extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/03/2023 R23-000101 DOB: Date Received: Requesting Facility: 10/28/1965 (57) 01/05/2023 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician: CLIA#: 44D2111056 Female 01/06/2023 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: U07.1 4:00PM Status: Final