34D2101528 CLIA NUMBER - HARRIS TEETER #090

Laboratory Demographics

CLIA Number: 34D2101528

Facility Name: HARRIS TEETER #090

Facility Address:
HARRIS TEETER PHAARAMCY 13210 STRICKLAND ROAD
RALEIGH, NC
ZIP 27613
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Facility Phone Number: 919 676-0589

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1386746303

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	34D2101528
LAB Type	Other - RETAIL PHARMACY
Facility Name	HARRIS TEETER #090
Street	HARRIS TEETER PHAARAMCY 13210 STRICKLAND ROAD
City	RALEIGH
State	NC
ZIP	27613
Phone	919 676-0589
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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