3. Expert lab Name - Contact - If you have not yet selected a lab, please check the list of MicroVal Expert Labs . 4. Production site Company name - Contact name and title - Address - Phone number - E-mail - Number of employees - Quality Management System at the production site 5. No Yes (please add a copy of the certificate) - ISO 9001 □ □ No Yes (please add a copy of the certificate) - ISO 13485 □ □ No Yes, namely: ________________________ - Other: □ □ 6. Certification Body Company name Lloyd’s Register QA Contact Mr. Vizee Phone number +31 10 2018 401 Email / 7. Do you opt for a harmonized study with AOAC-RI and/or NordVal? You will have to apply for a validation study at either AOAC or NordVal yourself. No Yes - AOAC-RI PTM □ □ No Yes - NordVal □ □
3. Expert lab Name Contact - - If you have not yet selected a lab, please check the list of MicroVal Expert Labs . 4. Production site Company name Contact name and title Address Phone number E-mail Number of employees - - - - - - 5. Quality Management System at the production site - ISO 9001 - ISO 13485 - Other: □ No □ Yes (please add a copy of the certificate) □ No □ Yes (please add a copy of the certificate) □ No □ Yes, namely: ________________________ 6. Certification Body Company name Contact Phone number Email Lloyd’s Register QA Mr. Vizee +31 10 2018 401 / 7. Do you opt for a harmonized study with AOAC-RI and/or NordVal? You will have to apply for a validation study at either AOAC or NordVal yourself. - AOAC-RI PTM - NordVal □ No □ Yes □ No □ Yes
MicroVal-Application-Form-for-ISO-16140-2-v.6-2018-1-1.docx