Republic of the PhiliPPines

Department of Health
National Kidney and Transplant Institute
Deparment of Pathology and Laboratory Medicine

The National Reference Laboratory X'or Ilematologr

National External Quality Assessment Scheme (NEQAS) in Ilematolory for the year 2016

PARTICIPANT NO.:

PARANAQUE ULTRASOUND DIAGNOSTIC CENTER INC.-BACOOR

Name of Glinical Laboratory:
CITY GOVERMENT BRANCH
Mailing AddfeSS: (Note: Please till up completely, to avoid Retum To Sender courier transaction/s due to incomplete address)

2/F SAGIPBUHAY BLDG.BACOOR CITY GOVERNMENT MOLINO

Street no. Streel name Barangay
BACOOR ,CAVITE 4102 4A
' Municipality / City Zip Code Region
MOLINO BLVD BACOOR CITY HALL
LandmarUs,
Lab. Tel. No.: 046-4325611 Lab. Mobile No.: 09276113311 Lab. Email Add.:PUDCBCGC@YAHOO.C
Contact Person (1): mARIVIC RIVERA OM
Mobile No.: Email Add.: mavicrivera_0830@yahoo.co
Tel- No.: 09276113311
Gontact Person (2): m
MANUEL LIWAG
Tel. No.: Mobile No.: Email Add.:
F Hospital-Baseo Q, covemment
tion: ! -"n'"ry
EX Free-standing I Priuate F secondary
E o,h"., (i.e. RHU, CHo, SHC, etc.): AX Rrit"ry
04A011917-CL-2 JANUARY 1,2017 DECEMBER 2017
License No.: lssued on: Valid Until:

Name of Director/Chief of Hospital/Owner: DR.RODOLFO RAQUINO

MINNIE JANE PINEDA MDPFS

of Ghief Med. Tech.: MARIVIC RIVERA

09276113311

Automated Manual 4.{: Analyzer and reagent brand name

PROFAME BIOLOGICAL STAIN
fIX Hemoglobin n mr.
X
nX Hematocrit m nX
BX RBCCount m mX
mX . wBC count n FX
fIX Ptatetet count n uX