Attachment_2_36C24419Q0205_LineItems.xlsx
XLSX spreadsheet 422 KB Posted
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- Blood Product & Blood Services Federal contract opportunity
- Solicitation number
- 36C24419Q0205
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36C24419Q0205 Attachment 2 36C24419Q0205 LineItems.xlsx
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| File | Type | Posted |
|---|---|---|
| Attachment_1_Final_SOW.doc | DOC document | |
| 36C24419Q0205_1.docx | DOCX document |
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | 36C24419Q0205 | Blood Bank | EDA: TBD 12-21-2018 dcs | Current Milestone: TBD| Status: PR should be transferred to Donna Cooper emailed A. Bryson to transfer (11/15/2018 dt). Assigned to BC. DES (10/3/2018). | Percent | 0 |
KB Version: FY19.01A
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE | UNIT OF PURCHASE TEXT/DESC. |
| 0001 | Blood Product - Leukoreduced Allogeneic Red Blood Cells | Blood Product - Leukoreduced Allogeneic Red Blood Cells | No | Base | 4/1/19 | 3/31/20 | 750 | UN | 0 | Quantity | Priced | 201.5 | Percent | 0 | DEPARTMENT OF VETERANS AFFAIRS | LEBANON VA MEDICAL CENTER | 1700 SOUTH LINCOLN AVENUE | LEBANON | PA | 17042 | USA | ATTN: PO# | NONE | No | 0 | 0 | E | 750.00 | UN | UNIT | |||||||||||||||||||
| 0002 | Blood Product - Leuko reduced Acrodose Platelets | Blood Product - Leuko reduced Acrodose Platelets | No | Base | 4/1/19 | 3/31/20 | 110 | UN | 0 | Quantity | Priced | 452 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 110 | UN | UNIT | ||||||||||||||||||||||||||
| 0003 | Blood Product - Leukoreduced Apheresis Platelets | Blood Product - Leukoreduced Apheresis Platelets | No | Base | 4/1/19 | 3/31/20 | 15 | UN | 0 | Quantity | Priced | 512 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 15 | UN | UNIT | ||||||||||||||||||||||||||
| 0004 | Blood Product - FFP | Blood Product - FFP | No | Base | 4/1/19 | 3/31/20 | 50 | UN | 0 | Quantity | Priced | 58 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 50 | UN | UNIT | ||||||||||||||||||||||||||
| 0005 | Blood Product - Pooled Cryoprecipitate | Blood Product - Pooled Cryoprecipitate | No | Base | 4/1/19 | 3/31/20 | 2 | UN | 0 | Quantity | Priced | 370 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 2 | UN | UNIT | ||||||||||||||||||||||||||
| 0006 | Services - Antigen Typing of Red Blood Cell Units | Services - Antigen Typing of Red Blood Cell Units | No | Base | 4/1/19 | 3/31/20 | 70 | EA | 0 | Quantity | Priced | 78.1 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 70 | EA | EACH | ||||||||||||||||||||||||||
| 0007 | Services - Irradiation of all blood and blood components | Services - Irradiation of all blood and blood components | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 79.5 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0008 | Services - Sickle Cell Negative Units | Services - Sickle Cell Negative Units | No | Base | 4/1/19 | 3/31/20 | 10 | EA | 0 | Quantity | Priced | 30 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||
| 0009 | Services - CMV Negative Units | Services - CMV Negative Units | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 5 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0010 | Patient Reference Testing - Elution | Patient Reference Testing - Elution | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 165 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0011 | Patient Reference Testing - Basic Antibody ID Workup | Patient Reference Testing - Basic Antibody ID Workup | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 200 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0012 | Patient Reference Testing - Moderately Complex Testing Workup | Patient Reference Testing - Moderately Complex Testing Workup | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 440 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0013 | Patient Reference Testing - Highly Complex Testing Workup | Patient Reference Testing - Highly Complex Testing Workup | No | Base | 4/1/19 | 3/31/20 | 5 | EA | 0 | Quantity | Priced | 825 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||
| 0014 | After Hours Courier | After Hours Courier | No | Base | 4/1/19 | 3/31/20 | 10 | EA | 0 | Quantity | Priced | 175 | Percent | 0 | Same as CLIN 0001 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||
| 1001 | Blood Product - Leukoreduced Allogeneic Red Blood Cells | Blood Product - Leukoreduced Allogeneic Red Blood Cells | No | Option 1 | 04/01/20 | 03/31/21 | 750 | UN | 0 | Quantity | Priced | 201.5 | Percent | 0 | DEPARTMENT OF VETERANS AFFAIRS | LEBANON VA MEDICAL CENTER | 1700 SOUTH LINCOLN AVENUE | LEBANON | PA | 17042 | USA | ATTN: PO# | NONE | ||||||||||||||||||||||||||
| 1002 | Blood Product - Leuko reduced Acrodose Platelets | Blood Product - Leuko reduced Acrodose Platelets | No | Option 1 | 04/01/20 | 03/31/21 | 110 | UN | 0 | Quantity | Priced | 452 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1003 | Blood Product - Leukoreduced Apheresis Platelets | Blood Product - Leukoreduced Apheresis Platelets | No | Option 1 | 04/01/20 | 03/31/21 | 15 | UN | 0 | Quantity | Priced | 512 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1004 | Blood Product - FFP | Blood Product - FFP | No | Option 1 | 04/01/20 | 03/31/21 | 50 | UN | 0 | Quantity | Priced | 58 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1005 | Blood Product - Pooled Cryoprecipitate | Blood Product - Pooled Cryoprecipitate | No | Option 1 | 04/01/20 | 03/31/21 | 2 | UN | 0 | Quantity | Priced | 370 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1006 | Services - Antigen Typing of Red Blood Cell Units | Services - Antigen Typing of Red Blood Cell Units | No | Option 1 | 04/01/20 | 03/31/21 | 70 | EA | 0 | Quantity | Priced | 78.1 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1007 | Services - Irradiation of all blood and blood components | Services - Irradiation of all blood and blood components | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 79.5 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1008 | Services - Sickle Cell Negative Units | Services - Sickle Cell Negative Units | No | Option 1 | 04/01/20 | 03/31/21 | 10 | EA | 0 | Quantity | Priced | 30 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1009 | Services - CMV Negative Units | Services - CMV Negative Units | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 5 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1010 | Patient Reference Testing - Elution | Patient Reference Testing - Elution | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 165 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1011 | Patient Reference Testing - Basic Antibody ID Workup | Patient Reference Testing - Basic Antibody ID Workup | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 200 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1012 | Patient Reference Testing - Moderately Complex Testing Workup | Patient Reference Testing - Moderately Complex Testing Workup | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 440 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1013 | Patient Reference Testing - Highly Complex Testing Workup | Patient Reference Testing - Highly Complex Testing Workup | No | Option 1 | 04/01/20 | 03/31/21 | 5 | EA | 0 | Quantity | Priced | 825 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 1014 | After Hours Courier | After Hours Courier | No | Option 1 | 04/01/20 | 03/31/21 | 10 | EA | 0 | Quantity | Priced | 175 | Percent | 0 | Same as CLIN 1001 | NONE | |||||||||||||||||||||||||||||||||
| 2001 | Blood Product - Leukoreduced Allogeneic Red Blood Cells | Blood Product - Leukoreduced Allogeneic Red Blood Cells | No | Option 2 | 04/01/21 | 03/31/22 | 750 | UN | 0 | Quantity | Priced | 201.5 | Percent | 0 | DEPARTMENT OF VETERANS AFFAIRS | LEBANON VA MEDICAL CENTER | 1700 SOUTH LINCOLN AVENUE | LEBANON | PA | 17042 | USA | ATTN: PO# | NONE | ||||||||||||||||||||||||||
| 2002 | Blood Product - Leuko reduced Acrodose Platelets | Blood Product - Leuko reduced Acrodose Platelets | No | Option 2 | 04/01/21 | 03/31/22 | 110 | UN | 0 | Quantity | Priced | 452 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2003 | Blood Product - Leukoreduced Apheresis Platelets | Blood Product - Leukoreduced Apheresis Platelets | No | Option 2 | 04/01/21 | 03/31/22 | 15 | UN | 0 | Quantity | Priced | 512 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2004 | Blood Product - FFP | Blood Product - FFP | No | Option 2 | 04/01/21 | 03/31/22 | 50 | UN | 0 | Quantity | Priced | 58 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2005 | Blood Product - Pooled Cryoprecipitate | Blood Product - Pooled Cryoprecipitate | No | Option 2 | 04/01/21 | 03/31/22 | 2 | UN | 0 | Quantity | Priced | 370 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2006 | Services - Antigen Typing of Red Blood Cell Units | Services - Antigen Typing of Red Blood Cell Units | No | Option 2 | 04/01/21 | 03/31/22 | 70 | EA | 0 | Quantity | Priced | 78.1 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2007 | Services - Irradiation of all blood and blood components | Services - Irradiation of all blood and blood components | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 79.5 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2008 | Services - Sickle Cell Negative Units | Services - Sickle Cell Negative Units | No | Option 2 | 04/01/21 | 03/31/22 | 10 | EA | 0 | Quantity | Priced | 30 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2009 | Services - CMV Negative Units | Services - CMV Negative Units | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 5 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2010 | Patient Reference Testing - Elution | Patient Reference Testing - Elution | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 165 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2011 | Patient Reference Testing - Basic Antibody ID Workup | Patient Reference Testing - Basic Antibody ID Workup | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 200 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2012 | Patient Reference Testing - Moderately Complex Testing Workup | Patient Reference Testing - Moderately Complex Testing Workup | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 440 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2013 | Patient Reference Testing - Highly Complex Testing Workup | Patient Reference Testing - Highly Complex Testing Workup | No | Option 2 | 04/01/21 | 03/31/22 | 5 | EA | 0 | Quantity | Priced | 825 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 2014 | After Hours Courier | After Hours Courier | No | Option 2 | 04/01/21 | 03/31/22 | 10 | EA | 0 | Quantity | Priced | 175 | Percent | 0 | Same as CLIN 2001 | NONE | |||||||||||||||||||||||||||||||||
| 3001 | Blood Product - Leukoreduced Allogeneic Red Blood Cells | Blood Product - Leukoreduced Allogeneic Red Blood Cells | No | Option 3 | 04/01/22 | 03/31/23 | 750 | UN | 0 | Quantity | Priced | 201.5 | Percent | 0 | DEPARTMENT OF VETERANS AFFAIRS | LEBANON VA MEDICAL CENTER | 1700 SOUTH LINCOLN AVENUE | LEBANON | PA | 17042 | USA | ATTN: PO# | NONE | ||||||||||||||||||||||||||
| 3002 | Blood Product - Leuko reduced Acrodose Platelets | Blood Product - Leuko reduced Acrodose Platelets | No | Option 3 | 04/01/22 | 03/31/23 | 110 | UN | 0 | Quantity | Priced | 452 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3003 | Blood Product - Leukoreduced Apheresis Platelets | Blood Product - Leukoreduced Apheresis Platelets | No | Option 3 | 04/01/22 | 03/31/23 | 15 | UN | 0 | Quantity | Priced | 512 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3004 | Blood Product - FFP | Blood Product - FFP | No | Option 3 | 04/01/22 | 03/31/23 | 50 | UN | 0 | Quantity | Priced | 58 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3005 | Blood Product - Pooled Cryoprecipitate | Blood Product - Pooled Cryoprecipitate | No | Option 3 | 04/01/22 | 03/31/23 | 2 | UN | 0 | Quantity | Priced | 370 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3006 | Services - Antigen Typing of Red Blood Cell Units | Services - Antigen Typing of Red Blood Cell Units | No | Option 3 | 04/01/22 | 03/31/23 | 70 | EA | 0 | Quantity | Priced | 78.1 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3007 | Services - Irradiation of all blood and blood components | Services - Irradiation of all blood and blood components | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 79.5 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3008 | Services - Sickle Cell Negative Units | Services - Sickle Cell Negative Units | No | Option 3 | 04/01/22 | 03/31/23 | 10 | EA | 0 | Quantity | Priced | 30 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3009 | Services - CMV Negative Units | Services - CMV Negative Units | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 5 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3010 | Patient Reference Testing - Elution | Patient Reference Testing - Elution | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 165 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3011 | Patient Reference Testing - Basic Antibody ID Workup | Patient Reference Testing - Basic Antibody ID Workup | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 200 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3012 | Patient Reference Testing - Moderately Complex Testing Workup | Patient Reference Testing - Moderately Complex Testing Workup | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 440 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3013 | Patient Reference Testing - Highly Complex Testing Workup | Patient Reference Testing - Highly Complex Testing Workup | No | Option 3 | 04/01/22 | 03/31/23 | 5 | EA | 0 | Quantity | Priced | 825 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 3014 | After Hours Courier | After Hours Courier | No | Option 3 | 04/01/22 | 03/31/23 | 10 | EA | 0 | Quantity | Priced | 175 | Percent | 0 | Same as CLIN 3001 | NONE | |||||||||||||||||||||||||||||||||
| 4001 | Blood Product - Leukoreduced Allogeneic Red Blood Cells | Blood Product - Leukoreduced Allogeneic Red Blood Cells | No | Option 4 | 04/01/23 | 03/31/24 | 750 | UN | 0 | Quantity | Priced | 201.5 | Percent | 0 | DEPARTMENT OF VETERANS AFFAIRS | LEBANON VA MEDICAL CENTER | 1700 SOUTH LINCOLN AVENUE | LEBANON | PA | 17042 | USA | ATTN: PO# | NONE | ||||||||||||||||||||||||||
| 4002 | Blood Product - Leuko reduced Acrodose Platelets | Blood Product - Leuko reduced Acrodose Platelets | No | Option 4 | 04/01/23 | 03/31/24 | 110 | UN | 0 | Quantity | Priced | 452 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4003 | Blood Product - Leukoreduced Apheresis Platelets | Blood Product - Leukoreduced Apheresis Platelets | No | Option 4 | 04/01/23 | 03/31/24 | 15 | UN | 0 | Quantity | Priced | 512 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4004 | Blood Product - FFP | Blood Product - FFP | No | Option 4 | 04/01/23 | 03/31/24 | 50 | UN | 0 | Quantity | Priced | 58 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4005 | Blood Product - Pooled Cryoprecipitate | Blood Product - Pooled Cryoprecipitate | No | Option 4 | 04/01/23 | 03/31/24 | 2 | UN | 0 | Quantity | Priced | 370 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4006 | Services - Antigen Typing of Red Blood Cell Units | Services - Antigen Typing of Red Blood Cell Units | No | Option 4 | 04/01/23 | 03/31/24 | 70 | EA | 0 | Quantity | Priced | 78.1 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4007 | Services - Irradiation of all blood and blood components | Services - Irradiation of all blood and blood components | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 79.5 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4008 | Services - Sickle Cell Negative Units | Services - Sickle Cell Negative Units | No | Option 4 | 04/01/23 | 03/31/24 | 10 | EA | 0 | Quantity | Priced | 30 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4009 | Services - CMV Negative Units | Services - CMV Negative Units | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 5 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4010 | Patient Reference Testing - Elution | Patient Reference Testing - Elution | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 165 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4011 | Patient Reference Testing - Basic Antibody ID Workup | Patient Reference Testing - Basic Antibody ID Workup | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 200 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4012 | Patient Reference Testing - Moderately Complex Testing Workup | Patient Reference Testing - Moderately Complex Testing Workup | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 440 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4013 | Patient Reference Testing - Highly Complex Testing Workup | Patient Reference Testing - Highly Complex Testing Workup | No | Option 4 | 04/01/23 | 03/31/24 | 5 | EA | 0 | Quantity | Priced | 825 | Percent | 0 | Same as CLIN 4001 | NONE | |||||||||||||||||||||||||||||||||
| 4014 | After Hours Courier | After Hours Courier | No | Option 4 | 04/01/23 | 03/31/24 | 10 | EA | 0 | Quantity | Priced | 175 | Percent | 0 | Same as CLIN 4001 | NONE |
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