CSS Coagulation - Attachment 3 Quote Sheet.xlsx
XLSX spreadsheet 31 KB Posted
- Solicitation number
- HT941026Q2004
- Issued by
-
Defense Health Agency
About this file
This is a Quote Sheet (Attachment 3) for a Request for Quotation (RFQ) solicitation numbered HT941026Q2004 issued by the Defense Health Agency's Healthcare Contracting Division - West. The requirement is for cost per reportable result (CPRR) coagulation analyzer services and testing across military treatment facilities (MTFs) organized by geographic networks (Pacific Rim, Indo Pacific, Continental, Central, and West). The contract consists of a base period from October 1, 2026 through September 30, 2027, followed by four one-year options and a final partial period from October 1, 2031 through March 31, 2032. Quoters must provide pricing for coagulation testing services including standard tests (Prothrombin Time, Activated Partial Thromboplastin Time, Fibrinogen, D-Dimer) and specialized assays (Factor V through Factor XIII, Von Willebrand Factor, Platelet Aggregation, etc.) across 13 MTF locations with varying annual test volumes ranging from 365 to 28,873 tests depending on facility and test type.
Quote submissions must include quoter information (name, address, CAGE code, point of contact), acknowledgment of any amendments to the solicitation, total evaluated price for the base period plus all four options, and confirmation of agreement with all terms and conditions. Quoters must hold prices firm for 60 calendar days from the date specified for receipt of quotes and provide payment terms. The quote sheet requires specification of current analyzers at each facility and itemized pricing by clinical line item number (CLIN) and sub-line item number (SLIN) for each MTF location across all contract periods. Monthly reporting is required as an additional service element listed as a non-specified price (NSP) item.
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Coag Cover Sheet
| Attachment 3 - Quote Sheet | |
| RFQ #: | HT941026Q2004 |
| Reference Number: | |
| Requirement: | DHA HCD-W Coagulation CPRR |
| Contracting Office: | DHA Healhtcare Contracting Division - West |
Total Evaluated Price (Base + 4 Options): $ - 0
| Quoter Name: |
| Street Address: |
| City, State, ZIP: |
| Unique Entity ID: |
| CAGE Code: |
| Point of Contact: |
| Phone Number: |
| Email Address: |
| The Offeror acknowledges receipt of the following amendments to the solicitation: | ||||
| Amendment No.: | Date: | Amendment No.: | Date: | |
| Amendment No.: | Date: | Amendment No.: | Date: | |
| Amendment No.: | Date: | Amendment No.: | Date: | |
| Amendment No.: | Date: | Amendment No.: | Date: | |
| Amendment No.: | Date: | Amendment No.: | Date: | |
| Amendment No.: | Date: | Amendment No.: | Date: |
The Offeror agrees with all terms, conditions, and provisions included in the solicitation and agrees to furnish any or all items set forth or otherwise identified above subject to the terms and conditions specified in the solicitation.
The Offeror agrees to hold the prices in its quote firm for 60 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
Coag Quote Sheet
| Base (for deliveries 10/01/2026 - 09/30/2027) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 0001 | |||||||||||||||||||||||||||||
| Pacific Rim | 0001 | 0001AA | Naval Hospital Camp Pendleton, CA | 2 | 2000 | 800 | 310 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3710 | |||
| Pacific Rim | 0001 | 0001AB | Naval Hospital Bremerton, WA | 1 | 335 | 211 | 195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 741 | |||
| Pacific Rim | 0001 | 0001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | ||
| Pacific Rim | 0001 | 0001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | ||
| Indo Pacific | 0002 | |||||||||||||||||||||||||||||
| Indo Pacific | 0002 | 0002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 12000 | 8000 | 1000 | 2400 | 70 | 150 | 1800 | 35 | 25 | 10 | 50 | 15 | 110 | 10 | 10 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 25695 | |||
| Indo Pacific | 0002 | 0002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 5891 | 4835 | 508 | 1184 | 0 | 0 | 0 | 11 | 20 | 0 | 16 | 12 | 41 | 12 | 4 | 4 | 39 | 2 | 16 | 2 | 1 | 5 | 12603 | |||
| Continental | 0003 | |||||||||||||||||||||||||||||
| Continental | 0003 | 0003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | ||
| Central | 0004 | |||||||||||||||||||||||||||||
| Central | 0004 | 0004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | ||
| Central | 0004 | 0004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 1462 | 983 | 84 | 687 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3216 | |||
| Central | 0004 | 0004AC | 56th Medical Group, Luke AFB, AZ | 1 | 433 | 296 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 729 | |||
| West | 0005 | |||||||||||||||||||||||||||||
| West | 0005 | 0005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 500 | 400 | 100 | 200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1200 | |||
| 0006 | Monthly Reports | NSP | NSP | |||||||||||||||||||||||||||
| Totals: | 18 |
| Option 1 (for deliveries 10/01/2027 - 09/30/2028) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 1001 | |||||||||||||||||||||||||||||
| Pacific Rim | 1001 | 1001AA | Naval Hospital Camp Pendleton, CA | 2 | 2000 | 800 | 310 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3710 | |||
| Pacific Rim | 1001 | 1001AB | Naval Hospital Bremerton, WA | 1 | 335 | 211 | 195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 741 | |||
| Pacific Rim | 1001 | 1001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 1000 | 800 | 300 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2700 | |||
| Pacific Rim | 1001 | 1001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 14000 | 8001 | 2400 | 3800 | 372 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28873 | |||
| Indo Pacific | 1002 | |||||||||||||||||||||||||||||
| Indo Pacific | 1002 | 1002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 12000 | 8000 | 1000 | 2400 | 70 | 150 | 1800 | 35 | 25 | 10 | 50 | 15 | 110 | 10 | 10 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 25695 | |||
| Indo Pacific | 1002 | 1002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 5891 | 4835 | 508 | 1184 | 0 | 0 | 0 | 11 | 20 | 0 | 16 | 12 | 41 | 12 | 4 | 4 | 39 | 2 | 16 | 2 | 1 | 5 | 12603 | |||
| Continental | 1003 | |||||||||||||||||||||||||||||
| Continental | 1003 | 1003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 8102 | 3539 | 270 | 1631 | 2152 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15694 | |||
| Central | 1004 | |||||||||||||||||||||||||||||
| Central | 1004 | 1004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 4740 | 2520 | 240 | 816 | 960 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9276 | |||
| Central | 1004 | 1004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 1462 | 983 | 84 | 687 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3216 | |||
| Central | 1004 | 1004AC | 56th Medical Group, Luke AFB, AZ | 1 | 433 | 296 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 729 | |||
| West | 1005 | |||||||||||||||||||||||||||||
| West | 1005 | 1005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 500 | 400 | 100 | 200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1200 | |||
| 1006 | Monthly Reports | NSP | NSP |
| Option 2 (for deliveries 10/01/2028 - 09/30/2029) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 2001 | |||||||||||||||||||||||||||||
| Pacific Rim | 2001 | 2001AA | Naval Hospital Camp Pendleton, CA | 2 | 2000 | 800 | 310 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3710 | |||
| Pacific Rim | 2001 | 2001AB | Naval Hospital Bremerton, WA | 1 | 335 | 211 | 195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 741 | |||
| Pacific Rim | 2001 | 2001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 1000 | 800 | 300 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2700 | |||
| Pacific Rim | 2001 | 2001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 14000 | 8001 | 2400 | 3800 | 372 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28873 | |||
| Indo Pacific | 2002 | |||||||||||||||||||||||||||||
| Indo Pacific | 2002 | 2002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 12000 | 8000 | 1000 | 2400 | 70 | 150 | 1800 | 35 | 25 | 10 | 50 | 15 | 110 | 10 | 10 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 25695 | |||
| Indo Pacific | 2002 | 2002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 5891 | 4835 | 508 | 1184 | 0 | 0 | 0 | 11 | 20 | 0 | 16 | 12 | 41 | 12 | 4 | 4 | 39 | 2 | 16 | 2 | 1 | 5 | 12603 | |||
| Continental | 2003 | |||||||||||||||||||||||||||||
| Continental | 2003 | 2003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 8102 | 3539 | 270 | 1631 | 2152 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15694 | |||
| Central | 2004 | |||||||||||||||||||||||||||||
| Central | 2004 | 2004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 4740 | 2520 | 240 | 816 | 960 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9276 | |||
| Central | 2004 | 2004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 1462 | 983 | 84 | 687 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3216 | |||
| Central | 2004 | 2004AC | 56th Medical Group, Luke AFB, AZ | 1 | 433 | 296 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 729 | |||
| West | 2005 | |||||||||||||||||||||||||||||
| West | 2005 | 2005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 500 | 400 | 100 | 200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1200 | |||
| 2006 | Monthly Reports | NSP | NSP |
| Option 3 (for deliveries 10/01/2029 - 09/30/2030) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 3001 | |||||||||||||||||||||||||||||
| Pacific Rim | 3001 | 3001AA | Naval Hospital Camp Pendleton, CA | 2 | 2000 | 800 | 310 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3710 | |||
| Pacific Rim | 3001 | 3001AB | Naval Hospital Bremerton, WA | 1 | 335 | 211 | 195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 741 | |||
| Pacific Rim | 3001 | 3001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 1000 | 800 | 300 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2700 | |||
| Pacific Rim | 3001 | 3001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 14000 | 8001 | 2400 | 3800 | 372 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28873 | |||
| Indo Pacific | 3002 | |||||||||||||||||||||||||||||
| Indo Pacific | 3002 | 3002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 12000 | 8000 | 1000 | 2400 | 70 | 150 | 1800 | 35 | 25 | 10 | 50 | 15 | 110 | 10 | 10 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 25695 | |||
| Indo Pacific | 3002 | 3002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 5891 | 4835 | 508 | 1184 | 0 | 0 | 0 | 11 | 20 | 0 | 16 | 12 | 41 | 12 | 4 | 4 | 39 | 2 | 16 | 2 | 1 | 5 | 12603 | |||
| Continental | 3003 | |||||||||||||||||||||||||||||
| Continental | 3003 | 3003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 8102 | 3539 | 270 | 1631 | 2152 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15694 | |||
| Central | 3004 | |||||||||||||||||||||||||||||
| Central | 3004 | 3004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 4740 | 2520 | 240 | 816 | 960 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9276 | |||
| Central | 3004 | 3004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 1462 | 983 | 84 | 687 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3216 | |||
| Central | 3004 | 3004AC | 56th Medical Group, Luke AFB, AZ | 1 | 433 | 296 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 729 | |||
| West | 3005 | |||||||||||||||||||||||||||||
| West | 3005 | 3005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 500 | 400 | 100 | 200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1200 | |||
| 3006 | Monthly Reports | NSP | NSP |
| Option 4 (for deliveries 10/01/2030 - 09/30/2031) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 4001 | |||||||||||||||||||||||||||||
| Pacific Rim | 4001 | 4001AA | Naval Hospital Camp Pendleton, CA | 2 | 2000 | 800 | 310 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3710 | |||
| Pacific Rim | 4001 | 4001AB | Naval Hospital Bremerton, WA | 1 | 335 | 211 | 195 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 741 | |||
| Pacific Rim | 4001 | 4001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 1000 | 800 | 300 | 600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2700 | |||
| Pacific Rim | 4001 | 4001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 14000 | 8001 | 2400 | 3800 | 372 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28873 | |||
| Indo Pacific | 4002 | |||||||||||||||||||||||||||||
| Indo Pacific | 4002 | 4002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 12000 | 8000 | 1000 | 2400 | 70 | 150 | 1800 | 35 | 25 | 10 | 50 | 15 | 110 | 10 | 10 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 25695 | |||
| Indo Pacific | 4002 | 4002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 5891 | 4835 | 508 | 1184 | 0 | 0 | 0 | 11 | 20 | 0 | 16 | 12 | 41 | 12 | 4 | 4 | 39 | 2 | 16 | 2 | 1 | 5 | 12603 | |||
| Continental | 4003 | |||||||||||||||||||||||||||||
| Continental | 4003 | 4003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 8102 | 3539 | 270 | 1631 | 2152 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15694 | |||
| Central | 4003 | |||||||||||||||||||||||||||||
| Central | 4004 | 4004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 4740 | 2520 | 240 | 816 | 960 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9276 | |||
| Central | 4004 | 4004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 1462 | 983 | 84 | 687 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3216 | |||
| Central | 4004 | 4004AC | 56th Medical Group, Luke AFB, AZ | 1 | 433 | 296 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 729 | |||
| West | 4005 | |||||||||||||||||||||||||||||
| West | 4005 | 4005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 500 | 400 | 100 | 200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1200 | |||
| 4006 | Monthly Reports | NSP | NSP |
| 52.217-6 (for deliveries 10/01/2031 - 03/31/2032) | ||||||||||||||||||||||||||||||
| Network | CLIN | SLIN | Military Treatment Facility | Current Analyzer | ||||||||||||||||||||||||||
| Quantity | Prothrombin Time (PT) | Activated Partial Thromboplastin Time (APTT) | Fibrinogen | D-Dimer | Heperin | Lupus Anticoagulant | DIC Panel | Patient Thrombin Time | Mixing Studies | Reptilase Time | Factor V Assay | Factor VII Assay | Factor VIII Assay | Factor IX Assay | Factor X Assay | Factor XI Assay | Antithrombin III | Factor XIII Assay | Von Willebrand Factor Antigen | Platelet Aggregation Test | Factor XII Assay | Factor II Assay | Annual Test Volume | CPRR | Total | |||||
| Pacific Rim | 5001 | |||||||||||||||||||||||||||||
| Pacific Rim | 5001 | 5001AA | Naval Hospital Camp Pendleton, CA | 2 | 1000 | 400 | 155 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1855 | |||
| Pacific Rim | 5001 | 5001AB | Naval Hospital Bremerton, WA | 1 | 168 | 106 | 98 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 371 | |||
| Pacific Rim | 5001 | 5001AC | Robert E. Bush Naval Hospital Twentynine Palms, CA | 2 | 500 | 400 | 150 | 300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1350 | |||
| Pacific Rim | 5001 | 5001AD | Naval Medical Center San Diego, CA - Core Lab | 2 | 7000 | 4001 | 1200 | 1900 | 186 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 14437 | |||
| Indo Pacific | 5002 | |||||||||||||||||||||||||||||
| Indo Pacific | 5002 | 5002AA | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | 2 | 6000 | 4000 | 500 | 1200 | 35 | 75 | 900 | 18 | 13 | 5 | 25 | 8 | 55 | 5 | 5 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 12848 | |||
| Indo Pacific | 5002 | 5002AB | Tripler Army Medical Center, Fort Shafter, HI | 2 | 2946 | 2418 | 254 | 592 | 0 | 0 | 0 | 6 | 10 | 0 | 8 | 6 | 21 | 6 | 2 | 2 | 20 | 1 | 8 | 1 | 1 | 3 | 6302 | |||
| Continental | 5003 | |||||||||||||||||||||||||||||
| Continental | 5003 | 5003AA | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 2 | 4051 | 1770 | 135 | 816 | 1076 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7847 | |||
| Central | 5003 | |||||||||||||||||||||||||||||
| Central | 5004 | 5004AA | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 2 | 2370 | 1260 | 120 | 408 | 480 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4638 | |||
| Central | 5004 | 5004AB | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 1 | 731 | 492 | 42 | 344 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1608 | |||
| Central | 5004 | 5004AC | 56th Medical Group, Luke AFB, AZ | 1 | 217 | 148 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 365 | |||
| West | 5005 | |||||||||||||||||||||||||||||
| West | 5005 | 5005AA | Weed Army Community Hospital, Fort Irwin, CA | 1 | 250 | 200 | 50 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 600 | |||
| 5006 | Monthly Reports | NSP | NSP |
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