34D2101694 CLIA NUMBER - HARRIS TEETER #115

Laboratory Demographics

  • CLIA Code: 34D2101694
  • Facility Name: HARRIS TEETER #115
  • Facility Address: HARRIS TEETER PHARAMCY 2120 WAYNE MEMORIAL DRIVE
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 731-2423
  • Facility Type: Other - RETIAL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1629416557
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101694
LAB Type Other - RETIAL PHARMACY
Facility Name HARRIS TEETER #115
Street HARRIS TEETER PHARAMCY 2120 WAYNE MEMORIAL DRIVE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 731-2423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Other - RETIAL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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