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CHECKLIST OF REQUIREMENTS FOR INITIAL ISSUANCE / …

Republic of the Philippines Department of Health FOOD AND DRUG ADMINISTRATION. Filinvest Corporate City Alabang, City of Muntinlupa CHECKLIST OF REQUIREMENTS FOR INITIAL ISSUANCE / RENEWAL OF. A license TO OPERATE (LTO) A medical X-RAY FACILITY. 1. Duly accomplished medical x-ray license application form (2 copies). license application fee (refer to the schedule of fees below). Either a photocopy of the machine validated Land Bank of the Philippines (LBP) OnColl Payment Slip or Manager's Check or Cashier's Check payable to 2. FOOD AND DRUG ADMINISTRATION. For LBP payment, you may visit FDA website through this link for the guidelines for payment portal: pertaining-to-all-regulated- medical -devi ces/cdrrhr-fda-circular/508371-fda-circu lar-no-2018-004. Photocopy of the Official Receipt or certificate of subscription of the personal dose monitor (TLD or OSL).

a license to operate (lto) a medical x-ray facility 1. duly accomplished medical x-ray license application form (2 copies). ... (for renewal application with no changes on current radiologist/s, this requirement is optional) 6. ... (for renewal application with no changes on current radiologic/ x-ray technologist/s, this requirement is optional) 7.

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