Performance Work Statement DLS - FY27.docx

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Reference Laboratory Testing Services at Naval Hospital, Guam
Solicitation number
HT941026RFI0008
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This is a Performance Work Statement for Diagnostic Laboratory Services (DLS) reference laboratory testing at U.S. Naval Hospital Guam under the Defense Health Agency.

The contractor shall provide comprehensive reference laboratory testing services including microbiology diagnostic testing, specimen analysis, and culture services that the hospital cannot perform in-house. The contractor must be geographically located in Guam within 5 miles or 10-15 minutes drive of U.S. NMRTC Guam and maintain a dedicated courier service with base access privileges for sample retrieval and transport. The contractor must process a minimum of 90% of specimens in-house, with no more than 10% sent to off-island reference laboratories. Critical service requirements include electronic integration with the hospital's Electronic Health Record system for lab ordering and result transmission, with routine test results delivered within the next business day, STAT orders within 4 hours, and critical lab results within 60 minutes to 2 hours. The laboratory must maintain CLIA, CAP, HIPAA, and JCAHO compliance and operate Monday through Friday from 7:00 a.m. to 6:00 p.m., with technical assistance available during business hours (6:30 a.m. to 6:00 p.m.). The contract includes a comprehensive test menu with fixed pricing for approximately 200+ tests ranging from $4.20 to $345.72 per test, covering routine chemistry, hematology, microbiology cultures, immunology, and specialized testing. The base period runs from October 19, 2026 to October 18, 2027, with four optional one-year renewal periods through October 18, 2031. A 90-day transition-in period is required for non-incumbent vendors. The solicitation is a Pre-Solicitation/Request for Information issued by the Defense Health Agency Healthcare Contracting Division (solicitation HT941026RFI0008) with NAICS code 541380 (Testing Laboratories and Services) and a small business size standard of $19.0 million.

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Department of Defense Defense Health Agency Performance Work Statement

Diagnostic Laboratory Services (DLS) Reference Lab Testing

Directorate of Clinical Support Services (DCSS)

Laboratory

PART 1

1.0 GENERAL INFORMATION

1.1. This is a non-personal supplies and service contract to provide reference laboratory services locally for U.S. Naval Hospital Guam.

Description of services/introduction. Diagnostic Laboratory Services (DLS) Reference lab services provide high-quality, reliable and timely lab testing and results. DLS offers a comprehensive range of services, including microbiology diagnostic testing that aids in diagnosing patients at U.S. Naval Hospital Guam. Currently our lab is unable to perform most microbiology testing including all cultures. Due to its proximity, DLS is the only option for our laboratory. This requirement is needed to sustain reference laboratory services locally and continue critical care of all patients to include neonates and trauma patients.

1.2. Background. The contractor is responsible for reference laboratory services to U.S. Naval Hospital Guam in accordance with their test menu. U.S. Naval Hospital Guam has affiliated with this contractor for years as the sole local reference laboratory.

1.3. Scope. The contractor shall provide everything necessary as defined in this Performance Work Statement except as specified herein as services, to provide specimen analytical testing and reference laboratory testing services, located at the U.S. NMRTC Guam Room 1 T12. The contractor shall perform these services in accordance with the standards specified in this contract and accordance with the Clinical Laboratory Improvement Amendments, (CLIA), College Of American Pathology (CAP) standards, Health Insurance Portability and Accountability Act (HIPPA) IA W 45CFR 160 and 164, and the Joint Commission for Accreditation of Health Care Organizations (JCAHO). The contractor shall submit test results and documentation as identified throughout this SOW. The contractor shall make available a standard commercial quality control plan upon request by a government representative. Contractor tasks include/the following requirements:

•The contractor must conduct and provide results, at minimum, for the laboratory tests listed in Table 1 Laboratory Test List;
•The contractor must have the ability to receive electronic transmission of laboratory orders and the ability to transmit electronic results to U.S. NMRTC.
•The contractor must have a courier service with the ability to retrieve samples for testing as needed with base access.
•Contractor must have a reference laboratory. If its reference laboratory is off the island, then patient samples must have the ability to be transported from Guam daily or business daily to the off-island reference laboratory.
•Contractor couriers must be able to obtain base pass privileges for vendors.
•The contractor shall identify analytical criteria and detection limits for laboratory testing
•The contractor must be geographically located in Guam. (5 miles and/ or less than 10–15-minute drive to U.S. NMRTC Guam.
•The contractor must have a dedicated courier service.
•The contractor must provide a technical assistance center that shall be available by telephone during business hours.

1.4 LABORATORY ORDERS AND RESULTS

U.S. NMRTC Guam has implemented an Electronic Health Record, which also includes an electronic lab ordering module. The goal of U.S. NMRTC Guam is to work with the contractor to integrate multiple aspects of care, including ordering and viewing laboratory services and results within one cohesive user interface. The contractor shall provide the ability for laboratory ordering and viewing of results when needed for these integration initiatives. The contractor shall work cooperatively with U.S. NMRTC Guam to ensure availability to view results. The contractor shall have the ability to receive and send electronic lab orders and results. The contractor must also have the ability to electronically track lab results when sent but not received by U.S. NMRTC Guam.

· The contractor is expected to maintain a comprehensive list of available laboratory orders. The contractor shall have the ability to meet the technical requirements

· The contractor shall have the ability to process at minimum ninety percent (90%) of specimens inhouse; no more than ten percent (10%) of tests ordered may be sent out to be processed by a reference laboratory.

· The contractor shall be responsible for transporting all specimens collected from U.S. NMRTC Guam clients to the proper testing facility.

· All laboratory results shall be transmitted electronically to U.S. NMRTC Guam Laboratory Department in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) privacy rules.

· Laboratory tests will be completed and results provided to the U.S. NMRTC Guam electronically within the timeframes listed below:

Routine test results are to be returned to U.S. NMRTC Guam within the next business day.

· STAT order results are to be returned to U.S. NMRTC Guam electronically within four

(4) hours of result availability. The contractor shall submit the results electronically to the U.S. NMRTC Guam e-mail system and shall also have a procedure for contacting.

· Critical Lab Results shall be provided within sixty (60) minutes of obtained results and no later than within two (2) hours. The contractor shall submit the results electronically to the U.S. NMRTC Guam and the contractor shall also have a procedure for contacting the Lab by telephone, e-mail, or facsimile, in accordance with U.S. NMRTC Guam procedures, to notify the lab of electronically submitted results.

· The contractor shall assign a separate Unique Identifier Number for each clinic for the purpose of tracking utilization and transmission of laboratory results.

· U.S. NMRTC Guam laboratory leadership shall have access to obtain and/or view laboratory results ordered by any U.S. NMRTC Guam provider. In accordance with the requirements outlined in this SOW.

LIABILITY: The contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to, acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief of acts of God.

CONTRACTOR CHECK-IN/CHECK-OUT: The contractor or his representative is required to report to the clinical laboratory for Visitor Badges during the hours of 0800-1600 hours, Monday through Friday, prior to and upon completion of any service/repair performed.

1.4. Period of Performance (PoP).

Base - From: 19 October 2026 to 18 October 2027 Option 1 - From: 19 October 2027 to 18 October 2028 Option 2 - From: 19 October 2028 to 18 October 2029 Option 3 - From: 19 October 2029 to 18 October 2030 Option 4 - From: 19 October 2030 to 18 October 2031

1.4.1. Transition: Transition-in/transition-out period, not required if incumbent vendor. Otherwise, ninety (90) days if not incumbent vendor.

1.5. Administrative specifications.

Days/Hours of Operation:

•The contractor shall be accessible via telephone, e-mail, or fax during business hours (6:30 a.m. to 6:00 p.m., Monday through Friday) to all U.S. NMRTC Guam.
•The contractor's lab testing service shall be open at a minimum from Monday through Friday, from 7:00 a.m. until 6:00 p.m.

1.5.1. Place of performance: The work shall be performed at:

U.S. Naval Hospital Guam Laboratory Department Building #50 Farenholt Ave; room IT02 Agana Heights, Guam 96910

1.5.2. Recognized Federal holidays:

New Year’s DayLabor Day
Martin Luther King Jr.’s BirthdayColumbus Day
President’s DayVeteran’s Day
Memorial DayThanksgiving Day
Juneteenth DayChristmas Day

Independence Day

1.5.3. Emergency Services: on occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours.

1.6. Contractor travel. Contractor shall not be authorized for travel expenses.

1.7. Other Direct Costs (ODC). N/A.

2.0 Quality assurance (QA): The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.8 Laboratory Test Price List:

DLS TEST CODE
TEST NAME
PRICE
10107
Albumin
$10.35
10013
ABO & Rh
$14.24
10222
ALT
$10.35
10117
Alk. Phos
$11.28
10116
Amylase
$16.95
14
Antibody Screen and Antibody ID (ANTIBODY SCREEN)
$15.60
10220
AST
$12.27
10701
Acetaminophen
$94.18
10460
Ammonia
$107.32
14590
Beta Strep Genital Screen PCR (Group B Strep Prenatal Culture)
$14.94
10468P
BHCG, Quant (HCG QUANT)
$40.17
10123
Bili-T, Neonate
$11.28
10121
Bilirubin, Direct
$11.28
10123
Bilirubin, Total
$11.28
10907
BMP
$23.31
105774
BNP (NT PRO BNP)
$54.00
10128
BUN
$11.28
11600
CMP
$24.72
7123
C Difficile Toxin
$40.78
10130
Calcium
$11.28
717
Carbamazepine (TEGRETOL)
$39.48
10522
CBC
$16.05
10142
Cholesterol
$10.35
10151
CK MB
$37.62
10150
CPK
$15.51
10157
Creatinine
$11.28
10403
CRP
$12.72
10619
Culture, Blood
$24.42
10626
Culture, Urine
$19.68
581
D-dimer (QUANTITATIVE)
$35.31
10437
Digoxin
$30.06
10534
ESR
$8.91
10415
Ferritin
$36.66
10508
Fibrinogen
$41.01
14
Antibody Screen
$15.60
10018
DAT (Coombs Test, Direct)
$20.51
581
D-dimer
$35.31
G1AB
Antibody ID
$50.79
10624
Guam Miscellaneous Culture
$26.34
10616
Throat Culture
$17.88
10440
Dilantin
$27.72
Variable
Anatomic Pathology Services
Variable
62040
GBS PCR
$61.42
54470
Fetal Fibronectin (FFN)
$180.00
WILDGMH
Gentamicin
$107.04
10172
GGT
$15.06
10176
Glucose
$11.13
10159
Glucose tol 1 hr (50gm) (Post Prand., Pregnancy)
$11.13
10180
GTT 3 hr (75 or100 gm)
$25.35
10468P
Hcg Quant
$40.17
10520
Hemogram
$11.55
10536
Hematocrit
$4.20
14779
Hemoglobin A1c
$30.33
10189
HDL
$24.75
7760
HIV Screen
$60.00
54610
HSCRP
$18.90
16234
Influenza A & B
$179.96
10287
Iron/ Fe
$8.46
10276
Iron & IBC
$35.70
10194
LDH
$12.27
5449
LDL, Direct
$18.00
10219
Lipase
$16.95
10915
Lipid Screen
$47.16
10198
Lithium
$14.10
11601
Liver (HEPATIC PROFILE)
$22.59
10165
Lytes (ELECTROLYTES)
$20.67
10200
Magnesium
$13.17
10147
Microalbumin (URINE)
$30.18
10615
Gram Stain
$11.28
10450
HCG, Serum (QUALITATIVE)
$21.39
11800
Renal Panel
$24.00
434
Transferrin
$28.23
10694
Mono Screen
$12.27
101470
Microalbumin, Urine (w/ Creatinine)
$30.18
106150
Gram Stain
$11.28
10695
RPR
$8.13
10440
Phenytoin (DILANTIN)
$27.72
10441
Phenobarbital
$111.10
10208
Phosphorous
$10.35
10546
Platelet Count
$10.35
140
Chloride, Random Urine
$10.35
754
Potassium, Random Urine
$13.17
756
Sodium, Random Urine
$10.35
10167
Potassium
$11.13
10450
Preg, Qual (serum)
$21.39
10609
Preg, Qual (urine)
$21.39
10468P
Preg, Quant BHCG
$40.17
11603
Prenatal Panel
$95.24
7760
HIV
$60.00
314
Prolactin
$45.57
10218
Protein, TOTAL (SERUM)
$10.35
5207
Protein (RANDOM URINE)
$13.56
216
PROTEIN (24 HR URINE)
$13.56
10516
PTT
$13.26
GS5782R
Direct Grp-A Strep, Reflex Culture
$25.35
10556
Retic Count
$8.46
10120
Salicylate
$55.91
816
T3, Free
$48.87
438
Total T3
$48.87
5174
T 3 Uptake
$13.56
5531
T4, Total
$29.06
10366
T4, Free
$17.07
10228
Triglyceride
$10.35
10380
TSH
$35.88
10635
Urinalysis
$8.97
10230
Uric Acid
$10.35
10707
Valproic Acid
$49.44
Q340N
Vancomycin (No Time)
$49.44
107632
Troponin (T GEN 5)
$39.00
10636
UA DIP Only
$5.64
10637
UA/MICRO
$6.09
10626
Urine Culture
$19.68
10066
Cell Count, BF
$10.35
G176C
CSF Glucose
$11.13
H218C
CSF Total Protein
$10.35
100610
Crystal Analysis
$8.91
105870
Guam Org ID, Ur, Presump, 1 Isolate
$11.64
105880
Guam Org ID, Ur, Presump,2 Isolates
$23.28
105930
Guam Org ID, Ur, Presump,3 Isolates
$34.92
106220
Stool Culture
$24.42
106200
Guam CSF Culture & Gram Stain
$37.62
10626
Guam Urine Culture
$19.68
45203
Ident, Aerobic Isol, 1
$11.64
140460
Staph Sensi, Isolate 1
$29.16
140461
Staph Sensi, Isolate 2
$29.16
140462
Staph Sensi, Isolate 3
$29.16
140463
Staph Sensi, Isolate 4
$29.16
140480
Staph Sensi, Urine, Iso 1
$29.16
140481
Staph Sensi, Urine, Iso 2
$29.16
140482
Staph Sensi, Urine, Iso 3
$29.16
145203
Guam Aerobic ID, 1 Isolate
$11.64
145213
Guam Aerobic ID, 2 Isolates
$23.28
145223
Guam Aerobic ID, 3 Isolates
$34.92
145233
Guam Aerobic ID, 4 Isolates
$46.56
140450
Pseudomonas Sensi, Isolate 1
$29.16
140451
Pseudomonas Sensi, Isolate 2
$29.16
140452
Pseudomonas Sensi, Isolate 3
$29.16
140453
Pseudomonas Sensi, Isolate 4
$29.16
140470
Enterococcus Sensi, Isolate 1
$29.16
140471
Enterococcus Sensi, Isolate 2
$29.16
140472
Enterococcus Sensi, Isolate 3
$29.16
106670
Streptococcus Enterococcus 1
$29.16
106671
Streptococcus Enterococcus 2
$29.16
106672
Streptococcus Enterococcus 3
$29.16
140490
Gram Neg Rod Sensi, Iso 1
$29.16
140491
Gram Neg Rod Sensi, Iso 2
$29.16
140492
Gram Neg Rod Sensi, Iso 3
$29.16
140493
Gram Neg Rod Sensi, Iso 4
$29.16
621
Anaerobic Culture
$32.91
4535
Organism ID, Anaerobic
Variable
145900
Group B Strep Prenatal Culture
$14.94
1054930
Vaginitis Panel, DNA Direct Probe
$85.20
183
Chlamydia/GC PCR
$98.40
467
Anti-Nuclear Ab, IFA, Serum
$32.91
286
Insulin
$19.20
5105
Urine Protein/Urine Creat Ratio
$26.73
158
Creatinine, 24 Hr Urine
$13.17
10093
Lower Resp Tract Cult w/Gram Stain
$37.62
651
Acid Fast Smear and Culture
$51.30
6555
MTB/RIF Assay by Real-time PCR
$116.78
5210
Potassium, 24 Hr Urine
$12.39
5211
Sodium, 24 Hr Urine
$12.39
5209
Chloride, 24 Hr Urine
$12.39
6177
Urorisk Diagnostic Profile
$206.64
591
VDRL
$8.13
633
Total Protein, Body
$10.35
1603
Glucose, Body Fluid
$11.13
2480
Calcium, 24 Hr Urine
$13.17
3076
Oxalate, Quant., 24H
$29.16
3080
Vibrio Stool Culture
$12.21
3209
G6PD
$54.57
3270
Uric Acid, 24 Hr Urine
$13.56
3770
Catecholamines, Frac
$120.75
3920
EBV Panel
$116.28
4610
H. pylori Breath Tes
$227.40
4682
HCG, Quantitative, Tumor
$40.17
4706
Actin (Smooth Muscle
$41.40
4789
Histoplasma Antibody
$52.98
4860
EBV Antibody to VCA,
$30.69
5053
PSA,Diagnostic,w/ref
$21.00
5190
Anti-Scl-70
$45.00
5310
Magnesium, 24 Hr Urine
$16.38
5719
Estrogen, Total
$81.37
5856
Hemoglobinopathy Screen w/ Interp
$18.86
5880
Guam Org ID, Ur, Presump,2 Isolates
$23.28
6040
Cyclospora by Modified Acid Fast
$15.42
6390
Organism ID/Sensitiv
VARIABLE
6450
Fung. Cul. (Non-Hair /Nail/
$26.34
651
Acid Fast Smear and Culture
$51.31
7160
M. tuberculosis comp
VARIABLE
7771
Miscellaneous Reference Test
VARIABLE
8120
Phosphorus, 24 Hr Urine
$13.17
8240
Urea Nitrogen, 24 Hr Urine
$9.63
8338
Coccidioides Antibody (IgG)
$52.98
39072
Islet Cell Ab Scrn Rflx toTiter
$50.40
39419
Beta-2-Microglobulin, Urine
$24.00
41639
Aspergillus Ag, EIA, BAL
$166.99
41750
ID by MALDI, AFB
$72.06
43489
Hypersensitivity Pneumonitis Screen
$135.08
43819
Cystine, 24Hr Urine
$78.00
43968
Von Willebrand Panel
$223.82
45003
Ident, Mold Isolates
$12.30
45330
Organism I.D. - Fungal
VARIABLE
47178
Mycoplasma Culture, Genital
$91.20
47347
Clinical Substance Abuse Panel 10
$157.68
47846
Comprehensive Urine Drug Screen
$126.66
49818
Oligoclonal Bands, CSF
$66.06
49832
Cryptococcus Ag, CSF, Rflx Culture
$36.66
50280
Cholesterol, Body Fluid
$10.35
50290
Triglycerides, Body Fluid
$10.35
50333
Albumin, Body Fluid
$10.35
52919
Aspergillus Ag
$136.71
54288
Prothrombin (F2) Mutation Analysis
$65.56
54470
Fetal Fibronectin
$180.00
55009
Adenosine Deaminase, Pleural Fluid
$60.00
55319
T4, Total
$29.06
55519
Citric Acid, 24Hr Urine
$111.71
55820
Microbiology Susceptibility Panel 1
VARIABLE
55821
Microbiology Susceptibility Panel 2
VARIABLE
55830
MIC Panel Susceptibility
$30.29
55831
MIC Panel Susceptibility
$30.29
55943
M. tuberculosis 4 Drug Sensitivity
$79.08
56006
Stool GI Pathogen Panel, PCR
$183.55
56079
B. pertussis/parapertussis DNA
$345.72
56270
Cardiolipin Ab, IgA
$41.54
56290
Cardiolipin Ab, IgM
$41.54
57509
M. avium complex MIC
$158.93
57789
Electrolyte & Osmolality Pnl, Fecal
$106.71
58159
Amino Acid Analysis, LC/MS, Plasma
$338.38
58479
Neisseria gonorrhoeae TMA, Throat
$107.15
58899
Mumps RNA, Qual. Real Time PCR
$192.43
61889
StoneRisk Diagnostic Profile
$271.22
62320
Fungus Smear by Calcofluor White
$8.17
62330
Fungus Culture, Hair/Nail/Skin
$15.64
62350
Bacterial ID by 16S rRNA Seq
VARIABLE
62510
ID from Isolate Using 16S rRNA Seq
$198.26
62540
RSV by PCR, (Cepheid)
$84.24
64396
Respiratory Panel by FilmArray
$153.15
65550
MTB/RIF Assay by Real-time PCR
$116.78
66348
Leukemia / Lymphoma Panel, Tissue
VARIABLE
66998
Leukemia / Lymphoma Panel, CSF
VARIABLE
67030
Molds Allergen Panel, IgE
$110.75
67347
TOX-Clinical SAP 10 XO
$111.73
71733
Leukemia / Lymphoma Panel Profile
VARIABLE
77498
Aldosterone/Renin Ac
$164.36
78319
Fungitell, Serum
$110.00
79459
Thrombosis Panel
$362.28
80190
Covid,Flu AB, & RSV by PCR (Cepheid)
$171.16
80200
Covid, Flu AB by PCR (Cepheid)
$171.16
84716
Stool Culture, Campy Antigen, and Shiga Toxin
$139.25
G7179Q
SARS-CoV-2 (COVID-19) PCR, Cepheid
$63.00
100660
Body Fluid Profile
$10.35
100930
Lower Resp Tract Cult w/Gram Stain
$37.62
102200
SGOT (AST)
$12.27
102220
SGPT (ALT)
$10.35
105050
PSA, Total, Screen
$21.00
105260
Spinal Fluid Cell Count, w/Diff
$10.35
105340
Sedimentation Rate
$8.91
105580
Semen Analysis, Comp
$23.52
106210
Anaerobic Culture
$32.91
106520
UA, Complete, w/ Reflex to C&S
$8.97
Variable
Reference Lab Testing and other esoteric testing.
Variable

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