Attach VII_ AIR20922 Commercial Customs Waiver.pdf

NSN/REF Instrument/Manufacturer Description Reagent/QC AABB06P1710 iSTAT cTnI Control Lv 2 QC GXCT/NG-10 Cepheid RT-PCR TEST CT/NG Reagent NATCT(434)-6MC Zeptometrix NATTROL CT Positive Control QC NATCT/NGNEG-6MC Zeptometrix CT/NG Negative Control (6 X 1 mL) QC NATFRC-ERC Cepheid NATtrol Flu/RSV/SARS-CoV-2 External Run Control (6 x 0.5mL Vials) QC NATNG-6MC Zeptometrix NATTROL NG Positive Control QC XP3COV2/FLU/RSV-10 Cepheid Xpert® Xpress CoV-2/Flu/RSV plus Reagent 655008T001979 Sysmex PocH-100i Eight Check 3WP QC QUI20183 Quidel Influenza A+B Rapid Test Reagent QUI00343 Quidel Strep A Rapid Test (Comes with QC) Reagent QUI00179 Quidel hCG Combo Rapid Test Reagent ORA10010079 QraQuick HIV-1/2 Rapid Test Reagent CTKR0042C CTK Biotech Rapid HBsAg Kit Reagent BEK395065A Hemocue Hemoccult Reagent

BEC276709 BD CONTR SYPHILIS RPR 10S QC

BEC275005 BD RPR Cards, Syphilis Reagent ALE665025 Abbott Malaria Rapid Kit Reagent 6640081401953 iSTAT Chem 8+ Reagent 6550081332921 iSTAT CARTRIDGE TEST CG8+ 25S Reagent 6550015999065 Abbott Malaria Rapid Kit, Controls QC 6550015905315 Quidel HCV Kit, Controls QC 6550015899845 Quidel HCV Kit Reagent 6550015633408 Quidel Mono Rapid Test (Comes with QC) Reagent 6550015292236 QraQuick HIV-1/2 Rapid Test, Controls QC 6550012045367 Blood Bank Affirmagen (A1 + B Cells) Reagent 6550011752315 Blood Bank Surgiscreen, Screening Cells 1,2,3 Reagent 6515016574750 WBB Chinook Whole Blood Collection and Transfusion Kit Reagent 17500267029 Fisher Scientific ESR Test Kit, Sedimentation Tube Reagent BIORFITASY0116 BioFire Gastrointestinal (GI) Panel Reagent 6550016881555 BioFire Respratory Panel 2.1 (RP2.1) Panel Reagent ORT6901939 Blood Bank Anti-D Reagent OCD6901935 Blood Bank Anti-B Reagent IMM0066089 Blood Bank Monoclonal Control, D Control Reagent 6550081332974 Blood Bank Anti-A Reagent 6550013438128 Blood Bank Ig-G / AHG, Anti-human Globulin Reagent 6550012795285 Blood Bank Confidence System, Cells 1+2 Reagent 6550012694302 Blood Bank Check Cells, Coombs Control Reagent

CEPRSARSCOV2DOD Cepheid RT-PCR TEST CEPHD 10S QC HYC87177 Clinitek Kova Liqua-Trol w/micro, Abnormal, Control urine Lv1 QC 08620216121 Clinitek Multistix 10 SG (urine dip stick) Reagent 6550015197696 Hemochron DIRECTCHECK PT/APTT Normal QC 6550015195571 Hemochron DIRECTCHECK APTT ABNORMAL QC 6550015195570 Hemochron DIRECTCHECK PT ABNORMAL QC 6550015193891 Hemochron APTT CUVETTES Reagent 6550015193890 Hemochron PT CUVETTES Reagent ABB06P1711 iSTAT cTnI Control Lv 3 QC ABB06P1709 iSTAT cTnI Control Lv 1 QC ABB05P7001 iSTAT TriControls Calibration Verification 1-5 Levels QC ABB05P5825 iSTAT ß-hCG Cartridge - Cartridge test Beta Human Chorionic Gonado Tropin Reagent ABB02R2903 iSTAT Total ß-hCG Control Lv 3 QC ABB02R2902 iSTAT Total ß-hCG Control Lv 2 QC ABB02R2901 iSTAT Total ß-hCG Control Lv 1 QC 6550016302424 iSTAT cTnI Calibration Verification 1-3 QC 6550015215436 iSTAT cTnI, Cartridge - Analyzer POC I-stat Whole Blood - Troponin Cartdrige Reagent 6550015064686 iSTAT CG4+ Reagent 6550014337319 iSTAT REAGENT ANALYZER GLUCOSE CARTRIDGE F/ I STAT Reagent 6550014323696 iSTAT Control Level 3, TriControl QC 6550014323688 iSTAT Control Level 2, TriControl QC 6550014318279 iSTAT Control Level 1, TriControl QC MQCM238 MMQCI GastrointestinaI (GI), QC QC MQCM210V11 MMQCI Respratory Panel 2 (PR2), QC QC ABA4000037 Piccolo Metlac 12 Panel Reagent ABA4000035 Piccolo Biochemistry Panel + Reagent ABA4000030 Piccolo Lipid Panel + Reagent ABA11009132E Piccolo Abaxis Lv 2, Randox QC ABA11009131E Piccolo Abaxis Lv 1, Randox QC 655008T000389 Piccolo Metlyte + CRP Reagent 6244RM111738 Piccolo PANEL BASIC METABOLIC 10S Reagent 6550015281992 Piccolo General Chemistry 13 Reagent 6550015153920 Piccolo Renal Function Panel Reagent 6550014340316 Piccolo Liver Panel + Reagent SYEPPL200A Sysmex PocH-100i POCH-PACK L Reagent SYE217685 Sysmex PocH-100i Poch Calibrator SCS - 1000 1S QC 655008T000532 Sysmex PocH-100i POCH-PACK D Reagent QUI94614 Triage Meter Tox Drug Screen Controls Lv 2 QC

QUI94613 Triage Meter Tox Drug Screen Controls Lv 1 QC QUI94600 Triage Meter Drug Screen Panel Cartridge Reagent ALE98000XREU Triage Meter BNP Cartridge Reagent 6550081332940 Triage Meter Total 5 control level 2 QC QC 6550015751056 Triage Meter Total 5 control level 1 QC QC 6550014932606 Triage Meter Cardiac Panel Cartridge Reagent 6735098100 Triage Meter D-Dimer Cartridge Reagent 655008T003314 WBB KIT ABO/RH BLOOD 5S Reagent ZTXNATRPC21BIO Zeptometrix Respratory Panel 2.1 (PR2.1) QC CONTROLS 0.3ML X 12 1S QC

Material MPN Instrument/Manufacturer Short Nomenclature Long Nomenclature 01-657-4750 80-801 WBB WHOLE BLOOD COLLECT WHOLE BLOOD COLLECTION AND TRANSFUSION KIT 01-175-2315 719100 Blood Bank ANTI-BODY DETECTION ANTI-BODY DETECTION SET RED BLOOD CELLS 3 10ML VIALS MUST BE REFRIGERATED 01-204-5367 719210 Blood Bank TEST KIT REVERSE BLD TEST KIT REVERSE BLOOD GROUPING TO CONFIRM FORWARD GROUP TESTING 6550081332921 03P8825 iSTAT CARTRIDGE TEST CG8 25S CARTRIDGE TEST CG8 PLUS USE WITH 6630-01-411-2405 I-STAT 25S 6640081401953 9P31-25 iSTAT CARTRIDGE CHEM 8+ 25S CARTRIDGE I-STAT CHEM 8+ 25S ZTXNATRPC21BIO NATRPC2.1-BIO Zeptometrix RESP PNL CTRL 2.1 1S RESPIRATORY PANEL 2.1 CONTROLS 0.3ML X 12 1S 655008T003314 2521-25 WBB KIT ELDONCARD BLD 50S KIT ELDONCARD FOR BLOOD GROUP TESTING ABO AND RH TESTING 50S 6735098100 98100EU Triage Meter TEST D-DIMER TRIAG 25S TEST D-DIMER TRIAGE 25S 01-493-2606 97000HS Triage Meter CARDIAC PANEL TRIAGE CARDIAC PANEL TRIAGE DISPOSABLE 25S 01-575-1056 88753 Triage Meter CONTROL BLOOD CHEMIST CONTROL BLOOD CHEMISTRY LEVEL ONE CONTROL FOR BIOSITE TRIAGE METER CARDIAC PANEL 5S END ITEM NSN 6550014932606 6550081332940 21V88754 Triage Meter CONTROL 5TOTAL LVL2 5S CONTROL 5 TOTAL TRIAGE LEVEL 2 0.25ML 5S ALE98000XREU 98000XREU Triage Meter TRIAGE BNP XR TEST 25S TRIAGE BNP TEST 25S QUI94600 94600 Triage Meter PANEL TRIAGE 25S PANEL TOXICOLOGY TRIAGE TOX TEST SELECT 9 DRUG SCREEN 25S QUI94613 94613 Triage Meter CONTROL TOX DRUG 5S CONTROL TOX DRUG LVL 1 0.25ML 5S QUI94614 94614 Triage Meter CONTROL TOX DRUG 5S CONTROL QUIDEL TRIAGE DRUG SCREEN 2 .25ML 25 TEST TOXICOLOGY 5S 655008T000532 024-0971-4 Sysmex PocH-100i REAGENT POCH-PACK 2S REAGENT POCH-PACK D DILUENT PPD-300A 2LITERS 2S SYE217685 217685 Sysmex PocH-100i CALIBRATOR SCS-1000 1S CALIBRATOR SCS-1000 UNIVERSAL 2ML 1S SYEPPL200A PPL-200A Sysmex PocH-100i REAGENT POCH 250ML 2S REAGENT POCH-100I HEMATOLOGY LYSE 250ML 2S 01-434-0316 07P02-10 Piccolo TEST DISC BLOOD ANALY TEST DISC BLOOD ANALYZER FOR USE WITH PICCOLO BLOOD ANALYZER 10S 01-515-3920 07P02-07 Piccolo TEST DISC RENAL PAN TEST DISC RENAL PANEL 10S END ITEM NSN 6630014151593 01-528-1992 07P02-11 Piccolo TEST DISC GEN CHEM TEST DISC GENERAL CHEMISTRY USE WITH PICCOLO CHEMISTRY ANALYZER 10S 6244RM111738 400-0024 Piccolo PANEL BASIC METAB 10S PANEL BASIC METABOLIC 10S 655008T000389 400-0034 Piccolo METLYTE 8+CRP 10S METLYTE 8+CRP FOR PICCOLO CHEMISTRY ANALYZER 10S ABA11009131E 1100-9131E Piccolo KIT CONTRO LV1 LOW 10S KIT CHEMISTRY CONTROL LEVEL 1 LOW 10S ABA11009132E 1100-9132E Piccolo KIT CHEM CTRL LVL 2 1S KIT CHEMISTRY CONTROL LEVEL 2 1S ABA4000030 400-0030 Piccolo PANEL LIPID PLUS 10S PANEL LIPID PLUS 10S ABA4000035 400-0035 Piccolo BIOCHEM PANEL PLUS 10S BIOCHEMISTRY PICCOLO PANEL PLUS 10S ABA4000037 400-0037 Piccolo REAGENT METLAC 12 10S REAGENT DISC METLAC 12 PANEL 10S MQCM210V11 M210V1.1 MMQCI PANEL RP CONTROL 1S PANEL FILMARRAY RP CONTROL 12 TUBES 1S

MQCM238 M238 MMQCI PANEL GI CONTROL 12S PANEL FILMARRAY GI CONTROL 12 TUBES 1S

01-431-8279 06F12-01 iSTAT CONTROL BLOOD CHEMIST CONTROL BLOOD CHEMISTRY USE WITH G E3+ G3+ EC4+ 6+ EG6+ EC6+ AND EC8 1.7ML 10S LOW LEVEL I-STAT LEVEL I CONTROL 01-432-3688 06F13-01 iSTAT CONTROL BLOOD CHEMIST CONTROL BLOOD CHEMISTRY USE WITH G E3+G3+EC4+6+EG6*EC6+&EC8+CARTRIDGE 1.7 ML 10S 01-432-3696 06F14-01 iSTAT CONTROL BLOOD CHEMIST CONTROL BLOOD CHEMISTRY USE WITH G E3+ G3+ EC4+ 6+ EG6+ EC6+ AND EC8 1.7ML 10S I-STAT LEVEL 3 CONTROL 01-433-7319 06F09-01 iSTAT TEST PACK GLUCOSE 25S TEST PAACK GLUCOSE DETERMINATION 25S 01-506-4686 03P85-50 iSTAT CARTRIDGE TEST CG4+ CARTRIDGE TEST CG4+ 25S FOR USE WITH I-STAT BLOOD ANALYZER 25S 01-521-5436 03P9025 iSTAT CARTRIDGE CARDIAC TES CARTRIDGE CARDIAC TEST MYOCARDIAL INFARCT 25S USE WITH END ITEM NSN 6630015205212 01-630-2424 06P17-12 iSTAT CONTROL SET BLD CHEM CONTROL SET BLOOD CHEMISTRY CALIBRATION VERIFICATION LEVELS 1-3 ABB02R2901 02R2901 iSTAT ISTAT HCG LVL 1 1S ISTAT (I-STAT) --HCG LVL 1 CONTROL 1S ABB02R2902 02R29-02 iSTAT BHCG CONTROL LEV 2 1S BHCG CONTROL LEVEL 2 1S ABB02R2903 02R29-03 iSTAT BHCG CONTROL LEV 3 1S BHCG CONTROL LEVEL 3 1S ABB05P5825 05P5825 iSTAT ISTAT HCG CART 25S ISTAT (I-STAT) --HCG CARTRIDGE 25S ABB05P7001 05P70-01 iSTAT SET CALIB LEVEL 1-5 1S SET ISTAT TRICONTROLS CALIBRATION LVLS 1-5 1.7ML 1S ABB06P1709 06P17-09 iSTAT CONTROL LVL 1 1ML 6S CONTROL BLOOD LEVEL 1 I-STAT 1ML 6S ABB06P1711 06P17-11 iSTAT CONTROL LVL 3 1ML 6S CONTROL BLOOD LEVEL 3 I-STAT 1ML 6S 01-519-3890 J201C Hemochron CUVETTE TEST PROTHROM CUVETTE BLOOD SAMPLE PROTHROMB TEST USE WITH END ITEM NSN 6630015193589 CITRATED WHOLE BLOOD 45S FOR USE WITH HEMOCHRON SIGNATURE JR 01-519-3891 J103C Hemochron CUVETTE TEST ACTIVATE CUVETTE TEST ACTIVATED BLOOD SAMPLE PARTIAL THROMBOPLASTIN TIME TEST 45S 01-519-5570 DCJCPT-A Hemochron CONTROL COAGULATION CONTROL COAGULATION QC DIRECT CK ABNORMAL USE WITH END ITEM NSN 6630015193589 15S 01-519-5571 DCJCAPTT-A Hemochron CONTROL COAGULATION CONTROL COAGULATION DIRECT CHECK ABNORMAL LEVEL FOR END ITEM NSN 6630015193589 15S 01-519-7696 DCJCPT-N Hemochron PLASMA CONTROL NORMAL PLASMA CONTROL NORMAL LEVEL FOR CITRATED PT AND APTT COAGULATION TESTING 15S 08620216121 08620216121 Clinitek MULTISTIX 10SG 100S MULTIPLE URINE TESTS STRIPS 100S HYC87177 87177 Clinitek CONTROL KOVA ABNORM 4S CONTROL KOVA LIQUA-TROL LIQUID ABNORMAL 120ML 4S CEPRSARSCOV2DOD XPRSARS-COV2-DOD Cepheid RT-PCR TEST CEPHD 10S RT-PCR TEST INTENDED FOR THE QUALITATIVE DETECTION OF NUCLEIC ACID FROM THE SARS-COV-2 IN UPPER RESPIRATORY SPECIMENS 10S 01-269-4302 719810 Blood Bank CONTROL COOMBS TEST CONTROL COOMBS TEST 10ML SUFFICIENT FOR 200 TESTS 01-279-5285 6902096 Blood Bank CONTROL KIT BLOOD GRP CONTROL KIT BLOOD GROUPING SERUM AND RED BLOOD CELLS 01-343-8128 716760 Blood Bank GLOBULIN SERUM ANTI-H GLOBULIN SERUM ANTI-HUMAN MONOSPECIFIC 10ML BOTTLE WITH DROPPER 6550081332974 6901934 Blood Bank REAGENT BLOOD BANK 3S REAGENT BLOOD BANK ABO GROUP ANTI-A 10ML 3S IMM0066089 0066089 Blood Bank CONTROL MONOCLONAL 10S CONTROL MONOCLONAL 10ML FOR GALILEO ECHO 10S OCD6901935 6901935 Blood Bank SERUM ANTI B 10ML 3S SERUM ANTI B 10ML 3S ORT6901939 6901939 Blood Bank SERUM ANTI D 10ML 3S SERUM ANTI D BLOOD BANK RH TYPING ANTI-D MONOCLONAL/POLYCLONAL BLEND SALINE/TUBE/MICROPLATE 10ML 3S 01-688-1555 423742 BioFire TEST KIT,CORONAVIRUS TEST KIT CORONAVIRUS DETECTION DO NOT REFRIGERATE STORE AT ROOM TEMPERATURE BIORFITASY0116 RFIT-ASY-0116 BioFire KIT BIOFIRE GI PAN 30S KIT BIOFIRE GI PANEL 30S 17500267029 S100 Fisher Scientific TEST TUBE BLD SED 100S TEST TUBE BLOOD SEDIMEN WESTERGREN PLAS K4 200MM L 1ML CAP 100S 01-657-4750 80-801 WBB WHOLE BLOOD COLLECT WHOLE BLOOD COLLECTION AND TRANSFUSION KIT 01-175-2315 719100 Blood Bank ANTI-BODY DETECTION ANTI-BODY DETECTION SET RED BLOOD CELLS 3 10ML VIALS MUST BE REFRIGERATED 01-204-5367 719210 Blood Bank TEST KIT REVERSE BLD TEST KIT REVERSE BLOOD GROUPING TO CONFIRM FORWARD GROUP TESTING 01-529-2236 1001-0077 QraQuick CONTROL RAPID HIV-1/2 CONTROL RAPID HUMAN IMMUNODEFICIENCY VIRUS (HIV) 1 AND 2 ANTIBODY TEST KIT 25 TESTS CAPABILITY 01-563-3408 23-200-275 Quidel TEST KIT MONONUCLEOSI TEST KIT MONONUCLEOSIS RT STORE AT ROOM TEMPERATURE 15-30 DEGREE CELSIUS 25S 01-589-9845 1001-0181 Quidel TEST KIT HEPATITIS C TEST KIT HEPATITIS C ANTIBODY DETECTION ORAQUICK HCV RAPID TEST FROM INDIVIDUALS 15 YEARS OR OLDER STORE BETWEEN 36 TO 86 DEG F 25S 01-590-5315 1001-0182 Quidel CONTROL HEPATITIS C CONTROL KIT HEPATITIS C VIRUS ANTIBODY TEST END ITEM NSN 6550015899845 01-599-9065 665-010 Abbott CONTROL KIT POSITIVE CONTROL KIT POSITIVE MALARIA BINAXNOW 6550081332921 03P8825 iSTAT CARTRIDGE TEST CG8 25S CARTRIDGE TEST CG8 PLUS USE WITH 6630-01-411-2405 I-STAT 25S 6640081401953 9P31-25 iSTAT CARTRIDGE CHEM 8+ 25S CARTRIDGE I-STAT CHEM 8+ 25S ALE665025 665-025 Abbott KIT MALARIA TEST 25S KIT MALARIA TEST BINAXNOW RESULTS IN 15 MINUTES 25S BEC275005 275005 BD KIT SYPHILIS 500S KIT SYPHILIS 500 TEST CARDS ANTIGEN 0.05ML DELIVERY 500S BEC276709 276709 BD CONTR SYPHILIS RPR 10S CONTROL SYPHILIS RPR ANTIGEN CARD 18MM CIRCLES NONREACTIVE/WEAK-REACTIVE/REACTIVE 10S BEK395065A 395065A Hemocue HEMOCCULT ICT CRD 100S HEMOCCULT ICT CARDS 100S

CTKR0042C R0042C CTK Biotech TEST HBSAG COMBO 30S TEST ONSITE HBSAG COMBO RAPID TEST(SERUM / PLASMA /WHOLE BLOOD)30S ORA10010079 10010079 QraQuick KIT TEST HIV 25S KIT TEST HIV MEMBRANE IMMUNOASSAY HIV-1/2 ANTIBODIES ORAL FLUID/PLASMA/WHOLE BLOOD 20 MINUTES CLIA WAIVED EXCEPT PLASMA 25S QUI00179 00179 Quidel TEST HCG SER URIN 90S TEST HCG ONE-STEP COMBO LATERAL FLOW 90S QUI00343 00343 Quidel KIT STREP GROUP A 25S KIT DIRECT ANTIGEN DETECTION STREP GROUP A CLIA WAIVED ONE STEP EIA LATERAL FLOW MEMBRANE CASSETTE 25S QUI20183 20183 Quidel KIT TEST INFLU A+B 1S KIT TEST INFLUENZA A+B ANTIGENS QUICKVUE 25 TESTS 1S 655008T001979 140-3004-0 Sysmex PocH-100i CONTROL EIGHTCHECK 12S CONTROL EIGHT CHECK 3-WP X-TRA TRI LEVEL 4X3X1.5ML CONTROL PACK 12S