34D2140875 CLIA NUMBER - HARRIS TEETER PHARMACY #422

Laboratory Demographics

  • CLIA Code: 34D2140875
  • Facility Name: HARRIS TEETER PHARMACY #422
  • Facility Address: 120 ALBANS ST, SUITE 100
    RALEIGH, NC
    ZIP 27609
  • Facility Phone: 919 781-4165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1609323203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2140875
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #422
Street 120 ALBANS ST, SUITE 100
City RALEIGH
State NC
ZIP 27609
Phone 919 781-4165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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