49D2103250 CLIA NUMBER - HARRIS TEETER PHARMACY #284

Laboratory Demographics

  • CLIA Code: 49D2103250
  • Facility Name: HARRIS TEETER PHARMACY #284
  • Facility Address: 43300 SOUTHERN WALK PLAZA, SUITE 130 ATTN THE PHARMACIST IN CHARGE
    ASHBURN, VA
    ZIP 20148
  • Facility Phone: 703 723-0981
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1639209786
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2103250
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #284
Street 43300 SOUTHERN WALK PLAZA, SUITE 130 ATTN THE PHARMACIST IN CHARGE
City ASHBURN
State VA
ZIP 20148
Phone 703 723-0981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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