34D2101746 CLIA NUMBER - HARRIS TEETER #97-421

Laboratory Demographics

  • CLIA Code: 34D2101746
  • Facility Name: HARRIS TEETER #97-421
  • Facility Address: 3565 DR MLK JR BOULEVARD
    NEW BERN, NC
    ZIP 28562
  • Facility Phone: 252 637-9537
  • Facility Type: Other - RETIAL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1639262363
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101746
LAB Type Other - RETIAL PHARMACY
Facility Name HARRIS TEETER #97-421
Street 3565 DR MLK JR BOULEVARD
City NEW BERN
State NC
ZIP 28562
Phone 252 637-9537
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 - RETIAL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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