VISN 16 Site Visit Workbook.xlsx

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6630--V16 Lab Chemistry and Immunochemistry CPRR BPA (VA-25-00010416)
Solicitation number
36C25625Q0161
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Written by GovTribe AI ·

This document is a pre-solicitation notice for a Request for Quotation (RFQ) to award a Cost per Patient Reportable Result (CPRR) Blanket Purchase Agreement (BPA) for standardized automated Chemistry and Immunochemistry instrumentation and testing across the South Central VA Health Care Network (SCVAHCN) VISN 16.

The BPA will include instrumentation, reagents, consumables, service, and support for 8 medical center labs and 20 outpatient clinic labs. Key requirements include FDA-approved instruments with random access testing capabilities, pre and post analytical automation capabilities for the medical centers, a data management system, and 24/7 remote support. The solicitation will be posted to GSA eBuy at a later date. Vendors meeting the minimum technical requirements are invited to conduct site visits with the participating labs from the date of this notice until February 28, 2025 to assess requirements and present their capabilities.

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A-Lab Info

Chemistry/Immunochemistry VISN 16 Laboratory Managers and BPA Points of Contact
Contracting Officers Representative (COR)

Facility Name Delivery Location/Address Lab Hours of Operation Enter 24 x 7 or days & time:

M-F 8 am - 4:30 pm,

M-S 8 am- 4:30 pm, etc.Point of ContactTelephone NumberE-mail address
Alexandria VAMC
Lab Manager: Amy Morgan2495 Shreveport Hwy 71N, Bldg 7, Laboratory 3rd floor, Rm 350, Pineville, LA 7136024 x 7Amy Morgan318-466-2349amy.morgan5@va.gov
Gulf Coast Veterans Healthcare System (Biloxi)
Lab Manager: Cindy Nguyen400 Veterans Blvd,

Bld 26

Biloxi MS, 3953124x7Cindy Nguyen228-523-5549cindy.nguyen@va.gov
Veterans Health Care System of the Ozarks (Fayetteville)
Lab Manager: Jay KesterWarehouse / 1100 N. College Ave. , Fayetteville, AR 7270324 x 7Patrick Quinlan479-443-4301 x 65296 or 479-443-4301 x 65272patrick.quinlan@va.gov
Michael E DeBakey VA Medical Center (Houston)
Lab Manager: Rafael Andujar2002 Holcombe Blvd. Houston, TX 7703024 X 7Cristal Bates713-794-7333 or 713-578-4446cristal.bates@va.gov
Jackson VAMC
Lab Manager: Stephanie McCullochP&LMS (113)

1500 E. Woodrow Wilson

Jackson, MS 3921624 X 7Wilton (Will) Hannah
Stephanie McCulloch601-362-4471 Ext. 51612
601-362-4471 ext 51406wilton.hannah@va.gov

stephanie.mcculloch@va.gov

Central Arkansas Veterans Healthcare System (CAVHS-Little Rock)
Lab Manager: Sean Whiteman4300 West 7th St. Room 2D-171 Little Rock, AR 7220524 x 7Jessica Yarbrough501-257-5630jessica.yarbrough@va.gov
SLVHCS New Orleans

Lab Manager: Belinda Brinson 2400 Canal Street Room 4E122 New Orleans, LA. 70119

24 x 7Isreal Bennett, Supervisor Chemistry
504-571-8174isreal.bennett@va.gov
Overton Brooks VAMC (Shreveport)
Lab Manager: Michael Salinas510 E Stoner Avenue Shreveport, LA 7110124 x 7Wendy Walston318-990-5467wendy.walston@va.gov
Outpatient Clinic Labs
SLVHCS Baton Rouge OPCRefrigerated 7850 Anselmo Lane Baton Rouge LA 70801-7439 Room Temp
4301 Pouche Court West, New Orleans, LA 70129M-F 7:30 am- 4 pmTerri Wilson225-768-6300terri.wilson2@va.gov
Beaumont VA Outpatient Clinic3420 Veterans Circle Beaumont, TX 77707M-Sa 8 am - 4:30 pmAlicia Lofton409-981-8550
ext 10636alicia.lofton@va.gov
Branson CBOC5571 N. Gretna Rd, Branson, MO 65616M-F 8 am - 4:30 pmAllison Majors417-243-2300 x 52349allison.majors@va.gov
Charles Wilson (Lufkin) VA Outpatient Clinic2206 North John Redditt Drive Lufkin, TX 75904M-F 8 am - 4:30 pmClaudia Harvard
Rafael Andujar936-671-4383
713-791-1414 Ext 227802claudia.havard@va.gov

andujar.rafaela@va.gov

Conway CBOC1520 East Dave Ward Drive
Conway, AR 72032MF 8 am 4 pmKaren McNulty
501-257-6427karen.mcnulty@va.gov
Eglin100 Veterans Way,Eglin AFB,FL 32542M-F 8 am - 4:30 pmDavid Hall850.609.6990David.hall4@va.gov
El Dorado CBOC514 E. 5th El Dorado, AR 71730M-F 8 am - 4 pmKaren McNulty501-257-6427karen.mcnulty@va.gov
Hot Springs CBOC177 Sawtooth Oak St. Hot Springs, AR 71981M-F 8 am - 4:30pmKaren McNulty501-257-6427karen.mcnulty@va.gov
Joint Ambulatory Care Center (Pensacola) OPC
Manager-Jennifer Abenden790 Veterans Way

Pensacola, FL 320507

M-F 7 am-5:30 pm
Sat 8 am-12 pmGena Payne850-912-2164gena.payne@va.gov
Joplin CBOC3015 South Connecticut
Joplin, MO 64802M-FMartha Rawlings417-621-6600 Ext 66782 (temporary)martha.rawlings@va.gov
Katy VA Outpatient Clinic750 Westgreen Blvd Katy, TX 77450M-F 8 am - 4:30 pmBao-Chau Nguyen281-578-4600 Ext 11579bao-chau.nguyen@va.gov
Mobile Outpatient Clinic4444 Demetroplois Road

Room 1C120

Mobile AL,36619-9602M-F 8 am - 4:30 pmTommy Gore251-219-3960tommy.gore@va.gov
Gene Taylor VA OPC (Springfield)
1850 West Republic Street
Springfield, MO 65807M-FAnthony Sides417-891-4881Anthony.Sides@va.gov
Panama City6703 West Hwy 98,Bld 386,Panama City ,FL,32407M-F 8 am - 4:30 pmJennifer Cramer850-636-7040jennifer.cramer3@va.gov
Russellville CBOC3106 West 2nd Ct. Russellville, AR 72801M-F 7:30 am - 4:00 pmKaren McNulty Chris Brown501-257-6427 479-880-5100karen.mcnulty@va.gov christopher.brown 11@va.gov
Searcy CBOC1120 S. Main St. Searcy, AR 72143M-F 8 am-5 pmKaren McNulty501-257-6427karen.mcnulty@va.gov
Tomball VA Outpatient Clinic1200 W. Main Street Tomball, TX 77375M-F 8 am - 4:30 pmErika White281-516-1505
Ext. 11744erika.white@va.gov
Lafayette OPC3419 Ambassador Caffrey Pkwy
Lafayette, LA 70506M-F 0800-1630Julie Wilkes337-706-3432julie.wilkes@va.gov
Conroe OPC690 South Loop, 336 West Conroe, Tx. 77304M-F 7:30 am -4:00 pmAlex Rios Vega936-522-4000 Ext 12047Alexandra.RiosVega@va.gov
Ft. Smith VA Clinic5700 Phoenix Ave
Fort Smith, AR 72903M-FAmy Ramsey479-443-4301 x 42778amy.ramsey@va.gov

mailto:tommy.gore@va.govmailto:Alexandra.RiosVega@va.govmailto:patrick.quinlan@va.govmailto:cindy.nguyen@va.govmailto:amy.morgan5@va.govmailto:jessica.yarbrough@va.govmailto:isreal.bennett@va.govmailto:alicia.lofton@va.govmailto:allison.majors@va.govmailto:David.hall4@va.govmailto:karen.mcnulty@va.govmailto:jennifer.cramer3@va.govmailto:karen.mcnulty@va.govmailto:amy.ramsey@va.govmailto:julie.wilkes@va.govmailto:martha.rawlings@va.govmailto:gena.payne@va.govmailto:wilton.hannah@va.govmailto:cristal.bates@va.govmailto:wendy.walston@va.govmailto:karen.mcnulty@va.govmailto:terri.wilson2@va.govmailto:erika.white@va.govmailto:karen.mcnulty@va.govmailto:Anthony.Sides@va.gov Tab B Equipment

VISN 16 Chemistry/Immunochemistry BPA Instrumentation
Draft- subject to change
Existing EquipmentInstrumentation RequirementsAncillary Support Equipment Requirements
FacilityService Coverage Required# Existing Analyzers

C=Chemistry IC= Immuno chemistry I=Integrated platform C/IC Existing Analyzers Equipment Comments Current Middle-ware System: Data Innovations (DI) Data Management System

(Contractor equipment to electronically link pieces of testing equipment to manage workflow)

Automation Line and Specimen Management Systems Number and Type of Analyzers Equipment Comments Data Management System

(Contractor equipment to electronically link pieces of testing equipment to manage workflow)

Inventory Management System Automation/Robotic System

Specimen Management System (to track specimens and monitor/ operate automation line and associated components)

Dynamic Inlet or similar device? (Device to allow processing of both spun and unspun specimens simultaneously)

Bulk Feeder (Accepts both spun and unspun unracked specimens) Automation Line Centrifuges

Outlet Racks STAT Lane (bypass routine specimens providing a direct path to the appropriate instrument) Decapper

Recapper

Aliquoter

Refrigerated Storage

Ancillary Equipment Required:

UPS w/line conditioner 1 per analyzer

External Printers Ancillary Equipment Required:

Water System 1 per analyzer (N/A if instrumentation does not require a continuous feed of water to operate)

Ancillary Equipment Required:

Remote Diagnostics and Troubleshooting

Alexandria VAMC 24 x 7 2 Integrated analyzers DxC660i DxC660i Two Mirror Imaged DXC660i Integrated Platforms DI Remisol Advanced N/A 2 Chem analyzers 2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredN/A1 or 2 RequiredN/AN/ARequiredRequiredN/AN/ARequired3RequiredRequired
Gulf Coast Veterans Healthcare System (Biloxi)24 x 72 Integrated analyzersDxC660i

DxC660i Two Mirror Imaged DXC660i Integrated Platforms DI Remisol Advanced N/A 2 Chem analyzers 2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredRequired2 RequiredRequiredRequiredRequiredRequiredRequiredRequiredRequired3RequiredRequired
Veterans Health Care System of the Ozarks (Fayetteville)24 x 72 Integrated analyzersDxC860i

DxC860i Two Mirror Imaged DXC860i Integrated Platforms DI Remisol Advanced N/A 2 Chem analyzers 2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredN/ARequiredN/AN/ARequired
Dual Decapper + Secondary DecapperRequired
Dual RecapperRequiredRequiredRequired3RequiredRequired
Michael E DeBakey VA Medical Center (Houston)24 x 75 Chem analyzers
3 IC analyzers4 DxC 800

2 DxI 800 DxC800 (stand alone) DxI800 (stand alone) DXC800(4) DXi800(2) on automation line

DxC800 standalone DxI800 standalone

DI

Remisol Advanced Qty 2

YES TBD

Same make and model for each instrument type meeting preferably exceeding current throughput. All on Automation line. Required Required Required Required Required Required 2 Required

RequiredRequiredRequired
Dual Decapper + Secondary DecapperRequired
Dual RecapperRequiredRequiredRequired4RequiredRequired
Jackson VAMC24 x 72 Integrated analyzersDxC860i

DxC860i

Two Mirror Imaged DXC860i Integrated PlatformsDI
Remisol AdvancedYES2 Chem analyzers

2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredN/ARequiredRequired3RequiredRequired
CAVHS (Little Rock)24 x 73 Chem analyzers

2 IC analyzers

DXC800

DxC800 DxC800 DXi800 DxI800 DXC800(2) DXi800(2) Instruments on automation line

DxC800 stand alone DI Remisol Advanced Qty 3 YES 2 - 3 Chem analyzers 2 IC analyzers Number of chemistry instruments depends on model throughput

Same make and model for each instrument type

All on automation lineRequiredRequiredRequiredRequiredRequiredRequired2 RequiredRequiredRequiredRequired
Dual Decapper + Secondary DecapperRequired
Dual RecapperRequiredRequiredRequired3RequiredRequired
SLVHCS New Orleans Legacy VAMC24 x 72 Integrated analyzersDxC660i

DxC660i

Two Mirror Imaged DXC660i Integrated Platforms
DI

Remisol Advanced Qty 2 YES 2 Chem analyzers 2 IC analyzers

Same make and model for each instrument type
Additional through put requiredRequiredRequiredRequiredRequiredRequiredN/ARequiredN/AN/ARequiredRequiredN/ARequiredRequired3RequiredRequired
Overton Brooks (Shreveport) VAMC24 x 72 Chem analyzers

2 IC analyzers

DxC800 DxC800 DXi600 DxI600 DXC800(2) DXi600(2) All instruments on automation line DI Remisol Advanced Qty 2 YES 2 Chem analyzers 2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredRequiredN/ARequiredRequired4RequiredRequired
Outpatient Clinic Labs
Baton Rouge VAOPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Beaumont VAOPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Branson8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Charles Wilson (Lufkin) VAOPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Conway OPC8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Eglin8 x 51 chem analyzerDXC600DI
Remisol AdvancedN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired
El Dorado8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Hot Springs8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Joint Ambulatory Care Center (Pensacola) OPC8 x 52 integrated analzyersDxC660i

DxC660I

Two Mirror Immaged DXC660i Integrated PlatformsDI
Remisol AdvancedN/A2 Chem analyzers

2 IC analyzers

Same make and model for each instrument typeRequiredRequiredRequiredRequiredRequiredRequired2 RequiredRequiredRequiredRequiredRequiredRequiredRequiredRequired3RequiredRequired
Joplin OPC8 x 51 chem analyzerDXC600DI
Remisol AdvancedN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired
Katy VAOPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Mobile OPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired
Gene Taylor OPC (Springfield)8 x 51 chem analyzerDXC600DI
Remisol AdvancedN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired
Panama City8 x 51 chem analyzerDXC600DI
Remisol AdvancedN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired
Russellville CBOC8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Searcy CBOC8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Tomball VAOPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Lafayette OPC8 x 51 chem analyzerDXC600DIN/AN/A1 instrumentTBDN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Conroe OPC8 x 51 integrated analzyerDXC600iDI
Remisol AdvancedN/A1 instrumentRequiredN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARequired1RequiredRequired
Ft. Smith8 x 51 chem analyzerDXC600DI
Remisol AdvancedN/A1 instrumentincreased throughput required due to test menu changesRequiredN/AN/AN/AN/AN/AN/AN/AN/ARequiredN/AN/AN/ARequired1RequiredRequired

Note: For allOutpatient Clinic Laboratories, except for the JACC in Pensacola, a single instrument is required- Either chemistry or integrated chemistry & immunochemistry. Dependent upon the individual lab test menu and manfacturers test menu and instrument capabilities.

C Test Menu

VISN 16 Chemistry/Immunochemistry BPA
Draft- subject to change
DescriptionAlexandriaBiloxiFayettevilleHoustonJacksonLittle RockNew OrleansShreveportBaton RougeBeaumontBransonConroeConwayEglinEl DoradoFt. SmithHot SpringsJoplinKatyLafayetteLufkinMobilePanama CityPensacolaRussellvilleSearcySpringfieldTomballEstimated VISN Totals
25 OH Vit D18788172286507648101969337022159943493645692613131924923384187367293139945953280092
ACETAMINOPHEN1001853652542261130
AFP31121096892979548445137511129568
ALBUMIN277942822237183202694563601140375366364156109611246955741575660101120520011058771647016121371257092561126885322618929164868149419479785008
Alkaline Phosphatase2719927781371061444785597335940509246456410816125735606156893641114215671059027077018119511256689981130485862602420543457149279430633890
ALT27283329933725214501356044508175095365301108161254456201571946181144718441059761057042119691261990211361994522969121883786149479401668701
AMIKACIN9137146
AMMONIA192575405872317919485399861181152754758
AMPHETAMINE5186101961358618173111372092762031496717011283922488950218332667291552469096318131747
Amylase18836813321167124055464954441221662071018714313420911949
AST27308329823724214499356038529275095665480108621236256221569847671148517351059661406998119681257190401361794652970320423777149719499670844
B128166204551941933143822942804153413009965215892398580161200285186107184527356716787713630120582340275898
BARBITURATE10198135701816320936631498838128392348901555022662291452469087318105936
Benzodiazepine5184101971357318161111452093862051496617011283921489250318292661291152489087318131723
beta-hydroxybutyrate1527118210251880
BNP346170123491897556629495000226940834563
BUN31698391354424521509572614114692736927402812533127346564161055896118862000120417130725912362132821018114070959431311293748781669710057884716
Buprenorphine2733614200160222008686225018825
C0231922387964320021155472220112884781747358712640127926592162485932118622072121447142730312402134321014513970959630771303848781687410191882361
C311471081255
C411831281311
CA 125 (OV MONITOR)133318451
CA 19-9 (GI MONITOR)2012001220
Calcium31894391004328421199772483113903743007420212710128166607162445921121302058121787153731012395134571024014087964330841302448571688610164881884
CARBAMAZEPINE14815114021723311074121085
CEA49356268113142515813272526
Ceruloplasmin57213381910
Chloride31883390554332121347672698113963783737415712707128046584162105939119112053121407145730612394134351014714027960230804302048631689310155887065
CHOLESTEROL24805227292392976773364123991030727427459975116904684140294738101481567840757306413106401208476161196883962440623073789136808149478446
CK34917981496138354184764317381308120679653592428512491729471743063
CK-MB403788006146379139979
COCAINE METABOLITE5187101971357118186111422096262001498817011284921489150218392662294652469096318131839
CORTISOL471392593676848571243562066045
CREATININE4085568782703312446789462615014291636994841798421589917024194789811990278617811876910909178521638415219142599679318783763599025397147921148847
Cyclosporine7070
Cystatin C30671501103153642
DBIL3533175819421278052900351433813268150825228718542358717617350416224821181480227156188
DIGOXIN2261884755943132189226910938273931092835
EPO14245637824
Ethanol114211281278197551372229716227931329739993950532992320596838634090
FentanylTBD3363TBD70412200210008000100353132852642606
FERRITIN208836135856903050319226792812850149946970496028172210611506384041267076
Folate74983294209313287402014933153438168652611656321404233538811304121006467779229689399
FREE PSA119011652218552068361337913537676
Free T356121696471164309890573123815769127
FREE T4196538412500642573169814249723161157794837026961220109321947562543826231221761614672113004
GENTAMICIN10410120056153524
GGT385327920016935282543249145971297914413926301361954221903339344947
GLUCOSE31716383084310521222772000114678737427358712619127756641161145925119752013121087112729212343133061026714004953630684299848871672810222878912
Haptoglobin10392826942052220
HDL24804227312389776637363303974630588427899978117084682140144724100631579934157116453106341208776221196783972440723153796136818179478860
FSH10924482417531405274052943344630
HIGH SENSITIVITY CRP4192159342494062532491224463530350032328
LH10921878615411585064382953034354
hsTNI6322364301017851385213037634530002450115
IgA197911317193829
IgG8515117882384
IgM7213117192102
Iron39405180449696456109140247795996513686101438139857063113591441544248975900
Lactate108886159110184230043213256134423990
LD3128647634358895314192115317617020417616410812912573614673
LDLD24795227202794600532942064305754280499731113588135426210097171105515081999612126804119688415244451401481581780222036
Lidocaine1515
Lipase58811392253588917986061217416378425121874
Lithium1482911334214021641731732
MAGNESIUM11567802106617484517604551601881113448707124614607411104310813102765045171578185436082980220480
Methadone43101357111534220086098401554192150225361843554
Methotrexate2020
MICROALBUMIN (urine albumin)889132492121922755010057117038833132303589886325388004183432484085653156436045444293350902791318710692803106080695057209379
MICROPROTEIN (urine protein)1398284215344120115512186118455116922813802
MYOGLOBIN145145
OPIATE5190101971357218167111412094562021496417011283923489350318452661291452589087318131764
Oxycodone6850132122007242132118934
PCP51901019813573175624903182929115247908753175
PHENOBARBITAL92978916441483
PHENYTOIN207112138223231228742114671751221648
Phosphorous9621909274949924634340663109558266697266432263256385267196262621125416
Potassium32252398694222021710673660116089788077489312725132476704162526096121011908123397245733612859135561029614147968831086284749931697010268897559
PREALBUMIN371149317217632564055
Procalcitonin1610TBD9923045597256431
PROLACTIN56621877215302813743553562784730
PSA142771211591603043116232283091353918552535671581712506672094641250932882659527245301021449693367210565
PTH420189353411303155364611156
PTH Intraoperative652015100
Rheumatoid Factor340275114023336901340740535165195904658308
Salicylate962313852371761125
Sodium32092391234353821424072946115241790817441012707127826589162115945118772054121537155730112394135831018013992960530797303048861688610162890960
TBIL2724127850371531452515590932557510286464010826123095567156223524113735151058827137129119951256490531130285342602420563349149249468631064
Tacrolimus3700TBD3700
TESTOSTERONE22732234123030971033289534121523743129236493861261294126414767333625996
THC5192102031358118055111482097862081497117011286924489650318352665291052509092318131716
THEOPHYLLINE8217241151324111318848
TOBRAMYCIN90300390
TOTAL B- hCG230477975675262862138792528
Total Protein27207278723722112770355940719651119642461081512307557215623111361057070241196512558899911233853326021149239405575188
TOTAL T318214852923762335
TOTAL T4114114
TRANSFERRIN394351743167944945431409777409830137160213603716181371825241972307
TRIGLYCERIDE24938228342407177946364714066130792429829973117934689140844763101931585932757376462107901210576971198584232441723503793136978237482795
TSH21181240242308164220203124800520067305258019115083104123381268993566760966964889326928917013135317585388090
T-UPTAKE1111
URIC ACID19466914303312613267263043126121061452946879316484031234112661057808448191848519247139539789834
VALPROIC ACID4646514411037544751345374481174772
Vancomycin1114163393766661212471812589393
Annual Estimates671242871613921670377450512706201979450129906915070362669742869801217673276849141229860229210239802105202153714239998250546204416300046246852695314457317544833066119192916,797,493

File details come from the government source that posted it. Updated .