42D2156768 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0152

Laboratory Demographics

  • CLIA Code: 42D2156768
  • Facility Name: HARRIS TEETER PHARMACY #97-0152
  • Facility Address: 301 MAIN STREET
    HILTON HEAD ISLAND, SC
    ZIP 29926
  • Facility Phone: 843 689-1333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1801341904
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2156768
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0152
Street 301 MAIN STREET
City HILTON HEAD ISLAND
State SC
ZIP 29926
Phone 843 689-1333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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