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Laboratory Accreditation Form

PHA.customWebParts - NewbornRequestWP

Request Form

Organization Information

Name

Sector

Governmental
Private

Type

Hospital
Private

Classification

Newborn Screening
Laboratories-COVID

City

Address

Location

Longitude

Latitude

Click on the map to select latitude and longitude

Contact Information

Cordinator Name

E-Mail

Title

Tel. No.

+966

Mobile No.

+966

Service Information

Licensed Technicians (Enough to Cover Workload)

Yes
No

Quality Management Programm

Yes
No

Security Software

Yes
No

Validated newborn screening equipment

Yes
No

Availability of the Reporting System

Yes
No

Availability of personal protective equipment

Yes
No

Contracting with a Waste Disposal Company

Yes
No

Contract with Shipping Company

Yes
No

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Modified Date 11/11/2024

English (United States)Currently selected

NewbornFormRequest

VariationRoot
English (United States)