FSS-621-II - Sonora Quest Laboratories LLC - 36F79721D0224

Department of Veterans Affairs Federal Supply Service

Authorized Federal Supply Schedule Price List Effective Date: September 1, 2021

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage! , a menu-driven database system. The Internet address for GSA Advantage! is: www.GSAAdvantage.gov

Federal Supply Schedule (FSS) 621 II Medical

Laboratory Testing and Analysis Services Product Service Code Q301

Contract #: 36F79721D0224

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http://www.fss.gsa.gov

Contract Period: 09/01/2021 through 08/31/2026

Sonora Quest Laboratories

424 S. 56th St. Suite 100

Phoenix, AZ 85034 www.sonoraquest.com

Primary Contact: Russell Rowls Email : Russell.Rowls@sonoraquest.com

Alternative Contacts:

Tushar Chawla

Email Tushar.Chawla@sonoraquest.com Jef Wright

Email Jef.Wright@sonoraquest.com

Russell R(602)-685-5886 Tushar C(602)-685-4575 Jef W (602)-685-

Business Size: Large

Data Universal Number System (DUNS) Number: 014438001

Central Contractor Registration (CCR) Cage Code: 1HDD9 http://www.gsaadvantage.gov/ http://www.fss.gsa.gov/ http://www.sonoraquest.com/ mailto:Russell.Rowls@sonoraquest.com mailto:%20Tushar.Chawla@sonoraquest.com mailto:Jef.Wright@sonoraquest.com

Accepted SINs 621-200, 201, 202, 203, 204, 206, 208, 209, 211

Assay Schedule / Business Hours

Hours of operation: 24 hours S,M,T,W,TH,F,S

1 day if received by 8:00 pm Pacific Standard Time it can be delivered by 8:00 a.m.

the next day. Tests that are identified as "more complex" can have a delivery time that is negotiated between Sonora Quest and the ordering facility

Standard Delivery Time / Turn Around Times (TAT)

4 Hours or less, $16.00 surcharge for STAT services, pickup will be within 1 hour unless arrangements have been made ahead of time with the ordering facility to allow for a later pick-up.

Expedited Delivery Time for STAT Servces

Additional Routine (Non- STAT) or Unscheduled Pickups

None

Specimen cannot be tested due to SQL’s assay failure or technical failure, SQL will not charge for the testing. Specimen has to be re-tested due to a failure by SQL or its contractors or agents, SQL will re-perform the test at no cost.

Reperformance of Services

FOB Point(s) F.O.B covers 48 states, Alaska, Hawaii, and Puerto Rico

Credit Card Acceptance Yes; accepted MPT = Micropurchase Threshold

Minimum Order No minimum order

Payment Terms 1% - 20, Net 30 days

Annual Rebate None

Commercial Price List Sonora Quest List Fee Schedule

Number of Accepted Items 9 Special Item Numbers (SIN's) - 138 items

Laboratory Address City State Zip Phone #

Sonora Quest - Papago

424. S. 56th St Suite 100

Phoenix AZ 85034 602-685-5000

Sonora Quest - Alvernon

630 N. Alvernon

Tucon AZ 85711 602-685-5000

Item # SIN# Price Item Description

3361 621-200 $ 15.00 TISSUE GRO ONLY L1 TC, CPT Code 88300

01012 621-201 $ 2.31 PHOSPHORUS (INORGANIC), CPT Code 84100

01013 621-201 $ 2.66 URIC ACID, CPT Code 84550

01430 621-201 $ 12.46 IMMUNOGLOBULINS QUANTITATIVE, CPT Code 82784

01877 621-201 $ 3.00 LIPID PANEL, CPT Code 83718

02019 621-201 $ 1.99 GGT, CPT Code 82977

02038 621-201 $ 2.50 IRON, CPT Code 83540

02040 621-201 $ 4.48 IRON & TIBC, CPT Code 83540

02042 621-201 $ 2.34 MAGNESIUM, CPT Code 83735

02320 621-201 $ 4.94 CRP, CPT Code 86140

02482 621-201 $ 5.45 PROTEIN, URINE, RANDOM, NORMALIZED, CPT Code 82570

03129 621-201 $ 15.00 CA 125, CPT Code 86304

03147 621-201 $ 12.10 LEAD BLOOD PEDIATRIC, CPT Code 83655

06926 621-201 $ 18.84 C3 + C4 COMPLEMENT GROUP, CPT Code 86160

08015 621-201 $ 7.00 FOLATE, CPT Code 82746

08035 621-201 $ 9.75 PROLACTIN, CPT Code 84146

08055 621-201 $ 3.17 TSH HIGH SENSITIVITY, CPT Code 84443

08060 621-201 $ 6.62 VITAMIN B12, CPT Code 82607

08065 621-201 $ 6.84 VITAMIN B12 & FOLATE, CPT Code 82746

08106 621-201 $ 9.02 TRANSFERRIN, CPT Code 84466

08253 621-201 $ 14.00 FREE T4 / TSH, CPT Code 84443

08501 621-201 $ 5.00 PROSTATE SPECIFIC AG (PSA), TOTAL, CPT Code 84153

08918 621-201 $ 14.22 ALPHA-FETOPROTEIN TUMOR MARKER, CPT Code 82105

09201 621-201 $ 12.00 ESTRADIOL, CPT Code 82670

09210 621-201 $ 4.64 FERRITIN, CPT Code 82728

09230 621-201 $ 3.17 HEMOGLOBIN A1c WITH eAG, CPT Code 83036

09325 621-201 $ 8.00 PROGESTERONE, CPT Code 84144

09346 621-201 $ 5.00 T3 FREE NON-DIALYSIS, CPT Code 84481

09929 621-201 $ 2.11 MICROALBUMIN, URINE, RANDOM, NORMALIZED, CPT Code 82043

102455 621-201 $ 2.41 ELECTROLYTE PANEL, CPT Code 80051

102846 621-201 $ 12.00 PTH BIOINTACT & CALCIUM, CPT Code 82310

15033 621-201 $ 4.51 LDL CHOLESTEROL DIRECT, CPT Code 83721

15055 621-201 $ 12.00 PSA, TOTAL AND FREE, CPT Code 84153

18340 621-201 $ 12.50 PTH INTACT (IRMA) N-TERMINAL, CPT Code 83970

18766 621-201 $ 12.80 TACROLIMUS (FK506), CPT Code 80197

38055 621-201 $ 3.17 TSH W/REFLEX TO FREE T4, CPT Code 84443

702723 621-201 $ 22.00 TESTOSTERONE, FREE (DIALYSIS) AND TOTAL, MS, CPT Code 84402

803139 621-201 $ 52.00 MATERNAL SRUM SCREEN 4, CPT Code 82105

900313 621-201 $ 2.42 HEPATIC FUNCTION PANEL, CPT Code 80076

900320 621-201 $ 2.43 BASIC METABOLIC PANEL, CPT Code 80048

900323 621-201 $ 2.45 COMPREHENSIVE METABOLIC PNL, CPT Code 80053

900325 621-201 $ 2.44 RENAL FUNCTION PANEL, CPT Code 80069

90045 621-201 $ 5.90 CRP HIGH SENSITIVITY, CPT Code 86141

900912 621-201 $ 14.38 CYCLIC CITRULLINATED PEPTIDE, CPT Code 86200

901738 621-201 $ 2.43 BASIC METABOLIC PANEL w/eGFR, CPT Code 80048

901739 621-201 $ 2.45 COMPREHENSIVE METABOLIC PANEL W/EGFR, CPT Code 80053

902068 621-201 $ 20.01 VITAMIN D 25-HYDROXY LC/MS/MS, CPT Code 82306

902147 621-201 $ 41.14 H.PYLORI UREA BREATH TEST, CPT Code 83013

902278 621-201 $ 3.00 LIPID PANEL W/RFLX LDL DIRECT, CPT Code 80061

904059 621-201 $ 15.00 VITAMIN D, 25-HYDROXY, TOTAL, CPT Code 82306

904354 621-201 $ 3.17 HEMOGLOBIN A1c W/eAG W/RFX GLYCOMAR, CPT Code 83036

906542 621-201 $ 81.90 H. Pylori Urea Breath Test-Pediatric, CPT Code 83013

906531 621-202 $ 156.88 LIVER FIBROSIS, FIBROTEST-ACTITEST PANEL, CPT Code 81596

702 621-203 $ 22.00 PAP THINPREP, CPT Code 88175

704 621-203 $ 22.00 PAP THINPREP W/RFLX HPV IF ASC, CPT Code 88175

705 621-203 $ 22.00 PAP THINPREP W/RFLX HPV IF ABN, CPT Code 88175

706 621-203 $ 22.00 PAP THINPREP W/RFLX HPV IF ASC, CPT Code 88175

707 621-203 $ 22.00 PAP SUREPATH, CPT Code 88142

708 621-203 $ 22.00 PAP SUREPATH W/RFLX HPV IF ASC, CPT Code 88142

709 621-203 $ 22.00 PAP SUREPATH W/RFLX HPV IF ABN, CPT Code 88142

710 621-203 $ 22.00 PAP SUREPATH W/RFLX HPV IF ASC, CPT Code 88142

719 621-203 $ 22.00 PAP THINPREP WITH HPV mRNA, CPT Code 88175

722 621-203 $ 22.00 PAP TP W/RFLX HPV IF ASCUS/ASC, CPT Code 88175

723 621-203 $ 22.00 PAP SP W/RFLX HPV IF ASCUS/ASC, CPT Code 88142

107837 621-204 $ 45.50 Drug Screen Abuse,Meconium, CPT Code 80307

706297 621-204 $ 41.59 PDM TRAMADOL, QUANTITATIVE, UR, CPT Code 80373

902382 621-204 $ 16.38 DRUG SCREEN 8-TEST, URINE W/REFLEX CONFIRM, CPT Code 80307

906254 621-204 $ 51.99 PDM 1,W/CONFIRMATION,UR, CPT Code 80307

906259 621-204 $ 51.99 PDM 1, WITHOUT CONFIRMATION, UR, CPT Code 80307

906281 621-204 $ 31.99 PDM OPIATES, EXPANDED QUANTITATIVE, UR, CPT Code G6056

906325 621-204 $ 20.79 PDM AMPHETAMINES W/CONFIRMATION, CPT Code 80307

906334 621-204 $ 20.79 PDM OPIATES, WITH CONFIRMATION, UR, CPT Code 80307

01235 621-206 $ 1.96 HEMOGLOBIN & HEMATOCRIT, CPT Code 85018

02317 621-206 $ 5.46 BLOOD GROUP AND RH TYPE, CPT Code 86900

03000 621-206 $ 1.99 CBC W/ DIFFERENTIAL, W/ PLATELET, CPT Code 85025

03005 621-206 $ 1.98 HEMOGRAM W/PLATELETS, CPT Code 85027

03010 621-206 $ 1.95 WBC, CPT Code 85048

03015 621-206 $ 1.95 RBC, CPT Code 85041

03025 621-206 $ 1.95 HEMATOCRIT, CPT Code 85014

03050 621-206 $ 1.95 LEUKOCYTE DIFFERENTIAL AUTO, CPT Code 85004

03061 621-206 $ 1.95 HEMOGLOBIN, CPT Code 85018

03105 621-206 $ 2.50 ERYTHROCYTE SEDIMENTATION RATE, CPT Code 85652

03500 621-206 $ 2.53 PROTHROMBIN TIME/INR, CPT Code 85610

03510 621-206 $ 1.95 PLATELET COUNT, CPT Code 85049

104110 621-206 $ 2.91 DIFFERENTIAL MANUAL, CPT Code 85007

01054 621-208 $ 2.35 RPR W/RFX TO TITER & FTA ABs, CPT Code 86592

01063 621-208 $ 6.10 COCCIDIOIDES COMPLEMENT FIXATION, CPT Code 86635

01852 621-208 $ 11.11 ANA SCREEN W/RFX TO ANA COMPLE, CPT Code 86038

02075 621-208 $ 9.50 PROTEIN ELECTROPHORESIS, CPT Code 84155

02337 621-208 $ 3.97 RHEUMATOID FACTOR, CPT Code 86431

02341 621-208 $ 10.00 RUBELLA ANTIBODY IGG, CPT Code 86762

02435 621-208 $ 9.00 VARICELLA ZOSTER Ab IgG, CPT Code 86787

02920 621-208 $ 5.75 ANA SCREEN W/RFX TO TITER, CPT Code 86038

05376 621-208 $ 2.35 RPR W/RFX TO TITER, CPT Code 86592

06575 621-208 $ 6.30 MUMPS VIRUS ANTIBODY IgG, CPT Code 86735

08089 621-208 $ 9.73 RUBEOLA (MEASLES) IgG, CPT Code 86765

08092 621-208 $ 18.26 SJOGREN'S ANTIBODIES (SSA&SSB), CPT Code 86235

08587 621-208 $ 7.35 HEPATITIS C AB W/REFLEX HCV RNA, QUANT, RT-PCR, CPT Code 86803

09140 621-208 $ 10.82 DNA Ab DOUBLE STRANDED, CPT Code 86225

09143 621-208 $ 12.66 SMOOTH MUSCLE ANTIBODY W/REFLEX TO TITER, CPT Code 86255

09145 621-208 $ 8.10 MICROSOMAL TPO-AB, CPT Code 86376

09199 621-208 $ 42.10 PROTEIN ELECTROPHORESIS SERUM & IFE, CPT Code 82784

09236 621-208 $ 8.00 HEP.B CORE Ab TOTAL, CPT Code 86704

09247 621-208 $ 17.69 HLA-B27 ANTIGEN, CPT Code 86812

09378 621-208 $ 58.00 CARDIOLIPIN ANTIBODY, IGA IGG IGM, CPT Code 86147

09413 621-208 $ 11.44 TOXOPLASMA ANTIBODY IGG, CPT Code 86777

102562 621-208 $ 7.35 HEP.A ANTIBODY TOTAL, CPT Code 86708

11218 621-208 $ 39.00 ANCA VASCULITIDES, CPT Code 86021

11939 621-208 $ 26.38 H.PYLORI ANTIGEN STOOL, CPT Code 87338

13845 621-208 $ 18.83 HERPES SIMPLEX VIRUS ANTIBODIES 1/2 TYPE SPECIFIC IGG, CPT Code 86695

205927 621-208 $ 42.43 CD4/CD8 PANEL, CPT Code 86359

209198 621-208 $ 15.51 PROTEIN ELECTROPHORESIS, URINE, RANDOM, CPT Code 82570

800414 621-208 $ 144.00 HSV ANTIBODIES, CPT Code 86695

900364 621-208 $ 2.35 RPR W/O REFLEX, CPT Code 86592

900500 621-208 $ 52.00 S.CEREVISIAE IGG, IGA, CPT Code 86671

900780 621-208 $ 23.00 TREPONEMA PALLIDUM ANTIBODIES, CPT Code 86780

903516 621-208 $ 2.35 T.PALLIDUM(RPR)W/RFX TITER TP-PA, CPT Code 86592

907080 621-208 $ 47.00 SARS-CoV-2 RNA, QL, RT PCR (COVID-19) SWABS, CPT Code 87635

907097 621-208 $ 49.00 Coronavirus (COVID-19) SARS-CoV-2 IgG, CPT Code 86769

91186 621-208 $ 104.40 HSV IGG AB DIFFERENTIATION, CPT Code 86696

03682 621-209 $ 5.45 HIV 1/2 AG AND ABS, FOURTH GENERATION, W/REFLEXES, CPT Code 87389

04188 621-209 $ 10.91 CULTURE WOUND AEROBIC W/GS, CPT Code 87205

04704 621-209 $ 4.48 CULTURE GROUP A STREP, CPT Code 87081

04792 621-209 $ 19.67 OVA & PARASITES STOOL, CPT Code 87177

08020 621-209 $ 6.00 HEPATITIS B SURFACE ANTIGEN W/RFLX CONFIRMATION, CPT Code 87340

15294 621-209 $ 129.00 HEPATITIS C VIRAL RNA, GENOTYPE, LIPA, CPT Code 87902

700399 621-209 $ 42.53 CHLAM.AMP.PRB(EC/URE/URINE), CPT Code 87491

704705 621-209 $ 5.31 CULTURE URINE, CPT Code 87086

900400 621-209 $ 42.53 GC AMP.PROBE(EC/URE/URINE), CPT Code 87591

902192 621-209 $ 85.05 LIQ. BASED CT/NG AMP PRB (ENDO, CPT Code 87591

902441 621-209 $ 42.53 LIQ. BASED GC AMP PRB (ENDOCX), CPT Code 87591

902442 621-209 $ 42.53 LIQ. BASED CHLAM AMP PROBE (EN, CPT Code 87491

902581 621-209 $ 67.00 HIV-1 RNA QUANTITATIVE, REAL-TIME PCR, CPT Code 87536

903150 621-209 $ 14.22 CHLAMYDIA TRACHOMATIS, APTIMA DEVICE, CPT Code 87491

903151 621-209 $ 14.31 N. GONORRHOEAE, APTIMA DEVICE, CPT Code 87591

904767 621-209 $ 24.00 CHLAMYDIA TRACHOMATIS/N. GONORRHOEAE, APTIMA DEVICE, CPT Code 87591

905541 621-209 $ 55.00 HEPATITIS C VIRUS RNA, QUANTITATIVE, REAL-TIME PCR, CPT Code 87522

104997 621-211 $ 162.80 ANA DNA DS ENA RF SJOGREN'S, CPT Code 86431