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Accreditation Application Form

(FR-097)

(ISO 15189 Accreditation Application Form for Medical Laboratories)

Information of the medical laboratory
Information of head of the medical laboratory
Information of contact person of the medical laboratory
Information of owner of the medical laboratory
Does the medical laboratory carry out internal) calibrations?
Does the medical laboratory operate at several sites?
Site of medical laboratory
Does the site medical laboratory carry out internal calibrations?
Reminder
TABLE-1 Examination /Test methods subjected to accreditation
# (Medical Fields, Materials or products examined / tested) (Types of examinations / Tests, Technical fields, Parameter/Analytical Methods) (Testing Method (national, international standards, in-house methods (SOP))/ Equipment/Techniques used) (Taking primary samples)
1
2
3
4
5
6
7
8
9
10
Site of medical laboratory  (Annex A)*
Does the medical laboratory carry out internal calibrations?
Site of medical laboratory (Annex B) **
Does the medical laboratory carry out internal calibrations?
Postscript