| Reason | |||
|---|---|---|---|
CV Afra Medilab | 00*9**0****41**0 | Rp 650,137,050 | Harga penawaran terkoreksi melebihi HPS |
PT Bagas Artha Makmur | 0317003614331000 | Rp 742,350,510 | - |
CV Prima Utama Abadi | 0708416797331000 | Rp 710,800,596 | Surat dukungan dan pernyataan tidak lengkap |
| 0317113298331000 | - | - | |
CV Marino Putra | 0030209753331000 | - | - |
| 0032497414331000 | - | - | |
PT Rudi Delapan Dua Jaya | 00*6**0****31**0 | - | - |
| 0029121191331000 | - | - | |
| 0703530287331000 | - | - | |
| 0010612489051000 | - | - | |
CV Freidi Medical | 00*7**0****31**0 | - | - |
Akbar Cipta Sada | 00*7**0****31**0 | - | - |
| 0711759217331000 | - | - |