34D2155129 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0064

Laboratory Demographics

  • CLIA Code: 34D2155129
  • Facility Name: HARRIS TEETER PHARMACY #97-0064
  • Facility Address: 5710-W WEST GATE CITY BOULEVARD
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 235-0711
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1962886333
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2155129
LAB Type Other - PHARMACY
Facility Name HARRIS TEETER PHARMACY #97-0064
Street 5710-W WEST GATE CITY BOULEVARD
City GREENSBORO
State NC
ZIP 27407
Phone 336 235-0711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Other - PHARMACY
Lab Director LINDSAY CAPOZZIELLO

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