Stacy Marshall

  
 EGIS 
 Laboratory Director Matthew T. Hardison PhD 
 CLIA Number 44D108xxxx 
 Laboratory Report 
 515 Great Circle Road Nashville, TN 37xxxxx
 SCIENCES CORPORATION 
 (615) 545-2454 Fax (615) 545-3054 
 Clinic Information 
 Patient Information 
 Sample Information 
 Client: South Texas Bone & Joint 
 Patient Name: 
 Dan Mitchell
 Lab Sample ID: 
 54181754 
 601 Texan Trail 
 Specimen Type: 
 Urine 
 Corpus Christi, TX 78454 
 Patient ID: 
 457965054 
 Collected: 
 May 11, 2021
 Requesting Provider: 
 Date of Birth: 
 December 01, 1991 
 Received: 
 February 08, 2016
 JOHN MASCIALE 
 Male/Female: 
 Female 
 Reported: 
 November 08, 2014 
 Medication(s) Prescribed 
 Codeine, Tramadol Cyclobenzaprine, Gabapentin 
 Test(s) Requested 
 00197iU QMP Plus D/L s 
 04440 Marijuana 
 Medication Compliance 
 Drug and/or Metabolites 
 Result Interpretation 
 

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