42D2105782 CLIA NUMBER - HARRIS TEETER #365

Laboratory Demographics

  • CLIA Code: 42D2105782
  • Facility Name: HARRIS TEETER #365
  • Facility Address: 975 SAVANNAH HWY, SUITE 135
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: (843) 556-5630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1144572850
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2105782
LAB Type Pharmacy
Facility Name HARRIS TEETER #365
Street 975 SAVANNAH HWY, SUITE 135
City CHARLESTON
State SC
ZIP 29407
Phone 8435565630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2025
Certificate Expiration Date 12/2/2027
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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This page was last updated on: 5/18/2026