49D2156404 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0356

Laboratory Demographics

  • CLIA Code: 49D2156404
  • Facility Name: HARRIS TEETER PHARMACY #97-0356
  • Facility Address: 6485 CENTERVILLE RD
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 903-2241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1629575006
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2156404
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0356
Street 6485 CENTERVILLE RD
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 903-2241
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

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: 3/20/2025