Background: In the Primary Health Center (PHC), accreditation process must support to all members regarding the learning process. This study aimed to determine the application of learning organization in effort to maintain the accreditation performance. 
Methods: This study used descriptive research method with cross-sectional approach. The population in this study was all employees of Sememi PHC in Surabaya, Indonesia.
Results: Based on the survey results using a questionnaire on the Sememi PHC accreditation team, it was found that 74% of respondents stated that the learning organization process was good. The implementation of learning organization in Sememi PHC where the employees were directed to continually learn through every activity carried out created new innovations in problems solving and forming good teamwork in proven too able to maintain accreditation performance.
Conclusion: PHC with full accreditation status should maintain their status and improve learning organization for the success of organizational change and performance.

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