extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 NAME_2. 12/05/2022 R22-068452 DOB: Date Received: Requesting Facility: 05/15/1992 (30) 12/07/2022 NAME_3 Healthcare Services Gender: Date Reported: Requesting Physician: CLIA#: 44NAME_4 Male 12/09/2022 Dr. NAME_5.NAME_3, Kamilah Lab Director: NAME_6 ICD Code(s): Collection Time: Z05, R05, R53.1 11:30AM Status: Final Please answer in JSON format.
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