34D2100402 CLIA NUMBER - HARRIS TEETER #127

Laboratory Demographics

  • CLIA Code: 34D2100402
  • Facility Name: HARRIS TEETER #127
  • Facility Address: 1955 N PEACEHAVEN RD HARRIS TEETER PHARMACY ATTN PHARMACIST IN CHARGE
    WINSTON SALEM, NC
    ZIP 27106
  • Facility Phone: 336 765-6285
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1831293265
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100402
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #127
Street 1955 N PEACEHAVEN RD HARRIS TEETER PHARMACY ATTN PHARMACIST IN CHARGE
City WINSTON SALEM
State NC
ZIP 27106
Phone 336 765-6285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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