34D2105950 CLIA NUMBER - HARRIS TEETER #319

Laboratory Demographics

  • CLIA Code: 34D2105950
  • Facility Name: HARRIS TEETER #319
  • Facility Address: 2051 WEST MILLBROOK ROAD
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 787-1612
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1780072975
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2105950
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #319
Street 2051 WEST MILLBROOK ROAD
City RALEIGH
State NC
ZIP 27612
Phone 919 787-1612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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