34D2100996 CLIA NUMBER - HARRIS TEETER #250

Laboratory Demographics

  • CLIA Code: 34D2100996
  • Facility Name: HARRIS TEETER #250
  • Facility Address: HARRIS TEETER PHARAMCY ATTN PHARMACIST IN CHARGE 971 S MAIN STREET
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 336 996-7239
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1013011675
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2100996
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #250
Street HARRIS TEETER PHARAMCY ATTN PHARMACIST IN CHARGE 971 S MAIN STREET
City KERNERSVILLE
State NC
ZIP 27284
Phone 336 996-7239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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