34D2155148 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0304

Laboratory Demographics

  • CLIA Code: 34D2155148
  • Facility Name: HARRIS TEETER PHARMACY #97-0304
  • Facility Address: 4221 CORNERS PARKWAY
    RALEIGH, NC
    ZIP 27617
  • Facility Phone: 919 596-1287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1962942326
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2155148
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0304
Street 4221 CORNERS PARKWAY
City RALEIGH
State NC
ZIP 27617
Phone 919 596-1287
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 LINDSAY CAPOZZIELLO

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