CPT - eCMS Line Item Template - Cost Per Test - MultiStation.xlsx
XLSX spreadsheet 461 KB Posted
- Attached to
- Q301--Dermatology Tissue Testing Federal contract opportunity
- Solicitation number
- 36C24622Q0398
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| File | Type | Posted |
|---|---|---|
| 36C24622Q0398_1.docx | DOCX document | |
| 36C24622Q0398.docx | DOCX document | |
| COMBINED SOLICITATION DERMATOLOGY.docx | DOCX document |
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Text version
Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| 0 |
KB Version: FY21.08A
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 | Routine H&E (for shave, punch, excision) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 36 | Priced | No | 621511 | Q301 | 88305-TC | |||||||||||||||||||||||||||||||||||||
| 0002 | Routine H&E (for skin tag or cyst) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 36 | Quantity | Priced | Palo Alto - Livermore VAMC | 4951 Arroyo Road | Livermore | CA | 94550 | 9650 | Lab | Lisa Hawes | No | 621511 | Q301 | 88304-TC | ||||||||||||||||||||||||||||
| 0003 | Special Stain Group 1 (organisms) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 36 | Quantity | Priced | Palo Alto - Menlo Park VAMC | 795 Willow Road | Menlo Park | CA | 94025 | 2539 | Lab | Jeremiah David | No | 621511 | Q301 | 88312-TC | ||||||||||||||||||||||||||||
| 0004 | Special stain Group 2 (connective tissue, mucin, etc.) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 36 | Quantity | Priced | Palo Alto VAMC | 3801 Miranda Avenue | Palo Alto | CA | 94304 | 1207 | Lab | Kathy Bates | No | 621511 | Q301 | 88313-TC | ||||||||||||||||||||||||||||
| 0005 | IPOX, each additional | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 12 | Quantity | Priced | Las Vegas VAMC | 6900 North Pecos Road | North Las Vegas | NV | 89086 | 4400 | Lab | Amanda Wilson | No | 621511 | Q301 | 88341-TC | ||||||||||||||||||||||||||||
| 0006 | IPOX, first | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 6 | Quantity | Priced | Reno VAMC | 975 Kirman Avenue | Reno | NV | 89502 | Lab | Lab Logistics Item Manager | No | 621511 | Q301 | 88342 TC | |||||||||||||||||||||||||||||
| 0007 | Multiplex IHC staining (immuno-cocktail) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 6 | Quantity | Priced | NorCal HCS | 10535 Hospital Way | Mather | CA | 95655 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88344-TC | ||||||||||||||||||||||||||||||
| 0008 | In situ hybridization (FISH) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 6 | Quantity | Priced | Cenral California HCS | 2615 E. Clinton Avenue | Fresno | CA | 93703 | Lab | John Doe | 621511 | Q301 | 88365-TC | ||||||||||||||||||||||||||||||
| 0009 | Microslide Consultation (for second opinion) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 6 | Quantity | Priced | San Francisco VAMC | 4150 Clement Street | San Francisco | CA | 94121 | Lab | Jane Doe | 621511 | Q301 | 88321 | ||||||||||||||||||||||||||||||
| 0010 | Microslide Consultation with additional stains/immunos | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/22 | 6 | Quantity | Priced | Honolulu VAMC | 459 Patterson Road | Honolulu | HI | 96819 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88323 |
| 1001 | Routine H&E (for shave, punch, excision) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 40 | Priced | No | 621511 | Q301 | 88305-TC | $20.3600 | $20.3600 | |||||||||
| 1002 | Routine H&E (for skin tag or cyst) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 40 | Quantity | Priced | Palo Alto - Livermore VAMC | 4951 Arroyo Road | Livermore | CA | 94550 | 9650 | Lab | Lisa Hawes | No | 621511 | Q301 | 88304-TC | $20.3600 | $20.3600 |
| 1003 | Special Stain Group 1 (organisms) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 40 | Quantity | Priced | Palo Alto - Menlo Park VAMC | 795 Willow Road | Menlo Park | CA | 94025 | 2539 | Lab | Jeremiah David | No | 621511 | Q301 | 88312-TC | $20.3600 | $20.3600 |
| 1004 | Special stain Group 2 (connective tissue, mucin, etc.) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 40 | Quantity | Priced | Palo Alto VAMC | 3801 Miranda Avenue | Palo Alto | CA | 94304 | 1207 | Lab | Kathy Bates | No | 621511 | Q301 | 88313-TC | $20.3600 | $20.3600 |
| 1005 | IPOX, each additional | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 13 | Quantity | Priced | Las Vegas VAMC | 6900 North Pecos Road | North Las Vegas | NV | 89086 | 4400 | Lab | Amanda Wilson | No | 621511 | Q301 | 88341-TC | $25.9200 | $25.9200 |
| 1006 | IPOX, first | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 7 | Quantity | Priced | Reno VAMC | 975 Kirman Avenue | Reno | NV | 89502 | Lab | Lab Logistics Item Manager | No | 621511 | Q301 | 88342 TC | $98.6800 | $98.6900 | |
| 1007 | Multiplex IHC staining (immuno-cocktail) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 7 | Quantity | Priced | NorCal HCS | 10535 Hospital Way | Mather | CA | 95655 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88344-TC | ||||
| 1008 | In situ hybridization (FISH) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 7 | Quantity | Priced | Cenral California HCS | 2615 E. Clinton Avenue | Fresno | CA | 93703 | Lab | John Doe | 621511 | Q301 | 88365-TC | ||||
| 1009 | Microslide Consultation (for second opinion) | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 7 | Quantity | Priced | San Francisco VAMC | 4150 Clement Street | San Francisco | CA | 94121 | Lab | Jane Doe | 621511 | Q301 | 88321 | ||||
| 1010 | Microslide Consultation with additional stains/immunos | CPT OPEN MARKET | Yes | Base | 10/01/22 | 09/30/23 | 7 | Quantity | Priced | Honolulu VAMC | 459 Patterson Road | Honolulu | HI | 96819 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88323 |
| $20.3600 | $20.3600 | ||||||||||||||||||||||
| 2001 | Routine H&E (for shave, punch, excision) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 44 | Priced | No | 621511 | Q301 | 88305-TC | $20.3600 | $20.3600 | |||||||||
| 2002 | Routine H&E (for skin tag or cyst) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 44 | Quantity | Priced | Palo Alto - Livermore VAMC | 4951 Arroyo Road | Livermore | CA | 94550 | 9650 | Lab | Lisa Hawes | No | 621511 | Q301 | 88304-TC | $20.3600 | $20.3600 |
| 2003 | Special Stain Group 1 (organisms) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 44 | Quantity | Priced | Palo Alto - Menlo Park VAMC | 795 Willow Road | Menlo Park | CA | 94025 | 2539 | Lab | Jeremiah David | No | 621511 | Q301 | 88312-TC | $20.3600 | $20.3600 |
| 2004 | Special stain Group 2 (connective tissue, mucin, etc.) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 44 | Quantity | Priced | Palo Alto VAMC | 3801 Miranda Avenue | Palo Alto | CA | 94304 | 1207 | Lab | Kathy Bates | No | 621511 | Q301 | 88313-TC | $20.3600 | $20.3600 |
| 2005 | IPOX, each additional | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 15 | Quantity | Priced | Las Vegas VAMC | 6900 North Pecos Road | North Las Vegas | NV | 89086 | 4400 | Lab | Amanda Wilson | No | 621511 | Q301 | 88341-TC | $25.9200 | $25.9200 |
| 2006 | IPOX, first | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 7 | Quantity | Priced | Reno VAMC | 975 Kirman Avenue | Reno | NV | 89502 | Lab | Lab Logistics Item Manager | No | 621511 | Q301 | 88342 TC | $98.6800 | $98.6900 | |
| 2007 | Multiplex IHC staining (immuno-cocktail) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 7 | Quantity | Priced | NorCal HCS | 10535 Hospital Way | Mather | CA | 95655 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88344-TC | ||||
| 2008 | In situ hybridization (FISH) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 7 | Quantity | Priced | Cenral California HCS | 2615 E. Clinton Avenue | Fresno | CA | 93703 | Lab | John Doe | 621511 | Q301 | 88365-TC | ||||
| 2009 | Microslide Consultation (for second opinion) | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 7 | Quantity | Priced | San Francisco VAMC | 4150 Clement Street | San Francisco | CA | 94121 | Lab | Jane Doe | 621511 | Q301 | 88321 | ||||
| 2010 | Microslide Consultation with additional stains/immunos | CPT OPEN MARKET | Yes | Base | 10/01/23 | 09/30/24 | 7 | Quantity | Priced | Honolulu VAMC | 459 Patterson Road | Honolulu | HI | 96819 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88323 |
| $25.9200 | $25.9200 | ||||||||||||||||||||||
| 3001 | Routine H&E (for shave, punch, excision) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 48 | Priced | No | 621511 | Q301 | 88305-TC | $20.3600 | $20.3600 | |||||||||
| 3002 | Routine H&E (for skin tag or cyst) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 48 | Quantity | Priced | Palo Alto - Livermore VAMC | 4951 Arroyo Road | Livermore | CA | 94550 | 9650 | Lab | Lisa Hawes | No | 621511 | Q301 | 88304-TC | $20.3600 | $20.3600 |
| 3003 | Special Stain Group 1 (organisms) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 48 | Quantity | Priced | Palo Alto - Menlo Park VAMC | 795 Willow Road | Menlo Park | CA | 94025 | 2539 | Lab | Jeremiah David | No | 621511 | Q301 | 88312-TC | $20.3600 | $20.3600 |
| 3004 | Special stain Group 2 (connective tissue, mucin, etc.) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 48 | Quantity | Priced | Palo Alto VAMC | 3801 Miranda Avenue | Palo Alto | CA | 94304 | 1207 | Lab | Kathy Bates | No | 621511 | Q301 | 88313-TC | $20.3600 | $20.3600 |
| 3005 | IPOX, each additional | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 16 | Quantity | Priced | Las Vegas VAMC | 6900 North Pecos Road | North Las Vegas | NV | 89086 | 4400 | Lab | Amanda Wilson | No | 621511 | Q301 | 88341-TC | $25.9200 | $25.9200 |
| 3006 | IPOX, first | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 8 | Quantity | Priced | Reno VAMC | 975 Kirman Avenue | Reno | NV | 89502 | Lab | Lab Logistics Item Manager | No | 621511 | Q301 | 88342 TC | $98.6800 | $98.6900 | |
| 3007 | Multiplex IHC staining (immuno-cocktail) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 8 | Quantity | Priced | NorCal HCS | 10535 Hospital Way | Mather | CA | 95655 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88344-TC | ||||
| 3008 | In situ hybridization (FISH) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 8 | Quantity | Priced | Cenral California HCS | 2615 E. Clinton Avenue | Fresno | CA | 93703 | Lab | John Doe | 621511 | Q301 | 88365-TC | ||||
| 3009 | Microslide Consultation (for second opinion) | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 8 | Quantity | Priced | San Francisco VAMC | 4150 Clement Street | San Francisco | CA | 94121 | Lab | Jane Doe | 621511 | Q301 | 88321 | ||||
| 3010 | Microslide Consultation with additional stains/immunos | CPT OPEN MARKET | Yes | Base | 10/01/24 | 09/30/25 | 8 | Quantity | Priced | Honolulu VAMC | 459 Patterson Road | Honolulu | HI | 96819 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88323 |
| 4001 | Routine H&E (for shave, punch, excision) | CPT OPEN MARKET | Yes | Base | 10/01/25 | 09/30/26 | 48 | Priced | No | 621511 | Q301 | 88305-TC | $20.3600 | $20.3600 | |||||||||
| 4002 | Routine H&E (for skin tag or cyst) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 48 | Quantity | Priced | Palo Alto - Livermore VAMC | 4951 Arroyo Road | Livermore | CA | 94550 | 9650 | Lab | Lisa Hawes | No | 621511 | Q301 | 88304-TC | $20.3600 | $20.3600 |
| 4003 | Special Stain Group 1 (organisms) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 48 | Quantity | Priced | Palo Alto - Menlo Park VAMC | 795 Willow Road | Menlo Park | CA | 94025 | 2539 | Lab | Jeremiah David | No | 621511 | Q301 | 88312-TC | $20.3600 | $20.3600 |
| 4004 | Special stain Group 2 (connective tissue, mucin, etc.) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 48 | Quantity | Priced | Palo Alto VAMC | 3801 Miranda Avenue | Palo Alto | CA | 94304 | 1207 | Lab | Kathy Bates | No | 621511 | Q301 | 88313-TC | $20.3600 | $20.3600 |
| 4005 | IPOX, each additional | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 16 | Quantity | Priced | Las Vegas VAMC | 6900 North Pecos Road | North Las Vegas | NV | 89086 | 4400 | Lab | Amanda Wilson | No | 621511 | Q301 | 88341-TC | $25.9200 | $25.9200 |
| 4006 | IPOX, first | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 8 | Quantity | Priced | Reno VAMC | 975 Kirman Avenue | Reno | NV | 89502 | Lab | Lab Logistics Item Manager | No | 621511 | Q301 | 88342 TC | $98.6800 | $98.6900 | |
| 4007 | Multiplex IHC staining (immuno-cocktail) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 8 | Quantity | Priced | NorCal HCS | 10535 Hospital Way | Mather | CA | 95655 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88344-TC | ||||
| 4008 | In situ hybridization (FISH) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 8 | Quantity | Priced | Cenral California HCS | 2615 E. Clinton Avenue | Fresno | CA | 93703 | Lab | John Doe | 621511 | Q301 | 88365-TC | ||||
| 4009 | Microslide Consultation (for second opinion) | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 8 | Quantity | Priced | San Francisco VAMC | 4150 Clement Street | San Francisco | CA | 94121 | Lab | Jane Doe | 621511 | Q301 | 88321 | ||||
| 4010 | Microslide Consultation with additional stains/immunos | CPT OPEN MARKET | Yes | Base | 04/01/22 | 09/30/26 | 8 | Quantity | Priced | Honolulu VAMC | 459 Patterson Road | Honolulu | HI | 96819 | Lab | Lab Logistics Item Manager | 621511 | Q301 | 88323 |
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