Travis Wood

 
 Pacific 
 Pain Management Compliance Testing 
 Toxicology 
 Laboratories 
 actox 
 Laboratory Report 
 Donald Simpson MD. PhD . Medical Director 
 9348 De Soto Avenue Chatsworth.  
 
 California DPH CLF4442 
 31560 
 Patient Name: Bryan Schroeder 
 Patient ID: 643-75-8015 
 INTEGRATED PAIN CARE-RICHMOND 
 Age, DOB: 27,01-02-27 
 LAB ID: B2069649 
 ATTN: Paul Aguilar 
 Sex: M 
 Collected: 19-11-30
 3160 GARRITY WAY 
 Other ID: 
 Received: 19-03-04 
 RICHMOND, CA 94806 
 Requesting Physician: Dr Heather Cruz
 Reported: 19-03-04 
 Requisition#: 7352915 
 Drug(s) Screened For: PACPAIN PANEL #9621815 
 Medication(s) Prescribed: TRAMADOL,CYCLOBENZAPRINE 
 Normalized 
 Drug 
 Test Result 
 Value 
 Result 
 Comment 
 TRAMADOL 
 NOT DETECTED 
 Test result is not expected with prescribed medications. 
 Specimen Validity Testing 
 Normal Range 
 Result 
 Comment 
 CREATININE URINE 
 >19 mg/dL 
 186.2 
 Normal 
 SPECIFIC GRAVITY, URINE 
 >1 0030 
 1.0279 
 Normal 
 NITRITES. URINE 
 <200 ug/mL 
 26 
 Normal 
 pH. URINE 
 4.5-9 0 
 5.5 
 Normal 
 
 615
