extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 11/30/2022 R22-068216 DOB: Date Received: Requesting Facility: 10/05/1963 (59) 12/01/2022 Rock Primary Care & Wellness Clinic Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Male 12/01/2022 NAME_2 Lab Director: NAME_3 ICD Code(s): Collection Time: Z03.818 10:00AM Status: Final  The word "date" should not appear in your response.
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