34D2100532 CLIA NUMBER - HARRIS TEETER # 204

Laboratory Demographics

  • CLIA Code: 34D2100532
  • Facility Name: HARRIS TEETER # 204
  • Facility Address: 8538 PARK ROAD ATTN PHARMACIST IN CHARGE
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 553-8378
  • Facility Type: Other - TETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1629405592
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100532
LAB Type Other - TETAIL PHARMACY
Facility Name HARRIS TEETER # 204
Street 8538 PARK ROAD ATTN PHARMACIST IN CHARGE
City CHARLOTTE
State NC
ZIP 28210
Phone 704 553-8378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other - TETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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