extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/30/2022 R23-000014 DOB: Date Received: Requesting Facility: 01/05/1968 (54) 01/03/2023 SilverStarDx Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Female 02/20/2023 NAME_2 PHD, CC, NRCC, NAME_3 Director: NAME_4 ICD Code(s): Collection Time: R05.1, R11.2, G44.89 10:00AM Status: Final