extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/28/2022 R22-069681 DOB: Date Received: Requesting Facility: 01/14/1958 (64) 12/29/2022 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 4:30PM Status: Final Limit your response to 300 words.
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