Laboratory_Blood_Analysis_IFB.pdf

STATE OF CALIFORNIA--HEALTH AND HUMAN SERVICES AGENCY GAVIN NEWSOM Governor

PORTERVILLE DEVELOPMENTAL CENTER

P.O. BOX 2000, PORTERVILLE, CA 93258-2000

(559) 782-2222

TDD 781-7822

INVITATION FOR BID

Notice to Prospective Bidders

You are invited to review and respond to this Invitation for Bid (IFB), entitled CLINICAL LABORATORY BLOOD ANALYSIS SERVICES–PR269005. In submitting your bid, you must comply with these instructions.

Note that all agreements entered into with the State of California will include by reference General Terms and Conditions and Contractor Certification Clauses that may be viewed and downloaded at Internet site www.ols.dgs.ca.gov/Standard +Language. If you do not have Internet access, a hard copy can be provided by contacting the person listed below.

The State has waived the Disabled Veteran Business Enterprise (DVBE) Participation Program requirement for this contract.

In the opinion of Porterville Developmental Center, this Invitation for Bid is complete and without need of explanation.

However, if you have questions, or should you need any clarifying information, the contact person for this IFB is:

Brandi McElhaney – Contract Analyst

Porterville Developmental Center brandi.mcelhaney@pdc.dds.ca.gov

The term of this contract is July 1, 2026 (or when fully executed) through June 30, 2028. The State has the option of extending the term for one or two additional one-year period (s) at the same rates as proposed by the Contractor.

Please note that no verbal information given will be binding upon the State unless such information is issued in writing as an official addendum.

Brandi McElhaney Contract Analyst http://www.ols.dgs.ca.gov/contracts mailto:brandi.mcelhaney@pdc.dds.ca.gov

PR269005

Table of Contents

Section Page

A) Purpose and Description of Services

B) Bidder Minimum Qualifications

C) Bid Requirements and Information

1) Key Action Dates ……………………………………………………………….. 4

2) Electronic Q & A for This RFP…………………………………………………. 4

3) Submission of Bid………………………………………………………………. 4

4) Evaluation and Selection………………………………………………………. 6

5) Award and Protest………………………………………………………………. 6

6) Disposition of Bid……………………………………………………………….. 6

7) Agreement Execution and Performance …………………………………….. 6

D) Preference Programs 7

1) Small Business Preference…..……………………………………………….. 7

2) Disabled Veteran business Enterprise (DVBE) Participation Program…… 7

E) Required Attachments

1) Disabled Veteran Business Enterprise (DVBE) Participation Program

2) Required Attachment Check List

3) Bid/Bidder Certification Sheet

4) Sample Cost Sheet

5) Bidder References

6) Darfur Contracting Act

7) CA Civil Rights Law

8) Lab Test and Cost List Bid Sheets

F) Sample Standard Agreement (STD 213)

1) Exhibit A, Scope of Work

2) Exhibit B, Budget Detail and Payment Provisions

3) Exhibit C, General Terms and Conditions

4) Exhibit D, Special Terms and Conditions

5) Exhibit E, Statement of Assurances for Protection of Personal Information

6) Exhibit F, Provisions for Federal Reimbursement

A) Purpose and Description of Services

Contractor will provide clinical laboratory analysis services to test blood samples for individuals and employees in accordance with the attached Sample Agreement. See Exhibit A of the IFB for the description of required services. The terms of this Agreement will be July 1, 2026, through June 30, 2028.

B) Bidder Minimum Qualifications

All bidders must meet the following requirements to be considered responsible and responsive to this IFB.

1. No bidder may bid on work of any kind that the bidder is not properly licensed to perform. Any such bid received will be disqualified. Copies of all licenses must be included with the BID documents.

2. Contractor must comply with all state licensing requirements and be an approved Medicare/Medi-Cal provider.

3. Bidder must be able to supply all specified items and services to Porterville Developmental Center (PDC) in accordance with the attached Sample Agreement.

Bid Requirements and Information

1) Key Action Dates

Event

Date

IFB available to prospective bidders

Friday March 6, 2026

Emailed Questions Submittal Deadline Wednesday March 11, by 2:00 PM PDT

Answered questions submitted to contractors And posted to CSPRS

Friday March 13, by 3:00 PM PDT

Final Date for Bid Submission Friday March 20, @ 10:00 AM PDT

Bid Opening Friday March 20, @ 10:30 AM PDT

Potential proposed Notice of Intent to Award Wednesday March 25, 2026

Proposed Award Date Wednesday April 1, 202

2) Electronic Q & A for This RFP

For the purpose of submitting questions regarding this IFB, e-mails may be sent to Brandi McElhaney any time before and up to Wednesday March 11, 2026 by 2:00 PM PDT. Send your e-mail(s) to brandi.mcelhaney@pdc.dds.ca.gov with the subject line “IFB PR269005 CLINICAL LABORATORY BLOOD ANALYSIS SERVICES)”. All questions regarding this IFB will be shared via e-mail with each of the agencies/organizations that submit questions and posted to the DGS CSPRS/Fi$cal website. The Department’s answers to questions will be e-mailed and posted on Monday April 17, 2023

3) Submission of Bid

a) All bids must be submitted under sealed cover and sent to Porterville Developmental Center Attention Brandi McElhaney by dates and times shown in Section C, Bid Requirements and Information, Item 1) Key Action Dates, (page 3). The sealed cover must be plainly marked with the IFB number and title, must show your firm’s name and address, and must be marked with "DO NOT OPEN", as shown in the following example:

Laboratory Blood Analysis Services

Porterville Developmental Center

Attn : Brandi McElhaney - Contracts 26501 Avenue 140

Porterville, CA 93257

“DO NOT OPEN”

Bids not submitted under sealed cover may be rejected. A minimum of one copy of the bid must be submitted.

b) All bids shall include the documents identified in Section E, Required Attachment Checklist (see page 10 ). Bids not including the proper "required attachments" shall be deemed non-responsive. A non-responsive bid is one that does not meet the basic bid requirements.

c) All documents requiring a signature must bear an original signature of a person authorized to bind the bidding firm.

d) Mail or deliver bids to the following address:

U.S. Postal Service Deliveries (UPS, Express Mail, Federal Express)

Brandi McElhaney – Contract Analyst 26501 Avenue 140 Porterville, CA 93257 brandi.mcelhaney@pdc.dds.ca.gov

e) Bids must be submitted for the performance of all the services described herein. Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

f) A bid may be rejected if it is conditional or incomplete, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all bids and may waive an immaterial deviation in a bid.

The State's waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder from full compliance with all requirements if awarded the agreement.

g) Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

h) An individual who is authorized to bind the bidder contractually shall sign the Bid/Bidder Certification Sheet, page #11. The signature should indicate the title or position that the individual holds in the firm. An unsigned bid may be rejected.

i) A bidder may modify a bid after its submission by withdrawing its original bid and resubmitting a new bid prior to the bid submission deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

j) A bidder may withdraw its bid by submitting a written withdrawal request to the State, signed by the bidder or an authorized agent. A bidder may thereafter submit a new bid prior to the bid submission deadline. Bids may not be withdrawn without cause after bid submission deadline.

k) The awarding agency may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

l) The awarding agency reserves the right to reject all bids. The agency is not required to award an agreement.

m) Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

n) The State does not accept alternate contract language from a prospective contractor. A bid with such language will be considered a counter proposal and will be rejected. The State’s General Terms and Conditions (GTC) are not negotiable.

o) No oral understanding or agreement shall be binding on either party

4) Evaluation and Selection

a) At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

b) The State will evaluate each bid to determine its responsiveness to the published requirements.

c) Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, may be rejected.

d) Award if made will be to the lowest responsive responsible bidder.

5) Award and Protest

a) Whenever an agreement is awarded under a procedure, which provides for competitive bidding, but the agreement is not to be awarded to the low bidder, the low bidder shall be notified by ema i l , electronic facsimile transmission, overnight courier, or personal delivery five (5) working days prior to the award of the agreement.

b) Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the awarding agency at least five (5) working days prior to awarding the agreement.

c) If any bidder, prior to the award of agreement, files a written protest with the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, CA 95605 and the (insert name of awarding agency) on the grounds that the (protesting) bidder is the lowest responsive responsible bidder, the agreement shall not be awarded until either the protest has been withdrawn or the Department of General Services has decided the matter.

d) Within five (5) days after filing the initial protest, the protesting bidder shall file with the Department of General Services and the awarding agency a detailed written statement specifying the grounds for the protest. The written protest must be sent to the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, California 95605. A copy of the detailed written statement should be mailed to the awarding agency. It is suggested that you submit any protest by certified or registered mail.

e) Upon resolution of the protest and award of the agreement, Contractor must complete and submit to the awarding agency the Payee Data Record (STD 204), to determine if the Contractor is subject to state income tax withholding pursuant to California Revenue and Taxation Code Sections 18662 and 26131. This form can be found on the Internet at www.osp.dgs.ca.gov under the heading FORMS MANAGEMENT CENTER. No payment shall be made unless a completed STD 204 has been returned to the awarding agency.

f) Upon resolution of the protest and award of the agreement, Contractor must sign and submit to the awarding agency, page one (1) of the Contractor Certification Clauses (CCC), which can be found on the Internet at www.dgs.ca.gov/contracts. This document is only required if the bidder has not submitted this form to the awarding agency within the last three (3) years.

6) Disposition of Bids

a) Upon bid opening, all documents submitted in response to this IFB will become the property of the State of California and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

b) Bid packages may be returned only at the bidder's expense, unless such expense is waived by the awarding agency.

7) Agreement Execution and Performance

a) Performance shall start not later than the express date set by the awarding agency and the Contractor, after all approvals have been obtained and the agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five (5) days written notice to the Contractor, reserves the right to terminate the agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor's bid price and the actual cost of performing work by the second lowest bidder or by another contractor.

b) All performance under the agreement shall be completed on or before the termination date of the agreement.

http://www.osp.dgs.ca.gov/ http://www.dgs.ca.gov/contracts

ATTACHMENT 1

D) Preference Programs

1) Small Business Preference: https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services- List-Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise. The Small Business incentive is in effect for this IFB.

Although the mandatory requirement has been waived such incentives are still applicable under qualifying conditions.

In accordance with Government Code Section 14838.5, et seq. and California Code of Regulations, Title 2, Section 1896, et seq., a five (5) percent preference will be granted to bidders properly certified as a California Small Business (SB), Microbusiness (MB), or Non-Small Business (NSB) with a Small Business subcontracting for a minimal of 25% of the bid amount. A five (5) percent preference will be granted to bidders certified as a Non-Profit Veteran Service Agency in accordance with the Military and Veterans Code Section 999.50. Applications must be on file at the office of Small Business and Disabled Veteran Business Enterprise Certification by 5:00 p.m. on bid opening day. The preference adjustment for awards based on low price cannot exceed $50,000.00.

For solicitations where bidders are asked to submit hourly rates, the preference shall be calculated solely on the basis of that rate.

a. Small Business Preference Example (Single Award):

Bidder A Bidder B Bidder C

Bidder Status NSB NSB w/ 25% SB

Preference Applicable? X X

Original Bid Amount $100,000 $105,000 $102,500

Apparent Low Bid X

Pref. Amount (5% of Low Bidder) $0 $5,000 $5,000

Revised Bid $100,000 $100,000 $97,500

Revised Lowest Bidder X

a. Explanation of Example:

The lowest bidder at the time of bid opening is Bidder A, which is a Non-Small Business not claiming a Small Business subcontracting preference. Since both Bidder B and Bidder C claim a Small Business Preference, five (5) percent of Bidder A’s bid is subtracted from those of Bidder B and C. In the example above, five (5) percent of $100,000 is $5,000. After applying these preferences, Bidder C’s revised bid ($97,500) is less than the other bids, making them the revised apparent low bidder.

Note: since the preferences are used only for computation purposes to determine the successful bidder, if an agreement was awarded to Bidder C, it would be at the original $102,500 amount.

https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-

2) Disabled Veteran Business Enterprise Program and Incentive:

a. The State has waived the Disabled Veteran Business Enterprise (DVBE) Participation Program requirement for this contract however, the DVBE incentive is in effect for this IFB. DVBE Participation Program can be found at https://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List- Folder/Certify-or-Re-apply-as-Small-Business-Disabled-Veteran-Business-Enterprise

1. The State hereby waives the mandatory Disabled Veteran Business Enterprise (DVBE) participation requirement for this IFB.

2. An incentive for bidders who include DVBE participation is available and encouraged for this

IFB. For evaluation purposes only, the State shall apply an incentive to bids that include California certified DVBE participation and confirmed by the State. The incentive amount will vary in conjunction with the percentage of DVBE participation in accordance with the following formula:

DVBE Incentive Participation DVBE Incentive

5% or Over 5% 4% to 4.99% Inclusive 4% 3% to 3.99% Inclusive 3% 2% to 2.99% Inclusive 2% 1% to 1.99% Inclusive 1%

For solicitations where bidders are asked to submit hourly rates, the incentive shall be calculated solely on the basis of that rate.

3. The net bid price of responsive bids with DVBE participation will be reduced (for evaluation purposes only) by the amount of DVBE incentive as applied to the lowest responsive net bid price. If the #1 ranked, responsive, responsible bid is a California certified small business, the only bidders eligible for the incentive will be other California certified small businesses. The incentive adjustment for awards based on low price cannot exceed 5% or $50,000.00, whichever is less, of the #1 ranked net bid price. When used in combination with a Small Business preference adjustment, the cumulative adjustment amount cannot exceed $100,000.00.

4. Information submitted by the bidder to claim the DVBE incentive will be verified by the State.

Only the DBVEs who perform a commercially useful function relevant to the Scope of Work included in the IFB may be used to qualify the bidder for a DBVE incentive. All DBVE bidders and their proposed subcontractors must submit a copy of the DBVE Declarations Form (Std. 843). See Attachment 9.

http://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-http://www.dgs.ca.gov/PD/Services/Page-Content/Procurement-Division-Services-List-

E) Required Attachments

The State has waived the Disabled Veteran Business Enterprise (DVBE) Participation Program requirement for this contract.

Refer to the following pages for additional Required Attachments that are a part of this agreement.

REQUIRED ATTACHMENT CHECK LIST

A complete bid or bid package will consist of the items identified below.

Complete this checklist to confirm the items in your bid. Place a check mark or “X” next to each item that you are submitting to the State. For your bid to be responsive, all required attachments must be returned. This checklist should be returned with your bid package also.

Attachment Attachment Name/Description

Attachment 1 Required Attachment Check List

Attachment 2

Bid/Bidder Certification Sheet

Attachment 3

Cost Sheet + pages 15-29

Attachment 4

Bidder References

Attachment 5

Required copies of License and Certification

Attachment 6

Darfur Contracting Act (if applicable)

Attachment 7

CA Civil Rights Law Attachment

ATTACHMENT 2

BID/BIDDER CERTIFICATION SHEET

This Bid/Bidder Certification Sheet must be signed and returned along with all the "required attachments" with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions.

Do not return Section C, Bid Requirements and Information (pages 3 through 6) nor the "Sample Agreement" at the end of this IFB.

A. Our all-inclusive bid is submitted as detailed in Attachment 3, Cost Sheet.

B. All required attachments are included with this certification sheet.

C. The signature affixed hereon and dated certifies compliance with all the requirements of this bid document. The signature below authorizes the verification of this certification.

An Unsigned Bid/Bidder Certification Sheet May Be Cause For Rejection.

1. Company Name 2. Telephone Number 2a. Fax Number

3. Address Email:

Indicate your organization type:

4. Sole Proprietorship 5. Partnership 6. Corporation

Indicate the applicable employee and/or corporation number:

7. Federal Employee ID No. (FEIN) 8. California Corporation No.

9. Indicate applicable license and/or certification information:

10. Bidder’s Name (Print) 11. Title

12. Signature 13. Date

14. Are you certified with the Department of General Services, Office of Small Business Certification and Resources (OSBCR) as:

a. California Small Business

Yes No If yes, enter certification number:

b. Disabled Veteran Business Enterprise Yes No If yes, enter your service code below:

NOTE: A copy of your Certification is required to be included if either of the above items is checked “Yes”.

Date application was submitted to OSBCR, if an application is pending:

Completion Instructions for Bid/Bidder Certification Sheet

Complete the numbered items on the Bid/Bidder Certification Sheet by following the instructions below.

Item Number s

Instructions

1, 2, 2a, Must be completed. These items are self-explanatory.

Check if your firm is a sole proprietorship. A sole proprietorship is a form of business in which one person owns all the assets of the business in contrast to a partnership and corporation.

The sole proprietor is solely liable for all the debts of the business.

Check if your firm is a partnership. A partnership is a voluntary agreement between two or more competent people to place their money, effects, labor, and skill, or some or all of them in lawful commerce or business, with the understanding that there shall be a proportional sharing of the profits and losses between them. An association of two or more people to carry on, as co-owners, a business for profit.

Check if your firm is a corporation. A corporation is an artificial person or legal entity created by or under the authority of the laws of a state or nation, composed, in some rare instances, of a single person and his successors, being the incumbents of a particular office, but ordinarily consisting of an association of numerous individuals.

Enter your federal employee tax identification number.

Enter your corporation number assigned by the California Secretary of State’s Office. This information is used to check if a corporation is in good standing and qualified to conduct business in California.

Complete, if applicable, by indicating the type of license and/or certification that your firm possesses and that is required for the type of services being procured.

10, 11, 12, 13

Must be completed. These items are self-explanatory.

If certified as a California Small Business, place a check in the "Yes" box, and enter your certification number on the line. If certified as a Disabled Veterans Business Enterprise, place a check in the "Yes" box and enter your service code on the line. If you are not certified to one or both, place a check in the "No" box. If your certification is pending, enter the date your application was submitted to OSBCR.

ATTACHMENT 3

SAMPLE COST SHEET

In compliance with your Invitation for Bid for Laboratory Blood Analysis Services. I hereby propose to perform the work, as specified and described during the term July 1, 2026, through June 30, 2028 for the total sum of

The above bid is the grand total from pages 17 through 33, which are attached and required to be submitted as a part of this bid.

Bidder understands that the number of tests listed on pages 17 through 33 is an estimate only of the tests to be performed during the Agreement term. The sample number of tests is provided to identify the lowest responsible bidder for the purpose of awarding this Agreement only.

Billing cycle:

Monthly Quarterly Semi-Annually Annually

Note: All services performed are paid in arrears according to billing cycle indicated above.

Bidders Name (Print) Bidders Title (Print)

Bidders Signature Date

ATTACHMENT 4

BIDDER REFERENCES

Submission of this attachment is mandatory. Failure to complete and return this attachment with your bid will cause your bid to be rejected and deemed nonresponsive.

List below three references for services performed within the last five years, which are similar to the scope of work to be performed in this contract.

UNSATISFACTORY REFERENCES MAY RESULT IN YOUR BID BEING DISQUALIFIED.

REFERENCE 1

Name of Firm Street Address City State Zip Code

Contact Person Telephone Number

Dates of Service Value or Cost of Service

Brief Description of Service Provided

REFERENCE 2

Name of Firm Street Address City State Zip Code

Contact Person Telephone Number

Dates of Service Value or Cost of Service

Brief Description of Service Provided

REFERENCE 3

Name of Firm Street Address City State Zip Code

Contact Person Telephone Number

Dates of Service Value or Cost of Service

Brief Description of Service Provided

ATTACHMENT 7

DARFUR CONTRACTING ACT CERTIFICATION

Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal.

If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form.

OPTION #1 - CERTIFICATION

If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below.

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California.

Company/Vendor Name (Printed) Federal ID Number

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed Executed in the County and State of

OPTION #2 – WRITTEN PERMISSION FROM DGS

Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below.

We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal.

Company/Vendor Name (Printed) Federal ID Number

Initials of Submitter

Printed Name and Title of Person Initialing

STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES

CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES DGS OLS 04

(Rev. 01/17)

Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following:

1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after

January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and

2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).

CERTIFICATION

I, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

By (Authorized Signature)

Printed Name and Title of Person Signing

Date Executed

Executed in the County of Executed in the State of

Proposer/Bidder Firm Name (Printed) Federal ID Number

TEST

APPROX # OF

TEST PER TERM

OF CONTRACT

X

COST PER

TOTAL

ABILIFY

ABO/Rh TYPE

ACID PHOSPHATASE

ACTH

AEROBIC CULTURES

AFB, CULTURE AND SMEAR

ALDOSTERONE

ALKALINE PHOSPHATASE

ISOENZYMES

ALLERGY PANEL – CENTRAL CA

ALLERGY SCREENING PANEL

ALPHA 1 ANTITRYPSIN

ALPHA-FETO PROTEIN

ALT

AMIKACIN

AMMONIA

x

AMPLIFIED, DNA, CT

AMPLIFIED, DNA, GC

AMYLASE

ANA

ANAEROBIC CULTURES

ANEMIA PANEL

ANTI DS DNA

SUB TOTAL PAGE 15 OF 31 = $

Company Name Signature

ANTIHISTONE

ANTI MICROSOMAL ANTIBODIES

ANTI MITOCHONDRIAL ANTIBODIES (AMA)

ANTI PLATELET ANTIBODY

ANTI SMOOTH MUSCLE AB

ANTI THYROGLOBULIN ANTIBODIES

ARTHRITIS PANEL

ASO TITRE

AST

BASIC METABOLIC PANEL

BILIRUBIN, TOTAL AND DIRECT

BNP

BUN

CBC COMPLETE BLOOD COUNT

C-PEPTIDE

C-REACTIVE PROTEIN

CA 15-3

CA 125

CALCIUM, IONIZED

CALCIUM, SERUM

CALCIUM, URINE

SUB TOTAL PAGE 16 OF 31 + $

Company Name

Signature

CALCULI (STONE ANALYSIS)

CARBAMAZEPINE

CARBAMAZEPINE 10, 11 EPOXIDE

CARNITINE, TOTAL AND FREE

CEA

CERULOSPLASM

CHLAMYDIA NEISSERIA

GONORRHEA RNA, TMA

CHOLESTEROL

CHOLESTEROL – HDL

CHROMOSOME, FRAGILE X

CHROMOSOME ANALYSIS

CLOMIPRAMINE

CLOMIPRAMINE LEVEL

CKMB

CLONAZEPAM

CLORAZEPATE (AS) NORDIAZEPATE

CLOSTRIDIUM DIFFICILE CULTURE

CLOSTRIDIUM DIFFICILE,

CYTOTOXINS

COCCIDIODES, AB,

COMPLEMENT FIXATION (UCD)

COCCIDIODES, AB, COCCI, ID

COLD HEMAGGLUTININS

SUB TOTAL PAGE 17 OF 31 = $

Company Name::

Signature:

COMBS, DIRECT AND INDIRECT

COMPLEMENT C2

COMPLEMENT C3

COMPLEMENT C4

COMPLEMENT C5

COMPLEMENT TOTAL

(CH50, CH100)

COMPREHENSIVE METABOLIC

PANEL

COMPLETE BLOOD COUNT

WITH AUTO DIFF.

COPPER, SERUM

COPPER, URINE

CORTISOL SERUM

COVID 19 Ab IgG/IgM

COVID PCR

CPK ISOENZYMES

CREATININE CLEARANCE

CREATININE KINASE

CREATININE, URINE, RANDOM

CRP

CRP HIGH SENSITIVE

CRYOGOBULINS

SUB TOTAL PAGE 18 OF 31 = $

CYCLIC CITRULLINATED PEPTIDE

(CCP) Ab

CYSTATIN C

CYSTIC FIBROSIS

DEHYDROEPIANDROSTERONE-

DHEA

DIAZEPAM

DIGOXIN

DILANTIN

DOUBLE STRANDED DNA

ELEVIL

ENVIROMENTAL CULTURE

EPSTEIN-BARR VIRUS #81734

ERYTHROPOIETIN LEVEL

ESTRADIOL

ESTRIOL

ESTROGEN

ETHOSUXIMIDE

FE/IBC

FELBAMATE

FEP

SUB TOTAL PAGE 19 OF 31 = $

Company Name:

TEST PER

TERM OF

CONTRACT

FERRITIN

FIBRINOGEN LEVEL

FLUOXETINE, PROZAC

FOLATE

FOLATE VITAMIN B12

FOLLICLE STIMULATING HORMONE

FOOD ALLERGY SCREENING

PANEL #63292

FRAGILE X SYNDROME

FREE PSA

FREE T3

FSH

FT 4

FTA-ABS

FUNGUS CULTURE, BLOOD

FUNGUS CULTURE, SKIN, HAIR,

NAILS

FUNGUS CULTURE, OTHER SOURCE

GABAPENTIN

GASTRIC OCCULT BLOOD

GEN-PROBE FOR CHLAMYDIA AND

NEISSERIA

SUB TOTAL PAGE 20 OF 31 = $

TEST PER

GENTAMYCIN

GGT (GAMMA GLUTAMYL

TRANSFERASE)

GLYCOHEMHEMOGLOBIN

GLUCOSE

GLUTAMIC ACID (GAD 65)

HALOPERIDOL

HAV IGG REFLUX IGM, Hep A, AB

HAV IGG REFLUX, Hep A, IGM

HB SAG CONFIRM

HBV QUANT PCR (VIRAL LOAD)

HCG BETA SUB-UNITS (QUANT)

HCG SERUM

HCG URINE

HCV GENOTYPE

HCV RIBA

HCV RNA BY PCR (VIRAL LOAD)

HCV RNA GENOTYPE LIP

HCV RT-PCR, QUANT

SUB TOTAL PAGE 21 OF 31 = $

TEST PER

HELICOBACTER PYLORII AB & IGA

HELICOBACTER PYLOR II AB&IGG

HEMOCYSTINE, CYSTINE URINE

HEMOCYSTINE, METHYLMALONIC ACID

HEMOGLOBIN A1C

HEMOGLOBIN ELECTROPHORESIS

HEPATITIS A ANTIBODY (IgM)

HEPATITIS A ANTIBODY TOTAL IGG

HEPATITIS A, TOTAL

HEPATITIS A, IgG

HEPATITIS B ANTIBODY

HEPATITIS B ANTIGEN

HEPATITIS B CORE ANTIBODY (IgG)

HEPATITIS B CORE ANTIBODY(IgM)

HEPATITIS B, DIAGNOSTIC PANEL

HEPATITIS B DNA PCR

HEPATITIS B E ANTIGEN/ANTIBODY AG

HEPATITIS B E ANTIGEN/ANTIBODY AB

HEPATITIS B SURFACE, AB, QUANT

HEPATITIS B SURFACE ANTIGEN

SUB TOTAL PAGE 22 OF319 = $

Company Name :

Signature :

TEST PER

HEPATITIS C ANTIBODY

HEPATITIS C PCR

HERPES CULTURE

HGB ELETROPHORESIS

HIV

HIV GENOTYPE

HIV 1 RNA

HIV RNA/PCR (VIRAL LOAD)

HLA-B27 ANTIGEN

HIV LYMPHOCYTE SUBSET PANEL (CD4)

HOMOCYSTEINE TOTAL

HYDROXY CARBAMAZEPIRE

OXCARB METABOLITE

IMMUNOELECTROPHORESIS

IMMUNOFIXATION SERUM

IMMUNOFIXATION URINE

IMMUNOGLOBULIN (IGA, IGM, IGG)

INSULIN

INSULIN AUTO ANTI

INTACT PTH

IRON PANEL

SUB TOTAL PAGE 23 OF 31 = $

Company Name :

Signature :

APPROX #

OF TEST

PER TERM

OF

ISLET CELL ANITBODIES 2 X $ = $

KEPPRA

LACOSAMIDE 25 X $ = $

LAMOTRIGINE

LDH

LDH ISOENZYMES

LEAD

LEGIONELLA

LEUKEMIA/LYMPHOMA EVALUATION

LH

LIPASE

LIPID PANEL 200 X $ = $

LIPOPROTEIN (A)

LIPOPROTEIN ELECTROPHORESIS

LITHIUM

LIVER KIDNEY MIC 2 X $ = $

LIVER PANEL

LORAZEPAM

LOXAPINE + METABOLITES 2 X $ = $

LUPUS ANTICOAGULANT EVALUATION

LUMPUS PANEL

SUB TOTAL PAGE 24 OF 31 = $

APPROX #

OF TEST

PER TERM

OF

LUTEINIZING HORMONE

LYMPHOCYTE SUB 3 2 X $ = $

MAGNESIUM, SERUM

MAGNESIUM, URINE

MEASLES, AB IGM

MEASLES, IgG

METANEPHERINES, FRACTIONATED

METHYLMALONIC ACID

MICRO ALBUMIN

MICRO ALBUMIN/CREATINE RATIO 175 X $ = $

MICRO ALBUMIN/CREATINE, URINE

MMR PANEL (MEASLES, MUMPS,

RUBELLA IMMUNITY)

MONO TEST

MUMPS VIRUS AB, IGG

MUMPS VIRUS AB, IGM

MYCOPLASMA PHEUMONIAE (IGG, IGM)

MYOGLOBIN

OLANZAPINE

OSMOLALITY, SERUM

OSMOLALITY, URINE

OVA AND PARASITES STOOL

SUB TOTAL PAGE 25 OF 31 = $

Company Name:: Signature:

TEST PER

OXCARBAMAZEPINE METABOLITE

OXLATE, URINE

PARATHYROID HORM

PAROXETINE (PAXIL)

PARTIAL THROMBOPLASTIN TIME

PHENOBARBITAL

PHENYLALNINE

PHOSPHOLIPIDS, SERUM

PHOSPHORUS

PINWORM ID

PLATELET ANTIBODIES

POTASSIUM

PRADER WILLI

PRE ALBUMIN

PRIMODONE

PROLACTIN

PROSTATIC SPECIFIC ANTIGEN

PROTEIN ELECTROPHORESIS

SUB TOTAL PAGE 26 OF 31 = $

TEST PER

PROTEIN URINE, RANDOM

PROTHROMBIN

PSA, FREE & TOTAL

PTH

PTH, INTACT w/CALCIUM

QUANTIFERON GOLD

RA (RHEUMATOID ARTHRITIS)

RAST #63290

RENAL

RENAL PANEL

RENIN

RESPIRATORY PANEL

RETIC LEVEL

RHEUMATOID FACTOR, QUAL AND

QUANT

RISPERIDONE (OL)

RPR

RSV, AB PANEL

RSV, ANTIGEN

RSV, CULTURE & - ANTIBODIES –

RAPID VIRAL RESP WITH REFLEX

SUB TOTAL PAGE 27 OF 31 = $

TEST PER

RSV, RNA QUAL PCR

RUBELLA IgG

RUBELLA IgG, Ab

RUBELLA IgM

RUBELLA, IMMUNE S

RUBEOLLA IgG

RUBEOLLA IgM

RUFINAMIDE

SALICYLATE

SED RATE

SEROQUEL

SINEQUAN (OXAZEPAM)

SEROTONIN

SICKLE CELL SCREEN

SODIUM URINE

STONE ANALYSIS

STOOL CULTURE

T 3 REVERSE

T 3 TOTAL

TBG (THYROXINE B)

SUB TOTAL PAGE 28 OF 31 = $

TEST PER

TBII THYROTROPIN BIN

TESTOSTERONE FREE AND TOTAL

THEOPHYLLINE

THROAT CULTURE

THYROID PANEL

THYROID PEROXIDASE ANTIBODY

TOBRAMYCIN

TOPIRAMATE

TOTAL PROTEIN

TOXOPLASMA, IGG, IGM

TOXOPLASMA TITER

TRANSFERRIN

TRIGLYCERIDE

TROPONIN

TSH

TSI, THYROID STI

TUMOR NECROSIS FACTOR

TYROSINE

ULTRA CENTREFUGATION

(LIPEMIC SPECIMEN)

UREA BREATH TEST

URIC ACID

SUB TOTAL PAGE 29 OF 31 = $

TEST PER

URINALYSIS w/MICRO, C&S (if indicated)

URINE CULTURES

URINE DRUG SCREEN #69134

URINE, HCG, BETA

URINE, 24-HOUR PROTEIN

VAGINAL CULTURE

VALPROIC ACID

VAN WILLEBRAND PROFILE

VANCOMYACIN

VARICELLA CULTURE

VARICELLA ZOSTER AB, IgG

VARICELLA ZOSTER AB, IgM

VIRAL CULTURES

VISCOSITY, SERUM

VITAMIN B6

VITAMIN B12

VITAMIN D, 1 25 DIHYDROXY

VITAMIN D, 25 DIHYDROXY

VITAMIN D, 25-OH

VITAMIN K

SUB TOTAL PAGE 30 OF 31 = $

e

TEST PER

VON WILLEBRAND FACTOR

VZV, IgM

WOUND CULTURES

ZINC

ZOLOFT

ZONISAMIDE

SUB TOTAL PAGE 31 OF 31 = $

GRAND TOTAL BID OF PAGES 15 THROUGH 31= $

NOTE: The GRAND TOTAL BID amount (above) should be the same on Page #11, entitled “Attachment 3, Cost Sheet” of your bid proposal.

Company:

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