extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/26/2023 R23-001157 DOB: Date Received: Requesting Facility: 03/30/1998 (24) 01/30/2023 Georgia Clinic Dunwoody Gender: Date Reported: Requesting Physician: NAME_2#: 44D2111056 Male 02/02/2023 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: Z03.818 12:05PM Status: Final