42D2156770 CLIA NUMBER - HARRIS TEETER PHARMACY #97-0420

Laboratory Demographics

  • CLIA Code: 42D2156770
  • Facility Name: HARRIS TEETER PHARMACY #97-0420
  • Facility Address: 1720 AUGUSTA STREET
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 977-8045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1063914372
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2156770
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #97-0420
Street 1720 AUGUSTA STREET
City GREENVILLE
State SC
ZIP 29605
Phone 864 977-8045
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