34D2101526 CLIA NUMBER - HARRIS TEETER #136

Laboratory Demographics

  • CLIA Code: 34D2101526
  • Facility Name: HARRIS TEETER #136
  • Facility Address: HARRIS TEETER PHARAMCY 9600 FALLS OF THE NURSE ROAD
    RALEIGH, NC
    ZIP 27615
  • Facility Phone: 919 845-0613
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1194829523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101526
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #136
Street HARRIS TEETER PHARAMCY 9600 FALLS OF THE NURSE ROAD
City RALEIGH
State NC
ZIP 27615
Phone 919 845-0613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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