34D2100895 CLIA NUMBER - HARRIS TEETER #209

Laboratory Demographics

  • CLIA Code: 34D2100895
  • Facility Name: HARRIS TEETER #209
  • Facility Address: 9925 ROSE COMMONS DRIVE ATTN PHARMACIST IN CHARGE
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 704 875-2375
  • Facility Type: Other - RENTAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1306933510
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100895
LAB Type Other - RENTAIL PHARMACY
Facility Name HARRIS TEETER #209
Street 9925 ROSE COMMONS DRIVE ATTN PHARMACIST IN CHARGE
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 875-2375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Other - RENTAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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