This document contains a laboratory test request form for a patient named Mark Eata. The form lists the patient's name, gender, age, control number, and date. It also lists the requested tests as Cholelithiasis, SGPT, SGOT, HBT (Gallbladder, Liver) UTS, and Total Bilirubin, Direct and Indirect Bilirubin. The document notes that the cost of the laboratory procedures must be paid by the patient and is not covered by Medgate insurance. It is signed by Dr. Jamie Leigh Lasam and provides contact information for multiple Aventus clinics.
This document contains a laboratory test request form for a patient named Mark Eata. The form lists the patient's name, gender, age, control number, and date. It also lists the requested tests as Cholelithiasis, SGPT, SGOT, HBT (Gallbladder, Liver) UTS, and Total Bilirubin, Direct and Indirect Bilirubin. The document notes that the cost of the laboratory procedures must be paid by the patient and is not covered by Medgate insurance. It is signed by Dr. Jamie Leigh Lasam and provides contact information for multiple Aventus clinics.
This document contains a laboratory test request form for a patient named Mark Eata. The form lists the patient's name, gender, age, control number, and date. It also lists the requested tests as Cholelithiasis, SGPT, SGOT, HBT (Gallbladder, Liver) UTS, and Total Bilirubin, Direct and Indirect Bilirubin. The document notes that the cost of the laboratory procedures must be paid by the patient and is not covered by Medgate insurance. It is signed by Dr. Jamie Leigh Lasam and provides contact information for multiple Aventus clinics.
This document contains a laboratory test request form for a patient named Mark Eata. The form lists the patient's name, gender, age, control number, and date. It also lists the requested tests as Cholelithiasis, SGPT, SGOT, HBT (Gallbladder, Liver) UTS, and Total Bilirubin, Direct and Indirect Bilirubin. The document notes that the cost of the laboratory procedures must be paid by the patient and is not covered by Medgate insurance. It is signed by Dr. Jamie Leigh Lasam and provides contact information for multiple Aventus clinics.
This Laboratory Request is valid for (3) days from the date it was issued.
Cost of Laboratory procedure is not covered by Medgate and must be paid by the patient. For HMO/insurance members, please contact your provider to check if the laboratory procedure is covered.
Jamie Leigh Lasam, M.D.
Lic. No: 0130961 Ptr. No: 3265821
4/F Dolmar Gold Tower, 107 C. Palanca Street Legaspi Village Makati City, Metro Manila 1229 T +632 8424 1737, www.medgate.ph Aventus Alabang Clinic 2/F Sycamore Arcs 1 Building Buencamino Street, Alabang-Zapote Road Muntinlupa, Metro Manila 1780, Alabang, Muntinlupa City (02) 8556-3598, (02) 8556-3592, (02) 8556-3596 Telefax (02) 8556 3594 Globe +63 917 8133154
Ayala North Exchange
Unit 61-62, 3/F Ayala North Exchange, Ayala Avenue cor. Salcedo Street Legaspi Village, Metro Manila 1229, San Lorenzo, Makati City (02) 8425-1607 (02) 8425-1624 (02) 8425-1610 Globe +63 917 8500356
G/F Unit 1 & Basement Unit 2 Citibank Plaza, 34th Street corner Lane D Bonifacio Global City, Metro Manila 1630, Fort Bonifacio, Taguig City (02) 8352-8335 (02) 8362-0042 (02) 8646-4147 (02) 8254-5101 Globe +63 917 8237027
Unit 302 & 309, Level 3, 2029 Robinsons Cybergate Don G. Garcia and J. Llorente St., Capitol Site, Cebu City, Cebu (032) 236-9028 (032) 238-3922 (032) 238-7672
Aventus Cebu IT Park Clinic
Unit 203 2/F TGU Tower, Phase 1 Asiatown I.T. Park, Apas, Cebu City 6000, Apas, Cebu City, Cebu (032) 268-8072 (032) 268-8902
Aventus Clark Clinic
G/F BPO Building 5, SM City Clark, M.A. Roxas Highway, Malabanias, Angeles City, Pampanga (045) 499-8420 (045) 499-8419 (045) 499-8417
Aventus Cubao Clinic
G/F Unit 17-18 Manhattan Parkview Tower One, General Romulo Avenue, Barangay Socorro, Araneta City Cubao, 1109, Quezon City (02) 8245-0976 (02) 7933-5754
Aventus Dasmariñas Clinic
Commercial Space 1-2 G/F, Antlers Square II, Pasong Lawin, Burol, Dasmariñas City, Cavite (0917) 837 4728 (046) 894-8325
4/F Dolmar Gold Tower, 107 C. Palanca Street Legaspi Village Makati City, Metro Manila 1229 T +632 8424 1737, https://www.medgate.ph Aventus Eastwood Clinic 6/F Unit 2-A CyberOne Building, 11 East Avenue, Bagumbayan, Quezon City (02) 8775-6132 (02) 8475-4405 (02) 8641-2515 Globe +63 917 8378714
Aventus Makati Filomena Clinic
6/F Filomena Building, 104 Amorsolo Street Legaspi Village, Metro Manila 1229, San Lorenzo, Makati City (02) 8817-2715 (02) 8519-6787 Globe +63 917 826 0504
Aventus Mandaluyong Clinic
Lower 2/F St. Francis Square Building Julia Vargas Ave., corner Bank Drive Ortigas Center, Metro Manila 1550, Mandaluyong City (02) 8542-6578 (02) 7255 8974 Globe +63 917 8315887
Aventus Manila Clinic
5/F Times Plaza Building Taft Avenue corner United Nations Avenue Ermita, Metro Manila 1000, Ermita, Manila City (02) 8353-6807 (02) 8518-0056 (02) 8353-6808 Telefax (02) 8559-7453 Globe +63 917 8142914
Aventus North Edsa Clinic
G/F & 2/F, Philippine College of Surgeons Building 992 EDSA, Metro Manila 1105, Ramon Magsaysay, Quezon City (02) 8352-4675 Globe +63 917 830 6257
Aventus Ortigas Clinic
Units 15, 16 & 18-20 G/F AIC Grande Tower Sapphire Road corner Garnet Street Ortigas Center, Metro Manila 1605, Pasig City (02) 8584-2430 (02) 8570-9967
Aventus Paranaque Clinic
Unit 9 Ground Floor Aseana One Building, Bradco Avenue Aseana City Parañaque City 1702, Baclaran, Parañaque City (02) 8245-3611 (02) 8245-3603
Aventus Pasay Clinic
Unit 109 &110 G/F Scape Building 24 Diosdado Macapagal Avenue, Pearl Drive Central Business Park, Barangay 76 San Rafael, Metro Manila 1630, Barangay 76, Pasay City (02) 8838-0627 (02) 8839-0298 (02) 8541-5645 Globe +63 917 8180987
Aventus Sta. Rosa Clinic
2/F Carvajal Building 2 National Highway, Balibago, Santa Rosa City, Laguna (049) 302-5046 (049) 530-0484 (02) 8519 - 4337 Globe +63 917 8414088
Please note that the list of clinics and contact numbers provided here may be outdated. For the most up-to-date and accurate clinic details, we recommend visiting the Aventus website.
4/F Dolmar Gold Tower, 107 C. Palanca Street Legaspi Village Makati City, Metro Manila 1229 T +632 8424 1737, https://www.medgate.ph
