2021 Proficiency Testing Catalog acponline.org/mle
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2021 Proficiency Testing Catalog acponline.org/mle Approved by: CMS, COLA, TJC, U.S. State Agencies and International regulatory bodies.
AT A GLANCE
Expert Customer Service Enrollment/Renewal of Proficiency
Enjoy the best-in-class customer service experience with Testing
personalized care to support you from module selection to re- Enroll early to ensure the availability of specimens for the 2021
sult evaluation. program year. Once we process your order, you will be mailed
an order verification for your review and signature.
What you can expect:
• Response to your call within two hours
(during standard business hours) How to Order
• Help in choosing test modules Online
• Verification of orders within one week • Visit acponline.org/mle and click on the “Enrollment
Information” link. Complete the appropriate electronic order
form to automatically calculate pricing and receive your
order summary.
MLE PT Order Form
• Detach the order form on page 35, complete it and fax it. (If
submitting a purchase order, please include it with your
order form.)
Making a Payment
Enrollments received by renewal form or order form
will be invoiced within one week of activation. Auto Renewals
will be invoiced in early October. Invoices are due within 30
days. Payment options include credit card (Mastercard or Visa),
purchase order, or check. Overdue accounts are subject to
holds and/or cancellations.
Off-Schedule/Reinstatement Testing
Contact Information Provides laboratories with an option for immediate, on-demand
proficiency testing, a complement to the regular scheduled
p: 1-800-338-2746, ext. 4510 (M-F, 9 a.m.- 5 p.m. ET)
proficiency testing. For more details on this service,
e: mle@acponline.org
see page 2.
f: 1-202-835-0440
w: acponline.org/mle
2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Table of Contents
How to Order Other Products & Services
2 Ordering 30 Supplies & E-notification Services
30 Continuing Education & Publication
Module Descriptions & Test Index
Ordering and Discounts
3 Hematology
6 Coagulation 34 Price List
7 Blood Bank 35 Proficiency Testing Order Form
8 Provider-Performed Microscopy
9 Urinalysis & Occult Blood
11 Waived Testing Packages
12 Microbiology
18 Immunology
21 Chemistry
31 Test Index
Save Money!
Price Matching for Unmatched 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’s quote for the same total test menu coverage.
See Inside Back Cover for MLE Discount OFFERS.
acponline.org/mle Medical Laboratory Evaluation 2021 1
2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Ordering Information Order Changes and Cancellations
MLE accepts enrollments throughout the year. Order early to All order changes/cancellations/additions must be made in
ensure product specimen availability. If you are enrolling for writing. To avoid additional costs, MLE must be notified at
the entire 2021 program, you should order by December 4, least 4 weeks prior to the affected shipment date.
2020 to ensure product specimen availability. You may enroll
anytime during the program year depending on specimen Module additions: Modules may be added throughout the
availability at a prorated price. year, depending on availability, at least 4 weeks prior to the
next shipment at no additional cost. After that time, an addi-
Please call or email the ACP MLE PT team for a quote or help tional shipping fee will apply.
selecting the appropriate modules for your laboratory.
Module cancellations: Modules may be cancelled through-
• Phone: 800-338-2746, ext. 4510 out the year. Cancellation requests received at least 4 weeks
• Email: mle@acponline.org prior to 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 the uncancelled ship-
How To Order ment.
Analyte cancellation: To cancel an analyte(s), submit a Test
• Online at acponline.org/mle
Menu Deletion Form available on the MLE web site.
• Fax the completed order form included here (w/ PO if
applicable) to: 1-202-835-0440 Entire order cancellation: Order cancellations may be made
at any time. Written cancellations must be received at least 4
weeks prior to the next shipment to receive a refund for that
Next Steps and subsequent shipments, if applicable. The annual admin-
istration fee is non-refundable.
Order Verification: MLE will process your order and send
you an Order Verification within one week for your review. Automatic Renewal order cancellation: Written notification
Contact MLE for any corrections. must be received no later than December 4, 2020 to avoid
any charges for the upcoming year.
Invoice: Your invoice will follow within two weeks. Invoices
may be paid by check, VISA or Mastercard. Billing terms are
Failure to return the Order Verification form and/or not
net 30 days.
paying your invoice are NOT indications of cancellation.
Tax ID: 23-1520302
Notification must be submitted in writing.
DUNS NO: 071625974
Non-Continental U.S. Orders: An additional $30 fee will Off-Schedule Proficiency Testing
be added per shipment ($90 annually), Alaska and Hawaii
excluded. Off-schedule proficiency testing (PT) provides laboratories
with immediate, on-demand, customized proficiency testing
Single Module Orders: An additional $20 shipping fee will for reinstatement or remedial purposes; a complement to
be added per shipment ($60 annually). the regularly scheduled PTprogram.
NOTE: Overdue accounts are subject to holds and/or Who Needs Off-Schedule Testing?
cancellations.
• Laboratories with unsuccessful performance for two out
of three regular testing events may be required to
Automatic Renewal perform off-schedule PT to lift a “cease-testing” order
from their regulatory or accrediting agency. In these
Activate Automatic Renewal to ensure uninterrupted yearly cases, two acceptable proficiency performances may be
enrollment. Prior to the next program year, you will receive an required for the lab to resume testing patients.
Order Verification for review in late summer and your annual
invoice in October. You may make any changes at this time. • 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.
Contact MLE Customer Service for information on cost and
availability at 1-800-338-2746, ext. 4510, or e-mail us at
mle@acponline.org.
2 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Hematology
Pay close attention to instrument compatibility notes when selecting
hematology modules. Questions? Contact MLE Customer Service. See
the “Hematology Instrument List” online at www.acponline.org/mle in the
Enrollment Information & Forms section.
210 Hematology Module................................................................................$279
Five challenges each.
Blood Cell Identification Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
212 Hemoglobin/Hematocrit/WBC...............................................................$237
Five challenges each.
213 Hemoglobin/Hematocrit—Waived.........................................................$177
For waived methods only.
Two challenges each.
215 Hemoglobin/Glucose...............................................................................$195
For HemoCue only.
Two challenges each.
223 Hematology with 5-part Differential.....................................................$372
Compatible with most Abbott CELL-DYN 5-part differential instruments only.
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
224 Sysmex with 3-part Differential.............................................................$330
Compatible with Sysmex 3-part automated differential instruments only.
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 32021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Hematology (continued)
225 Hematology with 3-part Differential.....................................................$321
Compatible with most 3-part differential instruments EXCEPT Sysmex (see 224).
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
226 Hematology with 5-part Differential.....................................................$372
Compatible with most Beckman–Coulter 5-part differential instruments
EXCEPT for the AcT 5diff (see 228).
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
228 Hematology with 5-part Differential.....................................................$372
Compatible with Beckman Coulter AcT 5diff and ABX Pentra 5-part
differential instruments.
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
229 Sysmex Hematology with 5 or 6-part Differential...............................$372
Compatible with most Sysmex 5 or 6 part differential instruments only.
Five challenges each.
Automated Differential Platelet Count
Hematocrit Red Blood Cell Count
Hemoglobin White Blood Cell Count
Immature Granulocytes
Continued on next page
4 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Hematology (continued)
231 Blood Cell Identification..........................................................................$138
Stand-alone module.
Five challenges consisting of color photographs.
230 Blood Cell Identification (Add-On)..........................................................$48
Same as 231. Only available with 223 through 229.
240 Reticulocyte Count...................................................................................$243
Compatible with automated and manual reticulocyte counting methods. Not
for use with brilliant cresyl blue staining methods.
Two challenges.
247 Sedimentation Rate.................................................................................$195
Not for use with Sedimat 15 / 15 Plus.
Not compatible with Alcor ISED.
Two challenges.
248 Sedimat 15 ESR........................................................................................$195
Compatible with the Polymedco Sedimat 15 / 15 Plus instruments only.
Two challenges.
250 Fluid Cell Count/Crystals.........................................................................$231
Fluid for Hemocytometer cell count and color photographs for identification
of crystals.
Two challenges each.
Crystal Screening
RBC Count
WBC Count
acponline.org/mle Medical Laboratory Evaluation 2021 52021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Coagulation
320 Coagulation Module.................................................................................$228
Requires 1 mL pipette (see item 121 on page 30).
Five challenges each.
Fibrinogen
INR
Partial Thromboplastin Time
Prothrombin Time
324 Roche CoaguChek XS INR—Waived......................................................$213
Not for use with CoaguChek XS Plus/Pro. (see 331)
Two challenges.
INR
328 i-STAT Prothrombin Time.......................................................................$369
Compatible with the i-STAT instruments only.
Five challenges each.
INR Prothrombin Time
330 CoaguChek XS Plus/Pro PT/INR............................................................$321
For CoaguChek XS Plus/Pro only.
Five challenges each.
INR Prothrombin Time
331 CoaguChek XS Plus/Pro PT/INR—Waived............................................$213
For CoaguChek XS Plus/Pro only.
Two challenges each.
INR Prothrombin Time
6 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Blood Bank
451 ABO & Rh Factor (D Type)......................................................................$309
Not for use with slide methods.
Five challenges each.
452 Blood Bank................................................................................................$414
Not for use with slide methods.
Five challenges each.
ABO Group
Rh Factor (D Type)
Unexpected Antibody Detection
453 Blood Bank 2............................................................................................$444
Not for use with slide methods.
Five challenges each.
ABO Group
Antibody Identification
Compatibility Testing (Crossmatch)
Rh Factor (D Type)
Unexpected Antibody Detection
acponline.org/mle Medical Laboratory Evaluation 2021 72021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Provider-Performed Microscopy
534 Provider-Performed Microscopy (PPM)...............................................$141
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.
535 Provider-Performed Microscopy (PPM) (Add-On)................................$45
Same as 534. Only available with 530, 531, 532.
538 KOH Slides.................................................................................................$183
Two fixed glass slides for determining the presence or absence of fungal
elements in skin scrapings.
Two challenges.
8 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Urinalysis & Occult Blood
530 Urinalysis Module.....................................................................................$138
One challenge each unless otherwise noted in parentheses.
Bilirubin Nitrite
Blood/Hemoglobin pH
Glucose Protein
Ketones Specific Gravity
Leukocyte Esterase Urobilinogen
Microalbumin (dipstick) Urine Sediment Identification (2)
531 Urinalysis Module.....................................................................................$114
hCG not included.
One challenge each.
Bilirubin Nitrite
Blood/Hemoglobin pH
Glucose Protein
Ketones Specific Gravity
Leukocyte Esterase Urobilinogen
Microalbumin (dipstick)
541 Urine hCG..................................................................................................$105
Stand-alone module.
One challenge each.
540 Urine hCG (Add On)...................................................................................$30
Same as 541. Only available with 530, 531.
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 92021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Urinalysis & Occult Blood (continued)
532 Urine Sediment Identification.................................................................$129
Two challenges consisting of photographs.
533 Urine Sediment Identification (Add-On).................................................$36
Same as 532. Only available with 531, 534.
539 Urine Microalbumin/Creatinine..............................................................$138
Stand-alone module.
Compatible with quantitative and semi-quantitative (dipstick) methods.
One challenge each.
536 Urine Microalbumin/Creatinine (Add-On)..............................................$96
Same as 539. Only available with 530, 531.
542 Fecal Occult Blood...................................................................................$132
Stand-alone module.
Two challenges each.
537 Fecal Occult Blood (Add-On)....................................................................$93
Same as 542. Only available with 530, 531.
10 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Waived Testing Packages
Waived Testing—The Importance of Performing Proficiency Testing
Tests classified as “waived” are exempt from most federal regulations, including PT
requirements. Many labs choose to participate in PT however, to ensure the quality
of their patient testing. Performing PT provides an excellent indicator of the accu-
racy and reliability of your waived test results. In addition, some states, third-party
payers and other regulators require proficiency testing to be performed, even for
CLIA-waived procedures. MLE offers economical waived order options designed for
the needs of the waived testing laboratory.
901 Waived and PPM Package......................................................................$333
Number of challenges noted in parentheses.
Fecal Occult Blood (2) Urinalysis (1)
Urinalysis (1)
Hemoglobin (2) Urine Urine
hCG (1)Sediment (2)
Hematocrit (2) Urine Strep
Sediment (2)
A Antigen (2)
PPM (6) WholeWhole
BloodBlood
Glucose (2)
Glucose (2)
Strep A Antigen Detection (2)
902 Basic Waived and PPM Package............................................................$291
Number of challenges noted in parentheses.
Fecal Occult Blood (2) Urinalysis (1)
PPM (6) Urine hCG (1)
Urine Sediment (2)
Strep A Antigen Detection (2)
Whole Blood Glucose (2)
acponline.org/mle Medical Laboratory Evaluation 2021 112021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Microbiology
• Federal law requires a minimum of five CMS regulated (non-waived methods)
bacteriology challenges per shipment. Individual state laws may differ. When
enrolling, ensure your order meets the requirement that is the more stringent of
the two. The number of challenges is noted in parentheses.
• All urine culture specimens are suitable for presumptive identification
and/or definitive identification.
Note: The specimens included may contain dangerous pathogens and must be treat-
ed with extreme care. These specimens must be handled and disposed of only by
personnel trained to work with pathogenic microorganism.
Bacteriology
630 Bacteriology 1..........................................................................................$351
Six cultures per shipment consisting of the 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...........................................................................................$333
Antimicrobial Susceptibility Testing (1)
Genital Culture (1)
Gram Stain (2)
Gram Stain Morphology (2)
Strep A Antigen Detection (1)
Throat Culture (2)
Urine Culture (2)
Continued on next page
12 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Mircrobiology (continued)
643 Urine Culture...............................................................................................$324
Antimicrobial Susceptibility Testing (1)
Gram Stain (1)
Gram Stain Morphology (1)
Urine Culture (5)
647 Urine Presumptive ID/Colony Count........................................................$363
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..............................................................................................$228
Colony Count does not contribute to the minimum of five bacteriology
challenges.
No presumptive identification may be submitted for this module.
Two challenges.
653 Genital/Urine Culture.................................................................................$327
Antimicrobial Susceptibility Testing (1)
Genital Culture (3)
Gram Stain (2)
Gram Stain Morphology (2)
Urine Culture (2)
646 Genital Culture...........................................................................................$324
Gram Stain (1)
Gram Stain Morphology (1)
Genital Culture (5)
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 132021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Mircrobiology (continued)
645 Urine/Throat Culture...............................................................................$327
Antimicrobial Susceptibility Testing (1)
Gram Stain (1)
Gram Stain Morphology (1)
Throat Culture (2)
Urine Culture (3)
652 Urine Presumptive ID/Throat Culture...................................................$363
Best suited for urine paddle-dipping methods.
Antimicrobial Susceptibility Testing (1)
Colony Count (2)
Gram Stain (1)
Gram Stain Morphology (1)
Urine Presumptive Identification (2)
Throat Culture (3)
641 Throat Culture.........................................................................................$324
Not suitable for Strep A kits.
Five challenges.
660 Strep A Antigen Detection....................................................................$201
Not suitable for culture.
Five challenges.
662 Strep A Antigen Detection—Waived....................................................$132
For waived Strep A Antigen Detection kits only.
Two challenges.
650 Gram Stain...............................................................................................$204
Five fixed glass slides.
Five challenges each.
Gram Stain Gram Stain Morphology
Continued on next page
14 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Mircrobiology (continued)
651 Miscellaneous Cultures (Add-On)........................................................$189
Only available with 640 through 647, 652, 653.
Miscellaneous Culture (3)
Possible sources include: Blood, CSF, Ear, Eye, Sputum, Stool, Wound.
695 MRSA Culture.........................................................................................$297
Screening for the presence or absence of methicillin-resistant
Staphylococcus aureus only.
Five challenges.
686 Legionella Antigen Detection..............................................................$261
For use with Binax NOW Legionella Urinary Antigen Detection kits only.
Five challenges.
687 Streptococcus pneumoniae Antigen Detection................................$267
For use with Binax NOW Streptococcus pneumoniae Urinary
Antigen Detection kit only.
Five challenges.
682 C. difficile/Rotavirus Antigen Detection.............................................$291
Five challenges each.
C. difficile Rotavirus
675 Chlamydia/GC (EIA, DNA)...................................................................$378
Five challenges each.
Chlamydia trachomatis Neisseria gonorrhoeae
673 Chlamydia/GC (EIA, DNA)—Add-On....................................................$189
Same as 675. Only available with 630 through 647, 652, 653.
Two challenges.
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 152021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Mircrobiology (continued)
668 Affirm VP III (DNA)..................................................................................$399
Five challenges each.
Candida sp.
Trichomonas vaginalis
Gardnerella vaginalis
692 Bacterial Vaginosis—Waived..................................................................$192
For Sekisui OSOM BVBlue Test
Two challenges.
Bacterial Vaginosis Screen
693 Trichomonas vaginalis—Waived............................................................$192
For Sekisui OSOM Trichomonas Rapid Test
Two challenges.
Trichomonas vaginalis
Mycology
678 Dermatophyte Culture...........................................................................$282
Five challenges.
538 KOH Slides..............................................................................................$183
Two fixed glass slides for determining the presence or absence
of fungal elements in skin scrapings.
Two challenges.
Continued on next page
16 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Mircrobiology (continued)
Parasitology
683 Cryptosporidium/Giardia lamblia Antigen Detection.......................$342
Five challenges each.
Cryptosporidium
Giardia lamblia
690 PVA Slides (Add On).................................................................$180 NEW!
Only available with 691. Zinc polyvinyl alcohol fixed glass slides for
the identification of fecal parasites.
Two challenges.
691 Parasitology................................................................................$345 NEW!
Number of challenges noted in parentheses.
Fecal Suspension (4)
Blood Smear (1)
Virology
681 Respiratory Antigen Detection.............................................................$321
Five challenges each.
Influenza A RSV
Influenza B
680 Respiratory Antigen Detection—Waived..............................................$213
For waived kits only.
Two challenges each.
Influenza A RSV
Influenza B
acponline.org/mle Medical Laboratory Evaluation 2021 172021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Immunology
750 Immunology Module..............................................................................$333
Five challenges each.
Anti-Streptolysin O (ASO)
Infectious Mononucleosis
Rheumatoid Factor
761 Infectious Mononucleosis/Rheumatoid Factor...................................$315
Five challenges each.
762 Infectious Mononucleosis......................................................................$213
Five challenges.
755 Infectious Mononucleosis—Waived.......................................................$135
For waived Infectious Mononucleosis kits only.
Two challenges.
751 Rheumatology Module..........................................................................$252
Number of challenges noted in parentheses.
C-Reactive Protein (2) (Not for high-sensitivity methods)
Rheumatoid Factor (5)
763 Rheumatoid Factor..................................................................................$207
For IgG methods only.
Five challenges.
764 C-Reactive Protein (CRP).......................................................................$129
Not for high-sensitivity methods (see 765).
Two challenges.
Continued on next page
18 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Immunology (continued)
776 C-Reactive Protein (CRP)—Add-On..........................................................$63
Not for high-sensitivity methods. (see 777)
Same as 764. Only available with 750.
765 High-Sensitivity C-Reactive Protein (HS-CRP).....................................$138
Two challenges.
777 High-Sensitivity C-Reactive Protein (HS-CRP)—Add-On......................$69
Same as 765. Only available with 750 and 751.
782 ANA Panel................................................................................................$291
Five challenges each.
ANA Anti-SSA
Anti-dsDNA Anti-SSA/SSB
Anti-RNP Anti-SSB
Anti-RNP/Sm Anti-Sm
783 ANA Panel (Add-On)...............................................................................$222
Same as 782. Only available with 750 and 751.
784 Complement/Immunoglobulins.............................................................$249
Five challenges each.
Complement C3 IgG, Total
Complement C4 IgM, Total
IgA, Total
771 Rubella.......................................................................................................$207
For lgG methods only.
Five challenges.
780 H. pylori Antibody Detection.................................................................$180
Two challenges.
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 192021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Immunology (continued)
781 Mycoplasma Antibody...........................................................................$171
Two challenges.
772 Syphilis Serology.....................................................................................$228
Five challenges each.
MHA-TP RPR
TPA VDRL
775 Viral Markers............................................................................................$495
Five challenges each.
Anti-HAV (IgM) Anti-HCV
Anti-HAV (Total/IgG) Anti-HIV
Anti-HBc (IgM) HBeAg
Anti-HBc (Total/IgG) HBsAg
Anti-HBs
791 Anti-HIV....................................................................................................$309
Five challenges.
790 Anti-HIV—Waived.....................................................................................$183
For waived HIV kits only.
Two challenges.
770 Specific Allergen Testing........................................................................$369
Number of challenges noted in parentheses. Includes 2 sets of samples
for
for large
large volume
volume requirements.
requirements. Does
Does not
not include
include Total
Total IgE.
IgE.
Allergen Specific
Allergen Specific IgE
IgE (14)
(14)
773 Diagnostic Allergy...................................................................................$369
Number of challenges noted in parentheses.
Allergen Specific IgE (14)
Total IgE (5)
20 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry
Pay close attention to instrument compatibility notes when selecting
any of the chemistry modules.
If you need any assistance, call MLE Customer Service at
1-800-338-2746, ext. 4510, or e-mail us at mle@acponline.org.
810 Chemistry Module....................................................................................$384
Five challenges each.
Albumin Glucose
Glucose
Alkaline Phosphatase Iron
Iron
Alpha-fetoprotein Lactate
Lactate(Lactic
(Lactic Acid)
Acid)
ALT (SGPT) LDH
LDH
Amylase Lipase
Lipase
AST (SGOT) Magnesium
Magnesium
Bilirubin, Direct Phosphorus
Phosphorus
Bilirubin, Total Potassium
Potassium
Calcium Protein,
Protein, Total
Total
Chloride Sodium
Sodium
Cholesterol, HDL T3
T3 Uptake
Uptake
Cholesterol, LDL - Calc Thyroxine
Thyroxine (T4)
(T4)
Cholesterol, LDL – Direct TIBC
TIBC -- Calc
Calc
Cholesterol, Total TIBC
TIBC -- Direct
Direct
CO2 Triglyceride
Triglyceride
Cortisol Triiodothyronine
Triiodothyronine (T3)
(T3)
Creatine Kinase (CK) TSH
TSH
Creatinine UIBC-
UIBC -Direct
Direct
Free T3 Urea
Urea Nitrogen
Nitrogen
Free Thyroxine (T4) Uric
Uric Acid
Acid
GGT
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 212021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
813 Comprehensive Metabolic Panel.........................................................$309
Five challenges each.
Albumin Lactate (Lactic Acid)
Alkaline Phosphatase Magnesium
ALT (SGPT) Phosphorus
AST (SGOT) Potassium
Bilirubin, Direct Protein, Total
Bilirubin, Total Sodium
Calcium TIBC - Calc
Chloride TIBC - Direct
CO2 UIBC - Direct
Creatinine Urea Nitrogen
Glucose Uric Acid
Iron
812 Waived Chemistry Panel.......................................................................$234
Two challenges each.
Albumin Creatine Kinase (CK)
Alkaline Phosphatase Creatinine
Creatinine
ALT (SGPT) GGT
Amylase Glucose
AST (SGOT) Phosphorus
Bilirubin, Total Potassium
Calcium Protein, Total
Chloride Sodium
Cholesterol, HDL Triglyceride
Cholesterol, LDL-Cal Urea Nitrogen
Cholesterol, Total Uric Acid
CO2
833 Waived Chemistry Panel (Add-On).........................................................$81
Same as 812. Only available with 824.
Continued on next page
22 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
824 Thyroid Profile..........................................................................................$258
Five challenges each.
Alpha-fetoprotein Thyroxine (T4)
Cortisol Thyroxine (T4), Free
T3, Free Triiodothyronine (T3)
T3 Uptake TSH
841 Neonatal Bilirubin....................................................................................$243
Five challenges each.
Bilirubin, Direct Bilirubin, Total
826 Lipid Profile...............................................................................................$246
Five challenges each.
Cholesterol, HDL
Cholesterol, LDL - Calc
Cholesterol, LDL - Direct
Cholesterol, Total
Triglyceride
811 Lipid Panel/Glucose—Waived.................................................................$192
For waived testing ONLY.
Two challenges each.
Cholesterol, LDL - Calculated
Cholesterol, HDL
Cholesterol, Total
Glucose
Triglyceride
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 232021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
817 i-STAT Chemistry 1..................................................................................$390
Five challenges each.
Calcium, Ionized pCO2
Chloride pH
Creatinine pO2
Glucose Potassium
Hematocrit Sodium
Hemoglobin tCO2
Lactate Urea Nitrogen
818 i-STAT Chemistry 2..................................................................................$270
Five challenges each.
Calcium, Ionized Hemoglobin
Chloride Potassium
Creatinine Sodium
Glucose tCO2
Hematocrit Urea Nitrogen
832 i-STAT Chemistry—Waived.....................................................................$195
Two challenges each.
Calcium, Ionized Hemoglobin
Chloride Potassium
Creatinine Sodium
Glucose tCO2
Hematocrit Urea Nitrogen
847 Blood Gases.............................................................................................$324
Compatible with the i-STAT analyzer as well as other blood gas instruments.
Five challenges each.
Chloride pH
Calcium, Ionized pO2
Lactate Potassium
pCO2 Sodium
Continued on next page
24 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
831 Therapeutic Drugs (Add-On)...................................................................$66
Only available with 810.
Five challenges each.
Acetaminophen Phenytoin
Carbamazepine Salicylate
Digoxin Theophylline
Gentamicin Valproic Acid
Lithium Vancomycin
Phenobarbital
835 Serum Alcohol/Acetone..........................................................................$252
Five challenges each.
836 Ammonia...................................................................................................$180
Two challenges.
838 Blood Lead—Waived................................................................................$222
Two challenges.
845 Cardiac Markers.......................................................................................$333
Five challenges each. Quantitative only.
BNP NT-proBNP
CK-MB Troponin I
D-Dimer Troponin T
Myoglobin
846 BNP/D-Dimer............................................................................................$237
Two challenges each.
BNP NT-proBNP
D-Dimer
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 252021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
860 Endocrinology/Hematology/Oncology................................................$249
Two challenges each.
CEA LH
DHEA-S Prealbumin
Estradiol Progesterone
Ferritin Prolactin
Folate Testosterone
FSH Transferrin
Homocysteine Vitamin B12
863 Endocrinology 2.......................................................................................$219
Lyophilized samples.
Two challenges each.
C-Peptide
Insulin
Parathyroid Hormone, Intact (PTH)
Vitamin D, 25-Hydroxy
854 SHBG/Testosterone..................................................................................$342
Lyophilized samples.
Two challenges each.
Sex Hormone Binding Globulin
Testosterone
Testosterone, Bioavailable
Testosterone, Free
861 PSA.............................................................................................................$156
Two challenges.
859 PSA (Add-On)..............................................................................................$69
Same as 861. Only available with 860.
865 Serum hCG................................................................................................$198
Five challenges each.
Continued on next page
26 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
866 Serum hCG (Add-On)................................................................................$99
Same as 865. Only available with 810, 813, 817, 818, 824, 826.
862 Tumor Markers........................................................................................$399
Two challenges each.
Beta (ß)-2 Microglobulin CEA
CA 125 PSA
CA 15-3 PSA, Free
CA 19-9 Thyroglobulin
CA 27/29
864 Thyroid Antibodies.................................................................................$261
Two challenges each.
Thyroglobulin Antibody
Thyroid Peroxidase Antibody (TPO)
850 Glycohemoglobin...................................................................................$210
Not compatible with Afinion analyzer.
Two challenges.
851 Afinion Glycohemoglobin......................................................................$225
Two challenges.
870 Whole Blood Glucose............................................................................$282
Five challenges.
871 Whole Blood Glucose—Waived.............................................................$180
Two challenges.
Continued on next page
acponline.org/mle Medical Laboratory Evaluation 2021 272021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
872 Urine Chemistry.........................................................................................$249
Two challenges each.
Amylase Phosphorus
Calcium Potassium
Chloride Protein, Total
Creatinine Sodium
Glucose Urea Nitrogen
Magnesium Uric Acid
Osmolality
868 Urine Drug Screen....................................................................................$240
Two challenges -10 mL each.
For the qualitative detection of drugs in urine. Each challenge will include
one or more of the following:
Acetaminophen LSD
MDMA
Amphetamines MDMA
Meperidine
Amphetamines/ Meperidine
Methadone
Methamphetamines Methadone
Methamphetamines
Barbiturates Methamphetamines
Methanol
Benzodiazepines Methanol
Methaqualone
Buprenorphine Methaqualone
6-Monoacetylmorphine
Cannabinoids (THC) 6-Monoacetylmorphine
Opiates (Morphine Trihydrate)
Carisoprodol Opiates
Oxycodone (Morphine Trihydrates)
Cocaine Metabolites Oxycodone
Phencyclidine
Cotinine Phencyclidine
Propoxyphene
EDDP Propoxyphene
Tramadol
Ethanol (Alcohol) Tramadol
Tricyclic Antidepressants
Fentanyl Tricyclic
ZolpidemAntidepressants
Hydrocodone Zolpidem
Continued on next page
28 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Chemistry (continued)
873 Ethyl Glucuronide (EtG) (Add-On)...........................................................$78
Only available with 868.
Two challenges.
874 Adulterated Urine (Add-On).....................................................................$93
Only available with 868.
Compatible with quantitative and semi-quantitative (dipstick) methods.
Two challenges each.
Creatinine Nitrite
Oxidants Specific Gravity
acponline.org/mle Medical Laboratory Evaluation 2021 292021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
Other Products & Services
Supplies
108 MLE Program Binder.........................................................................................................................$15
121 Pipette - 1mL .....................................................................................................................................$25
Reusable Class A volumetric pipette.
126 Pipette Pump......................................................................................................................................$45
For use with product 121 above.
E-notification Service
A value-added service to enhance the quality and safety of patient care. The e-mail notification ser-
vice will provide Class I and Class II recall information and field corrections pertaining to waived test
devices. Class I recalls are those that have a “probable risk of harm or death” to a patient if the items
remain in use. Class II recalls have a “significant risk 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 compliance for any remaining non-waived analytes.
To receive “E-Notify on Waived Tests” and the “Recalls and Field Corrections: Devices—Class I and
Class II” report, send an e-mail to mle@acponline.org and request to be added to the recipient list.
In the e-mail request, be sure to include your MLE ID number.
Continuing Education
MLE CEexpress...........................................................................................................................................FREE
MLE offers continuing education through COLA’s LabUniversity®. MLE CEexpress courses are pro-
vided free of charge to MLE participants. Discounts available on COLA courses. Call MLE at 1-800-
338-2746, ext. 4510 or e-mail us at mle@acponline.org to learn more.
Publications
142 National Intelligence Report Subscription..................................................................................$240
Monthly newsletter covering government policy for diagnostic testing and related medical services.
30 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY
CMS regulated 1 •CLIA
analytes for M2:purposes
MAY 10are
• M3: SEPTEMBER 13
in bold
Test Index
ABO Group....................................................................................7 Blood Smear, parasitology...................................................... 17
Acetaminophen, serum............................................................ 25 BNP ............................................................................................ 25
Acetaminophen, urine.............................................................. 28 Buprenorphine........................................................................... 28
Acetone....................................................................................... 25 C-Peptide.................................................................................... 26
Adulterated Urine...................................................................... 29 C-Reactive Protein (CRP).................................................... 18, 19
Affirm VPIII (DNA)...................................................................... 16 C-Reactive Protein, high sensitivity (HS-CRP)........................ 19
Albumin................................................................................ 21, 22 CA 125........................................................................................ 27
Alcohol, serum........................................................................... 25 CA 15-3....................................................................................... 27
Alcohol, urine............................................................................. 28 CA 19-9....................................................................................... 27
Alkaline Phosphatase......................................................... 21, 22 CA 27/29..................................................................................... 27
Allergy Testing........................................................................... 20 Calcium, serum.................................................................... 21, 22
Alpha-fetoprotein (AFP)..................................................... 21, 23 Calcium, urine............................................................................ 28
ALT (SGPT)........................................................................... 21, 22 Calcium, Ionized........................................................................ 24
Ammonia.................................................................................... 25 Candida, Affirm VPIII(DNA)...................................................... 16
Amphetamines........................................................................... 28 Cannabinoids (THC).................................................................. 28
Amphetamines/Methamphetamines...................................... 28 Carbamazepine......................................................................... 25
Amylase, serum................................................................... 21, 22 Carisoprodol.............................................................................. 28
Amylase, urine............................................................................ 28 CEA ...................................................................................... 26, 27
Anti-dsDNA................................................................................ 19 C. difficile, Antigen Detection................................................. 15
Anti-HAV..................................................................................... 20 Chlamydia (EIA/DNA)............................................................... 15
Anti-HBc...................................................................................... 20 Chloride, serum............................................................ 21, 22, 24
Anti-HBs...................................................................................... 20 Chloride, urine........................................................................... 28
Anti-HCV..................................................................................... 20 Cholesterol, HDL ......................................................... 21, 22, 23
Anti-HIV....................................................................................... 20 Cholesterol, LDL .......................................................... 21, 22, 23
Anti-RNP...................................................................................... 19 Cholesterol, Total ........................................................ 21, 22, 23
Anti-RNP/Sm............................................................................... 19 CK-MB......................................................................................... 25
Anti-SSA...................................................................................... 19 CO2 ...................................................................................... 21, 22
Anti-SSA/SSB.............................................................................. 19 Cocaine Metabolites................................................................. 28
Anti-SSB...................................................................................... 19 Colony Count....................................................................... 13, 14
Anti-Sm........................................................................................ 19 Compatibility Testing..................................................................7
Anti-Streptolysin O (ASO)........................................................ 18 Complement C3........................................................................ 19
Antibody Identification...............................................................7 Complement C4........................................................................ 19
Antimicrobial Susceptibility Testing ........................ 12, 13, 14 Cortisol.................................................................................. 21, 23
Antinuclear Antibody (ANA).................................................... 19 Cotinine....................................................................................... 28
AST (SGOT).......................................................................... 21, 22 Creatine Kinase (CK).......................................................... 21, 22
Automated Differential ......................................................... 3, 4 Creatinine, serum......................................................... 21, 22, 24
Bacterial Vaginosis.................................................................... 16 Creatinine, urine........................................................... 10, 28, 29
Barbiturates................................................................................ 28 Crossmatch....................................................................................7
Benzodiazepines........................................................................ 28 Cryptosporidium, Antigen Detection..................................... 17
Beta (ß)-2 Microglobulin........................................................... 27 Crystal Screening..........................................................................5
Bilirubin, Total............................................................... 21, 22, 23 CSF Culture.......................................................................... 12, 15
Bilirubin, Direct............................................................. 21, 22, 23 D-Dimer....................................................................................... 25
Bilirubin, Neonatal.................................................................... 23 Dermatophyte Culture............................................................. 16
Bilirubin, urine ....................................................................... 9, 11 DHEA-S....................................................................................... 26
Blood Cell Identification........................................................ 3, 5 Digoxin....................................................................................... 25
Blood Culture....................................................................... 12, 15 Drug Screen, Urine.................................................................... 28
Blood Gases............................................................................... 24 Ear Culture........................................................................... 12, 15
Blood/Hemoglobin, urine ................................................... 9, 11 EDDP........................................................................................... 28
acponline.org/mle Medical Laboratory Evaluation 2021 31CMS regulated
2021 SHIP DATES analytes for
M1: FEBRUARY 1 •CLIA
M2:purposes
MAY 10are in bold
• M3: SEPTEMBER 13
Eosinophils, Nasal (PPM)...................................................... 8, 11 KOH Skin Prep (Slides).......................................................... 8, 16
Estradiol...................................................................................... 26 Lactate (Lactic Acid) .................................................... 21, 22, 24
Ethanol, urine............................................................................. 28 LDH ............................................................................................ 21
Ethyl Glucuronide (EtG)............................................................ 29 Lead, Blood................................................................................ 25
Eye Culture........................................................................... 12, 15 Legionella, Antigen Detection................................................ 15
Fecal Leukocytes (PPM)........................................................ 8, 11 Leukocyte Esterase, urine..................................................... 9, 11
Fecal Occult Blood.............................................................. 10, 11 LH ............................................................................................ 26
Fecal Suspension, parasitology.............................................. 17 Lipase.......................................................................................... 21
Fentanyl....................................................................................... 28 Lithium........................................................................................ 25
Fern Testing (PPM)................................................................ 8, 11 LSD ............................................................................................ 28
Ferritin......................................................................................... 26 Magnesium, serum.............................................................. 21, 22
Fibrinogen.....................................................................................6 Magnesium, urine...................................................................... 28
Fluid Cell Count............................................................................5 MDMA......................................................................................... 28
Folate.......................................................................................... 26 Meperidine................................................................................. 28
FSH ............................................................................................ 26 Methadone................................................................................. 28
Gardnerella, Affirm VPIII (DNA).............................................. 16 Methamphetamines.................................................................. 28
GC (EIA/DNA)............................................................................ 15 Methanol..................................................................................... 28
Genital Culture.................................................................... 12, 13 Methaqualone............................................................................ 28
Gentamicin................................................................................. 25 MHA-TP....................................................................................... 20
GGT ...................................................................................... 21, 22 Microalbumin...................................................................9, 10, 11
Giardia lamblia, Antigen Detection........................................ 17 Miscellaneous Culture........................................................ 12, 15
Glucose, serum ............................................................ 21, 22, 24 6-Monoacetylmorphine............................................................ 28
Glucose, urine..................................................................9, 11, 28 MRSA Culture............................................................................ 15
Glucose, whole blood................................................. 11, 23, 27 Mycoplasma, IgG....................................................................... 20
Glycohemoglobin...................................................................... 27 Myoglobin.................................................................................. 25
Gram Stain..................................................................... 12, 13, 14 Nasal Eosinophils (PPM)....................................................... 8, 11
Gram Stain Morphology.............................................. 12, 13, 14 Nitrite, urine......................................................................9, 11, 29
Granulocytes, Immature..............................................................4 NT-proBNP................................................................................. 25
HBeAg......................................................................................... 20 Occult Blood, Fecal............................................................. 10, 11
HBsAg......................................................................................... 20 Opiates (Morphine Trihydrate)................................................ 28
hCG, serum........................................................................... 26, 27 Osmolality, urine........................................................................ 28
hCG, urine ............................................................................. 9, 11 Oxidants, urine........................................................................... 29
Hematocrit................................................................... 3, 4, 11, 24 Oxycodone................................................................................. 28
Hemoglobin............................................................ 3, 4, 9, 11, 24 Parasitology............................................................................... 17
Hemoglobin A1C (Glycohemoglobin).................................... 27 Parathyroid hormone (PTH)...................................................... 26
Homocysteine............................................................................ 26 Partial Thromboplastin Time (APTT) or (PTT)..........................6
H. pylori, Antibody Detection.................................................. 19 pCO2........................................................................................... 24
Hydrocodone............................................................................. 28 pH ............................................................................................ 24
i-STAT Chemistry....................................................................... 24 pH, urine................................................................................. 9, 11
IgA, Total.................................................................................... 19 Phencyclidine............................................................................. 28
IgE, Total..................................................................................... 20 Phenobarbital............................................................................ 25
IgG, Total.................................................................................... 19 Phenytoin.................................................................................... 25
IgM, Total................................................................................... 19 Phosphorus, serum.............................................................. 21, 22
Infectious Mononucleosis........................................................ 18 Phosphorus, urine...................................................................... 28
Influenza A, Antigen Detection............................................... 17 Pinworms (PPM)..................................................................... 8, 11
Influenza B, Antigen Detection............................................... 17 Platelet Count.......................................................................... 3, 4
INR ...............................................................................................6 pO2 ............................................................................................ 24
Insulin.......................................................................................... 26 Potassium, serum......................................................... 21, 22, 24
Iron ...................................................................................... 21, 22 Potassium, urine......................................................................... 28
Ketones, urine ....................................................................... 9, 11 Prealbumin................................................................................. 26
KOH Vaginal Prep (PPM)...................................................... 8, 11 Progesterone.............................................................................. 26
32 Medical Laboratory Evaluation 2021 acponline.org/mleCMS regulated
2021 SHIP DATES analytes for
M1: FEBRUARY 1 •CLIA
M2:purposes
MAY 10are
• in
M3:bold
SEPTEMBER 13
Prolactin...................................................................................... 26 Throat Culture...................................................................... 12, 14
Propoxyphene............................................................................ 28 Thyroglobulin............................................................................. 27
Protein, Total, serum........................................................... 21, 22 Thyroglobulin antibody............................................................ 27
Protein, Total, urine.........................................................9, 11, 28 Thyroid Peroxidase antibody (TPO) ....................................... 27
Prothrombin Time (PT)................................................................6 TIBC ...................................................................................... 21, 22
Provider-Performed Microscopy (PPM).............................. 8, 11 Tramadol..................................................................................... 28
PSA, Total.............................................................................. 26, 27 Transferrin................................................................................... 26
PSA, Free.................................................................................... 27 Treponema pallidum (TPA)...................................................... 20
PVA Slide, parasitology............................................................ 17 Trichomonas vaginalis, Affirm VPIII (DNA)............................. 16
Red Blood Cell Count............................................................. 3, 4 Trichomonas vaginalis (OSOM-Waived)................................ 16
Reticulocyte Count.......................................................................5 Tricyclic Antidepressants.......................................................... 28
Rheumatoid Factor (RA) .......................................................... 18 Triglyceride................................................................... 21, 22, 23
Rh Factor (D Type).......................................................................7 Troponin I................................................................................... 25
Rotavirus, Antigen Detection.................................................. 15 Troponin T.................................................................................. 25
RPR ............................................................................................ 20 TSH ...................................................................................... 21, 23
RSV, Antigen Detection............................................................ 17 UIBC ...................................................................................... 21, 22
Rubella, IgG............................................................................... 19 Unexpected Antibody Detection...............................................7
Salicylate..................................................................................... 25 Urea Nitrogen (BUN), serum........................................21,22, 24
Scabies (PPM)......................................................................... 8, 11 Urea Nitrogen (BUN), urine...................................................... 28
Sedimentation Rate......................................................................5 Uric Acid, serum.................................................................. 21, 22
SHBG........................................................................................... 26 Uric Acid, urine.......................................................................... 28
Sodium, serum.............................................................. 21, 22, 24 Urine Chemistry......................................................................... 28
Sodium, urine............................................................................. 28 Urine Culture................................................................. 12, 13, 14
Specific Gravity, urine.....................................................9, 11, 29 Urine Dipstick...................................................................9, 10, 11
Sperm (PPM)........................................................................... 8, 11 Urine Drug Screen..................................................................... 28
Sputum Culture................................................................... 12, 15 Urine hCG............................................................................... 9, 11
Stool Culture........................................................................ 12, 15 Urine Sediment Identification........................................9, 10 ,11
Strep A Antigen Detection......................................... 11, 12, 14 Urobilinogen, urine............................................................... 9, 11
Strep pneumoniae, Antigen Detection.................................. 15 Valproic Acid.............................................................................. 25
Syphilis Serology....................................................................... 20 Vancomycin................................................................................ 25
T3, Free................................................................................. 21, 23 VDRL............................................................................................ 20
T3, Total................................................................................ 21, 23 Vitamin B12................................................................................ 26
T3 Uptake............................................................................. 21, 23 Vitamin D, 25-Hydroxy.............................................................. 26
T4, Free................................................................................. 21, 23 Waived and PPM packages...................................................... 11
T4, Total................................................................................ 21, 23 Wet Mount Preparations (PPM)........................................... 8, 11
tCO2............................................................................................ 24 White Blood Cell Count......................................................... 3, 4
Testosterone............................................................................... 26 Wound Culture.................................................................... 12, 15
Testosterone, Bioavailable....................................................... 26 Zolpidem..................................................................................... 28
Testosterone, Free..................................................................... 26
Theophylline.............................................................................. 25
acponline.org/mle Medical Laboratory Evaluation 2021 332021 SHIP DATESMLE
M1: Proficiency
FEBRUARY 1 Testing Price
• M2: MAY 10 •List
M3: SEPTEMBER 13
W=Waived • A=Add-On • *Enroll after the 1st event and prices are prorated by 1/3 per event.
Code/Description *Full Year Code/Description *Full Year Code/Description *Full Year
HEMATOLOGY
648/Colony Count. . . . . . . . . . . . . . . . . . . . . . . $228 CHEMISTRY
210/Hematology . . . . . . . . . . . . . . . . . . . . . . . . $279
650/Gram Stain . . . . . . . . . . . . . . . . . . . . . . . . . $204 810/Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . . $384
212/Hemoglobin/Hematocrit/WBC. . . . . . . . $237
651/Miscellaneous Culture A. . . . . . . . . . . . . . $189 811/Lipid Panel/GlucoseW . . . . . . . . . . . . . . . $192
213/Hemoglobin/Hematocrit W. . . . . . . . . . . $177
652/Throat Culture/Urine 812/Waived Chemistry Panel W. . . . . . . . . . . $234
215/Hemoglobin/Glucose—HemoCue. . . . . . $195
Presump ID . . . . . . . . . . . . . . . . . . . . . . . . . . . $363 813/Comp. Metabolic Panel . . . . . . . . . . . . . . $309
223/Abbott 5-Part Diff. . . . . . . . . . . . . . . . . . . . $372
653/Genital/Urine Culture . . . . . . . . . . . . . . . $327 817/i-STAT Chemistry 1 . . . . . . . . . . . . . . . . . . $390
224/Sysmex 3-Part Diff. . . . . . . . . . . . . . . . . . . $330
225/Hematology 3-Part Diff. . . . . . . . . . . . . . . $321 660/Strep A Antigen Detection. . . . . . . . . . . . $201 818/i-STAT Chemistry 2 . . . . . . . . . . . . . . . . . . $270
226/Hematology 5-Part Diff. . . . . . . . . . . . . . . $372 662/Strep A AntigenW. . . . . . . . . . . . . . . . . . . $132 824/Thyroid Profile . . . . . . . . . . . . . . . . . . . . . . $258
228/Hematology 5-Part diff- 826/Lipid Profile. . . . . . . . . . . . . . . . . . . . . . . . . $246
668/Affirm VP Antigen Testing . . . . . . . . . . . . $399
ACT 5 & Pentra 60C+. . . . . . . . . . . . . . . . . . . $372 831/Therapeutic Drugs A. . . . . . . . . . . . . . . . . . $66
673/Chlamydia/GC A . . . . . . . . . . . . . . . . . . . . $189
229/Hematology 5 or 6-Part 832/i-STAT Chemistry W. . . . . . . . . . . . . . . . . . $195
675/Chlamydia/GC (EIA, DNA ) . . . . . . . . . . . $378
diff-Sysmex . . . . . . . . . . . . . . . . . . . . . . . . . . . $372 833/Waived Chemistry Panel A W . . . . . . . . . . $81
230/Blood Cell Id A. . . . . . . . . . . . . . . . . . . . . . . $48 678/Dermatophyte Culture . . . . . . . . . . . . . . . $282 835/Serum Alcohol/Acetone. . . . . . . . . . . . . . $252
231/Blood Cell Id. . . . . . . . . . . . . . . . . . . . . . . . $138 680/Resp. Antigen DetectionW. . . . . . . . . . . . $213 836/Ammonia. . . . . . . . . . . . . . . . . . . . . . . . . . . $180
240/Reticulocyte Count . . . . . . . . . . . . . . . . . . $243 681/Resp. Antigen Detection . . . . . . . . . . . . . $321 838/Blood Lead W. . . . . . . . . . . . . . . . . . . . . . . $222
247/Sed Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . $195 682/C. diff/Rotavirus Ag Detection.. . . . . . . . $291 841/Neonatal Bilirubin . . . . . . . . . . . . . . . . . . . $243
248/Sed Rate-Sedimat15. . . . . . . . . . . . . . . . . $195 683/Cryptosporidium/ 845/Cardiac Markers. . . . . . . . . . . . . . . . . . . . . $333
250/Body Fluid/Cell Ct/Crystals. . . . . . . . . . . $231 846/BNP/D-Dimer. . . . . . . . . . . . . . . . . . . . . . $237
Giardia lamblia Ag Detection . . . . . . . . . . . $342
847/Blood Gases . . . . . . . . . . . . . . . . . . . . . . . $324
COAGULATION 686/Legionella Antigen Detection. . . . . . . . . $261
850/Glycohemoglobin . . . . . . . . . . . . . . . . . . . $210
320/Coagulation . . . . . . . . . . . . . . . . . . . . . . . . $228 687/Strep pneumoniae Antigen Detection... $267
851/Afinion Glycohemoglobin . . . . . . . . . . . . $225
324/Roche CoaguChek XS INR W . . . . . . . . . $213 690/PVA Slides A. . . . . . . . . . . . . . . . . . . . . . . . $180
854/SHBG/Testosterone. . . . . . . . . . . . . . . . . . $342
328/i-STAT Prothrombin Time. . . . . . . . . . . . . $369 691/Parasitology . . . . . . . . . . . . . . . . . . . . . . . . $345
859/PSA A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69
330/CoaguChek XS PLUS/Pro PT/INR. . . . . . $321 692/Bacterial Vaginosis W. . . . . . . . . . . . . . . . $192 860/Endocrinology/Hematology/Oncol . . . . $249
331/CoaguChek XS PLUS/Pro PT/INR W. . . . $213 693/Trichomonas vaginalisW. . . . . . . . . . . . . . $192 861/PSA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $156
695/MRSA Culture. . . . . . . . . . . . . . . . . . . . . . . $297 862/Tumor Markers. . . . . . . . . . . . . . . . . . . . . . $399
BLOOD BANK
863/Endocrinology 2. . . . . . . . . . . . . . . . . . . . . $219
451/ABO & Rh Factor (D Type). . . . . . . . . . . . $309 IMMUNOLOGY
864/Thyroid Antibodies. . . . . . . . . . . . . . . . . . $261
452/Blood Bank 1 . . . . . . . . . . . . . . . . . . . . . . . $414
750/Immunology Module . . . . . . . . . . . . . . . . $333 865/Serum hCG. . . . . . . . . . . . . . . . . . . . . . . . . $198
453/Blood Bank 2 . . . . . . . . . . . . . . . . . . . . . . . $444
751/Rheumatology Module. . . . . . . . . . . . . . . $252 866/Serum hCG A. . . . . . . . . . . . . . . . . . . . . . . . $99
URINALYSIS & PPM 755/Infectious Mono W. . . . . . . . . . . . . . . . . . . $135 868/Urine Drug Screening—Qual . . . . . . . . . . $240
761/Infect Mono/Rheumatoid Factor. . . . . . . $315 870/Whole Blood Glucose. . . . . . . . . . . . . . . . $282
530/Urinalysis. . . . . . . . . . . . . . . . . . . . . . . . . . . $138
762/Infectious Mono. . . . . . . . . . . . . . . . . . . . . $213 871/Whole Blood Glucose W . . . . . . . . . . . . . $180
531/Urinalysis Dipstick. . . . . . . . . . . . . . . . . . . $114
872/Urine Chemistry. . . . . . . . . . . . . . . . . . . . . $249
532/Urine Sed Id . . . . . . . . . . . . . . . . . . . . . . . . $129 763/Rheumatoid Factor . . . . . . . . . . . . . . . . . . $207
873/Ethyl Glucuronide A . . . . . . . . . . . . . . . . . . $78
533/Urine Sed Id A . . . . . . . . . . . . . . . . . . . . . . . $36 764/CRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $129
874/Adulterated Urine A . . . . . . . . . . . . . . . . . . $93
534/PPM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $141 765/HS-CRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . $138
535/PPM A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$45 770/Specific Allergen Testing. . . . . . . . . . . . . $369 WAIVED TESTING PACKAGES
536/Microalbumin/Creatinine—Quant A . . . . . $96
771/Rubella. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $207 901/Waived and PPM Package W . . . . . . . . . $333
537/Fecal Occult Blood A . . . . . . . . . . . . . . . . . $93
772/Syphilis Serology. . . . . . . . . . . . . . . . . . . . $228 902/Basic Waived and PPM Package W . . . . $291
538/KOH Slides. . . . . . . . . . . . . . . . . . . . . . . . . $183
773/Diagnostic Allergy. . . . . . . . . . . . . . . . . . . $369
539/Microalbumin/Creatinine—Quant. . . . . . $138
775/Viral Markers . . . . . . . . . . . . . . . . . . . . . . . $495 SUPPLIES & SERVICES
540/Urine hCG A. . . . . . . . . . . . . . . . . . . . . . . . . $30
541/Urine hCG. . . . . . . . . . . . . . . . . . . . . . . . . . $105 776/CRP A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63 108/MLE Program Binder. . . . . . . . . . . . . . . . . . $15
542/Fecal Occult Blood . . . . . . . . . . . . . . . . . . $132 777/HS-CRP A. . . . . . . . . . . . . . . . . . . . . . . . . . . . $69 121/1mL Pipette. . . . . . . . . . . . . . . . . . . . . . . . . . $25
780/H. pylori Antibody Detection. . . . . . . . . . $180 126/Pipette Pump . . . . . . . . . . . . . . . . . . . . . . . . $45
MICROBIOLOGY 781/Mycoplasma Antibody . . . . . . . . . . . . . . . $171 142/G2 NIR Subscription . . . . . . . . . . . . . . . . . $240
630/Bacteriology 1 . . . . . . . . . . . . . . . . . . . . . . $351 782/ANA Panel. . . . . . . . . . . . . . . . . . . . . . . . . . $291
640/Bacteriology 2 . . . . . . . . . . . . . . . . . . . . . . $333 783/ANA Panel A. . . . . . . . . . . . . . . . . . . . . . . . $222
641/Throat Culture . . . . . . . . . . . . . . . . . . . . . . $324
784/Complement/Immunoglobulins. . . . . . . $249
643/Urine Culture . . . . . . . . . . . . . . . . . . . . . . . $324
790/Anti-HIV W. . . . . . . . . . . . . . . . . . . . . . . . . . $183
645/Urine/Throat Culture. . . . . . . . . . . . . . . . . $327
791/Anti-HIV. . . . . . . . . . . . . . . . . . . . . . . . . . . . $309
646/Genital Culture. . . . . . . . . . . . . . . . . . . . . . $324
647/Urine Culture/Presump.ID/CC. . . . . . . . . $363
34 Medical Laboratory Evaluation 2021 acponline.org/mle2021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13
2021 MLE Proficiency Testing Order Form CTLG
1 □ New Enrollee 7 □ Activate Auto Renewal at no charge.
□ Renewing Participant: MLE ID #_______________________
Module # Description Price
100 Annual Admin Fee $90
2 Bill to: (please print clearly or type)
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acponline.org/mle Medical Laboratory Evaluation 2021 352021 SHIP DATES M1: FEBRUARY 1 • M2: MAY 10 • M3: SEPTEMBER 13 36 Medical Laboratory Evaluation 2021 acponline.org/mle
MLE DISCOUNT OFFERS
Your Solution to Savings Starts Here!
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 Eligibility
Code Requirements
Ongoing Discounts (applied each year enrolled in MLE)
ACP Save $90 ACP Members • Current in or new to MLE and ACP
Multisite *Save 5% Multisite • Current in or new to MLE
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• Order must indicate independent consultant
• Consultant must have 5 or more enrolled labs
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agencies (including
FQHC and IHS)
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add’l benefits, visit:
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Note: Select the eligible offer that provides the greatest discount.
We are unable to apply more than one discount offer.
Price matching is available online. Visit acponline.org/mleProficiency Testing at its Best.
What’s New for 2021
NEW MODULES
Module No. Description Catalog Page No.
651 Miscellaneous Cultures - Add-On 15
691 Parasitology 17
MODULE RECONFIGURATIONS
Module No. Description Catalog Page No.
690 PVA Slides-Add-on 17
860 Prealbumin (now included) 26
25 Massachusetts Avenue NW, Suite 700
Washington, DC 20001-7401
MD9333-1You can also read
