Buy Medical Equipment in Latvia

A hospital's own notice to ZVA

In Latvia, a hospital may buy a CE-marked class IIa, IIb or III device without going through the person who placed it on the Latvian market. It then gives ZVA, the State Agency of Medicines, the notification details itself, if no notice exists yet. That covers buying straight from abroad, at an exhibition or online. Since 1 January 2025, active class IIa, IIb and III devices without CE marking may not be operated at all, unless ZVA grants a permit.

We're MediGear, and as a medical equipment distributor, we handle requests from the first quote to final freight for healthcare buyers in more than 80 countries, from our registered company in England and Wales. For a Latvian site, we look for verified manufacturers who can supply the model with Latvian text. Then we check the points below before your clinical engineers and buying staff see the quote. Anyone can send a request on our buyers page without creating an account.

State hospitals, regional hospitals and private centres

Our quotes go to hospitals and other buyers, including:

• Pauls Stradiņš Clinical University Hospital in Riga, where funding was cleared in June 2026 to sign the A2 building contract
• The Children's Clinical University Hospital and the Hospital of Traumatology and Orthopaedics in Riga
• Regional hospitals such as Liepāja Regional Hospital and Vidzemes slimnīca in Valmiera
• Private outpatient groups such as VCA, with medical centres in all Riga districts, and diagnostic centres
• Clinical laboratories such as E. Gulbja Laboratorija
• Dental, veterinary and research users of X-ray equipment
• Latvian distributors that must be on the LATMED list of distributors

The state funds healthcare in Latvia, and NVD, the National Health Service, administers those funds. It contracts with providers across Latvia's health system and pays for their services. The Procurement Monitoring Bureau publishes every announced public tender, and since 1 January 2026, it has run EIS, the e-procurement system for e-tenders and e-orders in public procurement. Latvian medicine includes dental practices and laboratories as buyers too: a private dental practice buying one panoramic unit needs only a clear quote from us, and a laboratory can ask for laboratory supplies in the same way.

ZVA, LATMED and the language rule

Cabinet Regulation No. 461 of 2023, as amended in December 2025, applies the EU Medical Devices Regulation. ZVA keeps the LATMED register and receives notices, while the Health Inspectorate runs market surveillance and checks devices in use. Whoever starts placing class IIa, IIb or III devices on the Latvian market notifies ZVA with the declaration of conformity and certificates, and no ZVA decision is needed after that. The notice is not needed where the maker has entered its data in EUDAMED during the transition window.

Latvian distributors apply to ZVA before supplying, and since 1 January 2026, devices may be distributed only to distributors listed in LATMED. User and patient information must be in Latvian, unless the device is used only in a healthcare institution by trained staff and that institution agrees to another language. We are neither a Latvian distributor nor an importer and offer no regulatory advice, but every quote lists the unit's certificates.

VVD licences, registrations and yearly tests

The Radiation Safety Centre of the State Environmental Service (VVD) licenses medical X-ray under the law on radiation safety and nuclear safety. Dental work and bone densitometry or mammography units need only a registration, with no end date, while other medical uses appear to need a licence for 10 years. Buying or importing a unit needs no prior notice, but the new holder applies within 30 days of acquiring it, through the VVD service, and VVD decides within one month.

Approval needs a device lawfully placed on the market, a room plan agreed with a certified expert and the expert's view of the room. An accredited inspection body then tests radiological equipment when use starts and after any work that affects its settings. After that, dental units are tested at least every three years and other units at least once a year. A dose-area meter is calibrated at least every two years.

Installation, service checks and E-veselība

These points are settled with the maker first:

• Plugs and mains. The IEC lists type C and F plugs for Latvia at 230 V and 50 Hz, and a design for 110 V or 60 Hz needs a separate factory build.
• Installation. The maker, its agent, the distributor or the importer installs active class IIa, IIb and III devices. It checks power and the room, trains users and hands over the logbook.
• Service checks. If test intervals, documents or local service are missing, yearly safety and function checks apply, and spare parts and consumables can travel with the unit, along with supplies and accessories.
• E-veselība. The national e-health system carries e-prescriptions, e-referrals and lab results, so check DICOM and HL7 links with your IT team.

We put open points to the maker in writing before quoting, because the installer must confirm spare parts and service at handover.

EMDAS, EORI and VAT checks

VID, the State Revenue Service, runs customs, and declarations go through its EMDAS system. Any importer may appoint a customs representative, directly or indirectly, and must first obtain an EORI number from VID. The file for each order holds:

• Commercial invoice and crate packing list
• Proof of origin, where the declarant asks for it
• An HS code on every invoice line
• The declaration of conformity and certificates
• User and patient information in Latvian

VAAD, the State Plant Protection Service, requires wood packaging used to move cargo to be treated and marked to ISPM 15. It also runs extra checks on wood from listed risk countries, which do not include the UK, where no check was made at EU entry—our orders to makers specify heat-treated crates with the stamp.

The Freeport of Riga, Liepāja and the airport

1. Open the request. Send the model, quantity and hospital by RFQ form or email, and say whether a Latvian distributor is involved. For an order that covers several sites, give the number of hospitals in Latvia you are buying for and the units each one needs.
2. Check the papers. For catalogue items, quotes usually arrive within 48 hours and cover certification, lead time, the port, and the ZVA notice papers.
3. Approve by email or letter. We confirm the order with the maker once we receive approvals.
4. Port and air. Medical products can go by sea freight into the Freeport of Riga, or by air freight into Riga airport, where RIX Ground Handling deals with cargo. Liepāja takes sea freight too.

Our delivery of medical products in Riga ends at the port or airport you nominate. Your representative then lodges the declaration in EMDAS under your EORI number, and you handle the last leg. From 1 November 2026, a new overpass and checkpoint will serve Kundziņsala in the Freeport of Riga.

Single units, ward projects and used devices

A clinic in Valmiera that wants one autoclave, one monitor or a set of medical equipment tools can have just that quoted on most catalogue lines. A site planning magnetic resonance imaging in Riga can name its scanner and room, and the quote lists the unit's certificates. Wards and new buildings, whether for several hospitals or one clinic, are quoted as multi-line work; see hospital setup, and orthopaedic teams can browse Orthopaedic, Trauma and Prosthetics for technical aids and medical products. Our refurbished range covers pre-owned units, which Latvian rules allow with conditions. An active class IIa, IIb or III device must carry CE marking to be operated, and missing service papers require yearly checks. Used X-ray equipment still needs VVD registration or a licence.

Disclaimer

This page is general information for buyers in Latvia, written to help with planning. It is not an offer to supply or a substitute for legal, regulatory or customs advice. We quote what makers can supply, and an order is made only by written agreement on both sides. Devices require Latvian user information and the appropriate ZVA notices, and X-ray units require VVD registration or a licence. You and your representative handle clearance and the regulatory checks, since we are not a Latvian importer or distributor.