Checklist of Application Documents For A General Clinical Laboratory

This is intended for clinical laboratories under the jurisdiction of Center for Health Development 3. Always prepare a duplicate copy of all the documents submitted.

1. Notarized Application for License to Operate a Clinical Laboratory (this form)

2. List of Personnel

3. Photocopies of the following:

3.1. Proof of qualification of the medical and paramedical staff

• Valid PRC ID
•  Specialty Board Certificate of the medical staff
•  Certificate of Training/ Record of Work Experience

3.2. Proof of employment of the medical, paramedical and administrative staff (Contract of Employment must be provided) 

3.3. Current Authority to Practice for government pathologists (AO No. 161 s. 2000)

4. List of Equipment/ Instrument

5. Location Map for the clinical laboratory building

6. SEC/ DTI Registration (for private clinical laboratories) OR Issuance of Board Resolution (for government clinical laboratories)

7. Quality Manual of Clinical Laboratory (to be fully implemented by January 2009)

8. Certificate of Participation in External Quality Assessment Program for the current year and EQAP results of the previous year's participation. (If the certificate is not yet available, please present a copy of the received application form together with the proof of payment)

• Clinical Chemistry (LCP)
• Hematology (NKTI)
• Serology (SACCL)
• Microbiology (RITM)Certificate of Participation in External Quality Assurance Program

 Please check also the following links:

• Procedural Guideline
• Application Form

Required Documents for Clinical Laboratory in the Renewal of License to Operate a Hospital (Updated on October 2012)

Applicant must first request relevant information and prescribed form from the Center for Health Development under whose jurisdiction the hospital is located.

All of the following documents for clinical laboratory section must be submitted before a license to operate can be renewed:

1. List of Personnel (use ANNEX A) 

2. Photocopies of the following:

Proof of qualification of pathologist and medical technologist
2.1 PRC ID
2.2 Board Certificate
2.3 Latest Certificate of Training/Seminar

3. List of Equipment, Reagent, Laboratory Ware and Materials for Specific Test (use ANNEX C) 

4. Quality Manual (changes only) 

5. Certificate of Participation in External Quality Assessment Program for the current year and EQAP results of the previous year's participation. (If the certificate is not yet available, please present a copy of the received application form together with the proof of payment)

5.1 Clinical Chemistry (LCP)
5.2 Hematology (NKTI)
5.3 Serology (SACCL)
5.4 Microbiology (RITM)

6. Notarized letter of intent to comply with the required blood service facility

7. Memorandum of Agreement, if not owned by the hospital

Upon filing of application, the applicant pays the corresponding fees for renewal of License to Operate to the Cashier of the Center for Health Development.

Movement Against Malaria e-News Vol. 7 Issue 2 (October 2012)

From MAM eNews Team


Welcome to another issue of Movement Against Malaria eNews.

The Movement Against Malaria and its implementing partners continue their intensified efforts to fight against malaria during the recently celebrated Local Chief Executives’ Meeting, wherein the next steps towards malaria elimination were thoroughly discussed to achieve the goal of eradicating malaria in the Philippines. Partner government agencies and programs, non-governmental organizations, community leaders and individuals also maintain their various efforts done in the last few months in different parts of the country.

Click to enlarge

(Top) LGU, DOH, WHO, SciP, and PSFI representatives affix their respective logos in the LLIN.

(Bottom: L-R) Romblon Gov. Eduardo Firmalo, Sarangani Gov. Miguel Dominguez, Zamboanga Sibugay Gov. Rommel Jalosjos, Compostela Valley Gov. Arturo Uy,

Ifugao Gov. Eugene Balitang, Mountain Province Gov. Leonard Mayaen, Apayao Gov. Elias Bulut Jr., Palawan Gov. Abraham Mitra, Quirino Gov. Junie Cua, Agusan del Norte Vice Gov. Enrico Corvera.

Read these stories and more in this newest Movement Against Malaria e-News issue.

Happy reading.

Movement Against Malaria e-News Vol. 7 Issue 2 (October 2012)

Training for Drug Testing Laboratory Analysts, November 13 - 15, 2012 Davao City

Seminar/Workshop Updates

The Seminar/Workshop on the Manual of Operations for Analysts of Drug Testing Laboratories organized by the PHILIPPINE ASSOCIATION OF MEDICAL TECHNOLOGISTS, INC. (PAMET) DAVAO CHAPTER is scheduled on November 13 - 15, 2012 .\

For reservation and details please contact:
Mrs. Zenaida M. Banzon
Laboratory Department
Southern Philippines Medical Center
J.P. Laurel Ave., Davao City
Tel. no:(082) 2272731 local 4507

Source: Department of Health, National Reference Laboratory for environmental, occupational health, toxicology, and micronutrient assay.