D.1 36C26326Q0051 Supply Line Item Template.xlsx

XLSX spreadsheet 474 KB Posted Nov 12, 2025

Attached to: 6505--Blood Products IDIQ for SFVAHCS
Solicitation number: 36C26326Q0051
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

Written by GovTribe AI · Nov 12, 2025

The file is a Supply Line Item Template (Excel spreadsheet) related to a solicitation for blood products and testing services for the Sioux Falls VA Healthcare System. The solicitation (36C26326Q0051) is an Indefinite Delivery/Indefinite Quantity (IDIQ) contract issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23.

Vendors must submit proposals electronically via email to Joshua.Imdacha@va.gov, including a signed SF1449 form, completed price schedule for all Line Items (LINs), signed SF30 amendments, descriptive literature demonstrating capability to meet the statement of work requirements, and the completed Supply Line Item Template. Specific submission requirements include providing supporting documentation that demonstrates the organization's ability to satisfy section B.2 of the statement of work. All questions must be received at least 72 hours before the date specified in Block 8 of the SF1449 form.

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36C26326Q0051_1.docx	DOCX document	Nov 12, 2025
36C26326Q0051.pdf	PDF	Nov 12, 2025

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Action Line Item Information

Action Type Name	Primary ID	Secondary ID	Mod Number	Title	Order Discount Type Name	Order Discount Type	Order Discount
RFQ	VA69D-14-Q-0161				Percent		0

KB Version: FY22.12A

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	Include Data Values 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
0001		Red blood cells				Base	2/1/26	9/30/26	300	EA			Priced																						621991	6505			P9016
0002		Platelet concentrate				Base	2/1/26	9/30/26	80	EA			Priced																						621991	6505			P9019
0003		Cryoprecipitate or platelet pooling				Base	2/1/26	9/30/26	4	EA			Priced																						621991	6505			86965
0004		Single donor plasma, fresh, frozen				Base	2/1/26	9/30/26	50	EA			Priced																						621991	6505			P9017
0005		Cryoprecipitate				Base	2/1/26	9/30/26	16	EA			Priced																						621991	6505			P9012
0006		Compatibility test (crossmatch)				Base	2/1/26	9/30/26	27	EA			Priced																						621991	6505			86920
0007		Antibody identification				Base	2/1/26	9/30/26	34	EA			Priced																						621991	6505			86870
0008		Antigen typing				Base	2/1/26	9/30/26	34	EA			Priced																						621991	6505			86902
0009		Autologous donation processing				Base	2/1/26	9/30/26	7	EA			Priced																						621991	6505			86890
0010		Direct antiglobulin test (DAT)				Base	2/1/26	9/30/26	27	EA			Priced																						621991	6505			86880
0011		Pooling charge				Base	2/1/26	9/30/26	20	EA			Priced																						621991	6505			86965
0012		Irradiation charge				Base	2/1/26	9/30/26	7	EA			Priced																						621991	6505			86945
0013		Rh				Base	2/1/26	9/30/26	27	EA			Priced																						621991	6505			86901
0014		ABO				Base	2/1/26	9/30/26	27	EA			Priced																						621991	6505			86900
0015		Antibody screen				Base	2/1/26	9/30/26	20	EA			Priced																						621991	6505			86850
0016		Genotyping				Base	2/1/26	9/30/26	7	EA			Priced																						621991	6505			0180U
0017		Phenotyping				Base	2/1/26	9/30/26	7	EA			Priced																						621991	6505			86906
1001		Red blood cells				Ordering Period 1	10/1/26	9/30/27	450	EA			Priced																						621991	6505			P9016
1002		Platelet concentrate				Ordering Period 1	10/1/26	9/30/27	120	EA			Priced																						621991	6505			P9019
1003		Cryoprecipitate or platelet pooling				Ordering Period 1	10/1/26	9/30/27	5	EA			Priced																						621991	6505			86965
1004		Single donor plasma, fresh, frozen				Ordering Period 1	10/1/26	9/30/27	75	EA			Priced																						621991	6505			P9017
1005		Cryoprecipitate				Ordering Period 1	10/1/26	9/30/27	24	EA			Priced																						621991	6505			P9012
1006		Compatibility test (crossmatch)				Ordering Period 1	10/1/26	9/30/27	40	EA			Priced																						621991	6505			86920
1007		Antibody identification				Ordering Period 1	10/1/26	9/30/27	50	EA			Priced																						621991	6505			86870
1008		Antigen typing				Ordering Period 1	10/1/26	9/30/27	50	EA			Priced																						621991	6505			86902
1009		Autologous donation processing				Ordering Period 1	10/1/26	9/30/27	10	EA			Priced																						621991	6505			86890
1010		Direct antiglobulin test (DAT)				Ordering Period 1	10/1/26	9/30/27	40	EA			Priced																						621991	6505			86880
1011		Pooling charge				Ordering Period 1	10/1/26	9/30/27	30	EA			Priced																						621991	6505			86965
1012		Irradiation charge				Ordering Period 1	10/1/26	9/30/27	10	EA			Priced																						621991	6505			86945
1013		Rh				Ordering Period 1	10/1/26	9/30/27	40	EA			Priced																						621991	6505			86901
1014		ABO				Ordering Period 1	10/1/26	9/30/27	40	EA			Priced																						621991	6505			86900
1015		Antibody screen				Ordering Period 1	10/1/26	9/30/27	30	EA			Priced																						621991	6505			86850
1016		Genotyping				Ordering Period 1	10/1/26	9/30/27	10	EA			Priced																						621991	6505			0180U
1017		Phenotyping				Ordering Period 1	10/1/26	9/30/27	10	EA			Priced																						621991	6505			86906
2001		Red blood cells				Ordering Period 2	10/1/27	9/30/28	450	EA			Priced																						621991	6505			P9016
2002		Platelet concentrate				Ordering Period 2	10/1/27	9/30/28	120	EA			Priced																						621991	6505			P9019
2003		Cryoprecipitate or platelet pooling				Ordering Period 2	10/1/27	9/30/28	5	EA			Priced																						621991	6505			86965
2004		Single donor plasma, fresh, frozen				Ordering Period 2	10/1/27	9/30/28	75	EA			Priced																						621991	6505			P9017
2005		Cryoprecipitate				Ordering Period 2	10/1/27	9/30/28	24	EA			Priced																						621991	6505			P9012
2006		Compatibility test (crossmatch)				Ordering Period 2	10/1/27	9/30/28	40	EA			Priced																						621991	6505			86920
2007		Antibody identification				Ordering Period 2	10/1/27	9/30/28	50	EA			Priced																						621991	6505			86870
2008		Antigen typing				Ordering Period 2	10/1/27	9/30/28	50	EA			Priced																						621991	6505			86902
2009		Autologous donation processing				Ordering Period 2	10/1/27	9/30/28	10	EA			Priced																						621991	6505			86890
2010		Direct antiglobulin test (DAT)				Ordering Period 2	10/1/27	9/30/28	40	EA			Priced																						621991	6505			86880
2011		Pooling charge				Ordering Period 2	10/1/27	9/30/28	30	EA			Priced																						621991	6505			86965
2012		Irradiation charge				Ordering Period 2	10/1/27	9/30/28	10	EA			Priced																						621991	6505			86945
2013		Rh				Ordering Period 2	10/1/27	9/30/28	40	EA			Priced																						621991	6505			86901
2014		ABO				Ordering Period 2	10/1/27	9/30/28	40	EA			Priced																						621991	6505			86900
2015		Antibody screen				Ordering Period 2	10/1/27	9/30/28	30	EA			Priced																						621991	6505			86850
2016		Genotyping				Ordering Period 2	10/1/27	9/30/28	10	EA			Priced																						621991	6505			0180U
2017		Phenotyping				Ordering Period 2	10/1/27	9/30/28	10	EA			Priced																						621991	6505			86906
3001		Red blood cells				Ordering Period 3	10/1/28	9/30/29	450	EA			Priced																						621991	6505			P9016
3002		Platelet concentrate				Ordering Period 3	10/1/28	9/30/29	120	EA			Priced																						621991	6505			P9019
3003		Cryoprecipitate or platelet pooling				Ordering Period 3	10/1/28	9/30/29	5	EA			Priced																						621991	6505			86965
3004		Single donor plasma, fresh, frozen				Ordering Period 3	10/1/28	9/30/29	75	EA			Priced																						621991	6505			P9017
3005		Cryoprecipitate				Ordering Period 3	10/1/28	9/30/29	24	EA			Priced																						621991	6505			P9012
3006		Compatibility test (crossmatch)				Ordering Period 3	10/1/28	9/30/29	40	EA			Priced																						621991	6505			86920
3007		Antibody identification				Ordering Period 3	10/1/28	9/30/29	50	EA			Priced																						621991	6505			86870
3008		Antigen typing				Ordering Period 3	10/1/28	9/30/29	50	EA			Priced																						621991	6505			86902
3009		Autologous donation processing				Ordering Period 3	10/1/28	9/30/29	10	EA			Priced																						621991	6505			86890
3010		Direct antiglobulin test (DAT)				Ordering Period 3	10/1/28	9/30/29	40	EA			Priced																						621991	6505			86880
3011		Pooling charge				Ordering Period 3	10/1/28	9/30/29	30	EA			Priced																						621991	6505			86965
3012		Irradiation charge				Ordering Period 3	10/1/28	9/30/29	10	EA			Priced																						621991	6505			86945
3013		Rh				Ordering Period 3	10/1/28	9/30/29	40	EA			Priced																						621991	6505			86901
3014		ABO				Ordering Period 3	10/1/28	9/30/29	40	EA			Priced																						621991	6505			86900
3015		Antibody screen				Ordering Period 3	10/1/28	9/30/29	30	EA			Priced																						621991	6505			86850
3016		Genotyping				Ordering Period 3	10/1/28	9/30/29	10	EA			Priced																						621991	6505			0180U
3017		Phenotyping				Ordering Period 3	10/1/28	9/30/29	10	EA			Priced																						621991	6505			86906
4001		Red blood cells				Ordering Period 4	10/1/29	9/30/30	450	EA			Priced																						621991	6505			P9016
4002		Platelet concentrate				Ordering Period 4	10/1/29	9/30/30	120	EA			Priced																						621991	6505			P9019
4003		Cryoprecipitate or platelet pooling				Ordering Period 4	10/1/29	9/30/30	5	EA			Priced																						621991	6505			86965
4004		Single donor plasma, fresh, frozen				Ordering Period 4	10/1/29	9/30/30	75	EA			Priced																						621991	6505			P9017
4005		Cryoprecipitate				Ordering Period 4	10/1/29	9/30/30	24	EA			Priced																						621991	6505			P9012
4006		Compatibility test (crossmatch)				Ordering Period 4	10/1/29	9/30/30	40	EA			Priced																						621991	6505			86920
4007		Antibody identification				Ordering Period 4	10/1/29	9/30/30	50	EA			Priced																						621991	6505			86870
4008		Antigen typing				Ordering Period 4	10/1/29	9/30/30	50	EA			Priced																						621991	6505			86902
4009		Autologous donation processing				Ordering Period 4	10/1/29	9/30/30	10	EA			Priced																						621991	6505			86890
4010		Direct antiglobulin test (DAT)				Ordering Period 4	10/1/29	9/30/30	40	EA			Priced																						621991	6505			86880
4011		Pooling charge				Ordering Period 4	10/1/29	9/30/30	30	EA			Priced																						621991	6505			86965
4012		Irradiation charge				Ordering Period 4	10/1/29	9/30/30	10	EA			Priced																						621991	6505			86945
4013		Rh				Ordering Period 4	10/1/29	9/30/30	40	EA			Priced																						621991	6505			86901
4014		ABO				Ordering Period 4	10/1/29	9/30/30	40	EA			Priced																						621991	6505			86900
4015		Antibody screen				Ordering Period 4	10/1/29	9/30/30	30	EA			Priced																						621991	6505			86850
4016		Genotyping				Ordering Period 4	10/1/29	9/30/30	10	EA			Priced																						621991	6505			0180U
4017		Phenotyping				Ordering Period 4	10/1/29	9/30/30	10	EA			Priced																						621991	6505			86906
5001		Red blood cells				Ordering Period 5	10/1/30	1/31/31	150	EA			Priced																						621991	6505			P9016
5002		Platelet concentrate				Ordering Period 5	10/1/30	1/31/31	40	EA			Priced																						621991	6505			P9019
5003		Cryoprecipitate or platelet pooling				Ordering Period 5	10/1/30	1/31/31	2	EA			Priced																						621991	6505			86965
5004		Single donor plasma, fresh, frozen				Ordering Period 5	10/1/30	1/31/31	25	EA			Priced																						621991	6505			P9017
5005		Cryoprecipitate				Ordering Period 5	10/1/30	1/31/31	8	EA			Priced																						621991	6505			P9012
5006		Compatibility test (crossmatch)				Ordering Period 5	10/1/30	1/31/31	14	EA			Priced																						621991	6505			86920
5007		Antibody identification				Ordering Period 5	10/1/30	1/31/31	17	EA			Priced																						621991	6505			86870
5008		Antigen typing				Ordering Period 5	10/1/30	1/31/31	17	EA			Priced																						621991	6505			86902
5009		Autologous donation processing				Ordering Period 5	10/1/30	1/31/31	4	EA			Priced																						621991	6505			86890
5010		Direct antiglobulin test (DAT)				Ordering Period 5	10/1/30	1/31/31	14	EA			Priced																						621991	6505			86880
5011		Pooling charge				Ordering Period 5	10/1/30	1/31/31	10	EA			Priced																						621991	6505			86965
5012		Irradiation charge				Ordering Period 5	10/1/30	1/31/31	4	EA			Priced																						621991	6505			86945
5013		Rh				Ordering Period 5	10/1/30	1/31/31	14	EA			Priced																						621991	6505			86901
5014		ABO				Ordering Period 5	10/1/30	1/31/31	14	EA			Priced																						621991	6505			86900
5015		Antibody screen				Ordering Period 5	10/1/30	1/31/31	10	EA			Priced																						621991	6505			86850
5016		Genotyping				Ordering Period 5	10/1/30	1/31/31	4	EA			Priced																						621991	6505			0180U
5017		Phenotyping				Ordering Period 5	10/1/30	1/31/31	4	EA			Priced																						621991	6505			86906

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