34D2100405 CLIA NUMBER - HARRIS TEETER #174

Laboratory Demographics

  • CLIA Code: 34D2100405
  • Facility Name: HARRIS TEETER #174
  • Facility Address: 5706 WYALONG DR
    CHARLOTTE, NC
    ZIP 28227
  • Facility Phone: 704 545-4106
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1114936622
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2100405
LAB Type Other - PHARMACY
Facility Name HARRIS TEETER #174
Street 5706 WYALONG DR
City CHARLOTTE
State NC
ZIP 28227
Phone 704 545-4106
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 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: 9/29/2025