34D2142407 CLIA NUMBER - HARRIS TEETER PHARMACY #305

Laboratory Demographics

  • CLIA Code: 34D2142407
  • Facility Name: HARRIS TEETER PHARMACY #305
  • Facility Address: 2717 SOUTH BOULEVARD
    CHARLOTTE, NC
    ZIP 28209
  • Facility Phone: 704 527-1079
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1942740907
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2142407
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #305
Street 2717 SOUTH BOULEVARD
City CHARLOTTE
State NC
ZIP 28209
Phone 704 527-1079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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