34D2100741 CLIA NUMBER - HARRIS TEETER #066 PHARMACY ATTN PHARMACIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 34D2100741
  • Facility Name: HARRIS TEETER #066 PHARMACY ATTN PHARMACIST IN CHARGE
  • Facility Address: 7852 REA RD
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 542-5737
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LIDNSAY CAPOZZIELLO
  • NPI Number: 1922100973
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100741
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #066 PHARMACY ATTN PHARMACIST IN CHARGE
Street 7852 REA RD
City CHARLOTTE
State NC
ZIP 28277
Phone 704 542-5737
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 LIDNSAY CAPOZZIELLO

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