Strona 1 AYZANAL 5535201881 ALAB laboratoria Sp. z o.o. 00-739 Warszawa, ul. Stępińska 22/30 Laboratorium Analiz Lekarskich ALAB Poznań Grudzieniec 60-601 Poznań, ul. Grudzieniec 4 tel. 514 033 914, email: [email protected] Laboratory test results Matelski Romuald National ID Number: 81012809492 Niepubliczny Zakład Opieki Zdrowotnej Date of birth: 28-01-1981 Contractor: Prywatne Laboratorium Analiz Medycznych, 88-430 Janowiec Wlkp., L. Poznań Genetyka Address: Szeroka 9/1 Return address: Ordering Facility Patient ID: not implemented Instructing Doctor: dr n. med. Maciej Tomczak Sex: male Date and time of registration: 15-02-2021 14:30 Laboratory ID: 108 / 15-02-2021 Date of test execution: 2021-02-15 SARS CoV-2 Test Result and units Reference range Performed at Material: Swab, date and time of collection: not implemented, date and time of receiving: 2021-02-15 15:36 a1 - 18:49 15-02-2021 RNA detection of the coronavirus RNA of the coronavirus SARS-CoV-2 SARS-CoV-2 not detected The test was performed with a TaqPathTM COVID-19 RT-PCR Kit, using a Real Time PCR method. The test allows to detect the N, S and ORF1 genes of the SARS-CoV-2 virus. The test is performed using a negative, positive and internal control. The test has a CE-IVD certificate. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- The results of the test apply only to the tested sample. The results of the test should be consulted with a doctor. Performed by Authorised by a - Olszewska Anna 1 - Olszewska Anna Niniejszy wydruk jest informacją o sprawozdaniu z badania laboratoryjnego. Sprawozdanie zostało sporządzone w postaci elektronicznej i podpisane kwalifikowanym podpisem elektronicznym autoryzował: diagnosta laboratoryjny Anna Olszewska nr PWZDL 17323 Without the written consent of the laboratory this test report may not be reproduced otherwise than in its entirety. The test results apply only to the sample which type, location, and download time are identical to those on this report. The test results refer only to the sample, of which type, date and time of admission for testing, are identified in this report. Środowisko Centrum - © MARCEL S.A. Date and time of issue: 15-02-2021 18:58, page 1/1