Rx Reveal Report 888-214-8444 586 New York Ave. Huntington, NY 11743 Specimen Id: Accession: Control #: Donor ID: Name: DOB: Order Type: RX Drugs Taken: 4384 14692, 14691 123456 1234 Doe, John Dec 25, 1983 PM/Urine Oxycontin, Xanax SAMPLE Agency: NYC PAIN Management Date Collected: Test Date: Jun 21, 2010 9:15 AM Jun 21, 2010 9:21 AM 19/3 Test Result Amphetamine (EIA) Benzodiazepine (EIA) ----- A-Hydroxyalprazolam (GCMS) Negative (Screen) POSITIVE (Screen) 457 ng/mL Flag Reference Range 500 ng/mL 200 ng/mL 25 ng/mL Rx Reveal Specimen is positive for A-hydroxyalprazolam. This is consistent with the medication history provided (Xanax). ----- Lorazepam (GCMS) ----- Nordiazepam (GCMS) ----- Oxazepam (GCMS) Buprenorphine (EIA) Cannabinoids (EIA) Cocaine Metabolite (EIA) Heroin Metabolite (EIA) Opiate 300 (EIA) ----- Hydrocodone (GCMS) Negative (Confirm) Negative (Confirm) Negative (Confirm) Negative (Screen) Negative (Screen) Negative (Screen) Negative (Screen) POSITIVE (Screen) 782 ng/mL 100 ng/mL 25ng/mL 25 ng/mL 5 ng/mL 50 ng/mL 150 ng/mL 10 ng/mL 300 ng/mL 50 ng/mL Rx Reveal Specimen is positive for hydrocodone. This is INCONSISTENT with medication history provided. Oxycodone (EIA) ----- Oxycodone (GCMS) POSITIVE (Screen) 687 ng/mL 100 ng/mL 10 ng/mL Rx Reveal Specimen is positive for oxycodone. This is consistent with the medication history provided (Oxycontin). ----- Oxymorphone (GCMS) 987 ng/mL 10 ng/mL Rx Reveal Specimen is positive for oxymorphone. This is consistent with the medication history provided (Oxycontin). Tramadol (EIA) Creatinine (EIA) Negative (Screen) 145.0 mg/dL Normal 200 ng/mL Normal: >20 mg/dL Validity Test Oxidants (EIA) Normal 50 ug/mL Validity Test pH (EIA) 7.00 Normal Validity Test FINAL REPORT Normal: 4.50 - 8.99 Final Report - Page: 2 Specimen Id: 4384 Laboratory Director: Richard Stripp Ph.D. All drug screens are performed by immunoassay. All drug confirmations are performed by gas chromatography/mass spectrometry (GC/MS)or liquid chromatography tandem mass spectrometry (LC/MS/MS). Immunoassays provide only a preliminary analytical test result. A more specific alternative chemical method must be used to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS)or liquid chromatography tandem mass spectrometry (LC/MS/MS)are the preferred confirmatory methods. Validity testing ensures that submitted specimens are unadulterated and/or within normal human physiological parameters. Specimens which fail validity testing are considered invalid. Physicians should use discretion when interpreting analytical results. Richard Stripp Ph.D FINAL REPORT