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1/24/2020 3: 13·40 PM Page 3 of3 <br />alENT INFORMATION <br />450 <br />Sheriff-Coroner <br />County or Orange <br />1071 W Santa Ana Blvd <br />Santa Ana, CA 92703 <br /> <br />Collection Date: <br />Procedure <br /> <br /> <br />County of Orange Health Care Agency <br />PUBLIC HEALTH LABORATORY <br />PATIENT INFORMATION I <br />NAME: Mercado Segura. Miguel <br />BIRTHDATE: November 09, 1988 <br />AGE: 31 years <br />GENDER: Male <br />SEROLOGY <br />January 23, 2020 <br /> <br /> <br />Procedure <br /> <br />MEGAN CRUMPLER, PhD, HCLO <br />Laboratory Director <br />ORDER INFORMATION <br />MRN: 1000-92-0332 <br />OPI: 2D-00372-MM <br />PHYSICIAN: Kirn, Yong-son <br />ACCESSION II: 20-023-0256 <br />1729W 17'h Street Santa Ana California 92706 • MAIN (7141834-8385 FAX (7141834-7968 <br />Printed. 1/24/2020 3 .13 29 PM