49D2166309 CLIA NUMBER - HARRIS TEETER PHARMACY #097-464

Laboratory Demographics

  • CLIA Code: 49D2166309
  • Facility Name: HARRIS TEETER PHARMACY #097-464
  • Facility Address: 1069 INDEPENDENCE BLVD
    VIRGINIA BEACH, VA
    ZIP 23455
  • Facility Phone: 757 217-0246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1861957458
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2166309
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #097-464
Street 1069 INDEPENDENCE BLVD
City VIRGINIA BEACH
State VA
ZIP 23455
Phone 757 217-0246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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