CTR070647_Contract_Amend_1_FE.pdf

PDF 496 KB Posted Apr 1, 2024

Attached to: Master Agreement AZ|CTR070647
Contract number: CTR070647
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 10, 2025

This document is a Contract Amendment No. 1 for a CLIA Laboratory Director and Consultant contract between the Arizona Department of Health Services, Office of Procurement, and Arizona Precision Medicine PLLC. The contract number is CTR070647, and the amendment is being processed in Phoenix, Arizona, with Delilah Gonzalez serving as the Procurement Officer.

The amendment extends the existing contract through March 31, 2026, in accordance with Provision Three (3), which allows for Contract Extensions up to a 5 Year Maximum. The document confirms that all other provisions of the original contract shall remain in their entirety unchanged. The amendment was executed on March 26, 2025, with signatures from Joshua Routh, Principal of Arizona Precision Medicine PLLC, and Delilah Gonzalez from the Arizona Department of Health Services. The contract appears to be for laboratory directorship and consulting services, though specific details about the precise scope of work are not elaborated in the amendment document.

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Other files

File	Type	Posted
2025.04.03_COI_GL_AL_PL.pdf	PDF	Apr 1, 2024
Independent Contractor Agreement form - 18352.pdf	PDF	Apr 1, 2024
CTR070647_Contract_Documents.pdf	PDF	Apr 1, 2024
2026.04.03 COI GL AL PL.pdf	PDF	Apr 1, 2024
CTR070647_Pricing.xls	XLS spreadsheet	Apr 1, 2024

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Delilah Gonzalez

Digitally signed by Delilah Gonzalez Date: 2025.03.26 16:19:32 -07'00'

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PRECISION MEDICINE FACILITIES, LLC

Unique Entity ID

EA4ETUE35AX8

CAGE / NCAGE

7ZVR6

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Oct 11, 2025

Physical Address

445 N 5TH ST STE 600

Phoenix, Arizona 85004-2274

United States

Mailing Address

445 N 5TH ST STE 600

Phoenix, Arizona 85004-2157

United States

Business Information

Doing Business as

PRECISION MEDICINE FACILITIES LLC

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Oct 21, 2024

Submission Date

Oct 11, 2024

Initial Registration Date

Nov 13, 2017

Entity Dates

Entity Start Date

Aug 14, 2017

Fiscal Year End Close Date

Sep 30

Immediate Owner

CAGE

3EKD9

Legal Business Name

TRANSLATIONAL GENOMICS RESEARCH

INSTITUTE

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

Limited Liability Company

Profit Structure

Non-Profit Organization

Last updated by Jatan Clark on Oct 11, 2024 at 04:23 PM PRECISION MEDICINE FACILITIES, LLC

Mar 28, 2025 06:53:48 PM GMT https://sam.gov/entity/EA4ETUE35AX8/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

Debt Subject To Offset

EFT Indicator

CAGE Code

7ZVR6

Points of Contact

Electronic Business

Tess Burleson, Chief Operating Officer

445 N 5TH ST STE 600

Phoenix, Arizona 85004

United States

Government Business

Jatan Clark, Senior Director, Office of