49D2103167 CLIA NUMBER - HARRIS TEETER PHARMACY #316

Laboratory Demographics

  • CLIA Code: 49D2103167
  • Facility Name: HARRIS TEETER PHARMACY #316
  • Facility Address: 12745 GALVESTON COURT ATTN PHARMACIST IN CHARGE
    MANASSAS, VA
    ZIP 20112
  • Facility Phone: (703) 580-0298
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1497952238
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2103167
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #316
Street 12745 GALVESTON COURT ATTN PHARMACIST IN CHARGE
City MANASSAS
State VA
ZIP 20112
Phone 7035800298
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

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This page was last updated on: 5/18/2026