34D2155145 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0497

Laboratory Demographics

  • CLIA Code: 34D2155145
  • Facility Name: HARRIS TEETER PHARMACY #97-0497
  • Facility Address: 1802 NORTH POINT DRIVE
    DURHAM, NC
    ZIP 27705
  • Facility Phone: 919 220-6894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE MATALA
  • NPI Number: 1649764655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2155145
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0497
Street 1802 NORTH POINT DRIVE
City DURHAM
State NC
ZIP 27705
Phone 919 220-6894
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 Pharmacy
Lab Director KYLE MATALA

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