| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1291 | Amphetamine | Rp35.000 | Laboratorium |
| 1292 | Metamphetamine | Rp35.000 | Laboratorium |
| 1293 | Benzodiazepine | Rp35.000 | Laboratorium |
| 1294 | Morphine | Rp35.000 | Laboratorium |
| 1295 | Kokain | Rp35.000 | Laboratorium |
| 1296 | Narkoba Alkohol | Rp100.000 | Laboratorium |
| 1297 | Paket Narkoba 6 Parameter + narkoba Alkohol | Rp250.000 | Laboratorium |
| 1298 | Gula Darah Sewaktu | Rp35.000 | Laboratorium |
| 1299 | Gula Darah Puasa | Rp35.000 | Laboratorium |
| 1300 | Gula Darah 2 Jam PP | Rp35.000 | Laboratorium |
