I had my n-months expired LTO drivers license renewed at the LTO License Renewal Center at the 2nd level concourse MRT Ayala Station. The whole process took about two hours that include a drug test and medical check-up, with about half of it waiting for the card.
Regarding the required drug test and medical certificate, there's J n W Drug Testing Center beside the LTO center. All they asked from me was provide urine sample for drug test then a pseudo-medical check up where they took my weight and asked me to read a standard eye chart (they don't know I already memorized the chart's last two lines). My medical certificate was signed by the assistant in the name of Dr. Princy Goco with license # 0107810 and PTR 0120969 issued Mar 16, 2007. (Didn't get it back but I was able to log it in my cellphone.)
Cost of renewing Drivers License (non-professional):
LTO Drivers License Renewal cost updated October 26, 2010 (this time, JNW Drug Testing Center has a real doctor doing the medical exmination and not just a plain rubber stamp that costs PhP100.00)
PhP300.00 drug testing
PhP400.00 for license renewal
PhP75.00 penalty for late renewal (renewal on expiry date is already considered late)
PhP75.00 for revision of records (change of address)
PhP67.63 comp fee (computerization fee?)
Total amount paid was roughly P800.00 for about 2 hours, almost the same as the last time I applied for a drivers license 3 years ago at Land Transportation Office Makati near the old Makati City Hall on Pililla St. near J.P. Rizal St.
The center doesn't have the authority to add additional restrictions to my license since I need to drive an automatic clutch car (restriction 4). My current license is allowed only for motorcyles (restriction 1) and manual transmission up to 4500 kgs GVW (restriction 2)
The sad part about it is that they printed a wrong address that I noticed only later but it's a minor matter that I thought I should've never applied for a change of address.
This however is more convenient when i first applied for a drivers license in Las Pinas, then twice renewed at LTO Makati.
Other LTO Drivers Licence Renewal Centers:
SM City North EDSA, Guadalupe Commercial Center (near MRT Guadalupe station), Araneta Cubao, SM City Manila et al
How Apply for Replacement LTO Drivers License
LTO Student Drivers License Application
LTO Drivers License Restriction Codes
LTO Car Registration Schedule
UPDATED: April 2013