42D2106195 CLIA NUMBER - HARRIS TEETER #372

Laboratory Demographics

  • CLIA Code: 42D2106195
  • Facility Name: HARRIS TEETER #372
  • Facility Address: 6271 CAROLINA COMMONS DR
    INDIAN LAND, SC
    ZIP 29707
  • Facility Phone: 803 802-5400
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1790923845
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2106195
LAB Type Other - RETAIL PHARMACY
Facility Name HARRIS TEETER #372
Street 6271 CAROLINA COMMONS DR
City INDIAN LAND
State SC
ZIP 29707
Phone 803 802-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Other - RETAIL PHARMACY
Lab Director LINDSAY CAPOZZIELLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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