extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/03/2022 R22-068442 DOB: Date Received: Requesting Facility: 11/14/1964 (58) 12/06/2022 Medlife Urgent Care Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Female 12/06/2022 NAME_2 Lab Director: NAME_3 ICD Code(s): Collection Time: R05.9 10:38AM Status: Final Your entire response should be in English, and in all capital letters.
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