34D2101746 CLIA NUMBER - HARRIS TEETER #97-421

Laboratory Demographics

CLIA Number: 34D2101746

Facility Name: HARRIS TEETER #97-421

Facility Address:
3565 DR MLK JR BOULEVARD
NEW BERN, NC
ZIP 28562
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Facility Phone Number: 252 637-9537

Facility Type: Other - RETIAL PHARMACY

Certificate Type: Waiver

NPI Number: 1639262363

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	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
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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