42D2105783 CLIA NUMBER - HARRIS TEETER #423

Laboratory Demographics

  • CLIA Code: 42D2105783
  • Facility Name: HARRIS TEETER #423
  • Facility Address: 33 OFFICE PARK RD, STE 100
    HILTON HEAD ISLAND, SC
    ZIP 29928
  • Facility Phone: 843 785-2333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1407129885
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2105783
LAB Type Pharmacy
Facility Name HARRIS TEETER #423
Street 33 OFFICE PARK RD, STE 100
City HILTON HEAD ISLAND
State SC
ZIP 29928
Phone 843 785-2333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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