34D2101740 CLIA NUMBER - HARRIS TEETER #158

Laboratory Demographics

  • CLIA Code: 34D2101740
  • Facility Name: HARRIS TEETER #158
  • Facility Address: 820 S COLLEGE ROAD HARRIS TEETER PHARAMCY
    WILM, NC
    ZIP 28403
  • Facility Phone: (910) 395-9315
  • Facility Type: Other - TETIAL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1033213442
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101740
LAB Type Other - TETIAL PHARMACY
Facility Name HARRIS TEETER #158
Street 820 S COLLEGE ROAD HARRIS TEETER PHARAMCY
City WILM
State NC
ZIP 28403
Phone 9103959315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Other - TETIAL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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This page was last updated on: 5/18/2026