Example 1
This is what your Certificate of Analysis can look like after applying Flow Cytometry

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Example of a CoA Report Chart for Characterization of a Healthy Human Peripheral Blood sample

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Customer:………………………………………… Donor Sample#: Deidentified ………………………………

Address Line 1:………………………………… Age:……years

Address Line 2:………………………………… SEX:…………………….

Lab Director:……………………………………. Sample Collection Date: …..-…..-…………

Leukemia/Lymphoma Phenotyping Evaluation by Flow Cytometry:

Leukemia/Lymphoma Phenotype & Impression

Sample type: Peripheral blood

Impression: No abnormal myeloid, B cell, T cell or NK cell population identified

Differential:

Lymphocytes (23%)

Monocytes (2%)

Granulocytes (75%)

Blasts (0.07%)

Lymphocytes:

B-cell (16%)

T-cell (61%)

NK-cell (19%)

Kappa/Lambda ratio: 1.5, Polytypic

CD4/CD8 ratio: Normal at 1.7

Subset NK-cells: (80%) of NK-cells

Positive: CD2, CD7(dim), CD16, CD56, CD57 partial

Negative: CD3, CD5, CD8

Phenotypic abnormality. dim CD7, of uncertain significance remaining NK-cells normal

Viability: (90%)

Disclaimers: None

Markers run: CD1, CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD11c, CD13, CD14(Mo2), CD14(MY4), CD16,

CD19, CD20, CD23, CD33, CD34, CD38, CD45, CD56, CD64, CD117, HLA-DR, Kappa, Lambda, MPO

These results have been reviewed and approved by (name, function):………………………………………………

Signature: