49D2156379 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0307

Laboratory Demographics

  • CLIA Code: 49D2156379
  • Facility Name: HARRIS TEETER PHARMACY #97-0307
  • Facility Address: 301 WEST BROAD STREET
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 571 830-6832
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1205281334
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2156379
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0307
Street 301 WEST BROAD STREET
City FALLS CHURCH
State VA
ZIP 22046
Phone 571 830-6832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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