Jennifer Stephens

  
 07/15/2022 2:22:40 am 
 FROM:LABCORP LCLS BULK TO: 122469318943 LABCORP 
 Page 3 of 4 
 TO: ATTN:Ortho LA - Houma 
 PATIENT 
 dob 
 GENDER 
 Service Date
 PHY3ICIAN 
 Jennifer Stephens 
 November 16, 1984 
 F 
 May 03, 2018 
 Dr Michelle Johnson 
 PATIENT'D 54173 
 Appount. 17034162 
 Ortho LA Houma 
 180 Corporate Dr, Houma, LA 70170 
 ACCESSION NUMBER: U3551758 
 REQUISITION NUMBER 11761351780 
 RECEIVED: April 24, 2015 2.22 AM 
 Report Status: FINAL 
 TOXASSURE COMP DRUG ANALYSIS,UP 
 Drug 
 Result 
 Unit of measure where result is quantitative Is hg/mg creatinine  
 Version: 9.6.3.9172 
 LabCorp 
 MedTox 
 Reported: April 24, 2015 8.17 AM 
 LABORATORIES 
 Page: 1 of 2 
 LabCrep Specialty testing Grat
