extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/28/2022 R22-069683 DOB: Date Received: Requesting Facility: 06/26/1979 (43) 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 11:00AM Status: Final Provide your response in exactly 3 paragraphs (separated nearby paragraphs with 3 aterisk symbols ***).
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