42D2179946 CLIA NUMBER - HARRIS TEETER PHARMACY #097-406

Laboratory Demographics

  • CLIA Code: 42D2179946
  • Facility Name: HARRIS TEETER PHARMACY #097-406
  • Facility Address: 3865 WEST ASHLEY CIRCLE
    CHARLESTON, SC
    ZIP 29414
  • Facility Phone: 843 619-2921
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPOZZIELLO
  • NPI Number: 1902444508
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2179946
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #097-406
Street 3865 WEST ASHLEY CIRCLE
City CHARLESTON
State SC
ZIP 29414
Phone 843 619-2921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPOZZIELLO

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