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Lab Name: ABC Lab
Correlation Date:
Correlation Set Lot#:  
Expiration Date:
 
Review Results for the Sample Fields
Test
Unit
Sample 1 Result
Sample 2 Result
Sample 3 Result
Sample 4 Result
Sample 5 Result
Sample 6 Result
Instrument
Reference Range
Low
High
Albumin
g/dL
1.1
2.2
3.4
4.4
5.5
6.6
Roche Modular
3.5
5.5
ALT
g/dL
10
12
14
16
18
20
Roche Modular
10
40
AST
g/dL
11
13
15
17
19
21
Roche Modular
10
43