DOB: 10.10.2002 Patient ID: 1922998 ACC/AHA Risk Score: Patient Info: Gender: M Fasting: No BMI: Test Name Provider Patient Name: GARCIA, JACOB Provider: ELAINE KING MD 16405 Sand Canyon Ave Ste 265 Irvine, CA 92618 Account No: 9786 Test Result Specimen FINAL REPORT Accession No: C0136069 Requisition No: Report Date & Time: 08.21.2020 1:45 PM Received Date & Time: 08.20.2020 3:14 PM Collection Date & Time: 08.19.2020 01:00 PM Interpretation Footnotes Infectious Disease Tests TaqPath COVID-19 NP SWAB 9 Notes Not Detected A not detected (negative) test result for this test means that SARS- CoV-2 RNA was not present in the specimen above the limit of detection. Laboratory test results should always be considered in the context of clinical observations and epidemiological data in making a final diagnosis and patient management decisions. Results will be reported to government agencies as required. Specimen: Acceptable This patient is under 18 years of age. Reference ranges are based on ages 18 years and older. Therefore, we recommend caution in clinical interpretation. CLIA# 22D2100622 BHD-REP-003.03 NYSDOH: 9021 200 Crossing Blvd. Framingham, MA 01702, 508.877.8711 Ernst J. Schaefer, MD Laboratory Director / Chief Medical Officer Page 1 of 3 Patient ID: 1922998 Gender: M Test Name Infectious Disease Tests NYSDOH: 9021 Account No: 9786 Accession No: C0136069 Report Date & Time: 08.21.2020 1:45 PM 08.21.2020 (Current) TaqPath COVID-19 NP SWAB CLIA# 22D2100622 BHD-REP-003.03 Provider: ELAINE KING MD Specimen Name: GARCIA, JACOB Provider Patient FINAL REPORT - 200 Crossing Blvd. Framingham, MA 01702, 508.877.8711 Ernst J. Schaefer, MD Laboratory Director / Chief Medical Officer Page 2 of 3 Patient ID: 1922998 Gender: M Provider: ELAINE KING MD Account No: 9786 Specimen Name: GARCIA, JACOB Provider Patient FINAL REPORT Accession No: C0136069 Report Date & Time: 08.21.2020 1:45 PM Notes Boston Heart has not verified the reference ranges for the pediatric population. Use clinical discretion when interpreting results. Footnotes The intended use of this report is to provide an aid in the physician's treatment decisions. This report is intended for a physician or other qualified health care provider. Please consult with your physician regarding any questions. 9This test has been validated by Boston Heart Diagnostics but FDA's independent review of the validation is pending. This test is performed as a laboratory developed test; independent review of the validation under the FDA's Emergency Use Authorization authority (EUA # 200659) will be performed according to current guidance requirements. We will continue to follow federal and state requirements for both notification of results and any confirmatory testing that is required by another agency. This test was developed and its performance characteristics determined by Boston Heart Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. Results should be used in conjunction with clinical findings and should not form the sole basis for a diagnosis or treatment decision. Methods: TaqPath COVID-19 NP SWAB: TaqPath SARS-CoV-2 Multiplex RTPCR Assay IVD * Tests performed with alternative methodologies are not displayed for comparative purposes. = Critical Value, = Alert Value, TNP = Test Not Performed, PEND = Test Result Pending, GSP = Glycated Serum Protein, ADA = American Diabetes Association ©2020 Boston Heart Diagnostics Corporation. All rights reserved. The Boston Heart Diagnostics logo, Boston Heart HDL Map, Boston Heart Cholesterol Balance, Boston Heart Prediabetes Assessment, and Boston Heart Fatty Acid Balance are trademarks or registered trademarks of Boston Heart Diagnostics Corporation. TaqMan® is a registered trademark of Roche Molecular Systems, Inc. CLIA# 22D2100622 BHD-REP-003.03 NYSDOH: 9021 200 Crossing Blvd. Framingham, MA 01702, 508.877.8711 Ernst J. Schaefer, MD Laboratory Director / Chief Medical Officer Page 3 of 3