Certificate of RegistrationThis certifies that the Quality Management System of

DRE Medical Group DBA Avante Health Solutions2601 Stanley Gault Parkway, Suite 101

Louisville, Kentucky, 40223, United States

has been assessed by NSF-ISR and found to be in conformance to the following standard(s):

ISO 13485: 2016Scope of Registration:

DRE Medical Group is a repackager, relabeler, servicer, installer,distributor, and/or manufacturer of new and used active and nonactive,

non-implantable, and non-sterile medical devices worldwide.

Tom Chestnut,Sr Vice President - ISR, NSF-ISR, Ltd.

Certificate Number: C0356605-MD2Certificate Issue Date: 13-NOV-2019Registration Date: 05-FEB-2019Expiration Date *: 04-FEB-2022