See QR code instructions at end of report

Your test results were NEGATIVE for COVID-19.

Your full lab report is included with this letter and should be used as proof of your test result when such proof is requested.

We encourage you to contact your healthcare provider if you have any health concerns as a negative test result may rarely occur in patients with a COVID-19 infection. Please continue to take the necessary precautions including social distancing, hand hygiene, cough/sneeze etiquette, using a face cover and proper surface cleaning to keep yourself and others around you healthy. Sincerely,

Your Walgreens Pharmacy Team

To save your COVID-19 test results:

• Download and open a SMART Health Card-compatible app, such as CommonPass.

• Follow in-app instructions to save your COVID-19 test results. Link to CommonPass download: https://thecommonsproject.org/shc Customer Care: 1-800-WALGREENS www.walgreens.com Member of Walgreens Boots Alliance Jeanluke Ekmekjian

12310 BURBANK BLVD APT 10

VALLEY VILLAGE, CA 91607

18515 DEVONSHIRE ST

6347

Northridge, CA 91324

818-***-****

Page 1 of 1

Aegis Sciences Corporation

501 Great Circle Road

Nashville, TN 37228

615-***-****

Report To: Armaghan Azad

18515 DEVONSHIRE ST

NORTHRIDGE, CA 91324

Client: WALGREENS NORTHRIDGE 6347

Patient ID:

Lab Sample ID:

PATIENT:

Specimen Type:

Collected:

Reported:

301-***-****

813311510

Sample Information

Nasal - Anterior Nares

04/13/2022 16:00 Pacific Time

04/15/2022

Lab Director: Matthew T. Hardison, PhD

Client Information

Received: 04/14/2022

Jeanluke Ekmekjian

12310 BURBANK BLVD APT 10,

VALLEY VILLAGE CA, 91607

Los Angeles

Phone: 559-***-****

DOB: 05/17/2007

Gender: Male

Race: White

Laboratory Report CLIA#: 44D2062333

Visit https://www.aegislabs.com/our-services/covid19-testing for COVID-19 testing resources Test(s) Requested

05700 SARS-CoV-2, RT-PCR

Tested For Result Reference Range

SARS-CoV-2, RT-PCR

SARS-CoV-2 NEGATIVE N/A

The Thermo Fisher Scientific, Inc. TaqPath COVID-19 Combo Kit used to perform this test has been authorized by FDA under an Emergency Use Authorization for use by authorized laboratories. The test has not been otherwise FDA cleared or approved. This test is authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens. This test is only authorized for the duration of the declaration that circumstances exist justifying the authorization of the emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under section 564(b)(1) of the Act, 21 U.S.C. 360bbb-3(b)(1), unless the authorization is terminated or revoked. Lab Director: Matthew T. Hardison, PhD

4/15/2022 11:30:58 AM

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