2018 proﬁciency testing catalog - internal medicine proﬁciency testing catalog approved by: ......

2018Proficiency Testing Catalogwww.acponline.org/mle

Approved by: CMS, COLA, TJC, U.S. State Agencies and International regulatory bodies. CAP accepted analytes offered.

At a Glance

White Glove Customer ServiceEnjoy the best-in-class customer service experiencewith personalized care frommodule selection to submission.• Response to your callwithin two hours (duringstandard business hours)

•Help in choosing testmodules

• Verification of orderswithin one week

Enrollment/Renewalof Proficiency TestingEnroll early to ensure theavailability of specimens forthe 2018 program year.Once we process yourorder, you will be mailed anorder verification for your review and signature.

Online Order FormVisit www.acponline.org/mle. Click on the “Enrollment Information” link. Completethe appropriate electronicorder form to automaticallycalculate pricing, and you willreceive an order summarypage.

MLE PT Order FormDetach the order form onpage 20, complete it and faxit. (If submitting a purchaseorder, please fax.)

Making a PaymentEnrollments received by renewal form or order form will be invoiced within oneweek of activation. Auto Renewals will be invoiced in early October. Invoices are due within 30days. Payment options include credit card (Mastercard or Visa), purchase order, or check.Overdue accounts are subject to holds and/or cancellations.

Off-Schedule Proficiency TestingProvides laboratories with anoption for immediate, on-demand proficiency testing, a complement to theregular scheduled proficiency testing. For more details on this service,see page 16.

.

Contact Information p: 1-800-338-2746, option 5

(M-F, 9 a.m.-5p.m. ET)e: [email protected]: 202-835-0440w: www.acponline.org/mle

1Medical Laboratory Evaluation 2018 www.acponline.org/mle

2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10

How to Order

2 Ordering Instructions

Module Descriptions & Test Index

3 Hematology

4 Coagulation

5 Blood Bank

5 Provider-Performed Microscopy (PPM)

6 Urinalysis & Occult Blood

7 Waived Testing Packages

7 Microbiology

10 Immunology

11 Chemistry

17-18 Test Index

Other Products & Services

16 Supplies & Publications

16 “E-Notification” of Waived Devices

and Recalls

16 Continuing Education

16 Off-Schedule Testing

Ordering and Discounts

19 Price List

20 Proficiency Testing Order Form

See Inside Back Cover for MLE Discount OFFERS

Table of Contents

Save Money! Price Matching forUnmatched Service

Found a lower price? We’ll match it! Complete the MLE Price Match Request Form online, listing only the tests you actually perform. If our prices aren’t the lowest, we’ll match our competitor’squote for the same total test menu coverage.


2 www.acponline.org/mle Medical Laboratory Evaluation 2018

How To Order• Online: www.acponline.org/mle

• Fax the completed order form on page 20 (w/ PO if applicable) to: 1-202-835-0440

For ordering assistance or price matching options,please contact MLE at 1-800-338-2746; option 5 or emailto [email protected]

Next Steps• Order Verification: MLE will process your order and send you an Order Verification within one week for your review. Contact MLE for any corrections.

• Invoice: Your invoice will follow within two weeks. Invoices may be paid by check, VISA or

` Mastercard. Billing terms are net 30 days.Tax ID: 23-1520302DUNS NO: 071625974

Overdue accounts are subject to holds and/or cancellations.

Additional OrderingInformation • When to order: Order early to guarantee product availability. To guarantee complete order, enroll by December 8, 2017. You may enroll anytime during the year at a pro-rated cost depending on the availability of specimens.

• Automatic Renewal: Activate Automatic Renewal to ensure uninterrupted yearly enrollment. Prior to the next program year, you will receive an Order Verification for review in late summer and your annual invoice in October. You may make any changes at this time.

• Non-Continental U.S. Orders: An additional $25 fee will be added per shipment ($75 annually). Alaska and Hawaii excluded.

Order Changes andCancellations All order changes/cancellations/additions must be madein writing. To avoid additional costs, MLE must be notified at least 4 weeks prior to the affected shipmentdate.

• Module additions: Modules may be added throughout the year depending on availability at least 4 weeks prior to the next shipment at no additional cost. After that time, an additional shipping fee will apply.

• Module cancellations: Modules may be cancelled throughout the year. Cancellation requests received within 4 weeks of the next shipment will be prorated. After that time, we will only be able to cancel any remaining shipments and you will be financially responsible for uncancelled shipment.

• Analyte cancellation: To cancel an analyte(s), submit a Test Menu Deletion Form available on the MLE web site.

• Entire order cancellation: Order cancellations may be made at any time. Written cancellations must be received within 4 weeks prior to the next shipment to receive a refund for that and subsequent shipments, if applicable. The annual administration fee is non-refundable.

• Automatic Renewal order cancellation: Written notification must be received no later than December 8, 2017 to avoid any charges for the upcoming year.

Failure to return the Order Verification form and/or not paying your invoice are NOT indications of cancellation. Notification must be submitted in writing.



◆ Not CAP accepted

Hematology

Please pay close attention to instrument compatibility notes when selecting hematologymodules. Questions? Contact MLE CustomerService. See the “Hematology Instrument List”online at www.acponline.org/mle in theEnrollment Information & Forms section.

210 Hematology Module ...............................$249

Five challenges each.Blood Cell Identification Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell

Count

211 Basic Hematology....................................$237

Five challenges each.Hematocrit Red Blood Cell CountHemoglobin White Blood Cell CountPlatelet Count

212 Hemoglobin/Hematocrit ........................$213

Five challenges each.

213 Hemoglobin/Hematocrit—Waived ........$156For waived methods only.

Two challenges each.

215 Hemoglobin/Glucose..............................$180For HemoCue only.

Two challenges each.

223 Hematology with 5-part Differential ....$339Compatible with most Abbott CELL-DYN 5-part differential instruments only.

Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell

Count

224 Sysmex with 3-part Differential.............$300Compatible with Sysmex 3-part automated differential instruments only.


Count

225 Hematology with 3-part Differential ....$291Compatible with most 3-part differential instruments EXCEPT Sysmex (see 224).


Count

226 Hematology with 5-part Differential ....$339Compatible with most Beckman–Coulter 5-part differential instruments EXCEPT for the AcT 5diff(see 228).


Count

228 Hematology with 5-part Differential ....$339Compatible with Beckman Coulter AcT 5diff andABX Pentra 5-part differential instruments.


Count

229 Sysmex Hematology with 5 or 6-part Differential ................................................$339

Compatible with most Sysmex 5 or 6 part differential instruments only.

Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell◆ Immature CountGranulocytes




230 Blood Cell Identification (Add-On) .........$39Same as 231.Only available with 223 through 229.

231 Blood Cell Identification.........................$114Stand-alone module.

Five challenges consisting of color photographs.

240 Reticulocyte Count ..................................$219Compatible with automated and manual reticulocyte counting methods. Not for use with brilliant cresyl blue staining methods.

Two challenges.

247 Sedimentation Rate.................................$177Not for use with Sedimat 15 / 15 Plus

Two challenges.*Sedimentation Rate is not required by CAP.

248 Sedimat 15 ESR........................................$177Compatible with the Polymedco Sedimat 15 / 15Plus instruments only.

Two challenges.*Sedimentation Rate is not required by CAP.

250 ◆ Fluid Cell Count/Crystals ....................$195Fluid for Hemocytometer cell count and color photographs for identification of crystals.

Two challenges each.Crystal Screening WBC CountRBC Count

Coagulation320 ◆ Coagulation Module............................$201

Requires 1-mL pipette (see item 121 on page 16).

Five challenges each.Fibrinogen INRPartial Thromboplastin TimeProthrombin Time

321 ◆ Prothrombin Time . . . . . . . . . . . . . .$189Requires 1-mL pipette (see item 121 on page 16).

Five challenges each.INR Prothrombin Time

324 Roche CoaguChek XS INR . . . . . . . . . . $186Not for use with CoaguChek XS Plus.

Two challenges.INR*Waived INR is not required by CAP.

328 i-STAT Prothrombin Time .......................$339Compatible with the i-STAT instruments only.


330 CoaguChek XS Plus Prothrombin Time ...........................................................$291

For CoaguChek XS Plus only.


331 CoaguChek XS Plus Prothrombin Time—Waived ...........................................$186

For CoaguChek XS Plus only.

Two challenges each.INR Prothrombin Time *Waived PT and INR are not required by CAP.




Blood Bank450 Rh Factor (D Type) ...................................$246

For Slide Methods ONLY.

Five challenges.

451 ABO & Rh Factor (D Type) .....................$297Not for use with slide methods.


452 Blood Bank 1 ............................................$402Not for use with slide methods.

Five challenges each.ABO Group Rh Factor (D Type)Unexpected Antibody Detection

453 Blood Bank 2 ............................................$432Not for use with slide methods.

Five challenges each.ABO Group ◆ Antibody IdentificationCompatibility Testing (Crossmatch)Rh Factor (D Type) Unexpected Antibody Detection

Provider-PerformedMicroscopy534 Provider-Performed Microscopy (PPM) .......................................................$126

Color photographs depicting microscopic fields for the examination of:

Fecal Leukocytes (M2,M3)Fern testing (M1,M3)Nasal Eosinophils (M1,M2,M3)Pinworms (M1,M2)Scabies (M1,M2)*Sperm (M2,M3)Vaginal KOH Preparations (M1,M3)Vaginal Wet Mount Preparations (M1,M2,M3)

Six challenges total per shipment as indicated in parentheses above.*Scabies examination is not required by CAP.

535 Provider-Performed Microscopy (PPM) Add-On ........................................................$39

Same as 534. Only available with 530, 531, 532, 541.

538 KOH Slides................................................$165Two fixed glass slides for determining the presence or absence of fungal elements in skin scrapings.

Two challenges.



Urinalysis & Occult Blood530 Urinalysis Module ....................................$111

One challenge each unless otherwise noted in parentheses.

Bilirubin Nitrite Blood/Hemoglobin pH Glucose Protein Ketones Specific GravityLeukocyte Esterase UrobilinogenMicroalbumin Urine Sediment (dipstick only) Identification (2)

531 Urinalysis Dipstick ......................................$87hCG not included.

One challenge each.

Bilirubin Nitrite Blood/Hemoglobin pH Glucose Protein Ketones Specific GravityLeukocyte Esterase UrobilinogenMicroalbumin (dipstick only)

532 Urine Sediment Identification................$117

Two challenges consisting of photographs.

533 Urine Sediment Identification (Add-On)......................................................$30

Same as 532. Only available with 531, 534, 541.

536 Urine Microalbumin/Creatinine (Add-On)......................................................$90 Same as 539. Only available with 530, 531, 541, 868, 872.

539 Urine Microalbumin/Creatinine.............$117Stand-alone module.Compatible with quantitative and semi-quantitative (dipstick) methods.

One challenge each.

540 Urine hCG (Add-On) ..................................$27Same as 541.Only available with 530, 531.

541 Urine hCG....................................................$87Stand-alone module.

One challenge.

537 Fecal Occult Blood (Add-On)...................$84Same as 542.Only available with 530, 531, 532, 534, 541.

*Fecal occult blood testing is not required by CAP.

542 Fecal Occult Blood ..................................$111Stand-alone module.

Two challenges.*Fecal occult blood testing is not required by CAP.

543 ◆ Gastric Occult Blood............................$177

Two challenges.Gastric Occult Blood pH


NEW!



Waived TestingPackagesWaived Testing—The Importance ofPerforming Proficiency Testing

Certificate of Waiver (CW) laboratories must only perform waived laboratory tests. When the Centers for Medicare & Medicaid Services (CMS) began random inspections of some CW laboratories in2002, many laboratories chose to participate in proficiency testing as a quality assurance check. MLEresponded by preparing special two-challenge proficiency modules, designed for the needs of thewaived testing laboratory. Our custom selection of costeffective waived modules appears below.

901 Waived and PPM Package .....................$288

Number of challenges noted in parentheses.

Fecal Occult Blood* (2) Urine hCG (1)Hemoglobin (2) Urine Sediment (2)Hematocrit (2) Strep A Antigen (2)PPM (6) ** Whole Blood Glucose Urinalysis (1) (2)***

*Fecal occult blood testing is not required by CAP.**Scabies examination is not required by CAP.***Strip waived Whole Blood Glucose is not required by CAP.

902 Basic Waived and PPM Package...........$249

Number of challenges noted in parentheses.

Fecal Occult Blood* (2) Urinalysis (1)PPM (6)** Urine hCG (1)Strep A Antigen Urine Sediment (2)Detection (2) Whole Blood Glucose

(2)*** *Fecal occult blood testing is not required by CAP. **Scabies examination is not required by CAP.***Strip waived Whole Blood Glucose is not required by CAP.

Microbiology

Bacteriology

630 Bacteriology 1 ..........................................$321Six cultures per shipment consisting ofthe following:Antimicrobial Susceptibility Testing (1)Genital Culture (1)Gram Stain (2)Gram Stain Morphology (2)Miscellaneous Culture (3) *Throat Culture (1)Urine Culture (1)

*Possible sources include: Blood, CSF, Ear, Eye,Sputum, Stool, Wound.

640 Bacteriology 2 ..........................................$303Antimicrobial Susceptibility Testing (1)Genital Culture (1)Gram Stain (2)Gram Stain Morphology (2)Strep A Antigen Detection (1)Throat Culture (2) Urine Culture (2)


• Federal law requires a minimum of fiveCMS regulated (non-waived methods) bacteriology challenges per shipment.Individual state laws may differ. Whenenrolling, ensure your order meets therequirement that is the more stringent of thetwo. The number of challenges is noted inparentheses.

• All urine culture specimens are suitable for presumptive identification and/or definitiveidentification.

Note: The specimens included may containdangerous pathogens and must be treatedwith extreme care. These specimens must be handled and disposed of only by personneltrained to work with pathogenic microorganisms.




643 Urine Culture ............................................$294Antimicrobial Susceptibility Testing (1)Gram Stain (1)Gram Stain Morphology (1)Urine Culture (5)

644 Urine Culture/Strep A Antigen Detection...................................................$285

Antimicrobial Susceptibility Testing (1)Gram Stain (1) Gram Stain Morphology (1)Strep A Antigen Detection (3)Urine Culture (2)

645 Urine/Throat Culture ...............................$297Antimicrobial Susceptibility Testing (1)Gram Stain (1)Gram Stain Morphology (1) Throat Culture (2)Urine Culture (3)

647 Urine Presumptive ID/Colony Count .........................................................$333

Best suited for paddle-dipping methods.

Antimicrobial Susceptibility Testing (1)Colony Count (2)Gram Stain (1) Gram Stain Morphology (1)Urine Presumptive Identification (5)

648 Colony Count............................................$210Colony Count does not contribute to the minimum of five bacteriology challenges.

No presumptive identification may be submittedfor this module.

Two challenges.

649 Urine Presumptive ID/Strep A Antigen Detection...................................................$315

Best suited for urine paddle-dipping methods.

Antimicrobial Susceptibility Testing (1)Colony Count (2)Gram Stain (1) (directly from sample provided)Gram Stain Morphology (1)Urine Presumptive Identification (2) Strep A Antigen Detection (5)

652 Urine Presumptive ID/Throat Culture .......................................................$333

Best suited for urine paddle-dipping methods.

Antimicrobial Susceptibility Testing (1)Colony Count (2)Gram Stain (1) (directly from sample provided)Gram Stain Morphology (1)Urine Presumptive Identification (2) Throat Culture (3)

650 Gram Stain ................................................$186Five fixed glass slides.

Five challenges each.Gram Stain Gram Stain Morphology

641 Throat Culture ..........................................$294Not suitable for Strep A kits.

Five challenges.

642 Throat Culture/Strep A Antigen Detection...................................................$285

Strep A Antigen Detection (3)Throat Culture (2)

660 Strep A Antigen Detection .....................$186Not suitable for culture.

Five challenges.

662 Strep A Antigen Detection—Waived .....$120For waived Strep A Antigen Detection kits only.

Two challenges.

646 Genital Culture .........................................$294Gram Stain (1)Gram Stain Morphology (1)Genital Culture (5)

653 Genital/Urine Culture .............................$297Antimicrobial Susceptibility Testing (1)Genital Culture (3)Gram Stain (2)Gram Stain Morphology (2)Urine Culture (2)




668 Affirm VP III (DNA)...................................$399

Five challenges each.Candida sp. Trichomonas vaginalisGardnerella vaginalis

692 ◆ Bacterial Vaginosis—Waived...............$186For Sekisui OSOM BVBlue Test

Two challenges. Bacterial Vaginosis Screen

670 Chlamydia (EIA, DNA).............................$327

Five challenges.

675 Chlamydia/GC (EIA, DNA) .....................$354

Five challenges each.Chlamydia trachomatis Neisseria gonorrhoeae

673 Chlamydia (EIA, DNA)—Add-On............$153Same as 670. Only available with 630 through647, 649, 650, 652, 660.

Two challenges.

693 ◆ Trichomonas vaginalis—Waived ........$186For Sekisui OSOM Trichomonas Rapid Test

Two challenges. Trichomonas vaginalis

682 C. difficile/Rotavirus Antigen Detection...................................................$264

Five challenges each.C. difficile Rotavirus

686 Legionella Antigen Detection................$237For use with Binax NOW Legionella Urinary Antigen Detection kits only.

Five challenges.

687 Streptococcus pneumoniae Antigen Detection...................................................$243

For use with Binax NOW Streptococcus pneumoniae Urinary Antigen Detection kit only.

Five challenges.

695 MRSA Screening ......................................$267Screening for the presence or absence of methicillin- resistant Staphylococcus aureus only.

Five challenges.

Mycology

678 ◆ Dermatophyte Culture.........................$249

Five challenges.

538 KOH Slides................................................$165Two fixed glass slides for determining the presence or absence of fungal elements inskin scrapings.

Two challenges.

Parasitology

683 ◆ Giardia lamblia/Cryptosporidium Antigen Detection...................................................$315

Five challenges each.Cryptosporidium Giardia lamblia

690 Parasitology..............................................$291Provides five challenges from among the following: PVA Slide (for permanent stain), Fecal Suspension (direct wet mount examination for ova and parasites), Blood Smear for Parasites.

Virology

680 Respiratory Antigen Detection— Waived ......................................................$198

Two challenges each.Influenza A Influenza B Influenza A/B Combo RSV

681 Respiratory Antigen Detection ..............$300

Five challenges each.Influenza A Influenza BInfluenza A/B Combo RSV

NEW!

NEW!




Immunology750 Immunology Module...............................$297

Five challenges each.◆ Anti-Streptolysin O (ASO)Infectious Mononucleosis Rheumatoid Factor

751 Rheumatology Module ...........................$201Number of challenges noted in parentheses.

C-Reactive Protein (2) (Not for high-sensitivity methods)Rheumatoid Factor (5)

755 Infectious Mononucleosis—Waived.......$120For waived Infectious Mononucleosis kits only.

Two challenges.

762 Infectious Mononucleosis ......................$195

Five challenges.

761 Infectious Mononucleosis/Rheumatoid Factor.........................................................$264


763 Rheumatoid Factor ..................................$189 For IgG methods only.

Five challenges.

764 C-Reactive Protein (CRP) ........................$114Not for high-sensitivity methods.

Two challenges.

776 C-Reactive Protein (CRP)—Add-On..........$60Not for high-sensitivity methods.Only available with 750.

765 High-Sensitivity C-Reactive Protein (HS-CRP)...................................................$123

Two challenges.

777 High-Sensitivity C-Reactive Protein (HS-CRP)—Add-On......................................$66

Only available with 750 and 751.

Two challenges.

767 Antinuclear Antibody (ANA) ..................$198

Five challenges.

779 Antinuclear Antibody (ANA)-Add-On...$129Same as 767. Only available with 751.

782 ANA Expanded ........................................$261

Five challenges each.ANA ◆ Anti-SSA◆ Anti-dsDNA ◆ Anti-SSA/SSB ◆ Anti-RNP ◆ Anti-SSB◆ Anti-RNP/Sm ◆ Anti-Sm

783 ANA Expanded (Add-On) ......................$192Same as 782. Only available with 750 and 751.

784 ◆ Complement/Immunoglobulins .........$222

Five challenges each.Complement C3 IgG, TotalComplement C4 IgM, TotalIgA, Total

771 Rubella.......................................................$183For lgG methods only.

Five challenges.

772 Syphilis Serology .....................................$207

Five challenges each.◆ MHA-TP RPR◆ TPA ◆ VDRL




770 ◆ Specific Allergen Testing ....................$336Number of challenges noted in parentheses.Includes 2 sets of samples for large volume requirements.Does not include Total IgE.

Allergen Specific IgE (14)

740 ◆ Additional Specific Allergen Material $78Includes 1 additional set of samples for large volume requirements.Only available with 773.

Allergen Specific IgE (14)

773 ◆ Diagnostic Allergy................................$336Number of challenges noted in parentheses.

Allergen Specific IgE (14)Total IgE (5)

775 Viral Markers ............................................$465

Five challenges each.◆ Anti-HAV (IgM) Anti-HCV◆ Anti-HAV (Total/IgG) Anti-HIV◆ Anti-HBc (IgM) ◆ HBeAg◆ Anti-HBc (Total/IgG) HBsAgAnti-HBs

780 H. pylori Antibody Detection.................$162

Two challenges.

781 ◆ Mycoplasma Antibody.........................$144For IgG methods only.

Two challenges.

790 Anti-HIV—Waived .....................................$168For waived HIV kits only.

Two challenges.

791 Anti-HIV .....................................................$300

Five challenges.

ChemistryPlease pay close attention to instrument compatibility notes when selecting any of thechemistry modules.

If you need any assistance, call MLE CustomerService at 1-800-338-2746, option 5, or e-mailus at [email protected].

811 Lipid Panel/Glucose - Waived ...............$174For waived testing ONLY.

Two challenges each.Cholesterol, LDL - Calculated*Cholesterol, HDLCholesterol, Total Glucose Triglyceride*Not required by CAP.

812 Piccolo Waived Chemistry......................$219For the Abaxis Piccolo Instrument (waived cartridges ONLY).

Two challenges each.Albumin Creatine Kinase (CK)Alkaline Phosphatase CreatinineALT (SGPT) GGTAmylase GlucoseAST (SGOT) PhosphorusBilirubin, Total PotassiumCalcium Protein, TotalChloride SodiumCholesterol, HDL TriglycerideCholesterol, LDL-Calc* Urea NitrogenCholesterol, Total Uric AcidCO2*Not required by CAP.

833 Piccolo Waived Chemistry (Add-On) ......$75Same as 812. Only available with 824.




817 i-STAT Chemistry 1 ..................................$345

Five challenges each.Calcium, Ionized pCO2Chloride pHCreatinine pO2Glucose PotassiumHematocrit SodiumHemoglobin tCO2 * ◆Lactate Urea Nitrogen

*Not required by CAP.

818 i-STAT Chemistry 2 ..................................$246

Five challenges each.Calcium, Ionized HemoglobinChloride PotassiumCreatinine SodiumGlucose tCO2 *Hematocrit Urea Nitrogen


832 i-STAT Chemistry—Waived......................$174

Two challenges each.Calcium, Ionized HemoglobinChloride PotassiumCreatinine SodiumGlucose tCO2 *Hematocrit Urea Nitrogen


847 Blood Gases..............................................$297Compatible with the i-STAT analyzer as well as other blood gas instruments.

Five challenges each.◆ Chloride pH◆ Calcium, Ionized pO2◆ Lactate ◆ PotassiumpCO2 ◆ Sodium

810 Chemistry Module ...................................$354

Five challenges each.Albumin Glucose Alkaline Phosphatase Iron ◆ Alpha-fetoprotein ◆ Lactate (Lactic Acid)ALT (SGPT) LDH Amylase LipaseAST (SGOT) MagnesiumBilirubin, Direct Phosphorus Bilirubin, Total Potassium Calcium Protein, Total Chloride Sodium Cholesterol, HDL T3 Uptake Cholesterol, LDL - Calc* Thyroxine (T4)Cholesterol, LDL – Direct TIBC - Calc* Cholesterol, Total TIBC - Direct CO2 Triglyceride Cortisol Triiodothyronine (T3) Creatine Kinase (CK) TSHCreatinine UIBC - Direct Free T3 Urea Nitrogen Free Thyroxine (T4) Uric Acid GGT


814 Basic Metabolic Panel .............................$222

Five challenges each.Calcium GlucoseChloride PotassiumCO2 SodiumCreatinine Urea Nitrogen

813 Comprehensive Metabolic Panel ..........$288

Five challenges each.Albumin ◆ Lactate (Lactic Acid)Alkaline Phosphatase Magnesium ALT (SGPT) PhosphorusAST (SGOT) Potassium Bilirubin, Direct Protein, Total Bilirubin, Total Sodium Calcium TIBC - Calc* Chloride TIBC - Direct CO2 UIBC - Direct Creatinine Urea NitrogenGlucose Uric Acid Iron





815 Hepatic Profile..........................................$216

Five challenges each.Albumin Bilirubin, DirectAlkaline Phosphatase Bilirubin, TotalALT (SGPT) Protein, TotalAST (SGOT)

816 Hepatic Profile (Add-On) ..........................$48Same as 815. Only available with 814, 819-821, 824, 826, 828, 830, 834.

819 Chemistry 1...............................................$195

Five challenges each.Cholesterol, Total Potassium Glucose Urea Nitrogen

820 Chemistry 2...............................................$234

Five challenges each.Bilirubin, Total GlucoseChloride PotassiumCholesterol, Total SodiumCO2 Urea NitrogenCreatinine Uric Acid

821 Chemistry 3...............................................$264

Five challenges each.Bilirubin, Total CreatinineChloride GlucoseCholesterol, HDL PotassiumCholesterol, LDL - Calc* SodiumCholesterol, LDL - Direct TriglycerideCholesterol, Total Urea NitrogenCO2 Uric Acid*Not required by CAP.

834 Additional Chemistries ...........................$222Stand alone module.

Five challenges each.Albumin Protein, Total Calcium TIBC - Calc*Iron TIBC - Direct◆ Lactate (Lactic Acid) UIBC - DirectMagnesium Uric AcidPhosphorus


822 Additional Chemistries (Add-On)............$48Same as 834. Only available with 814, 815, 819-821, 824, 826, 828, 830.

828 Enzyme Chemistry - Ship Alone ............$222

Five challenges each.Alkaline Phosphatase Creatine Kinase (CK)ALT (SGPT) GGTAmylase LDHAST (SGOT) Lipase

823 Enzyme Chemistry (Add-On) ...................$48Same as 828. Only available with 813-815, 819–821, 824, 826, 830, 834.

824 Thyroid Profile..........................................$243

Five challenges each.◆ Alpha-fetoprotein Thyroxine (T4)Cortisol Thyroxine (T4), FreeT3, Free Triiodothyronine (T3)T3 Uptake TSH

825 Thyroid Profile (Add-On) ..........................$54Same as 824. Only available with 813–815, 819–821, 826, 828, 830, 834.

826 Lipid Profile...............................................$231

Five challenges each.Cholesterol, HDLCholesterol, LDL - Calc*Cholesterol, LDL - DirectCholesterol, Total Triglyceride*Not required by CAP.

827 Lipid Profile (Add-On) ...............................$48Same as 826. Only available with 813-815, 819, 824, 828, 830, 834.

829 ◆ Apolipoproteins....................................$135

Two challenges each.Apolipoprotein A1 Apolipoprotein B



830 Therapeutic Drug Monitoring................$228

Five challenges each.◆ Acetaminophen Phenytoin◆ Carbamazepine ◆ SalicylateDigoxin ◆ Theophylline◆ Gentamicin ◆ Valproic Acid◆ Lithium ◆ Vancomycin◆ Phenobarbital

831 Therapeutic Drug Monitoring (Add-On)......................................................$60

Same as 830. Only available with 810, 813–815, 819–821, 824, 826, 828, 834.

835 ◆ Serum Alcohol/Acetone ......................$231


836 ◆ Ammonia ...............................................$165

Two challenges.

837 ◆ Blood Lead ............................................$336


838 ◆ Blood Lead—Waived ............................$201

Two challenges.

841 Neonatal Bilirubin....................................$225

Five challenges each.Bilirubin, Direct Bilirubin, Total

842 Direct Bilirubin (Add-On)..........................$39Same as 843.Only available with 814, 819–821, 824, 826, 828.

843 Direct Bilirubin .........................................$153


845 Cardiac Markers .......................................$303

Five challenges each. Quantitative only.BNP ◆ NT-proBNPCK-MB Troponin I D-Dimer ◆ Troponin T Myoglobin

846 BNP/D-Dimer............................................$219

Two challenges each.BNP * ◆ NT-proBNPD-Dimer *CAP accepted for waived methods only.

850 Glycohemoglobin ....................................$192Not compatible with Afinion analyzer. CAP accepted for waived methods only.

Two challenges.

851 Afinion Glycohemoglobin ......................$204

Two challenges.

854 ◆ SHBG/Testosterone ............................$324Lyophilized samples.

Two challenges each.Sex Hormone Binding GlobulinTestosteroneTestosterone, Bioavailable Testosterone, Free

859 PSA (Add-On) .............................................$63Same as 861. Only available with 860.

860 Endocrinology/Hematology/ Oncology...................................................$228

Two challenges each.CEA LH◆ DHEA-S ProgesteroneEstradiol ProlactinFerritin TestosteroneFolate ◆ TransferrinFSH Vitamin B12Homocysteine

861 PSA.............................................................$138

Two challenges.

865 Serum hCG................................................$180


866 Serum hCG (Add-On) ................................$93Same as 865. Only available with 810, 813, 814, 815, 817-821, 824, 826, 828, 834.




862 Tumor Markers .........................................$381

Two challenges each.◆ Beta (ß)-2 Microglobulin CEACA 125 PSACA 15-3 PSA, Free◆ CA 19-9 ◆ ThyroglobulinCA 27/29

863 Endocrinology 2.......................................$198Lyophilized samples.

Two challenges each.◆ C-Peptide ◆ InsulinParathyroid Hormone, Intact (PTH)◆ Vitamin D, 25-Hydroxy

864 ◆ Thyroid Antibodies ..............................$243

Two challenges each.Thyroglobulin Antibody Thyroid Peroxidase Antibody (TPO)

870 Whole Blood Glucose .............................$255

Five challenges.*Strip waived Whole Blood Glucose is not required by CAP.

871 Whole Blood Glucose—Waived .............$159

Two challenges.*Strip waived Whole Blood Glucose is not required by CAP.

880 Additional Chemistry Testing Material .....................................................$114

Includes all analytes in Chemistry Module 810 and Therapeutic Drug Monitoring Module 830. It is the same material used in those modules and will be shipped to your laboratory at the same time as your regular Chemistry samples. You can use it as:• Extra PT material in case you have a problemand need extra testing material.

• A way to double-check unacceptable PT resultsafter corrective action.

• An educational tool to train personnel.• A means to meet the CMS quality assurancerequirements for a second chemistry instrument.

872 ◆ Urine Chemistry ....................................$228

Two challenges each.Amylase PhosphorusCalcium PotassiumChloride Protein, TotalCreatinine SodiumGlucose Urea NitrogenMagnesium Uric AcidOsmolality

868 Urine Drug Screen ...................................$216

Two challenges - 10 ml each.For the qualitative detection of drugs in urine. Each challenge will include one or more of the following:

Acetaminophen MDMAAmphetamines ◆ Meperidine◆ Amphetamines/ MethadoneMethamphetamines MethamphetaminesBarbiturates ◆ MethanolBenzodiazepines ◆ MethaqualoneBuprenorphine ◆ 6-MonoacetylmorphineCannabinoids (THC) Opiates (Morphine◆ Carisoprodol Trihydrate)Cocaine Metabolites Oxycodone◆ Cotinine Phencyclidine◆ EDDP PropoxypheneEthanol (Alcohol) ◆ Tramadol◆ Fentanyl Tricyclic Antidepressants◆ Hydrocodone ◆ Zolpidem◆ LSD

873 ◆ Ethyl Glucuronide (EtG) (Add-On) .......$75

Only available with 868.

Two challenges.

874 ◆ Adulterated Urine (Add-On) .................$90Only available with 868.Compatible with quantitative and semi-quantitative (dipstick) methods.

Two challenges each.Creatinine NitriteOxidants Specific GravitypH


NEW!

NEW!



Supplies 121 Pipette—1mL................................................$25

For use with 320 and 321. Reusable Class A volumetric pipette required for reconstitution of lyophilized proficiency testing specimens.

126 Pipette Pump ..............................................$45For use with product 121 above.

E-notification ServiceA value-added service to enhance the quality andsafety of patient care. The e-mail notification servicewill provide Class I and Class II recall information andfield corrections pertaining to waived test devices.

Class I recalls are those that have a “probablerisk of harm or death” to a patient if the itemsremain in use. Class II recalls have a “significantrisk of harm” to a patient if they remain in use.

In addition to the recall e-notification service, MLE provides:• Notification of changes or additions to the CMS list of waived laboratory tests.

• A wide array of cost-saving Waived Testing Modules for continued quality assurance at a lower cost.

• A reminder prompt for notifications involving Microbiology tests, to ensure regulatory compliancefor any remaining non-waived analytes.

To receive “E-Notify on Waived Tests” and the “Recallsand Field Corrections: Devices—Class I and Class II”report, send an e-mail to [email protected] andrequest to be added to the recipient list. In the e-mailrequest, be sure to include your MLE ID number.

Continuing EducationMLE CEexpress .................................................FREE

MLE offers continuing education through COLA’sLabUniversity®. MLE CEexpress courses are providedfree of charge to MLE participants. Discounts availableon COLA courses. Call MLE at 1-800-338-2746,option 5 or e-mail us at [email protected] to learnmore.

Publications142 National Intelligence Report Subscription..............................................$228

Bi-weekly newsletter covering government policy for diagnostic testing and related medicalservices.

Off-ScheduleProficiency TestingStarts at ...............................................................$200Off-schedule proficiency testing (PT) provides laboratories with immediate, on-demand, customizedproficiency testing for reinstatement or remedial purposes; a complement to the regularly scheduledPT program.

Who Needs Off-Schedule Testing?• Laboratories with unsuccessful performance (scoreof less than 80%) for two out of three regular testingevents may be required to perform off-schedule PTto lift a “cease-testing” order from their regulatory oraccrediting agency. In these cases, two acceptableproficiency performances (score of 80% or better)may be required for the lab to resume testingpatients.

• Some laboratories use off-schedule PT to verify that corrective actions were effective. This service is available to every laboratory, regardless of MLE enrollment status.

For information on cost and availability, contact MLECustomer Service at 800-338-2746, option 5, or e-mail us at [email protected].

Discounted Price


Test IndexABO Group...................................................................................5Acetaminophen .........................................................................14Acetone.......................................................................................14Adulterated Urine......................................................................15Affirm VPIII (DNA) ........................................................................9Albumin .........................................................................11, 12, 13Alcohol, Serum ..........................................................................14Alkaline Phosphatase ..................................................11, 12, 13Allergy Testing...........................................................................11Alpha-fetoprotein (AFP) ....................................................12, 13ALT (SGPT) ....................................................................11, 12, 13Ammonia ....................................................................................14Amylase...................................................................11, 12, 13, 15Anti-dsDNA ................................................................................10Anti-HAV (IgM) ...........................................................................11Anti-HAV (Total/IgG) .................................................................11Anti-HBc (IgM) ...........................................................................11Anti-HBc (Total/IgG) .................................................................11Anti-HBs ......................................................................................11Anti-HCV .....................................................................................11Anti-HIV ......................................................................................11Waived methods ....................................................................11

Anti-RNP......................................................................................10Anti-RNP/Sm...............................................................................10Anti-SSA ......................................................................................10Anti-SSA/SSB..............................................................................10Anti-SSB ......................................................................................10Anti-Sm........................................................................................10Anti-Streptolysin O (ASO)........................................................10Antibody Identification...............................................................5Antimicrobial Susceptibility Testing ...................................7, 8Antinuclear Antibody (ANA) ...................................................10Apolipoprotein A1 ....................................................................13Apolipoprotein B .......................................................................13AST (SGOT) ...................................................................11, 12, 13Automated Differential .............................................................3Bacterial Vaginosis.......................................................................9Beta (ß)-2 Microglobulin ..........................................................15Bilirubin, Total ..............................................................11, 12, 13Bilirubin, Direct .............................................................12, 13, 14Bilirubin, Neonatal ....................................................................14Blood Cell Identification ........................................................3, 4Blood Culture ...............................................................................7Blood Gases ...............................................................................12Blood Smear.................................................................................9BNP ............................................................................................14C-Peptide....................................................................................15C-Reactive Protein (CRP) ..........................................................10C-Reactive Protein, high sensitivity (HS-CRP) ........................10CA 125 ........................................................................................15CA 15-3 .......................................................................................15CA 19-9 .......................................................................................15CA 27/29.....................................................................................15Calcium ...................................................................11, 12, 13, 15Calcium, Ionized ........................................................................12Candida, Affirm VPIII(DNA) ........................................................9Carbamazepine .........................................................................14CEA .....................................................................................14, 15

C. difficile ......................................................................................9Chlamydia (EIA/DNA).................................................................9Chloride...................................................................11, 12, 13, 15Cholesterol, HDL .........................................................11, 12, 13Cholesterol, LDL ..........................................................11, 12, 13Cholesterol, Total ........................................................11, 12, 13CK-MB .........................................................................................14CO2 ...............................................................................11, 12, 13Colony Count ...............................................................................8Compatibility Testing .................................................................5Complement C3 ........................................................................10Complement C4 ........................................................................10Cortisol .................................................................................12, 13Creatine Kinase (CK) ...................................................11, 12, 13Creatinine, Serum ........................................................11, 12, 13 Creatinine, Urine ...................................................................6, 15Crossmatch ...................................................................................5Cryptosporidium, Antigen Detection.......................................9Crystal Screening.........................................................................4CSF Culture ..................................................................................7D-Dimer ......................................................................................14Dermatophyte Culture................................................................9DHEA-S .......................................................................................14Digoxin .......................................................................................14Drug Screen, Urine....................................................................15Ear Culture....................................................................................7Eosinophils, Nasal (PPM) ........................................................5, 7Estradiol ......................................................................................14Ethyl Glucuronide (EtG) ............................................................15Eye Culture ...................................................................................7Fecal Leukocytes (PPM) ..........................................................5, 7Fecal Occult Blood..................................................................6, 7Fecal Suspension, parasitology.................................................9Fern Testing (PPM) ..................................................................5, 7Ferritin .........................................................................................14Fibrinogen ....................................................................................4Fluid Cell Count ...........................................................................4Folate ..........................................................................................14FSH ............................................................................................14Gardnerella, Affirm VPIII (DNA) ................................................9Gastric Occult Blood ...................................................................6GC (EIA/DNA) ..............................................................................9Genital Culture ........................................................................7, 8Gentamicin .................................................................................14GGT ...............................................................................11, 12, 13Giardia lamblia, Antigen Detection ..........................................9Glucose, serum ..................................................................12, 13Waived methods .....................................................3, 7, 11, 15Whole blood methods .................................................3, 7, 15

Glucose, urine ............................................................................15Glycohemoglobin......................................................................14Gram Stain................................................................................7, 8Gram Stain Morphology .........................................................7, 8Granulocytes, Immature..............................................................3HBeAg.........................................................................................11HBsAg .........................................................................................11hCG, serum.................................................................................15hCG, urine ...............................................................................6, 7Hematocrit .............................................................................3, 12Waived methods............................................................3, 7, 12

Hemoglobin ...........................................................................3, 12Waived methods............................................................3, 7, 12

CMS regulated analytes for CLIA purposes are in bold.

Note: Analytes are CAP accepted unless indicated by ◆ on pages 3-15.

CMS regulated analytes for CLIA purposes are in bold

Hemoglobin A1C (Glycohemoglobin)....................................14Homocysteine ............................................................................14H. pylori, Antibody Detection ..................................................11i-STAT Chemistry .......................................................................12Waived cartridge....................................................................12

IgA, Total ....................................................................................10IgE, Total.....................................................................................11IgG, Total ....................................................................................10IgM, Total ...................................................................................10Infectious Mononucleosis ........................................................10Waived methods ....................................................................10

Influenza A, Antigen Detection .................................................9Waived methods.......................................................................9

Influenza B, Antigen Detection .................................................9Waived methods.......................................................................9

Influenza A/B Combo, Antigen Detection...............................9Waived methods.......................................................................9

INR ..............................................................................................4Insulin ..........................................................................................15Iron .....................................................................................12, 13KOH Vaginal Prep (PPM) ........................................................5, 7KOH Skin Prep (Slides) ...........................................................5, 9Lactate (Lactic Acid) ...........................................................12, 13LDH .....................................................................................12, 13Lead, Blood ................................................................................14Waived methods ....................................................................14

Legionella, Antigen Detection ..................................................9LH ............................................................................................14Lipase....................................................................................12, 13Lithium ........................................................................................14Magnesium ...................................................................12, 13, 15Microalbumin, quantitative.........................................................6Microalbumin, urine dipstick......................................................6MRSA Screening ..........................................................................9Mycoplasma, IgG.......................................................................11Myoglobin ..................................................................................14Nasal Eosinophils (PPM) .........................................................5, 7NT-proBNP .................................................................................14Occult Blood, Fecal.................................................................6, 7Occult Blood, Gastric ..................................................................6Osmolality...................................................................................15Parasitology..................................................................................9Parathyroid hormone (PTH) .....................................................15Partial Thromboplastin Time (APTT) or (PTT) .........................4pCO2...........................................................................................12pH ............................................................................................12Phenobarbital ............................................................................14Phenytoin....................................................................................14Phosphorus .............................................................11, 12, 13, 15Pinworms (PPM) .......................................................................5, 7Platelet Count ..............................................................................3pO2 ............................................................................................12Potassium................................................................11, 12, 13, 15Progesterone..............................................................................14Prolactin ......................................................................................14Protein, Total ..........................................................11, 12, 13, 15Prothrombin Time (PT) ...............................................................4Whole blood methods (non-waived) ....................................4Waived methods.......................................................................4

Provider-Performed Microscopy (PPM) ................................5, 7PSA, Total .............................................................................14, 15PSA, Free ....................................................................................15

PVA Slide, parasitology ..............................................................9Red Blood Cell Count.............................................................3, 4Reticulocyte Count ......................................................................4Rheumatoid Factor (RA) ..........................................................10Rh Factor (D Type) ......................................................................5Rotavirus, Antigen Detection ....................................................9RSV, Antigen Detection..............................................................9Waived methods.......................................................................9

Rubella, IgG ...............................................................................10Salicylate .....................................................................................14Scabies (PPM)...........................................................................5, 7Sedimentation Rate .....................................................................4SHBG ...........................................................................................14Sodium ....................................................................11, 12, 13, 15Sperm (PPM).............................................................................5, 7Sputum Culture............................................................................7Stool Culture ................................................................................7Strep A Antigen Detection ....................................................7, 8Waived methods ..................................................................7, 8

Strep pneumoniae, Antigen Detection ....................................9Syphilis Serology.......................................................................10T3, Free.................................................................................12, 13T3, Total ...............................................................................12, 13T3 Uptake ............................................................................12, 13T4, Free ................................................................................12, 13T4, Total ...............................................................................12, 13tCO2............................................................................................12Testosterone ..............................................................................14Testosterone, Bioavailable .......................................................14Testosterone, Free ....................................................................14Theophylline ..............................................................................14Throat Culture..........................................................................7, 8Thyroglobulin.............................................................................15Thyroglobulin antibody ............................................................15Thyroid Microsomal antibody..................................................15TIBC .....................................................................................12, 13Transferrin...................................................................................14Trichomonas vaginalis, Affirm VPIII (DNA) ...............................9Trichomonas vaginalis (OSOM-Waived)...................................9Triglyceride ...................................................................11, 12, 13Troponin I ...................................................................................14Troponin T ..................................................................................14TSH .....................................................................................12, 13UIBC .....................................................................................12, 13Unexpected Antibody Detection ..............................................5Urea Nitrogen (BUN).............................................11, 12, 13, 15Uric Acid..................................................................11, 12, 13, 15Urine Chemistry .........................................................................15Urine Culture............................................................................7, 8Urine Dipstick...........................................................................6, 7Urine Drug Screen.....................................................................15Urine hCG.................................................................................6, 7Urine Sediment Identification ................................................6, 7Valproic Acid..............................................................................14Vancomycin ................................................................................14Vitamin B12 ................................................................................14Vitamin D, 25-Hydroxy ..............................................................15Waived and PPM packages........................................................7Wet Mount Preparations (PPM) .............................................5, 7White Blood Cell Count .........................................................3, 4Wound Culture ............................................................................7

www.acponline.org/mle Medical Laboratory Evaluation 2018 18

Note: Analytes are CAP accepted unless indicated by ◆ on pages 3-15.

Medical Laboratory Evaluation 2018 www.acponline.org/mle 19

Code/Description *Full Year

HEMATOLOGY

210/Hematology . . . . . . . . . . . . . . . . . . . . . . . .$249211/Basic Hematology . . . . . . . . . . . . . . . . . . .$237212/Hemoglobin/Hematocrit . . . . . . . . . . . . .$213213/Hemoglobin/Hematocrit� . . . . . . . . . .$156215/Hemoglobin/Glucose—HemoCue . . . . .$180223/Abbott 5-Part Diff . . . . . . . . . . . . . . . . . . .$339224/Sysmex 3-Part Diff . . . . . . . . . . . . . . . . . . .$300225/Hematology 3-Part Diff . . . . . . . . . . . . . .$291226/Hematology 5-Part Diff . . . . . . . . . . . . . .$339228/Hematology 5-Part diff-ACT 5 & Pentra 60C+ . . . . . . . . . . . . . . . . . .$339

229/Hematology 5 or 6-Part diff-Sysmex . . . . . . . . . . . . . . . . . . . . . . . . . .$339

230/Blood Cell Id � . . . . . . . . . . . . . . . . . . . . . .$39231/Blood Cell Id . . . . . . . . . . . . . . . . . . . . . . .$114240/Reticulocyte Count . . . . . . . . . . . . . . . . . .$219247/Sed Rate . . . . . . . . . . . . . . . . . . . . . . . . . . .$177248/Sed Rate-Sedimat15 . . . . . . . . . . . . . . . .$177250/Body Fluid/Cell Ct/Crystals . . . . . . . . . . .$195

COAGULATION

320/Coagulation . . . . . . . . . . . . . . . . . . . . . . . .$201321/Prothrombin Time . . . . . . . . . . . . . . . . . .$189324/Roche CoaguChek XS INR � . . . . . . . . .$186328/i-STAT Pro Time . . . . . . . . . . . . . . . . . . . .$339330/CoaguChek XS PLUS Pro Time . . . . . . .$291331/CoaguChek XS PLUS Pro Time � . . . . .$186

BLOOD BANK

450/Rh Factor (D Type) . . . . . . . . . . . . . . . . . .$246451/ABO & Rh Factor (D Type) . . . . . . . . . . .$297452/Blood Bank I . . . . . . . . . . . . . . . . . . . . . . .$402453/Blood Bank II . . . . . . . . . . . . . . . . . . . . . . .$432

URINALYSIS & PPM

530/Urinalysis . . . . . . . . . . . . . . . . . . . . . . . . . .$111531/Urinalysis Dipstick . . . . . . . . . . . . . . . . . . . .$87532/Urine Sed Id . . . . . . . . . . . . . . . . . . . . . . . .$117533/Urine Sed Id � . . . . . . . . . . . . . . . . . . . . . .$30534/PPM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$126535/PPM � . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$39536/Microalbumin/Creatinine—Quant � . . . .$90537/Fecal Occult Blood � . . . . . . . . . . . . . . . .$84538/KOH Slides . . . . . . . . . . . . . . . . . . . . . . . . .$165539/Microalbumin/Creatinine—Quant . . . . . .$117540/Urine hCG � . . . . . . . . . . . . . . . . . . . . . . . .$27541/Urine hCG . . . . . . . . . . . . . . . . . . . . . . . . . .$87542/Fecal Occult Blood . . . . . . . . . . . . . . . . . .$111543/Gastric Occult Blood . . . . . . . . . . . . . . . .$177

MICROBIOLOGY

630/Bacteriology 1 . . . . . . . . . . . . . . . . . . . . . .$321640/Bacteriology 2 . . . . . . . . . . . . . . . . . . . . .$303641/Throat Culture . . . . . . . . . . . . . . . . . . . . . .$294642/Throat Culture/Strep A Antigen . . . . . . .$285643/Urine Culture . . . . . . . . . . . . . . . . . . . . . . .$294

644/Urine Culture/Strep Antigen . . . . . . . . . .$285

645/Urine/Throat Culture . . . . . . . . . . . . . . . .$297

646/Genital Culture . . . . . . . . . . . . . . . . . . . . .$294

647/Urine Culture/Presump.ID/CC . . . . . . . .$333


648/Colony Count . . . . . . . . . . . . . . . . . . . . . .$210

649/Presump.ID/CC/Strep A Antigen . . . . .$315

650/Gram Stain . . . . . . . . . . . . . . . . . . . . . . . . .$186

652/Throat Culture/Urine Presump ID . . . . . . . . . . . . . . . . . . . . . . . . . . .$333

653/Genital/Urine Culture . . . . . . . . . . . . . . $297

660/Strep A Antigen Detection . . . . . . . . . . .$186

662/Strep A Antigen� . . . . . . . . . . . . . . . . . .$120

668/Affirm VP Antigen Testing . . . . . . . . . . . .$399

670/Chlamydia (EIA, DNA) . . . . . . . . . . . . . . .$327

673/Chlamydia � . . . . . . . . . . . . . . . . . . . . . . .$153

675/Chlamydia/GC (EIA, DNA ) . . . . . . . . . . .$354

678/Dermatophyte Culture . . . . . . . . . . . . . . .$249

680/Resp. Antigen Det. � . . . . . . . . . . . . . . .$198

681/Resp. Antigen Detection . . . . . . . . . . . . .$300

682/C. diff/Rotavirus Ag Det. . . . . . . . . . . . . .$264

683/Giardia lamblia/

Cryptosporidium Ag Det . . . . . . . . . . . . . . .$315

686/Legionella Antigen Detection . . . . . . . .$237

687/Strep Pneumoniae Antigen Det. . . . . . .$243

690/Parasitology . . . . . . . . . . . . . . . . . . . . . . . .$291

692/Bacterial Vaginosis� . . . . . . . . . . . . . . . .$186

693/Trichomonis vaginalis� . . . . . . . . . . . . .$186

695/MRSA Screen . . . . . . . . . . . . . . . . . . . . . . .$267

IMMUNOLOGY

740/Additional Specific Allergen Material . . .$78

750/Immunology Module . . . . . . . . . . . . . . .$297

751/Rheumatology Module . . . . . . . . . . . . . .$201

755/Infectious Mono� . . . . . . . . . . . . . . . . . .$120

761/Infect Mono/Rheumatoid Factor . . . . . .$264

762/Infectious Mono . . . . . . . . . . . . . . . . . . . .$195

763/Rheumatoid Factor . . . . . . . . . . . . . . . . .$189

764/CRP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$114

765/HS-CRP . . . . . . . . . . . . . . . . . . . . . . . . . . . .$123

767/ANA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$198

770/Specific Allergen Testing . . . . . . . . . . . .$336

771/Rubella . . . . . . . . . . . . . . . . . . . . . . . . . . . .$183

772/Syphilis Serology . . . . . . . . . . . . . . . . . . .$207

773/Diagnostic Allergy . . . . . . . . . . . . . . . . . .$336

775/Viral Markers . . . . . . . . . . . . . . . . . . . . . . .$465

776/CRP � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60

777/HS-CRP � . . . . . . . . . . . . . . . . . . . . . . . . . . .$66

779/ANA � . . . . . . . . . . . . . . . . . . . . . . . . . . .$129

780/H. pylori Antibody Det . . . . . . . . . . . . . . .$162

781/Mycoplasma Antibody . . . . . . . . . . . . . . .$144

782/ANA Expanded . . . . . . . . . . . . . . . . . . . . .$261

783/ANA Expanded � . . . . . . . . . . . . . . . . . .$192

784/Complement/Immunoglobulins . . . . . .$222790/Anti-HIV � . . . . . . . . . . . . . . . . . . . . . . . . .$168791/Anti-HIV . . . . . . . . . . . . . . . . . . . . . . . . . . .$300


CHEMISTRY

810/Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . .$354811/Lipid Panel/Glucose � . . . . . . . . . . . . . .$174812/Piccolo Waived Chemistry . . . . . . . . . . .$219813/Comp. Metabolic Panel . . . . . . . . . . . . . .$288814/Basic Metabolic Panel . . . . . . . . . . . . . . .$222815/Hepatic Profile . . . . . . . . . . . . . . . . . . . . . .$216816/Hepatic Profile � . . . . . . . . . . . . . . . . . . . .$48817/i-STAT Chemistry 1 . . . . . . . . . . . . . . . . . .$345818/i-STAT Chemistry 2 . . . . . . . . . . . . . . . . . .$246819/Chemistry 1 . . . . . . . . . . . . . . . . . . . . . . . .$195820/Chemistry 2 . . . . . . . . . . . . . . . . . . . . . . . .$234821/Chemistry 3 . . . . . . . . . . . . . . . . . . . . . . . .$264822/Add’l Chemistry � . . . . . . . . . . . . . . . . . . .$48823/Enzyme Chemistry � . . . . . . . . . . . . . . . . .$48824/Thyroid Profile . . . . . . . . . . . . . . . . . . . . . .$243825/Thyroid Profile � . . . . . . . . . . . . . . . . . . . .$54826/Lipid Profile . . . . . . . . . . . . . . . . . . . . . . . .$231827/Lipid Profile � . . . . . . . . . . . . . . . . . . . . . . .$48828/Enzyme Chemistry . . . . . . . . . . . . . . . . . .$222829/Apolipoproteins . . . . . . . . . . . . . . . . . . . .$135830/TDM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$228831/TDM � . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60832/i-STAT Chemistry� . . . . . . . . . . . . . . . . .$174833/Piccolo Waived Chemistry � � . . . . . . .$75834/Additional Chemistries . . . . . . . . . . . . . .$222835/Serum Alcohol/Acetone . . . . . . . . . . . . .$231836/Ammonia . . . . . . . . . . . . . . . . . . . . . . . . . .$165837/Blood Lead . . . . . . . . . . . . . . . . . . . . . . . .$336838/Blood Lead � . . . . . . . . . . . . . . . . . . . . . .$201841/Neonatal Bilirubin . . . . . . . . . . . . . . . . . . .$225842/Direct Bilirubin � . . . . . . . . . . . . . . . . . . . .$39843/Direct Bilirubin . . . . . . . . . . . . . . . . . . . . .$153845/Cardiac Markers . . . . . . . . . . . . . . . . . . . .$303846/BNP/D-Dimer . . . . . . . . . . . . . . . . . . . . . . $219847/Blood Gases . . . . . . . . . . . . . . . . . . . . . . .$297850/Glycohemoglobin . . . . . . . . . . . . . . . . . . .$192851/Afinion Glycohemoglobin . . . . . . . . . . . .$204854/SHBG/Testosterone . . . . . . . . . . . . . . . . .$324859/PSA � . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$63860/Endocrinology/Hematology/Oncol . . . .$228861/PSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$138862/Tumor Markers . . . . . . . . . . . . . . . . . . . . .$381863/Endocrinology 2 . . . . . . . . . . . . . . . . . . . .$198864/Thyroid Antibodies . . . . . . . . . . . . . . . . . .$243865/Serum hCG . . . . . . . . . . . . . . . . . . . . . . . .$180866/Serum hCG � . . . . . . . . . . . . . . . . . . . . . . .$93868/Urine Drug Screening—Qual . . . . . . . . . .$216870/Whole Blood Glucose . . . . . . . . . . . . . . .$255871/Whole Blood Glucose� . . . . . . . . . . . . .$159872/Urine Chemistry . . . . . . . . . . . . . . . . . . . .$228873/Ethyl Glucuronide � . . . . . . . . . . . . . . . . .$75874/Adulterated Urine � . . . . . . . . . . . . . . . . .$90880/Add’l Chem Testing Material . . . . . . . . .$114901/Waived and PPM Package � . . . . . . . . .$288902/Basic Waived and PPM Package � . . . .$249

SUPPLIES & SERVICES100/Annual Fee (Includes Binder) . . . . . . . . . .$85121/1mL Pipette . . . . . . . . . . . . . . . . . . . . . . . . .$25126/Pipette Pump . . . . . . . . . . . . . . . . . . . . . . . .$45142/G2 NIR Subscription . . . . . . . . . . . . . . . . .$228

MLE Proficiency Testing Price List

�=Waived • �=Add-On • *Enroll after the 1st event and prices are prorated by 1/3 per event.


2018 MLE Proficiency Testing Order Form

1 � New Enrollee

� Renewing Participant: MLE ID # ____________________

2 Bill to: (please print clearly or type)

Contact ________________________________________________

Facility Name ____________________________________________

Address________________________________________________

________________________________________________________

City____________________________ State______ ZIP__________

Country (other than U.S.) ________________________________

Phone_______________________ Fax________________________

E-mail__________________________________________________

3 Lab Director ________________________________________

4 CLIA ID# ____________________________________________

5 Ship To: (no PO boxes for kit delivery)

� Same as “bill to” address.

Contact ________________________________________________

Facility Name ____________________________________________

Address________________________________________________

________________________________________________________

City____________________________ State______ ZIP__________

Country (other than U.S.) __________________________________

Phone____________________ Fax__________________________

E-mail__________________________________________________

� Ship kit to different address (attach information)

6 Send a copy of my PT results to:

� CMS (Provide CLIA ID# in section 4)

� State Agency ID#______________________________________

� CAP/LAP ID#__________________________________________

� COLA ID#______________________________________________

� TJC/HCO ID# __________________________________________

� Technical Consultant (attach name, address and email)

7 � Activate Auto Renewal at no charge.

Module # Description Price

100 Annual Admin Fee $85

Note: A yearly non-continental shipping fee of $75 will be

added to orders located in U.S. territories.

8 Amount Due

Total Cost of Items Above = $____________

Disount Code ____________

(Please choose only one applicable code from page 21)

+ Non-Continental Shipping Fee $____________

Total Amount Due = $____________

9 Payment Options

(Tax ID # 23-1520302) (DUNS #: 071625974)

� Purchase Order # ____________________________________

� Send Invoice

(Net 30 days. Payment by check or credit card —Visa orMastercard accepted).

Overdue accounts are subject to holds and/or cancellations.

10 How did you hear about us?__________________________

CTLG

Please note: Cancel a module IN WRITING up to 4 weeks prior to the upcoming shipment to avoid being charged.

Fax: 202-835-0440 E-mail: [email protected]

The MLE products you have ordered may contain pathogenic material. By returning this order form, you assume all risk andresponsibility in connection with the receipt, handling, storage, use, and disposal of the material.

Price matching is available online. Visit www.acponline.org/mle

MLE DISCOUNT OFFERSYour Solution to Savings Starts Here!

*Percentage discounts are applied to module pricing only.

Note: Select the eligible offer that provides the greatest discount. We are unable to apply more than one discount offer.

Review the table below to see if you qualify for any of the discount offers. Write the Discount Code in section 8 of the PT Order Form.

Discount Savings Description EligibilityCode Requirements

Ongoing Discounts (applied each year enrolled in MLE)

ACP Save $85 ACP Members • Current in or new to MLE and ACP

Multisite *Save 10% Multisite • Current in or new to MLE• Must have 5 or more enrolled labs

Consultant *Save 10% Consultant affiliation • Current in or new to MLE• Order must indicate independent consultant• Consultant must have 5 or more enrolled labs

Government *Save 15% State and Federal • Current in or new to MLEagencies(including FQHC and IHS)

One-Time Discounts (applied for 2018 program only)

COLA Save $85 COLA accredited • COLA accredited and new to MLEFor add'l benefits, visit: www.acponline.org/mle/acp-cola

CAP Save $85 CAP accredited • CAP accredited and new to MLE

NEW Save $85 New to MLE • Never enrolled in MLE• Minimum order of $500

25 Massachusetts Avenue NW, Suite 700Washington, DC 20001-7401

Proficiency Testing at its Best.

NEW MODULES

Module No. Description Catalog Page No.

874 Adulterated Urine 15

692 Bacterial Vaginosis — Waived 9

873 Ethyl Glucuronide (EtG) 15

543 Gastric Occult Blood 6

693 Trichomonas vaginalis — Waived 9

MODULE RECONFIGURATIONS

Module No. Description Catalog Page No.

678 Dermatophyte Culture 9Now Five Challenges

868 Urine Drug Screen 15Now includes Carisoprodol, Hydrocodone,Meperidine and Zolpidem

What’s New for 2018

MLE7001

2018 proﬁciency testing catalog - internal medicine proﬁciency testing catalog approved by: ......

Documents