21D2155469 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0322

Laboratory Demographics

  • CLIA Code: 21D2155469
  • Facility Name: HARRIS TEETER PHARMACY #97-0322
  • Facility Address: 8620 GUILFORD ROAD
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 410 290-6751
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: KELLEN O. RILEY
  • NPI Number: 1922279330
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2155469
LAB Type Other - PHARMACY
Facility Name HARRIS TEETER PHARMACY #97-0322
Street 8620 GUILFORD ROAD
City COLUMBIA
State MD
ZIP 21046
Phone 410 290-6751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Other - PHARMACY
Lab Director KELLEN O. RILEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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