Healther Providers Data Logo

49D2101288 CLIA NUMBER - HARRIS TEETER #369

Laboratory Demographics

CLIA Number: 49D2101288

Facility Name: HARRIS TEETER #369

Facility Address:
4540 PRINCESS ANNE ROAD #117 HARRIS TEETER PHARMACY, ATTN PHARMACIST IN CHARGE
VIRGINIA BEACH, VA
ZIP 23462
Get Directions

Facility Phone Number: 757 467-4650

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1851714026

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 49D2101288
LAB Type Pharmacy
Facility Name HARRIS TEETER #369
Street 4540 PRINCESS ANNE ROAD #117 HARRIS TEETER PHARMACY, ATTN PHARMACIST IN CHARGE
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 467-4650
CertificateType 4
CertificateEffectiveDate 8/31/2023
CertificateExpirationDate 8/30/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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