Ricky Ali
 
 
 04-22-2016 14:00 FROM- CWFMD 
 936-703-5455 
 T-240 P0075/0078 F-226 
 rage 1 01 4 
 Conroe Willis Family Medicine PLLC 
 Ricky Ali 
 Order Date: 06-21-2015 
 4015 145 North 
 14570 Trero Lane 
 Order #: PRO28809 
 Conroe, TX, 773045074 
 Willis, TX, 773784394 
 Phone #: (936) 441-1122 
 Person #: 744, MRN: 5211 
 Sex: F 
 DOB: 03-16-1998 
 Ordering: Dubose PA-C, Joshua 
 Performing #: LabCorp 
 Location: Willis CWFM 1 
 Tests Ordered : CBC With Differential/Platelet (005009), Comp. Metabolic Panel (14) (322000), Hemoglobin A1c (00145 
 3), Lipid Panel (303756), Vitamin D, 25-Hydroxy (081950), Thyroid Panel With TSH (000620) 
 Vitamin D, 25-Hydroxy (Collection Date: 01-19-2022 14:34, Status: Final) 
 Performed At: 01, LabCorp Houston 
 7207 North Gessner, Houston, TX, 770403143 
 Kyle, Eskue, MD, Phone: 7138568288 
 Component 
 Result Units 
 Flag 
 Range 
 Comment 
 Vitamin D, 25-Hydroxy 
 52.6 ng/mL 
 30.0-100.0 
 Vitamin D 
 deficiency 
 intakes for 
 Patient: Ricky Ali, DOB: 03-16-1998
