42D2302783 CLIA NUMBER - HARRIS TEETER PHARMACY #097-368

Laboratory Demographics

  • CLIA Code: 42D2302783
  • Facility Name: HARRIS TEETER PHARMACY #097-368
  • Facility Address: 1269 NEXTON PARKWAY
    SUMMERVILLE, SC
    ZIP 29486
  • Facility Phone: 843 974-9474
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY CAPPOZZIELLO
  • NPI Number: 1841078409
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2302783
LAB Type Pharmacy
Facility Name HARRIS TEETER PHARMACY #097-368
Street 1269 NEXTON PARKWAY
City SUMMERVILLE
State SC
ZIP 29486
Phone 843 974-9474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Pharmacy
Lab Director LINDSAY CAPPOZZIELLO

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