49D2101297 CLIA NUMBER - HARRIS TEETER # 097-486

Laboratory Demographics

CLIA Number: 49D2101297

Facility Name: HARRIS TEETER # 097-486

Facility Address:
624-B N GLEBE RD
ARLINGTON, VA
ZIP 22201
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Facility Phone Number: 703 807-2904

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639271745

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	49D2101297
LAB Type	Pharmacy
Facility Name	HARRIS TEETER # 097-486
Street	624-B N GLEBE RD
City	ARLINGTON
State	VA
ZIP	22201
Phone	703 807-2904
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