42D2103734 CLIA NUMBER - HARRIS TEETER #082

Laboratory Demographics

  • CLIA Code: 42D2103734
  • Facility Name: HARRIS TEETER #082
  • Facility Address: 1750 HWY 160 WEST
    FORT MILL, SC
    ZIP 29708
  • Facility Phone: 803 396-0450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1588927057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2103734
LAB Type Pharmacy
Facility Name HARRIS TEETER #082
Street 1750 HWY 160 WEST
City FORT MILL
State SC
ZIP 29708
Phone 803 396-0450
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