extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1. 12/27/2022 R22-069582 DOB: Date Received: Requesting Facility: 11/26/1986 (36) 12/28/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Female 12/30/2022 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: U07.1 9:00AM Status: Final Limit your response to 250 words.
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