49D2156382 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0085

Laboratory Demographics

  • CLIA Code: 49D2156382
  • Facility Name: HARRIS TEETER PHARMACY #97-0085
  • Facility Address: 12960 HIGHLAND CROSSING DRIVE
    HERNDON, VA
    ZIP 20171
  • Facility Phone: 703 796-0239
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1932308202
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2156382
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0085
Street 12960 HIGHLAND CROSSING DRIVE
City HERNDON
State VA
ZIP 20171
Phone 703 796-0239
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