CSS Coagulation - Attachment 3 Quote Sheet Amendment 0003.xlsx
XLSX spreadsheet 31 KB Posted
- Solicitation number
- HT941026Q2004
- Issued by
-
Defense Health Agency
About this file
This is a Quote Sheet Amendment for a Cost Per Reportable Result (CPRR) contract for coagulation analyzer services supporting Defense Health Agency (DHA) Healthcare Contracting Division-West (HCD-W) military treatment facilities. The RFQ number is HT941026Q2004, and quoters must acknowledge receipt of Amendments 0001 and 0002. Quoters are required to hold prices firm for 60 calendar days from the specified receipt date and agree to furnish items subject to solicitation terms and conditions.
The contract structure includes a base period (October 1, 2026 – September 30, 2027) and four option years with identical annual periods thereafter. Pricing is organized by Contract Line Item Numbers (CLINs) across five geographic networks: Pacific Rim, Indo-Pacific, Continental, Central, and West. The scope encompasses 21 coagulation test types including Prothrombin Time, Activated Partial Thromboplastin Time, Fibrinogen, D-Dimer, and various Factor assays, with estimated annual test counts ranging from 5 to 50,463 tests per procedure type depending on the period and location. Deliveries span multiple military facilities including Naval Hospitals (Camp Pendleton, Bremerton, Twentynine Palms), Naval Medical Center San Diego, Madigan Army Medical Center, Tripler Army Medical Center, Air Force medical groups at Nellis, Travis, Luke, and Joint Base Elmendorf-Richardson, and Weed Army Community Hospital. The quote sheet includes blank fields for cost per reportable result pricing, with all current pricing showing $0.00, indicating this is a template awaiting quoter submission. Monthly reports and quality assurance testing are also required deliverables under the CPRR model.
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Coag Cover Sheet
| HT941026Q2004 Attachment 3 - Quote Sheet Amendment 0002 | |
| 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.: | 0001 | Date: | Amendment No.: | Date: | |
| Amendment No.: | 0002 | 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
| HT941026Q2004 Attachment 3 - Quote Sheet Amendment 0002 | |
| RFQ #: | HT941026Q2004 |
| Reference Number: | |
| Requirement: | DHA HCD-W Coagulation CPRR |
| Contracting Office: | DHA Healhtcare Contracting Division - West |
| Base Period (Deliveries 10/01/2026 - 09/30/2027) | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | CLIN 0008 | CLIN 0009 | CLIN 0010 | CLIN 0011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 27,861 | 2,000 | 335 | 1,000 | 0 | 12,000 | 5,891 | 0 | 4,740 | 1,462 | 433 | 0 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 18,445 | 800 | 211 | 800 | 0 | 8,000 | 4,835 | 0 | 2,520 | 983 | 296 | 0 | $0.00 | |
| AC | Fibrinogen | 2,637 | 310 | 195 | 300 | 0 | 1,000 | 508 | 0 | 240 | 84 | 0 | 0 | $0.00 | |
| AD | D-Dimer | 6,287 | 600 | 0 | 600 | 0 | 2,400 | 1,184 | 0 | 816 | 687 | 0 | 0 | $0.00 | |
| AE | Heperin | 1,030 | 0 | 0 | 0 | 0 | 70 | 0 | 0 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 150 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 1,800 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 46 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 45 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 10 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 66 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 27 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 151 | 0 | 0 | 0 | 0 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 22 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 39 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 16 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 5 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 58,665 | 3710 | 741 | 2700 | 0 | 25695 | 12598 | 0 | 9276 | 3216 | 729 | 0 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Option Period One (Deliveries 10/01/2027 - 09/30/2028) | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN 1001 | CLIN 1002 | CLIN 1003 | CLIN 1004 | CLIN 1005 | CLIN 1006 | CLIN 1007 | CLIN 1008 | CLIN 1009 | CLIN 1010 | CLIN 1011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 50,463 | 2,000 | 335 | 1,000 | 14,000 | 12,000 | 5,891 | 8,102 | 4,740 | 1,462 | 433 | 500 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 30,385 | 800 | 211 | 800 | 8,001 | 8,000 | 4,835 | 3,539 | 2,520 | 983 | 296 | 400 | $0.00 | |
| AC | Fibrinogen | 5,407 | 310 | 195 | 300 | 2,400 | 1,000 | 508 | 270 | 240 | 84 | 0 | 100 | $0.00 | |
| AD | D-Dimer | 11,918 | 600 | 0 | 600 | 3,800 | 2,400 | 1,184 | 1,631 | 816 | 687 | 0 | 200 | $0.00 | |
| AE | Heperin | 3,554 | 0 | 0 | 0 | 372 | 70 | 0 | 2,152 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 150 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 1,800 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 46 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 45 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 10 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 66 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 27 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 451 | 0 | 0 | 0 | 300 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 22 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 39 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 16 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 5 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 104,432 | 3710 | 741 | 2700 | 28873 | 25695 | 12598 | 15694 | 9276 | 3216 | 729 | 1200 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Option Period Two (Deliveries 10/01/2028 - 09/30/2029) | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN 2001 | CLIN 2002 | CLIN 2003 | CLIN 2004 | CLIN 2005 | CLIN 2006 | CLIN 2007 | CLIN 2008 | CLIN 2009 | CLIN 2010 | CLIN 2011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 50,463 | 2,000 | 335 | 1,000 | 14,000 | 12,000 | 5,891 | 8,102 | 4,740 | 1,462 | 433 | 500 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 30,385 | 800 | 211 | 800 | 8,001 | 8,000 | 4,835 | 3,539 | 2,520 | 983 | 296 | 400 | $0.00 | |
| AC | Fibrinogen | 5,407 | 310 | 195 | 300 | 2,400 | 1,000 | 508 | 270 | 240 | 84 | 0 | 100 | $0.00 | |
| AD | D-Dimer | 11,918 | 600 | 0 | 600 | 3,800 | 2,400 | 1,184 | 1,631 | 816 | 687 | 0 | 200 | $0.00 | |
| AE | Heperin | 3,554 | 0 | 0 | 0 | 372 | 70 | 0 | 2,152 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 150 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 1,800 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 46 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 45 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 10 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 66 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 27 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 451 | 0 | 0 | 0 | 300 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 22 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 39 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 16 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 5 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 104,432 | 3710 | 741 | 2700 | 28873 | 25695 | 12598 | 15694 | 9276 | 3216 | 729 | 1200 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Option Period Three (Deliveries 10/01/2029 - 09/30/2030) | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN 3001 | CLIN 3002 | CLIN 3003 | CLIN 3004 | CLIN 3005 | CLIN 3006 | CLIN 3007 | CLIN 3008 | CLIN 3009 | CLIN 3010 | CLIN 3011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 50,463 | 2,000 | 335 | 1,000 | 14,000 | 12,000 | 5,891 | 8,102 | 4,740 | 1,462 | 433 | 500 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 30,385 | 800 | 211 | 800 | 8,001 | 8,000 | 4,835 | 3,539 | 2,520 | 983 | 296 | 400 | $0.00 | |
| AC | Fibrinogen | 5,407 | 310 | 195 | 300 | 2,400 | 1,000 | 508 | 270 | 240 | 84 | 0 | 100 | $0.00 | |
| AD | D-Dimer | 11,918 | 600 | 0 | 600 | 3,800 | 2,400 | 1,184 | 1,631 | 816 | 687 | 0 | 200 | $0.00 | |
| AE | Heperin | 3,554 | 0 | 0 | 0 | 372 | 70 | 0 | 2,152 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 150 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 1,800 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 46 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 45 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 10 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 66 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 27 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 451 | 0 | 0 | 0 | 300 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 22 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 39 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 16 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 5 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 104,432 | 3710 | 741 | 2700 | 28873 | 25695 | 12598 | 15694 | 9276 | 3216 | 729 | 1200 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Option Period Four (Deliveries 10/01/2030 - 09/30/2031) | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN 4001 | CLIN 4002 | CLIN 4003 | CLIN 4004 | CLIN 4005 | CLIN 4006 | CLIN 4007 | CLIN 4008 | CLIN 4009 | CLIN 4010 | CLIN 4011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 50,463 | 2,000 | 335 | 1,000 | 14,000 | 12,000 | 5,891 | 8,102 | 4,740 | 1,462 | 433 | 500 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 30,385 | 800 | 211 | 800 | 8,001 | 8,000 | 4,835 | 3,539 | 2,520 | 983 | 296 | 400 | $0.00 | |
| AC | Fibrinogen | 5,407 | 310 | 195 | 300 | 2,400 | 1,000 | 508 | 270 | 240 | 84 | 0 | 100 | $0.00 | |
| AD | D-Dimer | 11,918 | 600 | 0 | 600 | 3,800 | 2,400 | 1,184 | 1,631 | 816 | 687 | 0 | 200 | $0.00 | |
| AE | Heperin | 3,554 | 0 | 0 | 0 | 372 | 70 | 0 | 2,152 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 150 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 1,800 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 46 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 45 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 10 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 66 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 27 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 451 | 0 | 0 | 0 | 300 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 22 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 14 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 39 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 16 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 5 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 104,432 | 3710 | 741 | 2700 | 28873 | 25695 | 12598 | 15694 | 9276 | 3216 | 729 | 1200 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Option IAW RFO 52.217-6 | |||||||||||||||
| Pacific Rim Network | Indo Pacific Network | Continental Network | Central Network | West Network | |||||||||||
| CLIN X001 | CLIN X002 | CLIN X003 | CLIN X004 | CLIN X005 | CLIN X006 | CLIN 4007 | CLIN X008 | CLIN X009 | CLIN X010 | CLIN X011 | |||||
| SLIN | Test | Estimated Annual Test Count | Naval Hospital Camp Pendleton, CA | Naval Hospital Bremerton, WA | Naval Hospital Twentynine Palms, WA | Naval Medical Center San Diego, CA - Core Lab | Madigan Army Medical Center, Joint Base Lewis-McChord, WA | Tripler Army Medical Center, Fort Shafter, HI | 99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV | 60th Medical Group, David Grant Medical Center, Travis AFB, CA | 673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK | 56th Medical Group, Luke AFB, AZ | Weed Army Community Hospital, Fort Irwin, CA | Cost Per Reportable Result | Totals |
| AA | Prothrombin Time (PT) | 25,232 | 1,000 | 335 | 1,000 | 14,000 | 12,000 | 5,891 | 8,102 | 4,740 | 1,462 | 433 | 500 | $0.00 | |
| AB | Activated Partial Thromboplastin Time (APTT) | 15,193 | 400 | 211 | 800 | 8,001 | 8,000 | 4,835 | 3,539 | 2,520 | 983 | 296 | 400 | $0.00 | |
| AC | Fibrinogen | 2,704 | 155 | 195 | 300 | 2,400 | 1,000 | 508 | 270 | 240 | 84 | 0 | 100 | $0.00 | |
| AD | D-Dimer | 5,959 | 300 | 0 | 600 | 3,800 | 2,400 | 1,184 | 1,631 | 816 | 687 | 0 | 200 | $0.00 | |
| AE | Heperin | 1,777 | 0 | 0 | 0 | 372 | 70 | 0 | 2,152 | 960 | 0 | 0 | 0 | $0.00 | |
| AF | Lupus Anticoagulant | 75 | 0 | 0 | 0 | 0 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AG | DIC Panel | 900 | 0 | 0 | 0 | 0 | 1,800 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AH | Patient Thrombin Time | 23 | 0 | 0 | 0 | 0 | 35 | 11 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AJ | Mixing Studies | 23 | 0 | 0 | 0 | 0 | 25 | 20 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AK | Reptilase Time | 5 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AL | Factor V Assay | 33 | 0 | 0 | 0 | 0 | 50 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AM | Factor VII Assay | 14 | 0 | 0 | 0 | 0 | 15 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AN | Factor VIII Assay | 226 | 0 | 0 | 0 | 300 | 110 | 41 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AP | Factor IX Assay | 11 | 0 | 0 | 0 | 0 | 10 | 12 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AQ | Factor X Assay | 7 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AR | Factor XI Assay | 7 | 0 | 0 | 0 | 0 | 10 | 4 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AS | Antithrombin III | 20 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AT | Von Willebrand Factor Antigen | 8 | 0 | 0 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AU | Factor II Assay | 3 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | $0.00 | |
| AV | Monthly Reports | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP | NSP |
| Totals: | 52,216 | 1,855 | 741 | 2,700 | 28,873 | 25,695 | 12,598 | 15,694 | 9,276 | 3,216 | 729 | 1,200 | $0.00 | ||
| NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information | |||||||||||||||
| Base + OP: | $0.00 |
File details come from the government source that posted it. Updated .