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LA VISTA NORCROSS CLINIC
NPI 1841571213
Clinic/Center - Primary Care in Norcross, GA

Active since August 30, 2011CLIA 11D0995874 · Waiver
2625 BEAVER RUIN RD STE B, NORCROSS, GA 30071(770) 446-2820(770) 446-2868 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Vista Norcross Clinic NPPES

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

LA VISTA NORCROSS CLINIC (NPI 1841571213) is a healthcare organization registered as a primary care in Norcross, Georgia and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Juana M Sanchez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1841571213
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLA VISTA NORCROSS CLINIC
Location Address2625 BEAVER RUIN RD STE BNorcross, GA 30071-4136
Mailing Address2625 Beaver Ruin Rd Ste BNorcross, GA 30071-4136 · (770) 446-2820 · Fax (770) 446-2868
Phone(770) 446-2820
Fax(770) 446-2868
Organization SubpartNo
Authorized OfficialJuana M SanchezMedical Director · (770) 446-2820
Enumeration DateAugust 30, 2011
✔ NPI 1841571213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 031536
2625 BEAVER RUIN RD STE B, Norcross, GA 30071
Open in Google Maps ↗

Other Identifiers 1

Medicaid043659295AGA

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 11D0995874

Lavista Norcross Clinic · Norcross, GA
Active · expires Feb 3, 2028
CLIA Number11D0995874
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorJuana Maria Sanchez MD Mph
Laboratory Phone(770) 446-2820
Laboratory LocationLavista Norcross Clinic2625 Beaver Ruin Road, Suite B, Norcross, GA 30071
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vista Norcross Clinic's NPI number?

The NPI number for La Vista Norcross Clinic is 1841571213. It was assigned to this organization in the NPPES registry on August 30, 2011.

Where is La Vista Norcross Clinic located?

La Vista Norcross Clinic is located at 2625 Beaver Ruin Rd Ste B, Norcross, GA 30071. The listed phone number is (770) 446-2820.

What is La Vista Norcross Clinic's specialty?

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

Does La Vista Norcross Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0995874) is associated with this NPI, valid through February 3, 2028. 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 Vista Norcross Clinic was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.