extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/31/2022 R23-000059 DOB: Date Received: Requesting Facility: 03/07/2020 (2) 01/04/2023 Medlife Urgent Care Gender: Date Reported: Requesting Physician: NAME_2#: 44D2111056 Male 01/08/2023 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: R50.9 2:54PM Status: Final