BioSign

Laboratories Corporation

Sample Lab Report


Below is a Sample Report Page


Note:   Reports may be customized to search for specific species of Mold within any  

           blood profile.

 

Should you already have Mold Spore Testing completed that reveals certain species of Mold within your environment,
those specific species of Mold can be added to our standard Mold blood profile search to determine if those same
species of Mold exists in your profile and the level of their presence within your body.

Easy to Read Reports
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BioSign Laboratories
Report: SMITH  L.E.
Test Code: BT / 01107- 02
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Specimen Number                                            Client ID Number                                Protocol                                        Customer Account Code
       1672112                                                          B-274319                                           L-II                                                             220

Account Address                                              Account Address Telephone             Account Address Fax                     Account Address email

One  Angel Medical Plaza                                (615) 672- 0000                                  (615) 672- 6100                               Dr.DuMont @ Medplaza.com
1100 Baker Street
Suite 2700
Warminster, PA 18974

Send Results Next Day "Y"

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Patient First name                                             Patient Last Name                          Patient Middle initial                      Patient Address

L.                                                                              Smith                                                        E.                                    1226 Irma Road
                                                                                                                                                                                          Warminster, PA 18974
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Patient SS #                                                      Patient Date of Birth                         Patient Age Current                       Sex                

###-##-2112                                                             11/06/22                                                  84                                     Female

Physcian Name: Dr. Richard W. DuMont 
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Date and Time of Sample Collection                Date of Data Entry                             Date of Report Generation and Time Out
06/11/07  14:22 EST                                         06/11/07                                             06/15/07  06:19 EST     
___________________________________________________________________________________________________________________                        PROFILE  MOLD    BT/ 011070 -02

                                              
Level of Specific  IgE  kU / L                                                  Class                                        Description

                          <0.05                                                                 0                                            Negitive
                  0.05 - 0.07                                                                 0/I                                          Equivocal
                  0.08 - 0.15                                                                 I                                             Increasing
                  0.16 - 0.50                                                                 II                                               Levels
                  0.51 - 2.50                                                                 III                                                  of
                  2.51 - 12.50                                                               IV                                          Specific IgE
                  12.51- 62.50                                                              V                                              Antibody
                  62.51- >100.00                                                          VI                                            

                               TESTS                                                                          RESULTS                                                                  MARKED

BTMP 001   Penicillium Notatum                                                                 < 0.05                   kU/L Class 0 <0.05
BTMP 002   Cladosporium Herbarum                                                          < 0.05                   kU/L Class 0 <0.05
BTMP 003   Aspergillus Fumigatus                                                                0.18                   kU/L Class I                             ABNORMAL
BTMP 004   Alternaria Tenius                                                                      < 0.05                   kU/L Class 0 <0.05
BTMP 005   Helminthosporium spp.                                                            < 0.05                   kU/L Class 0 <0.05
BTMP 006   Fusarium Moniliforme                                                                 0.08                   kU/L Class  I                            ABNORMAL
BTMP 007   Candida Albicans                                                                        0.13                   kU/L Class  I                            ABNORMAL
BTMP 008   Mucor Racemosus                                                                   < 0.05                   kU/L Class 0 <0.05
BTMP 009   Aureosbidium Pullulans                                                           < 0.05                   kU/L Class 0 <0.05
BTMP 010   Stachybotrys Chartarum                                                              0.36                   kU/L Class II                           ABNORMAL
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BioSign Laboratories Reporting
3455 Peachtree Industrial Blvd
Building 305 Suite 126
Duluth GA 30096
www.BioSignlabs.com

For Report Questions or Inquires call  (770) LAB - TEST                                                                                                                             Page  9 of 11