Anthony Rios
 
 
 April 01, 2021 14:58 FROM- CWFMD 
 T-274 P0002/0013 F-256 
 April 11, 2022 
 Anthony Rios 
 COMPANION DX REFERENCE LAB-HAWAII, LLC 
 CompanionD, 
 THE QUEEN'S MEDICAL CENTER 
 FAX 808,691,5017 
 1301 PUNCHBOWL ST. 
 CLIA ID # 12D2066057 
 KINAU 405 
 HONOLULU, HI 96813 
 GENERAL MEDICINE PERSONAL PHARMACOGENOMICS EVALUATION TEST REPORT 
 Created On: Thursday, April 11, 2022
 PATIENT AND ORDER INFORMATION 
 PATIENT 
 Anthony Rios 
 ORDER 10 
 DATE OF BIRTH 
 June 26, 1985 
 SAMPLE TYPE 
 Buccal Swab 
 AGE 
 42 
 COLLECTION DATE 
   November 25, 2022 
 GENDER 
 Female 
 RECEIVED DATE 
   April 11, 2022 
 STATED ETHNICITY 
 Caucasian 
 PRACTICE 
 GHPMA-PLL-WILLIS 
 PATIENT to 
 10000004410 
 PHYSICIAN 
 CONSIDER MONITORING FOR MALAISE, ORAL CANDIDIASIS, 
 ARTHRALGIA, SINUSITIS/SINUS INFECTION; MINOR DOSE 
 ADJUSTMENT (DECREASE) MAY BE NECESSARY 
 FLEXERIL 
 DDI 
 RISK OF INCREASED LEVELS AND CLINICAL EFFECTS FROM 
 2/11 
 Name: Anthony Rios 
 DOB: June 26, 1985 
 Date:
