34D2155196 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0003

Laboratory Demographics

  • CLIA Code: 34D2155196
  • Facility Name: HARRIS TEETER PHARMACY #97-0003
  • Facility Address: 4821 BEREWICK TOWN CENTER DRIVE
    CHARLOTTE, NC
    ZIP 28278
  • Facility Phone: 704 587-1232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1497106694
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2155196
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0003
Street 4821 BEREWICK TOWN CENTER DRIVE
City CHARLOTTE
State NC
ZIP 28278
Phone 704 587-1232
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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