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Client Information Patient Information Sample InformationClarity labs Patient: Sample, Patient Accession: 1811280214220 Davidson Ave, Suite 104 Patient ID: P9915816 Collected: 11/27/2018 12:00:00 PMSOMERSET, NJ 08873 DOB: 12/3/1997 Received: 11/28/2018 01:59:00 PMPhone: 7325955414 Gender: Male Preliminary Release Date: 11/28/2018 02:05:34 PMDoctor: Clarity Labs Sample Type: Urine Cup Final Release Date: 11/28/2018 02:05:34 PM

RESULT HISTORY1809200115 1809120155 U1801260042 O1801250055 O18011000269/20/2018 9/12/2018 1/26/2018 1/25/2018 1/10/2018

Unprescribed DrugFound

None None Ethyl Sulfate (9851ng/mL)Ethyl Glucuronide(11258 ng/mL)Marijuana/Cannabinoid Metabolite 20 (200ng/mL)

None None

Prescribed Not Found None Naloxone None None NonePrescribed/Consistent None Buprenorphine (47

ng/mL)Norbuprenorphine (28ng/mL)

Buprenorphine (66ng/mL)Naloxone (52 ng/mL)Norbuprenorphine (32ng/mL)

Buprenorphine (51ng/mL)Naloxone (26 ng/mL)Norbuprenorphine (42ng/mL)

None

Abnormal SpecimenValidity

None Specific Gravity(1.035 g/mL)

None None None

CONSISTENT RESULTS - Reported medication (parent drug and/or metabolite) detected.REPORTED PRESCRIPTION TEST NAME(s) RESULT RESULT COMMENT

Suboxone Buprenorphine POSITIVE 54 ng/mL The presence of Buprenorphine is consistent with Buprenex, Subutex,or Suboxone medication use.

Suboxone Norbuprenorphine POSITIVE 32 ng/mL Norbuprenorphine is a metabolite of Buprenorphine. Its presence isconsistent with Suboxone, Beprenex, Buprex, Subutex, or Transtec.

INCONSISTENT RESULTS - Reported medication not detected (neither parent drug nor metabolite).REPORTED PRESCRIPTION TEST NAME(s) RESULT RESULT COMMENT

Suboxone Naloxone NEGATIVE ng/mL

Analyte Detected but no corresponding prescription reported.DETECTED ANALYTE TEST RESULT (ng/mL) COMMENTS

Marijuana/Cannabinoid Metabolite POSITIVE 206 ng/mL The marijuana/cannabinoid metabolite THC-COOH (11-nor-9-Carboxy-delta-9-THC) is a urinary metabolite of tetrahydrocannabinol (THC). The presence ofthis metabolite may indicate recent prescription (Sativex) or illicit marijuanause.

Dextromethorphan POSITIVE 55 ng/mL Dextromethorphan is an analgesic found in numerous cough syrups such asNyquil, Delsym, and Robitussin. It is detectable for up to 3 days in urine.

Ethyl Sulfate POSITIVE 9763 ng/mL Ethyl Sulfate is a minor metabolite of ethanol found in blood and urine up totwo days after alcohol consumption.

Ethyl Glucuronide POSITIVE > 50000 ng/mL Ethyl Glucuronide is a minor metabolite of ethanol found in blood and urine upto two days after alcohol consumption.

IMMUNOASSAY SPECIMEN VALIDITY TESTINGTest Result Flag Normal Range Test Result Flag Normal RangeCreatinine 152 mg/dL Normal > 20 mg/dL General Oxidants NEGATIVE Normal < 200 mcg/mLpH 6.2 pH Normal 4.5-9.0 pH Specific Gravity 1.035 g/mL Abnormal 1.003-1.032 g/mL

Final Laboratory Report 220 DAVIDSON AVESOMERSET, NJ 08873

Phone: 732-595-5414CLIA#: 31D2140149

Lab Director: Arpit Patel PhDPreliminary Report by: Alexis Ventoso

Final Report by: Alexis Ventoso

Final Report Page 1 of 4

IMMUNOASSAY SCREEN RESULTSTest Result Cutoff Test Result CutoffEthyl Glucuronide(ETG)

POSITIVE 500 ng/mL 6AM Negative 10 ng/mL

Amphetamine Negative 500 ng/mL Barbiturates Negative 200 ng/mLBenzodiazepines Negative 200 ng/mL Buprenorphine POSITIVE 20 ng/mLCocaine Negative 150 ng/mL EDDP (Methadone

metabolite)Negative 1000 ng/mL

Ethyl Alcohol Negative 100 mg/dL Methadone Negative 300 ng/mLOpiates Negative 300 ng/mL Oxycodone Negative 300 ng/mLPCP Negative 25 ng/mL Marijuana/Cannabinoid POSITIVE 50 ng/mLEcstasy Negative 500 ng/mL

QUANTITATIVE RESULTS BY LC-MS/MSTest Cutoff Result Concentration RemarksAnalgesicsAcetaminophen 500 ng/mL Negative

AnticonvulsantsGabapentin 200 ng/mL NegativePregabalin 200 ng/mL Negative

Antidepressants/SSRIAmitriptyline 100 ng/mL NegativeNortryptiline 100 ng/mL NegativeBuproprion 50 ng/mL NegativeCitalopram 50 ng/mL NegativeN-Desmethylcitalopram 50 ng/mL NegativeDuloxetine 50 ng/mL NegativeFluoxetine 50 ng/mL NegativeNorfluoxetine 100 ng/mL NegativeParoxetine 50 ng/mL NegativeSertraline 50 ng/mL NegativeVenlafaxine 50 ng/mL NegativeO-Desmethylvenlafaxine 50 ng/mL NegativeVilazodone 50 ng/mL Negative

ANTIPSYCHOTICSAripiprazole 50 ng/mL NegativeDehydroaripiprazole 50 ng/mL NegativeClozapine 50 ng/mL NegativeHaloperidol 50 ng/mL NegativeOlanzapine 50 ng/mL NegativeN-Desmethylolanzapine 50 ng/mL NegativeQuetiapine 20 ng/mL Negative7-Hydroxyquetiapine 50 ng/mL NegativeNorquetiapine 50 ng/mL NegativeRisperidone 20 ng/mL Negative9-Hydroxyrisperidone 50 ng/mL Negative

Benzodiazepines2-OH-Ethylflurazepam 50 ng/mL Negative7-Aminoclonazepam 50 ng/mL Negative

Patient: Sample, PatientDOB: 12/3/1997 Gender: MaleDoctor: Clarity Labs

Accession: 1811280214Collected: 11/27/2018 12:00:00 PM


Test Cutoff Result Concentration Remarks7-aminoflunitrazepam 50 ng/mL NegativeAlpha-OH-Midazolam 50 ng/mL NegativeN-Desmethylflunitrazepam 50 ng/mL NegativeOH-triazolam 50 ng/mL NegativeAlprazolam 50 ng/mL NegativeHydroxyalprazolam 50 ng/mL NegativeOxazepam 50 ng/mL NegativeNordiazepam 50 ng/mL NegativeTemazepam 50 ng/mL NegativeLorazepam 50 ng/mL Negative

BarbituratesButalbital 100 ng/mL NegativePhenobarbital 100 ng/mL NegativeSecobarbital 100 ng/mL Negative

Illicits6-MAM 10 ng/mL NegativeBenzoylecgonine 100 ng/mL NegativeCarfentanil 5 ng/mL NegativeMarijuana/CannabinoidMetabolite

50 ng/mL POSITIVE 206 ng/mL The marijuana/cannabinoid metabolite THC-COOH (11-nor-9-Carboxy-delta-9-THC) is a urinary metabolite of tetrahydrocannabinol(THC). The presence of this metabolite may indicate recentprescription (Sativex) or illicit marijuana use.

Ketamine 25 ng/mL NegativeNorketamine 25 ng/mL NegativeMDA 100 ng/mL NegativeMDEA 200 ng/mL NegativeMDMA 100 ng/mL NegativeMethamphetamine 100 ng/mL NegativePCP 25 ng/mL NegativeAcetyl fentanyl 5 ng/mL Negative

Illicit SyntheticsButylone 50 ng/mL NegativeEthylone 50 ng/mL Negative073-N-(5-OH-butyl) 5 ng/mL NegativeJWH-018 Pentanoic acid 5 ng/mL NegativeJWH-018-N-4-OH Pentyl 5 ng/mL Negative250 N-5-OH-pentyl 5 ng/mL NegativeMitragynine/Kratom 50 ng/mL NegativeLSD 50 ng/mL NegativeMDPV 50 ng/mL NegativeMephedrone 50 ng/mL NegativeMethylone 50 ng/mL NegativeNaphyrone 50 ng/mL Negative

NICOTINECotinine 50 ng/mL Negative

Muscle RelaxantsCarisoprodol 100 ng/mL NegativeMeprobamate 50 ng/mL Negative




Test Cutoff Result Concentration RemarksCyclobenzaprine 50 ng/mL Negative

Opiates/OpioidsCodeine 50 ng/mL NegativeHydrocodone 50 ng/mL NegativeHydromorphone 50 ng/mL NegativeMorphine 50 ng/mL NegativeOxycodone 50 ng/mL NegativeOxymorphone 50 ng/mL NegativeNoroxycodone 50 ng/mL Negative

Sedative HypnoticsZaleplon 50 ng/mL NegativeZolpidem 50 ng/mL Negative

StimulantsAmphetamine 100 ng/mL NegativeMethylphenidate/Ritalin 50 ng/mL Negative

Synthetic OpioidsBuprenorphine 20 ng/mL POSITIVE 54 ng/mL The presence of Buprenorphine is consistent with Buprenex, Subutex,

or Suboxone medication use.

Norbuprenorphine 20 ng/mL POSITIVE 32 ng/mL Norbuprenorphine is a metabolite of Buprenorphine. Its presence isconsistent with Suboxone, Beprenex, Buprex, Subutex, or Transtec.

Dextromethorphan 20 ng/mL POSITIVE 55 ng/mL Dextromethorphan is an analgesic found in numerous cough syrupssuch as Nyquil, Delsym, and Robitussin. It is detectable for up to 3days in urine.

Fentanyl 0.5 ng/mL NegativeNorfentanyl 5 ng/mL NegativeMeperidine 100 ng/mL NegativeNormeperidine 50 ng/mL NegativeMethadone 50 ng/mL NegativeEDDP 50 ng/mL NegativeNaltrexone 50 ng/mL Negative6-Beta-Naltrexol 50 ng/mL NegativeNaloxone 50 ng/mL NegativeTapentadol 50 ng/mL NegativeN Desmethyltapentadol 50 ng/mL NegativeTramadol 100 ng/mL NegativeO-desmethyl-Tramadol 100 ng/mL Negative

ETG/ETSEthyl Sulfate 100 ng/mL POSITIVE 9763 ng/mL Ethyl Sulfate is a minor metabolite of ethanol found in blood and urine

up to two days after alcohol consumption.

Ethyl Glucuronide 500 ng/mL POSITIVE > 50000 ng/mL Ethyl Glucuronide is a minor metabolite of ethanol found in blood andurine up to two days after alcohol consumption.

All positive clinical drug screens must be considered as presumptive positive and unconfirmed until confirmed by an alternate methodology such as LC-MS/MS or GCMS. In the eventof the contrary screen vs. LC-MS/MS results, Clarity Labs® recommend relying on the LC-MS/MS. - All drug tests performed by LC-MS/MS instrument are Laboratory DevelopedTests.Reference ranges for UDT/ODT have not been determined. - Medication values reported can depend on amount and frequency of use, metabolic rate, body mass, age, overall healthand drug tolerance.




220 DAVIDSON AVESOMERSET, NJ 08873

Laboratory Report

Final Copy

Lab Director: Arpit Patel, PhDTel#: 732-595-5414Fax#: 732-595-5515

CLIA Number: 31D2140149Client Information: Patient Information: Sample Information:Client: Sample Dr Practice Patient Name: Sample Patient

Patient ID: 00000Date of Birth: 06/02/1978Male/Female: MaleFasting: YES

Lab Sample ID:00000000Collected: 10/28/2018 08:30 AMReceived: 10/29/2018 06:57 PMReported: 10/30/2018 05:52 PM

Result(s) Summary Summary may not contain all abnormal results, especially those of tests with an interpretation.Please review the entire report.

TEST NAME RESULT-VALUE TEST NAME RESULT-VALUE Cholesterol, Total H 235 Triglycerides H 169 LDL Cholesterol,calc. H 160 HDL Cholesterol, Ultra L 41 VLDL Cholesterol,calc. H 34 RBC H 7.04 Hemoglobin L 13.31 MCV L 62.49 MCH L 18.89 MCHC L 30.23

*attachment page one of one AB=Abnormal, CL=Critical Low, L=Low, CH=Critical High, H=High, POS=Positive

Test Result Flag Units Ref. RangeCOMPREHENSIVE METABOLIC Albumin 4.8 g/dL 3.5-5.2 Alk. Phosphatase 74 U/L 40-150 ALT (SGPT) 23 U/L 0-55 AST (SGOT) 21 U/L 5-34 Bilirubin, Total 0.9 mg/dL 0.2-1.2 BUN 13 mg/dL 9-21 Calcium 9.6 mg/dL 8.4-10.2 Carbon Dioxide 27 mEq/L 22-29 Chloride 105 mmol/L 98-107 Creatinine 1.01 mg/dL 0.72-1.25 eGFR if non-African American >60 mL/min/1.73

sq.m>60

eGFR if African American >60 mL/min/1.73sq.m

>60

Globulin, Calculated 2.6 g/dL 2.3-3.8 A/G Ratio 1.8 Ratio 1.1-2.9 Glucose 105 mg/dL 70-105 Potassium 4.7 mmol/L 3.5-5.1 Protein, Total 7.4 g/dL 6.0-8.0 Sodium 142 mmol/L 136-145LIPID PROFILE Cholesterol, Total 235 H mg/dL 0-199

220 DAVIDSON AVESOMERSET, NJ 08873

Laboratory Report

Final Copy

Lab Director: Arpit Patel, PhDTel#: 732-595-5414Fax#: 732-595-5515

CLIA Number: 31D2140149Client Information: Patient Information: Sample Information:Client: Sample Dr Practice Patient Name:Sample Patient

Patient ID: 00000Date of Birth: 06/02/1978Male/Female: MaleFasting: YES

Lab Sample ID:00000000Collected: 10/28/2018 08:30 AMReceived: 10/29/2018 06:57 PMReported: 10/30/2018 05:52 PM

*attachment page one of one AB=Abnormal, CL=Critical Low, L=Low, CH=Critical High, H=High, POS=Positive

Test Result Flag Units Ref. RangeLIPID PROFILE Triglycerides 169 H mg/dL <150 Normal: < 150 mg/dL

Borderline High: 150-199 mg/dL

High: 200-499 mg/dL

Very High: > or = 500 mg/dL

LDL Cholesterol,calc. 160 H mg/dL <100 HDL Cholesterol, Ultra 41 L mg/dL >=60 VLDL Cholesterol,calc. 34 H mg/dL 0-30CBC (includes Differential and Platelets) WBC 6.42 10e3/uL 3.70-10.10 RBC 7.04 H 10e6/uL 4.06-5.58 Hemoglobin 13.31 L g/dL 13.50-18.00 Hematocrit 44.03 % 37.70-53.70 MCV 62.49 L fL 80.00-100.00 MCH 18.89 L pg 28.70-33.80 MCHC 30.23 L g/dL 31.80-35.40 Platelet 262 10e3/uL 155-366 RDW 14.31 % 11.50-14.50 MPV 7.00 fL 6.90-10.60 Neutro % 48.77 % 39.30-73.70 Lymph % 36.99 % 18.00-48.30 Eosin % 2.92 % 0.60-7.30 Mono % 9.00 % 4.40-12.70 Baso % 2.32 % 0.25-3.96 Neutro Abs 3.13 10e3/uL 1.63-6.96 Lymph Abs 2.38 10e3/uL 1.09-2.99 Eosin Abs 0.187 10e3/uL 0.030-0.440 Mono Abs 0.578 10e3/uL 0.240-0.790 Baso Abs 0.149 10e3/uL 0.010-0.240

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