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LIFE EXTENSION DBA LIFE SCAN WELLNESS CENTERS
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LIFE EXTENSION DBA LIFE SCAN WELLNESS CENTERS
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Last modified
3/18/2025 2:50:01 PM
Creation date
3/18/2025 11:03:34 AM
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Template:
CONTRACTS
Description Type
Goods and Services
Contract Type
Amendment
NAME
LIFE EXTENSION DBA LIFE SCAN WELLNESS CENTERS
Contract Record Series
704-05
Contract Expiration
4/30/2025
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<br /> <br /> <br />OTHER Tests Available: <br /> <br /> <br />Line-Item COST <br />Chest X-Ray, 2 view with radiologist review $95.00 <br />Lumbar X-Ray, 2 view with radiologist review $95.00 <br />Hazmat Cholinestrese $95.00 <br />Hazmat Heavy Metals $95.00 <br />Hepatitis A Screening Test $68.00 <br />Hepatitis A Titer $46.00 <br />Hepatitis B Screening Test $75.00 <br />Hepatitis B Titer $42.00 <br />Hepatitis C Screening Test $68.00 <br />HIV Test, Gen 4 $38.00 <br />PPD TB Skin Test $39.00 <br />QuantiFeron TB Blood Test $95.00 <br />Tdap (Tetanus, Diphtheria, Pertussis) Titer $40.00 <br />MMR Booster $97.00 <br />MMR Titer $97.00 <br />Polio Booster $40.00 <br />Polio Titer $73.00 <br />OSHA Respirator Mask Fit Testing (Portacount) $60.00 <br />Drug Screen, I CUP $60.00 <br />Drug Rescreen with confirmation $68.00 <br />Medical Review Officer (MRO) as indicated/secondary review $138.00 <br />Phlebotomist (Blood Draw) Fee $28.00 <br />Minimum 45 appointments: Pricing subject to 5% increase. <br />Pricing is based on 9 patients per day, 45 per week. All <br />scheduled appointments will be billed. <br /> <br /> <br /> <br />Docusign Envelope ID: 9169D06A-D3E7-4D44-8D61-C1792E745D63Docusign Envelope ID: 3D542459-73B4-49E2-B3FC-2D9791862FDF
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