34D2101153 CLIA NUMBER - HARRIS TEETER #045

Laboratory Demographics

  • CLIA Code: 34D2101153
  • Facility Name: HARRIS TEETER #045
  • Facility Address: HARRIS TEETER PHARAMCY 10616 PROVIDENCE ROAD
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 845-8619
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1982706057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101153
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #045
Street HARRIS TEETER PHARAMCY 10616 PROVIDENCE ROAD
City CHARLOTTE
State NC
ZIP 28277
Phone 704 845-8619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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