Laboratory Report: Aegis Sciences Corporation
Laboratory Report: Aegis Sciences Corporation
Laboratory Report: Aegis Sciences Corporation
Client Information
Client: WALGREENS KANSAS CITY
Report To: Eric Marshall
2630 NE VIVION RD
KANSAS CITY, MO 64119
Sample Information
Patient ID: 94605936 PATIENT: Haley Vest
Lab Sample ID: 801827211 1201 NW 72nd St,
Kansas City MO, 64118
Specimen Type: Nasal - Anterior Nares
Clay
Collected: 10/14/2021 13:00 Central Time Phone: 816-217-5811
Received: 10/15/2021 DOB: 03/30/1987
Reported: 10/16/2021 Gender: Female
Race: White
Ethnicity: Not Hispanic
Test(s) Requested
05700 SARS-CoV-2, RT-PCR
Tested For Result Reference Range
SARS-CoV-2, RT-PCR
SARS-CoV-2 POSITIVE N/A
Sample Comments
The Thermo Fisher Scientific, Inc. TaqPath COVID-19 Combo Kit used to perform this test has been authorized by FDA under
an Emergency Use Authorization for use by authorized laboratories. The test has not been otherwise FDA cleared or approved.
This test is authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens. This test
is only authorized for the duration of the declaration that circumstances exist justifying the authorization of the emergency use
of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under section 564(b)(1) of the Act, 21 U.S.C. 360bbb-
3(b)(1), unless the authorization is terminated or revoked.