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LA CLINICA, LLC
NPI 1629623343
Clinic/Center - Primary Care in Roswell, GA

Active since August 08, 2019CLIA 11D2163291 · Waiver
10479 ALPHARETTA ST STE 18, ROSWELL, GA 30075(678) 869-5000(678) 869-5014 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Clinica, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA, LLC (NPI 1629623343) is a healthcare organization registered as a primary care in Roswell, Georgia and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Patricia E Hernandez, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1629623343
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLA CLINICA, LLC
Location Address10479 ALPHARETTA ST STE 18Roswell, GA 30075-3764
Mailing Address10479 Alpharetta St Ste 18Roswell, GA 30075-3764 · (678) 869-5000 · Fax (678) 869-5014
Phone(678) 869-5000
Fax(678) 869-5014
Organization SubpartNo
Authorized OfficialPatricia E HernandezNurse Practitioner · (678) 869-5000
Enumeration DateAugust 8, 2019
✔ NPI 1629623343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10479 ALPHARETTA ST STE 18, Roswell, GA 30075
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2163291

La Clinica · Roswell, GA
Active · expires Mar 11, 2027
CLIA Number11D2163291
Laboratory TypePractitioner Other
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorPatricia Hernandez
Laboratory Phone(770) 312-1840
Laboratory LocationLa Clinica10479 Alpharetta Street, Suite 18, Roswell, GA 30075
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA E HERNANDEZ NP-C
Nurse Practitioner (Family)
10479 ALPHARETTA ST STE 18
ROSWELL, GA 30075
Fulton County (678) 869-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica, LLC's NPI number?

The NPI number for La Clinica, LLC is 1629623343. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is La Clinica, LLC located?

La Clinica, LLC is located at 10479 Alpharetta St Ste 18, Roswell, GA 30075. The listed phone number is (678) 869-5000.

What is La Clinica, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does La Clinica, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2163291) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Clinica, LLC was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.