42D2103732 CLIA NUMBER - HARRIS TEETER #370

Laboratory Demographics

  • CLIA Code: 42D2103732
  • Facility Name: HARRIS TEETER #370
  • Facility Address: 500 MERCANTILE PLACE
    FORT MILL, SC
    ZIP 29715
  • Facility Phone: 803 547-0585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1972991164
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2103732
LAB Type Pharmacy
Facility Name HARRIS TEETER #370
Street 500 MERCANTILE PLACE
City FORT MILL
State SC
ZIP 29715
Phone 803 547-0585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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