extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/07/2022 R22-068632 DOB: Date Received: Requesting Facility: 05/04/1972 (50) 12/09/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Female 12/09/2022 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: U07.1 1:30PM Status: Final