09D2100346 CLIA NUMBER - HARRIS TEETER #352 ATTN PHARMACIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 09D2100346
  • Facility Name: HARRIS TEETER #352 ATTN PHARMACIST IN CHARGE
  • Facility Address: 1201 FIRST STREET NE
    WASHINGTON, DC
    ZIP 20002
  • Facility Phone: 202 589-0127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRUCE COFANE
  • NPI Number: 1114235512
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2100346
LAB Type Pharmacy
Facility Name HARRIS TEETER #352 ATTN PHARMACIST IN CHARGE
Street 1201 FIRST STREET NE
City WASHINGTON
State DC
ZIP 20002
Phone 202 589-0127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2023
Certificate Expiration Date 8/11/2025
Facility Type Pharmacy
Lab Director BRUCE COFANE

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This page was last updated on: 3/20/2025