0.10 - 0.31 0/I Equivocal/Low 0.32 - 0.55 I Low 0.56 - 1.40 II Moderate 1.41 - 3.90 III High 3.91 - 19.00 IV Very High 19.01 - 100.00

>100.00 V

VI Very High Very High

F002-IgE Milk 0.79 Abnormal kU/L Class II 01 F004-IgE Wheat 0.30 Abnormal kU/L Class 0/I 01 F008-IgE Corn 0.24 Abnormal kU/L Class 0/I 01 F013-IgE Peanut 0.34 Abnormal kU/L Class I 01 F014-IgE Soyb an 0.12 Abnormal kU/L Class 0/I 01 F026-IgE Pork 1.61 Abnormal kU/L Class III 01 F027-IgE FX02-IgE

Beef Food

Mix

(Seafoods)

0.13 Abnormal kU/L Class 0/I 01

Negative 01

F245-IgE Egg, Whole 0.21 Abnormal kU/L Class 0/I 01 F093-IgE Chocolate/Cacao <0.10 kU/L Class 0 01

SLIDELL LA 70458

LabCorp Patient Report Specimen ID: Acct #: 17452095 Phone: (800) 539-6119 Rte: 00 Control ID: Walk-In Lab, LLC

VART verified 169 W Augusta Lane

IIII I II II I I II I I IIIII II II II IIIIIII

Patient Details DOB: Age(y/m/d): Gender: SSN: Patient ID:

Specimen Details Date collected: Date entered: Date reported:

Physician Details Ordering: D KARTY Referring: ID: NPI: 1144272949

General Comments & Additional Information Alternate Control Number: Alternate Patient ID:

Ordered Items Allergen Profile, Basic Food

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB Allergen Profile, Basic Food Class Description 01

Levels of Specific IgE Class Description of Class --------------------------- ----- --------------------

< 0.10 0 Negative

e

Allergens in this mix are: Blue mussel Fish Salmon Shrimp Tuna

01 BN LabCorp Burlington 1447 York Court, Burlington, NC 27215-3361

For inquiries, the physician may contact Branch: 504-828-2666 Lab: 972-598-6000

Dir: William F Hancock, MD

Date Issued: 03/07/16 0923 ET FINAL REPORT Page 1 of 1 This document contains private and confidential health information protected by state and federal law. If you have received this document in error, please call 972-598-6000

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