Accreditation Checklist Sample Download

Salutation

Mr. Ms. Mrs. Dr.

Name*

First Name

Last Name

Institution/Laboratory Name*

Location*

United States International

City

State

ZIP Code

City

State/Province

ZIP / Postal

Country

Email*

Phone*

Which of the following best represents your primary role?*

Laboratory Director Laboratory Administrative Director Laboratory Manager Section Head or Manager POCT Manager QA/QC Manager Laboratory Technician Other

Please enter your primary role:*

Is your laboratory currently accredited?*

Yes No

Who is your current accreditor?

Are you considering accreditation in the future?

Yes No

Please indicate when are you considering accreditation:

What is your approximate test volume per year?*