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Lab Accreditation & Licensing

  • Lab License.
  • Technical Director License.
  • If the lab is inside a medical facility, the facility license is sent.
  • Registration of members of the medical profession.

The laboratory determines the hierarchy, the role and function of each job , depending on the qualifications and training of each individual.

With regard to the registration of members of the medical professions, the laboratory submits a request to register the members of the medical professions working in the laboratory by sending the required documents and dividing the workers in terms of the nature of work with their licenses to practice their profession on the e-mail before the visit for evaluation so that the auditors can verify and review the necessary information about the workforce before the visit.

  1. Item no. 202 of the Labor Law mentioned periodic medical examinations.
  2. Item no. 219 of the Labor Law mentions the periodic medical examination (The facility is obligated, in coordination with the General Authority for Health Insurance, to conduct periodic medical examinations for all employees of the facility to maintain their health fitness on an ongoing basis and to discover what appears from occupational diseases in their early stages.
  3. Schedule of Occupational Diseases Law 148 of 2019 Social Insurance and Pensions Law.

According to the regulations and laws regulating the work of laboratories
and their licenses, there is no name for a branch, and therefore each branch is treated as an independent laboratory and all standards are applied to it according to the field of service.

In the event that the branch sends the analyzes to the main branch, it is considered a reference laboratory and must be approved by GAHAR first.

Laboratory standards depend on the existence of a correct and effective quality system, regardless of the size and nature of the laboratory.

It is all the tests that are done inside the lab and have devices that the lab takes all of them, and no part of the tests is selected for approval.

All areas of work inside the lab are already included in the accreditation, and no other analyzes are carried out except through the referral lab approved by the authority or on one of the international accreditations in the field of contracting with it with the advanced lab for accreditation.

It is accepted to register all types of laboratories that provide clinical examination services in all their branches according to the licensing decision issued to them by the central administration of laboratories.

No, if it is not a reference laboratory, which is the case in most cases, then it is not separately registered and approved. The exception: that the service has a separate administration and a separate budget (that is, it is a health facility independent of the hospital) Example: university hospital laboratories.

  • Laboratory accredited by GAHAR (in the current stage, if there is no laboratory accredited by GAHAR, a laboratory accredited by international standards is selected).
  • The laboratory must be accredited in the same field of service provided.

What is required is that the laboratory has written procedures for external quality control and participates in external quality programs, and that the implementation will be gradual and accept a certain percentage of the work volume in the laboratory, at least, that is subject to an external quality program or programs. Other analyzes not shared in external quality programs are subject to alternatives that have an existing international reference, such as comparing the results of the analyzes with other laboratories accredited and recognized for their efficiency.

The written procedures are reviewed and the workers are asked about the procedures followed for quality control, both in the analyzes that he performs, and the implementation of these procedures in each device or analysis is verified from the beginning of the necessary reagents and chemicals to the method of use and the rate of use to verify the quality of the analyzes and document that, whether on paper or Electronically according to each device and its specifications, up to the procedures that the technician, doctor or specialist performs in case the quality control results do not match the target.

  • During the survey visit, each standard is scored for the evidence of compliance (EOC).
  • These are mathematical rules that depend on summation and percentage calculation of scores of each applicable EOCs as follows:
    • Met when the laboratory shows 80% or more compliance with requirements during the required lookback period with a total score of 2.
    • Partially met when the laboratory shows less than 80% but more than or equal to 50% compliance with requirements during the required lookback period with a total score of 1.
    • Not met when the laboratory shows less than  50% compliance with requirements  during the required lookback period with a total score of 0.
    • Not applicable when the surveyor determines that, the standard requirements are out of the organization scope (the score is deleted from the numerator and denominator).
    • While most EOCs are independent, stand-alone units of measurement that represent the structure, process, and/or outcome, few EOCs are dependent on each other. Dependence means that compliance with one EOC cannot be achieved (or scored) without ensuring compliance with other EOCs.
  • Scoring of each standard:
    • Met: when the average score of the applicable EOCs of this standard is 80% or more.
    • Partially met: when the average score of the applicable EOCs of this standard is less than 80% but not less than 50%.
    • Not met: when the average score of the applicable EOCs of this standard is less than 50%.
  • Scoring of each chapter
    • Each chapter is scored after calculating the average score of all applicable standards in this chapter.

A Laboratory can achieve accreditation by demonstrating compliance with certain accreditation decision rules. These rules mandate achieving certain scores on a standard level, chapter level, and overall level as the accreditation decision is composed of four decisions.

1st Decision: Status of Accreditation for a laboratory (3 years).

  • Overall compliance of 80% and more, and
  • Each chapter should score not less than 70%, and
  • No single whole standard is scored as not met.

2nd Decision: Status of Conditioned Accreditation for a laboratory (2 years).

  • Overall compliance of 70% to less than 80%, or
  • Each chapter should score not less than 60%, or
  • Up to one standard not met per chapter, and
  • No single not met NSR standard.

3rd Decision: Status of Conditioned Accreditation for a laboratory (1 year).

  • Overall compliance of 60% to less than 70%, or
  • Each chapter should score not less than 50%, or
  • Up to two standards not met per chapter, and
  • No single not met NSR standard.


4th Decision: Rejection of Accreditation

  • Overall compliance of less than 60%, or
  • One chapter scored less than 50%, or
  • More than two standards not met per chapter, or
  • Not met NSR standard.

Laboratories having status of accreditation or conditioned accreditation with elements of non-compliance are requested to:

  • Submit a corrective action plan for unmet EOCs and standards within 90 days for 1st decision, 60 days for 2nd decision and 30 days for 3rd decision to the email
    reg@gahar.gov.eg.
  • Apply and pass the accreditation survey in 2 years for 2nd Decision and 1 year for 3rd Decision.


Accreditation is valid for 3 years. Accreditation may me be suspended or withdrawn if:

  • The Laboratory fails to pass follow up surveys in case of conditioned accreditation.
  • The Laboratory fails to submit corrective action plans in case of presence of one not met EOC or more.
  • The Laboratory fails to pass unannounced survey, The Laboratory fails to comply with GAHAR circulars when applicable.

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