34D2100564 CLIA NUMBER - HARRIS TEETER #122

Laboratory Demographics

  • CLIA Code: 34D2100564
  • Facility Name: HARRIS TEETER #122
  • Facility Address: 5810 HIGHLAND SHOPPES DRIVE ATTN PHARMACIST IN CHARGE
    CHARLOTTE, NC
    ZIP 28269
  • Facility Phone: 704 875-7128
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1699877092
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100564
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #122
Street 5810 HIGHLAND SHOPPES DRIVE ATTN PHARMACIST IN CHARGE
City CHARLOTTE
State NC
ZIP 28269
Phone 704 875-7128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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