34D2101536 CLIA NUMBER - HARRIS TEETER #063

Laboratory Demographics

  • CLIA Code: 34D2101536
  • Facility Name: HARRIS TEETER #063
  • Facility Address: HARRIS TEETER PHARAMCY 3679 SUNSET AVE
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 937-2161
  • Facility Type: Other - RETIAL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1114029311
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101536
LAB Type Other - RETIAL PHARMACY
Facility Name HARRIS TEETER #063
Street HARRIS TEETER PHARAMCY 3679 SUNSET AVE
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 937-2161
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 - RETIAL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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