34D2177067 CLIA NUMBER - HARRIS TEETER PHARMACY 097-021

Laboratory Demographics

  • CLIA Code: 34D2177067
  • Facility Name: HARRIS TEETER PHARMACY 097-021
  • Facility Address: 500 OBERLIN ROAD
    RALEIGH, NC
    ZIP 27605
  • Facility Phone: 513 762-1090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1093809022
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2177067
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY 097-021
Street 500 OBERLIN ROAD
City RALEIGH
State NC
ZIP 27605
Phone 513 762-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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