49D2103253 CLIA NUMBER - HARRIS TEETER PHARMACY #309

Laboratory Demographics

  • CLIA Code: 49D2103253
  • Facility Name: HARRIS TEETER PHARMACY #309
  • Facility Address: 25401 EASTERN MARKETPLACE PLAZA #150 ATTN PHARMACIST IN CHARGE
    CHANTILLY, VA
    ZIP 20152
  • Facility Phone: 703 722-2389
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1700017647
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2103253
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #309
Street 25401 EASTERN MARKETPLACE PLAZA #150 ATTN PHARMACIST IN CHARGE
City CHANTILLY
State VA
ZIP 20152
Phone 703 722-2389
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

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