49D2221075 CLIA NUMBER - HARRIS TEETER PHARMACY #097-413

Laboratory Demographics

  • CLIA Code: 49D2221075
  • Facility Name: HARRIS TEETER PHARMACY #097-413
  • Facility Address: 4550 KING ST
    ALEXANDRIA, VA
    ZIP 22302
  • Facility Phone: 571 895-2824
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1356927487
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2221075
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #097-413
Street 4550 KING ST
City ALEXANDRIA
State VA
ZIP 22302
Phone 571 895-2824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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