Pricing Sheet W912L722Q1400 Med Lab Test.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Medical Laboratory Service for TNARNG
- Solicitation number
- W912L722Q1400
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Other files
| File | Type | Posted |
|---|---|---|
| QA1for Solicitation W912L722Q1400.docx | DOCX document | |
| FAR Clause 52.204-24 template.pdf | ||
| Wage Determination2015-4647.pdf | ||
| Solicitation W912L722Q1400 Medical Lab Test Service.pdf | ||
| PWS W912L722Q1400 Medical Lab Test Service.pdf |
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Sheet1 Solicitation W912L722Q1400 Medical Laboratory Test Service for TNARNG
| COMPANY NAME | NAICS 621511 | Indicate Business Size | |||||||||||||
| CAGE CODE | |||||||||||||||
| DUNS NUMBER: | |||||||||||||||
| TAX ID NUMBER: | Vendor Signature | ||||||||||||||
| POC NAME: | |||||||||||||||
| POC E-MAIL ADDRESS: | |||||||||||||||
| POC PHONE NUMBER: | |||||||||||||||
| Item No. | Description of Laboratory Test | Quantity | Base Year | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | 6 Months Extension (OPTION) | |||||||
| Price per test | Extended Price | Price per test | Extended Price | Price per test | Extended Price | Price per test | Extended Price | Price per test | Extended Price | Quantity | Price per test | Extended Price | |||
| 1 | Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC) | 1,500 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 750 | $0.00 | ||||||
| 2 | Blood Group and Rh factor | 300 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 150 | $0.00 | ||||||
| 3 | Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides) | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 200 | $0.00 | ||||||
| 4 | Cholesterol, Total | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 5 | CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count) | 75 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 37.5 | $0.00 | ||||||
| 6 | Glucose | 150 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 75 | $0.00 | ||||||
| 7 | Prostate Specific Antigen, Total (PSA) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 8 | Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick) | 400 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 200 | $0.00 | ||||||
| 9 | Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed) | 100 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 50 | $0.00 | ||||||
| 10 | Sickle Cell Screen with Reflex | 100 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 50 | $0.00 | ||||||
| 11 | Measles Antibody (IGG) (Rubeola Antibody IgG) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 12 | Mumps Antibody (IGG) (Mumps Virus Antibody, IgG) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 13 | Rubella Antibody (IGG) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 14 | Hepatitis A Virus Antibody, Total (HAV Antibody, Total) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 15 | Hepatitis B Core Antibody, Total (HBc Antibody, Total) | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 25 | $0.00 | ||||||
| 16 | Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein) | 75 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 37.5 | $0.00 | ||||||
| 17 | Veracella IGG/Titer | 300 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 150 | $0.00 | ||||||
| 18 | Serum Alcohol screen | 100 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 50 | $0.00 | ||||||
| 19 | Pregnancy Test | 100 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 50 | $0.00 | ||||||
| Total | Base Yr | $0.00 | Option Yr 1 | $0.00 | Option Yr 2 | $0.00 | Option Yr 3 | $0.00 | Option Yr 4 | $0.00 | $0.00 | ||||
| Overall Total Price | $0.00 |
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