Pharmacy IV Prep Area Microbiological Monitoring
Added: May 28, 2015 9:58 am Solicitation Number: VA247-15-Q-0724 Notice Type: Combined Synopsis/Solicitation Synopsis: This is a COMBINED SYNOPSIS/SOLICITATION for commercial services prepared in accordance with the format in subpart 12.6, in conjunction with the policies and procedures for solicitation, evaluation, and award as prescribed under FAR 13.1, and as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. (ii) The solicitation number is VA247-15-Q-0724 and is issued as a Request For Quotation (RFQ) (iii) The provisions and clauses incorporated into this solicitation document are those in effect tough Federal Acquisition Circular 2005-52, November 2, 2011. Provisions and clauses incorporated by reference have the same force and effect as if they were given in full text. The full text of the Federal Acquisition Regulations (FAR) and Veterans Affairs Acquisition Regulations supplement (VAAR) can be accessed on the Internet at http://www.arnet.gov/far (FAR) and http://vaww.appc1.va.gov/oamm/vaar (VAAR) (iv) This solicitation is issued as a small business set aside. The North American Industry Classification System (NAICS) code is 541380, and the size standard is $14 million. (v) This requirement consists of the following: BASE YEAR: 06/15/2015-06/14/2016 Item Description Qty Unit of Unit Total Measures Price Price 001 Bacteria air sample analysis Fungi 4 QU $______ $______ air sample analysis Bacteria and Fungi surface sample analysis Fungi glove dip sample analysis Bacteria glove dip sample analysis Re-sample analysis as needed Each of the below may potentially need to be taken more than once a quarter if sample analysis exceeds acceptable USP standards. a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test BASE YEAR TOTAL $_________ OPTION YEAR 1: 06/15/2016-06/14/2017 Item Description Qty Unit of Unit Total Measures Price Price 001 Bacteria air sample analysis Fungi 4 QU $______ $______ air sample analysis Bacteria and Fungi surface sample analysis Fungi glove dip sample analysis Bacteria glove dip sample analysis Re-sample analysis as needed Each of the below may potentially need to be taken more than once a quarter if sample analysis exceeds acceptable USP standards. a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test OPTION YEAR 1 TOTAL $_________ OPTION YEAR 2: 06/15/2017-06/14/2018 Item Description Qty Unit of Unit Total Measures Price Price 001 Bacteria air sample analysis Fungi 4 QU $______ $______ air sample analysis Bacteria and Fungi surface sample analysis Fungi glove dip sample analysis Bacteria glove dip sample analysis Re-sample analysis as needed Each of the below may potentially need to be taken more than once a quarter if sample analysis exceeds acceptable USP standards. a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test OPTION YEAR 2 TOTAL $_________ OPTION YEAR 3: 06/15/2018-06/14/2019 Item Description Qty Unit of Unit Total Measures Price Price 001 Bacteria air sample analysis Fungi 4 QU $______ $______ air sample analysis Bacteria and Fungi surface sample analysis Fungi glove dip sample analysis Bacteria glove dip sample analysis Re-sample analysis as needed Each of the below may potentially need to be taken more than once a quarter if sample analysis exceeds acceptable USP standards. a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test OPTION YEAR 3 TOTAL $_________ OPTION YEAR 4: 06/15/2019-06/14/2020 Item Description Qty Unit of Unit Total Measures Price Price 001 Bacteria air sample analysis Fungi 4 QU $______ $______ air sample analysis Bacteria and Fungi surface sample analysis Fungi glove dip sample analysis Bacteria glove dip sample analysis Re-sample analysis as needed Each of the below may potentially need to be taken more than once a quarter if sample analysis exceeds acceptable USP standards. a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test OPTION YEAR 4 TOTAL $_________ GRAND SUM TOTAL FOR BASE YEAR AND 4 OPTION YEARS $___________ (vi) The following is a detailed description of the requirements for this solicitation: Scope of Work Pharmacy IV Prep Area Microbiological Monitoring for USP 797 Compliance 1. Background: The Ralph H. Johnson Veterans Affairs Medical Center (RHJ VAMC) has a pharmacy on the first floor which includes tee ISO class five cabinets: two horizontal laminar flow hoods in the main clean room and one vertical laminar flow hood in chemotherapy clean room. Microbiological sampling of clean rooms and anterooms (ISO Class 8) is required by United States Pharmacopeia, chapter 797 (USP 797) and VA information letter 10-2006-008. The sampling strategy recommended by USP 797 for recertification is to sample for fungi and bacteria using an impactor and agar plates in the anteroom, near both the main clean room and chemotherapy clean room doorways, inside the clean room twelve inches from the bio-safety cabinets/hoods. USP 797 recommends air sampling of clean rooms and anterooms semi-annually for medium risk compounding sterile preparation areas. USP 797 also recommends surface sampling and air sampling for fungi and bacteria inside ISO Class 5 bio-safety cabinets/hoods. According to USP 797, fungi and bacteria are not expected to be present in ISO Class 5 areas. The areas specified for testing are designated medium risk compounding sterile preparation areas. Baseline sampling has already been conducted for these areas. This information will be provided to the contractor as required. 2. Scope: The contractor shall perform sample air sampling quarterly for fungi and bacteria using high volume sampling pumps capable of achieving and maintaining the required flow rate of 28 liters per minute and impaction samplers to conduct the sampling. A sufficient volume of air (400 to 1000 liters) shall be tested at each location in order to maximize sensitivity. The manufacturer's guidelines for use of the electronic air sampling equipment should be followed. The contractor shall perform surface and glove tip samples for bacteria using Tryptic Soy Agar (TSA) contact plates and Malt Extract Agar (MEA) contact plates for sampling of fungi. 3. Task: An appropriate environmental sampling plan shall be developed by the contractor for airborne and surface sampling viable particles. Sampling shall be performed at locations that are prone to contamination during compounding activities ans during other activities such as staging, labeling, gowning and cleaning. The contractor shall perform the following samples: a. Bacteria air sample analysis b. Fungi air sample analysis c. Bacteria and Fungi surface sample analysis d. Fungi glove dip sample analysis e. Bacteria glove dip sample analysis f. Prepare and submit laboratory test Sample Locations: 3.1. Performance: Perform all microbiological sampling for the RHJ VAMC pharmacy clean room in compliance with USP 35, Chapter USP-NF General Chapter 797, Pharmaceutical Compounding-Sterile Preparations standard and VA information letter 10-2006-008. a. All samples shall be analyzed by a laboratory accredited by AIHA in Environmental Microbiology. Sampling results will be compared to recommendation provided in the USP 797 guidance document. b. Each sampling session will be conducted during normal business hours, Monday tu Friday 8 AM tu 4:30 PM. Each session will be scheduled at least 5 working days in advance and is subject to the workload of the pharmacy and should be coordinated by the Associate Chief, Inpatient Pharmacy. Each session will be scheduled with Cistina A. Delp, Industrial Hygienist, who will serve as the contracting officer's technical representative (COTR). c. Any laboratory results equal to or greater than the action level will require notification of the COTR immediately upon receipt of results. Laboratory results of these levels or above will require resampling to be performed after action deemed appropriate by the Associate Chief of Inpatient Pharmacy has been taken to correct the microbiological growth. Resampling for the areas at or above the action levels will be performed within five business days of notification by the COTR. 4. Reports: A written report will be issued for each sampling session and an electronic copy via e-mail provided to COTR, within 10 days of the receipt of laboratory results. Each session's report will include at a minimum the date, time and name of the Industrial Hygienist, narrative of work practices used, results of sampling, location where samples were collected, narrative interpretation of laboratory results, a comparison chart or table showing results of all quarterly sampling by date and sample location, laboratory results and a closed chain of custody. 5. Personnel Qualifications: This sampling shall be performed by an Industrial Hygienist certified by the American Board of Industrial Hygiene (ABIH). 6. Contractor Qualification: The contractor shall have at least 8 year of successful experience in conducting USP 797 pharmacy cleanroom sterile environment sampling and knowledgeable in VHA healthcare setting. Due to the timeliness of sampling and possible resampling, the contractor should be located within 100 miles radius of the RHJ VAMC. Experience shall be verified by having at least two pharmacy clean room references forwarded directly to the contracting officer. 7. Equipment: Contractor shall utilizing appropriate air sampling pumps that are capable of achieving and maintaining the required flow rate of 28.3 liters per minute (LPM), Anderson N-6 impactor or equivalent, Tryptic Soy Agar (TSA) and Malt Extract Agar (MEA) plates, and appropriate sterile sampling swabs or equivalent. 8. Place of Performance: Ralph H. Johnson VA Medical Center Charleston, 109 Bee Street, Charleston, SC 29401. Pharmacy IV Prep Area. 9. Period of Performance: 2015 (Base year) 15 June 2015-14 June 2016 2016 (Option year 1) 15 June 2016- 14 June 2017 2017 (Option year 2) 15 June 2017- 14 June 2018 2018 (Option year 3) 15 June 2018- 14 June 2019 2019 (Option year 4) 15 June 2019- 14 June 2020 10. Contract Performance Monitoring: The government reserves the right to monitor services in accordance with Performance Based Matrix. 11. Mandatory Electronic Invoicing: Vendors can comply with the VA mandatory electronic invoicing rule by using either of the two methods below: 1. The Financial Service Center uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. For information on OB10 electronic invoicing set-up, vendors should call 877-752-0900, or email USClientServices@ob10.com 2. A system that conforms to the X12 electronic data interchange (EDI) format established by the Accredited Standards Center. For FSC e-invoicing information, please call 877-353-9791 or email vafsccshd@va.gov. Payment will be made upon receipt of a properly prepared detailed invoice, prepared by the Contractor, validated by the Contracting Officer's Technical Representative (COTR), and submitted to VA FSC, P. O. BOX 149971, AUSTIN, TX 78714. A properly prepared invoice will contain: o Invoice Number and Date o Contractor's Name and Address o Accurate Purchase Order Number o Supply or Service provided o Total amount due 12. Records Management Language for Contracts: The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract: a. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228. b. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. c. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records. d. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act. e. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract. f. The Government Agency owns the rights to all data/records produced as part of this contract. g. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data. h. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.]. i. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules. j. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information. ---END OF SOW--- (vii) Delivery FOB Destination to Ralph H Johnson, VA Medical Center, 109 Bee Street, Charleston, SC 29403 (viii) 52.212-1 Instructions to Offerors - commercial Items, apply to this solicitation with the following addenda, FAR 52.216-18 Ordering; VAAR 852.236-76 Correspondence; VAAR 852.237-70 Contractor Responsibilities; VAAR 852.270-1 Representatives of Contracting Officers; VAAR 852.273-75 Security Requirements for Unclassified Information Technology Resources (ix) 52.212-2, Evaluation - Commercial Items: FAR provision 52.212-2 applies to this solicitation. The Government anticipates awarding a single contract resulting from this solicitation to the lowest priced technically acceptable offer that conforms to all solicitation requirements. Award without discussions is contemplated and all offerors are encouraged to submit their best offer with their initial submission. Submitted offers shall not exceed 15 single-sided pages and any pages beyond this amount will be removed and not evaluated. Evaluation Criteria To be considered technically acceptable for award each offeror shall provide with their submitted quote/offer: 1. Documentation that confirms at least 8 years of satisfactory and relevant experience/past-performance performing USP 797 pharmacy cleanroom sterile environment sampling and knowledgeable in VHA healthcare setting as specified in this solicitation. 2. Documentation that confirms that the company/laboratory is accredited, licensed and certified by AIHA in Environmental Microbiology to preform USP 797 pharmacy cleanroom sterile environment sampling and knowledgeable in VHA healthcare setting as specified in this solicitation. 3. Documentation that confirms the company/employees have the required accreditation, license and certification by AIHA in Environmental Microbiology to perform USP 797 pharmacy cleanroom sterile environment sampling and knowledgeable in VHA healthcare setting as specified in this solicitation. 4. Documentation that confirms the company/employees has/is an Industrial Hygienist accredited, licensed and certified by the American Board of Industrial Hygiene (ABIH) and that all USP 797 pharmacy cleanroom sterile environment sampling shall be performed by an Industrial Hygienist certified by the American Board of Industrial Hygiene (ABIH) 5. Documentation that confirms the company is a registered small business in the System for Award Management (SAM) located https:// www.sam.gov (End of Evaluation Criteria) (x) 52.212-3 Offeror Representations and Certifications - Commercial Items- Offeror's are to include a COMPLETED COPY OF PROVISION 52.212-3 WITH THE WRITTEN QUOTE, a copy of the provision may be attained from http://www.arnet.gov/far; if not provided, the offer may not be considered for award. These pages will not be counted against the 15 page limitation of the submitted offer. Alternately, the offeror may submit a statement that their Reps and Certs are visible at SAM.GOV. (xi) 52.212-4 Contract Terms and Conditions - Commercial Items: apply to this solicitation with the following addenda; VAAR 852.203-70 Commercial Advertising, VAAR 852.237-76 Electronic Invoice Submission of Payment Requests. (xii) 52.212-5 Contracts Terms and Conditions Required to Implement Statutes or Executive Orders - Commercial Items; The following FAR clauses identified at paragraph b of FAR 52.212.5 are considered checked and are applicable to this acquisition: 52.219-4, 52.219-8, 52.219-28, 52.219-3, 52.222-19, 52.222.21, 52.222-26, 52.222.35, 52.222-36, 52.222-37, 52.222-39, 52.225-1, 52.232-34, 52.222-41, 52.222-44 Additional Clauses and/or Provisions: 52.209-5-- Representation By Corporations Regarding An Unpaid Tax Liability Or A Felony Conviction Under Any Federal Law (Deviation)(Mar 2012) -- (a) In accordance with Division H, sections 8124 and 8125 of P.L. 112-74 and sections 738 and 739 of P.L. 112-55 none of the funds made available by either Act may be used to enter into a contract with any corporation that- (1) Has an unpaid federal tax liability, unless the agency has considered suspension or debarment of the corporation and the Suspension and Debarment Official has made a determination that this action is not necessary to protect the interests of the Government. (2) Has a felony criminal violation under any Federal or State law within the preceding 24 months, unless the agency has considered suspension or debarment of the corporation and Suspension and Debarment Official has made a determination that this action is not necessary to protect the interests of the Government. (b) The Offeror represents that- (1) The offeror does [ ] does not [ ] have any unpaid Federal tax liability that has been assessed and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability. (2) The offeror, its officers or agents acting on its behalf have [ ] have not [ ] been convicted of a felony criminal violation under a Federal or State law within the preceding 24 months. 52.216-1-- Type of Contract (Apr 1984) -- The Government contemplates award of a Firm-Fixed-Price, Requirements contract resulting from this solicitation. 52.217-5 --Evaluation of Options --Except when it is determined in accordance with FAR 17.206(b) not to be in the Government's best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s). 52.217-8 -- Option to Extend Services. --The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days. 52.217-9 -- Option to Extend the Term of the Contract. -- (a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension. (b) If the Government exercises this option, the extended contract shall be considered to include this option clause. (c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 66 months. 52.222-52-- Exemption From Application Of The Service Contract Labor Standards To Contracts For Certain Services-Certification (May 2014) -- (a) The offeror shall check the following certification: CERTIFICATION The offeror [ ] does [ ] does not certify that- (1) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations; (2) The contract services are furnished at prices that are, or are based on, established catalog or market prices. An "established catalog price" is a price included in a catalog, price list, schedule, or other form that is regularly maintained by the manufacturer or the offeror, is either published or otherwise available for inspection by customers, and states prices at which sales currently, or were last, made to a significant number of buyers constituting the general public. An "established market price" is a current price, established in the usual course of ordinary and usual trade between buyers and sellers free to bargain, which can be substantiated from sources independent of the manufacturer or offeror; (3) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and (4) The offeror uses the same compensation (wage and fringe benefits) plan for all service employees performing work under the contract as the offeror uses for these employees and for equivalent employees servicing commercial customers. (b) Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services. If the offeror certifies to the conditions in paragraph (a) of this provision, and the Contracting Officer determines in accordance with FAR 22.1003-4(d)(3) that the Service Contract Labor Standards statute- (1) Will not apply to this offeror, then the Service Contract Labor Standards clause in this solicitation will not be included in any resultant contract to this offeror; or (2) Will apply to this offeror, then the clause at FAR 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements, in this solicitation will not be included in any resultant contract awarded to this offer, and the offeror may be provided an opportunity to submit a new offer on that basis. (c) If the offeror does not certify to the conditions in paragraph (a) of this provision- (1) The clause of this solicitation at 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements, will not be included in any resultant contract to this offeror; and (2) The offeror shall notify the Contracting Officer as soon as possible if the Contracting Officer did not attach a Service Contract Labor Standards wage determination to the solicitation. (d) The Contracting Officer may not make an award to the offeror, if the offeror fails to execute the certification in paragraph (a) of this provision or to contact the Contracting Officer as required in paragraph (c) of this provision. 52.237-3 Continuity Of Services (Jan 1991)-- (a) The Contractor recognizes that the services under this contract are vital to the Government and must be continued without interruption and that, upon contract expiration, a successor, either the Government or another contractor, may continue them. The Contractor agrees to (1) furnish phase-in training and (2) exercise its best efforts and cooperation to effect an orderly and efficient transition to a successor. (b) The Contractor shall, upon the Contracting Officer's written notice, (1) furnish phase-in, phase-out services for up to 90 days after this contract expires and (2) negotiate in good faith a plan with a successor to determine the nature and extent of phase-in, phase-out services required. The plan shall specify a training program and a date for transferring responsibilities for each division of work described in the plan, and shall be subject to the Contracting Officer's approval. The Contractor shall provide sufficient experienced personnel during the phase-in, phase-out period to ensure that the services called for by this contract are maintained at the required level of proficiency. (c) The Contractor shall allow as many personnel as practicable to remain on the job to help the successor maintain the continuity and consistency of the services required by this contract. The Contractor also shall disclose necessary personnel records and allow the successor to conduct on-site interviews with these employees. If selected employees are agreeable to the change, the Contractor shall release them at a mutually agreeable date and negotiate transfer of their earned fringe benefits to the successor. (d) The Contractor shall be reimbursed for all reasonable phase-in, phase-out costs (i.e., costs incurred within the agreed period after contract expiration that result from phase-in, phase-out operations) and a fee (profit) not to exceed a pro rata portion of the fee (profit) under this contract. The Department of Labor Wage Determination applicable to this requirement is: WD 05-2473 (Rev 17) dated 12/22/2014. Descriptions for the occupations for this requirement and determining the appropriate wage determinations are the responsibility of the contractor, and the offeror is encouraged to coordinate with the Department of Labor in order to determine the appropriate job classifications for this requirement. The Agency assumes no responsibility or liability for a contractor's determination of the appropriate classification. http://www.wdol.gov/sca.aspx (xiii) n/a (xiv) The Defense Priorities and Allocations System (DPAS) is not Applicable to this acquisition (xv) n/a (xvi) QUESTIONS: All questions regarding this solicitation need to be electronically submitted (email) no later than June 2, 2015 at 11:00 am EST to Janica Francis-Hunter, NCO 7 Contract Specialist e-mail Janica.Francis@va.gov. The solicitation number must be identified on all submitted questions. No questions received after this date will be answered. (xvii) Site Visit: A site visit is not contemplated at this time. (xviii) QUOTES/OFFERS ARE DUE June 5, 2015 at 11:00 am eastern standard time (EST). Only electronic offers (email) will be accepted. Submit quotes to Janica Francis-Hunter, NCO 7 Contract Specialist e-mail Janica.Francis@va.gov. All offers must include the solicitation number. Quotes/offers received after this date may not be considered for award. Please include the following information in your email subject line: "MICROBIOLOGY TESTING VA247-15-Q-0724. (xvii) Contact information Contracting Office Address: Network Contracting Office 7-SAO EAST Department of Veterans Affairs 325 Folly Road, Ste 300 Charleston, SC 29412 Place of Performance: Ralph H Johnson VA Medical Center Department of Veterans Affairs Safety Service 109 Bee Street Charleston, SC 29401 Primary Point of Contact: Janica Francis-Hunter, Contracting Specialist Janica.Francis@va.gov Phone: 843-789-6448 Fax: 843-789-6406
VA24715Q0724 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7
5/28/15, 9:58 AM