MODIFICATION
Q -- Medical Laboratory Sources Sought
- Notice Date
- 11/2/2006
- Notice Type
- Modification
- NAICS
- 621511
— Medical Laboratories
- Contracting Office
- Department of the Air Force, Air Force Reserve Command, 94 CONF/LGC, 1538 Atlantic Ave, Dobbins ARB, GA, 30069-4824, UNITED STATES
- ZIP Code
- 00000
- Solicitation Number
- Reference-Number-F5B0816236A100
- Response Due
- 11/17/2006
- Archive Date
- 12/2/2006
- Description
- PERFORMANCE WORK STATEMENT (Part 6) Dobbins ARB, GA 20 September 2006 6. APPLICABLE REGULATIONS, MANUALS, TECHNICAL BULLETINS, PAMPHLETS, AND SPECIFICATIONS. REGULATION NAME JCAHO Manual JCAHO Accreditation Manual for Hospitals CLIA Clinical Laboratory Improvement Amendments of 1988 DoD 5200.28-STD DoD Trusted Computer Evaluation Criteria ?Orange Book?. Title 29 CFR Occupational Safety and Health Standards (1990) Title 42 CFR, Part 72 Interstate Shipment of Etiologic Agents. College of American Pathologists Accreditation Manual Health Insurance Portability and Accountability Act GP2-A3 Clinical Laboratory Technical Procedure Manual LIST OF ATTACHMENTS TITLE PAGES A List of Types of Tests and Estimated Volume 1 B Privacy Act Requirements of 1979 1 C 42 CFR Part 72, Shipment of Etiological or Infectious Agents 8 D Supplies Needed for Specimens 1 Exhibit A ESTIMATED LABORATORY TESTS ORDERED AND PRICE LIST PRICE PRICE PRICE TEST DESCRIPTION CPT EST # TEST STANDARD UTA EMERGENCY CODE PER YEAR MON ? FRI WEEKEND ABO & RH 86906 240 $______ $____ $________ ALCOHOL, ETHYL (B) 82055 120 $______ $________ $________ G6PD (BLOOD 240 $______ ????? $__________ $________ SICKLE CELL (BLOOD) 85660 240 $_______ $__________ $_______ GLUCOSE 960 $_______ $__________ $_______ HEMAGRAM ? HEMATCRIT 960 $________ $________ $________ HEMAGRAM ? HEMOGLOBIN 85018 960 $________ $__________ $______ HEPATITIS PANEL (ABC) 36 $_______ $__________ $________ LIPID PANEL 80061 960 $___ ____ $____ _____ $_______ PSA 84153 36 $________ $____ _____ $___ _____ URINE PHENOL 82491 24 $_______ $____ _____ $__ _____ BLOOD LEAD 83655 24 $________ $_____ _____ $___ _____ CBC 24 $________ $_____ _____ $________ EXHIBIT B PRIVACY ACT STATEMENT POLICY THIS FORM IS NOT A CONSENT FORM TO RELEASE OR USE HEALTH C ARE INFORMATION PERTAINING TO YOU AUTHORITY FOR COLLECTION OF INFORMATION INCLUDING SOCIAL SECURITY NUMBER (SSN) Sections 133, 1071-87, 3012, 5031, and 8012, title 10, United States Code and Executive Order 9397. PRINCIPAL PURPOSES FOR WHICH INFORMATION IS INTENDED TO BE USED This form provides you the advice required by The Privacy Act of 1974. The personal information will facilitate and document your health care. The Social Security Number (SSN) of member or sponsor is required to identify and retrieve health care records. ROUTINE USES The primary use of this information is to provide, plan and coordinate health care. As prior to enactment of the Privacy Act, other possible uses are to: Aid in preventive health can communicable disease control programs and report medical conditions required by law to federal, state and local agencies; compile statistical data; conduct research; teach; determine suitability of persons for service or assignments; adjudicate claims and determine benefits; other lawful purposes, including law enforcement and litigation; conduct authorized investigations; evaluate care rendered; determine professional certification and hospital accreditation; provide physical qualifications of patients to agencies of federal, state, or local government upon request in the pursuit of their official duties. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OR NOT PROVIDING INFORMATION In the case of military personnel, the requested information is mandatory because of the need to document all active duty medical incidents in view of future rights and benefits. In the case of all other personnel/beneficiaries, the requested information is voluntary. If the requested information is not furnished, comprehensive health care may not be possible, but CARE WILL NOT BE DENIED. This all inclusive Privacy Act Statement will apply to all request for personal information made by health care treatment personnel or for medical/dental treatment purposes and will become a permanent part of health care record.
- Place of Performance
- Address: Dobbins ARB, GA
- Zip Code: 30069
- Country: UNITED STATES
- Zip Code: 30069
- Record
- SN01175186-W 20061104/061102220704 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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