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49D2101268 CLIA NUMBER - HARRIS TEETER # 235

Laboratory Demographics

CLIA Number: 49D2101268

Facility Name: HARRIS TEETER # 235

Facility Address:
4250 CAMPBELL AVE HARRIS TEETER PHARMACY ATTN PHARMACIST IN CHARGE
ARLINGTON, VA
ZIP 22206
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Facility Phone Number: 703 379-2241

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1144412487

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 49D2101268
LAB Type Pharmacy
Facility Name HARRIS TEETER # 235
Street 4250 CAMPBELL AVE HARRIS TEETER PHARMACY ATTN PHARMACIST IN CHARGE
City ARLINGTON
State VA
ZIP 22206
Phone 703 379-2241
CertificateType 4
CertificateEffectiveDate 8/31/2023
CertificateExpirationDate 8/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024