49D2103166 CLIA NUMBER - HARRIS TEETER PHARMACY #313

Laboratory Demographics

  • CLIA Code: 49D2103166
  • Facility Name: HARRIS TEETER PHARMACY #313
  • Facility Address: 10438 BRISTOW CENTER DRIVE ATTN PHARMACIST IN CHARGE
    BRISTOW, VA
    ZIP 20136
  • Facility Phone: 703 257-1609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1750599247
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2103166
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #313
Street 10438 BRISTOW CENTER DRIVE ATTN PHARMACIST IN CHARGE
City BRISTOW
State VA
ZIP 20136
Phone 703 257-1609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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