34D2101069 CLIA NUMBER - HARRIS TEETER #272

Laboratory Demographics

CLIA Number: 34D2101069

Facility Name: HARRIS TEETER #272

Facility Address:
HARRIS TEETER PHARAMCY 7715 REGENCY LAKE DRIVE
HUNTERSVILLE, NC
ZIP 28078
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Facility Phone Number: 704 892-3924

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1346332350

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	34D2101069
LAB Type	Other - RETAIL PHARMACY
Facility Name	HARRIS TEETER #272
Street	HARRIS TEETER PHARAMCY 7715 REGENCY LAKE DRIVE
City	HUNTERSVILLE
State	NC
ZIP	28078
Phone	704 892-3924
CertificateType	4
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024