Clinic New Medicine Technology Arhimed
Address: Moscow, st. Vavilova, 68, building 2
License No. LO-77-01-008866 dated August 27, 2014
Contact + 7 (499) 288-07-29
Mail: arhimed@arhimedlab.com
910000369993
GC-MARK CERTIFICATE: ISO 15189:2012
Certificate registration no. 545001 GC
EMG:
98/79 EC Directive
ISO 13485:2016
EN ISO 14971:2012
EN ISO 15223-1:2014EN
ISO 18113-1 :2011
EN ISO 18113-2 :2011
EN ISO 13612 :2002
EN ISO 23640 :2015
EN 13641:2002
Request form №: 910000369993
Surname/ Forename: ANNA PINES
Passport No: 759617338 МВД 77217
Nationality:
Date of birth: 09.06.1986 Sex: F
Sample type: Nasopharyngeal swab for COVID-19
Date of collection: 07.04.2021 15:52
Coronavirus SARS-CoV-2 Real Time PCR (Smart technology EVOTECH-MIRAI GENOMICS LLC)
Test
Testing on Coronavirus SARS CoV2,
COVID -19
Result
Standard
negative
negative
Comment: Attention! The negative test result for Coronavirus SARS CoV2 (COVID-19) does not cancel quarantine if
recommended by Rospotrebnadzor (Russian Federal Service for Surveillance on Consumer Rights Protection and
Human Wellbeing).
For advice on quarantine issues, please contact the Rospotrebnadzor Call Center by phone +7-800-555-49-43.
All test results for Coronavirus SARS CoV2 (COVID-19) are reported to Rospotrebnadzor obligatorily.
Date of analysis:
07.04.2021
17:15:43
Date of document issue:
07.04.2021
17:22:26
Potapov V.A.
QR code to check the result in the
database. Password: 442098
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