Attachment A Estimated Test Volume Spokane.xlsx

This is a pricing volume spreadsheet detailing estimated annual test quantities for clinical chemistry laboratory services at the Spokane VA facility. The document lists approximately 70 different clinical chemistry tests with their projected annual volumes for a base period (04/01/25-03/31/26) and four option years through 03/31/30, totaling 811,800 tests annually.

Major test categories include high-volume routine chemistry tests like comprehensive metabolic panel components (BUN, Creatinine, Electrolytes) with volumes around 42,000 tests each annually, liver function tests (ALT, AST, Alkaline Phosphatase) with approximately 35,500 tests each, and drug screening tests (Amphetamines, Barbiturates, Benzodiazepines, etc.) with roughly 5,400 tests each annually. The spreadsheet also includes a small "bring in house options" section listing additional tests like DHEA, Progesterone, Estradiol, and Lipoprotein tests with much lower volumes ranging from 125-400 tests annually.