49D2101275 CLIA NUMBER - HARRIS TEETER # 419

Laboratory Demographics

  • CLIA Code: 49D2101275
  • Facility Name: HARRIS TEETER # 419
  • Facility Address: 2105 PRINCESS ANNE RD, SUITE 100 HARRIS TEETER PHARMACY, ATTN PHARMACIST IN CHARGE
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 721-2672
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1598153785
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2101275
LAB Type Pharmacy
Facility Name HARRIS TEETER # 419
Street 2105 PRINCESS ANNE RD, SUITE 100 HARRIS TEETER PHARMACY, ATTN PHARMACIST IN CHARGE
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 721-2672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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This page was last updated on: 9/29/2025