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LAMPIRAN BERITA ACARA PEMERIKSAAN IZIN OPERASIONAL LABORATORIUM KLINIK UMUM PRATAMA
NOMOR | : | 0119/BAP/PLK-PKKPL/V/2021 |
TANGGAL | : | 11 Mei 2021 |
I. KLASIFIKASI
"Melaksanakan pelayanan pemeriksaan spesimen klinik di bidang hematologi, kimia klinik, mikrobiologi klinik, parasitologi klinik, dan imunologi klinik, dengan kemampuan pemeriksaan terbatas dengan teknik sederhana"
II. PENYELENGGARAAN
III. LOKASI
Nama perusahaan | Nomor kontrak | Masa berlaku kontrak |
---|---|---|
PT ARAH ENVIRONMENTAL INDONESIA | 0282-3/PKS/MONO/AEI-MDN/XI/20 | 31/10/2021 |
IV. BANGUNAN DAN PRASARANA
6. Tata ruang :
V. PERALATAN
VI. PERLENGKAPAN KESELAMATAN DAN KEAMANAN LABORATORIUM
VIII. KETENAGAAN
Nama | Jenis ketenagaa n | Masa berlaku SI P |
---|---|---|
Helmi Devita Si agian | Analis Kesehata n | 11/02/2026 |
Ronald Pahala S imanjuntak | Analis Kesehata n | 21/09/2025 |
dr. Baby Tan, S p.PK | Dokter PJ | 21/08/2022 |
Tanda tangan pemohon,
Tanda tangan tim teknis,
NIP. 19680909 199303 2 007
NIP. 19821013 201001 2 011
Lampiran Hasil Pemeriksaan Mandiri Lab Klinik Umum Pratama
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