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The VA Puget Sound Health Care System (VAPSHCS) Pathology and Laboratory Medicine Service (PLMS) requires analytical testing, surgical pathology, cytology and microbiology reference lab services. This... The VA Puget Sound Health Care System (VAPSHCS) Pathology and Laboratory Medicine Service (PLMS) requires analytical testing, surgical pathology, cytology and microbiology reference lab services. This full-service reference lab services requirement will provide testing supplies, customer service, courier services, interfaced lab result reporting services and verification of certification for test results.