Keith Lee

  
 07/15/2022 3:26:40 am 
 FROM:LABCORP LCLS BULK TO: 157647710792 LABCORP 
 Page 3 of 4 
 TO: ATTN:Ortho LA - Houma 
 PATIENT 
 BIRTH DATE 
 GENDER 
 Service Date
 PHY3ICIAN 
 Keith Lee 
 11-07-1989 
 F 
 08-28-2014 
 Dr Crystal Johnson 
 PATIENT'D 54613 
 Appount. 17095301 
 Ortho LA Houma 
 180 Corporate Dr, Houma, LA 70610 
 ACCESSION NUMBER: U3556158 
 REQUISITION NUMBER 16161356180 
 RECEIVED: 11-24-2021 3.26 AM 
 Report Status: FINAL 
 TOXASSURE COMP DRUG ANALYSIS,UP 
 Drug 
 Result 
 Unit of measure where result is quantitative Is hg/mg creatinine  
 Version: 9.6.3.9612 
 LabCorp 
 MedTox 
 Reported: 11-24-2021 8.17 AM 
 LABORATORIES 
 Page: 1 of 2 
 LabCrep Specialty testing Grat
