If acute HIV infection is suspected,
a HIV-1 RNA Qualitative TMA test is recommended.

PLEASE NOTE: This information has been disclosed to you

from records whose confidentiality may be protected by
state law. If your state requires such protection, then
the state law prohibits you from making any further
disclosure of the information without the specific
written consent of the person to whom it pertains, or
as otherwise permitted by law. A general authorization
for the release of medical or other information is NOT
sufficient for this purpose.

The performance of this assay has not been clinically

validated in patients less than 2 years old.

For additional information please refer to

http://education.questdiagnostics.com/faq/FAQ106
(This link is being provided for informational/
educational purposes only.)

Physician Comments:

PERFORMING SITE:
EN QUEST DIAGNOSTICS-WEST HILLS, 8401 FALLBROOK AVENUE, WEST HILLS, CA 91304-3226 Laboratory Director: ENRIQUE TERRAZAS,MD, CLIA: 05D0642827

CLIENT SERVICES: 866.697.8378 SPECIMEN: EN521324X PAGE 2 OF 2

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
 KOCKINIS,THOMAS C
Patient Name: ARROYO, STEVEN THOMAS KOCKINIS, MD
DOB: 04/20/1957 AGE: 58Y Gender: M 18811 HUNTINGTON ST
HUNTINGTON BEACH, CA 92648
Date of Service: 07/15/2015
Health ID: 8573011143384896 Phone: 7145961105
Specimen: EN521324X

COMMENTS: FASTING:NO

Test Name Results Reference Range Lab

HEPATITIS PANEL, ACUTE W/REFLEX TO CONFIRMATION
HEPATITIS A IGM NON-REACTIVE NON-REACTIVE EN
HEPATITIS B SURFACE ANTIGEN W/REFL CONFIRM EN
HEPATITIS B SURFACE ANTIGEN NON-REACTIVE NON-REACTIVE
HEPATITIS B CORE ANTIBODY (IGM) NON-REACTIVE NON-REACTIVE EN
HEPATITIS C ANTIBODY NON-REACTIVE NON-REACTIVE EN
SIGNAL TO CUT-OFF 0.09 <1.00
CHLAMYDIA/N. GONORRHOEAE RNA, TMA See Endnote 1 EN
CHLAMYDIA TRACHOMATIS RNA, TMA NOT DETECTED NOT DETECTED
NEISSERIA GONORRHOEAE RNA, TMA NOT DETECTED NOT DETECTED
HIV 1/2 ANTIGEN/ANTIBODY,FOURTH GENERATION W/RFL
HIV 1/2 ANTIGEN/ANTIBODY, FOURTH GENERATION W/RFL EN
HIV AG/AB, 4TH GEN NON-REACTIVE NON-REACTIVE
A Nonreactive HIV Ag/Ab result does not exclude
HIV infection since the time frame for seroconversion
is variable. If acute HIV infection is suspected,
a HIV-1 RNA Qualitative TMA test is recommended.

PLEASE NOTE: This information has been disclosed to you

from records whose confidentiality may be protected by
state law. If your state requires such protection, then
the state law prohibits you from making any further
disclosure of the information without the specific
written consent of the person to whom it pertains, or
as otherwise permitted by law. A general authorization
for the release of medical or other information is NOT
sufficient for this purpose.
The performance of this assay has not been clinically
validated in patients less than 2 years old.
For additional information please refer to
http://education.questdiagnostics.com/faq/FAQ106
(This link is being provided for informational/
educational purposes only.)

Endnote 1 This test was performed using the APTIMA COMBO2 Assay
(Gen-Probe Inc.).

The analytical performance characteristics of this

assay, when used to test SurePath specimens have
been determined by Quest Diagnostics.

PERFORMING SITE:
EN Quest Diagnostics, 8401 Fallbrook Ave, West Hills, CA 91304-3226 Laboratory Director: Enrique Terrazas, M.D., CLIA: 05D0642827

The contents of this laboratory test report are based on tests performed by Quest Diagnostics. The report is NOT an official laboratory report. If you require
your official laboratory report, please contact your physician.

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 1 OF 1