49D2103169 CLIA NUMBER - HARRIS TEETER PHARMACY #253

Laboratory Demographics

  • CLIA Code: 49D2103169
  • Facility Name: HARRIS TEETER PHARMACY #253
  • Facility Address: 3905 FAIR RIDGE DRIVE ATTN PHARMACIST IN CHARGE
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 877-0584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1598093627
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2103169
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #253
Street 3905 FAIR RIDGE DRIVE ATTN PHARMACIST IN CHARGE
City FAIRFAX
State VA
ZIP 22033
Phone 703 877-0584
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: 9/29/2025