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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.
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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.
3Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ 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.
Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell
Count
225 Hematology with 3-part Differential ....$291Compatible with most 3-part differential instruments EXCEPT Sysmex (see 224).
Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell
Count
226 Hematology with 5-part Differential ....$339Compatible with most Beckman–Coulter 5-part differential instruments EXCEPT for the AcT 5diff(see 228).
Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell
Count
228 Hematology with 5-part Differential ....$339Compatible with Beckman Coulter AcT 5diff andABX Pentra 5-part differential instruments.
Five challenges each.Automated Differential Platelet CountHematocrit Red Blood Cell CountHemoglobin White Blood Cell
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
4 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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.
Five challenges each.INR Prothrombin Time
330 CoaguChek XS Plus Prothrombin Time ...........................................................$291
For CoaguChek XS Plus only.
Five challenges each.INR Prothrombin Time
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.
5Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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.
Five challenges each.
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.
6 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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
◆ Not CAP accepted
NEW!
7Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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)
◆ Not CAP accepted
• 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.
8 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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)
9Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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!
10 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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
Five challenges each.
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
11Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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.
12 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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
*Not required by CAP.
832 i-STAT Chemistry—Waived......................$174
Two challenges each.Calcium, Ionized HemoglobinChloride PotassiumCreatinine SodiumGlucose tCO2 *Hematocrit Urea Nitrogen
*Not required by CAP.
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
*Not required by CAP.
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
*Not required by CAP.
13Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
◆ Not CAP accepted
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
*Not required by CAP.
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
14 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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
Five challenges each.
836 ◆ Ammonia ...............................................$165
Two challenges.
837 ◆ Blood Lead ............................................$336
Five challenges each.
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
Five challenges each.
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
Five challenges each.
866 Serum hCG (Add-On) ................................$93Same as 865. Only available with 810, 813, 814, 815, 817-821, 824, 826, 828, 834.
◆ Not CAP accepted
15Medical Laboratory Evaluation 2018 www.acponline.org/mle
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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
◆ Not CAP accepted
NEW!
NEW!
16 www.acponline.org/mle Medical Laboratory Evaluation 2018
2018 SHIP DATES M1: Feb. 5 • M2: May 14 • M3: Sept. 10
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
17Medical Laboratory Evaluation 2018 www.acponline.org/mle
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
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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
Code/Description *Full Year
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
Code/Description *Full Year
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.
20 www.acponline.org/mle Medical Laboratory Evaluation 2018
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