34D2100740 CLIA NUMBER - HARRIS TEETER #104 PHARMACY ATTN PHARMACIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 34D2100740
  • Facility Name: HARRIS TEETER #104 PHARMACY ATTN PHARMACIST IN CHARGE
  • Facility Address: 4093 DAVIS DR
    MORRISVILLE, NC
    ZIP 27560
  • Facility Phone: (919) 380-3385
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1093817025
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100740
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #104 PHARMACY ATTN PHARMACIST IN CHARGE
Street 4093 DAVIS DR
City MORRISVILLE
State NC
ZIP 27560
Phone 9193803385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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This page was last updated on: 5/15/2026