extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/30/2023 R23-001207 DOB: Date Received: Requesting Facility: 10/28/2006 (16) 01/31/2023 North Atlanta Pediatrics and Family Care Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Male 02/02/2023 NAME_2 Lab Director: NAME_3 ICD Code(s): Collection Time: j30.9, r05 9:41AM Status: Final Your entire response should be in English, and in all capital letters.
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