34D2100742 CLIA NUMBER - HARRIS TEETER #099 PHARMACY ATTN PHARMACIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 34D2100742
  • Facility Name: HARRIS TEETER #099 PHARMACY ATTN PHARMACIST IN CHARGE
  • Facility Address: 134-H TOWN CENTER DR
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 799-1101
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1710158126
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2100742
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #099 PHARMACY ATTN PHARMACIST IN CHARGE
Street 134-H TOWN CENTER DR
City MOORESVILLE
State NC
ZIP 28117
Phone 704 799-1101
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

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