34D2100403 CLIA NUMBER - HARRIS TEETER #029

Laboratory Demographics

  • CLIA Code: 34D2100403
  • Facility Name: HARRIS TEETER #029
  • Facility Address: 1109 US 15-501 HWY, UNIT 1804 HARRIS TEETER PHARM ATTN PHARMACIST IN CHARGE
    ABERDEEN, NC
    ZIP 28315
  • Facility Phone: (910) 692-3048
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: MR. LINDSAY CAPOZZIELLO
  • NPI Number: 1235242983
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100403
LAB Type Other - PHARMACY
Facility Name HARRIS TEETER #029
Street 1109 US 15-501 HWY, UNIT 1804 HARRIS TEETER PHARM ATTN PHARMACIST IN CHARGE
City ABERDEEN
State NC
ZIP 28315
Phone 9106923048
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 - PHARMACY
Lab Director MR. LINDSAY CAPOZZIELLO

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This page was last updated on: 5/18/2026