49D2101656 CLIA NUMBER - HARRIS TEETER PHARMACY # 133

Laboratory Demographics

  • CLIA Code: 49D2101656
  • Facility Name: HARRIS TEETER PHARMACY # 133
  • Facility Address: 4641 DUKE RD ATTN PHARMACIST IN CHARGE
    ALEXANDRIA, VA
    ZIP 22314
  • Facility Phone: 703 461-7102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1396828786
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2101656
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY # 133
Street 4641 DUKE RD ATTN PHARMACIST IN CHARGE
City ALEXANDRIA
State VA
ZIP 22314
Phone 703 461-7102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2023
Certificate Expiration Date 9/7/2025
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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