TEST INFORMATION

Test performed at Labcorp Monogram Biosciences, 345 Oyster Point Blvd., South San Francisco, CA 94080

PATIENT REPORT

Patient's results continue on following page(s).

Patient: DOB: Age: 40 Gender: MPatient Identifiers:

Visit Number (FIN):

Client:

Physician:

ARUP Test Code: 3001186

Collection Date: 05/10/2021Received in lab: 05/13/2021Completion Date: 06/14/2021

Human Immunodeficiency Virus Type 1 (HIV-1) PhenoSense GT Plus Integrase

ARUP Enhanced Reporting | June 14, 2021 | page 1 of 4

Chart continues on following page(s)

Patient: ARUP Accession: 21-130-123956