49D2107982 CLIA NUMBER - HARRIS TEETER #338

Laboratory Demographics

  • CLIA Code: 49D2107982
  • Facility Name: HARRIS TEETER #338
  • Facility Address: 13901 HEATHCOTE BOULEVARD
    GAINESVILLE, VA
    ZIP 20155
  • Facility Phone: 703 754-7166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1891179164
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2107982
LAB Type Pharmacy
Facility Name HARRIS TEETER #338
Street 13901 HEATHCOTE BOULEVARD
City GAINESVILLE
State VA
ZIP 20155
Phone 703 754-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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